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개선된 Noordhoff 방법을 이용한 양측성 구순열의 교정
조병채,이용직 대한성형외과학회 2006 Archives of Plastic Surgery Vol.33 No.4
Purpose: The authors accessed the anthropometric measurements of fourty non-cleft normal a three-month- old infant and using this obtained data as a basic guideline, authors applied the modified Noordhoff technique for the treatment of bilateral cleft lip.Methods: Over a period of 10 years, a total of 21 bilateral cleft lips were operated. 13 cases of complete and 8 cases of incomplete bilateral cleft lip and palate. In the complete type of bilateral cleft palate, elastic head cap and passive intraoral appliance were applied at 1 to 2 week of age for 2 months duration. The definitive cheiloplasty was performed at 3 months of age using the modified Noordhoff technique. Results: After a follow-up period ranging one to nine years, most patients presented with cosmetically and functionally satisfying results, with an exception of two cases where an undesired peaking effect of the vermilion and dimpling of the vermilion mucosa was encountered. Conclusion: Accessing the anthropometric measurements of fourty non-cleft normal three-month-old infant and using this obtained dara as a guideline, the modified Noordhoff technique can be applied to either complete or incomplete bilaterally cleft lip providing more naturally pleasing and cosmetically satisfying scars that lie in harmony with the philtral ridges, lip tubercle positioned just below the vermilion and a distinct white line and Cupid's bow.
전기화상후 Prostaglandin F2a와 Thromboxane B2의 증가에 대한 Flurbiprofen, Prednisolone 및 Gabexate mesilate의 억제효과
조병채,김인규,변진석,백봉수 大韓成形外科學會 1991 Archives of Plastic Surgery Vol.18 No.1
This study was conducted to clarify the inhibitory effect of flurbiprofen, prednisolone, and gabexate mesilate on the synthesis of prostaglandin F2a and thromboxane B2 in the tissue of electrical burn. one hundred sixty Sprague-Dawley rats, 250gm of body weight in average, were divided into 4 groups of control, flurbiprofen, prednisolone and gabexate mesilate administred group. Fourty rats of the each group were subdivided into 1st, 2nd, 4th, 7th postburn day with 10 rats in each subgroup. Ten rats were used for normal values of prostaglandin F2a and thromboxane B2. Flurbiprodfen 30mg/kg was given per mouth, and prednisolone acetate 5mg/kg and gabaxate mesilate 50mg/kg were administred intramuscularly 5 minutes after burn injury and then once a day. All but bone tissue of within 2cm area of the current entry were harvested and ground into homogenate. The levels of prostaglandin F2a and thromoboxane B2 were measured by Radioimmunoassay. The results were as followings: In normal rat tissue, the level of prostagland F2a and thromboxane B2 were 15.8±1.8 and 17.6±2.8ng/mg protein in each. In the control group the levels of both prostaglandin F2a and thromboxane B2 increased abruptly to 5 times and 7 thimes in the first day and maintained the same level in the second day. After then they rapidly decreased and returned to a near normal level in the fourth day. The increase of thromboxane B2 was more remarkable than that of prostaglandin F2a. In the flurbiprofen group, the level of thromboxane B2 was not inerease but kept at a normal level. The average level of prostaglandin F2a in the post-burn first and second day was 59.5% lower than of the control group. The average level on the post-burn first and second day was 61% lower in thromboxane B2 and 33% lower in prostaglandin F2a in the prednisolone group, and 68% lower in throboxane B2 and 48% lower in prostaglandin F2a in the gabexate mesilate group, compared to the control group. These findings suggest that electrically injured tissue is vigrously progressive due to rapid increase of thromboxane B2 and prostaglandin F2a, as inflammatory mediators, in the post-burn first and second day, is nonprogressive after the post-burn fourth day. The flurbiprodfen was the most effective of the three drugs(flurbiprofen, gabexate mesilate, prednisolone in order of effectiveness) to suppress the synthesis of thromboxane B2 prostaglandin F2a of the electrieally injured tissue.
조병채 大韓成形外科學會 1996 Archives of Plastic Surgery Vol.23 No.1
The thumb is functionally, and cosmetically the most important finger of the hand, and performs 40-50% of the hand functions. The requirements of the reconstructed thumb are oopposability, stability, sensibility, and appearance. Advantages of the toe transfer are 1) similar length, shape, and skin texture, 2) provision of good sensation and functional ability, 3) a one stage operation. Disadvantages are 1) sacrifice of the toe, 2) long operative time. We used the great toe and the second toe for the reconstruction of the thumb. From March 1990 to October 1994, We treated 13 patients with thumb defect. Causes of thumb defect were trauma in 12 cases and congenital hypoplasia in 1 case. 11 cases were male, 2 cases were female. Procedures were great toe modified wrap-around transfer in 9 cases, partial great toe transfer in 2 cases, total great toe transfer in 1 case, the total second toe transfer in 1 cases. The mean follow up period was 29 months(form 7 to 63 months). The results were summarized as follows: 1 The average two-point discrimination of the reconstructed thumb tip was 6mm and pinching power showed 70 percent compared to normal site. 2. The great toe modified wrap-around transfer without iliac bone graft provided the best cosmetic result in distal part amputation of the interphalangeal joint. 3. The total great toe transfer provided good cosmetic and excellent functional results in amputation from the proximal part of the interphalangeal joint to the distal part of the metacarpophalangeal joint. 4. The total second toe transfer was a good procedure in the complete absence of the first ray or in children.