하악각 축소술 시 출혈예방을 위한 간단한 정맥주사관 고무 이용법

홍승업,김창연,안용수 대한미용성형외과학회 2009 Archives of Aesthetic Plastic Surgery Vol.15 No.3

A prominent mandibular angle is considered to be unattractive in the Orient. With recent increase of angle reduction via intraoral approach, it also has risks of injuries on the surrounding structures, especially vessels and nerve. We herein describe a simple method using intravenous tube rubber for prevention of bleeding in mandible angle ostectomy. After elevation of the periosteum, an intravenous tube rubber sutured with 2-0 nylon on one or both side was positioned deeply along the inferior border of mandible, and planned ostectomy was performed. The rubber was removed easily by pulling out the string. We experienced 21 cases of the mandible angle ostectomy using intravenous tube rubber from November 2008 to June 2009 and found no major complications. Intravenous tube rubber can cheaply and easily be obtained in the hospital. During ostectomy, the rubber protects the facial vessels and nerve from saw blade, and provides better visual field. Therefore, intravenous tube protection of facial vessel is a simple method to prevent massive bleeding or nerve injury in mandibular angle ostectomy.

대형 선박 디젤엔진의 과급기 개발동향 ( Developing Trends of Super-charger for Large Size Marine Diesel Engine )

홍승업 한국마린엔지니어링학회 1986 한국마린엔지니어링학회지 Vol.10 No.2

내안각 췌피 환자에 있어서 이중검 수술의 변법

류재만,엄기일,김잉곤,홍승업 大韓成形外科學會 1995 Archives of Plastic Surgery Vol.22 No.6

Double eyelid operation is the most frequent method for cosmetic purposes in Korean women. It is believed that beautiful eyes have wide apertures, thin lids, naturaly looking folds of proper width and length, without epicanthal folds, under the influence of western culture. Double eyelid operations are classified into an in-fold type and an out-fold type. The in-fold type is a common operation method with a more naturaly looking result. However, the medial side of the fold is too shallow and low sided due to the epicanthal fold. The out-fold type is prominent and brisky but this result is an unnatural fold of the medial side due to the epicanthal fold. From september, 1992 to January, 1995 we have performed 52 cases of double eyelid operations in oriental women using procedures in which epicanthal fold excision and medial canthal fixation were performed. The patients' ages ranged from 13 to 49 years. (mean : 22.3 yr. old). There were 5 males and 47 females. After thorough follow-up (mean : 18.3 mo.), 50 cases showed excellent results, providing a wide lid aperture, reduced intercanthal distance, naturaly looking attractive folds of proper width and length without epicanthal folds.

겉쌍꺼풀주름을 속쌍꺼풀주름으로 교정하는 방법

김동규,홍승업,홍성희 대한미용성형외과학회 2009 Archives of Aesthetic Plastic Surgery Vol.15 No.1

Many Asian people want to have bigger eyes. It is one of the reasons of why high out-fold upper eyelids are made. We corrected out fold to in-fold or neutral-fold. The purpose of this study is to introduce operation procedures. The authors corrected out folds of 32 patients with medial orbital fat slide down anchoring method, 15 patients with fat graft and 13 patients who had ptosis with the levator advancement-Muller tucking method, and removed epicanthic folds of 11 patients. Follow-up ranged from 3 months to 4 years. The authors used medial orbital fat slide down anchoring method to correct out folds of 32 patients and all patients were satisfied with the results. Eleven of 15 patients who had fat graft were satisfied with the results. All patients who had ptosis were satisfied with the results. Generally, out fold can be corrected by the medial orbital fat slide down anchoring method. If orbital fat is not sufficient, fat graft will be a method for correction. Levator advancement - Muller tucking is a good method for ptosis, and epicanthoplasty is helpful for those who have epicanthic folds to make their eyes bigger.

비부 두개골 이식의 장기 추적 관찰

고익수,홍승업,최희윤 大韓成形外科學會 1996 Archives of Plastic Surgery Vol.23 No.3

This study is about our experiences of 109 cases of cantilever outer table calvarial bone grafts to the nose. The procedure has been used for the nasal reconstruction of congenital, posttraumatic, postinfectious, and postoperative deformities and for purely aesthetic purposes. The author performed 109 cases of calvarial bone graft to the dorsum of nose between September, 1988 through April, 1995. There are 36 males and 63 females range in age from 15 to 70 years old (median age 32.9 years). Follow-up was from one month to 66 months, averaging 38 .months. The reason of the operation included 32 cases of trauma, 44 cases of Binder syndrome or for aesthetic purpose, 12 cases of secondary cleft lip and nose deformities, 8 cases of other congenital deformity, 7 cases of postinfectious complication, and 6 cases of tumor resection. 67 cases were approached by bicoronal procedure and 42 cases were approached by transnasal procedure. The complications were mostly mild, and their rate was 16.5%, which were corrected as follows. Four cases of donor site hematomas were treated through aspiration. Six cases of grafted bone fracture, were corrected by closed reduction. Three cases of overprojected nasal tips were treated by rasping or rongeuring, four cases of deviated bones were treated by corrective rhinoplasty and one case of screw protrusion was corrected by removal and reapplication of screw. The advantages of calvarial bone graft include minimal donor site morbidity, a dorsal augmentation with tip projection by cantilever effect, with preservation of the slight nasal concavity of the natural nasal dorsum, minimal absorption, possibility of OPD procedures through transnasal approaches under the local anesthesia which allows easy secondary touch-ups and possibly other combined craniomaxillofacial procedures.

중다공성 고밀도 ePTFE를 이용한 이마 및 관자놀이 융기술

김창연,홍승업,이경묵 대한미용성형외과학회 2009 Archives of Aesthetic Plastic Surgery Vol.15 No.3

In augmentation surgery, one of the important considerations is the selection of artificial implants. Recently, medium-porosity and high-density expanded polytetrafluoroethylene(ePTFE), which has high biocompatibility without gradual loss of volume, has been used as an implant, however, there are not many cases and reports on the post-operative complications and patient satisfactions. Between 2006 and 2009, a total of 23 patients with a flat or depressed forehead/temple underwent augmentation with medium-porosity and high-density ePTFE at our hospital. During follow up periods, 15 patients visited the clinic to fill out a survey and receive a physical examination for any complications, whereas 8 patients underwent a survey on the phone. The patients were asked questions to score their satisfaction rates on a scale of 1 to 10 points. There were no post-operative complications, and, the average score of satisfaction rates on the survey was 8.3 points. Since there were no complications and high rates of satisfaction during follow up periods, this medium-porosity and high- density ePTFE could be considered as a durable implant.

연속 수직 끝맞춤 봉합법의 임상적 유용성

이영종,홍성희,홍승업 대한미용성형외과학회 2005 Archives of Aesthetic Plastic Surgery Vol.11 No.1

Precise approximation of the wound margin without undue tension and making the wound slightly elevated state, thereby accelerating primary wound healing and minimizing the scar is one of essential techniques of a surgeon.The continuous over-and-over suture provides rapid closure with an even distribution of tension along the length of the wound, but the disadvantage arises if the surgeon wants to remove only a few sutures at a time, and the inversion of wound margin can sometimes occur. The simple interrupted suture takes longer to perform but more selective adjustments of wound edges can be made, and allows for the removal of every other stitch when it is needed. The vertical mattress suture takes long and have relatively poor microcirculation of wound margin but provide a greater wound eversion and precise approximation of the wound margin. The continuous vertical mattress suture is relatively fast, adjusts the tissue layers fairly well and provides good eversion. But the problem arises if the suture breaks.

폭이 넓은 코에서의 절골술과 동시에 시행한 융비술

이영종,홍성희,홍승업,Lee, Young Jong,Hong, Sung Hee,Hong, Seung Eup 대한성형외과학회 2005 Archives of Plastic Surgery Vol.32 No.1

The human nose is located in the center of the face and it's cosmetic importance is high. The contour of the nasal dorsum and side walls play a major role in the shaping of the nose, and even a slight distortion may results in significant variance of the human facies. However, in the case of patients with wide nasal bone, augmention rhinoplasty can make nasal planes look wide, resulting in bulbous appearing noses or lateral borders of the nasal implant may be visible after the surgery making the final cosmetic results unsatisfactory. To solve such problems, from march, 1999 to march, 2004, the authors have performed augmention rhinoplasty in 36 patients. The cause of operations were as follows: flat nose 20, hump nose 5, deviated nose 4, secondary rhinoplasty 7. Paramedian osteotomy was performed at a distance that was the same as the width of the implant from the midline(5 mm + 5 mm). To prevent it from connecting to the roof at the lateral osteotomy line, intentional green stick fracture of the roof was performed. Agumentation rhinoplasty was done with either Silicone or Gortex and ear cartilage as a supplement. The follow up period was 2 weeks to 13 months with an average of 5.5 months. There were no infections and postoperative bleeding. As a result, the nose was augmented higher and narrower than before which we and the patient both found highly satisfactory.

상안검 지방이식 후 지방 과대 생존의 경험례

김동규,홍성희,홍승업 대한미용성형외과학회 2009 Archives of Aesthetic Plastic Surgery Vol.15 No.1

Soft tissue augmentation with autologous fat graft is a popular procedure in plastic surgery. Some surgeons usually graft more than necessary amount of fat, because of possible absorption of grafted fat. In case of upper eyelid, however, the volume of grafted fat can increase with weight gain or survive for a long time. The purpose of this report is to introduce our experiences in excessive fat survival in upper eyelid and how to manage it. From March 1999 to September 2006, we grafted autologous fat to fifteen of thirty six patients during secondary blepharoplasty. The fat graft was harvested from axilla. Follow-up ranged from 3 months to 4 years. Some of them had excessive fat survival in the upper eyelid after fat graft, therefore, a part of the fat was removed for natural appearance. In case of upper eyelid, the volume of grafted fat can increase with weight gain or survive for a long period of time, therefore, surgeons have to graft a minimum amount of fat without overcorrection and correct excessive fat by removing part of it or by liposuction after injection of hyaluronidase.

이차성 구순비 변형에서 비교정술을 이용한 비변위의 교정

류재만,김잉곤,홍승업,엄기일 大韓成形外科學會 1995 Archives of Plastic Surgery Vol.22 No.6

The secondary cleft lip nose deformities show complex deformities of nasal cartilage, septum, nasal bone, piriform aperture and maxilla. The external characteristic of cleft lip nose deformity is conspicuously shown by alar deformities. The nasal septum and bone deformities on the cleft side have a tendency to deviate totally toward the non-cleft side. Occasionally the nasal septum is dislocated from the vomer and the anterior nasal spine and nasal septum are displaced toward the noncleft side. The anatomical structure of the nasal cartilage in the cleft lip nose is well known. There are also many methods of treatment for nasal cartilage deformities. But the anatomical structures as well as treatment methods for deformities of the nasal bone & septum in the secondary cleft lip nose deformity have rarely been reported. The author intends to explain the anatomical characteristics of deformities of the nasal bone, maxilla, and nasal septum and to suggest surgical treatment methods accordind to 98cases reported recently. The anatomic characteristics are deviation of nasal bony pyramid, deviation of anterior nasal spine and vomer, crooked septum, septal dislocation sometimes, turbinate hypertrophy. The surgical methods for radical corrective rhinoplasty include bilateral osteotomies of the lateral pyramids of the nasal bone, infracturing, sepal dislocation and fixation of the septum, turbinecomy, and submucosal resection, if needed. We performed 98 cases and follow-up period was from 6 months to 4 years. We have gained the results of median location of deviated nasal skeleton, improved nasal airway, good nasal symmetry. In conclusion, secondary cleft lip nose deformities are deviation of nasal bony pyramid, deviation of anterior nasal spine and vomer, crooked septum, septal dislocation sometimes, turbinate hypertrophy. Radical corrective rhinoplasty is needed for median location of deviated nasal skeleton, improved nasal airway, good nasal symmetry.