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윤민근(Min-Geun Yoon),김창수(Chang-Soo Kim),안재명(Jaemyung Ahn),팽준영(Jun-Young Paeng) 대한구순구개열학회 2021 대한구순구개열학회지 Vol.24 No.1
There are various factors that have to be considered in orthognathic surgery for the syndromic patients with congenital facial deformities. The factors such as the shape of the jaws, pattern of mouth opening, masticatory muscle tension, degree of facial asymmetry, reconstruction of deformities and patient’s cooperation are required to be taken into consideration more than a routine treatment plan. For this reason, much more complex process, additional surgeries, and more precise and careful surgical planning are needed than general orthognathic surgery. Nearly all preparation procedures have been digitalized in recent orthognathic surgery cases. Computer-aided and 3D orthognathic surgery simulations allow for more precise model surgeries for syndromic patients with congenital facial deformities. The aim of this study is to examine the effective treatment method for syndromic patients with congenital facial deformities and discuss improvement of orthognathic surgery.
문명상,전달재,김성수,윤민근,Moon, Myung-Sang,Jeon, Dal-Jae,Kim, Sung-Soo,Yoon, Min Geun The Korean Musculoskeletal Tumor Society 2014 대한골관절종양학회지 Vol.20 No.1
Osteochondromadevelop most commonly at distal femur, proximal humerus and proximal tibia, but the rib osteochondroma was reported less commonly. In this report, scapular snapping syndrome complicated by adventitious bursa and soft tissue pseudotumor surrounding the osteochondroma of the $6^{th}$ rib body was treated successfully by surgical excision of them. We report this rare case with reviewing the relevant literature. 골연골종은원위 대퇴골, 근위 상완골, 근위 경골에 흔히 발생한다고 알려져 있으며 늑골에 발생한 골연골종은 상대적으로 드물게 보고되고 있다. 본 증례에서는 좌측 제6늑골 체부에 생긴 골연골종에 의한 우발성 점액낭과 그 주변에 생긴 연부조직 가성 종류가 발음성 견갑골 증후를 야기하여 관혈적 제거수술을 시행한 1례를 문헌 고찰과 함께 보고하고자 한다.
족관절 및 장족무지 굴건막에 동시에 발생한 활액막 연골종증
김성태,이성락,이봉진,김성수,문명상,김기천,윤민근,Kim, Seong-Tae,Lee, Sung-Rak,Lee, Bong-Jin,Kim, Sung-Soo,Moon, Myung-Sang,Kim, Ki-Chun,Yoon, Min-Geun 대한족부족관절학회 2010 대한족부족관절학회지 Vol.14 No.2
Synovial chondromatosis is a benign lesion forming multiple round cartilagenous nodules or osseous loose bodies in joint cavity. Predilection sites are known as knee, hip and elbow joints. However, the involvement of ankle joint was rarely reported in the literature. Moreover, extraarticular chondromatosis in synovial sheath or bursa of extremities is extremely rare. We present a case of synovial chondromatosis of the left ankle joint and flexor hallucis longus tendon sheath.
8세 남아에서 골종양을 닮은 주관절 색소 융모 결절성 활액막염
김성수(Sung-Soo Kim),이상엽(Sang-Yup Lee),윤민근(Min Geun Yoon),서영훈(Young Hoon Seo),문명상(Myung-Sang Moon) 대한견주관절의학회 2012 대한견주관절학회지 Vol.15 No.2
색소 융모 결절성 활액막염(Pigmented villonodular synovitis)은 활액막, 건막 및 점액낭 등에 융모 증식과 결절을 형성하는 드문 양성 활액막 증식성 질환으로 대부분 성인의 슬관절과 고관절에 발생한다. 수부, 완관절, 견관절 및 주관절에는 드물게 발생하며, 특히 소아에서의 주관절색소 융모 결절성 활액막염은 아주 드물다. 좌측 주관절 통증이 있는 8세 남아의 단순 주관절 방사선 검사상 좌측 주두와에 양성 골종양과 같은 병변이 관찰되었다. 수술시 좌측 주관절의 활액막이상 증식 소견이 관찰되어 임상적으로 색소 융모 결절성 활액막염을 의심하였으며, 병변의 개방소파술 및 좌측 주관절의 근치적 활액막 절제술을 시행하였다. 절제 조직의 조직학적 검사 결과 색소 융모 결절성 활액막염으로 확진 되었다. 술 후 좌측 주관절의 통증이 호전되었으며, 정상 운동범위를 회복하였다. 저자들은 소아의 주관절에 발생한 골종양을 닮은 색소 융모 결절성 활액막염 1예를 보고함과 동시에 문헌 고찰을 하였다. Pigmented villonodular synovitis (PVNS) is a rare benign proliferative disorder that results in villous hyperplasia and nodule formation in the synovium, tendon sheath and bursa. That most commonly affects the knee and the hip joint in adult. PVNS of the hand, the wrist, the shoulder and the elbow is rare and that of the elbow in children is particularly rarer. An eight-year-old boy had his left elbow pain and a lesion like benign bone tumor in the left fossa olecrani on plain x-ray. During the operation, abnormal synovial hyperplasia in his left elbow joint led us to diagnose PVNS. Therefore, open curettage of the lesion and radical synovectomy was performed. The specimen of the synovectomized tissue revealed PVNS. The left elbow pain subsided after the operation and the child restored a full range of motion of his left elbow. We reported this rare case of PVNS in a child’s elbow joint mimicking the bone tumor together with a review of the literature.