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저널/프로시딩 상세정보

권호별목차 / 소장처보기

H : 소장처정보

T : 목차정보

大韓成形外科學會誌 = Journal of the Korean society of plast... 20건

  1. [국내논문]   고압 전기화상에 의한 수부 손상 시 비골동맥 천공지 유리피판술을 이용한 재건  

    김동훈 (한일병원 성형외과학교실 ) , 유중석 (한일병원 성형외과학교실 ) , 임준규 (한일병원 성형외과학교실 ) , 이동락 (한일병원 성형외과학교실)
    大韓成形外科學會誌 = Journal of the Korean society of plastic and reconstructive surgeons v.35 no.1 = no.158 ,pp. 66 - 71 , 2008 , 1015-6402 ,

    초록

    Purpose: The hand is frequently affected area in high voltage electrical burn injury as an input or output sites. Electrical burn affecting the hand may produce full thickness necrosis of the skin and damage deep structures beneath the eschar, affecting the tendon, nerve, vessel, even bone which result in serious dysfunction of the hand. As promising methods for the reconstruction of the hand defects in electrical burn patients, we have used the peroneal perforator free flaps. Methods: From March 2005 to June 2006, we applied peroneal perforator free flap to five patients with high tension electrical burn in the hand. Vascular pedicle ranged from 4cm to 5cm and flap size was from 4x2.5cm to 7x4cm. Donor site was closed primarily. Results: All flaps survived completely. There was no need to sacrifice any main artery in the lower leg, and there was minimal morbidity at donor site. During the follow-ups, we got satisfactory results both in hand function and in aesthetic aspects. Conclusion: The peroneal perforator flap is a very thin, pliable flap with minimal donor site morbidity and is suitable for the reconstruction of small and medium sized wound defect, especially hand with electrical burn injury.

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  2. [국내논문]   누소관 열상 환자에 있어 실리콘 판과 Mini Monoka(R)를 이용한 누소관 성형술  

    박진형 (고신대학교 의과대학 성형외과학교실 ) , 김한결 (고신대학교 의과대학 성형외과학교실)
    大韓成形外科學會誌 = Journal of the Korean society of plastic and reconstructive surgeons v.35 no.1 = no.158 ,pp. 72 - 76 , 2008 , 1015-6402 ,

    초록

    Purpose: In case of facial injury, a canalicular injury is common. Many methods and materials have been used for reconstruction of lacrimal canaliculi. Silicone tube is the most widely used material, generally with pigtail probe or stainless steel probe. But it has still many problems. The authors guess that reconstruction using Mini Monoka(R) will reduce those problems and will be more successful. Methods: From July, 2003 to November, 2006 in 24 patients with canalicular injury, 11 cases were reconstructed with former silicone tube and 13 cases were treated with Mini Monoka(R). Results: The mean follow-up period was 3 months. The results of reconstruction were classified into three groups(Normal, Fair, Poor). In 13 cases with Mini Monoka(R) stent, 10 cases were normal, 3 were fair, and no poor cases. But in 11 cases with bicanaliculus silicone stent, 6 cases were normal, 3 were fair, and 2 were poor. Conclusion: Compared with bicanaliculus silicone stent, Mini Monoka(R) stent is fixed well, has no aesthetic problems, makes less foreign body sensation. And the results were successful.

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  3. [국내논문]   구형구축의 치료 : 유륜절개 이중평면 전환술  

    심형보 (바람성형외과 ) , 위형곤 (바람성형외과)
    大韓成形外科學會誌 = Journal of the Korean society of plastic and reconstructive surgeons v.35 no.1 = no.158 ,pp. 77 - 84 , 2008 , 1015-6402 ,

    초록

    Purpose: The capsular contracture has been the most common complication of augmentation with breast implant, a side effect quite difficult to treat. The latest trends in the correction of capsular contracture include total capsulectomy or conversion of implant pocket. In this study, in an attempt to correct capsular contracture, the authors performed reoperation which involved capsulectomy through peri-areolar approach and dual- plane conversion. The authors hereby report the clinical results of such correction of capsular contracture and examine the efficacy. Methods: The authors selected 46 patients who were admitted to the clinic from January 2004 to January 2007 (37 months), and performed dual-plane conversion through solely peri-areolar approach. Two types of operation were done: dual-plane conversion from subglandular plane or from submuscular plane. Results: The average follow-up time after conversion to the dual-plane position was 10 months. During the follow-up period, 83.1% of patients recovered from capsular contracture and were Baker class I, and in 10.9% the condition had relapsed into Baker class II or III contracture. Conclusion: This study has proven the effectiveness of the dual-plane conversion operation for correcting established capsular contracture after previous augmentation mammaplasty. In this study, all cases of dual-plane conversion operation was performed through peri-areolar approach, which can prevent the occurrence of visible scar on inframammary fold.

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  4. [국내논문]   Scarpa씨 근막을 이용한 이차 비성형술  

    오광진 (전북대학교 의학전문대학원 성형외과학교실 ) , 김종진 (전북대학교 의학전문대학원 성형외과학교실 ) , 이내호 (전북대학교 의학전문대학원 성형외과학교실 ) , 양경무 (전북대학교 의학전문대학원 성형외과학교실)
    大韓成形外科學會誌 = Journal of the Korean society of plastic and reconstructive surgeons v.35 no.1 = no.158 ,pp. 85 - 90 , 2008 , 1015-6402 ,

    초록

    Purpose: The performance of rhinoplasty on the patient who has already undergone unsatisfactory results or complications after augmentation rhinoplasty is a challenging surgical problem. Because the dead space is remained after removal of the foreign body and the thickness of the skin is not even, the deformity would be more conspicuous if the nose is reconstructed again with hard implant only or autogenous cartilage. In these cases, the autogenous fascia can be used to get a good result. We present our clinical experience of secondary rhinoplasty using Scarpa's fascia of lower abdomen. Methods: Thirty-two patients underwent the procedure from March of 2002 to February of 2007. Nine patients were reconstructed with Scarpa's fascia only, eighteen patients were reconstructed with silicone implant and fascia, and five patients were reconstructed with cartilage and fascia for secondary rhinoplasty. Results: There were no major complications. Most of the patients were satisfied with the results. The deviation of the silicone implant and postoperative hypertrophic scar of the donor site were seen in one case each. Postoperative absorption of fascia were seen in two cases using Scarpa's fascia only. Conclusion: Secondary rhinoplasty using Scarpa's fascia is very useful method which offers a minimized donor site scar, low complication rate, shorter operation time and patient satisfaction and prevents the alopecia caused by the harvest of temporalis fascia.

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  5. [국내논문]   대전자부 압박궤양을 가지고 있는 하지마비 환자에서 대퇴골 골절부위에 발생한 비정상적 골증식의 치험례  

    양정열 (조선대학교 의과대학 성형외과학교실 ) , 천지선 (조선대학교 의과대학 성형외과학교실)
    大韓成形外科學會誌 = Journal of the Korean society of plastic and reconstructive surgeons v.35 no.1 = no.158 ,pp. 91 - 94 , 2008 , 1015-6402 ,

    초록

    Purpose: Heterotopic ossification in pressure sore patients is reported to rarely develop, but once it occurs, it frequently causes joint stiffness and mobilization restriction. The aim of this article is to report our experience of atypical bone growing at femur neck fracture site with chronic, extensive pressure sore in patient with paraplegia secondary to spinal injury. Methods: A 28-year-old male patient presented with atypical bone growth at femur neck fracture site with pressure sore. He had undergone atypical growth bone removal and separation of united iliac bone and femur, and then pressure sore was covered by advanced rotation flap. Results: The patient mobilized hip joint and rode in a wheelchair. Complications such as dehiscence, infection, hematoma and flap necrosis did not occur. Conclusion: We experienced successful correction of atypical bone growth removal and recovery of pressure sore. We report our experience of atypical bone growth of fracture site and the related literature was reviewed.

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  6. [국내논문]   전두 사골부 수막뇌류와 안와격리증의 동시 재건 1례  

    김한결 (고신대학교 의과대학 성형외과학교실 ) , 박진형 (고신대학교 의과대학 성형외과학교실 ) , 이정훈 (고신대학교 의과대학 성형외과학교실 ) , 정승문 (고신대학교 의과대학 성형외과학교실)
    大韓成形外科學會誌 = Journal of the Korean society of plastic and reconstructive surgeons v.35 no.1 = no.158 ,pp. 95 - 98 , 2008 , 1015-6402 ,

    초록

    Purpose: A meningoencephalocele is a congenital malformation involving herniation of the meninges and cerebral tissue through a defect in the skull. For the patient with frontoethmoidal meningoencephalocele with hypertelorism, the removal of the meningoencephalocele without correction of the combined hypertelorism is not enough for getting a good cosmetic appearance. Correction of the hypertelorism is needed for cosmetic problem. We experienced a case of simultaneous correction of frontoethmoidal meningoencephalocele with hypertelorism. Methods: The meningoencephalocele was removed and the hypertelorism was corrected by central segment technique. The bone defects were filled with autogenous bone dusts. And the nose was reconstructed by a calvarial bone graft. Results: The patient had a good cosmetic appearance without any neurological complications without serious complications. Conclusion: We experienced a case of simultaneous correction of frontoethmoidal meningoencephalocele with hypertelorism. And a brief review of related literatures is given.

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  7. [국내논문]   등에 발생한 에크린한공암종의 치험례  

    최석민 (순천향대학교 의과대학 성형외과학교실 ) , 김철환 (순천향대학교 의과대학 성형외과학교실 ) , 강상규 (순천향대학교 의과대학 성형외과학교실 ) , 탁민성 (순천향대학교 의과대학 성형외과학교실 ) , 박상모 (순천향대학교 의과대학 임상병리학교실 ) , 진소영 (순천향대학교 의과대학 임상병리학교실)
    大韓成形外科學會誌 = Journal of the Korean society of plastic and reconstructive surgeons v.35 no.1 = no.158 ,pp. 99 - 102 , 2008 , 1015-6402 ,

    초록

    Purpose: Eccrine porocarcinoma is a very rare, potentially fatal tumor which arises from the intraepidermal portion of the eccrine sweat ductal apparatus. It does not have a characteristic clinical feature but does have a high incidence of metastasis. It may be developed de novo or in a preexisting benign eccrine poroma. It usually affects older people and is located most commonly on lower extremities. We report a rare case of eccrine porocarcinoma which developed on the back without metastasis. Methods: The patient was a 94-year-old woman who showed a painful, ulcerated, dark brown colored polypoid 3.5x3.0cm sized mass on the back for 3 years. We totally excised the lesion including normal tissue. Results: After wide excision of the lesion, pathologist reported an eccrine porocarcinoma. Histopathologic findings reveal that the classic type of eccrine gland carcinoma, eccrine porocarcinoma. Immunocytochemical studies showed a positive reactivity to anti-EMA antibody and anti-CEA antibody. Conclusion: Authors experienced a rare case of primary eccrine porocarcinoma on the back. Because of the propensity to develop local recurrence, wide excision of the primary tumor with histologic confirmation of negative margins represents the only curative treatment regimen for eccrine porocarcinoma.

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  8. [국내논문]   턱에 발생한 석회화건막섬유종 : 증례보고  

    정연주 (인제대학교 의과대학 백병원 성형외과학교실 ) , 최영웅 (인제대학교 의과대학 백병원 성형외과학교실 ) , 신은아 (인제대학교 의과대학 백병원 진단병리학교실)
    大韓成形外科學會誌 = Journal of the Korean society of plastic and reconstructive surgeons v.35 no.1 = no.158 ,pp. 103 - 105 , 2008 , 1015-6402 ,

    초록

    Purpose: Fewer than 100 cases of calcifying aponeurotic fibroma have been reported in the literature since this entity was initially described by Keasbey in 1953 who called it calcifying juvenile aponeurotic fibroma. The tumor is a slowly growing, painless mass. In most cases the mass is poorly circumscribed and causes neither discomfort nor limitation of movement. Most lesions occur in children, with a peak incidence ages of 8-14 years. There is no evidence of any increased familial prevalence. Predilection sites are palm, finger, toe, but it also occurs in the wrist, forearm, elbow, upper arm, neck, abdominal wall, lumbar paravertebral area, leg and ankle. We herein describe a rare case of calcifying aponeurotic fibroma occurring on the chin with review of the literature. Methods: A 14-year-old male had painless, slowly growing mass(Φ2.5cm) on a chin for a year. The tumor was excised elliptically under local anesthesia and the excisional site was repaired directly. Due pathological examination was processed. Results: Histological examination revealed an ill- defined fibrous growth that extends with multiple processes into the surrounding tissue with centrally located foci of calcification. The tumor is composed of short spindled plump fibroblasts with round or ovoid nuclei separated by collagenous stroma, showing vaguely palisading pattern. Diagnosis of calcifying aponeurotic fibroma was conferred. Postoperatively, the patient did well, and the lesion had not recurred. Conclusion: Fewer than 100 cases of calcifying aponeurotic fibroma have been reported in the literature. The most common occurring sites are palm, finger & toe, but it has been reported in the wrist, forearm, elbow, upper arm, neck, abdominal wall, lumbar paravertebral area, leg and ankle. Two cases of calcifying aponeurotic fibroma occurring on the neck have been reported in the literature. To the authors knowledge, our case of calcifying aponeurotic fibroma occurring on the chin is the first to be reported.

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    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  9. [국내논문]   지선모반에서 발생한 결합조직형성 모종  

    심형섭 (가톨릭대학교 의과대학 성형외과학교실 ) , 정성노 (가톨릭대학교 의과대학 성형외과학교실 ) , 권호 (가톨릭대학교 의과대학 성형외과학교실 ) , 임영민 (가톨릭대학교 의과대학 성형외과학교실 ) , 이은정 (가톨릭대학교 의과대학 병리학교실)
    大韓成形外科學會誌 = Journal of the Korean society of plastic and reconstructive surgeons v.35 no.1 = no.158 ,pp. 106 - 108 , 2008 , 1015-6402 ,

    초록

    Purpose: Desmoplastic trichilemmoma is a rare variant of trichilemmoma. Histologically, it has a typical characteristic of trichilemmoma with epithelium of central portion and dense fibrous interstitium. There are only 4 reported cases of desmoplastic trichilemmoma arised in a nevus sebaceus, so we present a case of desmoplastic trichilemmoma arised in a nevus sebaceus with literature review. Methods: A 46-year-old female was clinically diagnosed as nevus sebaceous on left side of the forehead. Considering the facial contour, the mass was totally excised elliptically and direct closure was feasible with undermining subcutaneous layer. Results: Pathology report confirmed desmoplastic trichilemmoma developed from a nevus sebaceus and all tumor margins were negative. There were no evidences of tumor recurrence after surgical treatment. Conclusion: Desmoplastic trichilemmoma developed from a nevus sebaceus is a very rare tumor. Variant tumors can be developed from nevus sebaceus, so surgeon should be cautious in excising the mass totally and confirm the final pathology report.

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  10. [국내논문]   Thermo-splint를 이용한 불안정한 관골궁골절에 대한 효과적인 고정방법  

    김순흠 (건국대학교 의학전문대학원 성형외과학교실 ) , 이수향 (건국대학교 의학전문대학원 성형외과학교실 ) , 최현곤 (건국대학교 의학전문대학원 성형외과학교실 ) , 신동혁 (건국대학교 의학전문대학원 성형외과학교실 ) , 엄기일 (건국대학교 의학전문대학원 성형외과학교실 ) , 송우철 (건국대학교 의학전문대학원 해부학교실)
    大韓成形外科學會誌 = Journal of the Korean society of plastic and reconstructive surgeons v.35 no.1 = no.158 ,pp. 109 - 114 , 2008 , 1015-6402 ,

    초록

    Purpose: The objective of this study is to propose an effective management of unstable zygomatic arch fracture. The reduction methods of arch fracture were relatively simple but the maintenance of reduction state is very troublesome. On this, authors introduce an effective management method of unstable zygomatic arch fracture. Methods: Authors experienced 23 cases of unstable segmental zygomatic arch fractures and used Thermo- splint in all cases. All the arch fractures were reduced through Gillies' approach under the general anesthesia. After the reduction, the most effective suspension points were marked on the covering skin of the fractured arch. A needle of heavy nonabsorbable suture material was inserted toward the marking site under the reduced zygomatic arch. And then Therm-splint was dipped in the hot water, and we got the splint pattern of patient face. Reshaped Thermo-splint was trimmed and fixated with previous suspension suture materials. More additive suspension was done if necessary. The splint was applied for in two to three weeks postoperatively. Results: In all the cases, good cosmetic and functional results were observed without severe complications. There were 4 cases of incomplete reductions but they also had no specific problems. There were no facial nerve symptom and scar(stitch mark). Postoperative slight tenderness and trismus were completely subsided after removal of the splint. Conclusion: The Thermo-splint safely protect and maintain the postoperative reduction state. The application, maintenance and removal were easy and simple. It could be reformed to any contour of face and had enough rigidity for supporting. Above all these things, effective prevention of displacement and easy manipulation were significant merit. Authors experienced good results with Thermo-splint, and would introduce it for another method of management of zygomatic arch fracture.

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