• 대한두개안면성형외과학회지
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• 제17권3호
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• pp.135-139
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• 2016

Background: The ultimate goal of craniofacial reconstructive surgery is to achieve the most complete restoration of facial functions. A bioabsorbable fixation system which does not need secondary operation for implant removal has been developed in the last decade. The purpose of this study is to share the experience of authors and to demonstrate the efficacy of bioabsorbable mesh in a variety of craniofacial trauma operations. Methods: Between October 2008 and February 2015, bioabsorbable meshes were used to reconstruct various types of craniofacial bone fractures in 611 patients. Any displaced bone fragments were detached from the fracture site and fixed to the mesh. The resulting bone-mesh complex was designed and molded into an appropriate shape by the immersion in warm saline. The mesh was molded once again under simultaneous warm saline irrigation and suction. Results: In all patients, contour deformities were restored completely, and bone segments were fixed properly. The authors found that the bioabsorbable mesh provided rigid fixation without any evidence of integrity loss on postoperative computed tomography scans. Conclusion: Because bioabsorbable meshes are more flexible than bioabsorbable plates, they can be molded and could easily reconstruct the facial bone in three dimensions. Additionally, it is easy to attach bone fragments to the mesh. Bioabsorbable mesh and screws is effective and can be easily applied for fixation in various craniofacial trauma reconstructive scenarios.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제23권3호
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• pp.217-225
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• 2001

Any fracture passing through the socket of a teeth is compounded intraorally, even if the fracture is not displaced and the tooth is firm in its socket. Before the advent of antibiotic therapy the danger of infection in a compounded fracture posed severe problems in treatment. Infection is reduced by antibiotic therapy but prolonged use of antibiotics is not justified in an attempt to save a tooth which might eventually be sacrificed. There is still controversy in the management of third molar in mandibualr angle fracture, particulary in regard to their retention or removal at the time of fracture treatment. So we surveyed the 159 patients who were treated with open reduction of mandibular angle fracture containing third molar in fracture line, and compared with the postoperative infection rate depending on time intervals between injury and operation, eruption state of third molar, non-extraction or extraction of third molar related to eruption state, non-extraction or extraction of third molar related to condiition of third molar and its surrounding periodontium and were to propose treatment guidline of third molar in mandibular angle fracture The results obtained were as follows : 1. There were no statistical significance between the time from injury to operation and postoperative infection. 2. There were no statistical significance between eruption state of third molar and postoperative infection. 3. In case of retention of the third molar, there were no statistical significance between eruption state of third molar and postoperative infection, but in case of extraction, postoperative infection was high rate in complete impacted cases. 4. There were no statistical significance between non-extraction or extraction of third molar and postoperative infection depending on condition of third molar. There are no difference in infection rate statistically according to the time from injury to operation, eruption state and condition of third molar, but retention of third molar revealed lowered infection rate in completely impacted cases. By terms of the manegement of third molar, we should extract or preserve third molar in the line of the mandibular angle fracture according to possibility of infection.

• 한국환경농학회지
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• 제23권3호
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• pp.142-147
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• 2004

Tebuconazole의 안전성 평가를 위한 기초자료를 얻기 위하여 tebuconazole의 처리시기, 처리횟수, 봉지 씌우기(괘대) 및 세척방법에 따른 잔류성을 조사하였다. 수확 전 처리횟수가 3회${\sim}$5회 처리로 증가함에 따라 tebuconazole의 잔류량이 높게 나타났으며, 처리횟수가 동일한 조건에서는 최종 처리 후 경과일수가 길수록 잔류량이 적게 나타났다. 처리횟수 및 최종 처리 후 경과일수가 동일하더라도 최초 약제처리 시기에 따라 잔류량의 차이가 나타나 기상 조건 및 과실의 생육상태에 따른 잔류량 변동 가능성이 시사되었다. 과실 1개당 무게가 $2.5{\sim}7.5\;g$의 범위에서 과실 개체의 크기가 작을수록 높은 잔류량을 보였으며, 잔류성분의 대부분이 과피에 분포하였다. 괘대 과실의 과피에서 무괘대 과실의 과피에 비하여 매우 낮은 잔류량을 보였다. 과육 중의 잔류량은 괘대 포도에서는 검출한계 이하로, 무괘대 포도에는 0.05 mg/kg 수준으로 분포하였다. 세척 전의 잔류량이 0.86 mg/kg 수준인 포도 시료에서는 물에 1분간 침지하고 흐르는 물에 $1{\sim}2$회 세척 시에 잔류량의 약 $25{\sim}67%$가 제거되었으며, 침지처리 후 3회 세척한 시료에서는 검출한계 이하의 잔류량을 보였다. 세제용액에 침지하고 흐르는 물에 세척한 경우에는 물 침지에 비하여 높은 제거효과가 나타났으며, 세척 전 포도 중의 잔류량이 낮을수록 제거효과가 높게 나타났다.

• Applied Microscopy
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• 제25권3호
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• pp.51-62
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• 1995

It has been well known that ischemia and reperfusion injury to skeletal muscle following an acute arterial occlusion causes significant morbidity and mortality. The skeletal muscle, which contains high energy phosphate compounds, has ischemic tolerance. During the ischemia, the ATP is catalyzed to hypoxanthine anaerobically and hypoxanthine dehydrogenase is converted to xanthine oxidase. During reperfusion, the hypoxanthine is catalyzed to xanthine by xanthine oxidase under $O_2$, presence and that results in production of cytotoxic oxygen free radicals. These cytotoxic free radicals, $O_2^-,\;H_{2}O_2,\;OH^-$, are toxic and make lesions in skeletal muscle during reperfusion. The authors perform the present study to investigate the effects of allopurinol, the inhibitor of xanthine oxidase, on reperfused ischemic skeletal muscles by observing the ultrastructural changes of the muscle fibers. A total of 48 healthy Sprague-Dawley rats weighing from 200 g to 250 g were used as experimental animals. Under urethane(3.0mg/kg., IP) anesthesia, lower abdominal incision was done and the left common iliac artery were ligated by using vascular clamp for 1, 2 and 6 hours. The left rectus femoris muscles were obtained at 6 hours after the removal of vascular clamp. In the allopurinol pretreated group, 50mg/kg of allopurinol was administered once a day for 2 days and before 2 hours of ischemia. The specimens were sliced into $1mm^3$ and prepared by routine methods for electron microscopic observations. All preparations were stained with uranyl acetate and lead citrate, and then observed with Hitachi -600 transmission electron microscope. The results were as follows: 1. In 1 hour ischemia/6 hours reperfused rectus femoris muscles of rats, decreased glycogen particles and electron density of mitochondrial matrix and dilated terminal cisternae are seen. In 2 hours ischemia/6 hours repersed rectus femoris muscles of rats, mitochondria with electron lucent matrix, irregularly dilated triad and spheromembranous bodies are observed. In 6 hours ischemia/6 hours reperfused rectus femoris muscles of rats, irregularly arranged myofibrils, and many spheromembranous bodies, fat droplets and lysosome are seen. 2. In 1 hour ischemia/6 hours reperfused rectus femoris muscles of rats pretreated with allopurinol, decreased glycogen particle and dilated cisternae of sarcoplasmic reticulum and triad are observed. In 2 hours ischemia/6 hours reperfused rectus femoris muscles of rats pretreated with allopurinol decreased electron density of mitochondrial matrix and spheromembranous bodies are seen. In 6 hours ischemia/6 hours reperfused rectus femoris muscles of rats pretreated with allopurinol, mitochondria with electron lucent matrix, spheromembranous bodies and dilated cisternae of sarcoplasmic reticulum and terminal cistern are observed. The results suggest that the allopurinol attenuates the damages of the skeletal muscles of rats during ischemia and reperfusion.

• Clinics in Shoulder and Elbow
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• 제4권1호
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• pp.17-23
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• 2001

1990년부터 2000년까지 본원에서 modified Phemister 방법과 cerclage wiring 방법으로 치료하고 1년이상 추시가 가능했던 견봉쇄골관절탈구 환자 24례를 임상적으로 분석하여 다음과 같은 결과를 얻었다. 1. modified Phemister 방법을 시행한 10례에서 우수 8례(80%), 양호 1례(10%), 보통 1례(10%)이었다. 2. Cerclage wiring 방법을 시행한 14례에서 우수 11례(78%), 양호 1례(14%), 보통 1례(14)이었다. 3. 술후 합병증으로 modified Phemister 방법에서 2례에서 고정강선의 파열 및 이동이 있었으며, cerclage wiring 방법에서 2례에서 아탈구, 2례에서 강선의 파열은 있었으나 이동은 없었다. 4. 이상과 같은 결과로 보아 modified Phemister 방법과 cerclage wiring 방법의 비교시 방사선상 오구돌기와 쇄골간 이완의 정도의 차이와 기능상의 차이는 없었으나 견봉쇄골관절을 고정하지 않음으로서 쇄골의 회전운동을 제한하지않고, 외상성관절염을 피할 수 있고, 강선의 파열시 이동이 없어 제거가 쉬워서 cerclage wiring을 선호하였다.

• Archives of Plastic Surgery
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• 제38권3호
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• pp.257-262
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• 2011

Purpose: In neurofibromatosis patients, complete surgical excision of the mass is almost impossible and surgical treatment usually consists of multiple serial excisions that only result in a debulking effect. Remnant tumor mass has a gravitational effect on facial soft tissues that leads to sagging of skin and soft tissue, and eventually, facial disfigurement and asymmetry. The purpose of our surgical method is to perform soft tissue lifting with longer lasting effect with less surgical risk of damaging facial nerve and vessels. With external fixation using K-wire or surgical screw, the procedure only called for a short incision length and had additional adhesive properties that enabled anchoring of soft tissue in a lifted position for a longer postoperative period. Methods: A total of 5 neurofibromatosis patients (NF-1) visited our clinic for mass reduction and face lifting. The age of patients ranged from 13 to 42 (mean 28.8 years), and most patients had a long history of multiple excisions in the past. Face lifting was performed in 2 different areas, the periorbital area in 3 patients, and the midface in 2 patients. The materials used in fixation of retaining ligament were K-wire (n=3) and titanium screw (n=2). Results: Follow up period was from 5 month to 3 years and 1 month (mean=2 years and 1 month). All patients conveyed satisfaction with the results and no major complications were reported. The lifting effect lasted for as long as 3 years, and there were no complaints of relapse of soft tissue depression or sagging within the operated area. 1 patient (M/13) needed secondary k-wire insertion and additional mass excision in 1 year and 10 months postoperatively due to tumor growth. In two patients with K-wire fixation, mild dimpling and tenderness were observed in the follow up period, but in about 2 months postoperatively, dimpling was relieved and there was no need for removal of fixating material. Conclusion: Surgical lifting in neurofibromatosis patients can be challenging, for mass excision cannot be done completely and gravitational effect by residual mass can be persistent. External fixation of the retaining ligament in patients with neurofibromatosis can give satisfactory results-for incision length is relatively shorter, and the lifting effect can last longer compared to other various face lifting techniques.

• 한국임상수의학회지
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• 제22권4호
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• pp.396-400
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• 2005

13년령의 암컷 말티즈견이 5개월간의 일시적인 기절현상 (syncope)을 주증상으로 내원하였다. 환축은 병력 청취 신체검사 심장검사 총혈액검사, 혈액 화학적 검사, 방사선학적 검사, 심전도 검사, 아트로핀 반응 검사 (atropine response test), 호르몬 검사, 심전도 검사 등을 통해 심장의 문제가 있는 것으로 진단되었다. 본 증례에서 심전도 검사는 아트로핀 투여에 의한 심전도 기록을 통해 sick sinus syndrome을 확진 하는데 중요한 역할을 하였다. 임상 증상은 테오필린 (THEOLANi, 근화제약, 서울, 한국, 20mg/kg, 경구 투여, 1일 2회)을 복용하면서 개선되었다. 환축은 10개월을 생존하였으나 지역 병원에서 복강의 종괴를 제거하는 수술을 받는 중 호흡곤란과 쇼크로 사망하였다. 사망 후 보호자의 반대로 부검은 이루어지지 않았다.

• Journal of Chest Surgery
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• 제40권5호
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• pp.356-361
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• 2007

배경: 암에 대한 수술적 치료의 치근의 발전은 임상적으로 가장 혁신적인 발전 중의 하나이다. 저자들은 비소세포성 폐암환자에서 시행한 수술적 치료의 효과를 검토해 보았다. 대상 및 방법: 1995년부터 2005년까지 저자들이 수술적 치험한 증례 중 완전 절제가 시행되었던 폐암환자 432예를 대상으로 하여 임상적 소견들과 수술방법 그리고 재발 양상 등에 대하여 분석하였다. 결과: 폐엽절제술이 가장 많이 시행되었으며(66.7%),소매 폐엽절제술(5.6%)이 가장 적게 시행되었다. 179예(42.6%)에서 관찰기간 중 재발이 확인되었으며, 국소 재발 예는 67예(16.0%)로서 전신적 재발 112예(26.7%)보다 현저히 작았다. 주된 국소 재발 부위는 폐문부(37.3%)와 동측 종격동(25.4%)이었으며, 병원 사망률은 2.8% (12/432예)였고 수술 유병률은 12.5% (52/432예)였다. 결론: 낮은 사망률과 국소 재발률을 얻었으며, 따라서 저자들의 수술적 치료방법은 안전하며 유효한 방법이라고 생각되었다.

• Asian-Australasian Journal of Animal Sciences
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• 제25권6호
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• pp.812-817
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• 2012

Nitrate can serve as a terminal electron acceptor in place of carbon dioxide and inhibit methane emission in the rumen and nitrate reducing bacteria might help enhance the reduction of nitrate/nitrite, which depends on the type of feed offered to animals. In this study the effects of three levels of sodium nitrate (0, 5, 10 mM) on fermentation of three diets varying in their wheat straw to concentrate ratio (700:300, low concentrate, LC; 500:500, medium concentrate, MC and 300:700, high concentrate, HC diet) were investigated in vitro using buffalo rumen liquor as inoculum. Nitrate reducing bacteria, isolated from the rumen of buffalo were tested as a probiotic to study if it could help in enhancing methane inhibition in vitro. Inclusion of sodium nitrate at 5 or 10 mM reduced (p<0.01) methane production (9.56, 7.93 vs. 21.76 ml/g DM; 12.20, 10.42 vs. 25.76 ml/g DM; 15.49, 12.33 vs. 26.86 ml/g DM) in LC, MC and HC diets, respectively. Inclusion of nitrate at both 5 and 10 mM also reduced (p<0.01) gas production in all the diets, but in vitro true digestibility (IVTD) of feed reduced (p<0.05) only in LC and MC diets. In the medium at 10 mM sodium nitrate level, there was 0.76 to 1.18 mM of residual nitrate and nitrite (p<0.01) also accumulated. In an attempt to eliminate residual nitrate and nitrite in the medium, the nitrate reducing bacteria were isolated from buffalo adapted to nitrate feeding and introduced individually (3 ml containing 1.2 to $2.3{\times}10^6$ cfu/ml) into in vitro incubations containing the MC diet with 10 mM sodium nitrate. Addition of live culture of NRBB 57 resulted in complete removal of nitrate and nitrite from the medium with a further reduction in methane and no effect on IVTD compared to the control treatments containing nitrate with autoclaved cultures or nitrate without any culture. The data revealed that nitrate reducing bacteria can be used as probiotic to prevent the accumulation of nitrite when sodium nitrate is used to reduce in vitro methane emissions.

• 자원리싸이클링
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• 제11권2호
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• pp.3-13
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• 2002

본 연구에서는 시안 성분을 제거함에 있어 처리수의 재활용이 가능한 과산화수소에 의한 시안분해 특성을 규명하기 위한 실험을 수행하였다. 수용액중의 과산화수소의 자가분해반응은 pH와 금속촉매(Cu) 유무에 크게 좌우된다. pH 10 이하에서는 자가분해반응은 미미하여 90%이상의 과산화수소가 잔류하지만 pH 12에서는 90경과시 잔류 과산화수소가 9%이하로 낮아졌다. 금속촉매 첨가(5 g Cu/L)한 경우 pH 12에서도 40분 경과후 대부분의 과산화수소가 분해되었다. 유리시안의 휘발성은 용액의 pH에 크게 좌우된다. 동일한 240분 경과시 pH 8이하에서 대부분의 시안이 휘발하는데 반하여 pH 10이상에서는 10%미만이 휘발하였다. 비촉매반응에 의한 과산화수소의 시안분해실험에서는 $H_2$$O_2$/CN 몰비 4까지 과다하게 증가하여도 8%가량의 시안이 잔류하였다. 그러나 구리촉매반응에 의한 과산화수소의 시안분해 실험에서는 과산화수소 및 구리 첨가량이 증가함에 따라 분해속도가 증가하였다. 그러나 일정량 이상 첨가시 과산화수소의 자체분해 반응에 의해 $H_2$$O_2$의 시안분해 효율이 감소하며 과산화수소와 구리의 적정투입량은$ H_2$$O_2$/CN 몰비 2, Cu 몰비 0.05로서 이때의 분해속도는 22 mM/min, $H_2O$$_2$효율은 57%이었다. 또한 이러한 적정조건에서 70분 반응시 완전제거가 가능하였다.