• Maxillofacial Plastic and Reconstructive Surgery
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• 제27권1호
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• pp.66-70
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• 2005

이차 구순비성형술을 받고자 본과에 내원한 편측성 완전 구순구개열을 가진 29세 남자 환자에서 상방으로 반전된 큐피드활과 적순부의 휘파람 변형을 교정하기 위해 중복 Z-성형술을 시행하였다. 수술 후에 반전된 큐피드활이 정상적인 형태로 재건되고 휘파람 변형이 없어졌으며 상순의 긴장도가 완화되었다. 중복 Z-성형술시 적순부 내에서만 피판을 형성하므로 피부에는 새로운 반흔이 생기지 않아 심미적으로 만족스러웠고 상순결절은 더욱 볼록해 졌다. 수술 4년경과 후 큐피드활은 부드러운 곡선으로 좌우 대칭을 이루고 매우 자연스럽게 보였으며 장기적인 추적관찰 결과 양호한 결과를 보였다. 중복 Z-성형술은 반전된 큐피드활의 교정시 다른 수술방법에 비해 술식이 간단하고 주위조직 손상이 적으며 휘파람 변형의 교정도 가능한 좋은 방법이라고 사료된다.

• 대한치과교정학회지
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• 제45권5호
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• pp.253-260
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• 2015

Objective: The aim of this study was to evaluate the facial dimensions of young adult women with a preferred facial appearance and compare the results with those from the general population. Methods: Twenty-five linear, nine angular, and three area measurements were made and four ratios were calculated using a sample of standardized frontal and lateral photographs of 46 young adult women with a preferred facial appearance (Miss Korea group) and 44 young adult women from the general population (control group). Differences between the two groups were analyzed using multivariate analysis of variance (MANOVA). Results: Compared with the control group, the Miss Korea group exhibited a significantly greater facial height, total facial height (TFH; trichion-menton), facial width (tragus right-tragus left), facial depth (tragus-true vertical line), and trichion-nasion/TFH ratio and smaller subnasale-menton/TFH and facial width/TFH ratios. Furthermore, the control group had smaller intercanthal and interpupillary widths. Conclusions: The Miss Korea group exhibited longer, wider, and deeper faces compared with those from the general population. Furthermore, the Miss Korea group had larger eyes, longer but less protruded noses, longer and more retruded lower lips and chins, larger lip vermilion areas, and smaller labiomental angles. These results suggest that the latest trends in facial esthetics should be considered during diagnosis and treatment planning for young women with dentofacial abnormalities.

• 보존과학회지
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• 제29권2호
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• pp.149-159
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• 2013

<문효세자 보양청계병>은 정조의 첫 번째 아들 문효세자(1782-1786)가 1784년 1월, 보양청에서 주관하여 첫 스승으로 모시게 될 보양관과 처음으로 만나 인사를 나누는 의식을 기록한 조선시대 궁중행사도이다. 전체 8폭으로 구성되어 있으며 과거에 수리된 적 없이 18세기 조선 궁중행사도병의 원형을 그대로 유지하고 있었다. 원본 장황의 조사를 통해 조선시대 병풍의 형태에 대해 살펴보고 이를 바탕으로 보존처리를 하였다. 안료분석 결과 채색 안료로 연백, 연단, 진사, 석청, 석록, 황단, 먹 등을 사용하였고, 현미경 확대 관찰한 결과 거의 대부분이 화면의 뒷면에서 배채법으로 채색한 후, 앞면에서 세부묘사 및 부분적으로 엷은 안료를 이용하여 채색하는 방법을 사용하였음을 알 수 있었다.

• 박물관보존과학
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• 제6권
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• pp.47-54
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• 2005

국립중앙박물관이 소장하고 있는 평양 남포지역의 고구려 쌍영총 (쌍기둥무덤)벽화 편 위에 채색되어 있는 안료의 성분분석을 수행함으로서 각 색상에 따른 안료의 광물종류 확인 및 벽화의 제작기법상의 특징을 찾고자 하였다. 분석은 비파괴 성분분석기인 X-선형광분석기(X-ray fluorescence spectrometer, XRF)를 사용하여 안료의 성분원소를 확인하였고, X-선회절분석기(X-ray diffractometer, XRD)를 사용하여 벽화의 바탕 및 안료 층의 광물구조를 파악하였다. 분석결과 벽화의 채색안료 중에서 입술의 적색에는 진사/주(HgS)가 사용되었으며, 얼굴부분은 진사/주와 석회(CaCO₃)를 혼합하여 채색했을 가능성이 큰 것으로 추정되었다. 그리고 가장 큰 특징으로 그림이 그려진 부분의 밑층에만 납 계통의 안료{연백[2PbCO₃·Pb(OH)₂]}가 검출된 사실을 꼽을 수 있다. 이로부터 쌍영총 벽화가 세코(Secco)기법으로 제작되었을 가능성이 크다는 결과를 얻을 수 있었다.

• 보존과학회지
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• 제32권4호
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• pp.571-578
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• 2016

심희수 초상화 2점의 채색 안료에 대한 분석과 현미경 관찰을 통해 채색 안료의 특성을 조사하였으며 비파괴분석 결과와 비교 검토하였다. 심희수 초상화에 사용된 안료는 색상에 따라 유사한 안료를 사용한 것으로 확인되었다. 적색 안료는 진사/주, 연단을 사용하였으며, 청색 안료는 석청, 녹색 안료는 녹염동광, 백색 안료는 연백을 사용한 것으로 확인되었다. 또한 유사한 형식으로 제작된 17~18세기 조선시대 관복초상화 6점과의 채색 안료를 비교한 결과 제작 시기에 따라 차이를 보였다. 적색 안료의 경우 18세기에 제작된 초상화에서 산화철 계통의 안료가 추가적으로 사용된 특징을 보인다. 청색 안료의 차이점은 18세기 초반까지 사용되지 않았던 회청 안료가 18세기 후반에 제작된 초상화에서 확인된 점이다.

• 대한두개안면성형외과학회지
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• 제13권1호
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• pp.11-21
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• 2012

Purpose: Mulliken's method allows for normal nasal and lip growth, which in turn forms a natural shape of the philtrum. Therefore, we used a modified Mulliken's method to correct unilateral and bilateral cleft lip nasal deformities and followed the patients for 10 years. Methods: Ninety-one patients, who had undergone repair of unilateral and bilateral cleft lip and nasal deformity simultaneously using Mulliken's method during the time period from June 1997 to June 2009, were enrolled into this study. To follow-up of the growth of the lips and nose after the operation, the following 5 anthropometric measurements were analyzed: nasal tip protrusion, columellar length, upper lip height, cutaneous lip height, and vermilion mucosa height. Results: Using this method, we obtained a result that there was no significant difference in the development of the lip compared to the normal control group, and that the bilateral cleft lip patients' nasal projection and columellar length was shorter than that in normal persons. Both measures were statistically significant. Conclusion: Mulliken's method is a superb surgical technique, which enables the normal development of the nose and lip, which further allows for the innate philtrum appearance. The author's result does not seem to be meaningful, because the normal rate of nasal growth is slow before adolescence; however, we recommend additional follow-up and accordant treatment, if needed, once the nasal growth is complete.

• 대한두개안면성형외과학회지
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• 제13권1호
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• pp.4-10
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• 2012

Purpose: The objective of this retrospective study was to assess the skeletal stability after orthognathic surgery for patients with cleft lip and palate. The soft tissue changes in relation to the skeletal movement were also evaluated. Methods: Thirty one patients with cleft received orthognathic surgery by one surgeon at the Craniofacial Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan. Osseous and soft tissue landmarks were localized on lateral cephalograms taken at preoperative (T0), postoperative (T1), and after completion of orthodontic treatment (T2) stages. Surgical movement (T0.T1) and relapse (T1.T2) were measured and compared. Results: Mean anteroposterior horizontal advancement of maxilla at point A was 5.5 mm, and the mean horizontal relapse was 0.5 mm (9.1%). The degree of horizontal relapse was found to be correlated to the extent of maxillary advancement. Mean vertical lengthening of maxilla at point A was 3.2 mm, and the mean vertical relapse was 0.6 mm (18.8%). All cases had maxillary clockwise rotation with a mean of 4.4 degrees. The ratio for horizontal advancement of nasal tip/anterior nasal spine was 0.54/1, and the ratio of A' point/A point was 0.68/1 and 0.69/1 for the upper vermilion/upper incisor tip. Conclusion: Satisfactory skeletal stability with an acceptable relapse rate was obtained from this study. High soft tissue to skeletal tissue ratios were obtained. Two-jaw surgery, clockwise rotation, rigid fixation, and alar cinch suture appeared to be the contributing factors for favorable results.

• 대한구순구개열학회지
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• 제11권2호
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• pp.71-75
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• 2008

The outcome of primary surgery for cleft lip is judged by its effects on the quality of oro-facial function and development. Many surgical techniques have been tried to obtain better results, however, Delaire introduced a technique of functional closure of the lip and nose, based on the findings of no true hypoplasia in the tissues either side of the cleft. In a seven-month-old Asian male patient with unilateral incomplete cleft lip, we carried out the primary closure by modified Delaire's technique. With no alveolar bone graft, the vertical incision on the nasal base was omitted in this patient because of his acceptable symmetry of nose. Also, a small Z plasty was added on the non-cleft side. The V-shaped incisions, whose notch was located on each side of the red vermilion, were designed and beveled incisions were performed for the rehabilitation of lip length and thickness, considering the postoperative wound contracture. We assured that this modification of Delaire's technique could be applied for various cases of primary closure of incomplete cleft lip.

• 박물관보존과학
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• 제14권
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• pp.13-22
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• 2013

국립중앙박물관 소장 감로도(증7551)는 16세기에 제작된 것으로 추정되며 일본 교토[京都]의 류간지[龍岸寺] 주지인 에지마고도씨가 2010년 기증하였다. 전체적으로 화면과 회장 견의 결실, 얼룩, 꺾임, 충해 등에 의한 손상이 심하여 이에 대한 보존처리를 필요로 하였다. 보존처리는 표면오염을 제거하고 결실부위 보수 후 본래의 형식대로 장황하였다. 회장부분과 화면부분의 직물 조사결과 견직물과 마직물을 사용하였다. 채색안료는 크게 여섯 가지 색의 계열로 나눌 수 있으며, 붉은색은 진사, 연단, 노란색은 황단, 금, 백색은 연백, 녹색은 석록, 푸른색은 석청, 검정색은 먹을 사용하였다.

• 대한두개안면성형외과학회지
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• 제12권2호
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• pp.102-106
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• 2011

Purpose: It is accepted universally that correction of the cleft lip nasal deformity requires multiple stages of surgery. Following primary lip repair in infancy or early childhood, secondary surgery to improve the deformity of the lip and nose is frequently necessary. A suitable surgical procedure to correct the accompanying deformity, such as cleft palate and alveolus, must be carried out at an appropriate age. In developing countries, it is common for patients with cleft lip nasal deformity to present severe secondary deformities in adolescence, because of poor follow-up and inappropriate surgery. Methods: The first patient was a 12 year old Mongolian boy. He presented prominent lip scar, short lip, wide columella, asymmetric nostril, palatal fistula, cleft alveolus, and velopharyngeal incompetence. He underwent cheilorhinoplasty, transpositional flap, alveoloplasty by iliac bone graft, and sphincter pharyngoplasty. On follow-up, a bilateral maxillary hypoplasia and a class III malocclusion developed. He underwent LeFort I osteotomy and maxillary advancement at the age of 16 years. The second patient was an 18 year old Eastern Russian girl. She presented with a deviated nose, right alar base depression, short lip, protrusion on vermilion, large palatal fistula, and severe VPI due to short palate. She underwent the combined procedure of cheilorhinoplasty, corrective rhinoplasty, tongue flap for palatal fistula, and superiorly based pharyngeal flap. And the tongue flap was detached at postoperative 3 weeks. Results: The overall results have been extremely pleasing and satisfactory to patients. There were no postoperative complications. Conclusion: We discovered the one stage operation for radical correction was sufficient procedure to provide excellent clinical outcomes in patients with severe cleft lip nose deformity.