No abstract available.
Osteotomy* ; Prognathism* ; Recurrence*

No abstract available.
Orthognathic Surgery

No abstract available.

Nowdays steroid injection into the epidural space is increasing gradually by pain clinic physician in order to control of low back and radiculating pain. But, there are a few reports about the effect of methylprednisolone that is injected into the epidural space on the plasma cortisol levels. So we undertook to determine the effect of epidural methylprednisolone acetate(Depomedrol) on the hypothalamus-pituitaryadrenal axis by checking plamsa cortisol levels. 9 patients were given 80 mg of methylprednisolone acetate and 10 ml of 0.25% bupicaine epidurally 3 times of injection at weekly intervals and checked the plasma cortisol levels of 1 hour before and after each injection respectively. The levels of plasma cortisol were also checked at first and 4th week after the last injection. The results are as follows: The baseline plasma cortisol level is 11.21+/-6.38mg%. The plasma cortisol levels of 1 hour before and after 2nd injection are 3.94+/-5.38 and 4.11+/-7.10mg%. The plasma cortisol levels of 1 hour before and after 3rd injection are 2.01+/-1.33 and 2.90+/-4.31mg%. The palsma cortisol level of 1st week after the last injection is 1.76+/-1.03mg%. The plasma cortisol level of 4th week after the last injection is 7.45+/-2.38mg%.
Axis, Cervical Vertebra* ; Epidural Space* ; Humans ; Hydrocortisone ; Low Back Pain ; Methylprednisolone* ; Pain Clinics ; Plasma

Upper G-I bleeding is a dangerous situation and effeetive control method without surgery is desirable. A hemostatic technique utilizing the dehydrating and fixative properties of pure ethanol was developed in Japan. This technique was performed through an endoscopic injector, in divided dose of 0,1 ~ 0.2 ml into several spots in the area surrounding the bleeding vessel in patients upper G-I bleeding excluding esophageal varies. We applieii this technique in treatment of 11 cases showing active bleeding of fresh blood clots. Rebleeding occurred in 2 cases(20%) and complete hemostasis was achieved in 9 cases(80%). We think this technique is safe and simple as an endoscopic hemostatic measure.
Ethanol* ; Hemorrhage* ; Hemostasis ; Hemostatic Techniques ; Humans ; Japan

Some foreign reports state that 60~80 % of patients hospitalized with cancer suffer with pain. The cancer patients usua1ly have exacerbation of pain corresponding to the progre-ssion of the disease. The management of cancer relate? pain includes the followings : 1) Attacking the pathologr causin? the pain 2) Raising the pain thresheld 3) Modulating the pain pathway 4) Interrupting the pain pathwazy. The most important aspect in management of cancer related pain is stepladder approach to ana17esic tailoring. The development of toleranoe with prolonged uke of analgesics requires increasing dose of analgesics. Not only does the increased dose of analgesics affect analgesia but also increases side effectg increases. Chemical nerve blocks and neurosurgical ablation can be used in management of terminal cancer patients. With the development of multimodal approaches to caring cancer patients one shruld be cautious in Using ablative therapy. ln our pain clinics, 123 cancer related pain patients have been managed with non-narc-odic analgesics, narcotic analgesics, celiac plexus block, and intrathecal phenol block, imp-lant ation of permanent epidural catheter.
Analgesia ; Analgesics ; Catheters ; Celiac Plexus ; Humans ; Narcotics ; Nerve Block ; Pain Clinics ; Phenol

When ultrasound or computed tomographic (CT) scans demonstrate a focal mass within the pancreas, the radiologist or gastroenterologist assumes that it is carcinoma. Statistically this is the correct diagnosis. However, distinguishing pancreatitis from carcinoma by ultrasound and CT is occassionally impossible. Similarly, abnormalities seen on ERCP, such as simultaneous obstruction of both the common bile duct and adjacent pancreatic duct (double duct sign), has been shown to occur in pancreatitis as well as in the more commonly diagnosed pancreatic carcinoma. We experienced 3 cases af focal pancreatic masses that mistaken a carcinoma. And so, knowledge that such a mass can be benign in a clinical setting sbould result in an organiged approach to the correct diagnosis and avoidance of any unnecessary operations.
Cholangiopancreatography, Endoscopic Retrograde ; Common Bile Duct ; Diagnosis ; Inflammation* ; Pancreas ; Pancreatic Ducts ; Pancreatitis* ; Ultrasonography

A case of generalized primary amyloidosis with a reveiw of the literatures is reported. The 38 year old patient suffered from malabsorption syndrome for a year and was presented chronic renal failure with renal enlargment, myxedema and hemorrhagic gastritis. Biopsy of kidney and stomach revealed characteristic findings of amyloidosis by congo red stain and electronmicroscopy.
Adult ; Amyloidosis* ; Biopsy ; Congo Red ; Gastritis ; Humans ; Kidney ; Kidney Failure, Chronic ; Malabsorption Syndromes* ; Myxedema ; Stomach

The regeneration of corneal nerve in the graft after penetrating partial homo-keratoplasty had been observed histologically in the experimental rabbits and also the influence of thiamine hydrochloride on nerve regeneration had been studied. Cornea-grafts obtained from the central portion of the cornea by 6 mm trephine were transplanted each other among the rabbits and given 8 sutures in situ under deep sodium pentobarbital anesthesia. Thiamine hydrochloride were given daily does of 5 mg/kg body weight to the grouped rabbits intramuscularly. Enuculeations were done in 5 days, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 14, 18, 20, 22, 24, 26, and 27 weeks after transplantation. Preparations were made with 10-15 micro paraffiserial sections, both of cross and flat, and modified Romanes' silver stain was applied. The results were as follows: 1) Control group: In 5 days after operation, fine nerve fibes were regenerated from the cutted nerve stumps of the host-cornea. After I weeks, nerve plexus were formed in the host-cornea around scar tissue and few fibers penetrated into the scar tissue. After 2 weeks, fine regenerating nerve fibers were found in the transplanted cornea-grafts. Thereafter, numbers and size of the regenerated nerve fibers increased gradually. In 9 weeks after transplantation, nerve innervation in the transplanted cornea-graft was similar to normal cornea. 2) Thiamine hydrochloride treated group: In 5 days after operation, fine regenerating nerve sprouts from the cutted nerves tumps in the host-cornea formed loose nerve plexus and few fibers penetrated into the scar tissue. After 1 week, regenerating nerve fibers were already found in the periphery of the transplanted cornea-grafts. In process of experimental time, nerve fibers in the cornea-grafts more actively regenerated compared with control group. In 7 weeks after homo-corneal transplatation, nerve innervation in the grafts was the same as normal cornea. 3) Thiamine hydrochloride remarkably accelerated nerve regeneration in the transplanted cornea-grafts after penetrating partial homo-keratoplasty.
Anesthesia ; Body Weight ; Cicatrix ; Cornea ; Nerve Fibers ; Nerve Regeneration* ; Pentobarbital ; Rabbits* ; Regeneration ; Silver ; Sodium ; Sutures ; Thiamine ; Transplants

Pheochromocytoma is one of the surgically curable hypertensive syndrome and may arise wherever chromaffin cells are located. A case of a left large adrenal pheochromocytoma developed in a 49 year old male is presented with brief review of literatures.
Chromaffin Cells ; Humans ; Male ; Middle Aged ; Pheochromocytoma*