Burn Toxin에 關한 實驗的 硏究

柳在德(Jae Duk Lew),孫三鍾(Sam Jong Sohn),孫瑀鍾(Woo Jong Sohn) 대한외과학회 1972 Annals of Surgical Treatment and Research Vol.14 No.4

口蓋에 發生한 混合腫 2例

柳在德(Jae Duk Lew),李澤浩(Taik Ho Lee),李貴英(Ky young Rhee),金智煥(Chi whan Kim),金湘辰(Sang Jin Kim) 대한외과학회 1967 Annals of Surgical Treatment and Research Vol.9 No.6

두경부종양 치료 후 발생한 결손의 피판 및 복합조직이식을 이용한 재건

탁관철,이영호,류재덕,Tark, Kwan-Chul,Lee, Young-Ho,Lew, Jae-Duk 대한두경부종양학회 1985 대한두경부 종양학회지 Vol.1 No.1

The surgical treatment of advanced carcinomas and some benign tumors having clinically malignant behaviors of the head and neck region often require extensive resection, necessitating large flaps for reconstruction. Since the original upper arm flap was described by Tagliacozzi in 1597, a variety of technique such as random pattern local flap, axial flap, distant flap, scalping flap, myocutaneous flap, free flap etc. have been proposed for reconstruction of head, face and neck defects. Reconstruction of the facial defects usually require the use of distant tissue. Traditionally, nasal reconstruction has been carried out with a variety of forehead flaps. In recent years, there has been more acceptance of immediate repairs following the removal of these tumors. As a result, patients are more willing to undergo these extensive resections to improve their chances of cure, with the reasonable expectation that an immediate reconstruction will provide an adequate cosmetic result. Authors experienced 13 cases of head and neck tumor during last three and half years that required wide excision and immediate reconstruction with various flaps, not with primary closure or simple skin graft. We present our experience with varied flaps for reconstruction after wide resection of head and neck tumors 3 cases of defect of dorsum of nose or medial canthus with island forehead flaps, lower eyelid defect with cheek flap, cheek defect with Limberg flap, orbital floor defect with Temporalis muscle flap, lateral neck defects with Pectoralis major myocutaneous flap or Latissimus dorsi myocutaneous free flap, subtotal nose defect with scalping flap, wide forehead defect with Dorsalis pedis free flap and 3 cases of mandibular defect or mandibular defect combined with lower lip defect were reconstructed with free vascularized iliac bone graft or free vascularized iliac bone graft concomitantly combined with free groin flap pedicled on deep circumflex iliac vessels We obtained satisfactory results coincided wi th goal of treatment of head and neck tumors, MAXIMAL CURE RATE with MINIMAL MORBIDITY, OPTIMAL FUNCTION, and an APPEARANCE as close to normal as possible.

韓國人 口唇裂患者 922名의 統計學的 考察

沈載道(Jai Do Shim),張寅奎(In Kyoo Chang),柳在德(Jae Duk Lew) 대한외과학회 1971 Annals of Surgical Treatment and Research Vol.13 No.3

Pierre Robin Syndrome 의 2例

張寅奎(In Kyoo Chang),李?雨(Young Woo Rhee),柳在德(Jae Duk Lew) 대한외과학회 1969 Annals of Surgical Treatment and Research Vol.11 No.6

두경부종양 치료 후 발생한 결손의 피판 및 복합조직이식을 이용한 재건

Kwan Chui Tark(卓寬哲),Young Ho Lee(李英浩),Jae Duk Lew(柳在德) 대한두경부종양학회 1985 대한두경부 종양학회지 Vol.1 No.1

The surgical treatment of advanced carcinomas and some benign tumors having clinically malignant behaviors of the head and neck region often require extensive resection, necessitating large flaps for reconstruction. Since the original upper arm flap was described by Tagliacozzi in 1597, a variety of technique such as random pattern local flap, axial flap, distant flap, scalping flap, myocutaneous flap, free flap etc. have been proposed for reconstruction of head, face and neck defects. Reconstruction of the facial defects usually require the use of distant tissue. Traditionally, nasal reconstruction has been carried out with a variety of forehead flaps. In recent years, there has been more acceptance of immediate repairs following the removal of these tumors. As a result, patients are more willing to undergo these extensive resections to improve their chances of cure, with the reasonable expectation that an immediate reconstruction will provide an adequate cosmetic result. Authors experienced 13 cases of head and neck tumor during last three and half years that required wide excision and immediate reconstruction with various flaps, not with primary closure or simple skin graft. We present our experience with varied flaps for reconstruction after wide resection of head and neck tumors 3 cases of defect of dorsum of nose or medial canthus with island forehead flaps, lower eyelid defect with cheek flap, cheek defect with Limberg flap, orbital floor defect with Temporalis muscle flap, lateral neck defects with Pectoralis major myocutaneous flap or Latissimus dorsi myocutaneous free flap, subtotal nose defect with scalping flap, wide forehead defect with Dorsalis pedis free flap and 3 cases of mandibular defect or mandibular defect combined with lower lip defect were reconstructed with free vascularized iliac bone graft or free vascularized iliac bone graft concomitantly combined with free groin flap pedicled on deep circumflex iliac vessels. We obtained satisfactory results coincided with goal of treatment of head and neck tumors, MAXIMAL CURE RATE with MINIMAL MORBIDITY, OPTIMAL FUNCTION, and an APPEARANCE as close to normal as possible.

顔面神經 마비의 筋膜 교정법

賓注源(Joo Won Bin),民大泓(Dae Hong Min),柳在德(Jae Duk Lew) 대한외과학회 1970 Annals of Surgical Treatment and Research Vol.12 No.3

근막 및 동ㆍ정맥 혈관경을 이식하여 생성시킨 2차적 도서형 복합피판에 관한 연구

卓寬哲,柳在德 大韓成形外科學會 1990 Archives of Plastic Surgery Vol.17 No.5

A fascio-vascular pedicle based on the epigastric vessels was developed in a rat model to determine if it could be used as a "universal carrier"to revascularize a new composite flap. The effects of time course. carrier size and flap ischemia on the revascularization process were studied. A 2.5×4cm or 1×4cm fascial patch pedicled on the vessels was transferred under bipedicled 2.5×4, 6, or 8cm abdominal panniculo-cutaneous flaps. At different time intervals. the flap was raised as an island flap connected only by its vascular bundle then stured back in place. The skin perfusion by dermofluorometry and flap survival area, while the narrow carrier had only 71%. The wide carrier induced relatively faster and better revascularization(p<0.05). Moderate ischemia promoted revascularization(P<0.01). An india ink injection study and histologic examination model for prefabrication of complex new composite flaps and for studying the process of revascularization between the laryers. Based on these findings and further investigations, we are conductiong clinical applications of the prefabrication and free transfer of the seconsdary island flap in humans.

上口脣 缺損의 再建을 爲한 Estlander-Abbe氏 皮膚瓣 使用例

柳在德,卓寬哲,李世一,李英浩 大韓成形外科學會 1976 Archives of Plastic Surgery Vol.3 No.1

Innumerable procedures have been devised for the repair of upper lip defects. The ideal repair should give a normal-looking not too tight lip with a vermillion border, an adequate sulcus, good sensation and good muscle tone and also. It must also be simple to perform under local anesthesia. If the lesions are small, immediate closure after excision can be made. Replacement of larger losses of upper lip has to brought tissues to fill the defects. In the majority of methods, pedicle from adjacent, neighboring or distant parts is used. Also among them, a portion of one lip had frequantly been used to replace losses in the other lip by rotating a flap. In the moderate to larger sized lateral defects of the upper lip, the Estlander Abbe's operation is the most useful procedure.

多指症의 發生學的分類 및 治療에 관한 臨床的考察

柳在德,李世一,李英浩,卓寬哲 大韓成形外科學會 1985 Archives of Plastic Surgery Vol.12 No.1

32 cases of the polydactyly operated at the department of plastic surgery, National medical center and Wonju christian hospital, College of medicine, Yonsei university during the last 4 years were classified on the basis of embryological and anatomical aspects. We reviewedincidence, epidemiology, inheritance, combined anomalies and also optimum time and method of the operation of polydactyly. We have obtained lollowing results. 1. Female was more frequent than male with the over all ratio of 3 : 2 (in preaxial polydactyly, F : M = 1 : 1, central and post-axial polydactyly, F : M = 2 : 1). 2. Pre-axial polydactylies were 14 cases (44%), post-azial polydactylies were 12 cases (37%), and central polydactylies were 6 cases (19%). 3. 14 cases (100%) of pre-axial polydactyly were on hands and 11 cases (92%) of post-axial polydactylywere on feet. Dentral polydactylies were equally on hands and feet. 4. Left:right:bilateral ratio of the pre-axial polydactyly was 5 : 9 : 1 and type IV by Wassel's clasificaion was most frequent as 9 cases (64%), next type II, type I, type III came in order. 5. All 6 cass (100%) of the central polydactyly were type II by Stelling & Turek's classification. Extra digits were located on ulnar side of 3rd finger on hands and lateral side of 4th toe on feet. 6. Left:right:bilateral ratio of the post-axial polydactyly was 3 : 6 : 2 and type II by Stelling & Turek's classification was most frequent as 8 cases (67%). 7. All central polydactylies combined syndactyly, 4 cases (33%) of post-axial polydactylies combined dwarfism, anomalous spine, exotropia or constricted band and 2 cases of pre-axial polydactylies combined congenital heart disease or iron deficiency anemia. 8. Central polydactylies were inherited as autosomal dominant traits and other polydactylies were inherited sporadically. 9. The early surgical correction of polydactyly is recommendable especially in central polydactyly. 10. If the surgical correction is involving a joint, the joint should be reinforced with flexor, extensor tendons or periosteum of the extra digit.