http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
현원석,문구현,방사익,오갑성 대한성형외과학회 2003 Archives of Plastic Surgery Vol.30 No.6
Although Nd:YAG laser(1064nm) showed good reduction effects on treatment of cutaneous hemangioma, its use was limited because of non-selective laser absorption and complications such as scar formation. So, we applied different modalities of Nd:YAG laser for more effective and safe treatment.We applied Nd:YAG laser to 9 patients with hemangioma on upper eyelid, cheek, back, arm, and parotid area from February, 1999 to February, 2002. The age at treatment ranged from 4 months to 4 years. Nd:YAG laser was irradiated both inside of the hemangioma by using a bare fiber through a 16G Tefflon cannula and outside of it by cooling the skin with a ice-cube. Nd:YAG laser was irradiated directly into the lesion through the bare fiber and safely to the skin through the ice cube.The mean number of treatment was 1.8, and the time interval between the next treatment was 4.5 months. The mean follow-up period was 13.5 months. Six patients showed almost full regression. Two patients had surgical excision after laser treatment, and one showed slow regression to be in the clinical observation.
악성흑색종에서 Ki-67과 Proliferating Cell Nuclear Antigen의 표현에 관한 연구
현원석,민경원,김재중 大韓成形外科學會 1997 Archives of Plastic Surgery Vol.24 No.5
Although malignant melanoma is a rare skin cancer in Orientals, it is a very lethal disease in plastic surgical field. The tumor grading and prognostic factors of malignant melanoma commonly used are the size of the nuclei, cellular irregularities, loss of polarity, degree of mitosis and peripheral tissue infiltration. But, the parameters mentioned above show poor correlation with prognosis. Recently, the proliferation cell antigen activities are used as a tumor grading and prognostic factors in some tumors. Using immunohistochemical study, we examined the proliferation cell antigen activity, of Ki-67 and proliferating cell nuclear antigen(PCNA) in malignant melanoma and melanocytic nevus. There was a significant correlation between histologic parameters related to prognosis(Breslow index and mitotic rate) and PCNA as well as Ki-67 expression. And positive antigen activity of PCNA and Ki-67 in malignant melanoma was higher than that of PCNA and Ki-67 in benign melanocytic nevus. Although we can not tell that the maximun nuclear density value of PCNA and Ki-67 is a superior prognostic parameter over Breslow index, PCNA and Ki-67 expression is a good parameter for tumor grading in malignant melanoma.
김진환,김석화,현원석 大韓成形外科學會 1997 Archives of Plastic Surgery Vol.24 No.6
Deformity of severe asymmetric bilateral cleft lip which has complete cleft on one side and microform cleft on the other side resembles that of the unilateral cleft lip deformity with mild vermilion deformity on the other side. But, severe asymmetric bilateral cleft lip is quite distinct from the unilateral cleft lip. First, severe asymmetric bilateral cleft lip has no anatomical landmark of Cupid's bow due to peaking of the microform cleft side. Second, even though the notching of vermilion on the microform cleft site accentuates the vermilion tubercle, the volume of vermilion tubercle is deficient due to the incontinuity of the orbicularis oris muscle. So, it is hard to obtain symmetric appearance of the Cupid's bow and adequate volume of vermilion tubercle without approximation of the orbicularis oris muscle in the midline. 11 severe asymmetric bilateral cleft lip patients were operated with modified Millard's method for bilateral cleft lip in one stage from August 1994 to April 1997 in our Hospital . It was possible to obtain symmetric Cupid's bow and adequate size of vermilion tubercle with accurate union of the orbicularis oris muscle.
김석한,현원석,이지혁,문구현,방사익,오갑성,Kim, Sukhan,Hyon, Wonsok,Lee, Jihyuck,Mun, Goohyun,Bang, Saik,Oh, Kapsung 대한미세수술학회 2004 Archives of reconstructive microsurgery Vol.13 No.1
Because traumatic tissue damage on hands and feet often lead to loss of function, permanent deformity, prompt and adequate reconstruction is essential. For children, future growth, as well as function and esthetics, must be taken into account. Several techniques have been employed to reconstruct hand and foot dorsum defects of children. However, skin graft and muscle free flap with skin graft cannot prevent contracture and will interfere with normal growth. Fasciocutaneous free flap reduces contracture and enables early physical therapy, decreasing the need for additional surgical intervention. Parascapular flap is particularly suitable because it has reliable pedicle and is relatively thin. There is little functional loss in the donor site, and also simultaneous extensor tendon reconstruction of hand and foot is possible. The disadvantage of this technique is that postoperative defatting is needed to adjust volume. Our department has achieved satisfactory results using this approach, and would like to report 13 cases of hand and foot reconstruction using parascapular flap in patients under the age of 15 (from March, 1998 to May, 2003).
C-V 피판으로 유두 재건시 V 피판의 반흔 축소 방법
박재희,현원석,오갑성,정의석,방사익,문구현,임소영,변재경 대한미용성형외과학회 2005 Archives of Aesthetic Plastic Surgery Vol.11 No.1
A nipple can be reconstructed either by nipple sharing or local flap. But donor site scar is inevitable when nipple is reconstructed with local flap method. The scar which remains inside the nipple areolar complex can be hidden by medical tattooing, but elongated scar, which cross over the areolar border leads to poor esthetic result. So as to solve this problem, we used purse string suture method. We reconstructed nipple with C-V flap for 9 patients who previously reconstructed breast with extended latissimus dorsi flap. Purse string suture with 3-0 nylon was used for donor site closure. We minimize 10.7% of the scar length with this method. Enhancement of nipple projection due to the flattening of V limb was attained in addition. We expect the reduction of V-limb of C-V flap and amount of absorption of the reconstructed nipple with purse string suture method.
임소영,현원석,하범준,오갑성 대한성형외과학회 2002 Archives of Plastic Surgery Vol.29 No.1
The popularity of elective day surgery has increased significantly over the past two decades. Potential advantages of day surgery are alleviation of parental burden on time and money, less social disruption for the child and family due to the shorter period hospitalization and the absence of overnight stay. Between January of 1996 and December of 2000, we studied 391 cases that underwent day surgery(age 1mo.-15.0yrs). This practice is reviewed with regard to initial assessment, preparation for surgery, postoperative complications and management, and immediate follow-up by telephone visit. Up to 28% of all pediatric plastic surgical cases were performed on day-care basis mainly in laser therapy and excision of benign soft tissue mass. The incidence of postoperative minor medical complications was 3.1 In addition, we reviewed 14 patients who underwent ambulatory surgery with syndactyly and/or polydactyly of the hand.Then we compared 3 parameters(hospital charge, postoperative complications and degree of postoperative satisfaction in parents) with those of 84 inpatient children who underwent the same surgical procedures. As results, ambulatory surgery group is more economical than inpatient surgery group with postoperative satisfaction higher than inpatients surgery group with negligible complications.And based on a 5-year experience of authors, day-surgery system in pediatric plastic surgery is safe, effective and in the best interest of a select but significant proportion of children requiring elective operation.