안면부 총상의 사입구 및 사출구에 의한 분류

황오열,배경태,이석기,국광일,전용찬,김성호,이종원 大韓成形外科學會 1997 Archives of Plastic Surgery Vol.24 No.6

Thirty-five cases of gunshot injuries of the face treated at the department of Plastic and Reconstructive Surgery at C.A.F.G.H. are presented. Traditionally the pattern of the gunshot wounds of the face was classified according to velocity of bullet and lesion, but we classified the pattern of the gun shot wounds of the face into four types according to the entrance, exit and bone and soft tissue injuries. The complications of injury were found to be specific according to the types of the pattern by author's classification. So, in formulating a treatment plan for ballistic injuries, it was found helpful to identify the entrance and exit wounds and path at the bullet. Therefore, we thought we would be able to prevent the specific complication of the gun shot injuries in part by applying the types we classified.

Oculoauriculovertebral Dysplasia의 치험 례

황오열,박홍구,민대홍,방유현 대한성형외과학회 1981 Archives of Plastic Surgery Vol.8 No.1

Oculoauriculovertebral dysplasia was first described by von Arlt in 1845, and the eponym dates from a description published by Goldenhar in 1952. Gorlin and associated suggested the more descriptive title of oculoauriculovertebral dysplasia, which delineates the three major components of the syndrome and the pathologic process. The three major manifestations of this syndrome are eye, ear and vertebral anomalies. Recently Tessier proposed a rather detailed classification in 1973. the cleft are numbered from 0 to 14 and extended along constant lines or axis through the eyebrows or eyelids, the maxilla, the nostril and the lips. According to Tessier classification, a frontozygomatic cleft(No. 8) is characteristic of oculoauriculovertebral dysplasia. We observed a patient of 20 year old male patient, who has an epibulbar dermoid, lipodermoid, preauricular appendage, ear deformities, vertebral anomalies and many other abnormalities. The multidiscriminatory treatment of the eye, ear and oral anomalies is discussed.

총상에 의한 하악결손의 재건술

황오열,박치영,김용배,안희창 大韓成形外科學會 1987 Archives of Plastic Surgery Vol.14 No.3

Most mandibulr reconstructions are performed primarily or secondarily for bony defects caused by injuries or removal of tumors. An autogenous bone greft is still the method of choice for the restoration of mandibular defec. But a conventional autogenous free bone graft does not possess an intact blood supply and is dependent on local nutrition to survive. Severely scarred or radiated tissue are unfavorable beds for bone graft and even more the risk of resorption and infection is inceased in these kinds of a pooly vascularized bed. To overcome this difficulty, free vascularized bone graft has been tried with microsurgical gical technuque. A free vascularized bone graft has significantly higher rate of survival, with less resorption and higher resistance to infextion than a connentional free bone graft. A free vascularized iliac bone graft pedicled on deep circumflex iliac vessels is used widely, as it have many advantages such as, availability of large bloc of composite tissue, simplicity of donor dissection, large and long vascular pedicle and few donor site morbidity. In this paper, we represent 4 cases of reconstruction of wide mandibular defects using free vascularized iliac bone graft and free dsteocutaneous groin flap, and review the characteristics of gunshot wound. The result is satisfactory.

견장형 피판의 사용예

황오열,김성기,전태준 大韓成形外科學會 1979 Archives of Plastic Surgery Vol.6 No.1

The amount of contracture ocurring in a full-thickness burn of the neck usually depends on several circumstances. The looseness of the cervical skin, as well as the range of mobility of neck (particulany in flexion)may favor wound contraction during healing. Early splinting may help to minimize contracture. Usually, however, the extent of the deformity varies with the amount of skin destroyed and the adequacy of the early skin grafting. The deformity may range from a thin tight web to a massive dense fibrosis, with contracture pulling the chin downward and fixing it near the sternum. Authors experienced a Zovickian flap in a case of severe contracture of neck, and found some of the things concerning this flap.

화상환자의 심리에 대한 연구 : -다면적 인성검사를 이용한 연구- -A Study whth MMPI-

이문성,홍성표,이민녕,안희창,최응옥,황오열 大韓成形外科學會 1988 Archives of Plastic Surgery Vol.15 No.2

The psychologic problems in burned patients are important as much as physical problems. So, we had studied 88 cases of MMPI in 47 burned patients from March, 1986 to Feb, 1987 at the Dept. of Plastic & Reconstructive Surgery, Capital Armed Forces General Hospital. We had classified them according to post burn period, cause of burn, percentage of burned area, site of burned area, and educational state of patient and had analysed them with statistical methods. The results of oour study are as follows; 1. The meaningful results in MMPI interpretation were noted in 68% of our series. 2. The psychiatric changes according to post-burn periods were significant. 3. There were also some differences in psychologic responces according to cause of burn, percentage & site of patient. So, We think we should be concerned about the psychiatric care in burned patients as well as the treatment of burn wounds.

母 指 骨 數 過 多 症 : -A CASE REPORE-

김수홍,김동구,황오열 大韓成形外科學會 1983 Archives of Plastic Surgery Vol.10 No.1

We present a patient of congenital anomalous both thumbs. Left thumb was composed by three phalangeal bones with polydactylia and the right was the same with distal bony bifurcation. The morphologic characteristics, its relative papers, and our treatment about this case were discussed.

Lateral Calcaneal Flap을 이용한 발꿈치 피부 결손의 치험례

황오열,박정준,김용배,이종현 大韓成形外科學會 1986 Archives of Plastic Surgery Vol.13 No.2

The heel and sole are vital musculoskeketal structures, responsible for weight bearing, shock absoption, and locomotion. Many reports have been published on the method of reconstructing a skin defect of the posterior heel and plantar heel, that is, ways of skin graft, innervated skin graft, local skin flap, neurovascular skin island flap (local delayed medial plantar, lateral plantar and dorsalis pedis), muscle flap (flexor digitorum brevis), neurovascular free flap (free groin, free dorsalis, free deltoid, free scapular, free Post. arm). In repair of a defect of the posterior heel, a relatively small, sensory flap is desirable and the lateral calcaneal flap is suitable for this purpose. The lateral calcaneal flap provides another modality for soft-tissue coverage when there is exposed of the calcaneal tendon or Os calcis on the posterior and/or plantar heel. There is a short and long version of this flap We present 3 cases of defects of the posterior heel with a favorable result.

외상성 안면골 결손 환자에 있어서 일차적 골 이식술 (Primary Bone Grafting)

이원구,이종현,박정준,김경선,황오열 大韓成形外科學會 1986 Archives of Plastic Surgery Vol.13 No.2

For the optimal management of traumatic facial bone injury, it must necessary that the early surgical exploration, meticulous interfragmentary wiring, soft tissue repair and primary bone grafting were made utilizing the principles of craniofacial technique. Early primary bone grafting of the midface is able to reduce anatomical position of facial bone and provide the proper structural framework, and it will prevents soft tissue contracture, severe postoperative traumatic deformity and disability that may be extremely difficult or impossible to correct secondarily. Therefore, primary bone grafting may be the best restoration of facial function & contour. This paper not only presents the role of primary bone grafting, advantage, indication, contraindication, clinical use and couse of failure, but also add to the successful primary bone grafting and also presents the cause & mechanism of immediate contamination in gunshot wound and the reason of necessity of 2ndary correction for the gunshot patient. The results were satisfactory in all patient with the exception of 2 gunshot patient in 17 patients.

전신마취제가 피판 생존에 미치는 효과에 대한 연구

이종원,최응옥,홍성표,황오열 大韓成形外科學會 1987 Archives of Plastic Surgery Vol.14 No.2

Tissue nutrition is directly related to the functional status of the microcirculation because it is only in the terminal circulatory bed that exchanges between blood and cells are effective. Anesthetic drugs are known to be associated with marked changes in microvascular functional activity and with important changes in the reactivity of microvessels to humoral stimulation. The microcirculatory status of skin exposed to anesthetic drug is modified through direct, nervous or humoral mechanism. Skin flap survival was observed on the experimentally made critical flap in the rat and the following results were obtained. 1. The survival rate in the ketamine and enflurane groups increased as compared to control group. 2. The survival rate in the ehter group was not different to control group. 3. The survival rate in the halothane group decreased significantly as compared to control group. Harmful effect of halothane on skin flap decreases blood flow in venule rather than arteriole and the accumulation of its metabloites within skin flap inhibits oxygen consumption and glycolysis. 4. In conclusion, when the survival of flap was questionable, general naesthesia with ketamine and enflurane may be more preferable than that with halothane.

상안와열 증후군의 치험례 : A CASE REPORT 1 례 보고

황오열,이종현,이원구,강호만 大韓成形外科學會 1985 Archives of Plastic Surgery Vol.12 No.4

The superior orbital fissure syndrome may arise from inflammatory of neoplatic cause but, when the etiology is due to trauma, this may result either direct compression of the structures passing through the fissure (Ⅲ,Ⅳ,Ⅴ,Ⅵ Cranial nerve) or to presence of a hematoma. In most case a combination of these factor will be present. The following case is that of a man who was treated maxillofacial fracture and was found to have signs of the superior orbital fissure syndrome. The clininal and therapeutic aspect of this syndrome are described and we emphasize the need for conservative treatment because spontaneous recovery is usual.