SURGICAL REPAIR OF FACIAL PALSY BY TRANFER OF TEMPORALIS MUSCLE-FASCIA AS A CIRCUMORBITAL SLING

정필훈(Pill Hoon Choung), 정영택(Young Taek Choung), 양수남(Soo Nam Yang) 대한구강악안면외과학회 1985 대한구강악안면외과학회지 Vol.11 No.2

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미세수술방법의 발달로 인해 중추에서 말초까지의 안면신경노출이 가능해졌다. Fallopius가 안면신경에 대해 발표한 이래 안면신경에 대한 연구가 활발하게 되어서, 현재는 여러가지 방법의 안면신경마비의 치료법이 개발되어 있고, 지금도 연구가 진행중이다. 안면신경마비의 치료법은 크게 두가지로 나뉘어질 수 있다. 첫째는 현미경을 이용한 미세수술방법에 의한 안면신경자체의 수술방법이고 둘째는 신경봉합, 신경이식등으로 회복이 불가능한 신경, 근육의 마비시에 행하여지는 안면신경마비의 재건술 ( reconstruction of facial palsy)이다. 본원에서는 55세된 여자환자가 안구동통및 안면추형을 주소로 내원하였으며 검사결과 안면신경마비로 인한 안검운동장애로 각막염증세 및 관골결손으로 인한 안면추형으로 진단을 내리고, 측두근 근막단위를 상하 안검사이로 돌려서 안검운동재개 및 레진으로 관골모형을 만들어 이식하여 안면추형을 양호하게 교정하였기에 이를 보고하는 바이다.

구강암 환자에서 방사선 조사에 따른 타액의 세균학적 조성변화에 대한 연구

이종호(Jong Ho Lee), 김명진(Myung Jin Kim), 정필훈(Pill Hoon Choung), 최진영(Jin Young Choi), 서병무(Byoung Moo Seo), 송노헌(Ro Heun Song), 안강민(Kang Min Ahn), 김종원(Jong Won Kim), 남일우(Il Woo Nam), 김수경(Soo Kyung Kim) 대한구강악안면외과학회 2000 대한구강악안면외과학회지 Vol.26 No.1

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The changes of the microorganism composition after therapeutic radiation for oral cancer patients are not well known and the longterm follow-up data are not reported. To obtain basic data for understanding of pathogenesis and prevention and treatment of dental caries and mucositis occuring after radiation therapy, 7 of the oral cancer patients presented at the Seoul National University Oral & Maxillofacial Department between 1997 and 1998 whose treatment plan included radiation therapy were recruited to investigate the changes in bacterial composition(total aerobic count, Candida, Staphylococci, Lactobacilli, S.mutans, and S.salivarius(mitis, sanguis)) of the saliva before, during, and after radiation therapy. The basic data obtained from this study on identification and composition change of the bacteria in saliva of patients treated with radiation therapy can be used (1) as a reference for deciding on the ideal anti-microbial spectrum of the oral rinsing agent to be used in patients treated with radiation therapy for malignant tumor of the head and neck region. (2) to enhance the understanding of increase of opportunistic infection after immunochemical changes of the saliva and its relation to specific bacterial infection. (3) as a reference in prescribing prophylactic antibiotics in immunodepressed patients after radiation therapy.

이하두정 방사선 사진을 이용한 악교정수술 계획의 유용성에 대한 평가

김범수(Bum-Soo Kim), 김종완(Jong-Wan Kim), 김영균(Young-Kyun Kim), 윤필영(Pil-Young Yun) 대한구강악안면외과학회 2009 대한구강악안면외과학회지 Vol.35 No.5

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Submentovertex(SMV) projection shows the base of skull, positions of mandibular condyle and zygomatic arches. We would like to investigate how to use SMV and evaluate its availability for the construciton of the plan for orthognathic surgery of mandible prognathism and asymmetry. Preoperative Surgical Treatment Objective(STO) using SMV was performed to 12 patients, who visited to Seoul National University Bundang Hospital with chief complaints like mandible prognathism or asymmetry from Dec 2007 to Feb 2009. Surgical splint was made of stone model repositioned according to STO using SMV. We estimate the change in skeletal midline and the stability of occlusion through superposition between preoperative and postoperative SMV. It was effective on the amount of mandible movement and the correction of mandibular asymmetry, while the facial asymmetry involved with maxilla was excluded. It was concluded that STO using SMV is available and predictable method for not only the setback of prognathic mandible but also the correction of mandible asymmetry accurately.

이하선부에 발생한 Kimura's disease에 대한 치험례

변성수(Sung-Soo Byun), 정휘동(Hwui-Dong Jung), 최영달(Young-Dal Choi), 김현실(Hyun-Sil Kim), 차인호(In-Ho Cha), 김형준(Hyung Jun Kim) 대한구강악안면외과학회 2007 대한구강악안면외과학회지 Vol.33 No.5

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Kimura's disease is a chronic inflammatory disorder presenting regional lymphadenopathy with painless soft tissue mass. Clinically, peripheral eosinophilia and elevated serum IgE levels are observed, and proteinuria associated with renal disease can also be present. Although its etiology is not clearly understood, it occurs predominantly in young Asian males and presents as a deep, subcutaneous mass involving salivary glands of the preauricular and submandibular regions. Spontaneous remission is very rare, and although treatments such as steroid, cytotoxic therapy and irradiation are available, chronic recurrence is very common. As such, surgical excision is regarded as the mainstay of therapy for localized lesions. Histopathologically, Kimura's disease features eosinophilic abscsesses and dense lymphoid aggregates with germinal center. Clinical differential diagnosis of Kimura's disease from other parotid diseases with accompanying lymphadenopathy is often very challenging prior to biopsy. The authors report a case of a 19-year-old male diagnosed with Kimura's disease in the parotid region who underwent surgical excision and was followed up for 6 years, along with a review of related literature

치성 상악동염에 대한 기능적 부비동 내시경술의 치험례

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

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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.

감염성 심내막염에 이환되기 쉬운 소아에서 구강내 세균총에 대한 항균제 감수성 연구

박성환(Sung Hwan Park), 신상훈(Sang Hun Shin), 정인교(In Kyo Chung) 대한구강악안면외과학회 1999 대한구강악안면외과학회지 Vol.25 No.2

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The present study has been performed to evaluate 20 cardiopathy children and 20 healthy children s oral micorbes at the point of antimicrobial susceptibilities for antimicrobial prophylaxis to prevent bacterial endocarditis. The results were as follows : 1. Both groups had similar oral microbes. 2. The antimicrobial susceptibility of S. viridans were: Penicillin< Oxacillin< Ampicillin< Cephalothin< Erythromycin< Clindamycin< Gentamicin< Ciprofloxacin< Vancomycin=Imipenem. The cardiopathy group was slightly lower antimicrobial susceptibility rates than healthy group. 3. The antimicrobial susceptibility of Neisseriaceae were: Clindamycin< Erythromycin< Vancomycin< Penicillin< Gentamicin< Cephalothin< Ciprofloxacin< Imipenem. The antibiotics of bacterial endocarditis antibiotic prophylaxis regimens for dental procedures according to the American Heart Association were generally lower antimicrobial susceptibilities, so they were considered inadequate for the first selective antibiotics and Imipemem was best suitable antimicrobials. Conclusively, when choose antimicrobials for treatment or antimicrobial prophylaxsis for bacterial endocarditis, surveillant culture must be performed to evaluated personal antimicrobial susceptibilities of intraoral microbes for proper antimicrobial choice for dental procedures.

진행된 구강암의 항암화학요법에 대한 임상적 연구

김수관(Kim Su Kwan), 여환호(Hwan Ho Yeo) 대한구강악안면외과학회 1993 대한구강악안면외과학회지 Vol.19 No.1

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Twelve patients with advanced oral cancers were treated with a combination chemotherapy consisting of cisplatin, vincristine, bleomycin before definitive therapy. There were 7(58%) partial and 2(17%) complete responders, with an overall response rate of 75%. This regimen was well tolerated in spite of its toxicities as nausea, vomiting, alopecia, fever and nephrotoxicity. The toxicities were managed symptomatically with antiemetic drugs, hydrocortisone, reduction of doses.

미성견에서의 편측성 하악과두돌기 탈구성골절의 외과적 처치 및 보존적 처치에 대한 비교실험적 연구

김영균(Kim Young Kyun), 여환호(Yeo Hwan Ho), 김수관(Kim Su Kwan), 이효빈(Lee Hyo Bin), 변웅래(Byeon Woong Rae), 조세인(Cho Sae In), 조재오(Cho Jae O) 대한구강악안면외과학회 1994 대한구강악안면외과학회지 Vol.20 No.1

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This study evaluated the results of surgical and conservative treatment of managing simulated unilateral dislocated fractured mandibular condyles. Group A left the fractured condyle in its dislocated position outside the glenoid fossa. Group B consisted of surgical treatment by completely detaching the condyle, then replacing it as free graft and its subsequent fixation with interosseous wiring. Immediate postoperative mandibular function was performed in both groups. In both groups, we performed simulated retrodiscal injury and discal displacement by incision. Clinical, morphologic, functional, radiologic, and histologic examinations were conducted on all animals. We got the following results. 1. There were no functional and morphological deformities in both groups. 2. The radiographic examination showed the good union of fractured line and condylar remodeling at 3 months in both groups. 3. In all experimental period, no inflammatory reaction was observed. In both groups, good condylar remodeling change was observed. The chondroid tissues apperared between the hypertrophic zone and subchondral bone area. None of the condyles were lost as result of necrosis in group B.

A lateral cephalometric study of independent mandibular growth pattern in Korean normal adults

김일현(Kim Il Hyun), 이재휘(Lee Jae Hwy) 대한구강악안면외과학회 1995 대한구강악안면외과학회지 Vol.21 No.4

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1960년 Moss가 두개안면부 성장에 대한 기능적 기질이론(functional matrix theory)을 제시한 후 하악골 성장에 관해서는 1987년 Precious and Delaire에 의해 하악골 5개부위 독립성장이론으로 발전되고 일반화되었다. 하악골의 독립성장 골격단위로는 과두돌기부, 근돌기부, 하악각부, 하악체부 및 치조돌기부가 제시되었으며, 각각의 기능적 기질을 과두돌기부는 외측 익돌근, 근돌기부는 측두근, 하악각부는 교근과 내측 익돌근, 하악체부는 하치조신경과 혈관, 그리고 치조돌기부는 치아와 교합으로 설명하였다. 두개안면부 성장에 대한 기능적 기질이론을 바탕으로 하악골 독립성장부위들의 정장형태를 조사하여 하악골 기형의 진단과 치료계획의 수립 및 수술방법의 선택에 대한 기초자료를 제꽁할 목적으로 한국 정상성인 122명(남자 69명, 여자 53명)의 측모 두부계측 방사선사진을 분석하여 하악골은 각 골격단위들이 기능적 기질이론에 입각한 성장의 독립성을 가지면서도 상호간에 일정한 상관관계를 가지면서 균형과 조화를 이루고 있는 것으로 연구되었다. A mandibular growth pattern is very important for diagnosis and treatment of mandibular deformities. At present, the concept that mandibular growth is the sum of growth of each one of the mandibular skeletal units(condyle, coronoid, angle, corpus, and dentoalveolar), which have independent growth by a functional matrix theory of Moss, is generally accepted. The purpose of this study is to set up the normal values of independent mandibular growth bassed upon a functional matrix theory and to get some useful data for diagnosis and treatment of mandibular deformities of Koreans who need orthognathic surgery. Lateral cephalograms of 122 Korean normal adults(69 males and 53 females)who have normal occlusion and acceptable facial beauty were used. From Ricketts Xi point, the lengths of independent growth portions of condyle, coronoid, angle, and corpus were meassured. The results obtained suggest that, in Korean normal adults, each mandibular skeletal unit shows a balanced and harmonized growth pattern.

口腔外科領域의 炎症性疾患에 對한 PROFENID (Ketoprofen)의 治驗成績에 關하여

C G Rhee(李春根), K S Kim(金圭植), B I Min(閔丙一), J W Kim(金宗源), I W Nam(南日祐), D K Yang(梁棟奎) 대한구강악안면외과학회 1976 대한구강악안면외과학회지 Vol.2 No.1

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We selected 100 patients necessitating the surgical or non-surgical treatment among the patients who visited our hospital. We administered the newly developed non-steroid, PROFENID capsule (25mg per capsule), to the selected patients Via per OS and obtained the following results. 1) Cases of 56% at about 15 minutes after the administration of Profenid capsules, 35% at about 30 minutes and 6% at 60 minutes or more presented the initial effects of that drug respectively. 2) In the patients with the comparatively heavy swelling, the appearances of the effect of that drug were relatively delayed. 3) Sexual difference was not seen in that drug effect. 4) Untoward effects of that drug seemed to be not found in this case study.