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김명래,박창환,성만호 大韓顎顔面成形再建外科學會 1993 Maxillofacial Plastic Reconstructive Surgery Vol.15 No.3
Sixty four patients were followed-up for over 6 months following the orthognathic surgeries and were examined for the Temporo-mandibular joint dysfunction. The results are as follows: 1. Of 64 patients, 9(14.1%) had been suffered from TMD preoperatively : 47% in the prognathism and 46.2% in the laterognathism. 2. Following the orthognathic surgeries, 7 of 64 patients(10.9%) complained TMD, and 55.6% of the TMD patients resulted in significant improvement. 3. By the type of deformities, laterognathism with TMD could be expected to be improved in 30.8%, while 7.7% in the prognathism. 4. Non-rigid fixation resulted in higher incidence of TMD than the Rigid fixation after the SSRO ; 4 of 15(26.5%) and 2 of 25(8.0%) respectively.
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성만호(Man Ho Sung),김명래(Myung Rae Kim),박창환(Chang whan Park),김선종(Sun Jong Kim) 대한구강악안면외과학회 1994 대한구강악안면외과학회지 Vol.20 No.2
This is to report a case of Latissimus Dorsi myocutaneous free flaps used to reconstruct the paralyzed cheek defect. The patient who had been sufferred from congenital facial nerve paralysis and accompanied muscular atrophy showing horse-face mask appearance was treated by bilateral LD Neuro-Musculo-Cutaneous free flaps. The clinical applications of LD neuro-muscular free flaps and the results were as follows; 1. Two LD free flaps(15×3cm) with longer vascular stalk (8,10cm in length) were raised and transferred to both cheeks. 2. The thoracodorsal arteries feeding the LD-flaps were as big as 1.5~2.5mm in diameter, and the surgical risk of failure in vascular anastomosis could be very low. 3. Color of the LD-flaps matched good to the facial skin. 4. Muscle flaps containing the motor nerves responsed to nerve stimuli, but the facial expression could not be recovered due to the prolonged degeneration of proximal facial nerve. 5. The complications of donor site were minimal, and the function of arms were recovered soon postoperatively.
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김명래(Myung Rae Kim),성만호(Man Ho Sung),구혜수(Hye Soo Koo) 대한구강악안면외과학회 1997 대한구강악안면외과학회지 Vol.23 No.4
This is to report the histo-pathologic findings of the degenerated inferior alveolar nerves(IAN) causing uncontrollable neuralgia persisted for over 3 years. The patients had sufferred from frequent attack of unbearable pain along the mandibular branches of the Vth nerve. The pain arised spontaneously 5-10 times a day and lasted for 2-5 minutes. The medications including Tegretol were neither so effective to alleviate the pain level, nor enough to keep free from pain all days. The peripheral neurectomies were preceded by diagnostic nerve block, and partial resection of the IAN in the mandibular canals were approached by sagittal split osteomy of the ramus. The histopathologic findings of the resected IAN were as follows ; 1. Special staining with Luxol Fast Blue (LFB) and Masson Trichrome (MT) disclosed marked degeneration of the axons, decreased in number and fibrosis between the nerve fibers. 2. EM study revealed destruction of myelin continuity surrounding axons, degeneration of Schwann cell and endoneureal sheath, and coarse collagen between the destructed axons. 3. The 3 of 6 patients presented again with recurred pain in 2-3 years after the peripheral neurectomies. Excisional biopsy of the retromolarpterygomandibular softtissues disclosed the collateralization neuropathy beside the long-buccal nerves and their neuromatous findings.
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지적장애학생을 위한 사회과 교수,학습 방법 분석: 기본 교육과정과 공통교육과정의 교사용 지도서를 중심으로
한경근 ( Kyoung Gun Han ),성만호 ( Man Ho Song ) 한국지적장애교육학회(구-한국정신지체아교육학회) 2012 지적장애연구 Vol.14 No.1
이 연구의 목적은 지적장애학생을 위한 사회과 교수·학습 방법을 구안하고 2011년 개정 특수교육 기본교육과정에 따른 교과서 및 교사용 지도서 개발에 시사를 제공하고자 하였다. 이를 위해 2008년 개정 기본 교육과정 사회과 교사용지도서」에서 내용 영역별로 제시된 교수·학습방법을 분석하여「2007년 개정 교육과정 사회과 교사용지도서」에 제시된 교수·학습방법과 비교하였다. 두 교육과정에서의 교수학습 방법은 교수 모형과 수업 기법으로 나누어 내용분석법을 적용하여 분석하였다. 연구 결과 기본 교육과정 사회과 교사용지도서에 제시된 교수·학습방법은 일반 교육과정의 사회과에 비하여 사회과의 특성에 부합하는 독특한 교수 모형이 지극히 제한적이었으며, 일반적인 특수교육 기법이 주를 이루었다. 연구 결과를 바탕으로 지적장애학생을 위한 사회과 교수·학습방법의 개발과 적용방안에 대한 논의 및 시사점을 제시하였다. The purpose of the study was to investigate the teaching and learning methods of the Social Studies for students with intellectual disabilities. For the purpose of the present study, the teaching and learning methods suggested in teacher`s manual of Social Studies at elementary level and the Basic Curriculum were compared. The teacher`s manuals of the Basic Curriculum Social Studies revised in 2008 and elementary level Social Studies revised in 2007 were analyzed to find out the teaching and learning models and techniques. Further, units dealt with similar topics between the two curriculum were compared to see if there were similarities in terms of the teaching and learning models and techniques. Major results revealed that the teaching and learning models in the Basic Curriculum were very limited. Other results and implications were discussed.
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하악이부 자가골이식에 의한 잔유성 치조-구개파열의 폐쇄
김명래(Myung Rae Kim),채평배(Pyung Bae Chae),성만호(Man Ho Sung) 대한구강악안면외과학회 1991 대한구강악안면외과학회지 Vol.17 No.2
Bone graft to the residual alveolar-palatal clefts has been considered to be most helpful to close the oronasal fistlua and to restore the collapsed dental arch. Autogenous iliac bone and freeze - dried bone with or without Hydrxylapatite have been used widely, but recently there are some trials to use the mandibular symphysis as a donor site. This is to report 2 cases of residual alveolar clefts treated with autogenous bone grafts taken from mandibular symphysis. The recipient beds showed successful ossification with relatively less resorption and the donor sites were refilled with new bone within 6 months completely without leaving any complications.
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