We performed 75 cases of daryocystorhinostomy from Jan. 1988 to Dec. 1990. A routine dacryocystography was performed prior to operation in all cases. A modified T oti's method was applied as a surgical technique "H" shaped incision was done. Both anterior and posterior flaps were sutured adequately and vaseline guaze was used as a plugging agent for 7 to 10 days Success was achieved in 72(96.0%) of 75 cases. The causes of 3-failures were organized granulation tissue and trauma.

No abstract available.
Induction Chemotherapy* ; Uterine Cervical Neoplasms*

Acute arterial occlusion of the extremity may result from obstruction of an artery by embolism or by thrombosis in situ. This results in the sudden cessation of blood flow to an extremity. So immediate managements are required to prevent propagation of the clot and to restore blood flow to the ischemic extremity promptly. We report a case of a acute arterial occlusion which was developed during prolonged fasting. A 59-year-old male was transferred due to severe ischemic pain, coldness and loss of pulse in left lower extremity during fast. The arteriogram shows a complete obstruction of external iliac artery and non-visualization of femoral artery and popliteotibial artery in the left lower extremity. Selective intra-arterial urokinase thrombolytic therapy and percutaneous transluminal angioplasty resulted in recannulation of obstructed artery and relief of symptoms.
Angioplasty ; Arteries ; Embolism ; Extremities ; Fasting* ; Femoral Artery ; Humans ; Iliac Artery ; Lower Extremity* ; Male ; Middle Aged ; Thrombolytic Therapy ; Thrombosis ; Urokinase-Type Plasminogen Activator

Sialadenosis, characterized by a uniform hypertrophy and hyperplasia of the acinar parenchyma of salivary glands, is associated with a variety of systemic diseases or functional disorders. The disease is associated with underlying systemic factors such as diabetes, malnutrition, alcohol abuse and drugs. So it is also referred to as nutritional mumps. Bulimia nervosa is a disorder that is defined as binge eating combined with inappropriate ways of stopping weight gain. It is significantly more common in females than in males. In the past few years, the number of reports concerning eating disorders have increased in developing countries including Korea, where economic development has also brought about rapid introduction of the Western culture. The authors have observed a rare case of sialadenosis of the submandibular gland in association with bulimia nervosa and report this with literature review.
Alcoholism ; Bulimia Nervosa* ; Bulimia* ; Developing Countries ; Feeding and Eating Disorders ; Economic Development ; Female ; Humans ; Hyperplasia ; Hypertrophy ; Korea ; Male ; Malnutrition ; Mumps ; Salivary Glands ; Sialadenitis ; Submandibular Gland ; Weight Gain

Spontaneous coronary artery dissection is a rarely identified entity whose exact incidence, etiology, pathogenesis, medium-term evolution and optimal treatment have not yet been firmly estabilished. The cause of spontaneous disection remains unclear but theories of etiology include a medial eosinophilic angiitis, pregnancy induced degeneration of collagen and rupture of the vasovasoum. Most paients die suddenly, but a clinical spectrum is seen including and unstable angina, myocardial infarction and cardiogenic shock. We experienced 4 cases with spontaneous coronary artery dissection found angiographically which caused myocardial infarction and unstable angina. Our patients were treated medically.
Angina, Unstable ; Collagen ; Coronary Vessels ; Eosinophils ; Humans ; Incidence ; Myocardial Infarction ; Myocardial Ischemia* ; Pregnancy ; Rupture ; Shock, Cardiogenic ; Vasculitis

PURPOSE: Recently, analytical studies of the various parameters of rectoanal inhibitory reflex were reported and revealed that many of the parameters showed significant differences according to the anal continence function. The standardization of these studies is, however, not yet sufficient enough to apply to use those parameters in reflex test for clinical practice. The aim of this study was to check how the parameters react differently to various degrees of rectal distention and to determine the efficacy of each parameter in clinical applications of rectoanal inhibitory reflex. METHODS: Thirty-two subjects underwent repeated manometries for rectoanal inhibitory reflex with different volumes (40, 60, 80 cc) of rectal ballooning. Latencies, amplitudes, slopes, durations, and areas under the reflex curves of the reflexes were measured, and the differences among them according to the ballooning volume in each subject were analyzed statistically. RESULTS: The area under reflex curve, the amplitude, the duration, and the slope did not differ statistically with the ballooning volume (P values were 0.3959, 0.2142, 0.2080, 0.1453, respectively, by repeated measures two way ANOVA). However, the latencies did differ significantly (P=0.0131). CONCLUSIONS: Most of the parameters except latency were stable against different volumes of rectal ballooning. Among the stable parameters, the area under the reflex curve seemed to be the most useful in clinical applications of rectoanal inhibitory reflex.
Manometry ; Reflex*

No abstract available.
Poland Syndrome* ; Poland*

When an axon is severed, degenerative changes occur in the injured neuron as well as in those with which it has synaptic connections through transneuronal degeneration. Transneuronal degeneration includes all atrophic or degenerative changes that occur in nerve cells following the disappearance of their efferent (retrograde transneuronal degeneration) or afferent (anterograde transneuronal degeneration) connections. Previous studies have shown that transneuronal degeneration may occur in the neurons of various central nervous system following injury to their peripheral nerve. However, the effect of transneuronal degeneration on the neurons which are related with damaged neurons functionally and structurally is not elucidated yet. Denervation due to axonal degeneration or dysfunction of nerve cell bodies leads to physiological and biochemical changes in the skeletal muscles, and the extent of neuronal degeneration can be assessed through the muscle atrophy and the changes in muscle fiber type density. In order to identify the effect of transneuronal degeneration on the adjacent peripheral nerves as well as muscles, the left femoral nerve of Sprague -Dawley rats was transected, and changes in their spinal cords and hindlimb muscles were analysed morphologically and histochemically. The results obtained are as follows : 1. the motor neurons of ipsilateral anterior horn of femoral nerve transected rats showed reduction in size and degenerative features such as shriven shape and nucleus moved to periphery of the cell body. 2. All three muscle fiber types of rectus femoris and adductor longus were reduced in muscle fiber size, but no such changes were observed in semitendinosus. 3. In rectus femoris and adductor longus, type IIa muscle fiber was increased in number and the number of type IIb fiber was reduced, whereas no change was observed in all three muscle fiber types of semitendinosus. These findings indicate that damaged neurons following peripheral nerve injury can affect other adjacent neurons through transneuronal degeneration and cause the denervative changes in the muscles innervated by those adjacent neurons concomitantly, and such effects are only observed in the same spinal cord level.
Animals ; Axons ; Central Nervous System ; Denervation ; Femoral Nerve ; Hindlimb ; Horns ; Motor Neurons ; Muscle, Skeletal ; Muscles ; Muscular Atrophy ; Neurons ; Peripheral Nerve Injuries* ; Peripheral Nerves* ; Quadriceps Muscle ; Rats* ; Spinal Cord

No abstract available.
Korea*

No abstract available.
Cervical Intraepithelial Neoplasia* ; Cervix Uteri* ; Diagnosis* ; Female