상악골에 발생한 비뇌감염형 Mucormycosis 1례

허원실,이민정,강승우,오상윤,백경식,최규철,Huh, Won-Shil,Lee, Min-Jeong,Kang, Seung-Woo,Oh, Sang Yoon,Back, Gyung Sik,Choeh, Kyu-Chul 대한악안면성형재건외과학회 1993 Maxillofacial Plastic Reconstructive Surgery Vol.15 No.1

We experienced a case of rhinocerebral form of mucormycosis in a 9-year-old male suffered from acute lymphocytic leukemia (FAB $L_2$). On 15th day of induction chemotherapy (Hospital day 23) pain, tenderness and swelling on left maxillary area of face were noticed. We confirmed mucormycosis by biopsy of mass in left maxillary sinus. He expired on Hospital day 47.

Hemicoronal and temporal flap incision combined with intraoral approach for the zygoma fracture

허원실(Won Shil Huh),노태경(Tae Kyung Roh) 대한구강악안면외과학회 1990 대한구강악안면외과학회지 Vol.16 No.1

일반적인 관골(관골 상악골 복합체)골절외 관혈적 정복술의 접근방법으로서는 안와외륜 및 하안검부 절개를 통한 정복고정술이 선택되어지는데 이러한 방법등은 안면신경의 손상위험과 수술시야의 제한, 반흔잔존등으로 인한 심미적인 문제점등을 초래할 수 있으나, 구내접근법을 병행한 편측 관상 측두 피판 접근법을 용하여 관골부 및 안와외상연과 상악골 골절에 대한 정복고정이 용이할 뿐만 아니라 수술시야가 넓고 반흔이 감춰지며 부정유합에 대한 재정복이 용이하고 특히 구강외과 영역에서 사용빈도가 높아진 miniplate를 이용한 골절편의 고정에 매우 유용하였다.

외상성 안검하수증의 동종 대퇴근막을 이용한 상안검-전두근 현수법

허원실(Won Shil Huh),노태경(Tae Kyung Roh) 대한구강악안면외과학회 1989 대한구강악안면외과학회지 Vol.15 No.1

The normal upper lid margin lies somewhere between the upper limbus and pupillary border in the upright position. When blepharoptosis (ptosis) occurs, the lid covers more of the cornea and there is a smoothing out of the lid fold. Because of the prominent position of the upper lid, this immediately becomes a noticeable cosmetic blemish. These ptosis may be divided into a large group of congenital ptoses and a smaller group of acquired ptoses. The author performed frontalis suspension technique by using homogenous fascia lata in a patient with acquired blepharoptosis. Because the result of our case was satisfactory, we consider that wide use of homogenous fascia lata for correction of other anomalies & deformities in our oral & maxillofacial surgery will obtain favorable results.

BUTYL-CYANOACRYLATE(HISTOACRYLⓇ) 와 FIBRIN SEALANT(TISSEELⓇ)를 이용한 피부이식시 조직치유에 관한 실험적 연구

허원실(Won Shil Huh),이상철(Sang Chull Lee) 대한구강악안면외과학회 1990 대한구강악안면외과학회지 Vol.16 No.4

This study was designed to compare the healing process after skin graft of rats by use of butyl-cyanoacrylate(HistoacryⓇ) and fibrin sealant(TisseeⓇ) as tissue adhesives. In order to carry out the experiment, autogenous skin grafts (about 1㎝ diameter) in left & right abdomen of 60 rats were performed and divided into control & experimental groups. Control group was grafted without tissue adhesives and experimental group was subdivided into two groups which were grafted by the use of butyl-cyanoacrylate(HistoacryⓇ) and Fibrin sealant (TisseeⓇ). Each 4 rats of 60 animals was sacrificed after 1, 3, 5, 7 and 14 days of skin grafts. Hematoxylin-eosin and Masson s trichrome stain were done for the findings of light microscope. The following conclusions could be drawn from the present investigation. 1. In the control groups, there was an aspect of synthesis & replacement of new & mature collagen fibers under skin graft site after 7 days of experiment. 2. In the experimental Ⅰ group, by use of butyl-cyanoacrylate (HistoacryⓇ) under skin graft site, there were the findings of delayed absorption of butyl-cyanoacrylate, remain of inflammatory reaction, and delayed maturation of collagen tissue. 3. In the experimental Ⅱ group by use of fibrin sealant(TisseeⓇ) under skin graft site, it showed that absorbed fibrin sealant and better appearance than experimental Ⅰ group in the consideration of inflammatory reaction & collagen maturation. 4. The maturation and amount of collagen fibers was followed by fibrin sealant, control & butyl-cyanoacrylate group in Masson s trichrome stain. 5. In the case of butyl-cyanoacrylate application, it appears that the use of butyl-cyanoacrylate is better in the purpose of the fixation, because no absorption of butyl-cyanoacrylate under skin graft site results disturbance of vessel anastomosis and healing process. 6. In the case of fibrin sealant application, it indicates that fibrin sealant(TisseeⓇ) has good healing effect because the effect of graft fixation & vessel anastomosis contributes the take of skin graft in the consideration of hemostatic, adhesive and fibrin effect.

악관절 후방부착부에 있어서 MRI 신호변화에 대한 고찰

정주성,허원실,정훈,Jung, Joo-Sung,Huh, Won-Shil,Chung, Hoon 대한악안면성형재건외과학회 1997 Maxillofacial Plastic Reconstructive Surgery Vol.19 No.1

Magnetic resonance imaging has been used in the temporomandibular joint(TMJ) primarily to define morphology and positional relationship of associating structures. This report examines signal intensity characteristics of the posterior attachment as they related to the severity of internal derangement. Fifty six joints in 35 patients with a history of TMJ dysfunction were imaged writ MR using $T_1$-weighted spin echo sequence. According to disk position, ability to reduction, and the presence of osteoarthritis, the joints were categorized into three groups. A group 1 was anterior disk displacement with reduction; a group 2 was anterior disk displacement without reduction; a group 3 was anterior disk displacement without reduction and condyle had osteoarthritic change. The control group was determined by the clinical absence of any signs or symptoms of current or past TMJ pain and dysfunction. Calculated the relative value of MR signal intensity in posterior attachment and disk to cerebral cortex of temporal lobe by means of computer program, we have compared them with each groups. The result showed statistically little significant difference of disk signal intensity among each groups. but, signal intensity from posterior attachment in group 2 and 3 were significantly(p<0.05) decreased than control group. this might reflect an fibrosis or hyalinization of posterior attachment, which was part of remodeling process that occurs in disk displacement without reduction. However, this study could not demonstrate histologic confirmation of the decreased signal intensity in the posterior attachment. So, further investigation could be needed to understand the association between them.

심상시점(心像視點)에서 본 한국 전통 자수병풍(刺繡屛風)의 조형특성 연구-조선시대 작품을 중심으로-

강병석 ( Gaang Byoung Suk ),허원실 ( Huh Won Shil ) 한국기초조형학회 2017 기초조형학연구 Vol.18 No.1

우리나라 전통자수는 귀족사회부터 서민층에 이르기까지 의복 및 생활용품에 폭넓게 활용되어져 왔다. 이는 실용성과 심미성을 두루 갖춘 전통문화 중 하나로서, 그 공예적 기법과 미적 조형감각은 한국적 미의식에 대한 특성이 잘 반영된 것이라 여겨진다. 그 중에서도 특히 민화발달과 그 맥락을 함께 한 조선시대 자수병풍은 당시대인들의 감성, 정서, 기복신앙 등이 내재된 `소망(所望) 회화`로서 그 독창적 조형성이 강하게 표출된 작품이라 할 수 있다. 이에 본 연구는 한국자수박물관에 보관된 조선시대 자수병풍의 실물을 민화의 회화적 요소를 차용하여 고찰 및 분석하였다. 여기서 구도에 관해 `심상시점(心像視點)`을 도입함으로써 자수병풍을 보다 다양한 측면에서 살펴보고, 이에 내재된 조형정신, 조형원리, 표출미를 도출하고자 하였다. 구도적 조형특징은 대상의 대소비례 무시, 공간의 상하비례무시, 시점의 일원화 무시, 표현의 상례적 이탈, 주제이미지의 복합성, 색채의 대비효과 및 화면의 평면화, 시간의 연속성과 동시성 등 7가지로 나타났다. 또한 자수병풍의 종합적 조형특성에서, 그 조형정신으로는 기복, 현세복락, 장수성, 벽사성, 길상 등이 있었으며, 이는 화조(花鳥), 십장생(十長生) 등의 문양과 오방색을 통해 화려함과 장식미를 표출하였다. 조형원리로는 기능성과 더불어 실용적, 장식적 공간구성이 공통적으로 도출되었다. 이러한 조형특성은 다양한 현대적 해석이 가능하다고 판단되며 본 연구의 결과가 현대패션 디자인에 유용한 자료로서 뿐만이 아니라 글로벌 패션 트렌드에 맞는 전통 자수의 한국적 조형특성으로서 활용될 수 있을 것이라 사료된다. The traditional embroidery of Korea had been extensively applied in various fields including clothing and daily necessities by from the upper class to the public. As one of traditional cultures with practicality and aesthetics, the craft skills and aesthetic sense of formation of embroidery reflected the Korean aesthetics well. Especially along with the development of folk painting, the embroidered folding screen of Joseon period strongly expressed the unique figurative features as the `painting of wish` containing emotion, impression and faith for blessing of those who lived in Joseon period. Thus, this paper investigated and analyzed the embroidered folding screens of Joseon period kept in Museum of Korean Embroidery as adopting the pictorial elements of folk painting. The embroidered folding screen was analyzed in various aspects by introducing `imaginal perspective` into the composition. Moreover, this paper aimed to identify the spirit, principle and expressive aesthetics of formation. The compositional figurative features were identified as 7 kinds; ignorance on the proportion of big and small object; ignorance of the proportion of top and bottom in a space; ignorance on the unification of viewpoint; ordinary deviation of expression; combination of thematic images; contrast effect of colors and plane screen; continuity and simultaneity of time. In the general figurative features of embroidered folding screen, the spirit of formation includes faith for blessing, good luck and pleasure in this world, longevity, driving away evil spirits and lucky sign. Those spirits expressed magnificence and decorative beauty using patters and five colors, including flowers, birds and ten longevity symbols. As the principle of formation, practical and decorative space configuration as well as functionality were identified. The figurative features above can be interpreted into a variety of modern meanings. The analysis results in this paper will be the useful data for the modern fashion design and can be used as the Korean figurative features of traditional embroidery which can be harmonized with global fashion trends.

흡수성 고정판이 가토의 악골골절 치유에 미치는 영향

박현욱,류동목,이한주,허원실,Park, Hyun-Wook,Ryu, Dong-Mok,Lee, Han-Joo,Huh, Won-Shil 대한악안면성형재건외과학회 1999 Maxillofacial Plastic Reconstructive Surgery Vol.21 No.2

The purpose of this study is to evaluate the effects of resorbable plate in the healing process of mandibular fracture. Reduction and rigid fixation was carried out on the artificial mandibular fracture site of the rabbits, using a resorbable screw, 1.5mm in diameter and 4.0mm in length, and an absorbable plate 1.5mm in thickness(Lactosorb$^{(R)}$). En block tissue specimens with plate were taken from the rabbits at 4, 6, 8, and 10 weeks intervals and specimen were observed with light microscope under the hematoxylin-eosin staining, to observe the inflammatory reaction and tissue healing process. The following conclusions were drawn: 1. The subject displayed good healing with no signs of detachment of the fixation plate. 2. At 4 weeks, the plate was covered by the connective tissue. Then at 6 weeks, bone regeneration was discovered around the plate. 3. During the period of healing, no inflammatory reaction or foreign body reaction, as a result of using resorbable plate, were observed. 4. At 8 weeks, the initial phase of the absorption of the plate was observed. Then at 10 weeks, macrophage were observed around the plate, indicating the absorption phase was in process. From the above results, it can be determined that when the resorbable plate is applied to rabbit, full recuperation occurs naturally in the absence of inflammatory reaction and foreign body reaction. The selected study is clinically valuable in proving this procedure.

하악골 골절에 관한 통계적 연구

이상철(Sang Chull Lee),허원실(Won Shil Huh) 대한악안면성형재건외과학회 1987 Maxillofacial Plastic Reconstructive Surgery Vol.9 No.1

N/A This study is based on the data pertaining to 521 patients managed at Dept. of Oral k, Maxillofacial Surgery, Kyung Hee Medical Center from Jan. 1, 1976, to Dec, 31, 1985, who sustained mandibular fractures. Factors considered were sex, age date of injury, cause of injury, anatomic site of fractures, fractures type, and treatment modalities. The results were obtained as follows. 1. Males accounted for 83.5% (n=435) of all mandibular fractures, females accounted for 16.5% (n=86). The ratio of male/female was 5.1:1 and 2nd decade was the peak incidence (43.0%). 2. The each number of mandibular fractures was increased from year to year with the exception of 1979 and 1984. 3. The monthly distribution revealed May and June to be the months with the greatest percentage of mandibular fractures (11.1%), followed by July (10.7%), August and October (9.6%). 4. The major cause of mandibular fractures in this study was direct blows (41.7%), followed by traffic accidents (29.9%), fallings (17.9%), and other causes (10.6%). 5. The most common site of fractures was symphysis (40.8%), followed by angle (25.0%), condyle (16.5%), body (11.3%), ramus (4.7%) and coronold process (1.7%). 6. There was a total of 831 mandibular fractures in the 521 patients, averaging 1.6 fractures per mandible. The type of fractures showed one mandibular fracture only (47.2%), two fractures (45.5%) and three fractures (5.0%). 7. The treatment type of mandibular fractures was open reduction (60.1%), followed by closed reduction only (26.7%) and circumferential wiring (8.8%).

치성 상악동염에 대한 기능적 부비동 내시경술의 치험례

김법수(Beob Soo Kim),허원실(Won Shil Huh) 대한구강악안면외과학회 1997 대한구강악안면외과학회지 Vol.23 No.1

The chronic paranasal sinusitis are caused by various orign such as dental, general and anatomic problem. Among them, the odontogenic maxillary sinusitis which concerned by cral & maxillofacial surgeon have been treated by medicine, conservative treatment such as endodontic treatment, and Caldwell-Luc operation. But, New technique, so called Functional Endoscopic Sinus Surgery, have recently been performed in the ENT dept. This technique have the mechanism that widening maxillary ostium through removal of involved nasal mucosa and adjacent tissue accelerates adequate drainage and regeneration of normal mucosa and have merits such as minimum morbidity and complication. So, we would report one case, 22 years old female, of 3 patents who were diagnosed as odontogenic maxillary sinusitis and treated by Functional Endoscopic Sinus Surgery and Apicoectomy, and had good results.

악관절의 Closed Lock 증례에 대한 Lavage 및 Manipulation법의 치료 성적

김법수(Beob Soo Kim),허원실(Won Shil Huh),정훈(Hoon Chung) 대한구강악안면외과학회 1997 대한구강악안면외과학회지 Vol.23 No.1

The Pumping technique generally has been known as a diagnostic method that predicts intracapsular status and selects required evaluation and treatment. But, in addition to this indication, when it is followed by Lavage and Manipulation technique, this may be used as therapeutic method that is effective on Closed Lock with limited mouth opening and pain. Therefore, we examined results of this technique abut Closed Lock and would like to report therapeutic effects of Lavage and Manipulation technique. We selected 40 patients of 200 patients diagnosed as Closed Lock over 53 months from SEP. 1991 to PEB. 1996, who were possible follow-up and performed by Lavage and Manipulation technique. Appraisal between pre-procedure and post-procedure was performed just after procedure, in 1 month and in 3 months, and therapeutic effects were divided by marked, useful, a little useful and ineffective. As a result, Lavage and Manipulation technique had remarkable increase of maximum mouth opening(>5mm) in 39 persons(98%) just after proceure, 36 persons(90%) in 1 month, and 39 persons(98%) in 3 months, and subsided pain completely just after procedure and had remarkable decrease of pain in 30 persons(75%) in 1 month, 32 persons(80%) in 3 months. So we concluded that the Lavage and Manipulation technique is effective therapy of Closed Lock which can be used with ease.