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박철,유재덕,신극선 大韓成形外科學會 1980 Archives of Plastic Surgery Vol.7 No.2
A vaiety of lesions and deformities necessitate resurfacing a major portion of the cheek or the lower eyelid.Especially,in moderate or large defect of them resurfacing is a challenging, task.In our experience, these have included large benign pigmented lesions, hemangionma large postburn scar,neoplasia and avulaion wound. The physical characteristics of facial skin are matched best by adjacent skin.Resurfacing of the facial defect by using diatant flap and skin graft have been done conventionally.But they are seldom matched the origical facial skin in texture and color.In our experienced,the most acceptable coverage is suggested the adjacent cervicofacial flap based on midline of the neck.Then we recommended surely the active use of cervicofacial flap instead of skin and distant flap.
근판 혹은 근피판을 이용한 하퇴 경골 前部의 외상성 및 골수염성 피부결손의 치험예
박철,유재덕,신극선 大韓成形外科學會 1985 Archives of Plastic Surgery Vol.12 No.3
A retrospective review was carried out ten muscle and musculocutaneous flaps in the leg performed for traumatic and osteomyelitic defects in two groups of patients. One group of four patients with soft tissue defects resulting from trauma. Three of the four healded uneventfully; in one case, delayed healing was resulted due to minor loss of muscle flap. The second group of five patients with defects resulting from chronic osteomyelitis. Four of the five healded relatively well; in one case, major loss of the flap was resulted due to hematoma. This series illustrates that the technique of muscle and musculocutaneous flap transposition can provide a safe, relatively shaightfoward method of cover for defects of the leg from trauma and chronic osteomyelitis with predictable result.
정섬,박철,신극선 大韓成形外科學會 1990 Archives of Plastic Surgery Vol.17 No.5
Currently numerous types of flaps are used in the correction and reconstruction of a variety of congenital anomalies as well as posttraumatic deformities. Selection of an ideal flap for each case depends on a multitude of factors but the site of the anomaly or defect can be considered the most important. In 1978 Pakiam reported the local reverse dermis flap, thereafter Leonard(1980), Mahler(1981), Thatte(1980) and Ramakrishna(1988) also reported their experiences using similar principles of "turn-over" flaps in a variety of cases. We used this method in a case of failed hypospadia correction as well as case of unstable scar formation with bone exposure on the left anterior tibia and obtained complete survival of each flap in addition to cosmetically satisfactory results. There has yet to be a report in this country using this safe and simple one-stage reconstructive method.
피부괴사로 노출된 심장 Pacemaker에 대한 처치 : 증례 보고
신극선,유재덕,홍승록,Sin, Geuk-Seon,Yu, Jae-Deok,Hong, Seung-Rok 대한흉부심장혈관외과학회 1984 Journal of Chest Surgery (J Chest Surg) Vol.17 No.1
The management of the exposed cardiac pacemaker or its lead is a new challenge to the plastic surgeon. This complication is not rare. Coburn et al. [1972] reported less than 5 percent, but Sowton et al. [1974] showed that over a period of 19 years, in a series of 372 patients, the pacing system had to be removed because of local wound breakdown or infection in 10 percent of the cases. The methods used to treat exposure may vary from removal and re-introduction at anterior site to the rotation of local flaps to cover the exposed pacemaker. Recently we have experienced 6 times of migration and recurrent skin ulcerations without pyogenic infection overlying the pacemaker in one patient. We developed a new technique, anchoring the pacemaker to the clavicle by a wire through the hole of clavicle and by creating a pocket under the pectoralis major muscle. Then we would like to emphasize this operating method could be choice of treatment to prevent the migration of pacemaker and the ulceration of skin when complication of implantation of pacemaker is occurred.