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안면거상술(Face Lift)을 이용한 안면노화(Aging face) 치험례(319례)
최 준,신명수,김동일,이영준,백세민,오재욱 大韓成形外科學會 1992 Archives of Plastic Surgery Vol.19 No.6
There are some differences between Orientals and Caucasians in the amount and type of aging. In general, Orientals have thicker facial skin with more subcutaneous adipose tissues than Caucasians. These differences result in characteristic Oriental aging face combined with round and flat facial contours. Many surgical techniques of face lift or rhytidectomy have been largely performed in Caucasians, but less in Orientals, therefore, we should consider modified principles and techniques in the surgery of the oriental aging face. First, postoperative incision scars are more prominent in Orientals than in Caucasians and this calls for a modified incision design n oriental patients. Second, wide dissection is mandatory for a good result because the skin is very thick and less pliable in oriental patients. Third, it is not necessary to perform cervicofacial platysmal surgery in most cases of oriental face lift. We experienced 171 cases of oriental patients with aging faces and performed 319face lifting procedures during recent 3 years(from Mar. 1988 to Feb. 1991). Combined procedures such as suction lipectomy, forehead augmentation, blepharoplasty, and facial bone contouring surgery were performed simultaneously case by case. Types of anesthesia were decided according to the psychologic states and wishes of patients and the types of combined procedures. Thirty-five cases of 171 patients(20.5%) were performed under local anesthesia. Subcutaneous forehead lifts with ultrasobic vibrator-dissection were our new interesting trials with good results. Complications were 11 cases of wound hematoma(6.4%) and 3 cases of focal wound dehiscence(1.8%). The patients with the complications were completely recovered 6 months later.
정맥혈 유출이 백서의 주행형 피부판 생존에 미치는 영향
나동균,최 준,신극선,유재덕 大韓成形外科學會 1982 Archives of Plastic Surgery Vol.9 No.3
Recent advances in microsurgery and myocutaneous flaps have induced many surgeons to consider skin flaps from a new point and this has produced an interest in fundamentals governing flaps. There have been many discussions about the importance of the vessels and blood flow as well for the survival of flaps. In this study we investigated which vessel, the artery or the vein, is more important in the survival of flaps. The venous drainage can be considered as critical as the arterial inflow regarding the tissue for survival. The experiment was carried out by doing gradual shut-off the venous drainage of the vascularized island flaps in 30 rats. The unilateral thoracoabdominal flap vascularized by the lateral thoracic artery and vein and the epigastric artery and vein was made in each animals and divided into 6 groups. Control group which included both the lateral thoracic and in intact epigastric artery and vein: Group (Ⅰ) which included same vessels as control except ligation of epigastric vein. Group (Ⅱ) which were same as control except ligation of both veins: Group (Ⅲ) which were same as control except complete ligation of epigastric vein and incomplete ligation of lateral thoracic vein as the lumen of the vessel occluded by the half size: Group (Ⅳ) which included same vessels as group (Ⅱ) but proximal skin pedicle was preserved: Group (Ⅴ) same as group (Ⅳ) except preserving the half width of the skin pedicle. The survival of the flaps with its contracture rate in each group was subsequently observed and analized. The followings were summerized as conclusion. 1. Complete shut-off the venous drainage revealed total necrosis of the flaps but good amounts of the flap survival was seen with even small amount of venous drainage. 2. The venous drainage was considered to be a very important factor on survival of axial pattern flap and the be acting in accordance with "all or none" principle. 3. Under the poor condition induced by shut-off of the venous drainage gradually, the survival of the flap can be maintained, but the flaps revealed increased contracture.
조인창,최 준,박병윤,유재덕 大韓成形外科學會 1982 Archives of Plastic Surgery Vol.9 No.3
Poland's syndrome means a congenital unilateral pectoralis muscle defect, often accompained by the deformity of the ipsilateral upper extrimity. Besides the pectoralis major muscle defect, the defects of deltoid, supra-and infra-supinatus, latissimus dorsi, rectus abdominis, teres major & minor etc. may occur as muscle deformity. And also breast tissue, nipple and areolar, subcutaneous fat deficiency and abnormality of costal cartilage and anterior ends of ribs may be associated. In the ipsilateral upper extrimity, various abnormlity inclding sysdactly, brachydactyly may be associated. This paper describes an experience of Poland's pectoralis muscle anomaly, which was corrected with latissimus muscular island flap transposition and silastic prosthesis augmentation.