• Maxillofacial Plastic and Reconstructive Surgery
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• 제29권2호
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• pp.182-186
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• 2007

A cyst is a pathologic lesion characterized by a cavity filled with fluid, celluar products, air, or a combination of these. Dentigerous cysts were formed around the crown of unerupted teeth. The reduced enamel epithelium persists around the crown after it has formed. Proliferation of the epithelium in a fluid-filled sac may be induced by osmotic pressure. In the first decade the most frequent location is the premolar site. In each subsequent decade the largest number of cysts are in the mandibular third molar site, with the second most frequent site being the maxillary canine. The treatment of odontogenic cyst can be mostly classified into three types of cyst enucleation, marsupialization and decompression. We should consider age of patient, anatomic structure, location and size for choosing a treatment method. Advantage of cyst enucleation is fast healing, but a injury of a surrounding structure is highly. Marsupialization is conservative treatment that can reduce the damage of a adjacent structure, but it is only limited at superficial lesion. Decompression also is conservative treatment, but it has the difficulty of the oral hygiene and the troublesome of the lavage. We present the possibility that reduces the defect of decompression and cures the lesion efficiently. We report a male patient with the dentigerous cyst developed at left mandibular third molar in this study. We used the decompression for a treatment and created special appliance to treat the lesion efficiently. We report a case of the cyst treatment that is association with efficiency of decompression appliance.

• 대한두개안면성형외과학회지
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• 제18권4호
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• pp.282-286
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• 2017

Beta tricalcium phosphate (${\beta}-TCP$) is one of allogenic bone substitute which is known to have interconnected pores that draws cell and nutrients for bone generation. It has been resulted in good outcomes for bone defect coverage or augmentation. However, several studies have also reported negative outcomes and associated complications including unexpected formation of cystic mass, continuous pain and secretion. We present the case of a 36-year-old man with a right cheek cystic mass who had a history of right zygomaticomaxillary (ZM) complex fracture and surgical correction with ${\beta}-TCP$ powder insertion to ZM bone defect. Excisional biopsy under local anesthesia revealed calcified mass in a sinus tract which was found to be connected to the ZM bone defect site in postoperative computed tomography image. Further excision under general anesthesia was performed to remove the sinus tract and fine granules which filled the original defect site. Pathologic report revealed bony spicules and calcification materials with chronic foreign body reaction. Postoperative complications and recurrence were not reported.

• Archives of Plastic Surgery
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• 제36권4호
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• pp.462-468
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• 2009

Purpose: The liposuction has been generalized & undergone in the field of plastic surgery and it has had a great influence on fat graft. But despite of liposuction and fat injection being performed widely, we did not focus on complication associated with donor site. So we reported satisfactory result with the intraoperative sustained limited expansion & direct closure to donor site tissue necrosis after liposuction and analyzed the cause & measures of donor site necrosis with the literature investigation Methods: From November 2007 to June 2008, we treated four cases of tissue necrosis and infection surrounding the thigh and forearm. Necrosis after liposuction was 1 case, donor site necrosis after fat injection were 3 cases and MRSA was detected in 2 cases. first, we debrided the necrotic tissue and treated with potadine gauze soaking dressing & susceptible antibiotics. After confirmation of healthy granulation tissue, we used intraoperative sustained limited expansion and closed directly of defect & observed the results. Results: The patient was displeased and worried with the unexpected damage concerning the donor site and the procedure concerning time and financial exhaustion, but after confirming no contracture of the scar tissues and only a thin or slightly widened line of scar, showed satisfaction. Conclusion: Because it is fastidious to avoid donor site complication after liposuction & fat injection, enough explanation and understanding on possible complication to donor site are necessary and careful surgery procedure & materials are required. But if donor site necrosis were occurred although close consideration of possible causes of necrosis, we should think about not only wound healing process but also the sequela like scar contracture & cosmetic effect and treat the most adequate method to satisfying both concerns.

• 한국철학논집
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• 제31호
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• pp.173-202
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• 2011

엘리아데는 애초의 성스러움이 저절로 드러나는 것을 성현(聖顯)이라고 하였는데, 성현이 일어나는 대상이나 장소는 질의 전환을 이루어 그 자체가 성스러워진다. 사람들은 태초의 성스러움을 되살리기 위해 최초로 성스러움이 일어난 그 순간을 재현하고자 하여 원형의 순간과 동일한 시간에 동일한 장소에서 동일한 행위를 통해 성을 재현하려고 하였다. 이 논문에서 주목한 것은 성스러움이 드러나는 구체적 장소이다. 천제가 세운 지상의 도읍으로 신이 사는 영역이며, 지상과 천상을 이어주는 역할을 하는 우주산의 특성을 갖춘 곤륜, 하늘과 지상을 이어주는 매개인 하늘사다리의 역할을 하는 건목, 종교적 인간이 성스러운 실재적 공간에서 살고 싶은 욕망을 드러내며 성스러운 공간을 통해 신적 존재나 조상과 교류함으로써 태초의 순수한 영혼으로 회귀할 수 있는 공간인 도시와 종묘는 모두 고대 중국에서 볼 수 있는 성이 드러나는 구체적 공간이라고 할 수 있다.

• Journal of Chest Surgery
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• 제44권2호
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• pp.186-188
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• 2011

Ventricular septal rupture (VSR) is a rare but lethal complication of myocardial infarction. The event occurs 2~8 days after an infarction and often precipitates cardiogenic shock. Post myocardial infarction VSR is known for difficult to repair. Especially, Transmural myocardial infarction involved in the posterior VSD area, exposure of the affected site is difficult and postoperative mortality rate is high. We have experienced a case of a 75-year-old female patient who suffered posterior VSD due to acute myocardial infarction, and attained good result by approaching the lesion through right atrial incision and repaired the defect by using patch closure technique.

• 한국콘텐츠학회논문지
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• 제12권11호
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• pp.492-501
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• 2012

최근 자연성지에 대한 관심이 증대되고 있다. 자연성지란 특정 민족이나 공동체에게 특별한 영적 중요성을 갖는 육상 또는 해상의 구역으로서 정의된다. 본 연구는 최근 이슈화되고 있는 자연성지에 대한 개념과 가치, 관리원칙에 대하여 이론적으로 고찰하였다. 또한, 자연성지의 가치를 적용 가능한 국내 천연기념물 식물의 현황을 분석하고 그 특성을 살펴보았다. 분석결과 국내 천연기념물 식물 중 63건이 이에 해당되었으며, 생물다양성, 문화성, 경관 및 미적 가치와 함께 관광자원으로써의 가치를 지니고 있었다. 이는 자연성지의 가치와 일치하는 것이었으며, 향후 우리나라 자연성지 등재 작업에 기초자료로 제공하고자 한다. 본 논문은 국제적으로 중요성이 대두되고 있는 자연성지를 국내 천연기념물 식물 측면에서 재조명함으로써 어떻게 관리하고 보전해야 하는지 보여주었다는데 의의를 지니며, 향후 보다 구체적이고 실증적인 추가 연구가 필요하다.

• 대한족부족관절학회지
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• 제19권1호
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• pp.39-41
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• 2015

Swelling is a body's natural reaction to foot and ankle injury to mount a healing inflammatory response. To some degree, swelling is necessary for healing and is something that cannot be avoided following injury. However, post-traumatic swelling may have an adverse effect on wound healing and surgery can often be delayed due to preoperative swelling. We report on a unique technique of making multiple meshed stab incisions around the site of injury to reduce soft tissue swelling and promote wound healing.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제31권4호
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• pp.312-315
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• 2005

A squamous odontogenic tumor (SOT) is rare disease and it is believed to originate from epithelial rests of Malassez of the periodontal membrane. Neither sex nor site predilection in either jaw has been established. Some lesion can be shown in juxtaposition in tooth roots. Although most lesions remain smaller than 2 cm, our cases involved a half of left mandibular ramus. The exact pathogenesis is still unknown. We report a case of SOT including the results of immunohistochemical study of pancytokeratin and p53.

• 한국전통조경학회지
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• 제33권2호
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• pp.103-114
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• 2015

유네스코 세계자연보전연맹은 전세계의 생물다양성 보전, 문화다양성 보호를 위해 '자연성지' (특정 민족이나 공동체에게 특별한 영적 중요성을 갖는 육상 또는 해상의 지역) 개념을 정립하였다. 수 백년 이상의 당산제 역사를 갖고 있는 농어촌 전통마을숲인 당산숲은 한국을 대표하는 '자연성지'라고 할 수 있다. 부안군 격포리 죽막마을은 작은 해안마을이지만, 국내최대의 고대 해양 제사터가 있는 중요한 곳이다. 부안군청에서는 '부안 죽막동 제사유적' 에 대해 세계유산 등재를 추진하고 있다. 그러나, 이러한 '부안 죽막동 제사유적' (5~6세기, 삼국시대 백제)이 마을 당집(수성당)을 둘러싸고 있는 당산숲 안에서 발굴된 사실은 잘 알려져 있지 않다. 이 연구는 부안 격포리를 중심으로, 인근의 대리, 내소사 석포리, 고창 동호리 등 네 곳 당산숲의 경관 특성과 그 문화를 고찰한 것이다. 그리고, 이들 네 곳의 당산숲을 연계하여, 세계유산-'자연성지 보호지역'으로 지정하는 방안을 고찰하였다. 격포리 일원 당산숲은 저 마다의 경관 특징을 간직한 채 생활문화로서의 전통이 잘 남아있다. 격포리 일원 당산숲의 자연성지로서의 잠재력과 제한요인을 검토하기 위한 SWOT 분석 결과, WT(약점-위협)전략을 중점전략으로 선정하였다. 그 이유는 현재 당산숲에 대한 효과적인 관리체계가 거의 없기 때문이다. 이들이 세계유산으로 등재되기 위해서는 먼저, 국내에서 이들 당산숲으로 이루어진 경관의 특성이 밝혀지고, 자연성지 보호지역으로 지정되기 위한 선행 조치가 이루어져야 한다.

• Journal of Trauma and Injury
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• 제19권2호
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• pp.143-149
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• 2006

Purpose: This study was done to evaluate the incidence, type of injury, medical consequences, mortality, and prognostic factors associated with stab wounds in patients who visited Kangnam Sacred Heart Hospital, Hallym University, Seoul, Korea. Methods: A retrospective analysis of the clinical data of 40 patients with abdominal stab wounds who visited Kangnam Sacred Heart Hospital, Hallym University, Seoul, Korea from January 1, 2000 to December 31, 2004. Results: 1) The most prevalent age group was patients in their the twenties to fourties (77.5% of all patients), and average age of the patients was 39.3 years. The male-to-female ratio was 2.07:1. 2) The external site of stab wounds was most commonly the periumbilcal area of the abdomen (14 cases, 33.3%). 3) The most commonly injured organs were the liver and the stomach (10 cases each, 16.9%). 4) Operations were performed on all 40 patients, with 9 (22.5%) negative operation findings. 5) Death occurred in 5 cases (12.5%). 6) The trauma indices of the death group were TRISS 51.9%, RTS 3.6 points, and APACHE II 23.0 points. 7) The average transfusion amount of the death group was 13.8 pints Conclusion: These data suggest that the transfusion amount and the trauma index of abdominal stab injuries may be statistically significant factors for predicting mortality.