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악관절원판 천공의 임상적, 방사선적 및 외과적 비교연구
김형곤,김준배,박광호,주재동 大韓顎顔面成形再建外科學會 1990 Maxillofacial Plastic Reconstructive Surgery Vol.12 No.1
A retrospective study of 498 patients (591 joints) who had diagnosed as having internal derangerment of the temporomandibular joint by history, clinical examination, and arthrography were evaluated. 66 patients (70 joints) were diagnosed as having meniscus perforation between the joint compartments. In those patients with pain (11 joints : 15.7%), pain and crepitation (24 joints : 34.3%), pain, crepitation and LOM (31 joints : 44.3%), and painless crepitation with LOM (4 joints : 5.7%) complained clinically. All these patients who had perforation showed irregularity in outline of the contrast material, bone contour-contrast material gaps, flattening of cortical layer of articular eminence. On the 20 joints treated surgically, 17 joints were found to have meniscus perforation at the time of surgery which correlated with their pre-operative radiographic and clinical diagnosis. Three joints could not found perforation of meniscus. This study was designed to examine of the incidences of the meniscus perforation in the above patients and to assess the diagnostic accuracy of arthrography by comparing the results with the finding of direct examination at TMJ surgery.
혈관내 Alcohol주입버에 의한 두경부 정맥 기형증의 치험 2례
김형곤,김동익,박광호,김준배,이의웅,주재동 大韓顎顔面成形再建外科學會 1991 Maxillofacial Plastic Reconstructive Surgery Vol.13 No.4
저자등은 5세 여아의 좌측 하순부에 발생한 정맥기형증 및 25세 여자 환자의 좌측 교근부에 발생한 정맥 기형증에 대하여 비외과적 방법인 직접알콜주입에 의한 sclerosing therapy 치료한 결과, 별다른 후유증이나 재발의 소견없이 심미적, 기능적으로 양호한 결과를 얻었기에, 과거 sclerosing solution의 단점을 보완한 순수한 알콜제재의 사용을 문헌고찰과 함께 보고하는 바이다.
주재동,이의웅,김준배,박광호,김형곤 大韓顎顔面成形再建外科學會 1994 Maxillofacial Plastic Reconstructive Surgery Vol.16 No.4
Authors have studied retrospectively the facial nerve injury after TMJ surgery through the preauricular approach routine. The study material used was 4 patients of all 113 patients who were diagnosed as internal derangement and have been operated from March 1989 to February 1991 in Youngdong severance hospital, and were induced postoperatived facial nerve injury. The patient group who had the postoperative injured facial nerve was recognized degree of injury using the diagnostic method, Electromyography(EMG) and Nerve conduction test(NCT) which are used widely at present and was treated as conservative care and we identified the recovery time as the same method. The results as follows : 1. The meticulous care and precious surgical technique are needed in both operation and postoperation. During the TMJ surgery, the excessive retraction of the flap and frequent use of nerve stimulator and electric surgical knife should be avoided as possible and postoperative hematoma and swelling should be minimized. 2. The 4 patients were experienced with the postoperative facial nerve injury of all 133 patients who had been operated the TMJ surgery through the routine preauricular approach on our hospital. And the incidence of postoperative facial nerve injury happened was about 0.3% and its incidence was relatively low comparing with any other previous reports. 3. EMG and NCT were considered as useful methods which can diagnose the nerve injury objectively and identified the effect of treatment and recovery time. 4. The faical nerve-injured patients who were induced postoperatively after TMJ surgery, were diagnosed as second-degree nere injury through the EMG and NCT. And the patient group was treated well as conservative physical therapy for about 2 to 4 months.
혈관내 Alcohol 주입법에 의한 두경부 정맥 기형증의 치험 2례
김형곤,박광호,이의웅,김준배,주재동,김동익,Kim, Hyeong-Gon,Park, Gwang-Ho,Lee, Ui-Ung,Kim, Jun-Bae,Ju, Jae-Dong,Kim, Dong-Ik 대한악안면성형재건외과학회 1991 Maxillofacial Plastic Reconstructive Surgery Vol.13 No.4
저자등은 5세 여아의 좌측 하순부에 발생한 정맥기형증 및 25세 여자 환자의 좌측 교근부에 발생한 정맥 기형증에 대하여 비와과적 방법인 직접알콜 주입에 의한 sclerosing therapy 치료한 결과, 별다른 후유증이나 재발의 소견없이 심미적, 기능적으로 양호한 결과를 얻었기에, 과거 sclerosing solution의 단점을 보완한 순수한 알콜제재의 사용을 문헌고찰과 함께 보고하는 바이다.
김형곤,박광호,김준배,주재동,배성렬,김영환,Kim, Hyung-Gon,Park, Kwang-Ho,Kim, Joon-Bae,Joo, Jae-Dong,Bae, Sung-Yeol,Kim, Young-Hwan 대한악안면성형재건외과학회 1992 Maxillofacial Plastic Reconstructive Surgery Vol.14 No.3
The author has studied retrospectively the meniscectomy with temporary silastic implant. The study material used was 4 joints that were possible to be followed up in 9 joints of out of all 145 joints who were diagnosed as internal derangement and have been operated in Yongdong Severance hospital from March 1988 to February 1990. We concluded that the use of temporary silastic implant would prevent the complication which would be arised after meniscectomy alone. And we could obtain the results of the relief of clinical symptoms and maintenance or improvement of joint space when preoperative and postoperative clinical and radiographic findings were compared. The larger number of patients and long term follow-up will be needed for further the investigation.
Functional disk repositioning technique을 이용한 악관절 내장증 환자의 치험 예
김형곤(Hyung Gon Kim),박광호(Kwang Ho Park),김준배(Joon Bae Kim),주재동(Jae Dong Joo) 대한구강악안면외과학회 1989 대한구강악안면외과학회지 Vol.15 No.1
This is a report of 2 cases on internal derangement accompanied with condylar degeneration. We treated them of Walker s and Stephen s functional disc repositioning technique. These new techniques make it possible to reposition a displaced disc and at the same time restore a normal physiologic as well as anatomic relationship between the disc and condyle, while minimizing the amount of osseous recontouring.