측두근막을 이용한 상순 선천성 반흔 교정 : MINIMAL CLEFT LIP 예보

박철규 大韓成形外科學會 1986 Archives of Plastic Surgery Vol.13 No.1

We have found occasionally a minimal cleft lip defrmity (congenital scar) which has a vertical grooving in the upper lip with a depression of the skin and a lack of continuity of the lateral and medial muscle mass. The minimal cleft also has a slightly wide nostril floor and a vermilion notching. For such a minor degree of the cleft there used to be several opinions about the operative method. If we can repair this minor upper lip deformity without making upper lip skin incision, this method indeed may be perfect answer for this patient. I have treated 11 cases of minimal cleft lip deformity without making a skin incision. I undermined the depressed skin and gathered it into an elevated column and inserted a temporal fascial graft to maintain the skin pocket space. The grafted temporal fascial has maintained the elevated column very well even after about 1 year. I have presented the preliminary operative result of this technique without making skin incision for the correction of minimal cleft lip deformity.

Authorities and Duties of Arbitrators Under the Korean Arbitration Act and the American Arbitration Acts

박철규 韓國仲裁學會 2006 중재연구 Vol.16 No.1

이 논문은 1999년에 전면 개정된 한국의 중재법과 1925년에 제정된 미국의 연방중재법 및 2000년에 제시된 개정통일중재법의 내용 중 중재인의 권한과 의무들에 관한 규정들을 비교 ∙ 분석한 것이다. 우선, 미국 중재법의 기본법이라 할 수 있는 연방중재법은 1925년에 제정된 이래 중재 이슈에 관한 발전들을 담아내지 못한 채 진부한 과거의 법률을 그대로 유지하고 있다. 따라서, 중재인의 권한과 의무에 대해서도 중재판정과 같은 기본적인 권한 규정 외에 중재인의 임시적 처분이나 민사책임의 면제, 고지 의무등 새롭게 진전된 중재 환경의 변화나 논의들이 다루어지지 않고 있다. 그러나, 미국의 통일주법위원전미협의회가 주체가 되어 제시한 2000년의 개정통일중재법은 중재이론이나 케이스의 발전들을 반영하였을 뿐만 아니라, 중재인의 권한과 의무에 대해서도 훨씬 구체적인 규정들을 담아내고 있다. 개정통일 중재법은 중재인의 권한을 개정 이전보다 훨씬 강화하는 대신, 보다 엄격한 윤리적 의무를 부과함으로써 균형을 유지하려 하고 있다. 특히, 중재인의 올바른 중재판정을 이끌어 내기 위해 증거 확보에 있어 보다 강한 절차적 권한을 부여 하고 있는 것이 특징이다. 아울러, 중재인으로 하여금 임시적 처분을 내릴 수 있는 권한을 부여하고 있을 뿐만 아니라, 징벌적 배상을 결정할 수 있게까지 규정하고 있다. 그러나, 중재인의 절차적 권한의 강화는 동법이 의도한 바와는 달리 중재를 재판에 유사한 구조로 만듦과 동시에, 중재의 신속성과 최종성을 해치는 결과를 초래하는 것이 아닌가 하는 우려와 지적을 낳기도 한다. 한편, 한국의 중재법은 중재인의 임시적 처분권한과 고지의무를 규정하고 있지만, 미국의 개정통일중재법과 달리 민사적 책임면제 규정을 두고 있지는 않다. 특히, 한국 중재법에서 중재인은 증거를 수지합기 위하여 당사자의 임의적 협조에 의존하지만, 미국의 개정통일중재법에서는 증거개시제도까지 채택하고, 제3자도 소환할 수 있는 등 중재인의 절차적 권한이 훨씬 강하므로 한국 중재법에서 중재인의 절차적 권한은 미국의 개정통일중재법에서의 그것보다는 훨씬 제한적이다. 한국의 중재를 더욱 실효성 있게 하기 위해서는 중재법에서 중재인의 절차적 권한에 관한 규정을 보완해 주어야 할 것이다. 또 성공적인 중재를 위해서는 중재인의 전문성솨 함께 윤리의식이 중요하므로 상사중재원은 별도의 중재인 윤리규정을 재정해야 할 것이다.

일측성 구순열 비변형에서 저발육된 Pyriform Aperture 교정을 위한 두개골 이식술

박철규,송홍식,김진환 大韓成形外科學會 1991 Archives of Plastic Surgery Vol.18 No.1

General anatomical structures of the unilateral CLN deformity have been well known. Various kinds of operation methods have been applied based on this knowledge. The degree of the unilateral CLN deformity varies depending on individual and type of cleft lip. Therefore, the correction parts and operation methods have to be modified depending on the cases. Hypoplastic pyriform aperture is major external factor which causes the unilateral CLN deformity and, it also causes deformities of alar cartilage and nasal tip, and septal deviation, which has been well explained with the concept of 'Tilted Tripod' by Hogan and Coverse in 1971. The correction of hypoplastic pyriform aperture which tilts nasal tripod gives satisfactory result of symmetric nasal tripod including its base. For the correction of hypoplastic pyriform aperture, autogenous rib bone or iliac bone graft, autogenous cartilage graft, homologous cartilage graft and implant have been used, but scar deformity of donor site, and permanence of implant turned out to be problems. Authors used outer table of calvarial bone graft on 25 patients for the recovery of the collapsed pyriform aperture. Of these, 14 patients were male and 11 were female. The youngest was 5 years of age, the eldest was 30 years, and 7 patients were under 16 years. We performed external rhinoplasty upon the symmetric pyriform aperture corrected with calvarial bone graft and achieved satisfactory results, thus we represent our methods and cases with review of literatures.

박근 근피판과 둔대퇴피판을 이용한 회음부 재건술

김진환,박철규 大韓成形外科學會 1983 Archives of Plastic Surgery Vol.10 No.2

The successful reconstruction of the soft tissue defects in the perineum(external genitalia and perianal area) has long been a very troublesome procedure, because this anatomical region is susceptible to the problems of skin maceration, urinary and fecal contamination, fistulization and infection, leading to delayed or incomplete wound closure. Moreover aften incomplete wound healing with inadequate skin flap there will be a functional deficit in the genitalia and bowel habit. Additionally multiple procedures would be necessary for the perineal reconstruction, even though the ill and debilitated individuals with infected perineal wound need a single staged reconstruction with minimal donor defects. The muscle and myocutaneous flaps can afford a simple, safe, one stage method for reconstruction of such defects in the perineum. We have present 11 cases of perineal soft tissue defect(external genitalia and perianal area) which were repaired by myocutaneous flaps. Among 11 cases were repaired by the gracilis myocutaneous flaps, 3 by the gluteal thigh flaps and 1 by the glutealthigh flap combined with gracilis myocutaneous flap. We will discuss the advantages and disadvantages of these two flaps in the perineal reconstruction.

변형된 측경부 전진피판술을 이용한 익상경 기형의 교정

신명수,박철규 大韓成形外科學會 1991 Archives of Plastic Surgery Vol.18 No.1

Pterygium colli is a congenital malformation characterized by bilateral webbing of the neck extending from the mastoid to the acromion. The etiology of the webbed neck deformity is variable which include chromosomal abnormality, congenital disease and jugular lymphatic obstruction sequence. Aims of the surgical correction is to create a normal neck contour with a symmetrical posterior hairline while avoiding obvious scarring especially on the anterior and lateral neck. We used modified lateral cervical advancement technique for the correction of 3 cases of webbed neck deformity. All scars lie within or along the hairline and extend onto the posterolateral shoulder area. And this modification also provided natural hairine and neck controur. We can avoid tension suture and vertical suture line for the prevention of scar spreading by this medthod. There was no recurrence of neck deformity during 6 month to 2 year follow up period.

두피의 악성 종양의 외과적 치료에 대한 연구

민경원,박철규,송홍식 大韓成形外科學會 1991 Archives of Plastic Surgery Vol.18 No.2

Primary malignant tumors of the scalp may arise from any elements which comprise epithelial, glandular or somatic tissue. Generally, these malignant timors have unique characteristics different from that of other skin cancers found elsewhere. Because of the hairs, detection is often delayed and because of so many unannoying benign skin lesions in the scalp, patients occasionally do not ask for early medical care. However, if appropriate treatment is deferred, tumors may fatally invade adjacent calvarial bone or underlying brain, and reconstruction method is not simple which requires intact bony vault and hairy skin. Authors have experienced 7 cases of basal cell carcinoma, 12 cases of squamous cell carcinoma, 4 cases of malignant melanoma. Except inoperable one case that tumor invades occipital lobe and sagittal sinus, we have performed radical excision and reconstruction which are divided by the following groups according to the depth of invasion. In Group A, radical excision was done on the subgaleal plane and reconstruction is performed with use of local flaps. In Group B, outer table of calvarial bone was removed and scalp was reconstructed with local flaps and skin graft. In Group C, full layer of calvarial bone was removed and cranium was reconstructed with autogenous calvarial bone or rib bone and scalp was reconstructed with local flaps or myocutaneous flap and skin graft. In Group D, neurosurgical excision was added. We have perfomed above surgical treatment in 22 cases with satisfactory results and we will present our cases with brief review of literatures.

근육교정에 의한 일측성 구순열 교정술

김진환,박철규 大韓成形外科學會 1983 Archives of Plastic Surgery Vol.10 No.2

In the unilateral cleft lip, the orbicularis oris muscle has a abnormal position and orientation. The muscle fibers are parallel to the margins of the cleft and inserted to the columlla in normal side and alar base in cleft side. If the orciculars oris muscle is not rearranged to a normal horizontal position, the balanced symmetry of lip motion and natural full thickness contour cannot be achieved. We have described a muscle repair technique which gives emphasis on the anatomcal horizontal repositionig of the orbicularis oris muscle in case of unilateral cleft lip repair and presented the following results after performing 31 cases. 1. The muscle dissection obviously adds the extended surgical trauma to the lip tissue and makes an operative procedure more complicated, but the postoperative course is uneventful as compared with the non-muscle reconstruction method. 2. By overlapping the two muscle flaps the wide muscle contact and union provide sufficient strength for normal function and the overlapping muscle flaps swell up and simulate philtral ridge. 3. By the separated repair of the orbicularis oris marginalis muscle the lower portion of the lip has a smooth full thickness contour. 4. The deformities of the nasal floor and alar base seem to be improved simultaneously by muscle dissection and repair alone. 5. The muscle repair technique has more advantages in case of wide complete unilateral cleft lip with hypoplastic marginal portion. 6. After the muscle reconstruction the secondary deformities seem to need only minor touch for skin distortions.

Al_2O_3를 첨가한 LaFeO_3 박막의 암모니아 가스감지 특성

이복상,조철형,최부천,박기철,마대영,김정규 경상대학교 생산기술연구소 2002 工學硏究院論文集 Vol.2 No.-

LaFeO_3 thin films with 2%, 5% and 10% A1_2O_3 additives were fabricated by r.f. magnetron sputtering method on Al_2O_3 substrates. Structural, electrical and ammonia gas sensing characteristics of the thin films with different heat treatments were examined. From the XRD results, the compound of LaFeO_3 and Al_2O_3 was not found. Thin film with 5% Al_2O_3 additives, heat-treated at 800℃, showed the sensitivities of about 85% for 100ppm ammonia gas at the working temperature of 300℃. The response time to the ammonia gas was several seconds and the thin film showed good selectivity to NH_3 gas.

토끼의 협골궁을 이용한 유경골이식과 유리골이식의 비교연구

장가용,한상훈,정복성,박철규 大韓成形外科學會 1993 Archives of Plastic Surgery Vol.20 No.1

The membranous bone is new used frequently to fill the defect made during the craniofacial osteotmy. The membranous bone is resolved less than the endochondral bone after the free graft, and maintains its greater preportion when it is transfered with its vascular pedicle. It is also known that there is less resorption in the orthotopic graft than in the heterotopic graft. We have stuided the amount of resorption of the orthotopically grafted bone in the vascularized and nonvascularized model. A zygomatic arch of the rabbit was resected completely and was fixed orthotopically using a wire. The contralateral one was resected and fixed with its muscle attachment(masseter). After 8 weeks the animals were sacrificed. The volume of the grafted bone was compared. There 10±2% volume loss in the vascularized modol and 18±4% volume loss in the free graft model with a statistically significant difference(P<0.001). Histologically, in the vascularized graft, primary bony union was observed and the original architecture was preserved well and the periosteal activity way great. The free graft was also healed by bony union except in 1 case. But the architectural irregularity was more prominent in the free graft than in the vascularized graft.

Tuberculosis of Maxillary Bone : A Case Report 증례보고

Park, chul Gyoo,Hwang, Kun Seoul National University 1988 The seoul journal of medicine Vol.29 No.4