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- 저자 : 김진환(Chin Hwan Kim) (검색결과 3 건)
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박재구,이윤호,김진환,민경원,박철규,권성택,김석화 大韓成形外科學會 1998 Archives of Plastic Surgery Vol.25 No.6
Hemangioma is one of the most common congenital tumors in the region of the face and neck. Although histologically benign, these facial masses are clinically malignant for their deforming and inexorable growth, especially in so-called cavernous hemangioma. Today, hemagiomas have been treated by various methods; steroids, electrocoagulation, injection of sclerosing agent, cryotherapy, radiation therapy, laser therapy, and surgical treatment, etc. The response of treatment varies with the types, surgical skills, regions of hemangioma, the age of patient, but the appropriate method of the treatment has not been yet established. In the case of massive hemangioma, which involves most part of the face and neck, we prefer surgical treatment and consistently obtain better result than other treatment modalities. Wide excision and proper reconstruction of the face helps the patient for their better life aesthetically and functionally.
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안면골 골절에 대한 임상적 고찰 : 9 YEARS SURVEY
민경원,유정원,박철규,김진환,김석화,이윤호 大韓成形外科學會 1990 Archives of Plastic Surgery Vol.17 No.3
This retrospective study comprised 108 patients with facial bone fractures in various accidents and treated in the department of Plastic and Reconstructive Surgery, the Seoul National University Hospital during the past nine years from December 1980 to June 1989. The medical records of this 108 patients (150 fractures) were reviewed and analyzed in order to obtain the clinical pattern and understand the therapeutic tendency. The following results were obtained : 1) The Most prevalent age group was at third decade(46.3%). 2) Seasonally the highest inciedence was in summer(40%) followed by fall (25.0%), spring(21.3%), and winter(14%). 3) The most common cause was interpersonal assault(39%). 4) A total of 150 fracture site were found in the zygoma(32%) followed by mandible(26.7%), and orbit(17.3%). 5) The most prevalent cause in each fracture site were traffic accident in zygoma(35.9%) and orbit(61.5%), interpersonal assault in mandible(46.7%). 6) The most prevalent fracture site of mandible was angle(38.6%) followed by parasymphysis (26.3%), and condyle(19.3%). 7) Total cases of associated soft tissue injury was 99 cases(91.2%), the most common soft tissue injury site was face(55.7%) 8) The most prevalent time interval between onset and surgical treatment was 3 days~7days(29.6%). 9) Open reduction was used for 85.3% of total cases while 12.7% of total cases required closed reduction, and 2%of total cases treated conservatively. 10) Early bone graft was done in 6 patients(5.6%), and the most common fracture site requiring bone graft was orbit(72.2%). 11) The complication rate was 24.1% and the most common complications were associated with eye and lacrimal apparatus injuries(46%).
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