• Archives of Plastic Surgery
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• 제43권5호
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• pp.402-410
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• 2016

Background In an increasing number of lawsuits doctors lose, despite providing preoperative patient education, because of failure to prove informed consent. We analyzed judicial precedents associated with insufficient informed consent to identify judicial factors and trends related to aesthetic surgery medical litigation. Methods We collected data from civil trials between 1995 and 2015 that were related to aesthetic surgery and resulted in findings of insufficient informed consent. Based on these data, we analyzed the lawsuits, including the distribution of surgeries, dissatisfactions, litigation expenses, and relationship to informed consent. Results Cases were found involving the following types of surgery: facial rejuvenation (38 cases), facial contouring surgery (27 cases), mammoplasty (16 cases), blepharoplasty (29 cases), rhinoplasty (21 cases), body-contouring surgery (15 cases), and breast reconstruction (2 cases). Common reasons for postoperative dissatisfaction were deformities (22%), scars (17%), asymmetry (14%), and infections (6%). Most of the malpractice lawsuits occurred in Seoul (population 10 million people; 54% of total plastic surgeons) and in primary-level local clinics (113 cases, 82.5%). In cases in which only invalid informed consent was recognized, the average amount of consolation money was KRW 9,107,143 (USD 8438). In cases in which both violation of non-malfeasance and invalid informed consent were recognized, the average amount of consolation money was KRW 12,741,857 (USD 11,806), corresponding to 38.6% of the amount of the judgment. Conclusions Surgeons should pay special attention to obtaining informed consent, because it is a double-edged sword; it has clinical purposes for doctors and patients but may also be a litigation strategy for lawyers.

• 대한두개안면성형외과학회지
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• 제18권2호
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• pp.97-104
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• 2017

Background: Nasal bone fracture is one of the most common facial bone fracture types, and the surgical results exert a strong influence on the facial contour and patient satisfaction. Preventing secondary deformity and restoring the original bone state are the major goals of surgeons managing nasal bone fracture patients. In this study, a treatment algorithm was established by applying the modified open reduction technique and postoperative care for several years. Methods: This article is a retrospective chart review of 417 patients who had been received surgical treatment from 2014 to 2015. Using prepared questionnaires and visual analogue scale, several components (postoperative nasal contour; degree of pain; minor complications like dry mouth, sleep disturbance, swallowing difficulty, conversation difficulty, and headache; and degree of patient satisfaction) were evaluated. Results: The average scores for the postoperative nasal contour given by three experts, and the degree of patient satisfaction, were within the "satisfied" (4) to "very satisfied" (5) range (4.5, 4.6, 4.5, and 4.2, respectively). The postoperative degree of pain was sufficiently low that the patients needed only the minimum dose of painkiller. The scores for the minor complications (dry mouth, sleep disturbance, swallowing difficulty, conversation difficulty, headache) were relatively low (36.4, 40.8, 65.2, 32.3, and 34 out of the maximum score of 100, respectively). Conclusion: Satisfactory results were obtained through the algorithm-oriented management of nasal bone fracture. The degree of postoperative pain and minor complications were considerably low, and the degree of satisfaction with the nasal contour was high.

• 인터넷정보학회논문지
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• 제8권6호
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• pp.155-167
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• 2007

사상의학에서는 사람을 네 종류로 구분하며, 한의사들은 종종 이 네 종류에 기반을 두어 특별한 건강 정보와 치료 방법을 제안한다. 얼굴의 특징 비율(표 1)은 사상체질을 판단하는데 있어서 매우 중요한 기준으로 사용되는데, 본 논문에서는 측면얼굴에서 특징 비율을 추출하기 위한 시스템을 제안하였다. 특징 비율을 얻기 위해서는 두 가지를 고려하여야 한다. 하나는 대표 특징들을 선택하는 것이고, 다른 하나는 측면 얼굴 이미지에서 효과적으로 관심 영역을 검출하고, 정확하게 특징 비율을 계산하는 것이다. 논 논문에서 제시한 시스템에서는 적응형 색상 모델을 사용하여 배경에서 측면 얼굴을 분리하였고, 관심 영역 검출을 위해서 기하 모델에 기반한 방법이 사용되었다. 또한 이미지 크기와 머리 포즈에 따른 이미지 변화에 의해서 야기되는 에러 분석을 제시하였다. 제시한 시스템의 성능을 평가하기 위하여 173명의 한국인 왼쪽 얼굴 사진을 이용하여 시스템을 테스트하였고, 정면 사진과 측면 사진을 함께 사용하였을 경우 정면 사진만을 사용한 경우보다 17.99%의 성능 향상을 나타내었다.

• 복식문화연구
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• 제18권2호
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• pp.229-244
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• 2010

This study aims to discuss the type and characteristics of primitivism in the modern fashion of the $21^{st}$ century and, as a research method, the concept of primitivism as well as the transition of the patterns of primitivism expressed in modern art have been considered and reviewed through a variety of references. In particular, an empirical analysis of the works that have been created from 2000 to 2009 has been performed using domestic and overseas fashion and collection magazines. The characteristics of primitivism in modern fashion possess the following types of expression: First, Sensuality can be cited as one of the characteristics, either by using direct or indirect exposure of the human body, a silhouette which fits tightly to the body, or creating the effect of sensual beauty using animal fur or bird feathers. Second, Incantation: Masks symbolizing primitive incantation are used to cover the human face or primitive incantation is incorporated as a theme of hair accessories or fashion trinkets, etc. In addition, such decorations as tattoos and the body colorations of ancient tribes are reproduced in modern fashion by means of body painting, printing or other accessories, emphasizing the image of occult primitiveness. Third, Naturalness can be cited as one of the characteristics. Naturalness is emphasized in modern fashion not through artificial decorations and processing, but rather through different patterns of exposure by which natural purity can be felt or through the use of non-artificial materials which recalls primitive civilization. Forth, Playfulness is expressed in the form of graffiti or abstract letters and paintings, and the character of the play is often expressed by the use of grotesque images based on various distortions and exaggerations of the human body, the utilization of symbols of primitive incantation and body and/or facial painting. Fifth, Lastly 'folkishness is emphasized. Folk-like objects, facial decorations, exposure of the body and intense color contrasts typically represent the folkish characteristics.

• 대한두개안면성형외과학회지
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• 제19권3호
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• pp.175-180
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• 2018

Background: The facial bone has a complex structure compared to other bones, and various types of fractures can occur due to its characteristics. Among them, in comminuted fractures of anterior maxillary wall, multiple depressed and impacted bony segments cannot be reduced easily when performing internal fixation using plates and screws or wires, and inadequate restoration leads to a range of complications. This paper introduces an alternative technique using a resorbable mesh with fibrin glue to restore comminuted fractures of anterior maxillary wall. Methods: Thirteen patients were diagnosed with comminuted fractures of anterior maxillary wall between March 2017 and February 2018 in the authors' hospital. All patients with comminuted fractures of anterior maxillary wall underwent restoration using resorbable mesh with fibrin glue. The patients' demographics, causes of facial trauma, mean operation time, length of hospital stay, follow-up period, and complications were recorded. Results: No major complications and only one hypoesthesia of the skin area was noted. Three months after surgery, the hypoesthesia recovered completely. After surgery (mean, 3.9 months; range, 2-12 months), computed tomography showed that the bone fragments in all patients were fixed successfully in their anatomical places. Conclusion: In comminuted fractures of anterior maxillary wall, the use of a resorbable mesh with fibrin glue can be an advantageous and effective method for a successful restoration without complications.

• 대한두개안면성형외과학회지
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• 제23권3호
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• pp.111-118
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• 2022

Background: Although the zygomatic arch is an important structure determining facial prominence and width, no consensus exists regarding the classification of isolated zygomatic arch fractures, and the literature on this topic is scarce. To date, five papers have subdivided zygomatic arch fractures; however, only one of those proposed classifications includes the injury vector, although the injury vector is one of the most important factors to consider in fracture cases. Furthermore, the only classification that does include the injury vector is too complicated to be suitable for daily practice. In addition, the existing classifications are clinically limited because they do not consider greenstick fractures, nondisplaced fractures, or coronoid impingement. In the present study, we present a rearrangement of the previously published classifications and propose a modified classification of isolated zygomatic arch fractures that maximizes the advantages and overcomes the disadvantages of previous classification systems. Methods: The classification criteria for isolated zygomatic arch fractures described in five previous studies were analyzed, rearranged, and supplemented to generate a modified classification. The medical records, radiographs, and facial bone computed tomography findings of 134 patients with isolated zygomatic arch fractures who visited our hospital between January 2010 and December 2019 were also retrospectively analyzed. Results: We analyzed major classification criteria (displacement, the force vector of the injury, V-shaped fracture, and coronoid impingement) for isolated zygomatic arch fracture from the five previous studies and developed a modified classification by subdividing zygomatic arch fractures. We applied the modified classification to cases of isolated zygomatic arch fracture at our hospital. The surgery rate and injury severity differed significantly from fracture types I to VI. Conclusion: Using our modified classification, we could determine that both the injury force and the injury vector meaningfully influenced the surgery rate and the severity of the injuries.

• 대한두개안면성형외과학회지
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• 제20권2호
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• pp.94-100
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• 2019

Background: Skin defects of head and neck need reconstruction using various local flaps. In some cases, surgeons should consider skin graft for large skin defect. It is important to heal skin graft and donor sites. The authors investigated wound healing mechanisms at the donor sites with split-thick-ness skin graft (STSG). In this study, the authors compared two types of immediate regraft including sheets and islands for the donor site after facial skin graft using remnant skin. Methods: The author reviewed 10 patients who underwent STSG, from March 2015 to May 2017, for skin defects in the craniofacial area. The donor site was immediately covered with the two types using remnant skin after harvesting skin onto the recipient site. Depending on the size of the remnant skin, we conducted regraft with the single sheet (n= 5) and island types (n= 5). Results: On postoperative day 1 and 3 months, the scar formation was evaluated using the Patient and Observer Scar Assessment Scale (POSAS) and Vancouver Scar Scale (VSS). Total POSAS and VSS scores for the island type were lower than in single sheet group after 3 months postoperatively. There was significant difference in specific categories of POSAS and VSS. Conclusion: This study showed a reduction in scar formation following immediate regrafting of the remnant skin at the donor site after STSG surgery. Particularly, the island type is useful for clinical application to facilitate healing of donor sites with STSG.

• 한국의사학회지
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• 제32권2호
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• pp.19-27
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• 2019

For the purpose of searching examination in the connection with clinical medicine and the basic theory of Korean Medicine, we comparatively studied on the physiological system of Hyun-Gok (1912~1987) and the Hyunsang system of Ji-San (1927~2000). The results are as follows. The metabolism of Yin and Yang is connected 'Gallbladder (膽)'-'Bladder (膀胱)' and Man (男), Woman (女), Old aged (老), Young child (小) style. Man and Woman are divided in the body form chacteristic not by the sex. 'Gallbladder (膽)'-'Bladder (膀胱)' style are divided in the body form chacteristic by the terms of Yin (陰) and Yang (陽). 'Gallbladder (膽)' style represents excessive Yang and deficient Yin, 'Bladder (膀胱)' style represents excessive Yin and deficient Yang. The four composition factor of the body is connected Material basis (精) type, Vital energy (氣) type, Mental faculties (神) type and Blood (血) type. In the diagnosis of body form on the Hyungsang Medicine, there are several types of body shape and categories of people. The Material basis (精) type, Vital energy (氣) type, Mental faculties (神) type and Blood (血) type are classified by the four composition factor of the body. The structural-mechanics organization of five Internal Organs (臟) is connected five Internal Organs (臟) types and the running-animal (走), bird (鳥), fish (魚), turtle (甲) types in the Hyunsang system. The five Internal Organs (臟) types are percived on the ears, eyes, nose, mouth and facial complexion. And the running-animal, bird, fish, turtle types are accorded to the individual personalities and the most-developed part in the body trunk by the Organ picture (藏象) theory. The six atmospheric influences (六氣) is connected the six Kyung types (六經形). The six Kyung types are regulated by the shape of eyes and nose representing for the relation of Vital energy (氣) and Blood (血). By the comparative study on the physiological system of Hyun-Gok and the Hyunsang system of Ji-San, we can search the connection with clinical medicine and the basic theory of Korean Medicine.

• 한국컴퓨터그래픽스학회논문지
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• 제24권2호
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• pp.1-9
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• 2018

본 논문에서는 손상된 흑백 얼굴 이미지를 컬러로 복원하는 방법을 제안한다. 기존 연구에서는 오래된 증명사진처럼 손상된 흑백 사진에 컬러화 작업을 하면 손상된 영역 주변이 잘못 색칠되는 경우가 있었다. 이와 같은 문제를 해결하기 위해 본 논문에서는 입력받은 사진의 손상된 영역을 먼저 복원한 후 그 결과를 바탕으로 컬러화를 수행하는 방법을 제안한다. 본 논문의 제안 방법은 BEGAN(Boundary Equivalent Generative Adversarial Networks) 모델 기반 복원과 CNN(Convolutional Neural Network) 기반 컬러화의 두 단계로 구성된다. 제안하는 방법은 이미지 복원을 위해 DCGAN(Deep Convolutional Generative Adversarial Networks) 모델을 사용한 기존 방법들과 달리 좀 더 선명하고 고해상도의 이미지 복원이 가능한 BEGAN 모델을 사용하고, 그 복원된 흑백 이미지를 바탕으로 컬러화 작업을 수행한다. 최종적으로 다양한 유형의 얼굴 이미지와 마스크에 대한 실험 결과를 통해 기존 연구에 비해 많은 경우에 사실적인 컬러 복원 결과를 보여줄 수 있음을 확인하였다.

• 대한치과교정학회지
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• 제41권6호
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• pp.411-422
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• 2011

브라켓의 접착에 의한 입술 주위 연조직의 변화를 평가하기 위하여 심한 골격적 부조화가 존재하지 않는 18세 이상, 29세 미만의 성인 환자 중 포괄적 교정 치료를 위하여 상, 하악 치아의 순측에 브라켓을 접착한 45명을 대상으로 3차원 레이저 스캐너를 이용하여 브라켓의 접착 직전과 직후의 3차원 입체 영상을 획득하였다. 브라켓의 접착 전후 입술 및 입술 주위 연조직의 변화를 3차원 좌표계 상에서 분석하였다. 3차원 변화량(distance: 동일 계측점 간의 변화에 대한 최단 거리)에서 유의성을 보인 모든 계측점에서 전방 변화량이 가장 크게 나타났으며, 측면 계측점들은 측방으로 유의성 있는 변화가 나타났다. 상순의 계측점들은 상방으로, 하순의 계측점들과 B'는 하방으로 유의성 있는 변화가 나타났다. 하순의 Li (labrale inferius)에서 1.39 mm로 가장 큰 변화가 나타났고 ($p$ < 0.01), Li Rt (labrale inferius right), Li Lt (labrale inferius left)에서 1.15 mm, 1.09 mm의 변화가 나타났다 ($p$ < 0.01). 상순의 양측 ULP (upper lip point), Ls (labrale superius), Ls Rt (labrale superius right), Ls Lt (labrale superius left)에서 0.81 mm, 0.85 mm, 0.82 mm, 0.97 mm, 0.92 mm의 변화를 보여 ($p$ < 0.01), 하순에 비하여 상순의 변화가 작게 나타났다. 양측 Ch (cheilion)과 Stm (stomion)에서 1.17 mm, 1.16 mm, 1.02 mm ($p$ < 0.01), Sn (subnasale)와 B' (soft tissue B point)에서 0.46 mm, 0.63 mm ($p$ < 0.01, $p$ < 0.05)의 변화가 나타났다. 브라켓의 종류에 따른 연조직 변화량은 차이가 나타나지 않았다. 이상의 결과는 성인 교정 환자에서 브라켓의 접착에 의한 입술 및 입술 주위 연조직 변화의 예측에 참고 자료가 될 것이다.