건강한 성인에서 감염성 질환 후 발생한 구개누공 치험례

최현남,박진형,한예식,Choi, Hyun Nam,Park, Jin Hyung,Han, Yea Sik 대한두개안면성형외과학회 2012 Archives of Craniofacial Surgery Vol.13 No.1

Purpose: In rare cases, infectious disease can become the cause of palatal fistula as it usually occurs in immunocompromised patients. We are reporting this case because we have successfully reconstructed palatal fistula occurring due to infectious disease in a healthy adult. Methods: A 62-year-old female patient had visited our hospital with a palatal hole that had occurred after suffering from a severe febrile disease. An oro-nasal fistula measuring $1.5{\times}1.3cm$ has been observed in the junction of the soft palate and hard palate, and is presumed to be caused by an infectious disease according to the patient's history. It was reconstructed using a hinge flap and a mucoperiosteal flap. Results: For 6 months, no recurrence or complications had been observed. The post operative patient was satisfied with the improvement in nasal speech and fluid regurgitation. Conclusion: We reported this case since we had obtained a functionally satisfactory result by reconstructing the palatal fistula due to infectious disease in a healthy adult.

가토의 하복부 축성 피판의 생존 예후 평가를 위한 컴퓨터 적외선 체열 감지기의 유용성

최현남,박진형,한예식,김신락,김한결 고신대학교(의대) 고신대학교 의과대학 학술지 2013 고신대학교 의과대학 학술지 Vol.28 No.2

Objectives: Monitoring viability of flap is important. The flap survival depends on the vascularity of the flap, on which the skin temperature depends. The authors applied digital infrared thermographic imaging (DITI) for monitoring the vascular supply of the flap and for the prediction of the prognosis of the flap survival. Methods: Eight male New Zealand white rabbits with average weight of 3kg were used. A 10 x 10 cm unipedicled fasciocutaneous island flap was elevated based on the left superficial inferior epigastric vessel. The surface temperatures on designed flap were checked with DITI for 24 hours after the operation. On 14th day after the operation, the surviving area was measured and compared with DITI image which was taken on 24 hours after the operation using digital analysis software ImageJ. Statistical analysis was evaluated by paired T-test Results: On DITI image 24 hours after the flap elevation, distal portion of the flap showed remarkable color change. The average percentage and the standard deviation of the survival area of the flap which is predicted by DITI and the average percentage and the standard deviation of the survival area of the flap which was actually measured 2 weeks after flap elevation were 55.3 (16.6), 56.2 (18.0), respectively. This shows no significant difference between the two. Conclusions: This study shows that DITI system could be used in evaluation of flap vascularity with ease, quickness and safety for patient and flap. Thus, it could be used clinically for the prediction of flap survival.

The Effect of Platelet-Rich Plasma on Survival of the Composite Graft and the Proper Time of Injection in a Rabbit Ear Composite Graft Model

최현남,한예식,김신락,김한결,김현,박진형 대한성형외과학회 2014 Archives of Plastic Surgery Vol.41 No.6

Background: Administration of growth factors has been associated with increased viabilityof composite grafts greater than 1-cm in diameter. Platelet-rich plasma (PRP) contains manyof the growth factors studied. In this study, we evaluate the effect of PRP injection oncomposite graft viability and the proper time for injection. Methods: A total of 24 New Zealand White rabbits were divided into four groups. AutologousPRP was injected into the recipient sites three days before grafting in group 1, on the day ofgrafting in group 2, and three days after grafting in group 3. Group 4 served as control withoutPRP administration. Auricular composite grafts of 3-cm diameter were harvested and graftedback into place after being rotated 180 degrees. Median graft viability and microvessel densitywere evaluated at day 21 of graft via macroscopic photographs and immunofluorescent staining,respectively. Results: The median graft survival rate was 97.8% in group 1, 69.2% in group 2, 55.7% ingroup 3, and 40.8% in the control group. The median vessel counts were 34 (per ×200 HPF)in group 1, 24.5 in group 2, 19.5 in group 3, and 10.5 in the control group. Conclusions: This study demonstrates that PRP administration is associated with increasedcomposite graft viability. All experimental groups showed a significantly higher survival rateand microvessel density, compared with the control group. Pre-administration of PRP wasfollowed by the highest graft survival rate and revascularization. PRP treatments are minimallyinvasive, fast, easily applicable, and inexpensive, and offer a potential clinical pathway tolarger composite grafts.

The Effect of Weight-support Treadmill Training on the Balance and Activity of Daily Living of Children with Spastic Diplegia

최현진,남기원 대한물리치료학회 2012 대한물리치료학회지 Vol.24 No.6

Purpose: This is designed to study the effect of weight-support walking training through motor learning on motor functions of children with cerebral palsy, in particular their activity of daily living and balance. Methods: Thirteen children with spastic cerebral palsy, at gross motor function classification system (GMFCS) levels III~IV, underwent treadmill walking training. It used principles of weight support, 4 times a week for 7 weeks, 10 minutes at a time, before and after neurodevelopmental physical therapy. Everyday functions were measured using Functional Independence Measure for Children (Wee-FIM). The ability to keep their balance was measured using electronic measuring equipment from good balance system and the assessment was made before and after the experiment. Results: There were significant differences (p<0.05) between pre and post experiment levels of functional independence in everyday life, in self-care activities, mobility, locomotion and social cognition. With regard to changes in standing balance, there were significant differences before and after the experiment (p<0.05) in GMFCS level III. There was a reduction in the agitation velocity in the x- and y-axes which measures the left-to-right shaking; in GMFCS level IV, velocity moment was reduced. Conclusion: Walking training using a treadmill can help improve the everyday activity and balance in children with spastic cerebral palsy. It can also be served as a useful purpose as a method of intervention in pediatric care.

척추측만과 족부의 상관관계 연구

최현임,최홍윤,박흥기,송주영,권영실,남기원,송주민,이윤섭,최진호,김진상,Choi, Hyun-Im,Choi, Hong-Yun,Park, Hung-Ki,Song, Ju-Young,Kown, Young-Shil,Nam, Ki-Won,Song, Ju-Min,Lee, Yun-Seob,Choi, Jin-Ho,Kim, Jin-Sang 대한물리치료학회 2001 대한물리치료학회지 Vol.13 No.2

The object of this thesis is to study the correlation between scoliosis and foot in a theoretical and empirical method. My research process was investigated for 34 students on the forward bending test, foot printer test, feedoscope test, X-ray test and so on. The main results of this study were as follows: 1. There was statistical significance on the correlation between foot length and spine length. 2. Scoliosis angle is the smallest on the pes plannus group and the biggest on the pes cavus group without statistical significance. 3. Left lumbar curve is the smallest, and right thoracic spine curve is the biggest on the left foot pattern group with statistical significance. 4. On the foot weightbearing groups, there was statistical significance both of between left and right foot groups. 5. There was no statistical significance on the t-test analysis between left foot area and right foot area according to scoliosis typology.

The Effects of a Horseback Riding Simulation Exercise on the Spinal Alignment of Children with Cerebral Palsy

최현진,김기종,남기원 대한물리치료학회 2014 대한물리치료학회지 Vol.26 No.3

Purpose: The purpose of this study is to examine the effects of postural control training using a horseback riding simulation onthe spinal alignment of children with cerebral palsy. Methods: This study was conducted with 30 children with cerebral palsy at levels Ι∼ IV in the Gross Motor FunctionClassification System (GMFCS), and they were randomly divided into a control group and a hippotherapy group. Both thecontrol group and the experimental group received NDT for 30 minutes per session, four times per week for ten weeks, whilethe experimental group also received hippotherapy 15 minutes per session, four times per week for ten weeks, after theneurodevelopmental treatment (NDT). The horseback riding simulators (JOBA, EU7805, Panasonic) used in this study simulatedactual horse movements. Trunk imbalance, pelvic torsion, and pelvic tilt were measured in each group before the exercise and fiveweeks and ten weeks after the beginning of the exercise using a spinal structure analysis system (ABW Mapper). Results: The Intra-group effects on trunk imbalance, pelvic torsion, and pelvic tilt according to the exercise periods after thehippotherapy were tested, and the results showed significant interaction effects between the groups and the periods (p<0.05). Conclusion: The horseback riding simulation exercise was shown to be effective for the spinal alignment of children with cerebralpalsy. Therefore, additional studies should be conducted with more children with CP divided by type.

승마운동이 뇌성마비 아동의 정적 균형에 미치는 영향

최현진,남기원,Choi, Hyun-Jin,Nam, Ki-Won 대한물리치료학회 2014 대한물리치료학회지 Vol.26 No.4

Purpose: The purpose of this study is to examine the effects of using a horseback riding simulation on static balance in children with cerebral palsy. Methods: This study was conducted with 30 children with cerebral palsy at levels I~IV in the Gross Motor Function Classification System (GMFCS), who were randomly divided into a control group and a hippotherapy group. Both the control group and the experimental group received NDT for 30 minutes per session, four times per week, for ten weeks, while the experimental group also received hippotherapy, 15 minutes per session, four times per week, for ten weeks, after the neurodevelopmental treatment (NDT). The horseback riding simulators JOBA (JEU7805, Panasonic, 일본) used in this study simulated actual horse movements; static balance was measured in each group before the exercise and five weeks and ten weeks after the beginning of the exercise using a pedoscan system (Diers Pedo, Germany). Results: The intergroup effects on static balance were tested, and the results showed no significant differences (p<0.05). Conclusion: The horseback riding simulation exercise was shown to be effective for the static balance of children with cerebral palsy. Therefore, additional studies should be conducted with more children with CP divided according to type.

월악산 용하계곡 굴참나무림의 유기탄소 분포 및 수지

남궁정 ( Gung Jeong Nam ),최현진 ( Hyeon Jin Choi ),한아름 ( A Reum Han ),문형태 ( Hyeong Tae Mun ) 한국환경생물학회 2008 환경생물 : 환경생물학회지 Vol.26 No.3

인발시험에 의한 지오그리드 보강토의 마찰특성

주재우,한호남,최경호,최현기 대한토목학회 1997 대한토목학회 학술발표회 논문집 Vol.1997 No.3

Regional Analysis of Soft Tissue Thickness on Korean Buttocks and Application to Fasciocutaneous Flap Design

김도엽,최현남,박진형,김신락,김현,한예식 대한성형외과학회 2014 Archives of Plastic Surgery Vol.41 No.2

Background: Various shapes and designs of the gluteal artery perforator flap have been used for treating sacral pressure sores and reconstructing breasts. To establish the ideal fasciocutaneous flap design for use in the gluteal area, the soft tissue thickness distribution was measured. Methods: Twenty-one buttocks of adult Korean cadavers were analyzed through rectangular subfascial dissection. Each buttock was divided horizontally into 10 sections and vertically into 10 sections, and then, the thickness at the corners of the sections was measured. For the sake of comparison and statistical verification with living bodies, computed tomography (CT) images of 120 buttocks of patients were randomly selected. Five horizontal sections and 4 vertical sections were made, and the thickness at each corner was recorded. Results: According to the dissection and the CT images, the area with the thinnest soft tissues in the buttock was around the posterior superior iliac spine, close to the sacral area. The thickest area was the superolateral area of the buttock, which was 3.24 times and 2.15 times thicker than the thinnest area in the studies on cadaver anatomy and the CT images, respectively. Conclusions: The thickness of the soft tissues in the buttocks differed by area. The superolateral area had the thickest soft tissues, and the superomedial area had the thinnest. This study includes information on the distribution of the thickness of the gluteal soft tissues of Koreans. The outcome of this study may contribute to the design of effective local flaps for pressure sore reconstruction and free flaps for breast reconstruction.