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조백현,김영길,허우회,최석현 大韓成形外科學會 1983 Archives of Plastic Surgery Vol.10 No.2
The purpose of this study was to investigate the sequential changes of enzyme activities in severely burned skin of rat at intervals of 2 hours, 8 hours, 1 day and 3 days by histochemical methods. The results obtained were as follows. 1. Acid phosphatase activity was found to be transient increase in dermis and mild decrease in epidermis, hair follicle and sebaceous gland at 2 hour after burning. The activity was not seen in skin after 8 hours. 2. Alkaline phosphatase was found to be decreased in blood vessel and dermal papillae of hair follicle at 2 hour after burning and then was progressively decreased after 8 hours. 3.α-naphtyl acetate esterase activity was found to be decreased in epidermis, dermis and hair follicle at 2 hours after burning and was not seen in skin after 8 hours. There was no significant changes in sebaceous gland after burning.
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김한용,김병삼,김환익,이삼용,조백현 大韓成形外科學會 1991 Archives of Plastic Surgery Vol.18 No.2
본 병원에 내원한 절단된 이하선관 환자 총 20명(남자:10명 여자 10명)중 4명을 제외한 16명에서 추적조사가 가능하였으며 이 중 14명에서 이하선관의 원활한 관통이 이루어졌고 1명에서 관의 폐세기 생겨 2차 수술이 필료 했으며 다른 1명의 경우 농의 배출이 있었으나 항생제 투여와 구강위생등으로 별 다른 문제 없이 치료 되었고 또 1례의 이하선 타석을 치험하여 보고하는 바이다. Due to increasing trend of traffic accident, number of patient has been gradually increased. Facial injury, for its anatomical vulnerability, is most common site of injury and greatly exceeding injuries of other body region in trauma patient. There are occasional report of Stensen`s duct damage accompanying facial injury and much problem can arise when first aid is performed without knowledge of anatomy or concern for patient. Generally, Stensen`s duct located at mid 1/3 portion of line passing through tragus of ear and subnasale, another word, above the masseter muscle. Once deep lacerated wound has occurred in this region, one must suspect damage of Stensen`s duct. Among the 20 patients (Male: 10, Female:10) who have beeb treated at Chonnam National University Hospital for severed Srensen`s duct, 14 cases have obtained favorable result, not counting 4 patients with whom follow-up study was not possible. In unsuccessful cases of two, 1 case required secondary operation due to occurance of ductal stricture. In another case, leakage of pus has been observed but with proper oral care and antibiotic administration, it has been treated withiut any difficulty. Facial nerve injury accompanying Stensen`s duct been frequently observed, buccal branch being the most common site of involvement. Time interval from severance of duct to repairing the duct was 7 to 21 hours on average and time delay of this level has not impose much limit to obtain successful result. Suture material for Dowel, no matter what kind used, has achieved favorable result and time interval of 9 to 21 days given before the removal was long enough to obtain successful operative result without any development of complication. It is generally accepted view that salivary stone is most common disease entity among the salivery glands and ducts, and stone mostly occur in submandibular duct and rarely in Stensen`s duct. We have performed end-to-end anatomosis using a 23 guage polyethylene catheter as a Dowel in severed duct in 20 patients who have been admitted our hospital for cut repair and obtained satisfiable result. In 1 case, we have experienced stone on the Stensen`s duct, therby reporting this case with through reviews of literature.
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흉배혈관의 근피 천공분지에 기초한 유리피판의 임상적 이용
조규성,김대영,안호범,이삼용,조백현 大韓成形外科學會 1999 Archives of Plastic Surgery Vol.26 No.3
The latissimus dorsi muscle or musculocutaneous flap is one of the most useful flaps in reconstructive surgery. This flap has many advantages, such as its reliable anatomy, long pedicle with large caliber vessels, minimal functional deficit of the donor site, and low incidence of donor site complications. However, the bulkiness of the flap has been considered a disadvantage, so various modifications of technique have been devised. The cutaneous portion of the flap can be safely elevated based on the cutaneous perforating branch of the thoracodorsal vessel. From March 1997 to February 1998, 10 patients underwent reconstructive procedures with thoracodorsal perforator-based free flaps. The composition of the flaps varied in accordance with the nature of the defect. The variances in the flaps were as follows; 3 were cutaneous, 6 musculocutaneous, and 1 osteomusculocutaneous including the rib. All flaps survived with good contour. We concluded that this thin and reliable flap was useful for reconstruction of various defects, and that the composition of the flap, such as subcutaneous, muscle and bone, gave it considerable flexibility as needed.
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조백현,허우회,최석현 大韓成形外科學會 1984 Archives of Plastic Surgery Vol.11 No.2
In an attempt to investigate the effect of glucan, i.e., RES stimulating agent, on the repair process of skin wound, we made simple skin wound in mice and then glucan was given intraperitoneally at dose of 10mg until taking specimen. The specimen were taken from wound area at various intervals and histological and enzym histochemical stains were done for the light microscopic examination. The results obtained were as follows. 1. The glucan-treated wound showed more proliferation of macrophages and granulation tissue with decreased acute inflammatory exudates in the early than did control wound. 2. The glucan-treated wound showed more increase of acid and alkaline phosphatase and α-naphthyl acetate esterase activities than did control wound, but no changes in ATPase activities. From these results, it may be concluded that glucan promotes repair process of skin wound.
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조백현,임기영,곽승호,김병삼,이삼용 大韓成形外科學會 1992 Archives of Plastic Surgery Vol.19 No.2
Basal cell carcinoma is the most common skin cancer. Although it rarely metastasizes to a distant site and rarely invades the deeper structure it occurs often in the face especially, the eyelids and the nasolabial fold. If left uncontrolled for a long time, reconstruction is be difficult, and severe complications such as visual and definitive treatment is essential. Currently accepted treatment modalities are curettage and electrodesiccation, radiation therapy, surgery, cryotherapy and application of 5-FU, etc. Among them, we preferred to use the surgical treatment. We underwent 11 basal cell carcinomas developed on eyelids between May of 1988 and April of 1990 and gained satisfactory results by wide excision of the tumors and reconstruction of eyelids using various techniques: As for the lower eyelid, we used cheek rotation skin flap or bilobed skin flap with chondromucosa graft, or bipedicled and nasolabial flaps with chondromucosal and fascial graft. When the upper eyelid was involved, we used Fricke flap with oral mucosal graft. In case of both upper and lower eyelids, we used median forehead, Fricke and cheek rotation flaps with oral and chondromucosal graft.
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Superiorly Based Dermal Pedicle Technique을 이용한 거대유방증과 유방하수의 교정례
조백현,김광석,박진수,김병묵 大韓成形外科學會 1995 Archives of Plastic Surgery Vol.22 No.5
The authors report five patients with gigantomastia and breast ptosis who underwent breast reduction and mastopexy using the superiorly based dermal pedicle, that is the Cramer & Chong's method. This techeque is based on the concept of transposing the nipple-areola complex on a vascular supply limited to the cutaneous vasculature, as pioneered by Strombeck. The cases involved 37 to 45-year-old women who had suffered from gigantomastia or breast ptosis. The authors chose the procedure using a superiorly based dermal flap, reported by Cramer & Chong in 1976. Total weights of breast reductions were 188g to 1422g. The migrations of nipples were 5.5cm to 12cm upward. After the following up for three months to two years, postoperative appearances were acceptable with fairly good breast cone and nipple-areola sensations were preserved. There are various techniques of reduction mammaplasty. For macromastia with marked ptosis like this case, breast amputation and free nipple graft may also be used. But the reason why the authors close this method is that a long and thin pedicle may be safely used for nipple transposition and sensation of the nipple may be preserved. On the ocher hand, the loss of lactation may be one of the disadvantages of this procedure. Although it is difficult to take care not to injury the dermal plexus of the pedicle in denuding, this method may also be useful for the treatment of gigantomastia breast ptosis.
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