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정문상(Moon-Sang Jung),이병철(Byeong-Cheol Lee),모정아(Jung-A Mo),조평산(Pyung-San Cho) 대한두경부종양학회 2010 대한두경부 종양학회지 Vol.26 No.1
Hemangiomas are the most common benign tumors or tumor-like malformations of blood vessels or blood filled cavernous spaces. Hemangiomas of the oral cavity represents 14% of all hemangiomas. Most heman-giomas are detected by one year of age and most commonly occurred in the lips, tongue, buccal mucosa and palate. But hemangiomas are sometimes reported in adults. We report one case of extensive hemangioma of the tongue in adult. Our case is a 48-year-old male who presented with a hemangioma occupying entirely two-third of the tongue. Treating those lesions pose a challenge to the surgeon. This paper discusses one case of ex-tensive tongue hemangiomas treated with alcoholic sclerotherapy with satisfactory results supporting this par-ticular approach in the management of these lesion.
정문상(Moon Sang Jung),이명철(Myung Chul Lee),모정아(Jung A Mo),조평산(Pyung San Cho) 대한두경부종양학회 2010 대한두경부 종양학회지 Vol.26 No.1
Necrotizing sialometaplasia was defined by Abrams et al. in 1973 as a reactive necrotizing inflammatory pro-cess involving minor salivary glands. Prior to recognition of necrotizing sialometaplasia as a benign, self-limited lesion, it was all too often diagnosed as either squamous cell carcinoma or mucoepidermoid carcinoma and had been improperly treated because of its clinical and histological resemblance to malignancy. We report two cases of necrotizing sialometaplasia. One case involved a 56-year-old female who developed a necrotizing sialometa-plasia in association with palato-pharyngeal flap wound after excision of soft palate cancer and reconstruction. Another case involved a 55-year-old male who had a soft palate mass.
손목 관절의 굴신 운동 시 중수근 및 요 수근 관절의 운동 기여도 분석
김재광(Jae Kwang Kim),정문상(Moon Sang Jung),백구현(Goo Hyun Baek),김준배(Joon Bae Kim),공현식(Hyun Sik Gong),이상기(Sang Ki Lee),이영균(Young Kyun Lee) 대한정형외과학회 2006 대한정형외과학회지 Vol.41 No.2
목적: 손목 관절의 굴신 운동을 각각 초기, 중기, 후기로 나누어 각각의 운동 범위에서 중수근 관절과 요 수근 관절이 전체 운동각 중에서 차지하는 비율을 측정함으로써 손목 관절의 운동을 분석하고자 하였다. 대상 및 방법: 5명의 정상 성인 남자의 손목 관절 10예에 대하여 중립 위치, 굴곡 30도, 굴곡 60도, 굴곡 90도, 신전 30도, 신전 60도, 신전 90도의 위치에서 손목 관절 측면 방사선 사진을 촬영하여 중립위에서 30도까지의 운동, 30도에서 60도까지의 운동, 60도에서 90도까지의 굴신 운동 시 중수근 관절과 요 수근 관절이 각각 차지하는 비중을 평가하였다. 결과: 굴곡 운동 시에는 중수근 관절이 각각 65%, 72%, 71%로 초기, 중기, 후기 전 과정에서 요 수근 관절에 비하여 많은 비중을 차지하였고, 신전 운동 시에는 중수근 관절이 차지하는 비중이 37%, 53%, 78%로 초기에는 요 수근 관절이 차지하는 비중이 높고 후기에는 중수근 관절이 차지하는 비중이 높았다. 결론: 손목 관절의 굴신 운동 시, 요 수근 관절의 움직임은 주상골의 연결봉 역할 이외에도 중수근 관절의 고유한 관절 면 형태 및 주변 인대들의 상호 관계에 의해서 결정되는 것으로 생각된다. 주상골의 연결봉으로서의 역할은 굴곡 시에는 초기부터 작동하는 반면, 신전 시에는 후기에 작통하는 것으로 생각된다. Purpose: Flexion and extension of the wrist occurs at the radiocarpal and midcarpal joints. This study examined the angular contribution of the radiocarpal and midcarpal joints to the total arc of motion. Materials and Methods: Five healthy adults were selected and ten wrists were tested. Lateral X-rays were taken with the wrist in the neutral position, 30° flexion, 60° flexion, 90° flexion, 30° extension, 60° extension, and 90° extension. The radiocarpal and midcarpal angle were measured. The angular contribution of the radiocarpal and midcarpal angle was calculated at each phase of motion; neutral to 30°, 30° to 60°, 60° to 90°. Results: During wrist flexion, the angular contribution of the midcarpal joint was 65%, 72%, 71% at each phase of motion, respectively. During wrist extension, the angular contribution of midcarpal joint was 37%, 53%, 78% at each phase of motion, respectively. Therefore, during wrist extension, the main contributor of motion is changed from the radiocarpal joint in the early phase to the midcarpal joint in the late phase. Conclusion: It is suggested that the proximal carpal low is not moved passively by just the link system but the motion is guided by the peculiar shape of midcarpal articulation and ligaments complex at each phase. The link system is believed to act in the early phase of flexion and in late phase of extension.
김주성,정준모,백구현,정문상,Kim, Joo-Sung,Jung, Jun-Mo,Baek, Goo-Hyun,Chung, Moon-Sang 대한미세수술학회 1997 Archives of reconstructive microsurgery Vol.6 No.1
Latissimus dorsi(LD) muscle is the largest transplantable block of vascularized tissue. Since LD free flap was introduced in 1970's, this flap has been widely used for the reconstruction of large soft tissue defect of the limb. From 1981 to 1996, we had experienced 37 cases of LD free flap. Serratus anterior muscle was combined with LD in three of them whose defects were very large. The average age of the patients was 31 years(range : 4-74 years), and thirty one patients were male. Trauma was cause of the defect in every case. For the recipient sites, the foot and ankle was the most common(22 cases); and the knee and lower leg(11 cases), the elbow and forearm(2 cases), the hand(2 cases) were the next. The duration of follow-up was averaged as 16 months(range: 6 months-12 years). Thirty one cases(84%) out of 37 were successful transplantations. In one case the failure of the flap was due to heart attack and subsequent death of the patient. One failure was caused by sudden violent seizure of the patient who had organic brain damage. Immediate reexploration of the flap was performed in 4 patients, and the flap survived in three of them. There was one necrosis of the grafted split-thickness skin on the survived LD flap. LD free flap was considered as one of the good methods, for the reconstruction of the large soft tissue defect of the limb.