• 제목/요약/키워드: Grafting

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결합조직 이식술을 이용한 노출치근면의 치은피개 (GINGIVAL COVERAGE WITH CONNECTIVE TISSUE GRAFT TECHNIQUES ON DENUDED ROOT SURFACES)

  • 김영준;진유남;정현주
    • Journal of Periodontal and Implant Science
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    • 제25권1호
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    • pp.121-132
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    • 1995
  • Patients, who have gingival recession and complain of root sensitivity, or esthetic concerns, are candidates for root coverage. When free gingival grafting is used for complete root corverage, the results may not be entirely predictible unless the recession is shallow and narrow because a free gingival graft depends on collateral circulation from the lateral and apical parts of the recipient bed to survive over the avascular root. Various pedicle graft techniques can produce more esthetic results, but these procedures are only indicated when adequate donor tissues are available adjacent to the defect. This case report presents three cases for root coverage using the various connective tissue graft techniques. In the first case(Class III & IV), subepithelial connective tissue grafting was done and resulted in gingival coverage on the two-thirds of exposed root surface and blended with the adjacent tissue in color and texture. In the second case(Class I), connective tissue and partial thickness double pedicle graft resulted in complete coverage of denuded root surface. In the third case(Class I), recession was treated by supraperiosteal envelope technique. The root surface was covered completely and esthetically. Finally, the esthetics in both colors and tissue contours were acceptable to patients in all cases by the connective tissue grafting. However, in the case of the reduced interdental bone, the denuded root surfaces were hardly covered completely.

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Control of Phythophthora Blight of Pepper by grafting

  • Hong, S.T.;Lee, K.H.;Jeong, J.H.;Park, C.W;Kim, J.J.;Kim, H.T.
    • 한국식물병리학회:학술대회논문집
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    • 한국식물병리학회 2003년도 정기총회 및 추계학술발표회
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    • pp.110.1-110
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    • 2003
  • Control effect of grafting with rootstocks on Phythophthora blight of pepper was evaluated. The 40∼45 day old seedlings of five pepper cultivars, Wangdaeback, Jinmi, Boosa, Samsungcho and Pochunngchun, as a scion were grafted with ten species of root stocks. There wasn't graft incompatibility in all scion-root stock combinations. After 21 days from inoculation with Phytopkhora capsici, incidence of Phythophthora blight of plant grafted with Kataguruma, R-Safe, R-16, YCM 334 and SCM 334 of rootstocks tested was decreased by 64.6∼100% compared to non-grafted plant whose disease severity was 3.7. However, plant grafted with Umsung native and Yeongdong native pepper was more sensitive to Phythophthora blight than non-grafed plant. Control effect by grafting was inversely proportional to virulence of inoculum and not significantly different among scion cultivars used. And resistant reaction of scion against Phytophthora blight was not affect that of scion-root stock plant in this study.

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A Comparative Study Between On-Pump and Off-Pump Coronary Artery Bypass Grafting on Clinical Outcomes

  • Moon Seong-Min;Choi Seok-Cheol
    • 대한의생명과학회지
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    • 제10권3호
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    • pp.237-243
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    • 2004
  • In recent, many cardiac centers have preferred off-pump coronary artery bypass grafting (CABG) to on-pump CABG to prevent the adverse effects of cardiopulmonary bypass. The present study was performed to prove beneficial effects of off-pump CABG. Sixty adult patients scheduled for elective CABG were randomly assigned to On-pump group (n=30) or Off-pump group (n=30). Arterial blood samples were drawn before and after the operation (Pre-OP and Post-OP, respectively) for measuring CBC, prothrombin time, activated thromboplastine time, blood gas analysis, creatine kinase-MB (CK-MB) level, and lactate dehydrogenase (LDH) level. Perioperative parameters including heparin and protamine usages, complications, blood components usages, blood loss, ventilation and ICU-staying time, and hospitalization were also evaluated. Platelet count at Post-OP was high in Off-pump group whereas CK-MB and LDH levels were low compared with On-pump group. Off-pump group had significantly lower heparin and protamine usages, lower total leukocyte count, higher hematocrit and hemoglobin levels, less blood loss, lower usages of blood components, shorter ventilation and ICU-staying time, and lower incidence of pleural effusion than On-pump group. Other variables did not significantly differ between two groups. These results showed that Off-pump CABG was a satisfactory technique with less inflammatory reaction, less cardiac damage, less postoperative complications, and less cost.

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자가치아를 이용한 골이식재의 임상적 유용성: 일차 보고 (Clinical Effectiveness of Bone Grafting Material Using Autogenous Tooth: Preliminary Report)

  • 이정훈;김수관;문성용;오지수;김영균
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제33권2호
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    • pp.144-148
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    • 2011
  • Purpose: The purpose of this study was to evaluate the effectiveness of a novel bone grafting material using an autogeneous tooth (AutoBT) and provide the basis for its clinical application. The AutoBT contains organic and inorganic mineral components and is prepared from autogenous grafting material, thus eliminating the risk of immune reactions that may lead to its rejection. AutoBT can be used as bone material as is has both osteoinduction and osteoconduction activities at guided bone regeneration for implant placement and maxillary sinus graft. Methods: In a total of 63 patients, guided bone regeneration surgery was performed at the time of implant placement, and tissue samples were harvested at the time of the second surgery with the patient's consent. Results: There were no complications in guided bone regeneration using autogeneous tooth. Conclusion: We concluded that AutoBT underwent gradual resorption and was replaced by new bone of excellent quality via osteoinduction and osteoconduction.

종골에 발생한 단순 골낭종의 내시경적 소파술 및 골 이식술 - 증례 보고 - (Treatment of Simple Bone Cyst in Calcaneus with Endoscopic Curettage and Autologous Bone Graft - Case Report -)

  • 정구희;김재도;김지연
    • 대한골관절종양학회지
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    • 제14권2호
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    • pp.182-186
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    • 2008
  • 비교적 흔한 골의 양성 질환으로 소파술 및 골 이식술, 절제술, 스테로이드 또는 골수 주입법 등이 일반적으로 시행되는 단순 골낭종은 비교적 낮은 빈도로 종골에 발생하게 되며, 종골에 발생 시, 기존의 스테로이드 주입술보다는 관혈적 소파술 및 골 이식술이 주로 시행된다. 저자들은 9세 남아에서 발생한 종골의 단순 골낭종에 대해 최소 침습적 술기를 통한 내시경적 소파술 및 골 이식술을 통해 좋은 결과를 경험하였기에 문헌 고찰과 함께 보고하고자 한다.

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제 1열 전족부 절골술을 통한 평발 교정에 있어 골이식 없이 사용한 소형 쐐기형 금속판의 치료 결과 (The Results of the First Ray Forefoot Osteotomy Using Low Profile Wedge Plate without a Bone Grafting for Pes Planus Correction)

  • 최준영;신명진;서진수
    • 대한족부족관절학회지
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    • 제21권1호
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    • pp.7-11
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    • 2017
  • Purpose: We retrospectively analyzed the radiographic and clinical results after the first ray of forefoot osteotomy using low profile wedge plate without additional cancellous bone grafting for pes planus correction. Materials and Methods: Twenty-four patients were enrolled in this study. Medial cuneiform opening wedge osteotomy was performed in 12 patients (Cotton osteotomy, group C) and first metatarsal base osteotomy was performed in 12 patients (group MT). Results: On average, the wedge size was 5.61 mm (5~6 mm). The mean time to radiographic union was 3.18 and 3.27 months in groups C and MT, respectively. Postoperative talonavicular coverage angle, talo-first metatarsal angle (anteroposterior), talo-first metatarsal angle (lateral), talo-calcaneal angle (lateral), medial cuneiform height, and American orthopaedic foot, as well as ankle society midfoot scale were significantly improved in both groups. Nonunion, delayed union or fixation failure was not presented in our series. Conclusion: We have shown that low profile wedge plate was effective in the case of first ray forefoot osteotomy for pes planus correction without any additional cancellous bone grafting.

Left Carotid-to-Subclavian Artery Bypass Grafting for Recurrent Angina Caused by Coronary-Subclavian Steal Syndrome

  • Kim, Min-Seok;Paeng, Jin Chul;Kim, Ki-Bong;Hwang, Ho Young
    • Journal of Chest Surgery
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    • 제46권1호
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    • pp.84-87
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    • 2013
  • A 60-year-old man visited the outpatient clinic due to one month of recurrent exertional chest pain. Eleven years earlier he had undergone off-pump coronary artery bypass grafting using bilateral internal thoracic artery (ITA) Y-composite grafts based on the left ITA. Preoperative coronary angiography showed patent distal graft anastomoses and visualized the left ITA retrogradely. The arch aortography revealed near-total occlusion of the left subclavian artery at the level of the ostium. The patient underwent left carotid-to-subclavian artery bypass grafting using a 6 mm vascular conduit. Postoperative computed tomographic angiography revealed a patent bypass conduit between the left common carotid artery and left subclavian artery. The patient was discharged on postoperative day 4 with no symptoms or signs of myocardial ischemia.

성문하협착증에서 윤상연골절개 및 윤상연골 후벽 늑연골 이식술과 T-tube stenting (Posterior Cricoid Split with Costal Cartilage Grafting and T-tube Stenting for Treatment of Subglottic Stenosis)

  • 손진호
    • 대한기관식도과학회지
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    • 제5권2호
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    • pp.182-190
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    • 1999
  • OBJECTIVES : To determine the results of posterior cricoid split with costal cartilage graft in the treatment of moderate and severe subglottic stenosis in adults, and to assess the effect of T-tube as a stent in this surgery. PATIENTS AND METHODS : Four adults with moderate and severe subglottic stenosis who underwent posterior cricoid split with costal cartilage graft from 1994 to 1995. Three patients were male and one was female. All of the patients had acquired subglottic stenosis, 2 of whom had a bilateral vocal folds paralysis. The surgical procedure we used included a cricoid lamina split with costal cartilage grafting and T-tube stenting. Arytenoidectomy was a added in 2 patients with bilateral vocal folds paralysis. RESULTS : Three of the 4 patients underwent decannulation, and 1 is still undergoing treatment. 3 patients who underwent decannulation demonstrated marked improvement in their symptoms of airway obstruction and good postoperative voice quality. CONCLUSIONS : The posterior cricoidotomy lumen augmentation with costal cartilage grafting is a safe and effective technique for the treatment of moderate and severe subglottic stenosis in adults and T-tube is a good alternative stenting material for this procedure.

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방사선 중합법에 의한 Kapok 이온교환 섬유의 합성 (Preparation of Son Exchange Kapok Fiber by Radiation Polymerization)

  • 조인희;강필현;임윤묵;최재학;황택성;노영창
    • 폴리머
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    • 제31권6호
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    • pp.512-517
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    • 2007
  • [ $Co_{60}\;{\gamma}-ray$ ] 방사선 조사법을 이용하여 kapok 섬유에 styrene, glycidylmethacrylate(GMA) 또는 acrylic acid(AAc)를 그래프트 공중합 반응하여 합성한 공중합체의 그래프트율은 단량체의 농도와 방사선 조사량에 따라 증가하는 것으로 나타났으며, 또한 합성된 이온교환 섬유의 도입된 관능기를 확인하고 이온교환 능을 측정하였으며, SEM과 FT-IR을 통하여 이온교환 섬유의 표면과 구조를 분석하였다.

혈관부착 비골이식술을 이용한 거골 무혈성 괴사의 치료 (Treatment of Avascular Necrosis of the Talus with Vascularized Fibular Graft)

  • 정덕환;고덕환
    • Archives of Reconstructive Microsurgery
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    • 제9권1호
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    • pp.49-55
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    • 2000
  • Nonunion and avascular necrosis are well-recognized complications of severe ankle injury especially aftrer talar neck fracture. The treatment of avascular necrosis is controversial and methods of treatment are limited. Many modalities have been introduced for the treatment of avascular necrosis of talus. The prolonged non-weight bearing for 2~3 years is not practical but also is occasionally complicated by late segmental collapse. Operative treatment includes tibiotalar arthrodesis and talectomy with tibiocalcaneal arthrodesis, but arthrodesis in patients with talar avascular necrosis is technically demanding and cause stiff, immobile foot and relatively high failure rate was reported. It is desirable to preserve their original joint if possible. Vascularized fibular grafting has been reported as a joint preserving treatment option for osteonecrosis of the hip but has not been described for the ankle. The authors applied free vascularized fibular grafts for 3 cases of avascular necrosis of talus. We observed evidences of revascularization of necrotic talar body and progression of fracture healing and obtained satisfactory results at mean 8 months of follow-up. Vascularized fibular grafting is one of the better alternatives for treating avascular necrosis of talus. It is expected that vascularized fibular grafting can prevent the necrotic talar dome from progressing to collapse and promote directly restored vascularization and new bone formation.

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