안와저 골절의 진단 및 수술시기에 대한 임상적 고찰 ( Clinical Study of Accurate diagnosis and Determination of Operation Time in Orbital Blowout Fracture )

범진식(Jin Sik Burm),홍성표(Sung Pyo Hong),장충현(Choong Hyun Chang),이두형(Doo Hyung Lee) 경희대학교 경희의료원 1990 慶熙醫學 Vol.6 No.2

이개유리피판을 이용한 비 결손부 재건

남동우,이종욱,범진식,장영철,정철훈,오석준,Nam, Dong-Woo,Lee, Jong-Wook,Burm, Jin-Sik,Chang, Young-Chul,Chung, Chul-Hoon,Oh, Suk-Joon 대한미세수술학회 1996 Archives of reconstructive microsurgery Vol.5 No.1

The nasal ala and columella represent a difficult location for reconstruction, especially when defect area is covered with scar. Local flap, such as forehead flap or nasolabial flap, may result in additional facial scarring and bulkiness that require multiple thinning revisions. Recent delineation of vascular territories of the ear has allowed the use of vascularized auricular free flap in the reconstruction of large ala and columella defects. Authors reconstructed two cases of full thickiness defect of the ala and columella with auricular free flap. The pedicle of this flap is the superficial temporal artery and vein. The donor vessels were anastomosed to the facial artery and vein. The results were satisfactory cosmetically and functionally.

사마귀 치료를 위한 Bleomycin 국소주사법

범진식,오석준 대한미용성형외과학회 1997 Archives of Aesthetic Plastic Surgery Vol.3 No.1

Intralesional belomycin injection has been an effective treatment of recalcitrant warts since 1970. A 1 U/ml solution of bleomycin sulfate in normal saline or lidocaine solution was injected intralesionally in 72 warts of 33 patients on the hands, forearm, feet, and face. Dosage of bleomycin was dependent on the size of warts, usually 0.1 to 0.15 cc of solution. All patients was permitted to wash the treated area without care. 59 (81.9%) of 72 warts were cured after one injection, 12 (16.7%) warts after two or three bleomycin injections. One large wart was not cured. Most patients experienced minimal painful discomfort for two to three days after one to two days of injection, but did not take the analgesics. There was no evidence of systemic and local toxicities. The most responsive warts shoed hemorrhagic black eschars that separated after 2 to 3 weeks and healed with very little or no scar tissue. Intralesional bleomycin injection is a reliable and useful alternative for the treatment of warts.

Melatonin의 국소 도포가 자외선을 조사한 흑색 마우스의 표피 멜라닌세포에 미치는 영향

이성하,정철훈,이종욱,오석준,범진식 大韓成形外科學會 1998 Archives of Plastic Surgery Vol.25 No.3

Melatonin was derived from pineal gland, act as hormone and is known to be extremely active in certain biological systems. To observe the depigmentation effet of melatonin, author induced activation of melanocytes and melanin by UVB irradiation for seven days and then melatonin ointment or ointment base was applied topically on the ear skin of C57 B1 mouse. Tissue samples were obtained from 4 mice in each group before and after UVB irradiation for given days(1,3,5 and 7 week). The morphological, numerical, and ultrastructural changes of epidermal melanocytes were observed with light microscope and electron miroscope after DOPA stain. The results were as follows: 1) In all groups, the number of DOPA positive melanocytes began to decrease from 1 week. 2) The number of DOPA-positive melanocytes in melatonin ointment applied group was significantly lower than in control group. 3) In the electron microscopic findings, the number of melanosomes markedly decreased from 1 week to 7 weeks and a small amount of destructed melanosomes(vacuoles) and destroyed or swollen mitochondria in cytoplasm of th melanocyte appeared more significant in 3% melatonin ointment applied group compared to ointment base applied group from 5 weeks.

유리조직이식술을 이용한 심부화상의 치료

안경식,정철훈,이종욱,오석준,범진식 大韓成形外科學會 1997 Archives of Plastic Surgery Vol.24 No.4

In small or superficial burns, wound coverage can be attempted using skin grafts, local or distant flaps. When more severe burns that involve bone, tendons or other soft tissues are present, the use of free tissue transfers allowed healing and ultimately satisfactory function. We performed 42 free tissue transfers for 40 patients with severe burns for 15 years. Their ages ranged from 17 to 72, with average age of 33.31 patients were male and 9 female. In the causes of burn, there were 20 cases of acute burns; 1 flame burn, 6 contact burns, 12 electrical burns, and 1 chemical burn. 20 cases were scar deformities after burn injuries; 2 flame burna, 12 scalding burns, 1 contact burns, 5 electrical burns. In the affected sites, 7 cases were head and neck areas, 22 upper extremities, and 11 lower extremities. In the free tissue transfers, 27 cases were cutaneous flap, 4 myocutaneous flap, 6 tenocutaneous flap, 1 tenomyocutaneous flap, 2 osteocutaneous flap, and 2 omental flap. As for accompanied surgical procedures, 5 cases were for tendon graft, and 6 for nerve graft. Complications were 4 marginal necroses of flap by wound infection and 1 total loss due to vascular thrombosis. But they were all completely restored with wound dressing, skin graft or local flap. Free tissue transfers were useful for the coverage of composite tissue defect in severe burns.

수지 조갑하 사구종양과 사구맥관육종의 치험례

정찬민,전훈봉,이종욱,오석준,이진영,정철훈,범진식 大韓成形外科學會 1996 Archives of Plastic Surgery Vol.23 No.2

Glomus tumor is rare benign tumor of the normal glomus, which is a neuroarterial canalsystem called the Sucquet-Hoyer canal. The function of the glomus appears to be to regulate local blood pressure and local heat by blood flow. The etiology of its development is unknown, but some patients have history of trauma. Glomus tumor has been described in the trunk as well as in upper and lower extremits hand (the most common location). The triad of pain, tenderness and sensitivity to cold is characteristics of glomus tumor of the hand. Treatment consists of surgical excision of the lesion under the tourniquet control and magnification for complete removal of the lesion. Glomangiosarcoma or malignant form of glomus tumor is exceptionally rare. Only a few cases have been reported. We experienced five cases of glomus tumor and a cases of glomangiosarcoma treated by complete removal of tumors through partial elevatioin of nail. Typical pain of the lesion was disappeared after operation, also nail deformity did not occurred.

수부의 양성종양

김용현,정철훈,이종욱,오석준,범진식 大韓成形外科學會 1996 Archives of Plastic Surgery Vol.23 No.4

The benign tumors which occur in the hand arise from the skin, subcutaneous tissue, blood vessels, nerves, tendons and bones, and are of many different types. This study reviews the experience of the author, Kang Dong sacred Heart Hospital in the management of 164 benign tumors of the hand seen during the period October 1986 to August 1994. Male- to- female ratio is 57 vs. 107, the age distribution is ranged from 5 to 70 years and mean age is 28.6 years. Benign hand tumors occur most commonly in the second, third, and fourth decade of life(67.1%). Ganglia is the most common tumor of the hand, occured 125 cases (76%) in our study, and enchondroma 13 cases (7.9%), vascular anomaly 11 cases (6.7%), giant cell tumor 3 cases (1.8%), neurilemmoma 3 cases (1.8%). The common location of the ganglia is as follows : 70 cases (55%) on the dorsum of the wrist, 27 cases (29%) on the radial volar aspect of the wrist, 9 cases (7.2%) on the MP joint and 6 cases (4.8%) on the DIP joint. From, this eight-year survey and review of 164 cases, We have made the following observations : Benign tumors of the hand are many and varied and present interesting problems in diagnosis and treatment, and best treated by complete excision under aid of magnifying instrument.

Raynaud 증후군의 임상 치험례

오석준,은석찬,노태석,범진식 大韓成形外科學會 1999 Archives of Plastic Surgery Vol.26 No.6

Raynaud's phenomenon manifests as triphasic color change episodes of blanching, cyanosis, and reddening of the digits, induced by exposure to low temperature or emotional stress. It is a relatively common disorder, estimated to affect 5-10% of the general population and 20-30% of otherwise healthy women. Most cases of primary Raynaud's phenomenon also called Raynaud's disease, are mild and self-limited. Secondary Raynaud's phenomenon presents as a secondary manifestation of an underlying disease and are complicated by ulcerations and tissue necrosis. From March 1996 to August 1998, we experienced 4 patients with Raynaud's phenomenon. Two patients were diagnosed Raynaud's disease and the other two were secondary. Raynaud's disease responded to drug therapy and sympatetic ganglion block. Secondary Raynaud's syndrome was treated with vein graft and free tissue transfer. During postoperative follow-up of 33-49 months, both severity and symptomatic intervals were improved.

수부의 합지증

정철훈,오석준,이종욱,전훈봉,범진식 大韓成形外科學會 1995 Archives of Plastic Surgery Vol.22 No.4

Syndactyly is one of the most common malformations occurring in the hand. the child born with a syndactylized hand may be handicapped for life if successful surgery is not carried out. Syndactyly is frequently associated with other anomalies, of which congenital constriction ring, heart anomalies, orodigital anomalies, and hemangioma. The aim of surgery is to construct a web or commissure and cover any defects on the sides of the fingers. Unsatisfactory results may be due to subsequent web contractures of the divided fingers. Fifty-three cases of syndactyly in twenty-nine patients were corrected by the authors' method. Authors used a large dorsal rectangular flap with a somewhat wider proximal base than distal end, and small volar triangular flap with lateral relaxing incisions for interdigitation of flaps and reconstruction of web space, and performed zig-zag incision for division of syndactylyzed fingers.

외이의 화상후 비후성 반흔의 중심 적출술

오석준,오세원,정철훈,범진식 大韓成形外科學會 1998 Archives of Plastic Surgery Vol.25 No.4

Hypertrophic scarring is common in burn patients. The treatment of such scarring is difficult, and recurrence of the hypertrophic change after scar revision is not uncommon. It has been done intramarginal excision to diminish the chances of recurrent hypertrophic scarring. Core scars in the auricle are easily separated from auricular cartilage and overlying soft tissue because there is loose areolar tissue between them. We therefore reviewed our experience with core extirpation of post-burn hypertrophic scars in the auricle. Between June 14, 1991, and August 6, 1994, we excised 10 hypertrophic scars in the auricle in 5 burn patients. Core extirpations of hypertrophic scars were performed under local anesthesia with longitudinal incision along long axis of scars. The wounds were closed directly in one layer after marginal trimming. We observed that core extirpation yielded good results in post-burn hypertrophic scars in the auricles.