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빈주원 최신의학사 1973 最新醫學 Vol.16 No.6
Romberg's disease (progressive facial hemiatrophy) may involve any or the superficial facial tissue, affecting overlying skin, subcutanocus tissue, underlying muscles, and the cartilages and bones as well in some instances. There is no proved cause for this disorder. In general the atrophy progresses very slowly and has its onset in the adolescent or young adult. The defect is usually limited to the field of distribution of one of the branches of the trigeminal nerve. Coup de sabre deformity is one of chief but not constant entities of this disorder, which reveals a sharp boder line that demarks the abnormal from normal side of the forehead, as if the patient had been struck with a sword or saber down through the middle of the forehead. After the active process has subsided, pre-designed silastic sponge insertion produces dramatic improvement in the appearance of these patients.
Columella 缺損例의 成形外科的 治療 : 1例報告
임풍,조문제,빈주원,함기선 大韓成形外科學會 1976 Archives of Plastic Surgery Vol.3 No.1
Columella defect is a noticable deformity which is seen following its loss secondary to injures, diseases, or surgical excisions. The reconstruction of the defect can be achieved by one of the following four methods as advocated by Converse in 1964, i.e. 1) the cervical tubes, 2) the forehead flaps, 3) the nasolabial flaps, and 4) the composite grafts. There is tendency for most surgeons to prefer the nasolabial flap method because of the lesser extend of resulting scar and deformities. Authors obtained a good result in correcting a columella defect from a chronic inflammatory disease in 27 years old woman. Vomerian and nasal tip flaps were employed to make a new columella and the resulting inner raw surface was covered with buccal mucous membrane of the upper lip. The pedicle of the mucosal flap was detached on 10th postoperative day.
함기선,조문제,빈주원,임풍 大韓成形外科學會 1975 Archives of Plastic Surgery Vol.2 No.1
Gynecomastia which is not uncommon in clinic implies a circumscribed, potentially reversible enlargement of the male breast which results from a combination of changes in the breast, including a nonencapsulated increase of connective tissue, proliferation of the ducts of the mammary gland, increased vascularity, and infiltration by chronic inflammatory cells. There is, however, no evidence that persistence of mammary tissue in the male can truly be considered a premalignant condition. Methods of treatment of gynecomastia that have been advocated are X-ray therapy, endocrine treatment and operation. Most observers believe that X-ray therapy offers no improvement of the condition and may be dangerous, and hormone treatment has been disappointing. Surgical removal of the enlarged breast tissue offers the most effective methods for the correction of the gynecomastia. In Department of Plastic Surgery in St. Mary's Hospital, Catholic Medical College, five cases of gynecomastia have been satisfactorily treated by simple surgery with preservation of the nipple and areolar tissues through the classical incision of periareolar line described originally by Webster. Authors report the five cases of gynecomastia in this paper and brief review of gynecomastia followed.