• 대한미세수술학회:학술대회논문집
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• 대한미세수술학회 1997년도 제17차 학술대회
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• pp.123.1-123.1
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• 1997

• Archives of Plastic Surgery
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• 제39권1호
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• pp.55-58
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• 2012

We experienced satisfactory outcomes by synchronously transplanting an artery and vein using an anterolateral thigh flap pedicle between the vascular pedicle and recipient vessel of a flap for scalp reconstruction. A 45-year-old man developed a subdural hemorrhage due to a fall injury. In this patient, the right temporal cranium was missing and the patient had $4{\times}3cm$ and $6{\times}5cm$ scalp defects. We planned a scalp reconstruction using a latissimus dorsi free flap. Intraoperatively, there was a severe injury to the right superficial temporal vessel because of previous neurosurgical operations. A 15 cm long pedicle defect was needed to reach the recipient facial vessels. For the vascular graft, the descending branch of the lateral circumflex femoral artery and two venae comitantes were harvested. The flap survived well and the skin graft was successful with no notable complications. When an interposition graft is needed in the reconstruction of the head and neck region for which mobility is mandatory to a greater extent, a sufficient length of graft from an anterolateral flap pedicle could easily be harvested. Thus, this could contribute to not only resolving the disadvantages of a venous graft but also to successfully performing a vascular anastomosis.

• Archives of Reconstructive Microsurgery
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• 제16권2호
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• pp.57-62
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• 2007

Non-vascularized free composite graft is one of the simple and effective reconstructive options, but its clinical use has been limited due to questionable survival rate. Early vascularization is essential for graft survival and is mainly carried out via recipient bed or repaired sites. This study was designed to investigate the effect of the lateral marginal approximations on the survival of the free composite flap using a model of skin-subcutaneous composite graft in rats. Thirty 1.5 ${\times}$ 1.5 $cm^2$ sized square shape composite flaps were elevated freely and reposed in place immediately on the dorsum of five Sprague-Dawley rats, and divided into five groups of six flaps. In all groups, graft bed was isolated with silastic sheet. In the group I, all sides of flap were repaired with blockage of silastic sheet insertion. Three, two, and one sides of flap were treated with same method in the group II, III, and IV respectively. Other sides of flaps were repaired without blockage, so all sides of flap were repaired in the group V. At 14 days later, the survived rate of each flap was evaluated according to the numbers of the repair sites. Histological examination was done for the evaluation of new vessel development quantitatively. Overall survived rates were increased with the number of repaired sites, but the group V only showed increased survival rate up to more than fifty percentile of the flap size with a significant difference statistically. New vessels were also increased in proportion with the number of repaired sites, and the repair site more than two had significant effect on the increased number of new vessels. In conclusion, at least more than three-fourth of flap circumference should be repaired in order to increase flap survival effectively under the condition of bed isolation.

• 폴리머
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• 제35권6호
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• pp.615-618
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• 2011

탄소나노튜브(CNT)는 뛰어난 전기적, 물리적인 특성으로 인해 차세대 소재로서 관심을 끌어 왔다. 그러나 탄소나노튜브들 사이에는 본질적으로 강한 소수성 상호작용이 내재하여 불규칙한 결합체를 생성하기 때문에 다양한 분야로의 응용이 어려웠다. 본 연구에서는 양친성 가지형 공중합체, poly(vinyl chloride)-graft-poly(oxyethylene methacrylate), PVC-g-POEM를 합성하였고 극성 용매에서 단일벽 탄소나노튜브를 분산시킬 수 있는 용이한 방법을 제시하였다. PVC-g-POEM는 원자전달 라디칼중합(ATRP)으로 중합되었고 gel permeation chromatography(GPC)와 $^1H$ NMR spectroscopy를 통해 성공적인 합성되었음을 확인하였다. 단일벽 탄소나노튜브는 분산제인 PVC-g-POEM와의 친화력으로 인해 극성 용매 dimethylsiloxane(DMSO)에서 균일하게 분산되었으며 transmission electron microscopy(TEM) 분석으로 단일벽 탄소나노튜브와 PVC-g-POEM의 상호작용으로 생성된 나노복합체의 분산 형태를 관찰하였다. 또한 용매증발 과정을 거쳐 우수한 균질성을 보이는 free-standing 나노복합체 막을 제조하였다.

• Archives of Plastic Surgery
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• 제32권4호
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• pp.516-520
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• 2005

Multilayered cartilage graft has been clinically used at tip plasty, total ear reconstruction, and cleft lip nasal deformities. Perichondrial flap or a free perichondrium has been also commonly used for induction of neocartilage. However, the influence of perichondrium on multilayered cartilage graft to strength and growth rate is still unknown. The purpose of this study was to compare the strength and growth rate of different multilayered cartilage graft and to present the most ideal model of multilayered cartilage graft. Twenty New-zealand white rabbit were used. Triple layers of cartilage grafts with various perichondrium were inserted into six separate pockets in paravertebral region of rabbits. The grafts were grossly and microscopically observed on 8 and 16 weeks after grafting. On gross observation, the grafts showed marked enlargement of three layers of cartilage grafts with perichondrium compare with three layers of cartilage grafts without perichondrium In histologic examination, the number of PCNA-labelled cells were significantly high on three layers of cartilage grafts with perichondrium. In conclusion, this study suggested that triple-layer graft of cartilage grafts with perichondrium on the outside of triple-layer graft has strength and an effect on chondrogenetic induction by the perichondrium.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제16권1호
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• pp.29-32
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• 1994

IN 1956, Peer presented a very comprehensive account of free fatty tissue transplantation. The use of buccal fat pad had been usually used to reconstruct the perioral defects. The buccal fat pad is a special fatty tissue which is markedly different from subcutaneous fat. And it is a easily accessible fat tissue in oral and maxillofacial region. The buccal fat pad can be used as a free graft or pedicled flap. Recently, buccal fat pad is interested in cosmetic surgery because its' removal for cosmetic purpose has been favorable result. We used the buccal fat as an unlined, pedicled graft for closure of large oroantral fistula. We present a case of report and review of literature.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제33권1호
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• pp.44-48
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• 2011

Maxillary defects are inherently complex because they generally involve more than one midfacial component. In addition, most maxillary defects are composite in nature, and often require bony support, as well as a mucosal lining for reconstruction. Therefore, midfacial bone and soft tissue defects present a unique challenge because they require a complex arrangement of tissues in a relatively limited space. This might be difficult to achieve only with free osteocutaneous flaps. The use of bone grafts allows greater flexibility in a reconstruction but is limited by graft resorption. We report a case of a patient reconstructed with a lateral arm free flap, iliac bone graft, sagital split ramus osteotomy for the reconstruction of a right maxillary defect zygomatico-maxillary defect caused by a zygomatico-maxillary malignant tumor resection.

• Archives of Reconstructive Microsurgery
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• 제9권1호
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• pp.37-43
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• 2000

Vascularized tissue coverage is necessary for treatment of soft tissue defect with bone and tendon exposure on hand and foot dorsum, which cannot be successfully covered with simple skin graft or local flap. The temporal fascia is one of the most ideal donor for coverage of soft tissue defect of dorsum of hand or foot in term of ultra-thin, pliable and highly vascular tissue. Also, this flap offers the advantage of a well-concealed donor site in the hair-bearing scalp and smooth tendon gliding. We have experienced 11 cases of reconstruction for soft tissue defect in the hand or foot using temporal fascial flap with skin graft. All cases survived completely and we could gain satisfactory functional results. There were no specific complications except one donor site alopecia We think that the free temporal fascial flap coverage is a highly reliable method for soft tissue defect in hand and foot dorsum. However, the potential pitfalls is secondary alopecia and requirement of skin graft after its transfer.

• Archives of Reconstructive Microsurgery
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• 제20권1호
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• pp.82-88
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• 2011

Vascularized free fibula head transfer is an established method for reconstruction of long bone defects of the upper limb involving the distal radius or the proximal humerus. For the wrist following tumor resection, in cases of resection of the radial articular surface, three reconstructive options are possible: 1. fibular head transfer to replace the radial joint surface, 2. fixation of the fibula to the scaphoid and lunate, 3. complete wrist fusion. The decision on the type of the operation depends on the amount of the resection and the remained normal anatomical structures, and also the necessity of function of the wrist in the future. The authors believe that the vascularized free fibula head graft is a safe and reliable method for reconstructing the upper limb, especially for patients with a defect of the distal radius, and report the operative methods, donor vascular consideration, complications, and functional result after this operation.

• 대한화학회지
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• 제36권1호
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• pp.131-136
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• 1992

$Ce^{4+}$ ion을 개시제로 사용하여 폴리비닐알코올에 2,2,2-trifluoroethyl methacrylate를 그라프트중합 반응시켜 새로은 PVA/perfluoroalkylmethacrylate 그라프트 공중합체들을 합성하였다. 수소 결합능이 큰 폴리비닐알코올에 여러 가지 그라프트율을 갖는 공중합체의 표면 자유에너지를 이 고체 표면들과 여러가지 액체와의 접촉각을 측정하여 구하였다. Perfluoroalkyl group이 그라프팅이 커짐에 따라 고체의 표면 자유에너지는 감소하며, 그 고체들은 극성 부분에 의해 기여되는 힘이 크므로 극성 고체의 분자 특성을 고려한 식으로부터 ${\gamma}_{si}$을 구하여 임계 표면 에너지 ${\gamma}_c$를 계산하였다.