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양인석(ln Seok Yang),여환호(Hwan Ho Yeo),김영균(Yong Gyun Kim),이철우(Chul Woo Lee),박인순(In Sun Park) 대한구강악안면외과학회 1994 대한구강악안면외과학회지 Vol.20 No.2
This is a retrospective study on 53 facial bone fracture patients with head injuries treated in Chosun university hospital, Department of Oral & Maxillofacial Surgery and Neurosurgery from Jan. 1991 to Dec. 1992, and the obtained results were as follows. 1. Of the 355 patients with facial bone fractures, 63 patients suffered from head injures(17.7%) and male to female ration was 5.7:1. 2. The most frequently affected was midface area(71%) including zygoma(32%), nasal bone(21%), and maxilla(19%). 3. The age frequency was the highest in the third decade(40%). 4. In the zygomatic fracture, the most frequent site was zygomatic arch area(47%), It was Lefort II type fracture(53%) in the maxilla and symphyseal & body area(66%) in the mandible. 5. The most frequent cause was traffic accidents(66%). 6. The most frequently traumatic sign was closed head injury(46%) involving cerebral contusion, subdural hematoma. Intracerebral hemorrage. 7. The most frequently associated injuries were facial laceration(43%), and other associated injuries included spine injury(17%), whole body contusion(16%), chest injury(13%), extremities injury(9%), abdomen injury(2%). 8. Of 25 patients below drowsy mentation, the mean Glassgow Coma Scale score was 10.8. 9. In the classification of clinical mental state by De Jong, alert state was 31 cases, drowsy state 12 cases, semicoma 7 cases, coma 3 cases. 10. GCS score was low in the patients of craniocerebral injury concomittant with combined midfacial bone fracture. 11. The open reduction to the facial bone fractures was performed in about 8 days after the injury in the 13 of total 25 cases(52%) due to neurosurgical problems. 12. The complications were maloccusion(2 cases), malunion(1 case), nonunion(1 case) and deep space infection(1 case), and the complication rate was 19.2%.
오선영,김수관,류종회,박인순 대한악안면성형재건외과학회 2001 Maxillofacial Plastic Reconstructive Surgery Vol.23 No.2
We described two cases of odontogenic keratocysts of the maxilla. Odontogenic keratocysts (OKCs) are jaw cysts with a proclivity for local invasion and recurrence. Clinically, OKCs are characterized by aggressive, local growth, The diagnosis of mandibular OKC is based on physical examination and plain film radiographic findings. However, histopathological confirmation is required to make the diagnosis with certainty. The molar regions of the mandible and maxilla are the principal primary locations. The maxillary antrum is also a common site. Initial therapy is typically enucleation with or without extraction of the associated teeth. Long-term follow-up is necessary because of the aggressive nature and recurrence rate of OKC.
중·고등학생들의 컴퓨터 사용실태와 VDT 자각증상 연구
정승희,박인순 韓國學校保健學會 2003 韓國學校保健學會誌 Vol.16 No.1
This study is to provide basic data regarding prevention of VDT syndrome by surveying the computer usage and understanding the VDT subjective symptoms. Data collection was done using a structured questionnaire among 617 students in middle and high schools in J city, Chonbuk province from 1 April 2002 to 20 April 2002. Modified and adjusted study tools were used which were based on previous studies on the actual computer usage and the VDT subjective symptoms, and the self-assessment tool for VDT syndrome by Moon et al(1991). Collected data were analyzed by SPSS program. The results were as follows: It showed 97.2% of students in Middle schools and 97.6% in high schools to hold personal computer, 92.2% of middle school students and 84.7% of high school students commonly used computer at home. Communication was the obvious reason to use computer in 55.8% of middle school students and 71.6% of high school students. The mean of the VDT subjective symptoms among students in high schools showed 1.09±69 which higher than that of .80±59 among students in middle schools (t=5.666, p=.000) Musculoskeletal symptom was marked the highest in the scoring of VDT subjective symptoms among students in middle and high schools. The higher grade, The more pocket money, The less breaks or exercise taken during computer use, The more they feel harmful about using computer, The actual time of computer longer than 3 hours per were contributed to the higher score of the VDT subjective symptoms among students. There are suggestions following this study: To establish a systematic preventative program and management regarding the current computer use among students especially in relation to the VDT subjective symptoms. To develop better educational programs for parents regarding time-limit and to create appropriate environment in computer use.
김수관,여환호,김영균,박인순,김용욱,안종모 朝鮮大學校 口腔生物學硏究所 1996 口腔生物學硏究 Vol.20 No.2
Epilepsy has abnormal synchronized electrical activity in the brain. This may be a manifestation of an underlying central nervous system disease. Preoperative evaluation of patient with a epilepsy should know the cause and type of activity and what drugs are being given. We experienced a patient with a tonic-clonic seizure(Grand Mal) and mand-ibular symphysis fracture. Grand mal epilepsy is a generalized and continuous. It is a medical emergency, as adequate ventilation and oxygenation are impossible, and death is inevitable if treatment is not provided. The priority of treatment is establishing the airway and administrating the oxygen. Management of anesthesia in the patient with a epilepsy must include the impact of anticonvulsant drugs on organ function, coagulation, and response to anesthetic drugs.