• 대한두개안면성형외과학회지
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• 제22권3호
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• pp.161-163
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• 2021

The soft tissue triangle is an easily recognizable subunit of the nose. Therefore, deformities in this region resulting from trauma or complications after cosmetic surgery can have serious cosmetic impacts. Various reconstruction choices exist for deformities such as depression of the soft triangle but choosing the most appropriate treatment in each case remains a challenge. In the case described herein, a patient underwent augmentation rhinoplasty with a silastic implant and experienced implant exposure in the soft triangle area. After implant removal, the patient complained of depression in this area. The authors effectively solved this problem through a de-epithelialized composite tissue graft. In this report, we present this case and review similar cases of reconstruction of the soft triangle.

• 대한두개안면성형외과학회지
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• 제21권3호
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• pp.161-165
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• 2020

Background: Microstomia is defined as a condition with a small sized-mouth that results in functional impairment such as difficulty with food intake, pronunciation, and poor oral hygiene and cosmetic problems. Several treatment methods for microstomia have been proposed. None of them are universally applicable. This study aims at analyzing the cases treated at our institution critically reviewing the pertinent literature. Methods: The medical records of all microstomia patients treated in our hospital from November 2015 to April 2018 were reviewed retrospectively. Of these, all patients who received surgical treatment for microstomia were included in the study and analyzed for etiology, chief complaint, surgical method, and outcomes. The functional outcomes of mouth opening and intercommissure distance before and after the surgery were evaluated. The cosmetic results were assessed according to the patients' satisfaction. Results: Five patients with microstomia were corrected. Two cases were due to scar contracture after chemical burn, two cases derived from repeated excision of skin cancer, and one patient suffered sequela of Stevens-Johnson syndrome. The following surgical methods were applied: one full-thickness skin graft on the buccal mucosa, three buccal mucosal advancement flaps after triangular excision of the mouth corner, and one local buccal mucosal flap. Mouth opening was increased by 6.0 mm, and the intercommissure distance improved by 7.2 mm on average. Follow-up was 9.6 months (range, 5-14 months). Cosmetic assessment was as follows: two patients found the results excellent, three judged it as good. Conclusion: Microstomia has several causes. In order to achieve optimal functional recovery and aesthetic improvement it is important to precisely evaluate the etiologic factors and the severity of the impairment and to carefully choose the appropriate surgical method.

• 패션비즈니스
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• 제26권4호
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• pp.123-135
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• 2022

In Korea, business guidelines for nurturing professional manpower in the cosmetic industry are insufficient despite the implementation of legislation and certification system for customized cosmetics. Therefore, in this study, guideline design for customized cosmetics businesses was studied. As a research method, literature on domestic and foreign market conditions and cases of each business type of the customized cosmetics market were analyzed. In addition, a focus group interview was conducted on the guidelines by creating a group of professionals and employees in the customized cosmetics industry. As a result, it was found that the guidelines for individual business owners of customized cosmetics were institutionalized into 4 types, and essential information needed for introduction of the customized cosmetics into the market and information needed for general practice should be provided. It is expected that this study will be developed as a guideline that can guide the growth of the cosmetic industry and the vitalization of the customized cosmetics business in the future.

• 대한골관절종양학회지
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• 제17권1호
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• pp.11-16
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• 2011

목적: 유전성 다발성 외골종 환자에서 상지에 발생한 외골종 병변의 분포와 이와 관련하여 상지의 축성 배열의 변화에 대해 조사하였다. 대상 및 방법: 2001년부터 2009년까지 유전성 다발성 외골종으로 진단받은 38명, 76예를 대상으로 하였다. 외골종 침범 수에 따라 Group A (2부위 이하), Group B (3부위 이상)로 분류하였으며, 각 그룹간 운반각 및 VAS (Visual Analogue Scale), 일상 활동의 제한 정도, 외관상 만족도를 비교 평가하였다. 결과: 외골종으로 진단받은 38명 환자 중 상지에 발생한 외골종은 23명, 43예에서 관찰되었다. 발생 부위로는 상완골 근위부 33예(30%), 척골 원위부 31예(28.2%), 요골 원위부 24예(21.8%) 이었다. Group A, B 각각 운반각은 $10.7^{\circ}$, $13.8^{\circ}$, VAS는 1.3점, 3.5점, 일상생활 능력의 제한은 8점 중 7.3점, 6.6점을 보였으며 외관상 만족한 경우는 13예, 10예였다. 결론: 유전성 다발성 외골종 환자 중 상지 변형은 65%에서 동반되었다. 침범 부위 수가 증가할 수록 운반각 및 VAS는 증가하였고, 일상생활 능력과 만족도는 감소하였다.

• 대한화장품학회지
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• 제47권4호
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• pp.289-296
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• 2021

본 연구에서는 국내 유통 중인 민감성 피부 대상 자외선 차단제의 안전성 조사를 위해 무기 자외선 차단제 27 건 및 어린이용 자외선 차단제 23 건을 수거하여 자외선 차단 성분 17 종, 보존제 13 종 및 중금속 5 종의 사용 및 혼입 실태을 조사하였다. 그 결과 자외선 차단 성분은 티타늄디옥사이드(41 건), 징크옥사이드(29 건), 비스-에칠헥실옥시페놀메톡시페닐트리아진(10 건) 에칠헥실살리실레이트(8 건) 및 에칠헥실메톡시신나메이트(8 건)순으로 검출되었으며, 보존제는 페녹시에탄올(6 건), 안식향산(1 건), 디히드로초산(1 건) 순으로 검출되었다. 확인된 자외선 차단성분은 모두 표시 사항에 적합 하였으나, 1 개 제품에서 표시사항 외 보존제 성분인 페녹시에탄올이 0.1% 농도로 검출되었다. 중금속 납, 카드뮴, 비소, 안티몬, 니켈은 불검출에서 3.6 ㎍/g로 다양한 농도로 검출되었다. 이번 연구에서 확인된 자외선 차단성분, 보존제 및 중금속은 화장품 안전기준 등에 관한 규정의 성분별 최대 배합한도 및 최대 허용량 기준에 적합하였다.

• 한국응용과학기술학회지
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• 제36권3호
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• pp.853-865
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• 2019

본 연구에서는 경피 흡수가 어려운 주름 개선 펩티드인 GHK, GHK-Cu, Pal-GHK 리포좀 및 여기에 피부 투과 펩티드인 아르지닌 올리고머 R4(tetra-D-arginine), R6(hexa-D-arginine)를 첨가한 리포좀으로 경피 투과도를 측정하여 그 결과를 다음 6가지 구분으로 분석하였다. (1) 주름 개선 펩티드만 함유한 GHK, GHK-Cu, Pal-GHK lioposome의 경우; 24시간 최종 누적 경피 투과율은 6.05%, 7.4%, 8.83%를 보였다. (2) GHK에 약물 전달 펩티드 아르지닌 올리고머 R4, R6를 첨가한 리포좀의 경우; 24시간 최종 누적 경피 투과율은 13.63%, 7.68%를 나타냈다. (3) GHK-Cu에 R4, R6를 첨가한 리포좀의 경우; 24시간 최종 누적 경피 투과율은 15.46%, 8.64%로 나타났다. (4) Pal-GHK에 R4, R6를 첨가한 리포좀의 경우; 24시간 최종 누적 경피 투과율은 16.9%, 10.67%를 보였다. (5) GHK, GHK-Cu, Pal-GHK에 각각 R4를 첨가한 리포좀의 경우; 24시간 최종 누적 경피 투과율은 13.63%, 15.46%, 16.9%를 나타냈다. (6) GHK, GHK-Cu, Pal-GHK에 각각 R6를 첨가한 리포좀의 경우; 24시간 최종 누적 경피 투과율은 7.68%, 8.64%, 10.67%로 나타났다. 본 실험을 통해 구리이온(Cu2+)과 팔미트산에 의해 GHK의 피부 흡수가 증가하고, 피부 투과 펩티드에 의해 주름 개선 펩티드의 피부 흡수가 증진되며, GHK, GHK-Cu, Pal-GHK에는 R4가 R6보다 높은 효과를 보이는 것을 알 수 있었다. 이를 통하여 GHK, GHK-Cu, Pal-GHK의 피부 흡수를 증가를 위한 최적의 조건을 제시하여 그 효능을 극대화할 수 있는 방안을 제시함으로써 주름 개선 기능성 화장품에서의 폭넓은 활용과 응용을 제안한다.

• Archives of Reconstructive Microsurgery
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• 제5권1호
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• pp.35-45
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• 1996

After transplantation of groin free flap was sucessed by the Daniel and Taylor in 1973, the reconstruction of plastic surgery was extensive and universal due to rapidly developement of anatomic study of the donor site and technique of microvascular surgery. The free tissue transfers is possible to be early activity and rehabilitation by one stage operation. It currently available allow transfer of specific tissue quality as bone, muscle, nerve to achieve a functional and cosmetic result as well as the most favorable secondary defect. But free flaps require critical, skillful technique and lengthy operating time. Also it has disadvantage of donor site morbity at the large tissue transfer. Authors were transferred with 107 cases in 103 patients from May 1987 to June 1996, and then we analysed free tissue transfer to acquire more increased sucess rate, satisfactory functional and cosmetic results. The sexual distribution was male prominent in 79 cases(76.7%), female in 24(23.3%) and age was variable distribution from 3 to 76 years old. The cause of defects was most prevalent in trauma of traffic and industrial accident in 51 cases(49%). The common recipient site were lower extremities in 47 cases(43.9%), upper extremities in 28 cases(26.5%), head and neck in 25 cases(23.4%), and trunk in 7 cases(6.5%). The type of transfer were free skin flaps in 46 cases(43%), free muscle or musculocutaneous flaps in 31 cases(29%), free vasculized or osteocutaneous flaps in 10 cases(9.3%), and specilized free flaps in 20 cases(18.7%). The anastomosis of artery was end to end anastomosis in 94 cases(87.9%), end to side anastomosis in 13 cases(12.1%) and all vein was end to end anastomosis. The number of anastomosed vessels were one artery one vein in 62 cases(57.9%), one artery two vein in 45 cases(42.1%) and vein graft was performed only one case. The postoperative mornitoring were used with temperature, color of flap, capillary refilling time, ultrasonogram, bone scan, doppler, and endoscopy. The reexploration was performed in 9 cases(8.4%), and then flap was loss in 3 cases(2.8%). Accordingly overall success rate was 97.2%. The postoperative complication was early vascular occlusion, hematoma, partial necrosis and late bulkiness, scarring, color dismatch etc. Therefore, free tissue transfer is the preferred method of treatment, even through conventional local and distant flaps are available.

• Archives of Reconstructive Microsurgery
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• 제6권1호
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• pp.47-55
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• 1997

One hundred and thirty-seven patients had reconstructive surgery of injured feet with microsurgical technique in the Department of Orthopaedic Surgery at Yonsei University College of Medicine from 1983 to 1997. The results were as follows: 1. There were 89 cases in men and 48 cases in women, who together had a mean age of 21.3 years. 2. The causes of injuries were 97 cases from traffic accidents, 15 cases from burns, 11 cases from machinery injury, 5 cases from infection, 2 cases from falling, 2 cases from glass injury, 2 cases from snake bite, 2 cases from explosive injury, and 1 case from ulceration. 3. There were 47 cases with inguinal flaps, 36 cases with scapular flaps, 36 cases with parascapular flaps, 7 cases with deltoid flaps, 4 cases with lateral thigh flaps, 3 cases with latissimus dorsi flaps, 2 cases with tensor fascia lata flaps, and 2 cases with dorsalis pedis flaps. 4. One hundred and twenty-seven(92.7%) cases were successful in reconstructive surgery with microsurgical technique. 5. Functionally, the thick skin flap or sensory flap has less ulceration and good protective sensation. We considered that the function and cosmetic appearance were excellent after reconstructive surgery of the injured feet with microsurgical reconstructive technique and that the thick skin flap or sensory flap has less ulceration and good protective sensation.

• Archives of Reconstructive Microsurgery
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• 제14권2호
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• pp.152-156
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• 2005

Purpose: We reconstructed the thumb with groin flap combined with secondary heterodigital neurovascular island flap and report our 6 cases. Materials and Methods: Between March 2003 and August 2004, 6 degloving thumbs or amputation of thumbs were reconstructed with groin flap combined with secondary heterodigital neurovascular island flap. There ware 4 men and 2 women, and mean age was 42.2 years. The following parameters were evaluated. Results: Recipient thumb was no limitation of apposition. but flexion contracture of interphalangeal joint was about 10 degree in two cases. Average grip power were 80% and average pinch power were 70% that of the normal thumb. The two point discrimination was average 10.5 mm and double sensibility in 2 cases. 2 patients have cold intolerance. Neuroma formation was not made. Cosmetic results as judged by patients were that 4 cases are good and 2 cases are fair. Conclusion: If massive skin defect after degloving thumb or amputation of thumb are present, we consider the numerous methods for reconstruction of thumb. This surgical procedure is good methods because of it's pliability, sensation, satisfactory functional results but major disadvantage are the staged operation and cosmetic effect of the absence of thumb nail.

• Archives of Reconstructive Microsurgery
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• 제10권1호
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• pp.1-6
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• 2001

Free flap transplantation demands meticulous microsurgical technique to cover the exposed vital structures which is important to restore and maintain functions of the extremities. From July 1992 through December 2000, 99 patients were received reconstructive microsurgery in the upper and lower extremity at Department of Orthopedic Surgery, Chonbuk National University Hospital. The most common cause in the upper extremity was industrial accident, 8 cases of total 15 cases and in the lower extremity was traffic accident, 66 cases of total 84 cases. The most commonly involved site was thumb and finger, 8 cases of total 15 cases and in the lower extremity was leg, 65 cases of total 84 cases. In upper extremity, the wrap around free flap was carried out in 4 cases(4.0%), first dorsal metatarsal artery flap and lateral arm flap were 3 cases(3.0%) each in 15 cases and in lower extremity, latissimus dorsi myocutaneous flap were 23 cases(23.2%), gracilis 20cases(20.2%), and rectus abdominis muscle flap 18(18.2%) in 84 cases. Overall 89 cases(89.9%) of 99 cases were survived and maintained and revealed good cosmetic results.