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丁銓殷 大韓成形外科學會 1974 Archives of Plastic Surgery Vol.1 No.1
132 cases of various skin defects which were occurred during the Korea War were treated with skin grafts or flaps. These cases were difficult to restore with ordinary conservative managements. Through the clinical experience on these cases the result obtained as follows; 1) Among total 132 cases, pathologic lesions of skin defects were chronic ulcers(24 cases), cicatrical skin contractures(24 cases), amputated stumps(25 cases), facial deformity(16 cases) and skin defects for preliminary operations of other surgery(33 cases). 2) The methods of skin coverage were skin grafts(84 split-thickness skin graft and 4 stamp skin graft) and skin flaps (24 cross leg flap, 5 abdominal tube pedicle flap and 12 abdominal pedicle flap to arm). 3) 7 cases(5.3%) of failure of the skin coverage were derived from split-thickness skin graft and major cause of failure of the skin coverage were derived from split-thickness skin graft and major cause of failure was observed to be poor circulation of amputated stumps. 4) The lesions of poor circulation such as amputated and ulcer cruris were controlled with delayed pedicle flap only and good weight bearing was obtained by this method. 5) Functional restorations of joint surfaces, especially anterior neck contracture, were obtained by pedicle flap or it was substituted for 35/1000 inches split thickness skin graft. 6) Grafted skin on the face darkened postoperatively, but it's color progressively improved and recurrance of keloid was hardly noticible. 7) Split-thickness skin graft by use of Padget's dermatome was indicated to primary healing of chromic ulcer and to life-saving porcedure of severe burn cases which shortened the period of hospitalization. 8) Skin grafts and flaps were cooperated with other surgical service such as orthopedic and neurosurgery for the chronic osteomyelitis.
金榮槿,丁銓殷 大韓成形外科學會 1979 Archives of Plastic Surgery Vol.6 No.1
Every surgeon should strive to leave a pleasing and acceptable scars not only the plastic surgeons but the other surgeons since the patient often judges the surgeon by his scar. Scars occupy a large number of patients in a plastic surgery department and the plastic surgeon bears the heaviest onus because the patient expects him to produce a "beautiful scar". For every surgeon, and for every patient, prevention of the hypertrophic scar and keloid is much more satisfactory than treatment. From January 1975 to June 1978, 320 cases of scars experienced on department of plastic surgery of Korea University Hospital were observed and analysed. The results obtained were as follows : 1. Of the 320 cases, there were 127(39.69%) normal, 106(33.13%) hypertrophic, 52(16.25%) atrophic, and 35(10.94%) keloid scars. 2. The scars were 121(37.81%) males and 199(62.19%) females. The sex distribution of hypertrophic scars was same in both sex, but normal scars, atrophic scars and of hypestrophic scars occupied higher incidence in females. 3. The most frequent age distribution of scars was 147(45.94%) in 21-30 years of age. Atrophic scars and normal scars were the most frequent in 21-30 year of age. Hypertrophic scars were 49(46.23%) case in 1-10 years of age among 106 patients. Keloid was 32(91.43) cases under 30 years of age. 4. The most frequent cause of normal scars was 63(49.61%) trauma. In atrophic scars, trauma and small pox were 20(38.46%) cases, and 15(28.85%) cases among 52 cases. The most frequent cause of hypertrophic and keloid scar was burn. 5. The most frequent site of scars were face in normal and atrophic scar, joints in hypertrophic scar, deltoid and presternal area in keloid. 6. The amounts of elastin fiber in scars were the progressive quantitative decline from atrophic scars through normal scars, with a marked reduction in hypertrophic scars, culmination in its virtual absence in keloid.