日本 俸祿制의 硏究動向 : 律令官人 給與制를 중심으로

최정환 부산대학교 사학회 1993 釜大史學 Vol.17 No.-

Smooth Auricular Cutaneous Granular Cell Tumor Mimics Epidermoid Cyst

최정환 대한청각학회 2020 Journal of Audiology & Otology Vol.24 No.2

Granular cell tumor (GCT) is a rare, benign neoplasm of Schwann cell origin. GCT is composed of cells with eosinophilic granular cytoplasm. GCT presents as a solitary painless nodule. Because of their subtle clinical presentation, GCTs are often misdiagnosed. This report of a 47-year-old woman with an auricular GCT serves to highlight that complete excision and histopathological evaluation should be attempted even in apparently benign cases, to ensure complete cure.

Umbilicated Hairy Auricular Mass Mimicking Accessory Tragus

최정환 대한청각학회 2020 Journal of Audiology & Otology Vol.24 No.2

Trichofolliculoma (TF) is a follicular hamartoma in which hairs protruding out of single orifice. To the best of my knowledge, only two auricular TF has been reported in the English literature. Moreover, clinically TF have been described to mimic malignancy. I present a case of an adult female with mass at the intertragal notch of the left auricle for several years. The clinical diagnosis was thought to be epidermoid cyst, accessory tragus, and other benign skin adnexal tumor. To prevent recurrence, the wide local excision of the mass was performed. The final diagnosis of TF was made. No recurrence was noted during the follow-up of 1 year. It is important for otologists to be familiar with the clinical and pathologic characterization of TF, to make the correct diagnosis.

흉곽출구증후군 환자에서 Current Perception Threshold (CPT) 사용경험

최정환,박종욱,최진환,성춘호 대한통증학회 2000 The Korean Journal of Pain Vol.13 No.1

Thoracic outlet syndrome (TOS) is a combination of signs and symptoms caused by the compression of the vital neurovascular structure at the thoracic outlet region. It may stem from a number of abnormalities, including degenerative or bony disorders, trauma to cervical spine, fibromuscular bands, vascular abnormalities and spasm of the anterior scalene muscle. CPT (current perception threshold) is defined as the minimum amount of current applied transcutaneously that an individual consciously perceives. It enables quantification of the hyperesthesia that precedes progressive nerve impairment, as well as hypoesthetic conditions. We experienced a case of thoracic outlet syndrome caused by fibrosis of anterior scalene muscle, The patient was a 30 years old woman with a 3 years history of numbness on the ulnar side, progressive weakness and coldness of both hand, tiredness in the left arm, nocturnal pain in the left forearm, and pain in the left elbow, shoulder and neck. Conservative treatment, stellate ganglion block, cervical epidural block, anterior scalene block and previous operation, including both carpal tunnel release, provided no remarkable relief to the patient. A left scalenectomy and first rib resection were performed by transaxillary approach and left cervical root neurolysis was done. After surgery, we measured CPT using neurometer and found conditions worsening in the opposite arm. We performed the same procedure on right side, and followed by CPT measurement. This case suggests that CPT is a useful measurement of recovery and progression of TOS.

Postoperative Compression with Adhesive Tape Strips for the Auricular Pseudocyst Management

최정환,김승호 대한이비인후과학회 부산,울산,경남 지부회 2019 임상이비인후과 Vol.30 No.2

Auricular pseudocyst (APC) also known as idiopathic cystic chondromalacia, is a very uncommon cystic lesion at the auricle. Because of rarity of APC, it can be misdiagnosed or delayed in treatment. Those mismanagements could leave disfiguring auricular deformities. APC typically presents as a unilateral asymptomatic swelling in the upper part of auricle in males. Intracartilagenous cystic degeneration is characteristic histologic findings. Man- agements aim at removal the cyst without relapsing and restoring the original shape of the auricle. However, un- til now trials have not been perfectly satisfied in terms of recurrence. In this article we report two cases of APC that was successfully treated by surgery—specifically, excision of the anterior or both leaves of cystic wall with adhesive surgical tape compression—and yielded confident results with good cosmesis. There were no recur- rence of follow-up after excision.

Clinical Experience of Sturdy Elevation of the Reconstructed Auricle

최정환,김석권,김민수,이근철,김주찬,김명훈 대한두개안면성형외과학회 2014 Archives of Craniofacial Surgery Vol.15 No.1

Background: The ear is composed of elastic cartilage as its framework, and is coveredwith a thin layer of skin. Auricular reconstruction using autogenous cartilage in microtiapatients requires delicacy. This paper reports clinical experiences related to elevation ofreconstructed ear in the last 11 years. Methods: This study was based on 68 congenital microtia patients who underwentauricular elevation in our hospital. Among these 68 patients, 47 patients were recruited. We compared the differences in the ear size, auriculocephalic angle, and conchal depthwith those in the opposite ear, and the patients’ satisfaction levels were investigatedusing a survey. Results: The difference in the sizes of the two ears was less than or equal to 5 mm in32 patients, 5 to 10 mm in 10 patients, and greater than or equal to 10 mm in 5 patients. The difference in the auriculocephalic angles of the two ears was less than or equal to10 degrees in 14 patients, 10 to 20 degrees in 26 patients, and greater than or equalto 20 degrees in 7 patients. The difference in the conchal depths of the two ears wasless than or equal to 5 mm in 24 patients, 5 to 10 mm in 19 patients, and greater thanor equal to 10 mm in 4 patients. The average grade of 3.9 points out of 5 points wasobtained by the patients with satisfactory surveys. Conclusion: We could make enough protrusion and maintain the three-dimensionalshape for a long time to satisfy our patients.

현장경찰관 법집행력 강화를 위한 실감형 가상훈련 시스템 개발

최정환,박원희,이기석,연승호 한국정보통신설비학회 2021 한국정보통신설비학회 학술대회 Vol.2021 No.08

Craniosynostosis Occurring between Siblings

최정환,김명훈,김민수,정규용,이근철,김석권,Choi, Jeong-Hwan,Kim, Myung-Hoon,Kim, Min-Su,Jung, Gyu-Yong,Lee, Keun-Cheol,Kim, Seok-Kwun Korean Cleft Palate-Craniofacial Association 2013 Archives of Craniofacial Surgery Vol.14 No.2

Craniosynostosis is a congenital anomaly in which cranial sutures close prematurely and restrict skull growth. In this paper, the case of two siblings, a male and a female, who were both diagnosed as craniosynostosis is reported. They underwent corrective osteotomy for cranial vault remodeling. A 22-month-old female infant who was brought to the department of plastic and reconstructive surgery of the authors' hospital was diagnosed with plagiocephaly. At the same time, her 7-month-old brother was diagnosed with brachycephaly. In the case of the female infant, corrective coronal osteotomy and supraorbital bar advancement were performed. Her brother underwent frontal advancement osteotomy using Tessier's tongue in the groove procedure. After the correction of the craniosynostosis, the two patients recovered in several days later, and the results were good in both cases cosmetically and functionally. They showed normal head circumference increasing curves and no symptom of functional disorder in their last follow-up. Isolated or nonsyndromic craniosynostosis is sporadic but mostly autosomal dominant. This paper presents a case of craniosynostosis with a genetic tendency; and although it occurred between siblings, the affected lesions differed. Thus, appropriate diagnosis and management in patients are needed.

과거 상처 치유를 위한 통합적 용서상담 연구: 어린 시절의 과거 상처를 중심으로

최정환 한국기독교상담심리학회 2013 한국기독교상담학회지 Vol.24 No.4

This study explores how much forgiving people affects healing past hurts through analyzing cases of forgiveness counseling. It defines that past hurts indicate sustaining unfair feeling caused by abandonment, abuse, deficiency, and loss in childhood. Forgiveness is defined with christianity and psychologic approach here giving three aspects of strategies to cure past hurts. It deduces integrated process of forgiveness including both christian and psychological forgiveness process. Forgiveness counseling process was conducted to clients who bear past hurts and the case was analized. It seems that forgiveness counseling has better impact on healing past hurts than other methods of counseling. Forgiving others who have hurt them is more likely that they have good relationships with people, are going well in all aspects of life, and enhance their self esteem. This study suggests that forgiveness counseling may help people overcome their suffering from past hurts. 본 연구는 내담자의 과거 상처를 치유하기 위한 용서상담의 효과를 실제 사례분석을 통해 탐색하려는 목적으로 시도되었다. 본 연구에서 과거 상처의 의미를 어린 시절의 유기와 학대, 결핍, 상실로 억울한 마음이 지속되고 있는 것으로 규정한다. 본 연구에서는 기독교적, 심리학적으로 용서를 정의하고, 과거 상처를 해결하기 위한 전략으로 세 가지 측면을 살펴보았다. 그리고 기독교적 용서의 과정과 심리학적 용서의 과정을 통합한 용서의 과정을 도출하였다. 통합된 용서상담의 과정에 따라 과거 상처를 지닌 내담자를 대상으로 상담을 진행한 후 상담사례를 분석하였다. 본 연구에서는 과거 상처 치유를 위한 많은 기법들이 있지만 용서상담이 적극적인 방법임을 알려주고 있다. 즉 과거 상처를 지닌 내담자는 용서상담을 통해 관계성의 회복과 행복한 삶의 유지, 그리고 자존감의 고양이 일어남을 나타내주고 있다. 본 연구의 의의는 과거 어린 시절의 문제와 상처에 갇혀 현재와 미래를 부정적으로 살아가고 있는 많은 내담자들을 위한 상담의 한 방략으로서 용서상담의 중요성을 제시하고 있다는 점이다.

총론:고려시대 초조대장경과 부인사

최정환 한국중세사학회 2010 한국중세사연구 Vol.0 No.28

The Korean Medieval History Association held an academic conference in September 11th, 2009, in cooperation with the Bu-in Temple of the Palgong Mountain. The main purpose of the conference was, firstly, to find the period as well as the background of having established the temple, and to define its meaning and position in the history of the Korean buddhism. Secondly, it was a conference for clarifying when the First Tripitaka which had allegedly been kept in Bu-in Temple was made, being kept in the temple, then how it was burnt to cinders, and in which state the remains are at the moment. These will contribute to defining the position which Bu-in Temple had in the history of Buddhism and also the entity of the First Tripitaka of Goryeo which belongs to the national treasures of Korea. As a matter of fact, by scarcity of materials there have been lots of uncertainties to make out clearly these points. This conference was to gather some clues for these questions. Thus, we hope, this academic conference would contribute to checking not only the accomplishments of research that have ever been studied but also the present state of the First Tripitaka of Goryeo, finding out how we should restore it with the archives, and what kind of alternatives we should grope for these purports. 이 글은 「고려시대 초조대장경과 부인사」라는 주제로 2009년 9월 11일 한국중세사학회와 팔공산 부인사가 공동으로 개최한 학술대회의 총론이다. 이 학술대회의 가장 중요한 목적은 먼저 부인사가 창건된 시기와 배경을 알아보고, 이 절이 한국 불교사에서 차지하는 비중과 위상을 밝히는 것이다. 다음으로는 부인사에 소장되어 있었다고 하는 초조대장경의 조성시기와 소장경위를 살피고, 어떻게 소실되었으며, 남아 있는 판본의 현재 보관 상태가 어떠한가에 대한 의문을 풀어보자는 것이다. 본 학술대회를 통해 지금까지의 연구 성과와 초조대장경 印本의 현존상태를 점검해 보고, 초조대장경과 經板庫를 어떻게 복원해야 할 것이며 앞으로 해결되어야 할 과제는 무엇인지 그에 대한 대안을 모색해 보고자 하였다.