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양동규(Dong Kyu Yang),김종렬(Jong Ryoul Kim),최창수(Tchang Soo Tchoi),최갑림(Kab Rim Choi),박상준(Sang Jun Park),문원룡(One Ryong Moon) 대한구강악안면외과학회 1989 대한구강악안면외과학회지 Vol.15 No.1
Tetanus is a rare, often fatal disease that is produced by liberation of an exotoxin by Clostridium tetani. It is found universally in street dust, soil, and the feces of many animals. Patients with mild disease have only trismus with or without minor and biief muscle spasms. Moderate disease is characterized by trismus, dysphagia, rigidity, and intermittent muscle spasms. With severe tetanus there are generalized convulsions. The most important therapeutic maneuvers are to insure airway patency and to provide mechanical ventilation to counter the tendency for respiratory arrest. Other therapeutic principles include antimicrobial durgs, active and passive immunization, wound debridement, and supportive care. A 61-year-old man with mouth opening limitation visited the emergency room. He had been injured on Lt. Zygoma area two weeks ago. We had diagnosed him as tetanus and treated successfully.
전치부 분절골절단술에 의한 양악전돌증의 외과적 교정2例
양동규(Yang Dong Kyu),김종렬(Kim Jong Ryoul),김욱규(Kim Uk Kyu),최갑림(Choi Kab Rim) 대한구강악안면외과학회 1988 대한구강악안면외과학회지 Vol.14 No.1
In the bimaxillary protusion, anterior teeth are severely protruded, although jaw protusions may or may not be present. Lip incompetence, lip strain on closure and thick-looking lips are found in these conditions. This is to report 2 Cases of bimaxillary protrusion which were corrected by anterior segmental osteotomies. We used different surgical techniques in each patient: In the case 1, simultaneous Wunderer an Kole techniques were performed. In the case 2, mandibular Kole procedure, staged palatal grooving and partial glossectomy at the 1st operation, maxillary downfracturing technique at the 2nd operation were performed. Postoperative course was uneventful and the patients were fully satisfied with the cosmetic and functional improvement.
農藥中毒後遺 筋强直으로 惹起된 顎顔面 變形 患者의 治驗例
梁棟奎(Yang Dong Kyu),鄭仁敎(Jeong ln Kyo),金兌奎(Kim Tae Kyu),金鍾烈(Kim Jong Ryoul),金昱珪(Kim Uk Kyu),趙倫一(Cho Yun Il),崔甲林(Choi Kab Rim),崔昌洙(Tchoi Tchang Soo) 대한구강악안면외과학회 1987 대한구강악안면외과학회지 Vol.13 No.1
A 32-year old man was admitted to the Department of Oral and Maxillofacial Surgery, Busan National University Hospital with complaints of unsightly appearance, inability of chewing and swallowing. The patient had attempted suicide by taking insecticide and persistent muscle contraction for over 2 years has brought collapse of lower arch, open bite deformity and disturbances of mastication and deglutition. After reducing the contraction of muscles by administration of muscle relaxants and tranquilizers, we carried out intraoral sagittal split osteotomy on both rami and suprahyoid myotomy. In this paper, we also reviewed the effects of insecticide poisoning to the nervous system and the dentofacial deformity caused by abnormal muscle forces.
최갑림,양동규,김종렬 大韓顎顔面成形外科學會 1989 Maxillofacial Plastic Reconstructive Surgery Vol.11 No.1
The buccal mucosa is an effevtive and versatile intraoral grafting material. For adequate reconst ruction of avulsed lip, restoration of natural appearance and adequate lip function should be done. We treated avulsed upper lip defect which had been affected underlying orbicularis oris muscle as well as vermilion border. We chose cheek mucosa for upper lip reconstruction and performed surgical correction of avulsed upper lip with pedicled buccal mucosal flap. The result was very good because of its superior color and texture matching to remaining yermilion tissue.
문원룡,박상준,최갑림,정인교,양동규,정인교 大韓顎顔面成形再建外科學會 1990 Maxillofacial Plastic Reconstructive Surgery Vol.12 No.1
Malignant Melanoma refers to a malignent neoplasm of melanocytes. Primary malignant melanoma of oral cavity is rare. Most frequent site of primary oral malignant melanoma are palate & gingiva. We have experienced 2 cases of malignant melanoma of the mouth. In one case, we performed wide surgical excision which was followed by chemotherapy with DTIC. In the other case, performed wide surgical excision only. There is no evidence of recurrence or of metastasis of the lesions 22 months, 12 months after operation, respectively.
SURGICAL CORRECTION OF HEMIFACIAL MICROSOMIA REPORT OF A CASE
Park,Sang Jun,Yang,Dong Kyu,Kim,Jong Ryoul,Choi,Kab Rim,Kim,Byung Min 大韓顎顔面成形再建外科學會 1989 Maxillofacial Plastic Reconstructive Surgery Vol.11 No.2
Hemifacial microsomia is characterized underdevelopment of the TMJ, mandibular ramus, and associated muscles of mastication. The Maxilla and malar bones on the affected side frequently are underdeveloped. The contiguous parotid gland may be hypoplastic. Preauricular sinus tracts and tags may exist, along with underdevelopment of the associated external ear, and affected facial nerve and muscles of facial expression may also show dysfunction. Children exhibiting the more classic signs will be identified at birth. Little is known about the etiology of hemifacial microsomia. We have corrected surgically a 22-year-old woman with hemifacial microsomia. We have performed leveling Le Fort I osteotomy with iliac bone graft on the maxilla, reverse-L osteotomy and iliac bone graft on the right mandibular ramus, vertical ramus osteotomy no the left side, onlay bone graft on the right mandibular body, and augmentation genioplasty. The postoperative course was uneventful and restoration of facial asymmetry was achieved.