1.Mandibular reconstruction with particulate cancellous bone and marrow.
Ju Hong JEON ; Chang Woo JUNG ; Jae Pil MOON
Journal of the Korean Association of Oral and Maxillofacial Surgeons 1997;23(1):117-125
A retrospective study was made of 10 consecutive patients who underwent mandibular reconstruction with PCBM from December 1994 to July 1996. Free autogenous iliac bone in the from of particulate cancellous bone and marrow was densely packed into the crib that was adapted to bridge the mandibular discontinuity defect. Frozen-treated autogenous mandibular bone, splitted autogenous rib, and titanium mesh(Dumbach, Leibinger) were used as cribs carrying the PCBM. All ten cases underwent successful healing with the formation of a continuous bony union with the remaining mandible. The rate of resorption was assessed by sequential panoramic radiographs. The mean horizontal dimension of the madibular defects was 44mm and the mean vertical dimension of the reconstructed segments was 23mm. The bony height of the reconstructed segments retained about 90% of the bony height of over a 1-year period. We confirmed that PCBM grafts were the most successful and predictable grafts in mandibular discontinuity reconstruction.
Bone Marrow*
;
Humans
;
Infant Equipment
;
Mandible
;
Mandibular Reconstruction*
;
Retrospective Studies
;
Ribs
;
Titanium
;
Transplants
;
Vertical Dimension
2.A Case of Acute Intermittent Porphyria: A case report.
Chang Heon YANG ; Moon Kwan CHUNG ; Hyun Woo LEE
Yeungnam University Journal of Medicine 1989;6(1):205-211
We report a case of acute intermittent porphyria presenting with variable symptoms and signs such as hypertension, polyneuropathy, syndrome of inappropriate secretion of antidiuretic hormone and cerebral infarction. A 47 year-old female patient entered hospital with abdominal pain followed by generalized seizure. She was diagnosed to have acute intermittent porphyria in consequence of Watson-Schwartz test and δ-ALA in 24 hours urine. She was managed with conservative treatment but died of respiratory failure.
Abdominal Pain
;
Cerebral Infarction
;
Female
;
Humans
;
Hypertension
;
Polyneuropathies
;
Porphyria, Acute Intermittent*
;
Respiratory Insufficiency
;
Seizures
3.Clinical Features of Cutaneous Polyarteritis Nodosa.
Young Jin KIM ; Chang Woo LEE ; Moon Hyang PARK
Korean Journal of Dermatology 1995;33(2):225-231
BACKGROUND: Polyarteritis nodosa(PAN) is a disease of necrotzing vasculitis which has a clinical spectrum encompassing those cases of multisystem involveme it and skin-limited variant. The clinical course of cutaneous PAN has been considered to be a benign one, however there is sorne controversy regarding its nosological entity. OBJECTIVE: To characten the clinical course of the patients with cutaneous PAN and determine whether or not it is a benign disease or something more sever. METHODS: Clinical and laboratory findings in 8 patients with Logy-proven cutaneous PAN but without any detectable visceral involvement were observed periochelly during a follow-up period over 18 months. Meticulous physical and pertinent laboratory earinations were performed each time during their visits. RESULTS: Livedo reticulari, on the lower legs was the mostorenon cutaneous findings with these patients. During the follow-up periods there were no suspected abnormal physical and laboratory findings to have other organ involvement in all 8 patients Serologic examinations for antineutrophil cytoplasmic antibody and hepatitis-B surface antigen revealed negative in all patients tested. CONCLUSION: The follow-up periods of 2 years or so does not seem to be long enough in characterizing the clinical features of PAN. However, the cutaneous: on of PAN can be regarded as a benign cutaneous variant of the disease having no visceral lesion of arteritis, even though mild degrees of constitutional symptoms and a few laboratory abnormlites could be seen.
Antibodies, Antineutrophil Cytoplasmic
;
Antigens, Surface
;
Arteritis
;
Follow-Up Studies
;
Humans
;
Leg
;
Polyarteritis Nodosa*
;
Vasculitis
4.Epidermolysis Bullosa Acquisita.
Chang Woo LEE ; Hong Yoon YANG ; Moon Hyang PARK
Annals of Dermatology 1989;1(2):73-76
A 40-year-old woman had a pruritic, vesiculobullous eruption of her face for 6 weeks with no evidence of systemic disease. A biopsy showed subepidermal blisters and dermal infiltrates of neutrophilic inflammatory cells. Direct immunofluorescence demonstrated thick linear deposits of IgG and C3 along the basement membrane zone. The cleavage plane was identified to be just beneath the lamina densa. Using Western immunoblots, the patient's IgG autoantibodies were found to recognize type VII proeollagen. Moderate starting doses of systemic prednisolone gave a good response for this patient with an early inflammatory form of epidermolysis bullosa acquisita.
Adult
;
Autoantibodies
;
Basement Membrane
;
Biopsy
;
Blister
;
Blotting, Western
;
Epidermolysis Bullosa Acquisita*
;
Epidermolysis Bullosa*
;
Female
;
Fluorescent Antibody Technique, Direct
;
Humans
;
Immunoglobulin G
;
Neutrophils
;
Prednisolone
5.Effect of Preoperative Fatty Degeneration of the Deltoid and the Teres Minor Muscles on the Clinical Outcome after Reverse Total Shoulder Arthroplasty.
Sung Hoon MOON ; Woo Dong NAM ; Chang Hyun RHEU ; Jae Woo LEE
Clinics in Shoulder and Elbow 2015;18(3):138-143
BACKGROUND: To evaluate the effect of preoperative fatty degeneration of deltoid and teres minor muscles on the clinical outcome in patient with reverse total shoulder arthroplasty (RTSA). METHODS: Nineteen patients with RTSA were enrolled. The mean follow-up period was 16.1 months. The fatty degeneration of three distinct parts in each deltoid and the teres minor muscle was measured using a preoperative magnetic resonance imaging. Postoperatively, the muscle strengths for forward elevation (FE), abduction (Abd), and external rotation (ER) were measured using a myometer at the last follow-up. The parameters for clinical outcome were Constant Score (CS) and Korean Shoulder Score (KSS). RESULTS: The number of cases was 10 in group 1 and 9 in group 2. The strength of FE and Abd were significantly higher in group 1 (p<0.001 and p<0.001, respectively), and the strength of ER was not different significantly between two groups (p=0.065). For the clinical outcome, both CS and KSS were higher in group 1 (p=0.002 and p=0.002, respectively). The number of patients in group A was 11, and group B was 8. Although there was not a significant difference in terms of FE and Abd between group A and B (p=0.091, p=0.238), ER was significantly higher in group A (p=0.012). We did not find a significant difference in the clinical scores (CS, p=0.177 and KSS, p=0.238). CONCLUSIONS: These findings suggest the importance of a preoperative evaluation of the fatty degeneration of deltoid and teres minor muscles for predicting postoperative strength and clinical outcome.
Arthroplasty*
;
Follow-Up Studies
;
Humans
;
Magnetic Resonance Imaging
;
Muscle Strength
;
Muscles*
;
Shoulder*
6.Fat Embolism
Jung Il OH ; Kyung Chan LEE ; Chang Se PYUN ; Woo Gu CHANG ; P K MOON
The Journal of the Korean Orthopaedic Association 1982;17(3):423-428
Fat Embolism is a rare complication of multiple long bone fracture or extensive soft tissue injury. The pathogenesis of fat embolism has been poorly understood and still its definite pathogenesis, diagnosis and treatment were not fully established. Recently fat embolism considered as a post traumatic respiratory failure. Monitoring of blood gas is required for early diagnosis and respiratory supportive treatment with continued minitoring is necessary until resolution. Fifteen cases of fat embolism treated at from September 1979 to October 1981 Eul Ji General Hospital were clinically analized. Among the fifteen cases, fourteen were recovered without sequalae and one was expired ten days after trauma.
Diagnosis
;
Early Diagnosis
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Embolism, Fat
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Fractures, Bone
;
Hospitals, General
;
Respiratory Insufficiency
;
Soft Tissue Injuries
8.A Case of "Cri-du-Chat" Syndrome.
Hye Lyung BAIK ; Gui Sook CHOI ; Joon CHO ; Moon Soo PARK ; Jin Keum CHANG ; Sung Woo SHIN ; Shin Yong MOON
Journal of the Korean Pediatric Society 1987;30(3):309-313
No abstract available.
9.Factors Relevant to Aggravation of Skin Lesions in Pemphigus Foliaceus.
Korean Journal of Dermatology 2005;43(4):516-518
There may be some exacerbating factors which aggravate skin lesions of pemphigus foliaceus, including exposure to sun and/or heat. However, the degree of aggravation induced by these factors varies in individuals. We examined possible aggravating factors of skin lesions in a 47-years-old woman with pemphigus foliaceus who had managed her disease with topical and/or sublesional use of corticosteroids for 20 years. The lesion- provoking or exacerbating factors recognized in the patient were sleeplessness/fatigue, emotional stress, menstruation, mechanical trauma, external heat and alcohol.
Adrenal Cortex Hormones
;
Female
;
Glycogen Storage Disease Type VI
;
Hot Temperature
;
Humans
;
Menstruation
;
Pemphigus*
;
Skin*
;
Solar System
;
Stress, Psychological
10.Results of Radio-thermotherapy in Stage IIIb Uterine Cervical Cancer Local response, survival rate and analysis of prognostic factor.
Journal of the Korean Cancer Association 2000;32(4):714-723
PURPOSE: This retrospective study was conducted to obtain local response and survival rates, and to analyze prognostic factors affecting survival of patients treated with radio-thermotherapy for stage IIIb uterine cervical cancer. MATERIALS AND METHODS: From May 1992 to Dec. 1996, 24 patients treated with radio-thermo therapy for stage IIIb uterine cervical cancer at department of Radiation Oncology in Kosin Medical College, Kosin University were enrolled. Radiotherapy used 6~10 MV linear accelerator was performed in whole pelvis with 4 portals box technique by conventional (180~200 cGy/ fraction, 5 fraction/week) method in 5 patients (20.8%) or hyperfractionated (120~135 cGy/fr., 2 fr./day, 10 fr./wk) in 19 patients (79.2%). Total dose of A-point was 67~112 Gy (median: 77.27 Gy). Hyperthermia used 8 MHz radiofrequency capacitive heating device was applied in pelvic area with 2~3 sessions per wk. Each course started within 15 to 20 minutes after radio therapy and took 40 to 60 minutes. Local progression free (LPFS), disease free (DFS) and overall (OS) rates were calculated in survival analysis. Statistics was calculated by Kaplan-Meier Method in survival and Log-rank test in statistical significance. Multivariate analysis for prognostic factor was applied to Cox Regression model. Follow-up duration was 6~82 months (median: 25 months). RESULTS: Overall local response rate was 95.8% (45.8% in CR/50.0% in PR). Five year LPFS, DFS, OS were 48.6%, 31.7%, 67.1%, respectively. In univariate analysis, an age was the signi ficant prognostic factor in terms of OS (p=0.03), but was insignificant in LPFS and DFS. In multivariate analysis, none of evaluated factors are important in LPFS, DFS or OS. CONCLUSION: Radio-thermotherapy for stage IIIb uterine cervical cancer did not increase 5 year LPFS, DFS and OS in spite of higher local response rate. Age was the only significant factor for OS in univariate analysis.
Fever
;
Follow-Up Studies
;
Heating
;
Hot Temperature
;
Humans
;
Multivariate Analysis
;
Particle Accelerators
;
Pelvis
;
Radiation Oncology
;
Radiotherapy
;
Retrospective Studies
;
Survival Rate*
;
Uterine Cervical Neoplasms*