• Archives of Plastic Surgery
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• 제34권4호
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• pp.448-454
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• 2007

Purpose: The objective of this study was to evaluate the outcomes of using the free flap in the reconstruction of maxillary defects. Methods: 27 consecutive cases of maxillary reconstruction with free flap were reviewed. All clinical data were analyzed, including ideal selection of flap, time of reconstruction, recurrence of cancer, postoperative complications, flap design, and follow-up results. The main operative functional items, including speech, oral diet, mastication, eye globe position and function, respiration, and aesthetic results were evaluated. Results: Among the 24 patients who underwent maxillary reconstruction with the free flap, 14 patients underwent immediate reconstruction after maxillary cancer ablation, and 10 patients underwent delayed reconstruction. There occurred 1 flap loss. Recurrences of the cancer after the reconstruction happened in 2 cases. Postoperative complications were 3 cases of gravitational ptosis of the flap, 2 cases of the nasal obstruction, and 1 case of fistula formation. Out of 27 free flaps, there were 15 latissimus dorsi myocutaneous flaps, 5 radial forearm, 4 rectus abdominis myocutaneous flaps, 1 scapular flap, 2 fibula osteocutaneous flap, respectively. Flaps were designed such as 1 lobe in 9 cases, 2 lobes in 9 cases, and 3 lobes in 5 cases. Among the 14 patients who had intraoral defect or who had palatal resection surgery, 2 patients complained the inaccuracy of the pronunciation due to the ptosis of the flap. It was corrected by the reconstruction of the maxillary buttress and hung the sling to the upper direction. All of the 14 patients were able to take unrestricted diets. In 6 patients who had reconstruction of inferior orbital wall with rib bone graft, they preserved normal vision. Aesthetically, most of the patients were satisfied with the result. Conclusion: LD free flap is suggested in uni-maxilla defect as the 1st choice, and fibular osteocutaneous flap and calvarial bone graft to cover the larger defect in bi-maxilla defect.

• 한국가정과교육학회지
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• 제31권4호
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• pp.163-192
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• 2019

본 연구는 한국가정과교육학회 창립 30주년을 맞이하여 지금까지의 발자취를 성찰하고 앞으로 나아갈 방향을 모색하고자 하였다. 이러한 목적에 부합하도록 첫째, 30년 역사의 성과를 가정과교육의 현황, 한국가정과교육학회의 학술대회 주제와 가정과 교사의 사회적 기여를 통해 뒤돌아보았다. 지난 30년 역사를 통해 본 가정과교육 분야의 연구와 가정과교사의 수업은 가정과교육의 역할을 제고하여 사회적 요구에 부응하기 위해 노력하였음을 확인하였다. 둘째, 미래 가정과교육의 역할을 발전적으로 탐색하기 위하여 가정과교육의 비전과 사명을 도출하였다. 비전과 사명의 공유는 전문분야로서 가정과교육이 추구하는 이상적인 가치와 목표로 기능하여 우리가 나아가야 하는 과정으로 이끌어준다. 본 연구로부터 가정과교육의 비전과 사명의 실현은 자유로운 개인, 자유로운 사회, 지속가능한 환경으로 이끌 것이며, 궁극적으로 개인과 가족, 사회, 환경의 총체적 웰빙을 이루게 할 것이다. 이를 위한 가정과교육의 역할은 미래 사회에 더욱 지대해질 것이라는 결론에 도달할 수 있다.