유아 거대 긴장성 기관지 낭종 -수술치험 1례 보고-

김병린,장운하,Kim, Byeong-Rin,Jang, Un-Ha 대한흉부심장혈관외과학회 1994 Journal of Chest Surgery (J Chest Surg) Vol.27 No.10

A routine chest radiograph in a 10 months old male infant revealed a giant air filled cystic lesion of the left hemithorax under tension. At thoracotomy, a large left lower lobe intraparenchymal cyst required lobectomy and the pathological finding were consistent with a bronchogenic cyst. This kind of parenchymal bronchogenic cyst is uncommon lesion, and we have performed successful surgical resection. After this lobectomy, this patient was complete recovered and postoperative course was uneventful.

성인의 선천성 식도 기관지루 -수술치험 1례 보고-

김병린,오태윤,장운하,Kim, Byeong-Rin,O, Tae-Yun,Jang, Un-Ha 대한흉부심장혈관외과학회 1995 Journal of Chest Surgery (J Chest Surg) Vol.28 No.4

Congenital esophago-bronchial fistula without atresia is very rare and usually demonstrate more insidious clinical effects, and patients may reach adult life before the diagnosis. We had been experienced a typical case of esophago-bronchial fistula without atresia and document the case. A 42-year-old women was admitted to our hospital due to frequent choking symptom and attacks of pneumonia, and patient status was in chronic pulmonary infection status such as most probably bronchiectatic state of right middle & lower lobe including significant destructive changes. We had confirmed esophago-bronchial fistula without atresia with esophagoscopy, esophagogram, and chest CT, and performed esophago-bronchial fistulectomy and right middle & lower lobectomy. Its belongs to type II of Braimbridge`s classification for congenital esophago-bronchial fistula. Postoperation course was smooth and uneventful.

가토에서의 막성골 이식과 연골내 골화골 이식의 비교연구

김병린(Byeong Rin Kim),김종원(Jong Won Kim) 대한구강악안면외과학회 1990 대한구강악안면외과학회지 Vol.16 No.2

According to its origin, the bone is classified into membranous bone and endochondral bone. Clinical observation suggests that membranous bone undergoes less resorption than endochondral bone when grafted in the craniofacial region. Author grafted membranous bone block (from mandible) and endochondral bone block (from ilium) into rabbit as onlay grafts, and measured the amount of resorption in graft, and examined the specimen histologically. The obtained results are as follows: 1. Changes in volume of membranous bone graft and endochondral bone graft was statistically significant. (membranous: P<0.05, endochondral: P<0.01) 2. In membranous bone graft, height alone was significantly changed statistically. (P<0.05) 3. In endochondral bone graft, length, width and height were significantly changed statistically. (length:P<0.05, width:P<0.01, height:P<0.01) 4. Mean Height Decrements of membranous bone graft and endochondral bone graft at 20 week are 4±12%, 41±15% respectively. 5. Histologically, membranous bone graft was more vascularized than endochondral bone graft.

백서에서 냉동건조골, 표면탈회골, 탈회골분말을 골형성 단백질과 병용시 골유도 과정에 대한 비교 연구

김병린(Byeong Rin Kim),이종호(Jong Ho Lee),김종원(Jong Won Kim) 대한구강악안면외과학회 1998 대한구강악안면외과학회지 Vol.24 No.4

The purpose of this study is to compare the osteogenic activity of pBMP combined with the following, freeze-dried allogeneic bone, surface demineralized allogeneic bone, and demineralized allogeneic bone powder in rats. So, authors made partial purification of the pBMP. Using rat calvaria, an 8㎜ size in diameter bony defect was grafted using pBMP-ibm in the experimental group A as the control group, freezed dried allogeneic bone graft plus pBMP-ibm in the experimental group B, surface demineralized allogeneic bone graft plus pBMP-ibm in the experimental group C, and demineralized allogeneic bone powder plus pBMP-ibm in the experimental group D, respectively. The rats were sacrificed at the week of 1st, 2nd, 4th, 8th after implantation and examined grossly, biochemically, biomechanically, microscopically. The results were as follows 1. Areas of Implanted defect acquired osseous union at post op 4th week. 2. According to the result of hardness test, the experimental group B was most rigid than any other experimental groups at post op. 4th week. And the experimental group B, C and D were more rigid than the experimental group A at post op. 8th week. 3. As time goes on, calcium content of implanted area has increased gradually in all experimental groups except the experimental group B. 4. In the early stage of grafting, the new cartilage formation & new bone formation were more active in the experimental group B, C and D than in the experimental group A, but in the late stage of grafting, there was no significant difference in the new bone formation among the experimental groups. 5. New cartilage and new bone formation occurred as folIows, first in the experimental group D, then the experimental group C, the experimental group B, the experimental group A, respectively.

大耳蓋神經을 利用한 下齒槽神經의 再建

Myung jin Kim(金明鎭),Byeong Rin Kim(金炳麟) 대한구강악안면외과학회 1990 대한구강악안면외과학회지 Vol.16 No.3

Trauma and ablative surgery can bring out loss of sensation of the lip and chin, which can cause impaired speech, decreased ability to retain saliva, and occasional biting of the lip. The fundamental principles of successful microneurosurgical techniques have been well established. In the oral and maxillofacial region, donor tissue to reconstruct nerves is commonly obtained from either the greater auricular nerve or the sural nerve. The greater auricular nerve can usually be acquired quite easily through preexisting submandibular incision. The authors examined the fascicular characteristics of the human greater auricular nerve microscopically, and present the results with review of the literatures.

Intraosseous arteriovenous malformation of the jaws: report of two cases

민병일(Byong Il Min),김병린(Byeong Rin Kim),정무혁(Moo Hyeok Chung) 대한구강악안면외과학회 1990 대한구강악안면외과학회지 Vol.16 No.4

동정맥기형은 혈행에 있어서 동맥과 정맥 사이에 개재하는 정상적 모세 혈관망이 아닌 다른 혈관 구조에 의해 혈류 이동이 이루어지는 혈관구조의 이상으로 정의될 수 있다. 악골 내에 발생한 동정맥기형은 안면부 연조직에 발생한 동정맥기형에 비하여 그 빈도가 낮고 환자에게 더욱 치명적인 위험을 가져올 수 있는 병변이다. 최근에는 더욱 선택적인 혈관조영술과 혈관권색술이 가능해짐에 따라서 단독으로 혹은 수술 전 치료 방법으로 악골내 동정맥기형의 치료에 있어서도 많은 가능성을 보여준다. 저자들은 악골 내 발생한 두 증례의 동정맥기형을 소개하며, 첫번째 증례의 경우는 상악골에 발생한 동정맥기형으로 혈관권색술에 이어 외과적 절제로서 그 치료가 가능하였고, 두번째 증례는 하악골에 발생한 동정맥기형으로 수술 전 혈관권색술의 시행 중 색전 물질의 대뇌 혈관 유입으로 그 합병증이 발생하여 하악골의 부분 절제는 연기하여 시행하였다. 이에 저자들은 본 두 증례의 동정맥기형 치료에 있어서 다소의 지견을 얻었기에 문헌고찰과 함께 보고하는 바이다.

악안면부에 발생한 임파관종에 관한 고찰

김규식(Kyoo Sik Kim),민병일(Byong Il Min),남일우(Il Woo Nam),김영균(Yong Gyun Kim),김병린(Byeong Rin Kim) 대한구강악안면외과학회 1988 대한구강악안면외과학회지 Vol.14 No.1

This is a retrospective study on lymphangioma of jaw bone and soft tissue. This is based on pathologic reports and clinical charts of 10 patients treated as inpatient and outpatient at Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Seoul National University between 1980 and 1987. The results obtained are as follows. 1. Age distribution of patient ranged from birth to 19 years of age. 2. The ratio of men to women was 50:50. 3. The most common location of lymphangioma was buccal cheek mucosa (40%), tongue (30%) and gingiva (20%) were next in decreasing order. 4. The most frequent misdiagnosis of lymphangioma was hemangioma (50%). 5. On microscopic view, simple lymphangioma was 70%, cavernous lymphangioma was 20% and hemangiolymphangioma was 10%. 6. The mean duration from patient s fiist recognition of lesion to visiting doctor was 7.2 years. The most chief complaint was multiple small. pebble -like masses (40%). 7. Recurrence: 2 cases (20%).

구강 · 악안면영역의 3차원 컴퓨터 단층촬영

김종원(Jong Won Kim),김병린(Byeong Rin Kim),김택경(Taek Kyoung Kim),유준영(Jun Yoang You) 대한구강악안면외과학회 1991 대한구강악안면외과학회지 Vol.17 No.1

Reontgenographic evaluation of maxillofacial lesions is an important aspect in the evaluation of diseased patients. Standard radiography and conventional computed tomorgraphy produce two dimensional representations of anatomical structure under investigation. Recent developments in computer soft ware now enable the production of three dimensional images of complex anatomical structures from a series of conventional computed tomographic sections. Three dimensional computed tomogram has acceptables patial resolution, uniform geometric accuracy and flexibility in display and image manuplation. Thus, three dimensional computed tomogram provide the surgeon with here-to-fore unavailable global image of the facial anatomy. Three dimensional imaging allows the clinican to visualize spatial relationships that formerly had to conceptualized, a task, which sometimes proved to be rather difficult, and provide an opportunity for improved diagnosis and treatment planning. Now we introduce relatvely new modality that allows a spatial assessment of maxillofacial lesions utilizing three dimensional computed tomogram in the several cases.

Lidocaine의 후두분무후 기관튜브삽관이 혈압 및 심박수에 미치는 영향

염광원(Kwang Won Yum),김경원(Kyoung Won Kim),김병린(Byeong Rin Kim) 대한구강악안면외과학회 1989 대한구강악안면외과학회지 Vol.15 No.2

The effects of endotracheal intubation with laryngoscope on the blood pressure and the heart rates were evaluated in 20patients with oral surgery under general anesthesia. The 20 patients were divided into 2 groups. One group of 10 patients were sprayed on the larynx with 4% lidocaine, 120㎎, 3 minutes before intravenous administration of pentothal sodium and succinylcholine. The results are followings ; 1. The systolic, diastolic, and mean arterial blood pressure were significantly increased in both group after intubation, but the degree of changes in blood pressure was more remarkable in patients without lidocaine spray. 2. The heart rates were significantly increased in both group after intubation and no significant changes were observed in patients with lidocaine spray compared with the control group after intubation. 3. The mean arterial pressure was significantly increased in both group after intubation, but the degree of increase in mean arterial pressure was more significant in patients without lidocaine spray. 4. The heart rates were increased significantly in both group after intubation.

전기적화상에 의한 구순결손의 재건 -증례보고-

박진규,김경원,김병린,민병일 大韓顎顔面成形再建外科學會 1990 Maxillofacial Plastic Reconstructive Surgery Vol.12 No.3

Electrical burns of the lips are most frequently seen in small children, who are apt to chew on electrical cord or plug, the ends of extension cords in their mouth, saliva creates a short circuit across the terminals within the plug, causing an electrical burn. Tissue destruction with electrical burns is sudden and extensive. Extensive, deep coagulation necrosis is instaneously produced by the extreme temparatures of electrical arc. If the child is well grounded, the circuit flow through his body may cause cardiac arrest. The purpose of this report is to document two cases of electrical lip burn and reconstruction of the lip defect with some local flap techniques. For case 1, Z plasty & V - Y plasty and lengthening of the commissure and in case 2, Abbe flap technique was used and scar was revised later. Z - plasty and V- Y plastry were used for scar release and Abbe flap was designed on lower lip to meet the need of upper lip. For short of right lip width, lengthening of the commissure was done. We are to report the improvement with forementioned operation on the patient of electrical burn upon the lip.