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        상안검거근의 절제에 의한 안검하수의 교정에 대한 임상적고찰

        마홍수,조문제,조해석,위성신,최오규 大韓成形外科學會 1986 Archives of Plastic Surgery Vol.13 No.2

        The great number of operations described over the past century for correcting blepharoptosis is indicative of the difficulty of achieving a standardized technique. It will be consistently effective condition that has so many variations of degree and individual operative technique is so important. To obtain the best surgical results in blapharoptosis, it is necessary to select the appropriate operation for each case according to levator function, degree of ptosis, its etiology and the others. In generally, if the levator function is poor or abscent, sling of the upper lid to frontalis muscle is recommended and if levator function is good, resection of the levator is the treatment of choice. But some authors (Blaskovics & Jaensch) believe that resection of the levator will give an excellent result even when little preoperative levator action is evident. Authors have experienced 25 patients (27 eyes) of the moderate to severe degree of blepharoptosis who have received the levator resection, from January 1980 to January 1984 and could have done follow up studies for at least 6 months. The results were obtained as follows; 1. In most cases, the patients were satisfied except 6 cases complicated; one case of entropion and five cases of undercorrection. 2. Even if levator function was poor (below 2 mm, 7 cases), good surgical results have been obtained by resection of levator(21-25 mm or above).

      • Mobile Haptic Display 개발을 위한 Mobile Robot의 구조 및 제어

        최오규(Oh-Kyu Choi),홍민식(Min-Sik Hong),이진수(Jin S. Lee) 대한전자공학회 2007 대한전자공학회 학술대회 Vol.2007 No.7

        Mobile Haptic Display refers to a haptic interface with mobile robot as its base. This paper presents a structure of a mobile robot for Mobile Haptic Display and its control method. The proposed robot uses three omni-directional wheels. and moves in any direction without constraints. The robot control method is based on a PID-based velocity control method. Since omni-directional wheels have unactuated subwheels and contains inherent nonlinearity. we propose a fuzzy logic control, and other supplementary control technique to overcome the problem.

      • SCOPUSKCI등재

        변형한 측부 인두강 조절 피판술에 의한 연구개 인두간 폐쇄부전 환자의 치험례

        최오규,위성신,함기선 大韓成形外科學會 1984 Archives of Plastic Surgery Vol.11 No.2

        Numerous surgical techniques have been recommended to correct velopharyngeal incompetence. In 1973, Hogan first reported the lateral port control(L.P.C.) pharyngeal flap surgery, modification of the superior based posterior pharyngeal flap, introducing the concept of positive port control utilizing a "Catheter Technique". This Hogan method has not been almost accepted by plastic surgeons because of postoperative complication such as nasal obstruction, oral breathing and snoring. But skillful plastic surgeons could have been experienced occasionally about the reduction of these complications. In this case, the patient had complained about speech disturbance and hypernasality because of congenital shortness of palate. The fiberoptic nasal endoscopic examination revealed marked discrepancy between velum and pharyngeal wall. We had applied a newly designed surgical procedure using inverted "V"-shaped incision on the nasal side of soft palate and superior based posterior pharyngeal flap. The follow-up studies with nasoendoscopic, aerodynamic and articulatory tests were good enough. So we would like to recommend trial of this procedure to the patient with velopharyngeal incompetence because of especially congenital shortness of the palate.

      • SCOPUSKCI등재

        원거리피판의 피판경 절단시기 판정을 위한 실험적연구

        안상태,최오규,이종규,임풍 大韓成形外科學會 1986 Archives of Plastic Surgery Vol.13 No.2

        Distant flaps have been widely used in reconstructive surgery and the timing of division of the flap pedicle has been determined by rather conventional concept and surgeon's experience than any objective criteria. It has been classical concept that the pedicle should not be divided until two to three weeks after the flap transfer. But in clinical experience of many surgeons, an interval of three weeks is not necessary in gaining an adequate blood supply from its recipient bed. Purposes of the present experiment are to determine the earliest time when a flap pedicle can be safely divided, and to find the way how it can be correctly assessed. Cephalad-pedicled flaps (3 x 6 cm) were prepared in backs of 70 albino rats weighing 200 to 250 gm which was the maximal length of the flap and that was expected to result in 100% survival. Blood flow was measured in proximal, middle and distal areas of the flap using Laser Doppler velocimetry before the flap elevation and every day after the operation for 6 days. The pedicles of the flaps were divided after the blood flow measurements, and mean flap survival areas were measured as percentage of the total flap area on the fifth day after pedicle division. Microangiographic studies were also performed in each day to study revascularization within the flap and the change of blood vessels around the flap margins. The results were as follows: 1. The blood flow measurements revealed marked reduction at the 1st postoperative day and they returned almost normal at the 3rd postoperative day in the proximal area and at the 5th postoperative day in the middle and distal areas. 2. The flap survival after division of the pedicles is thought to be correlated to the blood flow of the flap especially at the distal area. 3. The microangiographic examination suggests that reorganization and reorientation of the blood vessel in the flap are more important than revascularization around the flap margin in regard to the flap survival after pedicle division. 4. Adequate time of pedicle division of distant flap is thought to be when blood flow of the flap especially at the distal area return almost to the level before the flap elevation.

      • SCOPUSKCI등재

        매몰이의 치험례

        백승근,최오규,박정준,이종현 大韓成形外科學會 1991 Archives of Plastic Surgery Vol.18 No.3

        Cryptotia is a rare congenital anomaly among caucasians, but it is more common among orientals. In cryptotia, the upper part of the retroauricular sulcus is absent and the skin of the ear merges directly with that of the temporal region. By applying traction to the buried portion of the helix, the contour of the upper portion of the helix and the sulcus becomes visible. We have performed modified Akira Yanai's method of cryptotia reconstruction to avoid the disadvantages of the Akira Yanai's method i. e. skin necrosis at the tips of the Z-flaps. Our technique is both Z-plasty and the advancement flap. The angle of local flap is transposed into the postauricular region. The degree of transposition is about 30 degrees. Onizuka's conchal cartilage graft or Fukuda's method is employed to repair the deformed cartilage. We have treated 5 patients using this technique and the results were very satisfactory to the patients.

      • SCOPUSKCI등재

        전두동 골절 환자의 임상적 고찰

        박정준,최오규,국광식 大韓成形外科學會 1991 Archives of Plastic Surgery Vol.18 No.6

        With an increasing incidences of high-speed motor vehicle accidents and violent instrument-aided assaults, there has been a concomitant increase in frontal sinus fracture. However, the appropriate management of frontal sinus fractures is controvercial. A retrospective review of 29 patients is presented, who sustained frontal sinus fractures between the years of 1984 and 1989. The fractures were classified into anterior wall, posterior wall(with or without anterior wall fracture) and the fractures combined with nasofrontal ductinjury. Patients were treated with a variety of procedures including open reduction and internal fixation, bone graft, and obliteration with galeal frontalis flap. So we present clinical cases of the frontal sinus fractures with a review of the literature.

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