구순열 환자의 비 성형술

민승기,이의석,이동근 大韓顎顔面成形再建外科學會 1998 Maxillofacial Plastic Reconstructive Surgery Vol.20 No.1

솔레노이드 인젝터와 피에조 인젝터의 파형과 분사량 분석을 위한 실험적 연구

강성구,김철수 한국기계기술학회 2020 한국기계기술학회지 Vol.22 No.1

In this paper, we investigate the relationship between control system of Bosch system and that of Delphi system by measuring the high and low voltage waveform, current waveform and fuel injection quantity of D-2 and R- engines. Waveform measurements are used the PICO scope and the CDS tester. The injectors of D-2 and R-engines were tested under no load condition using injector with normal fuel injection quantity, injector with small fuel injection quantity and injector with many fuel injection quantity. The relation between current energy and fuel injection quantity shows that the injector variation rate of D2-engine is much larger than that of R-engine. The injector current energy of the D2-engine was more linear than that of the R-engine, therefore making the system more stable. Although the control system of the D2-engine is a more stable system only in terms of the durability of the internal parts of the injector, the injector of the R-engine has a good response because the current value is large.

주름살수술 [Ⅲ : 총론]

강진성 대한미용성형외과학회 1999 Archives of Aesthetic Plastic Surgery Vol.5 No.2

내측 진피선피판을 이용한 수직 반흔형 유방축소술의 경험

허준,임영국,서만수,박세정 대한미용성형외과학회 2006 Archives of Aesthetic Plastic Surgery Vol.12 No.1

Most recent breast reduction techniques tend to get natural cone shaped breast with minimal scar. On this purpose, we have performed 7 cases of vertical reduction mammoplasty with medial pedicle from August 2003 to August 2005. The mean age of patient was 29, and the average resection amount was 760 gram per breast. The most of the patient were satisfied with their postoperative size, shape and scar. As compared with classical superior pedicle vertical reduction mammoplasty, by using medial pedicle, this technique could use short and wide-ranging pedicle, avoid skin undermining, evade exposure of pectoralis major fascia and remove the fixation as well. And this technique did not operate liposuction. As descrived above, the advantages of vertical mammoplasty using a medial pedicle are as follows: 1. Limited postoperative scar of incision 2.More effective preservation of sensation to the nipple-areolar complex and physiological function as breast feeding3. More aesthetic shape of breast 4. The procedure is easy to perform.5. Shortening the period of postoperative care

새로운 소파흡입법에 의한 액취증 수술 결과 분석

김현곤,김태엽 대한미용성형외과학회 2006 Archives of Aesthetic Plastic Surgery Vol.12 No.1

Traditional technique for the treatment of osmidrosis had a few problems, such as difficulty in exposing axilla because of the scar that is left after the operation, and sometimes brought misunderstanding of breast augmentation. I have designed a new operation method by improving the existing suction cannula in order to reduce the recurrence rate, by raising the apocrine gland removal to the incision technique level while maintaining the existing suction technique merits. The new method is based on negative pressure of suction, but has a scraping function added for removing the subdermal gland appropriately. It is named Scrape & Inhalation Technique(SIT). This was enforced to 104 patients from January, 2004 to December, 2004. The follow-up on the operation results were examined for at least 3 months and 19 months maximum. Recurrence and sequela were checked by direct counseling, telephone, e-mail, and cell phone messages after the operation. Among the subjects, 5 patients showed recurrence and received operation again. The others were totally satisfied with results. One patient had skin necrosis, but its diameter was not over 2cm and was completely treated by dressing having small scar. Inconvenience such as the epidermis sloughing was found in many patients, but it was treated well without any scars by simple dressing. Sequela such as permanent motor abnormality or dysaesthesia was not found at all.

간단하고 효과적인 배꼽 축소술

김의식,황재하,김광석,이삼용 대한미용성형외과학회 2010 Archives of Aesthetic Plastic Surgery Vol.16 No.1

Many ideal definitions have been proposed about the desirable shape and position of the appealing umbilicus. The attractive umbilicus is a moderately small umbilical size with an overall vertical orientation We would like to propose a new, simple and effective technique to correct a abnormal distorted large protruding umbilicus which developed on a 43 year-old man who undergone previous surgery. A inner circle 1cm in diameter, which was generally considered as a normal size,was drawn in the center of deformed umbilicus. Another outer circle, which was drawn between normal abdomen and deformed umbilicus, was horizontally divided into 2 portions. The upper portion of the outer ring was excised down to the dermal area and lower portion was deepithelized. The inner circle flap was meticulously defatted down to the abdominal wall fascia. Then, this inner circle was fixed to the fascia with 3 - 0 monofilament sutures at 3,9,12 o’clock direction for making a superior hood. Remnant outer circle was closed primarily with adjacent proper undermining. The natural looking umbilicus was shown until postoperative 2 weeks. A longitudinal deep umbilical depression was cosmetically pleasing. This new method of reduction umbilicoplasty is a safe, simple, and effective technique for aesthetically pleasing umbilicus. (J Korean Soc Aesthetic Plast Surg 16: 45, 2010)

여러 방법을 조합한 액취증 수술

윤상엽,강민구 대한미용성형외과학회 2009 Archives of Aesthetic Plastic Surgery Vol.15 No.1

Elimination of the apocrine glands by a radical surgical procedure has been known to be the best solution for axillary osmidrosis; however, it is often accompanied with a marked scar. Ultrasonic tumescent liposuction is a safe procedure for removal of subcutaneous fat tissue. Herein, we describe our modification of the traditional osmidrosis operation(subdermal excision or superficial liposuction). The first, pre-suction “scrape” could require adequate plane of skin flap; the second, “ultrasound-assisted liposuction”; the third, post-suction “rasp” helped subdermal curettage; the last, “endoscopic approach” could visibly remove remaining apocrine glands. It is named SURE technique. From April 2007 to September 2008, 43 patients underwent our “SURE” method for axillary osmidrosis. All patients were followed up for 3 to 12 months with an average of 6 months. The total satisfaction rate was 91 percent(39/43). The complications(skin slough and subdermal band formation) rate was 14 percent(6 of 43). However these complications were temporary and complete recovery occurred without special cares. We emphasize four components of our SURE method procedures. In conclusion, “SURE” method can be one of alternatives for osmidrosis treatment.

Fat Graft in Prosthetic and Autologous Breast Reconstruction

Marzia Salgarello,Giuseppe Visconti,Eugenio Farallo 대한미용성형외과학회 2009 Archives of Aesthetic Plastic Surgery Vol.15 No.1

Nowadays autologous fat transplant represents an effective cell therapy, due to the fact that a fraction of the lipoaspirate consists of adipose-derived adult stem cells. In this study we retrospectively report the two-year experience of 41 patients treated with autologous fat transplant to repair different breast- related problems. A postoperatively 3 months interval follow-up was performed in association to imaging follow-up, using ultrasound as first step. According to the grading scale, we report the results assisted by the plastic surgeons and the patients. A total of 68 breasts were treated in 65 operations. 38 patients were treated unilaterally and 15 patients bilaterally. In the follow- up we evaluate the clinical outcome using a grading scale consisted of 5 crescent grades, from 1 to 5, based on the patient’s satisfaction and on the clinical evidence of the achievement of the desired target. A percentage of 70.7% are classified with a grade over 3. Among 12 patients, one developed small liponecrotic lesion. We confirm that placing small aliquots of fat in the recipient site strongly reduce the phenomenon of liponecrosis on sonography. Thus, our experience confirms that this procedure is an easy, safe, effective and reliable surgical procedure also in the breast.

뮬러근 내에 발생한 이소성 눈물샘 1례

황소민,송제니퍼김,임광열,정용휘,류민희 대한미용성형외과학회 2009 Archives of Aesthetic Plastic Surgery Vol.15 No.3

Ectopic lacrimal gland is a rare clinical condition. Cases have been recorded in literature describing that ectopic lacrimal tissue has been found at varying sites in and around the eye. Before performing aesthetic blepharoplasty, however, it should be kept in mind that anomalous condition of the lacrimal complex can lead to alterations in ocular lubrication. A 54 year-old female presented with an aging eyelid, but accompanying no other ophthalmologic symptoms. While performing skin incision during blepharoplasty, the right upper lid was directly exposed with prolapsed orbital lobe of lacrimal gland, and diffuse infiltrating hyperplasia of ectopic lacrimal gland tissue in the Müller muscle bulging out beneath the levator aponeurosis. The left upper lid also revealed ectopic lacrimal gland tissue beneath the aponeurosis. Carefully preserving the main lacrimal complex, ectopic lacrimal gland mass was excised. Histopathology revealed the tissue as lobules of lacrimal gland with some dilated ducts. The ectopic lacrimal gland tissue is a rare clinical entity, and the diagnosis is rarely made on physical bases alone. Therefore, we herein describe a unique clinical case of an ectopic lacrimal gland generated within the Müller muscle. To our best knowledge, such a case has not yet been described in literature.

Discussion

이석기 대한미용성형외과학회 2009 Archives of Aesthetic Plastic Surgery Vol.15 No.1