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상악골에 발생한 비뇌감염형 Mucormycosis 1례
허원실,이민정,강승우,오상윤,백경식,최규철,Huh, Won-Shil,Lee, Min-Jeong,Kang, Seung-Woo,Oh, Sang Yoon,Back, Gyung Sik,Choeh, Kyu-Chul 대한악안면성형재건외과학회 1993 Maxillofacial Plastic Reconstructive Surgery Vol.15 No.1
We experienced a case of rhinocerebral form of mucormycosis in a 9-year-old male suffered from acute lymphocytic leukemia (FAB $L_2$). On 15th day of induction chemotherapy (Hospital day 23) pain, tenderness and swelling on left maxillary area of face were noticed. We confirmed mucormycosis by biopsy of mass in left maxillary sinus. He expired on Hospital day 47.
누낭비강문합술(Dacryocystorhinostomy)을 이용한 비루관폐쇄 교정술식에 관한 고찰
백경식,강승우,오상윤,이민정,허원실 大韓顎顔面成形再建外科學會 1992 Maxillofacial Plastic Reconstructive Surgery Vol.14 No.4
Epiphora is overflow of tears due to obstruction of lacrimal duct. Dacryocystorhinostomy is the most common procedure to eliminate the epiphora secondary to complete or partial obstruction of the nasolacrimal duct. The procedure is to artificially create passage between lacrimal sac and nasal cavity. Especially, epiphora would be accompany often by nasolacrimal duct obstruction when trauma of ormaxillofacial area lead to nasal fracture, medial wall fracture of orbit. Therefore in this case there are many case to perform dacryocystorhinostomy because probing and tubing is difficult to resolve the epiphora. We performed 4 cases of dacryocystorhinostomy for adult nasolacrimal duct obstruction from May 1991 to October 1991. The results were very satisfactory in all the case. Epipora disappeared in all case.
외상성 안검하수증의 동종 대퇴근막을 이용한 상안검-전두근 현수법
허원실(Won Shil Huh),노태경(Tae Kyung Roh) 대한구강악안면외과학회 1989 대한구강악안면외과학회지 Vol.15 No.1
The normal upper lid margin lies somewhere between the upper limbus and pupillary border in the upright position. When blepharoptosis (ptosis) occurs, the lid covers more of the cornea and there is a smoothing out of the lid fold. Because of the prominent position of the upper lid, this immediately becomes a noticeable cosmetic blemish. These ptosis may be divided into a large group of congenital ptoses and a smaller group of acquired ptoses. The author performed frontalis suspension technique by using homogenous fascia lata in a patient with acquired blepharoptosis. Because the result of our case was satisfactory, we consider that wide use of homogenous fascia lata for correction of other anomalies & deformities in our oral & maxillofacial surgery will obtain favorable results.
BUTYL-CYANOACRYLATE(HISTOACRYLⓇ) 와 FIBRIN SEALANT(TISSEELⓇ)를 이용한 피부이식시 조직치유에 관한 실험적 연구
허원실(Won Shil Huh),이상철(Sang Chull Lee) 대한구강악안면외과학회 1990 대한구강악안면외과학회지 Vol.16 No.4
This study was designed to compare the healing process after skin graft of rats by use of butyl-cyanoacrylate(HistoacryⓇ) and fibrin sealant(TisseeⓇ) as tissue adhesives. In order to carry out the experiment, autogenous skin grafts (about 1㎝ diameter) in left & right abdomen of 60 rats were performed and divided into control & experimental groups. Control group was grafted without tissue adhesives and experimental group was subdivided into two groups which were grafted by the use of butyl-cyanoacrylate(HistoacryⓇ) and Fibrin sealant (TisseeⓇ). Each 4 rats of 60 animals was sacrificed after 1, 3, 5, 7 and 14 days of skin grafts. Hematoxylin-eosin and Masson s trichrome stain were done for the findings of light microscope. The following conclusions could be drawn from the present investigation. 1. In the control groups, there was an aspect of synthesis & replacement of new & mature collagen fibers under skin graft site after 7 days of experiment. 2. In the experimental Ⅰ group, by use of butyl-cyanoacrylate (HistoacryⓇ) under skin graft site, there were the findings of delayed absorption of butyl-cyanoacrylate, remain of inflammatory reaction, and delayed maturation of collagen tissue. 3. In the experimental Ⅱ group by use of fibrin sealant(TisseeⓇ) under skin graft site, it showed that absorbed fibrin sealant and better appearance than experimental Ⅰ group in the consideration of inflammatory reaction & collagen maturation. 4. The maturation and amount of collagen fibers was followed by fibrin sealant, control & butyl-cyanoacrylate group in Masson s trichrome stain. 5. In the case of butyl-cyanoacrylate application, it appears that the use of butyl-cyanoacrylate is better in the purpose of the fixation, because no absorption of butyl-cyanoacrylate under skin graft site results disturbance of vessel anastomosis and healing process. 6. In the case of fibrin sealant application, it indicates that fibrin sealant(TisseeⓇ) has good healing effect because the effect of graft fixation & vessel anastomosis contributes the take of skin graft in the consideration of hemostatic, adhesive and fibrin effect.
Hemicoronal and temporal flap incision combined with intraoral approach for the zygoma fracture
허원실(Won Shil Huh),노태경(Tae Kyung Roh) 대한구강악안면외과학회 1990 대한구강악안면외과학회지 Vol.16 No.1
일반적인 관골(관골 상악골 복합체)골절외 관혈적 정복술의 접근방법으로서는 안와외륜 및 하안검부 절개를 통한 정복고정술이 선택되어지는데 이러한 방법등은 안면신경의 손상위험과 수술시야의 제한, 반흔잔존등으로 인한 심미적인 문제점등을 초래할 수 있으나, 구내접근법을 병행한 편측 관상 측두 피판 접근법을 용하여 관골부 및 안와외상연과 상악골 골절에 대한 정복고정이 용이할 뿐만 아니라 수술시야가 넓고 반흔이 감춰지며 부정유합에 대한 재정복이 용이하고 특히 구강외과 영역에서 사용빈도가 높아진 miniplate를 이용한 골절편의 고정에 매우 유용하였다.