2, 취약한 어항 그 실상 - 늘어난 어선세력 감당못해 크고 튼튼한 어항 시급

황귀환 한국어촌어항협회 1988 어항어장 Vol.3 No.-

전기밥솥으로 인한 유아수부 화상의 임상적 고찰

차상훈,조용근,임동훈,안성열,황귀환 大韓成形外科學會 1993 Archives of Plastic Surgery Vol.20 No.2

We noticed a high incidence of infants burned by steam through the nozzle of the electric rice cooker. The infants were apparently attracted to the cooker by the high pitched sound made by escaping steam during the first minutes after the rice cooked. These burns seemed to manifest more uniform features than the usual child burns such as scalding and flame burns. During the past three and one half years we have studied 86 cases of these burn patients : I. e. burn patterns, environmental background of the family, treatment procedures, various hand deformities, and the timing of surgical intervention. Most of the patients ranged from 8 to 12 month old infants who were in the pediatric developmental stage of being able to creep and/or stand up by holding onto objects. The infants in this stage were attempting to catch the hot, hissing steam and suffered from third degree burns on the hand. The majority of burns were on the volar side of the hand. The unilateral hand was primarily involved. The predilection site was the index finger in one finger burns, and the index and middle finger in multiple finger burns. One finger was involved in 39.3% of all the patients. Cicatrical syndactyly was noted in 18 cases(21.2%) mostly in the second interdigital web. Contracture was also seen. In one-finger burns the PIP joint area was primarily involved(52.6%) : while in two finger burns the MP joint area suffered followed by syndactyly due to scarring. The children at greatest risk were those with less educated mothers, living in a rented traditional Korean home in one or two rooms, whose first child was under 1 year old. The optimal timing of the reconstruction of the scar contracture in the infant was at least 6 months after the burn injury when the scar tissue activity settles down. Earlier surgical intervention will cause post operative recontracture. The donor site for the skin graft were selected in the groin area and non-weight bearing portion of the sole, depending upon graft size needed. For prevention it is necessary that the parents and society learn to recognize the situations under which these infant burns occur.

Obstructive Sleep Apnea Syndrome을 동반한 Microgenia의 치험례

황귀환,안성열,차상훈 大韓成形外科學會 1995 Archives of Plastic Surgery Vol.22 No.5

Obstructive sleep apnea syndrome(OSAS) is defined as a recurrent cessation of breathing with upper airway obstruction occuring during sleep and resulting from collapse of the pharyngeal airway. This syndrome is a relatively common disorder with potentially serious psychologic and physiologic consequences. Polysomnography and cephalometry can show the presence and degree of OSAS with clinical evaluation. With an increase in understanding of the pathogenesis and abnormal anatomy in OSAS, many therapeutic methods have been developed. Among these, we chose the method of anterior traction of tongue base as one of the most efficient with the following reason ; posterior airway is obstructed due to posteriorly malpositioned tongue base that is mainly composed of genioglossus muscle which is related to genial tubercle of mandible. We applied the method of inferior sagittal osteotomy and anterior advancement of mandible with interpositional bone graft in a 23-year-old male OSAS patient who had typical appearance of microgenia and suffered from severe snoring and excessive daytime somnolence over several years. Compared to the preoperative analysis, polysomnography and cephalometry showed dramatic objective improvement. Patient was very satisfied with his improved symptoms and external appearance as well.

안면거상술시의 하악각 교정

조성태,황귀환,차동섭 大韓成形外科學會 1999 Archives of Plastic Surgery Vol.26 No.3

Many people want to receive facial rejuvenation with surgical treatment, but the post operative result is not always satisfying following classic soft tissue surgery. The reasons for dissatisfaction are many. We were particularly interested in the skeletal disharmony which is frequent in orientals. Since many orientals have flat and quadrangular facial contours, they often don't obtain the harmony of the facial skeleton and soft tissue despite successful surgery. So, to correct facial contour, mandibular angle contouring can be performed at the time of face lift. Seven patients had mandibular angle resection performed during facial rhytidectomy from October of 1996 to October of 1998 at Kangbuk Samsung Hospital, and they were followed from 4 months to 24 months. At the time of face lift, we tried the retromandibular approach for mandibular angle resection when it was indicated, instead of the intraoral approach which does not leave a noticeable scar and does not have the risk of facial nerve injury. Because of a restricted operative field, the intraoral approach has the disadvantages of a long operation time and a high risk of complications. The retromandibular approach with rhytidectomy incision showed neither noticeable scar nor developed a facial nerve injury. In conclusion, we found that mandibular angle contouring by retromandibular approach is easy and the result is more normal with a shorter recovery time. There were no complications and aesthetic results were quite satisfactory.

조직확장기를 이용한 남성혈 탈모증의 치료

안성열,황귀환 대한미용성형외과학회 1995 Archives of Aesthetic Plastic Surgery Vol.1 No.1

연골세포와 Polyglycolic Acid(PGA) 중합체를 이용한 신생 연골의 조직공학적 제작

최민혁,황귀환,박흥재 대한성형외과학회 2002 Archives of Plastic Surgery Vol.29 No.2

Lateral SMASectomy를 이용한 최소절개 안면거상술(Minimal Incision Rhytidectomy)의 경험

박혜준,황귀환 大韓成形外科學會 2004 Archives of Plastic Surgery Vol.31 No.1

유방내 실리콘 삽입물 제거에 대한 임상적 경험

백인구,황귀환,차동섭,국신호 대한미용성형외과학회 1998 Archives of Aesthetic Plastic Surgery Vol.4 No.1

서혜부 피판을 이용한 음경 파라핀종의 치료

최민혁,서상원,황귀환,차동섭,한현언 대한성형외과학회 2002 Archives of Plastic Surgery Vol.29 No.2

Paraffinoma induces many unexpected complications such as tissue necrosis, granuloma formation, hypersensitivity, embolism and even carcinoma. The treatment modality is known to be primary repair, flap surgery, skin graft, radiotherapy and high frequency current treatment after the excision of the lesion. Although these methods can remove the paraffinoma and resurface penile shaft, various complications such as skin tension after surgery, hypertrophic scars, difficulty of erection, and deficiency of bulkiness are frequently occurred. Groin flap is the proper method for the patients who want simultaneously soft tissue reconstruction and augmentation of penis. A 32 year-old male patient who visited our clinic had firm mass, abscess, skin necrosis, and dyspareunia after the injection of paraffin into penis 3 months ago. Reconstruction was executed using right side of the groin flap after the radical resection of the whole tissues ruined by infections and infiltration of paraffin. The penile bulkiness, erectile function and duration of erection was all satisfactory. The follow-up period was 7 months after the surgery and no specific complication was developed. Groin flap is the satisfactory method to enhance penile bulkiness as well as resurface the lesion.

액취증에 관한 임상적 고찰

조성태,백인구,황귀환,임동훈,차동섭 大韓成形外科學會 1997 Archives of Plastic Surgery Vol.24 No.5

Axillary osmidrosis is caused by excessive apocrine secretion with acrid odor and causes extreme social embarassement. We reviewed and evaluated the results of the treatment of 86 % osmidrosis axillae patients (172 cases), who were treated in Kangbuk Samsung hospital from 1994 to 1996. The following results were obtained. 1. Manual method is considered to be superior to Inaba's method in terms of reverence, hematoma and tissue necrosis. 2. Prevalence rate of hematoma is reversely related to the age of patients and this may be due to inadequate cooperation of young patients. 3. Prevalence rate of tissue necrosis tends to decrease according to the earlier detection of hematoma. 4. Flap thickness has no relation with complication and recurrence. We have carried out comparative study of surgical method employed today in aspects of complication and recurrence rate and hereby resort that our study result can provide better clinical outcomes.