경사식 방파제 위에 피복된 테트라포드의 안정성 공식

강진성(Jin Sung Kang),서경덕(Kyung Duck Suh),김승우(Seung Woo Kim) 대한조선학회 2011 대한조선학회 학술대회자료집 Vol.2011 No.6

대흉근 근피판으로 큰 안면결손을 치료한 경험

송중원(Joong Won Song),이동훈(Dong Hoon Lee),강진성(Jin Sung Kang) 대한두경부종양학회 1986 대한두경부 종양학회지 Vol.2 No.1

The surgical reconstruction of major defects of the head and neck such as those following accidental injuries or resection of tumors has been facilitated and advanced by the development of myocutaneous flaps which provide both muscle bulk and skin coverage. Of the many available myocutaneous flaps, the pectoral.is major myocutaneous flap has many advantages such as abundant tissue with an excellent vascularity, anatomic proximity, long arc of rotation, reliability and versatility, so it is used most frequently in head and neck reconstruction. It is the purpose of this paper to present our experiences with two cases of pectoralis major myocutaneous island flaps used in reconstruction of major defects of face; one is after resection of very large basal cell carcinoma of the left oral commissure and the other is after resection of a hugε fibrous mass and destructed facial bones caused by chronic osteomyelitis.

연직 슬릿 유공벽의 투수 매개변수의 마찰계수 산정

김열우(Kim Yeul Woo),서경덕(Suh Kyung-Duck),지창환(Ji Chang-Hwan),강진성(Kang Jin-Sung) 대한토목학회 2009 대한토목학회 학술대회 Vol.2009 No.10

低溫法時에 過炭酸症이 心室細動 發生 및 心肺動態에 미치는 影響에 關한 實驗的 硏究

姜振聲 최신의학사 1966 最新醫學 Vol.9 No.10

가토의 상악골에 자가 골막, 연골막, 근막으로서 싸서 첨부한 coral의 생물학적 양태

조승제,손대구,강진성 大韓成形外科學會 1996 Archives of Plastic Surgery Vol.23 No.6

In the last decade various biomaterials have come into widespread use in clinical practice. Hydroxyapatite (HA) is one of the more extensively studied materials recently developed as a bone graft substitute. As an onlay bone graft substitute, however, there are disadvantages, including difficulty in secure fixation, soft-tissue thinning over the implant, and the potential for late exposure. Because of their high density and hardness, synthetic HA substance can lead to nonanatomic remodeling, with bone loss in some areas and densification in others. Coral (Biocoral, Inoteb B,P., Saint Gonnery, France) is a biomaterial derived from natural corals, and is used as a bone graft substitute. After harvesting, the natural coral is transformed into a biomaterial by a series of preparation, purification, shaping, and sterilization processes. It is composed of 99% calcium carbonate and 1% amino acids. Its physical architecture is similar to bone with mean pore diameter of 150㎛. Unlike HA, resorption occurs in coral in the tissues. Resorbable coral has the advantage of being replaced by newly formed bone. The resorbability of the bone substitute can be advantageous, particularly for substance whose longterm presence could jeopardize the function of surrounding tissue. In animal studies coral appeared to be a satisfactory bone graft substitute, and successful clinical applications were reported. In this study we implanted coral blocks wrapped totally with autogenous periosteum, perichondrium, and fascia on the maxilla of the rabbit. The purpose of this study is to investigate the role of the periosteum, fascia, and perichondrium in bone and cartilage induction. Fifteen rabbits were used. Five samples of periosteum-wrapped, fascia-wrapped, perichondrium-wrapped, and non-wrapped coral implants, respectively were collected at 4, 8 and 12 weeks postoperatively. They were carefully examined grossly and microscopically. There was no morbidity or mortality among the rabbits in the study. No implant infection or movement was seen. At 4 weeks, there were foci of new bone formation in periosteum-wrapped, fascia-wrapped, and perichordrium-wrapped groups. In all sections we observed fibroconnective tissue and capillary infiltration into holes of the entire block. At 8 weeks, all the periosteum-wrapped implants demonstrated significantly greater amounts of woven bone formation, some of which was lamellating. Other groups formed only woven bone formation without maturation. At 12 weeks, all periosteum-wrapped implants contained predominantly mature lamellar bone, and corals appeared to be resorbed completely and were replaced with newly formed bone. Compared with specimens at 8 weeks, specimens of other groups did not show any particular change at 12 weeks. These results suggest that periosteum plays an important role of bone induction. It is expected that periosteum-wrapped coral will be able to be used not only as the simple onlay bone graft, but also as a substitute of vascularized bone graft after bone formation is accomplished, furthermore as a free flap. In addition, the use of coral shortens the operating time during the craniomaxillofacial reconstruction since it is no longer necessary to harvest a bone graft.

대흉근 근피판으로 큰 안면부결손을 치료한 경험

송중원,강진성 大韓成形外科學會 1985 Archives of Plastic Surgery Vol.12 No.4

The surgical reconstruction of major defects of the head and neck such as those following accidental injuries or resection of tumors has been facilitated and advanced by the development of myocutaneous flaps which provide both muscle bulk and skin coverage. Of the many available myocutaneous flaps, the pectoralis major myocutaneous flap has many advantages such as abundant tissue with an excellent vascularity, anatomic proximity, long arc of rotation, reliability and versatility, so it is used most frequently in head and neck reconstruction. It is the purpose of this paper to present our experiences with two cases of pectoralis major myocutaneous island flaps used in reconstruction of major defects of face; one is after resection of very large basal cell carcinoma of the left oral commisure and the other is after resection of a huge fibrous mass and destructed facial bones caused by chronic osteomyelitis.

한국인 안검의 생체계측지

박동만,송중원,한기환,강진성 大韓成形外科學會 1990 Archives of Plastic Surgery Vol.17 No.5

Plastic surgeons who frequently deal with trauma and deformity of the eyelids and orbits, need have an abundant knowledge of the accurate anatomical morphology and acceptable proportion of them. The normal value of the anatomical morphology and function of the eyelid has not yet been standardized in Korea. The authors measured anthropometry of normal Korean eyelids and statistically analysed in 2,151 individuals including 1,078 male and 1,073 female. Statistical analysis of these measurements offers valuable information about the chronological growth, size, and shape of healthy Korean eyelids. The results are as follows : 1. There was no significant statistical difference between the right and left sides in all measurements. 2. The growth of the eyelid reached the adult level at about 20 years of age and then the growth can be divided into 3 patterns, the first one slowly increased, the seconded one was a stationary, and the last one slowly decreased. 3. The following statistics were recorded for males and females. The cornea-lateral canthal distance was 7.9mm and 7.3mm, the diameter of the cornea was 13.8mm and 13.6mm cornea-medial canthal distance was 7.8mm and 7.5mm the horizontal dimension of the palpebral fissure was 29.7mm and 28.4mm, the vertical dimension of the palperbral fissure was 7.9mm and 8.0mm, the slant of the palperbral fissure was 9.5 degrees an 10.6 degrees, the intercanthal distance was 36.5mm and 37.2mm, the width of the glabella was 24.4mm,. and 24.1mm, the interpupillary distance was 66.1mm and 63.9mm, the ectocanthion-superior margin of the palpebral fissure distance was 14.9mm and 14.2mm, the endocanthion-superior margin of the palpebral fissure distance was 14.9mm and 14.2mm, the height of the opened upper eyelid was 10.3mm and 10.0mm, the height of the closed upper eyelid was 18.2mm and 18.1mm, levator function by the Berke's method was 16.2mm and 15.6mm, MLD was 7.2mm and 7.1mm, and MRD1, was 2.7mm and 2.6mm respectively. 4. The vertical dimension of the palpebral fissure, slant of the palpebral fissure, and height of the double eyelid fold were greater in females than males. The intercanthal distance and width of the glabella was nearly the same in males and females and other measurements were greater in males than females. 5. A double eyelid fold was seen in about 36% of males and 50% of females. The average height of the double eyelid fold with the eye closed in 20 year old females was 5.2mm and 30 to 50 year old females was 5.5mm. The most frequent shape of the double eyelid fold was type 5. 6. The epicanthus was present in 58.1% in this series and existed in over 90% under age 10, but disappeared in about 90% of the people over 50. The most frequent shape of the epicanthus was tarsalis type.

羊膜을 利用한 火傷의 生物學的 處置

李永吉,姜振聲 大韓成形外科學會 1977 Archives of Plastic Surgery Vol.4 No.2

Burns are an unexpected disaster that kill or deform many people every year. The object of burn treatment is to replace the destroyed skin and to restore normal function. There are 3 method of skin replacement; xenograft, allograft sand autograft. We treated 28 burn patients from Feb. 1, 1977 to July 31, 1977 with amniotic membranes applied to the burned area as one method of allograft. Of these 28 patients, 20 were admitted and 8 were treated in the outpatient department. There were 12 males and 16 females, and 17 were under 5-years of age. 24 patients were scalding burns and 4 were flame burns. 25 patients were 2° and 3 were 2° to 3° burns. 20 patients had burns of less than 15%, 7 were 15% to 30% and 1 was 30% to 40%. Using aseptic technique, amniotic membrane was obtained from placenta by easily peeling it from the chorion. The membrane was cleaned with sterile isotonic saline solution and 0.025% sodium hypochlorite solution for sterilization prior to being stored at 4℃. All membranes cultured microbiologically at weekly intervals reveals revealed negative bacterial growth. The membranes studied histologically at weekly intervals revealed no cellular change or necrosis for 10 weeks, but degenerative change appeared after this period. Of these 28 patients, 13 were grafted with amniotic membranes that had been prepared and preserved for 2 weeks, 9 were grafted with membranes preserved 3 to 4 weeks, 5 were grafted with membranes preserved 5 to 7 weeks, and one was grafted with membranes preserved for 10 weeks. A 3 to 6 months follow up after total healing revealed 21 patients were healed without scarring, 2 patients who had 2° to 3° burns had some flat scarring and 1 patient who had an autogenous mesh skin graft for scattered 3° burns had hypertrophic scarring. 4 patients were impossible to follow up.

화상치료의 최신지견

강진성 대한가정의학회 1988 Korean Journal of Family Medicine Vol.9 No.5

Palmaris Longus 移植에 依한 咽頭一口蓋成形術

李永吉,姜振聲 대한성형외과학회 1977 Archives of Plastic Surgery Vol.4 No.1

There are many surgical procedures in cleft palate repairs to obtain velopharyngeal competency, but while often successful none of them restores the dynamic physiological effects of elevation of the soft palate and pharyngeal movement. In order to achieve effective velopharyngeal closure, pharyngopalatoplasty was performed with good results in three patients using a musculo-tendinous graft of the previously denervated palmaris longus. Electromyographic studies one year and six months after muscle transplantation did not reveal any active action potentials. Even if survival of the entire muscle does not occur, the bulk and purse string effects are not lost because of fibrous tissue replacement. On lateral static pharyngography done eighteen months postoperatively, the distance from the posterior pharyngeal wall to the nasal side of the soft palate is considerably closer than when a simple pushback procedure is done.