Y needle을 이용한 간단한 이중검 수술

양병은(Byoung-Eun Yang),김성곤(Seong-Gon Kim),김용관(Yong-Kwan Kim) 대한구강악안면외과학회 2004 대한구강악안면외과학회지 Vol.30 No.2

The eyes, the saying goes, are the windows of the soul. It’s the first thing you notice about a person. Therefore, many people want to possess beautiful eyelids. Surgical formation of a palpebral fold and sulcus divides the lid into two well-defined segments (palpebral and pretarsal), producing the double eyelid desired by many Oriental women as well as an increasing number of man recently. Upper lid blepharoplasty is the Oriental eye is one of the variations of standard upper lid blepharoplasty. In Oriental double eyelid surgery, there have been two approaches to form a superior palpebral fold: the buried suture(nonincision) method and the full external incision method. Conventionally, the nonincision technique has been shown to produce little postoperative edema. However, the probability of the fold disappearing is high, and this technique cannot be performed in patients with fatty eyelids. Conversely, the incision technique has contrary characteristics. Recently, partial incision(or semi-open) technique which is combination of mentioned methods is used, this technique is removal of pretarsal tissue, muscle, and/or orbital fat around 2 or 3 incision site to facilitate tarsus-dermal adhesion. Our method is on the basis of this technique, furthermore, compared with conventional semi-open method, Y(Yang’s) needle assisted double eyelid operation is more easy, convenient, saving-time method and provide satisfactory results.

Conical connection 임플란트(Ankylos<SUP>Ⓡ</SUP> dental implant)에 대한 후향적 임상연구

양병은(Byoung-Eun Yang),송상훈(Sang-Hun Song),심혜원(Hye-Won Shim),이상민(Sang-Min Lee),김성곤(Seong-Gon Kim) 대한치과의사협회 2006 대한치과의사협회지 Vol.44 No.11

Mini-implant를 이용한 하악골 우각부 골절의 효과적인 정복;

양병은(Byoung-Eun Yang),최영준(Young-Jun Choi),최원철(Won-Cheul Choi) 대한구강악안면외과학회 2007 대한구강악안면외과학회지 Vol.33 No.4

In an open reduction of the mandibular angle fracture, it is crucial to approximate each fracture segment as closer as possible for the reduction of the healing period. In this case report, we proposed a new technique for the mandibular angle fracture. This was designed to minimize the gap between two separated segments using mini-implants and surgical wires. Mini-implants were placed around the fracture line, followed by wire ligation to minimize the fracture gap. And then internal fixation was easily employed with plates and screws. The advantages of this technique were reduced time for operation, the promotion of healing, rapid functional recovery, and few complications.

Platform switching(또는 Platform shifting) 개념 및 임상적용에 관한 고찰

양병은(Byoung-Eun Yang),송상훈(Sang-Hun Song),김성곤(Seong-Gon Kim) 대한치과의사협회 2007 대한치과의사협회지 Vol.45 No.9

Many dentists and patients expect that implant function and esthetics will not change over time. However, even the most successful implant restorations with ideal position, vertical height, and occlusion can be aesthetically pleasing, but may hide a common problem. Many dentists noticed that there can be some circumferential bone loss around the neck of the implants. To circumvent this bone loss. a “platform switching” concept was introduced recently. The basic concept of platform switching is by moving the fixture-abutment interface further away from the crestal bone to minimize crestal bone loss. Since crestal bone loss is a multifactor problem, it is important to consider microgap formation and micromotion between the implant and abutment because platform switching does not solve the problem on its own. In this article, we reviewed studies concerning platform switching and discussed the clinical application and the problems that may occur with its use.

안면신경 압박손상 후 Adenovirus 매개 BDNF 유전자 전달을 통한 신경손상 회복에 관한 연구

양병은(Byoung-Eun Yang),이종호(Jong-Ho Lee) 대한구강악안면외과학회 2006 대한구강악안면외과학회지 Vol.32 No.4

Objectives Despite considerable advances in technique, experience and skill, the precise place of surgery in the treatment of facial nerve injury remains uncertain. We designed a facial nerve crush injury model in rats and evaluated the recovery of crushed nerve which is the most common injury type of facial nerve using adenovirus vector mediated in vivo gene transfer of Brain derived neurotrophic factor(BDNF). Materials and methods In 48 Sprague Dawley rats, we made a facial nerve crush injury model to main trunk before the furcation, and injected a 1011pfu adenoviral BDNF in experimental group(BDNF adenoviral injection group; ad-BDNF) and 3㎕ saline in control group(Saline injection group; saline). After a period of regeneration from 10 to 40 days, nerve regeneration was evaluated with functioinal test (vibrissae and ocular movement), electrophysiologic study(threshold, peak voltage, conduction velocity) and histomorphometric study of axon density. Results Vibrissae and ocular movement, threshold and conduction velocity improved as time elapse in both group, however axon density was increased significantly only in experimental group. Functional test in 10 days and 20 days showed no difference between experimental group and control group. Vibrissae movement, threshold, conduction velocity and axon density in 30 days revealed that the regeneration in quality of experimental group was significantly superior to that of control group. Conclusion In general, there is tendency for nerve regeneration in experimental group (BDNF-adenovirus injection group) during 40 days, functional recovery was detected successfully after facial nerve crush in 30 days postoperatively

이하선에 발생한 타액선도관낭종의 치험례 : 증례보고

정진원,양병은,김성곤,Jung, Jin-Won,Yang, Byoung-Eun,Kim, Seong-Gon 대한구강악안면외과학회 2008 대한구강악안면외과학회지 Vol.34 No.4

The salivary duct cyst is a rare disease and usually found in the parotid gland. A 55-years-old man presented swelling in the left buccal area and pathological diagnosis was a salivary duct cyst. Though its recurrence has been reported rare, the presented case showed recurrent swelling after enucleation. The recurrent lesion was successfully treated by incision and drain insertion.

산지 방목기간 중 미량영양소 급여가 한우 암소의 생산성에 미치는 영향

양승학,양병철,정기용,장선식,이은미,조상래,이석동,박형수,권응기,Yang, Seung Hak,Yang, Byoung Chul,Chung, Ki Yong,Jang, Sun Sik,Lee, Eun Mee,Cho, Sang Rae,Lee, Suk Dong,Park, Hyung Soo,Kwon, Eung Gi 한국초지조사료학회 2016 한국초지조사료학회지 Vol.36 No.4

본 시험은 한우연구소 시험우사와 표고가 700 m 지역에 위치한 개량목초지 (오차드그라스, 티머시, 톨페스큐 우점)에서 2014년 5월~10월동안 수행되었는데, 방목 처리구별 방목지를 선정하고 3구역으로 나눈 후, 방목지 초지식생을 고려하여 윤환방목을 4회 (1회당 38.5일) 실시하였다. 국립축산과학원 한우연구소에서 암소 육성우 및 성우 27두(시험구별 9두)를 공시하여 2014년 5~10월동안 수행하였다. 방목대상지는 오차드그라스, 티머시, 톨페스큐가 우점한 해발표고 700 m의 개량목초지를 이용하였다. 시험구 배치는 대조구, 처리1구, 처리2구로 구분하였으며, 대조구가 우사관리구 (건초급여와 농후사료급여), 처리1구는 방목사육과 농후사료 급여구, 처리2구는 방목사육과 농후사료 급여와 미량광물질제 급여구로 처리하였다. 본 연구에 사용된 미량광물질제는 마그네슘, 셀레늄, 반추위보호콜린이 포함된 시제품제제 (30g/두/일)를 급여하였다. 사료급여기준은 2012 한국 사양표준 (한우)에 따라 성장단계별 표준 목표체중 도달 또는 체중별 영양소요구량 충족을 위해 영양조절 급여를 수행하였다. 처리구별 방목지를 선정하고 각 세부적으로 3구역으로 나눠 5~10월 중 윤환방목을 실시했다. 측정항목은 생초수량, 체중, 사료섭취량, 혈중 대사물질, 경제성 분석, 수태율을 실시하였다. 윤환방목지의 생초수량 및 건물수량은 처리1구와 처리2구의 생초 총 생산량은 30,473.9 kg/ha, 30744.3 kg/ha였으며 방목지간의 차이를 보이지 않았다(P>0.05). 한우 14개월령 목표체중 240 kg에 모든 처리구가 도달했으며 생후 15개월령 체중은 대조구, 처리1구, 처리2구가 각각 259.9, 257.7 및 262.1 kg였다. 일당증체량은 대조구, 처리1구, 처리2구가 각각 평균 0.52, 0.51, 0.54 kg으로 시험구간에 차이가 없었다. 혈중 대사물질 중 글루코스의 함량이 처리1구(방목사육)에서 높았다. 수태율은 대조구, 처리1구, 처리2구가 88.9%, 100%, 100%였다. 시험구 간에 경제성 분석을 실시한 결과 두당 비용절감이 대조구에 비해 시험1구와 시험2구가 각각 143,790, 125,970원으로 나타났다. This study was conducted to ameliorate the productive performance of Hanwoo cow using hill pasture grazing system. Twenty seven animals aged 9 were designed to divide with 3 groups which were Control (restricted concentrate and hay for 5 months), T1 (restricted concentrate and pasture grazing ad libitum for 5 months) and T2 (restricted concentrate, 30 g/head of mineral nutrients and pasture grazing ad libitum for 5 months). Average daily gains increased higher in the order of T2, Control and T1. The conception rate of Control, T1 and T2 after artificial insemination during post-grazing period were 88.9%, 100%, 100%, respectively. In conclusion, the results indicated that hill pasture grazing system might enhance not only the productive performance of Hanwoo cow but also profit for conventional feeding system.

하악 우각부 골절 시 2개의 miniplate를 이용한 관혈적 정복술에 대한 전향적 예비 임상연구

양승빈(Seung-Bin Yang),장창수(Chang-Su Jang),김주원(Ju-Won Kim),임진혁(Jin-Hyuk Yim),김좌영(Jwa-Young Kim),양병은(Byoung-Eun Yang) 대한구강악안면외과학회 2010 대한구강악안면외과학회지 Vol.36 No.4

Introduction: The placement of a single miniplate is not sufficient to achieve rigid fixation in mandibular angle fractures. It often causes difficulties in reducing the intermaxillary fixation (IMF) period. Consequently, the placement of 2 miniplates is preferable. The intraoral approach in an open reduction and internal fixation (ORIF) of a mandibular angle fracture with 2 miniplates is often challenging. Accordingly, an alternative of transbuccal approach is performed. However, this method leaves a scar on the face and can result in facial nerve injury. This clinical study suggests a protocol that can maintain rigid fixation without a transbuccal approach in mandibular angle fractures. Materials and Methods: The subjects were 7 patients who sustained fractures of the mandibular angle and treated at Department of Oral and maxillofacial surgery, Sacred Heart Hospital, Hallym University. ORIF under general anesthesia was done using the intraoral approach. One miniplate was inserted on external oblique ridge of the mandible, and the other was placed on lateral surface of the mandibular body with contra-angle drill and driver. A radiographic assessment and occlusal contact point examination was carried out before surgery, and 2, 4 and 6 weeks after surgery. Results: The mean operation time was 80 minutes. Regarding the occlusion state, the number of contact points increased after surgery. Paresthesia and infection were reported to be complications before surgery. Conclusion: The placement of 2 miniplates using contra-angle drill for ORIF of mandibular angle fractures allows early movement of the mandible without IMF. We propose this approach to reduce the patients’discomfort and simplify the surgical procedure.

Panorama, CT를 이용한 상악동내 중격의 임상적 연구

정진원,송경호,이슬기,김좌영,양병은,김성곤,송상훈,Jung, Jin-Won,Song, Kyoung-Ho,Lee, Seul-Ki,Kim, Jwa-Young,Yang, Byoung-Eun,Kim, Sung-Gon,Song, Sang-Hun 대한구강악안면외과학회 2008 대한구강악안면외과학회지 Vol.34 No.3

Purpose: The aim of this study was to examine the incidence, location and morphology of antral septa using radiographic exam.(Panorama, CT) in the dentate/non-atrophic and edentulous/atrophic maxillary segments. Material & methods: 232 sinuses were subdivided into two groups(group1 : 175 sinuses were classified as complete & partial dentate maxillary segments, group2 : 57 sinuses were classified as complete edentulous maxillary segments) and were investigated for the incidence, location and morphology of maxillary sinus septa. Results: A total of 80 septa were observed in 232 maxillary sinuses, which corresponded to 30.65% of the sinuses(71 of 232). 67.5% of the total septa was observed in the complete & partial dentate groups, but 32.5% of the total septa was observed in the complete edentulous group. Upon analysis of the anatomical location of the septa, it was seen that 14 septa(17.5%) were located in the P1 area, 15 septa(18.7%) were located in the P2 area, 19 septa(23.8%) were located in the M1 area and 32 septa(40%) were located in the M2 area & dista area of M2. we found 45 septa in the apical lesion of teeth, Group 1. However the remaining 9 septa were found in the edentulous area. Conclusion: CT is a better method than panoramic radiography for detecting the presence of the maxillary sinus septa. Maxillary sinus septa are more commonly detected in complete edentulous maxillary segments than in complete & partial dentate maxillary segments. Also maxillary sinus septa are more commonly detected posteriorly than anteriorly.

상악에 발생한 백악질골화성섬유종에 대한 증례보고

이창연,김주원,장창수,임진혁,양병은,김좌영,배현경,Lee, Chang-Youn,Kim, Ju-Won,Jang, Chang-Su,Yim, Jin-Hyuk,Yang, Byoung-Eun,Kim, Jwa-Young,Pai, Hyun-Kyung 대한악안면성형재건외과학회 2012 Maxillofacial Plastic Reconstructive Surgery Vol.34 No.3

Cemento-ossifying fibroma (COF) is a benign fibro-osseous tumor with fibrous tissue, abnormal cement and bone, or a combination of such elements. These are slow-growing lesions and are more frequent in women. Here, we report the case of a 28-year-old Korean woman. The patient having no underlying disease complained about facial swelling and asymmetry. A firm mass with impacted molars and teeth deviation on the right maxilla was observed. A computed tomography scan was taken and an incisional biopsy was performed. Following this, COF was diagnosed. Complete surgical removal of the lesion was carried out. A post-operative follow-up was conducted and 3 months later the patient reported no discomfort or any sign of recurrence in regards to the lesion. Differential diagnosis with fibrous dysplasia and the COF is important because of the treatment choice. We report a case of COF and offer a review of the literature on this article.