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권순성,윤효헌,정두성,최준 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.5
Cryptotia is a congenital anomaly of the ear, the upper pole of the auricle is buried beneath the temporal skin. We have tried to correct cryptotia without temporal scar using a superficial mastoid fascia. The buried portion of the auricle was exposed through an incision along the upper pole of the helix, and a skin flap of the lower portion of the auricular sulcus was elevated with the superiorly based superficial mastoid fascia as the nutrient pedicle. They were transferred to the temporal skin defect and lower portion of the auricle was directly repaired. The procedure was performed in five auricles in a total of three patients. A satisfactory contour was maintained postoperatively without the scar in the temporal skin.
소아 안면골 골절의 임상 분석; 10년 동안 201례의 경험
오민,김영수,윤효헌,최준,Oh, Min,Kim, Young Soo,Youn, Hyo Hun,Choe, Joon 대한성형외과학회 2005 Archives of Plastic Surgery Vol.32 No.1
The proper management of the pediatric facial bone fracture is critical in the facial bone development. This study characterizes the surgically treated patient population suffering from facial bone fractures by the use of current data from a large series consisting of 201 cases. The data was gathered through a retrospective chart review of patients surgically treated for facial bone fractures at the department of plastic and reconstructive surgery, Sanggye Paik hospital, Inje university medical center, collected over 10-years period from January, 1993 to December, 2002. Data regarding patient demographics(age, sex), seasonal distribution, location of fractures, and the causes of injury with admission periods, were collected. In total, there were 201cases of pediatric facial bone fractures. Male patients outnumbered female patients by a 5.48: 1 ratio and were found to engage in a wider range of behaviors that resulted in facial bone fractures. Physical violence was the leading cause of pediatric facial bone fractures(27.9%), followed by sports-related mechanisms (22.9%) and falling down(17.9%). The most prevalent age group was 11-15 years-old(71.1%) and there was a 14.3% prevalence in March. Among the location of fractures, the nasal bone was the most prevalent, accounting for 82.3% of injuries, followed by the orbit(9.95%), and the mandible fractures(7.5%). Most patients(59.7%) were treated within 6-9 days after trauma and the mean hospitalization period was 8-11 days. We should follow up the surgically treated patients, and they will be further evaluated about postoperative sequele and effect on the facial bone development. These studies demonstrate differences in the demographics and clinical presentation that, if applied to patients, will enable a more accurate diagnosis and proper management.