McIndoe 술식을 이용한 무질증치험례

엄기일 최신의학사 1989 最新醫學 Vol.32 No.12

제주지역 기와가마와 생산·수급체계

엄기일,이정민 한국기와학회 2020 한국기와학회 학술대회 발표자료집 Vol.2020 No.11

일측성 구순열 교정에서 인중융선의 형성

엄기일 大韓成形外科學會 1995 Archives of Plastic Surgery Vol.22 No.1

The philtral unit plays a key role in the appearance of the upper lip. And making the philtral column is extremely important in unilateral cleft lip repair for natural looking lip. Previously, Millard incision scar simulated philtral column, but making the true elevated philtral column was not easy. And many methods using muscle flap, scar flap and conchal cartilage graft were not satisfactory for making philtral column in the secondary cleft lip. So Author hypothesized 3 considerable points in making philtral column. 1) Skin excess over the repaired muscle of the lip. 2) Relief of tension 3) Insertion of tissue between skin and muscle along the line of philtral column. Point 1) & 2) is absolutely necessary and point 3) is relatively and occasionally necessary for making the philtral column. To Make philtral column by inserting something in the situation of lack of point 1) & 2), make the lip only thick. To relieve tension, author used Latham intraoral orthopedic appliance to narrow alveolar gap. The deviated septum was dislocated and fixed to the midline point and cinching was done. Supraperiosteal muscle dissection near the pyriform aperture to relieve the tension from the lateral lip segment wass done. We performed 156 cases of unilateral cleft lip repair from Mar. 1991 to Mar. 1993. In most cases we cannot see flat lip in the repaired cleft lip cases. Skin excess over the repaired muscle is most important to make a philtral ridge. And to relieve tension is also necessary not to make philtral column but to make a least scar line. Primary repair is the optimal time and Millard technique is method of choice to make a philtral column.

흰쥐태아 구개돌기의 융합에 관여하는 E-cadherin과 세포자사에 관한 연구

엄기일,차지훈,김우신,김잉곤,정호삼 大韓成形外科學會 2001 Archives of Plastic Surgery Vol.28 No.5

관상봉합조기유합증의 치료 : 전통적 두개성형술과 견인골신장술 Traditional Cranioplasty vs. Distraction Osteogenesis

엄기일,신종인,조동인,오정근,최희윤 大韓成形外科學會 2004 Archives of Plastic Surgery Vol.31 No.3

교차 하지 근막피부피판을 이용한 Crane Principlr : ESTHETICALLY PLEASING AND SALVAGING TECHNIQUE FOR DAMAGED DORSUM OF FOOT

엄기일 大韓成形外科學會 1985 Archives of Plastic Surgery Vol.12 No.1

Electric burn or crushing injury on dorsum of foot may induce extensive loss of tissue and exposure of bone and tendon. Moreover, vascular injury, thrombosis and infection may threaten the survival of the foot. Espicially, wide exposure of the damaged dorsum of foot aggrevate the infection and maceration. So debridement and covering of the wound is necessary at an early date. Flap surgery has been performed as a covering method on bare bone and tendon of dorsum of foot. Local flap, cross leg flap, or free flap has been used. And nowadays, fasciocutaneous cross leg flap has been performed. Flap to be covered on dorsum of foot should be this, so it is pleased esthetically and functionally. When the free flap is not indicated due to damaged recipient vasculature in electric burn or crushing injury, fasciocutaneous flap which is axial pattern flap can be covered on dorsum of foot. It can salvage the foot with good blood supply. Author used crane principle described by Millard. A pedicled fascio-cutaneous flap was used as an engineering crane to lift and transported subcutaneous tissue and fascia from one area and deposited it in another. The pedicle was returned 2 weeks later to its original bed. With this technique, esthetically and functionally good result on dorsum of foot, recipient site and contralateral calf, donor site, can be obtained and to be sacrificed tissue is minimal.

언청이의 치료

嚴基一 대한의학협회 1994 대한의학협회지 Vol.37 No.7

피하 한선 절제에 의한 액취증 치험례

엄기일 최신의학사 1990 最新醫學 Vol.33 No.6

2 Flap 구개성형술을 이용한 까다로운 구개열 치료

엄기일,김순흠,신동혁,김순진,최현곤 대한두개안면성형외과학회 2007 Archives of Craniofacial Surgery Vol.8 No.1

Purpose: If the primary palatoplasty fails, mobilization of the mucoperiosteal flap will become difficult because of mucoperiosteal scarring. Likewise, cleft palate with wide gap makes it difficult to secure a sufficient mobilization of the periosteal flap. Authors have achieved satisfactory results with the operation of troublesome cleft palate using two-flap palatoplasty with dissection of neurovascular bundle from the mucoperiosteal flap. Material & Methods: From January to December of 2005, Authors treated 3 troublesome cleft palates with two-flap palatoplasty with dissection of neurovascular bundle from the mucoperiosteal flap. Authors dissected pedicle wide enough to check it from operation field to make mobilization of flap easier, so that any restriction on mobilization of flap or wide gap of cleft palate can be overcome. Among the three patients, two patients are boys and one patient is a girl. Incomplete cleft palate is one case, and complete cleft palates are two cases. Two patients ware treated with cleft palate in the past. But, there still remained the cleft with marginal scarring. One patient has cleft palate with wide gap. Results: All of the cleft palates were repaired with one- stage operation. There was no morbidity or complication reported such as flap necrosis, hemorrhage, palatal fistula and delayed wound healing. Conclusion: The excellence of two flap palatoplasty has proved by numerous authors, and it has been widely used as a primary palatoplasty. The two flap palatoplasty by our method is useful for mobilization of the flap.

제주지역 와요(瓦窯)와 생산·수급체계

엄기일 한국기와학회 2020 한국기와학보 Vol.2 No.-

제주지역 와요의 존재는 그 동안 널리 알려져 왔는데, 발굴조사가 이루어져 가마의 세부구조를 파악할 수 있는 가마는 이도동 유적과 광령리 유적이 있으며, 그 외 10개소의 와요지는 지표조사나 논문자료, 전 언 등을 통해 존재하고 있거나 존재했던 것으로 추정되고 있다. 제주지역 와요 축조와 기와 제작 기술은 문헌기록과 지리적 여건 등을 통해 전남해안 및 전라도 지역 과 관련되었을 가능성이 높다고 보이는데, 전남지역 가마의 구조속성과 형식분류를 통해 제주지역 가마 의 운영시기를 파악해 보고자 한다. 먼저 이도동 1호 가마는 구조속성상 소성실의 평면형태와 계단시설 이 없는 종단면형태, 화구~연소실의 평면형태가 역제형이고, 종단면형태가 외고내저형, 연소실 측벽 단 시설이 없는 형태이며, 출토유물상 토수기와의 존재와 청해파문의 부재를 종합해 볼 때, 14세기대 고려 말부터 운영되었을 가능성이 있다고 추정된다. 또한 광령리 1호 가마는 구조속성상 소성실의 평면형태와 계단시설이 없는 종단면형태, 화구~연소실 의 평면형태가 역제형이고, 종단면형태가 외고내저형, 연소실 측벽 단시설이 있는 형태이며, 출토유물상 대부분이 청해파문로 확인되고 있어 이를 종합해 볼 때, 16세기 전반에 운영되었을 것으로 판단된다. 고고자료로 볼 때 제주기와의 생산이 시작한 시기는 법화사가 중창 이전인 12세기 또는 그 이전일 가 능성이 높고, 본격적인 제주지역 기와의 생산은 삼별초가 탐라에 들어오는 1270년 즈음 시작되어 재지적 변화양상이 확인되기도 한다. 이후 15세기대 홍화각 중수, 관덕정 건립 등이 이루어지며 문헌자료에서 제주의 기와생산이 기술되기 시작되는데, 16세기 정의현과 대정현 관사도 띠로 지붕을 덮었으며, 20세기 초에도 제주도 가옥에서 기와집이 차지하는 비중이 극히 낮은 모습으로 보아 제주의 기와 생산은 상시적 이기 보다는 필요에 의해 임시적으로 운영되었을 것으로 파악된다. The existence of Roof-tiles Kilns in Jeju has been widely known. There are Ido-dong Site and Gwangnyeong-ri Site in the Roof-tiles Kilns where the detailed structure of the kiln can be understood through excavation. It is estimated that other ten points exist or existed through field survey, thesis, and messages. It seems likely that the Roof-tiles Kilns construction and tile production technology in Jeju was related to the coast of Jeollanam-do and Jeolla-do regions through literature records and geographic conditions. Through the structural attributes and type classification of the kilns in the Jeollanam-do, this study attempts to understand the timing of operation of kilns in Jeju. First, the Ido-dong Site No.1 kiln has a planar shape of the firing chamber and a longitudinal section without staircase, the planar form of the stokehole to combustion chamber is inverted trapezoid and the longitudinal section is an external high and internal low type, and there is no the stepped structure on the side wall of the combustion chamber. Considering the existence of a convex roofing tile without upper raied spot for put on a convex roofing tile and the absence of the curved and sea wave lines, it is estimated that it was operated from the end of Goryeo in the 14th century. In addition, Gwangnyeong-ri Site No. 1 kiln has a planar shape of the firing chamber and a longitudinal section without staircase, the planar form of the stokehole to combustion chamber is inverted trapezoid, and the longitudinal section has an external high and internal low type, and a stepped structure on the side wall of the combustion chamber. Most of the unearthed site are confirmed as the curved and sea wave lines, so it is considered that they were operated in the first half of the 16th century. Based on the archaeological data, it is highly likely that the production of the Jeju Roof-tiles was started in the 12th century or earlier before rebuilted of Beophwasa Temple. The production of roof tiles in Jeju began in 1270, when Sambyeolcho entered Jeju, and the pattern of local changes was confirmed. Later, in the literature records of the 15th century, the production of roof tiles in Jeju began to be described. In the 16th century, the government offices of Jeonguihyeon and Daejeong-hyeon also covered the roof with straw. Even in the early 20th century, the share of roof tiled houses in Jeju's houses was very low, so it is believed that the tile production in Jeju was operated temporarily based on necessity rather than regular.