시상면 병행에 근거한 신개념의 하악상행지 시상분할 골절단술

백진아,이국엽,오향락,고승오,진우정 大韓顎顔面成形再建外科學會 2002 Maxillofacial Plastic Reconstructive Surgery Vol.24 No.6

Sagittal split osteotomy (SSRO) is an indispensable and most popular operation for correction of mandibular deformity. The procedure was considered of bony contact surface and nerve injury in the early stage. The procedure has undergone continuous surgical modifications for condylar displacement, relapse, psychologic analysis, functional & esthetic improvement, fixation method and postoperative evaluation of soft tissue change over time. In this article, we compared the contemporary operation method with new method which was designed through ramal computed tomography. Now we are going to introduce novel conceptual SSRO namely CNU-SSRO designed by Chonbuk National University and suggest the standardization of pre-existed SSRO.

하악지 시상분할 골절단술, 하악지 수직 골절단술, 하악지 기역자 골절단술 악교정술의 비교연구

백진아,이국엽,양명철,고승오,진우정 大韓顎顔面成形再建外科學會 2002 Maxillofacial Plastic Reconstructive Surgery Vol.24 No.6

The orthognathic surgery for esthetic and functional improvement has developed for 150 years. Today, we can expect the better prognosis which is based on the early trial & error and advanced analysis technique. However, conservatism which advocates upholding of traditions and passive changes has been obstacle to scientific modernization as a contemporary co-worker. IVRI, ILRO, IVSRO, IVRO-SSRO, SSRO have been used to orthognathic surgery variously. In this article, we are going to compare IVRO, ILO with SSRO and advocate superiority of SSRO.

내측 안와벽 골절의 처치

백진아,오향락,양명락,고승오 대한악안면성형재건외과학회 2002 Maxillofacial Plastic Reconstructive Surgery Vol.24 No.4

Orbital blowout fractures most often occur following blunt trauma to the periobital region. Medial orbital wall fracture first occur at the weakest point of the orbital wall, lamina papyracea of the ethmoid. Medial orbital wall fractures are isolated or combined type with nasal bone, orbital floor, zygoma, ethmoid and frontal bones. Clinical features of the medial orbital wall fractures include periobital edema and ecchymosis, subcutaneous emphysema, epistaxis, limitation of ocular motion, diplopia, and enophthalmos. Goals of treatment in medial orbital wall fracture are reduction of herniated orbital soft tissues and complete reconstruction of orbital wall. We have experienced patients with isolated medial orbital wall fracture and reconstructed medial orbital walls with Medpor and obtained good results.

하악 전돌증 환자에서 악교정 수술전후의 하악 과두각의 변화에 관한 연구

백진아,오향락,신효근 全北大學校 齒醫學硏究所 1993 전북치대논문집 Vol.11 No.1

The main purpose of the surgical correction of dentofacial deformity is to improve esthetic appearance and masticatory functions. In this study, changes in intercondylar width (ICW) and condylar angulation that occurred following bilateral sagittal split osteotomy and mandibular setback were documented and examined using submentovertex radiography. Also, ICW and condylar angulation of patients group were compared with normal control group. Twenty normal adults and sixteen patients were involved in this study. The results were obtained as follows ; 1. Mean condylar angulation of normal control group (n=20) with normal TMJ function and normal occlusion were 15.96° on Left TMJ and 18.30° on Right TMJ. 2. Mean preoperative condylar angulation of patient group were 17.28° on Lt. TMJ and 18.97° on Rt. TMJ. There was no significant difference between the preoperative condylar angulation (n=16) and normal control group (n=20). 3. Mean postoperative condylar angulation of patient group were 17.88° on Lt. TMJ and 18.97° on Rt. TMJ. There was no significant difference between the pre-and postoperative condylar angulation(P>0.05). 4. Mean ICW of normal control group(n=20) was 107.35㎜ and mean ICW of patient group was 104.28㎜. There was no significant difference between preperative ICW and normal control group. 5. Mean postoperative ICW of patient group was 108.13㎜. There was no significant difference between the pre-and postoperative ICW.(P>0.05) 6. There were no significant differences between pre-and postoperative ICW and condylar angulation of male patients (n=6) and female patients (n=10) groups.

진달래 꽃에 의한 Grayanotoxin 중독 3 례

김아진,김준식,신동운,백광제,한승백,이용주 대한응급의학회 2000 대한응급의학회지 Vol.11 No.3

Traditionally, the Rhododendron species has been used in gastrointestinal disorder or hypertension. Grayanotoxin exists in honey, flowers, pollen, and the nectar of the Rhododenron species. We experienced 3 cases of Grayanotoxin intoxication. The symptoms of intoxication were nausea, vomiting, hypotension, bradycardia, diplopia, dizziness, and chest discomfort. Generally, the treatment for Grayanotoxin intoxication is fluid resuscitation and injection of atropine sulfate. The patients who were intoxicated with Grayanotoxin were discharged without complication after supportive care.

구내 절개법에 의한 악하선 적출

이국엽,진우정,백진아 大韓顎顔面成形再建外科學會 1994 Maxillofacial Plastic Reconstructive Surgery Vol.16 No.4

Surgical removal of the submandibular gland via intraoral approach was performed. The surgical procedure to be used for removal of submandibular gland had been performed via extraoral approach for many centuries. Disadvantages of extraoral technique are the esthetic distress due to an external scar, residual inflammation in Wharton's duct, and neurological complications. Indications of intraoral approach are unlimited in surgical cases of submandibular gland. Advantages of intraoral approach are esthetic satisfaction due to no remaining scars, preservation of adjacent anatomical structures and preservation of lower facial contour. This paper describes the surgical technique of the submandibular gland excision through an intraoral approach and variable incision lines tried. In 7 cases, excellentresults were obtained after removal of the submandibular gland through an intraoral approach.

Kirschner wire를 사용한 과두하 골절의 구강내 접근법

김성일,김승룡,백진아,고승오,신효근 대한악안면성형재건외과학회 2001 Maxillofacial Plastic Reconstructive Surgery Vol.23 No.3

The treatment of mandibular subcondylar fractures is a matter of controversy. The majority of mandibular subcondylar fracture are treated by closed reduction, but the displaced or dislocated mandibular subcondylar fractures may be treated by open reduction. The characteristics of open reduction are the anatomical reduction, the functional restoration, the rapid function, the maintenance of vertical ramus dimension, the better appearance and the less resultant TMJ problem etc. When an open reduction is considered, the wire, miniplate, lag screw and Kirschner wire are available with internal fixation. Of these, Kirschner wire is a simple method relatively and correct positioning of the wire achieves rigid fixation. But many open reduction methods for mandibular subcondylar fractures require extraoral approach. The extraoral approach has some problems, the facial scar and the risk of facial nerve injury. On the other hand, the intraoral approach eliminates the potency of the facial scar and the facial nerve injury, but is difficult to access the operation site. Since the intraoral approach was first described by Silverman (1925), the intraoral approach to the mandibular condyle has been developed with modifications. The purpose of this article is to describe the intraoral technique with the Kirschner wire on mandibular subcondylar fractures. Conclusion : The intraoral reduction with Kirschner wire on mandubular subcondylar fractures avoids the facial scar and facial nerve injury and is simple method to the extraoral approach. And it has minimal morbidity and better esthetics.

선천성 결손치에 관한 임상적 연구

정해경,양연미,김재곤,백병주,정진우,김하나,김미아 大韓小兒齒科學會 2009 大韓小兒齒科學會誌 Vol.36 No.2

The congenital missing of teeth is common, which takes place since the proliferation and differentiation are not allowed in that tooth bud fail to start development. The purpose of this study is to research incidence rate, number, and missing part of congenital missing teeth, and to study whether a person who has missing teeth has other abnormality of teeth or not. For this study, 1,520 subjects(aged 2.9~17) who had visited pediatric dentist department of Chonbuk national university dental hospital within 2 years were examined with an panoramic radiograph ; exempting third molar missing state. The obtained results are as follows. 1. 8.88% among total subjects show missing teeth ; male 9.05%, female 8.64% 2. The most frequently missing permanent teeth were the mandibular second premolars(22.3%). The most frequently missing primary teeth are mandibular lateral incisors(50%). 3. 43.3% patients have one permanent missing tooth, 34.3% have two, and 10.4% have more than six, respectively. In primary teeth, 86.7% patients have one missing tooth, and 13.3% have two missing teeth. 4. 18 patients(13.3%) have missing teeth as well as hyperdontia, while some patients have microdont, ectopic eruption, and fusion teeth. 치아의 선천성 결손은 치배의 발육이 시작되지 못하여 치아의 증식, 분화가 일어나지 못함으로서 발생하는 흔한 치아의 발육 이상이다. 이 연구의 목적은 선천성 결손치의 발생률, 결손치의 수, 발생부위와 결손치 환자에게서 나타난 다른 치아이상의 발생여부를 조사하는 것이다. 본 연구는 2006년 7월부터 2008년 6월까지 전북대학교 소아치과에 내원하여 파노라마를 촬영한 1,520명의 환자(2.9~17세)를 대상으로 제 3 대구치를 제외한 선천성 결손치의 분포를 조사하여 다음과 같은 결과를 얻었다. 1. 전체 1,520명 중 총 8.88%에서 결손치가 관찰되었으며, 남자가 9.05%, 여자가 8.64%에서 결손치가 관찰되었다. 2. 총 350개의 영구 결손치 중 하악 제 2 소구치가 22.3%로 가장 발생률이 높았고, 하악 측절치, 상악 제 2 소구치, 하악 중절치, 상악 측절치 순이었다. 또한 총 18개의 유치 결손치 중 하악 유측절치가 가장 높은 발생률(50%)을 보였다. 3. 1개의 영구치 결손치를 가지는 환자는 43.3%, 2개는 34.3%, 3개는 6,7%, 4개는 1.5%, 5개는 3.7%, 6개 이상은 10.4%이었다. 또한 유치 결손치의 수는 1개는 86.7%, 2개는 13.3%이었다. 4. 결손치가 있는 환자 중 과잉치를 가지는 환자는 18명(13.3%)이 있었으며, 왜소치, 이소맹출, 융합치 등의 치아이상을 지닌 환자도 관찰되었다.

분쇄기에 의한 얼굴 관통창 1례

강진아 ( Jin Ah Kang ),김강호 ( Kang Ho Kim ),백진휘 ( Jin Hui Paik ),홍대영 ( Dae Young Hong ),김지혜 ( Ji Hye Kim ),이경미 ( Kyoung Mi Lee ),김준식 ( Jun Sig Kim ),한승백 ( Seung Baik Han ) 대한외상학회 2006 大韓外傷學會誌 Vol.19 No.1

Penetrating facial wounds are uncommon and are usually life threatening because of the possibility of brain damage. There are three possible pathways for penetrating the cranium through the orbit: via the orbital roof, via the superior orbital fissure, or between the optic canal and lateral wall of the orbit. Brain injuries resulting from the penetrating wounds show extensive parenchymal damage, hemorrhage, and brain edema. Transorbital penetrating wounds can lead to diverse lesions of the optical apparatus, including the eye globe, the optical nerve, and the chiasm. Moreover, intracerebral structures may be hurt, and bleeding and infection may occur. Early diagnosis and prompt debridement are the fundamental factors affecting the outcome of a penetrating facial wound. An 87-year-old man was admitted to the emergency department with a grinder impacted into the medial aspect of the right eye. On presentation, the man was fully conscious with a Glasgow Coma Scale score of 15 and complained of a visual disturbance of the right eye. Computed tomography demonstrated a right orbital medial and inferior wall fracture, a frontal bone fracture, and a contusional hemorrhage in frontal lobe of the brain. A craniotomy with hematoma removal and repair of the orbital floor was done. He showed no neurological deficits except right visual loss. This appears to be the first report of a man with a penetrating facial wound caused by a grinder, who presented with a potentially disastrous craniocerebral injury that did not lead to any serious neurological seguelae. (K Korean Soc Traumatol 2006;19:89-92)

Development of a Standardized Suicide Prevention Program for Gatekeeper Intervention in Korea (Suicide CARE Version 2.0) to Prevent Adolescent Suicide: Version for Teachers

Hyeon-Ah Lee,Yeon Jung Lee,Kyong Ah Kim,Myungjae Baik,Jong-Woo Paik,Jinmi Seol,Sang Min Lee,Eun-Jin Lee,Haewoo Lee,Meerae Lim,Jin Yong Jun,Seon Wan Ki,Hong Jin Jeon,Sun Jung Kwon,Hwa-Young Lee 대한신경정신의학회 2024 PSYCHIATRY INVESTIGATION Vol.21 No.8

Objective The increasing concern over adolescent suicide necessitates suicide prevention training for school teachers, as students spend a significant portion of their time at school. This study’s objective is to develop a suicide prevention program tailored for teachers. Methods The program was developed by a multidisciplinary research team, drawing on a review of both domestic and international sui-cide prevention programs, related scholarly articles, and Korean psychological autopsy interviews of adolescents. This was complemented by a survey of teachers to assess the program’s practicality and usability. Results The developed program comprises three parts, consistent with other versions: Careful Observation, Active Listening, and Risk Evaluation and Expert Referral. Careful Observation focuses on training teachers to recognize verbal, behavioral, and situational warn-ing signs of suicidal ideation in students; Active Listening involves strategies for encouraging students to express their suicidal thoughts and techniques for being an empathetic and attentive listener; Risk Evaluation and Expert Referral provides instruction on how to assess suicide risk and assist students safely. Conclusion It is anticipated that this program will equip teachers with valuable knowledge and skills, contributing to a reduction in ado-lescents suicide rates.