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고기석 건국대학교 의과학연구소 1994 건국의과학학술지 Vol.4 No.-
뇌와 전두골의 안와부분을 제거한 한국인 성인시체의 안와 80쪽에서 뒤사골동맥, 뒤사골신경, 앞사골동맥, 앞사골신경을 수술현미경을 이용하여 해부하고 조사하였다. 뒤사골동맥과 앞사골동맥이 이는 부분과 이는 양상, 동맥과 신경이 안와의 내측에 위치한 근육들과의 위치관계, 동맥들의 근융가지를 조사하여 다음의 결과를 얻었다. 1) 뒤사골동맥은 대부분 눈동맥에서 일었으나 (97.5%), 눈물샘동맥과 안와위동맥에서 이는 경우도 각각 1.3%씩 나타났다. 뒤사골동맥은 79.7%에서 근육가지를 냈으며 근융가지는 위경사근에 가장 많이 분포하여 67.1%가 분포하였고 위눈꺼풀올림근(17.7%), 내측곧은근(12.7%), 위곧은근(7.6%)의 순서로 가지를 냈다. 또한 뒤사골동맥은 대부분(91.1%)에서 위경사근의 위를 지나 뒤사골구멍으로 들어갔으며 위경사근과 내측곧은근 사이로 지나는 것은 8.9%였다. 위경사근의 위를 지나는 뒤사골동맥 중에서 도르래신경의 위를 지나는 것은 81.9%, 도르래신경과 위경사근의 사이를 지나는 것은 16.7%였다. 2) 앞사골동맥은 모두 눈동맥에서 일어났으며 근육가지를 가지고 있는 것은 18.8%였다. 근육가지는 위경사근으로 가는 가지가 17.5%, 내측 곧은근으로 가는 가지가 1.3%였다. 앞사골동맥은 90.0%에서 위경사근과 내측곧은근 사이를 지나 앞사골구멍으로 들어갔으며 위경사근의 위를 지나는 것은 8.8%였다. 3) 뒤사골신경은 전체 안와의 20%에서 존재하였다. 뒤사골신경 중에서 위경사근과 내측곧은근 사이로 지나는 것이 62.5%, 위경사근의 위를 지나는 것이 31.3%였다. 4) 앞사골신경은 모든 안와에서 위경사근과 내측곧은근 사이를 지났다. (이 연구를 위해 연구재료를 제공해 주시고 많은 조언을 주신 연세대학교 의과대학 해부학교실 정인혁 교수님께 깊은 감사를 드립니다.) I investigated the ethmoidal arteries and nerves in 80 orbits from male an female Korean adult cadavers by microsurgical dissection after the brain and orbital plate of the frontal bone had been removed, The mode of origin, position relative to the medial extraocular muscles, and supplying muscles were studied. The results were as follows. In usual, the posterior ethmoidal artery arised from the ophthalmic artery(97.5%), but 3% from the lacrimal and 1.3% from the supraorbital. In present study, 79.7% of posterior ethmoidal arteries showed muscular branches, The artery supplied superior oblique(67.1%), the levator palpebrae superioris(17.7%), the medial rectus(12.7%), and the superior rectus(7.6%). And the course of the posterior ethmoidal artery was superior to the superior oblique in 91.1% and between the superior oblique and medial rectus in 8.9%. The artery passing above the superior oblique crossed superior oblique and medial rectus in 8.9%. The artery passing above the superior oblique crossed superior to the trochlear nerve in 81.9% and between the trochlear nerve and superior oblique in 16.7%. The origin of the anterior ethmoidal artery was ophthalmic artery(100%). The anterior ethmoidal artery gave out muscular branches(18.8%) to the superior oblique in 17.5% and to the medial rectus in 1.3%. And this artery entered the anterior ethmoidal canal by passing between the superior oblique and medial rectus in 90.0% and superior to the superior oblique in 8.8%. The posterior ethmoidal verve was present in 20.0%. In which, the incidence of the nerve crossed between the superior oblique and medial rectus was 62.5% and that crossed superior to superior oblique was 31.3%. All observed anterior ethmoidal nerves passed between the superior oblique and medial rectus.
서혜부 유리 피판술을 이용한 Romberg씨 질병의 치험
안덕균,김준범,최은정,강동구,최재구 건국대학교 의과학연구소 1993 건국의과학학술지 Vol.3 No.-
본 건국대학교 의과대학 성형외과학 교실에서 Romberg씨 질병으로 좌측의 안면 함몰을 주소로 내원한 여자 환자 1례에서 탈상피화시킨 서혜부 유리 피판술을 시행하여 좋은 결과를 얻었기에 이에 문헌 고찰과 함께 보고하는 바이다. Romberg's disease is progressive hemifacial atrophy, which begins before the age of 20-years, affecting the subcutaneous tissue and skin with later involvement of the muscle and osteocartilagenous frame work. The disease may be heralded by pigmentary changes of the hair, skin, or iris. When present, atrophy may originate from the cutaneous stigmata and may become so sharply delimited by the midline. There are a number of methods to correct the soft tissue deformity of the face. We had experienced 22-year old female patient who had a moderate soft tissue atrophy on the left side of the face. The patient was treated with a de-epithelized groin free flap. Superficial circumflex iliac vessels were used as donor pedicle and the superficial temporal vessels were recipient vessel. Initially moderate bulkiness was noted but after 6 months follow-up period the external contour was good and the patient satisfied. A case presentation and review of literatures are the basis of this report.
조성일,최진영,김보경 건국대학교 의과학연구소 1999 건국의과학학술지 Vol.9 No.-
To develop a proper model of block lecture as an educational program, we surveyed the educational environments and problems in Konkuk University Medical College(KUMC). The major findings were as follows; 1. There is no significant differences in ratio of lecture/laboratory hour between KUMC and average of medical colleges in Korea. 2. The total lecture time is higher(138%) in KUMC than the minimal lecture time(1204 hrs) for basic medical science in the guideline of the Korean Medical Association(KMA). 3. The real lecture hours was 2,184 hrs for 4 years that is less than the time(2786 hrs) reported to Council of Korean Medical Dean. 4. The time estimated for block lecture in all course at KUMC is 1428.5 hrs. 5. A number of specialists(professors) for each course is not sufficient and many courses have to depend on lecture rather than laboratory or clinical bedside working. 6. The professors are separated at three distant sites resulting in inefficient structure. 7. The educational space in the two hospitals is not sufficient for block lecture program. 8. In KUMC at present, 9 courses can be performed with block lecture program, those are Diagnostics, Medical Ethics, Forensic Medicine, Introduction to Biomedicine, Legal Medicine, Emergency Medicine, Community Medicine, Psychiatry, and Pediatrics. And 20 courses need the further investigation to develop block lecture program. More intensive study is needed for 6 courses. From these results, although KUMC needs more space and specialists and needs effective concentration of manpower to perform block lecture, 35 block lectures can be introduced after investigation. And it is suggested that introducing the block lecture system in whole curriculum is not possible at present status of KUMC.