No abstract available.
Radiosurgery* ; Trigeminal Neuralgia*

No abstract available.
Holoprosencephaly*

With the advancement of modern medicine, there have been increasing demands for reconstructive surgeries. The operative technique using free flaps makes it possible for reconstructive surgeons to restore various defects and deformities more precisely. Furthermore, functional problems, such as facial paralysis and lymphedema, can be managed with microsurgical procedures. The need for the composite tissue allograft, including that of the face, has been noticed, and this transplantation surgery required complex microsurgical procedures. With the very high success rate of free flap and popularization of perforator flap, which provides improved outcomes, reconstructive microsurgeons now play major role in various reconstructive fields.
Congenital Abnormalities ; Facial Paralysis ; Free Tissue Flaps ; History, Modern 1601- ; Korea ; Lymphedema ; Microsurgery ; Perforator Flap ; Transplantation, Homologous ; Transplants

No Abstract Available.
Female ; Hormone Replacement Therapy* ; Humans ; Life Style* ; Osteoporosis*

OBJECTIVES: Alexithymia has been regarded as the general personality of psychosomatic disease, but it's controversial. The object of the study is to find out the relationship between alexithymia and alopecia areata. METHODS: Thirty one alopecia areata patients were compared to 31 normal healthy persons in alexithymic tendency using TAS-20K. Also MMPI and SCL-90-R were checked in both groups. Psychiatric diseases were ruled out. RESULTS: The scores of F, K, Hs, D, Hy, Pd, Pa, Pt and Sc of MMPI in alopecia areata patients were different from those in normal healthy persons. The scores of SOM, O-C, I-S, DEP, ANX, HOT, PHOB, PAR, PSY, GSI, PSDI, and PST of SCL-90-R in alopecia areata patients were significantly higher than those in normal healthy persons. In TAS-20K, the scores of Factor 1 and Total in alopecia areata patients were higher than those in normal healthy persons. CONCLUSION: Our results suggest that alopecia areata patients are more alexithymic than normal healthy persons.
Affective Symptoms* ; Alopecia Areata* ; Alopecia* ; Humans ; MMPI

BACKGROUND: It can be difficult to select an appropriate flap for various defects on the hand. Although defects of the hand usually must be covered with a skin flap, some defects require a flap with rich blood supply and adequate additive soft tissue volume. The authors present their experience with the anconeus muscle free flap in the reconstruction of various defects and the release of scar contractures of the hand. METHODS: Ten patients underwent reconstruction of the finger or release of the first web space using the anconeus muscle free flap from May 1998 to October 2013. Adequate bed preparations with thorough debridement or contracture release were performed. The entire anconeus muscle, located at the elbow superficially, was harvested, with the posterior recurrent interosseous artery as a pedicle. The defects were covered with a uniformly trimmed anconeus muscle free flap. Additional debulking of the flap and skin coverage using a split-thickness skin graft were performed 3 weeks after the first operation. RESULTS: The average flap size was 18.7 cm² (range, 13.5–30 cm²). All flaps survived without significant complications. Vein grafts for overcoming a short pedicle were necessary in 4 cases. CONCLUSIONS: The anconeus muscle free flap can be considered a reliable reconstructive option for small defects on the hand or contracture release of the web space, because it has relatively consistent anatomy, provides robust blood supply within the same operative field, and leads to no functional loss at the donor site.
Arteries ; Cicatrix ; Contracture ; Debridement ; Elbow ; Fingers ; Free Tissue Flaps* ; Hand* ; Humans ; Muscle, Skeletal ; Osteomyelitis ; Skin ; Tissue Donors ; Transplants ; Veins

BACKGROUND: It can be difficult to select an appropriate flap for various defects on the hand. Although defects of the hand usually must be covered with a skin flap, some defects require a flap with rich blood supply and adequate additive soft tissue volume. The authors present their experience with the anconeus muscle free flap in the reconstruction of various defects and the release of scar contractures of the hand. METHODS: Ten patients underwent reconstruction of the finger or release of the first web space using the anconeus muscle free flap from May 1998 to October 2013. Adequate bed preparations with thorough debridement or contracture release were performed. The entire anconeus muscle, located at the elbow superficially, was harvested, with the posterior recurrent interosseous artery as a pedicle. The defects were covered with a uniformly trimmed anconeus muscle free flap. Additional debulking of the flap and skin coverage using a split-thickness skin graft were performed 3 weeks after the first operation. RESULTS: The average flap size was 18.7 cm² (range, 13.5–30 cm²). All flaps survived without significant complications. Vein grafts for overcoming a short pedicle were necessary in 4 cases. CONCLUSIONS: The anconeus muscle free flap can be considered a reliable reconstructive option for small defects on the hand or contracture release of the web space, because it has relatively consistent anatomy, provides robust blood supply within the same operative field, and leads to no functional loss at the donor site.
Arteries ; Cicatrix ; Contracture ; Debridement ; Elbow ; Fingers ; Free Tissue Flaps* ; Hand* ; Humans ; Muscle, Skeletal ; Osteomyelitis ; Skin ; Tissue Donors ; Transplants ; Veins

No abstract available.
Apoptosis* ; Placenta Previa* ; Placenta*

BACKGROUND: Nonliving chickens are commonly used as a microvascular anastomosis training model. However, previous studies have investigated only a few types of vessel, and no study has compared the characteristics of the various vessels. The present study evaluated the anatomic characteristics of various chicken vessels as a training model. METHODS: Eight vessels—the brachial artery, basilic vein, radial artery, ulnar artery, ischiatic artery and vein, cranial tibial artery, and common dorsal metatarsal artery—were evaluated in 26 fresh chickens and 30 chicken feet for external diameter (ED) and thicknesses of the tunica adventitia and media. The dissection time from skin incision to application of vessel clamps was also measured. RESULTS: The EDs of the vessels varied. The ischiatic vein had the largest ED of 2.69±0.33 mm, followed by the basilic vein (1.88±0.36 mm), ischiatic artery (1.68±0.24 mm), common dorsal metatarsal artery (1.23±0.23 mm), cranial tibial artery (1.18±0.19 mm), brachial artery (1.08±0.15 mm), ulnar artery (0.82±0.13 mm), and radial artery (0.56±0.12 mm), and the order of size was consistent across all subjects. Thicknesses of the tunica adventitia and media were also diverse, ranging from 74.09±19.91 µm to 158.66±40.25 µm (adventitia) and from 31.2±7.13 µm to 154.15±46.48 µm (media), respectively. Mean dissection time was <3 minutes for all vessels. CONCLUSIONS: Our results suggest that nonliving chickens can provide various vessels with different anatomic characteristics, which can allow trainees the choice of an appropriate microvascular anastomosis training model depending on their purpose and skillfulness.
Adventitia ; Anastomosis, Surgical ; Arteries ; Brachial Artery ; Chickens* ; Foot ; Metatarsal Bones ; Models, Educational ; Ocimum basilicum ; Radial Artery ; Skin ; Tibial Arteries ; Ulnar Artery ; Veins

OBJECTIVE: The authors report an analysis of clinical data including incidence, clinical manifestations, diagnostic tools and surgical treatment of neoplasms of scalp and calvarium in adults. METHODS: The clinical, radiological, and pathological records of 67 patients who underwent mass excision in scalp or skull at our department during recent five years were reviewed. RESULTS: The mean age was 43 years(range 16 to 85 years) and male to female ratio was 42 : 25. There were 62 scalp and five calvarial masses. Among scalp masses, there were 52 tumors, three vascular lesions, three inflammatory lesions and four miscellaneous lesions. The scalp tumors were composed of 44 benign lesions and nine malignant lesions. The most common type of scalp tumor was lipoma, followed by epidermoid and dermoid. The calvarial masses consisted of four osteomas and one eosinophilic granuloma. Surgical excision was carried out in all cases. CONCLUSION: Most scalp and calvarial masses are benign lesions, however, surgical excision seemed to be indicated in most cases for diagnosis and treatment.
Adult ; Dermoid Cyst ; Diagnosis ; Eosinophilic Granuloma ; Female ; Humans ; Incidence ; Lipoma ; Male ; Osteoma ; Scalp* ; Skull ; Skull Neoplasms