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        • KCI등재후보

          구강내 경로 및 짧은 이개 앞 절개를 통한 내골절술을 이용한 관골 축소술

          양두병 대한성형외과학회 2002 Archives of Plastic Surgery Vol.29 No.3

          Nowadays infracture technique for the zygomatic body and arch reduction has been popularized in North East Asians. Previously, we could obtain sufficient operative field to handle the zygoma through the intraoral and temporopreauricular incision, and control the amount of shaving and infracturing of zygomatic prominence. To reduce the length of the large temporopreauricular incision, we developed a technique using short 22mm preauricular incision. We performed malar reduction with the technique in 91 cases from September, 2000 to June, 2001 using infracture technique through short 22mm preauricular and intraoral incision. We performed posterior bony cutting on the zygomatic arch through the preauricular incision and anterior bony greenstick cutting through the intraoral incision. Then, lateral bulging of zygomatic arch was reduced with infrature and the posterior fractured ends were fixed with a microplate and 3 screws. Advantages of the technique are operative time saving, improved external scar and reduction of postoperative edema around the operative site. However, due to decreased operative field through small preauricular incision, shaving of the lateral portion of zygomatic body is limited and postoperative complications may occur such as asymmetry, undercorrection, overcorrection and incorrect contour lines. To overcome these, the correct understanding of the anatomy and much experience of operator are imperative. With this combined approach, we can sufficiently expose the zygomatic arch and body and change the lateral convex arch to a concave one. We can effectively perform the infracture technique through much smaller preauricular incision without resulting in a large and conspicuous external scar.

        • KCI등재
        • SCOPUSKCI등재

          활배근피편을 利用한 腋窩部 火傷性 抱縮性 瘢痕의 治驗例

          金榮槿,楊斗柄 大韓成形外科學會 1981 Archives of Plastic Surgery Vol.8 No.2

          Much has been written attesting to the reliability of the latissimus dorsi myocutaneous flap. It's application in the reconstruction of the breast, abdominal wall,myelomeningocele. chest wall, head and neck, lateral abdomen,back, upper arm and free flap foe distantcoverage, attests to it's versatility. We recently experienced a case of axillary burn scar contracture which was treated by latissimus dorsi myocutaneous flap, so we report this paper and then suggests further benefits from the utilization of this versatile myocutaneous flap.

        • SCOPUSKCI등재

          Slide-Swing Plastyf를 利用한 皮膚缺損의 臨床治驗

          梁正熱,李勝遠,陽斗炳 大韓成形外科學會 1985 Archives of Plastic Surgery Vol.12 No.1

          Slide-Swing Plasty often offers a favorable means of closing a skin defect. It is a combination of transposition and skin sliding in which the flap employed to close the defect and the defect itself are cut to a round shape. We have covered on 8 cases of secondary round and oblong skin defects resulting from primary excision of the skin lesions by the using fo Slide-Swing Plasty. We describe the experience of Slide-Swing Plasty with a review of literatures.

        • SCOPUSKCI등재

          유방축소 성형술에 대한 임상적 고찰

          양두병,김진환,이승원 大韓成形外科學會 1984 Archives of Plastic Surgery Vol.11 No.4

          Recently, reduction mammaplasty is increasing in number among pre-marital status in Korea and number of methods were introduced and deployed by plastic surgeons. To find the most adequate and suitable methods for the Korean woman, we undertaken post-operative evaluation of 15 patients who had had reduction mammaplasty at the Department of Reconstructive Plastic Surgery, SNUH and Eul-Ji General Hospital for the past 5 years; Strombeck technique 4 cases, Pitanguy technique 1 case, McKissck technique 8 cases, Inferior Pedicle technique 2 cases, respectively. Evaluation was done under the items of age distribution, motivation, operative technique, and its pros and cons, grade of satisfaction after surgery etc. The results were as followings. 1. Age distribution of patients were in their twenties mostly after 1979, in comparison with in thirties from 1972 to 1978. 2, In the past, alleviation of symptoms associated with breast weight was principal motivation and on the contrary cosmetic improvement was their major operational goal recently. 3. Advantages and disadvantages were similar with other reports. 4. The larger the breast, patient satisfied with the operative results.

        • Pseudosynovial Sheath (가골액초)와 Polytetrafluoroethylene (Goretex)를 通한 神經再生의 實驗的 硏究

          楊斗炳,趙尙憲,丁銓殷 고려대학교 의과대학 1988 고려대 의대 잡지 Vol.25 No.1

          The experimental study was performed to determine whether autogenous pseudosynovial sheath and polytetrafluoroethylene (Goretex), teflon-derivatives might serve as a conduit for nerve regeneration. Also, two different experimental conduits were compared with that of normal control group by gross external findings, histologic and electrophysiologic examinations at intervals. The following results were obtained; 1. Effective nerve regeneration was seen through conduits within 2 months (5-mm nerve gap group) and 3 months (10-mm nerve gap group) after repair. 2. Results of nerve conduction study revealed average 75% (Pseudosynovial group) and 33% (Goretex group) of normal control value in case of 5-mrn nerve gap at 3 months after repair. 3. Pseudosynovial sheath group demonstrated more functional recovery and histologic regeneration than Goretex group.

        • SCOPUSKCI등재

          Cobalt-60放射線 照射가 白鼠의 微細血管 吻合에 미치는 影響에 關한 實驗的 硏究

          金泰淵,楊斗炳,丁銓殷 大韓成形外科學會 1984 Archives of Plastic Surgery Vol.11 No.1

          Performing clinical reconstructive microvascular surgery to previous radiated patients, the vascular changes due to previous radiation is thought to be harmful to successful microvascular anastomosis. We have performed Cobalt-60 radiation at different time intervals and different radiation doses to Sprague-Dawley rat and observed histological differences and patency rates. The following results are obtained. 1) The vascular changes due to a Cobalt-60 radiation are mainly interstitial edema and mild inflammatory infiltration, but anatomical architecture of artery, vein, peripheral nerve and skeletal muscles are preserved. 2) In the group of microvascular anastomosis performed at immediate and 1 week interval after radiation has been shown far better results in patency rates and less histological changes than the group performed at 2 weeks and 4 weeks interval after radiation. 3) There are not any different findings in patency rates and histological changes between 500 Rads and 1,000 Rads radiation exposure doses. 4) The vascular changes due to Cobalt-60 radiation are more severe in arteries than in veins. 5) After 2weeks, the vascular changes due to Cobalt-60 radiation in arteries and veins are marked fibrosis thickening which obliterate the lumen, so we can obtain far better results in performing microvascular anastomosis before 2 weeks interval after radiation.

        • KCI등재

          광대뼈 축소성형술 시 합병증의 예방과 불만족스러운 결과에 대한 해결방안

          양정학,이지혁,양두병,정재영 대한성형외과학회 2008 Archives of Plastic Surgery Vol.35 No.4

          Purpose: Reduction malarplasty is a popular aesthetic surgery for contouring wide and prominent zygoma. However a few patients complain postoperative results and want to revise the midfacial contour. We analyzed the etiology of unfavorable results and treated unsatisfied midfacial contours after reduction malarplasty. Received August 20, 2007 Revised April 16, 2008 Accepted May 26, 2008 Address Correspondence: Ji Hyuck Lee, M.D., Department of Plastic and Reconstructive Surgery, Dongdaemoon Hospital, Medical College of Ewha Womans University, 70 Jongno 6-ga, Jongno-gu, Seoul 110-783, Korea. Tel: 02)760-5133/ Fax: 02)760-5430/E-mail: leejihyuck@nate.com *본 논문은 2006년 제 61차 대한성형외과학회 학술대회에서 구연 발표하였음. Methods: Total 53 patients were performed secondary operation for correction of unfavorable results after primary reduction malarplasty from elsewhere. Midfacial contour was evaluated with plain films and three- dimensional computed tomography. Unfavorable midfacial contours were corrected by secondary malarplasty. Flaring of zygomatic arch was reduced with infracturing technique and prominent zygomatic body was reduced with shaving. Drooped or displaced zygoma complex has been suspended to higher position and fixed with interosseous wiring. As adjuvant procedure, autologous fat injection has been performed in the region of depressed zygomatic body region. Results: The etiology of unfavorable midfacial contour after reduction malarplasty was classified into 7 categories: undercorrection of zygomatic arch(n=8), undercorrection of zygomatic arch and undercorrection of zygomatic body(n=6), undercorrection of zygomatic arch and overcorrection of zygomatic body(n=28), overcorrection of zygomatic body(n=3), simple asymmetry(n=4), malunion(n=2) or nonunion(n=2). Slim and balanced malar contour was achieved with treatment. And most of the patients were satisfied with the results of the surgery. Conclusion: To prevent the unfavorable results after reduction malarplasty, complete analysis of facial contour, choice of appropriate operation technique, precise osteotomy under direct vision, and security of zygoma position are important. Purpose: Reduction malarplasty is a popular aesthetic surgery for contouring wide and prominent zygoma. However a few patients complain postoperative results and want to revise the midfacial contour. We analyzed the etiology of unfavorable results and treated unsatisfied midfacial contours after reduction malarplasty. Received August 20, 2007 Revised April 16, 2008 Accepted May 26, 2008 Address Correspondence: Ji Hyuck Lee, M.D., Department of Plastic and Reconstructive Surgery, Dongdaemoon Hospital, Medical College of Ewha Womans University, 70 Jongno 6-ga, Jongno-gu, Seoul 110-783, Korea. Tel: 02)760-5133/ Fax: 02)760-5430/E-mail: leejihyuck@nate.com *본 논문은 2006년 제 61차 대한성형외과학회 학술대회에서 구연 발표하였음. Methods: Total 53 patients were performed secondary operation for correction of unfavorable results after primary reduction malarplasty from elsewhere. Midfacial contour was evaluated with plain films and three- dimensional computed tomography. Unfavorable midfacial contours were corrected by secondary malarplasty. Flaring of zygomatic arch was reduced with infracturing technique and prominent zygomatic body was reduced with shaving. Drooped or displaced zygoma complex has been suspended to higher position and fixed with interosseous wiring. As adjuvant procedure, autologous fat injection has been performed in the region of depressed zygomatic body region. Results: The etiology of unfavorable midfacial contour after reduction malarplasty was classified into 7 categories: undercorrection of zygomatic arch(n=8), undercorrection of zygomatic arch and undercorrection of zygomatic body(n=6), undercorrection of zygomatic arch and overcorrection of zygomatic body(n=28), overcorrection of zygomatic body(n=3), simple asymmetry(n=4), malunion(n=2) or nonunion(n=2). Slim and balanced malar contour was achieved with treatment. And most of the patients were satisfied with the results of the surgery. Conclusion: To prevent the unfavorable results after reduction malarplasty, complete analysis of facial contour, choice of appropriate operation technique, precise osteotomy under direct vision, and security of zygoma position are important.

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