94年度0819口外評鑑

中華民國口腔顎面外科學會九十中華民國口腔顎面外科學會九十四四年度口腔顎面外科專科醫師訓年度口腔顎面外科專科醫師訓練醫院練醫院評鑑評鑑

評鑑委員評鑑委員 : : 張燕清醫師張燕清醫師羅正興醫師羅正興醫師蔡國陽醫師蔡國陽醫師

接受評鑑單位接受評鑑單位 :: 台北榮民總醫院牙科部台北榮民總醫院牙科部口腔顎面外科口腔顎面外科

報告內容報告內容

業務報告業務報告 - 92,93 - 92,93 年度手術病例分類記錄年度手術病例分類記錄 - 92,93 - 92,93 年度門診分類記錄年度門診分類記錄

教學活動記錄教學活動記錄 - - 常規教學記錄常規教學記錄 - - 聯合討論會聯合討論會

訓練計畫書訓練計畫書 - - 現有人員裝備現有人員裝備 - - 專任住院醫師專任住院醫師 - - 研究生合併專科醫師研究生合併專科醫師 - - 實習及見習醫師實習及見習醫師 (( 詳見附件詳見附件 ))

論文撰寫成果論文撰寫成果

92-93 92-93 年度手術病例分類記年度手術病例分類記錄錄

15 2023

43

135

194

8388

22 29 2030

101109

87

134

0

20

40

60

80

100

120

140

160

180

200

TMJ Ortho. Sx. Malig. TumorSx.

Benign TumorSx.

Fracture Cyst Cellulitis Pre-prostheticSx.

92 93

業務報告業務報告 :: 九十二年度入出院人數記錄九十二年度入出院人數記錄55

48

8.9

42

27

5.4

48

46

16.9

45

43

17.2

25

23

16.6

30

26

17

4342

15.2

40

38

15.7

37

33

14.7

3635

17.7

2928

20.3

4747

12.7

0

10

20

30

40

50

60

一月二月三月四月五月六月七月八月九月十月十一月十二月

(477 )入院人數人次 (436 )出院人數人次 (14.8 )平均住院天數天

業務報告業務報告 :: 九十三年度入出院人數記錄九十三年度入出院人數記錄

3336

24.5

4345

6.5

49

41

6.7

5351

12.7

33

40

18.2

34

26

11.6

57

54

7.7

5052

11.3

67

61

11.5

52

46

8.18

44

40

11.11

40

44

12.26

0

10

20

30

40

50

60

70

一月二月三月四月五月六月七月八月九月十月十一月十二月

(555 )入院人數人次 (536 )出院人數人次 (11.8 )平均住院天數天

92-93 92-93 年度入院人次及天數年度入院人次及天數

367

430

99

168

14.811.8

0

50

100

150

200

250

300

350

400

450

male female admission

92 93

92-93 92-93 年度門診病例分類記錄年度門診病例分類記錄

102112

131

183

38

32

46 49

1.61.1 0.6

0.4 0.5 10

20

40

60

80

100

120

140

160

180

200

S.E (X10) C.E Pre-pro biopsy cyst sialogram implant

92 93

教學活動記錄教學活動記錄 :: 常規教學活動常規教學活動

星期一星期二星期三星期四星期五星期六主治醫師教學查房 ( 0 7 : 3 0 ~ 0 8 : 0 0 )

口腔顎面外科特別門診教學(08:30~12:00)

口腔顎面外科晨會(08:00~08:30)

口腔診斷門診教學 ( 0 8 : 3 0 ~ 1 2 : 0 0)

門診手術教學 ( 0 8 : 3 0 ~ 1 7 : 3 0 )

開刀房手術教學 ( 0 8 : 0 0 ~ 1 7 : 3 0 )



文獻及病例討論 (12:30~14:00)

死亡及併發病例討論 (16:30~1

7:30)

部主任教學查房 (17:30~18:30) 部主任教學查房

(17:30~18:30)

口腔顎面外科病例討論會 (19:

00~21:00)

教學活動記錄教學活動記錄 :: 聯合討論會聯合討論會

星期一星期二星期三星期四星期五星期六

口腔顎面外科癌病治療中心聯合病例討論會(08:00~10:00)

口腔顎面外科矯正牙科

聯合討論會 (16:30~18:00)

口腔顎面外科病理部

聯合病例討論會 ( 第三週 16:30~

18:00)

口腔顎面外科門診 , 病房及手術室護理長科務會議 ( 第三週 16:30~17:3

0)

訓練計畫書訓練計畫書 :: 現有人員裝備現有人員裝備

人員編制 :

- 專任專科醫師 : 7 人 - 兼任專科醫師 : 3 人 - 專任住院醫師 : 7 人

裝備編制 :

- 可用病床總數 : 23 床 - 專屬門診診療椅 - 口腔顎面外科疾病診療設備

訓練計畫書訓練計畫書 :: 專科醫師訓練專科醫師訓練

專科住院醫師專科住院醫師(3(3 年年 ))

內外科訓練 (12 個月 )

病房訓練(12~18 個月 )

門診訓練( 至少 8 個月 )

口腔診斷及口腔內科……………………… .….2-4 個月拔牙 (220) 及贗復前手術（ 10, 含植牙手術） .6-12 個

月

顎面外傷 (4) 頭頸部感染 (4)口腔顎顏面區之囊腫及良性腫瘤 (10)口腔惡性腫瘤 (5)顳顎關節手術及關節鏡 (4)口腔顎顏面區之重建手術 (0-4)先天及後天顏顱畸形之矯正手術 (0-5)顏面部運動及感覺神經之疾病

麻醉科一般外科整形外科神經外科感染科血液科心臟血管內科新陳代謝科病理科或放射線診斷科任選一科，每科 2 個月

訓練計畫書訓練計畫書 :: 研究生合併專科醫師訓練研究生合併專科醫師訓練

研究生合併專科醫師訓練研究生合併專科醫師訓練 (4(4 年年 ))前兩年之臨床時數以一年計，每週至少 20 小時，寒暑假不休，每週至少 40 小時最後二年全天訓練訓練內容與專科住院醫師必須通過碩士論文考試後始得發給臨床訓練證書。

訓練計畫書訓練計畫書 :: 教育訓練教育訓練

凡是參加口腔顎面外科住院醫師專業訓練皆必須參加下列之教育內容：應用口腔解剖學及實驗動物外科 , 負責陽明大學口腔解剖實驗助教工作。口腔顎顏面區之研究 , 包括臨床及基礎完成專科住院醫師時必須有一至二篇論文發表。顯微手術 : 4 週 , 向陽明大學醫學院實驗動物外科報名。查房 : 每天 1 小時聯合病理討論 : 每月 1 小時頭頸腫瘤聯合討論會 : 每週 1 小時雜誌及文章討論會 : 每二週 1 小時病例討論會 : 每二週 1 小時

近五年論文撰寫成果近五年論文撰寫成果 (( 含中英文共含中英文共 6262 篇篇 ))

1. Chang CS and Kao SY: Biomechanical and histological studies of particulate hydroxylapatite implanted in femur bone defects of adult dogs: Int J Oral Maxillofac Surg 29: 54-61, 2000. (SCI)2. Kao SY, Tu SF, Yang J, Chang CS: Biologic functions and tumor suppressor effect of retinoids. Chin Dent J 19(3):155-66, 2000.3. Chou IC, Kao SY, Chang CS: Diabetes mellitus and wound healing. J Dent Sci 20:41-48, 2000.4. Huang TY, Kao SY, Chang CS: Early detection of oral squamous cell carcinoma by toluidine blue. J Dent Sci. 20: 11-16, 2000.5. Huang TY, Kao SY, Chang CS: Introduction of distraction osteogenesis. J Dent Sci. 20: 49-52, 2000.6. Tse YW, Lui MT, Kao SY, Chang CS: The dental care of diabetes mellitus patients. J Dent Sci. 20: 121-126, 2000.7. Yang CC, Kao SY, Chang CS: The effect of NSAIDs in tumor suppression. J Dent Sci. 20: 115-120, 2000.8. Tse YW, Kao SY, Lui MT, Chang KW, Chang CS: Oral Manifestation of AIDs. J Dent Sci. 20: 111-114, 2000.9. Wu CS, Huang TI, Kao SY: The role of telomere & telomerase in human cancer: Part I. J Dent Sci 20:167-172, 200010. Kao SY, Lo J, Chou J, Yang J, Chou AP, Wong JH, Chang CS: Hyperbaric oxygen therapy of maxillary osteomyelittis with infection to ethmoid sinus, orbit and base of skull. Asian J Oral Maxillofac Surg. 13(1):55-60, 2001.

12. Tse YW, Kao SY, Wang YW, Chang CS: Treatment of commonly seen oral lesion in AIDS. J Clin Med. 48:29-33, 2001.

13. Hwang MJ, Kuang SS, Kao SY, Ferng HJ: The etiology assessment, diagnosis and Tx of facial asymmetry. J Clin Med. 48:34-41, 2001.

14. Tu HF, Chang CS, Chang KW, Kao SY: Chemoprevention of Vit-A in oral cancer. J Clin Med. 48:23-28, 2001.

15. Kao SY, Yang J, Chang KW, Li WY, Chang CS: Maxillary amelanotic melanoma: a case rep

ort. J Oral Maxillofac Surg. 59: 700-703, 2001. (SCI)

16. Yang CC, Tu SF, Chang CS, Kao SY: In vitro cellular response of retinoic acid

treated human oral cancer cell lines. Chin Med J. 64:357-363, 2001.

17. Lee HC, Yin HP, Yu TN, Chang YD, Hsu WC, Kao SY, Chi CW, Liu TY, Wei YH: Accumulation of mitochondrial DNA deletions in human oral Tissues- effects of betel quid chewing and oral cancer. Mutation Res. 493: 67-74, 2001. (SCI).

18. Kao SY, Iou GT, Lo WL, Chang YL, Su CY, Chang CS: An overview of retrospective and prospective researches on ceramic bone substitue hydroxylapatite-HA Chin Dent J 20:227-242, 2001.

19. Kao SY, His-Feng Tu, Jack Yang, Wen-Liang Lo, Che-Shoa Chang: An Overview of the Detection and Screening of Oral Cancer and Precancer. Chin J Oral Maxillofac Surg 12: 91-99, 2001


20. Lo WL, Kao SY, Chang CS: Diagnosis and treatment of internal derangement of TMJ. J Dent Sci 47:354-360, 2001.21. Tse YW, Lui MT, Kao SY, Li WS, Chang CS: Odontogenic keratocyst ─multiple times rescurrence and 10 years long term follow up case report. Chin J Oral Maxillofac Surg. 12(1):36-44 March 2001.22. Huang TY, Kao SY, Chang CS: Cervical ranula-a case report and literature review. Chin J Oral Maxillofac Surg. 12(1):55-62 March 2001.23. Wu CS, Kao SY, Chang SC: An overview of the detection & screening of oral cancer and precancer. J Dent Sci 21:95-100, 2001.24. Yang CC, Kao SY, Chang CS: Carcinoma ex pleomorphic adenoma of deep lobe of parotid gland － a case report. Chin J Oral Maxilofac Surg. 12(1):45-54 March 200125. Chou IC, Kao SY, Li WY, Hsu HS, Shih CW, Chang CS: Oral metastasis of renal cell carcinoma － a case report. Chin J Oral Maxilofac Surg. 12(1):17-27 March 200126. Kao SY, Yang J, Yang AH, Chang KW, Chang CS: Peripheral primitive neuroectodermal tumor of maxillary gingivae with metastasis to cervical lymph nodes- case report J Oral Maxillofac Surg 60:821-825, 2002.27. Kao SY, Tu HF, Chang CS, Yang AH, Chang KW, Lee CH: Primary ectopic thyroid carcinoma occurring in the floor of mouth and tongue- Case report. Br J Oral Maxillofac Surg 40(3):213-5, 2002.


28. Kao SY, Yeung TC, Chou IC, Chang CS: Reconstruction of the severely resorbed class-IV atrophic edentulous ridge of maxilla and mandible for implant restoration - a case report. J Oral Implantol 18: 128-132, 2002.29. Kao SY, Tu HF, Yang AH, Li WY, Chang CS: An oral metastatic epitheloid sarcoma occurring at the mandibular gingivae with primary lesion originating from the left wrist: a case report. Oral Surg Oral Pathol Oral Med (SCI) 40(3):213-5, 2002 30. Lin SC, Chen YJ, Kao SY, Hsu MT, Lin CH, Yang SC, Liu TY, Chan KW: Chromosomal changes in betel-associated oral squamous cell carcinomas and their relationship to clinical parameters. Oral Oncol 38:266-273, 200231. Chang KW, Kao SY, Tzeng RJ, Liu CJ, Cheng AJ, Yang SC, Wong YK and Lin SC: Multiple molecular alterations of FHIT in betel-associated oral carcinoma. J Pathol 196: 300-306, 2002 32. Kao SY, We CH, Lin SC, Yap SK, Chang CS, Wong YK, Chi LY, Liu TY: Genetic polymorphism of cytochrome P4501A1 and susceptibility to oral squamous cell carcinoma and oral precancer lesions associated with smoking/betel use. J Oral Pathol Med 31: 505-511, 200233. Kao SY, Yeung TC, Hung KF, Chou IC, Wu CH, Chang CS: Transpositioned flap vestibuloplasty combined with implant surgery in the severely resorbed atrphic edentulous ridge. J Oral Implantol 28(4):194-199, 200234. Lin SC, Wang CP, Chen YM, Lu SY, Fann MJ, Liu CJ, Kao SY, Chang KW: Regulation of IGFBP-5 expression during tumourigenesis and differentiation of oral keratinocytes. J.Pathol 198: 317-325, 2002. (SCI)35. Kao SY, Tu HF, Yang CC, Chang KW, Chang CS, Lin SC: The retinoic acid receptor-β(RAR-β) mRNA expression in the oral squamous cell carcinoma associated with betel quid use. J Oral Pathol Med 31: 220-226, 2002. (SCI)


36. Kao SY, Yeung TC, Lo WL, Wu CH, Lui MT, Richard Chang CS: Rehabilitation of Dental Implants for the Post-irradiated and Marginally Resected Mandible in an Oral Cancer Patient. Chin Med J 65: 548-552, 2002. (IM)37. Yang CC, Tu HF, Wu CH, Richard Chang CS, Kao SY: In vitro growth inhibition by indomethacin on human oral squamous cell carcinoma lines synergistically suppressed by all-trans retinoic acid correlating to apoptosis. Chin Med J 65: 600-607, 2002. (IM)

38. Iou GT, Yang J, Lo WL, Huan TY, Chang CS, Kao SY: Using minocycline sclerosing therapy for the management of chyle leakage after radical neck dissection for a recurrent oral cancer patient. Chin J Oral Maxillofac Surg 13: 10-18, 2002.

39. Tu HF, Yang J, Chang CS , Kao SY: Vestibuloplasty using palatal mucosa graft in compromised alveolar ridge due to tumor ablation surgery –a case report. Chin J Oral Maxillofac Surg 13: 40-50, 2002 .

40. Lo WL, Kao SY, Chi LY, Wong YK, Chang RCS. Outcomes of oral squamous cell carcinoma in Taiwan after surgical therapy: factors affecting survival. J Oral Maxillofac Surg 61: 751-758, 2003.

41. Hung KF, Lin SC, Liu CJ, Chang CS, Chang KW, Kao SY. The biphasic differential expression of the cellular membrane protein, caveolin-1, in oral carcinogenesis. J Oral Pathol Med 32: 461-467, 2003.

42. Lo WL, Richard Chang CS, Yang AH, Kao SY: Aspergillosis of the temporomandibular joint following irradiation of the parotid region: A case report. Int J Oral Maxillofac Surg 32: 560-562, 2003. (SCI)


43. 陳雅薇 , 高壽延 , 張哲壽 : 放射線治療引發的繼發性癌症 . 中華牙醫學會訊 : 16-20, 2003 五、六月號 .

44. 林鈞盛 , 季麟揚 , 高壽延 , 張哲壽 : 口腔黏膜鱗狀細胞癌篩檢之試劑簡介 . 中華牙醫學會訊 : 12-16, 2003 十二月號

45. 吳智偉 , 楊子彰 , 高壽延 : 病例報告 -- 一位車禍外傷患者經硬組織與軟組織重建後之植體贗復手術 . 中華牙醫學會訊 : 17-18, 2003 十二月號 .46. Wu CH, Kao SY, Lo WL, YX Li, Chang CS: A case report of non-small cell lung cancer metastasizing to oral cavity. Chin J Oral Maxillofac Surg 15: 27-37, March 200447. 吳和泰 , 高壽延 , 張哲壽 , 劉宗榮 : 檳榔子化學成分之致癌性 . 中華牙醫學會訊 : 36-40, 2004 三、四月號 .48. 李育融 , 林雙蘊 , 張程 , 羅文良 , 高壽延 , 張哲壽 : Using microscopic MRI for observation of bone regeneration in animal model( 以顯微鏡核磁共振照影儀來觀察與量化動物實驗結果 ). 中華牙醫學會訊 : 40-44, 2004七、八月號 .49. Wu CW, Yeung TC, Lui MT, Chang CS, Kao SY: Reconstruction of the severe atrophic ridge of the mandible after traffic accident with guided bone regeneration combined with palatal mucosa graft and vestibuloplasty for implant rehabilitation –a case report. Chin J Oral Maxillofac Surg 15: 99-107, September 2004.

50. 高壽延 , 陳雅薇 , 吳政憲 , 羅文良 , 雷文天 , 張哲壽 : 口腔癌篩檢的重要性 . 中華牙醫學會訊 : 19-22, 2004 九、十月號


51. Kao SY, Tu HF, Chang KW, Chang CS, Yang AH, Li WY. Epitheloid sarcoma metastasis to the gingivae: a case report. Int J Oral Maxillofac Surg 33: 205-208, 2004. (SCI)52. Tu HF, Yu IT, Chang KW, Chang CS, Kao SY. Peripheral T-cell lymphoma of the maxillary gingiva Asia J Oral Maxillofac Surg 16:184-188, 2004.53. Chou IC, Wu CH, Tu HF, Kao SY: Analysis of dental emergencies as Taipei Veterans General Hospital in 2003. Chi J Oral Maxillofac Surg 15:7-17, 2004 .54. Wu CS, Chen YW, Lo WL, Lui MT, Chang CS, Kao SY: The 2002~2003 year cancer bulletin of oral squamous cell carcinoma at oral and maxillofacial surgery in Taipei Veterans General Hospital. J Dent Sci 24:15-20,2004.55. Wu CS, Li YZ, Tu SF, Lo WL, Kao SY, Chang CS: Using microcopic MRI for observation of bone regeneration in animal model. J Dent Sci 24:21-29,2004.56. Yu EH, Kao SY, Richard Chang CS: Tumor angiogenesis in cancer therapy. J Dent Sci 24:65-70,2004.57. Wu CH, Tu HF, Jenny Fong, Chang, CS, Kao SY: Antisense oligonucleotide therapy for oral squamous cell carcinoma in a nude mouse model. Asian J Oral Maxillofac Surg 16:109-115,2004.(IM)58. 于恩浩 , 吳政憲 , 羅文良 , 高壽延 , 張哲壽 : 前哨淋巴結切片在治療頭頸部癌症所扮演的角色 . 中華牙醫學會訊 : 32-34, 2005 一、二月號 .


59. Joe Chou IC, Fong HJ, Kuang SH, Gi LY, Hwang FY, Lai YC, Richard Chang CS, Kao SY: A retrospective analysis of the stability and relapse of soft and hard tissue change after bilateral sagittal split osteotomy for mandibular setback of 64 Taiwanese patients. J Oral Maxillofac Surg 63:355-361, 2005. 60. Kao SY, Jenny Fong HJ, Chou IC, Yeung TC: Using distraction osteogenesis for repositioning the dental implant retained premaxilla in conjunct with autogenous bone graft and mucosa graft vestibuloplasty in a trauma patient – report of a case. J Oral Implantol (submitted)

61. Wu CW, Hung KF, Yeung TC, Kao SY: A method using vestibulo-sulcoplasty simultaneously combining spilt-thickness skin graft and palatal keratinized mucosa graft for rehabilitation of peri-implant tissue in the severely atrophic edentulous ridge secondary to oral cancer surgery. J Oral Maxillofacial Surg (submitted)62. Kao SY, Fong HJ, Chou SJ, Wu JH, Tu HF, Yeung TC: Segmental osteotomy to reposition multiple osseointegrated dental implants in the anterior maxilla in a trauma patient. Dental Traumatlolgy (acceptted)Kao SY, Fong HJ, Lui MT, Yeung TC, Hung KF, Wu CH, Yu EH, Wu HT, Chang CS: Our experiences associated with implant rehabilitation of severely traumatized alveolar ridge in the pre-maxilla and mandible with autogenous/allogeneic bone graft and keratinized palatal mucosa graft vestibuloplasty. Asian J Oral Maxillofacial Surg (submitted)


94年度0819口外評鑑

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