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비골 피판을 이용한 하악 및 하악과두 재건의 장기간 임상적 평가
안강민(Kang-Min Ahn),정헌종(Hun-Jong Chung),염학렬(Hak-Ryol Ryom),김항진(Hang-Jin Kim),김윤태(Yoon-Tae Kim),황순정(Soon-Jung Hwang),명훈(Hoon-Myoung),김명진(Myung-Jin Kim),김성민(Soung-Min Kim),장정원(Jeongwon Jahng),이종호(Jong-Ho 대한구강악안면외과학회 2005 대한구강악안면외과학회지 Vol.31 No.5
Purpose of study: The temporomandibular joint (TMJ) occupies a key functional role in mastication and contributes to normal deglutition, speech as well as cosmesis. When a large amount of mandible including the condyle head is resected, it is very difficult to reconstruct it as a functional unit. In this retrospective study, we present the functional, radiographic and cosmetic results of reconstructed temporomandibular joint using free fibular flap. Patients and Methods: Total 12 patients (M:F = 6:6) who underwent condylar reconstruction with the fibular flap were interviewed and examined by radiographs and Bio-PAK. Mean follow up periods was 47.7±20.0 months and the average age was 38.7±15.3 years. Remodeling of condyle and function of TMJ were evaluated and facial contour was judged subjectively. Results: All flaps were viable and no immediate postoperative complication had happened. One patient showed decreased mouth opening, so interpositional gap arthroplasty was performed. The resorption rates of reconstructed fibular were minimal and the condyle heads were changed into domeshaped neocondyle after 2 years. All patients had normal diet and no speech difficulty was reported. Nine patients were satisfied with their facial contour but three patients complained about the depression of cheek. Conclusion: The reconstruction of TMJ with free fibular flap was reliable methods and very effective means of restoring mandibular function. The functional and morphologic results were excellent and showed little complications.
Analysis of Driver Club Shots according to the Shaft Strength
Park, Young-Jin(박영진),Kim, Hang-Jin(김항진),Bum, Chul-Ho(범철호),Park, Sung-Jin(박성진) 한국사회체육학회 2014 한국사회체육학회지 Vol.0 No.58
드라이버 클럽 샤프트 강도에 따른 비거리 및 방향성 차이를 규명해 내기 위하여 스윙이 일정한 남자 프로골프 선수들을 대상으로 샤프트 강도 차이에 따른 비거리, 헤드스피드, 샷 효율성, 발사각, 스핀량, 방향성을 측정하고 남자선수들이 기록한 동일한 헤드스피드를 로봇스윙 머신에서 맞추어 놓고 남자 프로골프 선수들과 동일한 샤프트 강도를 로봇스윙 머신에 장착시켜서 비거리, 헤드스피드, 티-레이시오, 발사각, 스핀량, 방향성을 조사 분석한 결과 다음과 같은 결론은 얻었다. 1) 남자프로골프 선수들을 대상으로 샤프트 강도 차이에 따른 비거리, 헤드스피드, 샷 효율성, 발사각, 스핀량, 방향성을 측정 분석한 결과 통계적으로 유의한 차이가 없는 것으로 나타났다. 2) 남자프로 골프선수들이 기록한 평균 헤드스피드를 로봇 스윙 머신에 장착시켜서 샤프트 강도 차이에 따른 비거리, 헤드스피드, 샷 효율성, 발사각, 스핀량, 방향성을 측정 분석한 결과 샤프트 강도 차이에 따라서 통계적으로 유의한 차이가 있는 것으로 나타났으며 100mph의 스윙 스피드를 가진 골퍼에게는 250CPM, 260CPM 강도의 샤프트가 가장 좋은 비거리를 낼 수 있는 샤프트 강도로 본 연구 결과에서 나타났다. 이상의 연구결과에서 나타난 결과를 바탕으로 추후에는 남자골프선수 뿐만이 아니라 여자골프선수 및 아마추어 골퍼를 대상으로 한 추가 연구가 필요하다고 판단되며 로봇 스윙 머신의 분석에서도 100mph의 스윙스피드가 아닌 여자프로선수 및 아마추어 골퍼의 헤드스피드를 맞추어 놓고 분석할 필요가 있다고 사료된다. 또 한 로봇스윙 머신 결과에서 240CPM, 270CPM 강도에서 방향성이 왼쪽으로 많이 가는 현상을 보였는데 초고속 촬영을 통하여 로봇스윙 머신이 스윙을 할 때 백스윙 탑에서 임팩트 시에 샤프트의 진동을 정확히 조사할 필요가 있다고 사료된다.
뇌하수체 거대선종으로 인한 고프로락틴혈증 환자의 만삭아 분만
김승찬 ( Seung Chan Kim ),윤영은 ( Young Eun Yun ),박미선 ( Mi Sun Park ),김항진 ( Hang Jin Kim ),박옥랑 ( Ok Rang Park ) 대한산부인과학회 2006 Obstetrics & Gynecology Science Vol.49 No.10
Prolactin-secreting adenomas are the most common pituitary tumors resulting in hyperprolactinemia which is one of the most important causes of female infertility with amenorrhea or galactorrhea. Although it is reported that spontaneous pregnancy occured in these patients using bromocriptine treatment or ovulation induction, it is very rare to find a pituitary tumor during a pregnancy by having neurological symptoms of headache, diplopia or visual disturbance. We experienced a case of normal delivery after symptom improvement and maintenance of pregnancy by administration of bromocriptine in a 27 year-old primigravida with diplopia and visual disturbance due to prolactin-secreting pituitary macroadenoma, which is diagnosed by brain MRI scan and serum prolactin level. A brief review of related literature was done.
세포질내 정자주입법(ICSI)에 있어서 정자흡입 및 난자내 주입방법에 관한 연구
이택후 ( Taek Hoo Lee ),김항진 ( Hang Jin Kim ),송건호 ( Gun Ho Song ),김대근 ( Dae Geun Kim ),전상식 ( Sang Sik Chun ),박윤규 ( Yoon Kyu Park ),서태광 ( Tae Kwang Suh ),전병균 ( Byeong Gyun Jeon ),류은경 ( Eun Kyung Ryu ),이은숙 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.12
Immobilization of spermatozoa prior to intracytoplasmic sperm injection(ICSI) sometimes results in crooked tail and this makes it difficult to aspirate sperm into an injection pipette tail first Head-first sperm aspiration into an injection pipette avoid this problem due to the bigger size of the sperm head. The effect of head or tail-first sperm injection into an oocyte on fertilization, cleavage, percentage of grade 1 embryos and development to blastocyst stage in ICSI program has been studied. A single living immobilized spermatozoa from oligoasthenozoospermic patient was injected into an oocyte head-first or tail-first according to the treatment. Eighteen hours after microinjection, oocytes were inspected for survival and fertilization Fertilized oocytes with two pronuclei were cultured in 30 μ I drop of mHTF supplemented with 10 % heat-inactivated follicular fluid(FF) at 37℃. On day 2, embryo transfer was performed with cleaved embryos. The remaining 2-8 cell stage embryos were co-cultured with BRL cells in mHTF+10 % FF for 72 hours and the developmental stage was observed. The data were analyzed by Analysis of Variance. A total of 164 oocytes from 36 cycles were assigned to each treatment and ICSI was performed(88 head-first, 76 tail-first). The rates of normal fertilization were 81.8 % and 76.3% for head-first and tail-first, respectively. Of the fertilized oocytes, the percentage of cleaved embryos and the percentage of grade 1 embryo among cleaved embryos were 88.9 % and 68.8 %, 93.1 % and 74.1 % for head-first and tail-first, respectively. Of the 2-8 cell embryos cultured, 44.4 %(16/36) and 50.0%(10/20) for head first and tail first, respectively developed to blastocyst stage. There were no differences in fertilization, cleavage, rates of grade 1 embryos, and development to blastocyst stage. In conclusion, head-first or tail-first sperm injection into an oocyte in ICSI program does not affect fertilization and subsequent embryo development to blastocyst stage in vitro.
이전제왕절개술 기왕력을 가진 산모의 분만 후에 발생한 방광자궁샛길 2예
김석배 ( Suk Bae Kim ),윤영은 ( Young Eun Youn ),박미선 ( Mi Sun Park ),박옥랑 ( Ok Rang Park ),김항진 ( Hang Jin Kim ) 대한산부인과학회 2006 Obstetrics & Gynecology Science Vol.49 No.9
Vesicouterine fistula, a fistula between bladder and uterus, is one of the rarest urogenital fistula. Most cases are associated with repeat Cesarean section and with vaginal birth after Cesarean section (VBAC). During Cesarean section, it is important to dissect and move the bladder away from uterus carefully, especially in case of adherent bladder to the anterior vaginal wall or lower segment wall and it is necessary to explain the possibility of vesicouterine fistula development in case of VBAC. Patients usually present with urinary incontinence in the early postoperative period or present months or years later with cyclic hematuria, amenorrhea, vaginal leakage of urine, urinary tract infection and secondary infertility. The diagnosis is made by cystoscopic visualization of the fistula orifice in the bladder and outlining the fistula tract on cystogram, hysterosalpingogram or transvaginal ultrasonogram. There have been varied approaches to the treatment of vesicouterine fistula with conservative therapy or surgical therapy. We experienced two cases of vesicouterine fistulas in women with previous Cesarean section, the one is delivered with repeat Cesarean section after trying VBAC, the other is delivered with vacuum assisted VBAC, and treated with surgical repair.
조산 예측을 위한 인슐린 유사 성장인자 결합 단백질-1의 유용성
박옥랑 ( Park Og Lang ),김주경 ( Kim Ju Gyeong ),장보승 ( Chang Bo Seung ),김항진 ( Kim Hang Jin ),김태상 ( Kim Tae Sang ),박일수 ( Park Il Su ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.7
Objective : The aim of this study was to evaluate whether the presence of phIGFBP-1 in cervical secretion of patients with symptoms suggestive of preterm labor predicts preterm delivery. Methods : Patients who were examined at the Department of Obstetrics and Gynecology, Daegu Fatima hospital between 24 weeks` and 34 weeks` gestation with intact membrane, no prior tocolysis, symptoms suggestive of preterm labor, and cervical dilatation<3 ㎝ were recruited. Cerviacal swab samples were assayed for the presence of phIGFBP-1 by immunoenzymornetric assay, with a positive result defined as ≥10 ㎍/L, Tocolysis and corticosteroids were used when clinically indicated after specimen collection. Results : phIGFBP-1 was detected in 21 patients among 50 patients analysis. Compared with patients who had negative results, patients who had positive results for phIGFBP-1 were more likely to deliver before 37 weeks (p<0.001), before 34 weeks (p=0.008) and within 7 days (p<0.001). Sensitivity, specificity, positive predictive value and negative predictive value were 77.3%, 85.7%, 81.0%, and 8.28%. Patients with positive results were also treated more with tocolysis and corticosteroids use than patients with negative results. Gestational age at delivery (p<0.001) and birthweight (p<0.001) were lower for patients with positive results. Conclusion : In a population of patients with symptoms, the presence of phIGFBP-1 in cervical secretions defines a subgroup at increased risk for preterm delivery.
양영민 ( Yang Yeong Min ),조영리 ( Jo Yeong Li ),안광준 ( An Gwang Jun ),김항진 ( Kim Hang Jin ),김익수 ( Kim Ig Su ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.8
Aggressive angiomyxoma is a rare soft tissue tumor associated with high risk of local recurrence but lacks metastatic potential. This tumor arise from soft tissue of the perineum or lower pelvis, and affect predominantly yonug women. Aggressive angiomyxom