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A MODIFICATION OF THE MICHELET TECHNIQUE FOR SLIDING HORIZONTAL OSTEOTOMY: A CASE REPORT
Lee,Jin Gew,Davis Ⅲ,Isaac E.,Swift,James Q. 大韓顎顔面成形再建外科學會 1994 Maxillofacial Plastic Reconstructive Surgery Vol.16 No.2
Ⅲ 앞 턱 부위가 짧고 후방으로 위치해 있을 때 턱의 높이를 증가시키고 전방으로 돌출시키는 축조 이부성형술의 방법으로는, 매식체 삽입술, 골 절단술, 골 전제술 또는 이들을 동시에 시행하는 혼합술등이 행해져 왔다. 그러나 매식체 삽입술에서는 감염 또는 매식체의 유동성 등의 합병증의 발병이 빈발하고 매식체의 밑 부위에 골이 흡수된다든지 연조직의 변화를 예측하기 어렵다든지 하는 복잡한 문제점들이 종종 보고되고 있다. 따라서 매식체를 이용하지 않는 골 절단술이나 골 절제술만을 이용한 다양한 방법의 이부성형술이 많이 시행되고 있다. 하악골이 전후방 관계로 발육부전인 환자에게 양측 하악지 시상분할술을 시행하여 전방 이동시킨 후 앞 턱의 위치를 좀더 개선하기 위하여 Michelet 테크닉의 변형법을 이용한 이부성형술을 추가로 시행하였다. 이 방법의 이부성형술은 턱의 수직적, 수평적 길이를 증가시키기 위하여 하악결합면 부위에 장부와 장붓구멍 모양을 한 골 절단술을 시행하고 광범위한 연조직경을 보존하여 골편으로의 혈류 차단을 최소화하였으며 나사를 이용한 견고한 고정을 용이하게 하였다. 이 술식은 턱을 수직적으로 증가시킬 때 두 골편 사이의 공간에 골 이식을 시행할 필요가 없으며, 금속판을 이용하지 않아도 정확한 위치에 골편을 고정하기가 용이하고, 또한 고정용 나사가 향후 골형성 부위에 위치하게 된다는 장점을 경험하게 되어 이에 한 증례를 보고하는 바이다.
궤양성 대장염환자에서 Ileal Pouch-Anal Anastomosis 수술후 관절염과 함께 발생한 회장낭염
최태진(Tae Jin Choi),이규춘(Gew Chun Lee),윤광수(Kwang Soo Yoon),김효종(Hyo Jong Kim),동석호(Seok Ho Dong),김병호(Byoung Ho Kim),이정일(Joung Il Lee),장영운(Young Woon Chang),이기형(Kee Hyung Lee),장린(Rin Chang) 대한소화기학회 1996 대한소화기학회지 Vol.28 No.1
Although the etiology of pouchitis after ileal pouch-anal anastomosis(IAPP) is as yet incomplete, an anecdotal relationship between pouchitis and extraintestinal manifestations has been previously reported. This relationship may indicate that the pathophysiologic mechanism underlying pouchitis provokes a systemic response similar to that which occurs in response to chronic ulcerative colitis. We report a patient in whom pouchitis was accompanied by arthritis which had developed for the first time during the postoperative period following IPAA. This case is consistent with the existing literature which supports the recurrence of inflammatory bowel disease as etiology of pouchitis. (Korean J Gastroenterol 1996;28: 137 - 142)
Necessity of adjuvant concurrent chemo-radiotherapy in D2-resected LN-positive gastric cancer
Yu, Jeong Il,Lim, Do Hoon,Lee, Jeeyun,Kang, Won Ki,Park, Se Hoon,Park, Joon Oh,Park, Young Suk,Lim, Ho Yeong,Kim, Seung Tae,Lee, Su Jin,Kim, Sung,Sohn, Tae Sung,Lee, Jun Ho,An, Ji Yeong,Choi, Min Gew Elsevier 2018 Radiotherapy and oncology Vol.129 No.2
<P><B>Abstract</B></P> <P><B>Background and purpose</B></P> <P>To investigate the role of adjuvant concurrent chemo-radiotherapy (CCRT) by analyzing the outcomes of adjuvant CCRT versus chemotherapy alone (CA) in patients with D2-resected gastric cancer with lymph node (LN) metastasis.</P> <P><B>Materials and methods</B></P> <P>Patients with gastric cancer from the institutional registry who underwent curative D2 and R0 resection from December 2004 to January 2013 followed by adjuvant CCRT or CA and demonstrated pathologically confirmed LN metastasis without distant metastasis were included in the study.</P> <P><B>Results</B></P> <P>A total of 1633 patients were included (909 patients in the adjuvant CCRT group and 724 patients in the CA group), and median follow-up was 65.4 months (range, 3.9–141.7 months). There was a significant difference in age (<I>p</I> < 0.0001), Lauren’s classification (<I>p</I> = 0.02), number of LN metastases (<I>p</I> < 0.0001), and pN stage (<I>p</I> < 0.0001) between the CCRT and CA groups.</P> <P>During follow-up, recurrence was detected in 419 (25.7%) of patients overall, 236 (26.0%) in the CCRT group, and 183 (25.3%) in the CA group. Recurrence-free survival (RFS) was not significantly different between the CCRT and CA groups in univariable analysis (<I>p</I> = 0.92). After adjustment, pT/pN stage and perineural invasion showed statistical significance in multivariable Cox regression analysis; however, RFS was significantly higher in the CCRT group (<I>p</I> = 0.03, hazard ratio 0.801, 95% confidence interval 0.658–0.975).</P> <P><B>Conclusions</B></P> <P>The adjusted RFS was significantly higher in the CCRT group than the CA group in patients with D2 resected LN metastatic gastric cancer.</P>
Park, Young-Wook,MIN, Byung-Il,Lee, Jin-Gew 大韓顎顔面成形再建外科學會 1991 Maxillofacial Plastic Reconstructive Surgery Vol.13 No.1
반안면왜소증이란 제1및 제2새궁에서 유래되는 기관에 결손이 옴으로써 초래되는 안면기형을 일컫는 것으로 선천성 악안면기형 중 순열 및 구개파열 다음으로 빈발하는 질환이다. 결손부는 하악골을 포함한 안면골의 여러 부위와 안면근 및 저작근, 뇌신경, 이개등여러 부위에 다양하게 나타나며, 그 기형의 발현 정도도 아주 다양하다. 본 교실에서는 안면비대칭과 교합부진을 주소로 내원한 20세된 남자환자에 있어서 먼저 경조직을 바로잡기 위하여 상ㆍ하악골에 대한 악교정수술과 onlay골이식을 시행한 후, 남아있는 연조직 결손부에 대하여 진피-지방이식을 시행하여 심미적으로 만족할만한 결과를 얻었기에 보고하는 바이다. Hemifacial microsomia is a term used to describe a facial anomalies caused by the defect of anatomic structures originated from the first and the second branchial arches. The defect area encompasses some facial areas including mandible, facial muscles, maticatory muscles, cranial nerves, auricles, etc, and the degree of manifestations of the anomalies is extmely diverse. A 20-year-old man complaining of facial asymmetry and malocclusion visited our hospital. An orthognathic surgery was performed for the correction of hard tissue anomalies and then autogenus dermis-fat autotransplantation was done for the improvement of remaining soft tissue defect. The result was esthetically good and the case was presented here.
Kim, Youjin,Kim, Kyoung-Mee,Choi, Min Gew,Lee, Jun Ho,Sohn, Tae Sung,Bae, Jae Moon,Kim, Sung,Lee, Su Jin,Kim, Seung Tae,Lee, Jeeyun,Park, Joon Oh,Park, Young Suk,Lim, Ho Yeong,Kang, Won Ki,Park, Se Ho The Korean Gastric Cancer Association 2018 Journal of gastric cancer Vol.18 No.4
Purpose: We aimed to discuss the roles of radiation and chemotherapy as adjuvant treatment in patients with staged IB GC who were enrolled in the adjuvant chemoradiotherapy in stomach tumors (ARTIST) trial. Materials and Methods: Among the 458 patients who were enrolled in the ARTIST trial, 99 had stage IB disease. The patients were randomly assigned to receive either adjuvant chemoradiotherapy with capecitabine plus cisplatin (XP, n=50) or chemoradiotherapy (XPRT, n=49). Survival analyses were performed in accordance with the AJCC 2010 staging system. Results: According to the AJCC 2010 system, stage migration from IB to II occurred in 71% of the patients; 98% of the T2 N0 cases were reclassified as T3 N0, and 42% of the T1 N1 cases were reclassified as T1 N2. When comparing survival outcomes between the XPRT and XP arms for stage IB cancer (AJCC 2002), no significant difference in 5-year disease-free survival (DFS) between the 2 arms was found. (median 5-year DFS, not reached, P=0.256). The patients classified as having stage IB cancer (AJCC 2002) and reclassified as having stage II cancer (AJCC 2010) exhibited worse prognoses than those who remained in stage IB, although the difference was not statistically significant (5-year DFS rate, 83% vs. 93%). When we compared 5-year DFS in 70 patients with stage II (AJCC 2010), the addition of radiotherapy to XP chemotherapy did not show better outcome than XP alone (P=0.137). Conclusions: The role of adjuvant chemoradiotherapy in the treatment of stage IB GC (AJCC 2002) warrants further investigation.
Computed tomography in the diagnosis of masticator space infection: report of cases
김규식(Kim Kyoo Sik),민병일(Min Byong Il),이진규(Lee Jin Gew) 대한구강악안면외과학회 1990 대한구강악안면외과학회지 Vol.16 No.4
저작근극은 심경근막의 표재성 층이 분지하여 4개의 저작근-측두근, 교근, 내측 익돌근, 외측 익돌근-과 하악골체의 후방 및 하악지를 둘러싸게 됨으로써 형성되는 부분을 말한다. 여기에는 소성 결합 조직과 지방이 포함되어 있어 치성 감염의 위험성을 내포하고 있다. 저작근극 감염은 하악 대구치-특히 제3대구치-의 감염에 의한 경우가 가장 많다. 그 외에도 하치조 신경의 전달 마취시에 생길 수 있는 감염, 하악골에 대한 외상 등이 저작근극 감염을 일으킬 수 있다. 저작근극 감염의 특징적 증상으로는 아관긴급, 동통 및 종창 등을 들 수 있다. 아관긴급은 대개 교근 및 내측 익돌극에 대한 자극에 의해 발생한다. 전산화 단층촬영 사진은 다음과 같은 상을 보여 주어 저작근극 감염의 정확한 진단 및 처치에 결정적 도움을 줄 수 있다. 1) 단순한 염증 변화의 존재 2) 골수염의 존재 3) 다른 극으로의 다발적 병발 4) 농의 존재 및 위치
김규식(Kim Kyoo Sik),전주홍(Jeon Ju Hong),이진규(Lee Jin Gew) 대한구강악안면외과학회 1988 대한구강악안면외과학회지 Vol.14 No.1
Pleomorphic adenoma is usually of long duration, and presents as a single nodule that is not fixed to the overlying skin or mucous membrane. It grows slowly and is usually asymptomatic. As the name indicates, pleomorphic adenoma is a tumor with a various microscopic picture. A wide surgical excision of the tumor is the recommended treatment. Pleomorphic adenomas are the most persistent of all benign salivary gland neoplasms with a high recurrence rate of 5% to 30%. Although this tumor does not metastasize, but on rare occasion it will terminate in a malignant behaviors like an adenocarcinoma. Author reviewed 65 patients of pleomorphic adenoma at Dept. of Oral and Maxillofacial Surgery, SNUDH during the period from Jan. 1978 to Mar. 1988, and the following results were obtained. 1. The incidence of the tumor was highest between the age of 30 and 60, and affected 45 women and 20 men, suggesting the possibility of high incidence in women. 2. The originating sites of tumor in order were hard palate with 21 patients (32.3 %), hard and soft palate with 15 patients (23.1 %), soft palate with 14 patients (22 %), cheek with 8 patients (12.8 %), and 7 patients from other places, (palate: cheek=50:8) 3. Although the size of the tumor was variable, the incidence was highest between 1㎝ and 3㎝ (60.7 %). 4. 6 cases (9.3 %) were CPAs (carcinoma ex pleomorphic adenoma) among 65 cases. 5. The duration of the most cases exceeded several months and it seemed most patients would not have consulted the doctor soon after they found it.