1.Hydrops of the gallbladder in children.
Seok Bum JIN ; Hee Cheol PARK ; Oh Jung KWON ; Ki Wung HONG
Journal of the Korean Surgical Society 1992;42(3):415-418
No abstract available.
Child*
;
Edema*
;
Gallbladder*
;
Humans
2.Calcific Subacromial Bursitis In Childhood: A Case Report
Chung Nam KANG ; Kwon Jae ROH ; Seok Beom LEE ; Choong Hyeok CHOI ; Yeo Hon YUN ; Cheol Min KIM
The Journal of the Korean Orthopaedic Association 1995;30(4):1004-1007
We report a case of calcific bursitis of the shoulder in four-year-old boy who had severe pain and limitation of motion of the left shoulder joint for three days. Radiographs revealed the oval radiopaque lesion in the subacormial space, and the MR signal intensity of the mass was moderate on T2WI. Histological examination of the mass showed acute necrotizing inflammation with calcification.
Bursitis
;
Humans
;
Inflammation
;
Male
;
Shoulder
;
Shoulder Joint
3.A case of acute undifferentiated leukemia diagnosed by flow-cytomet- ry.
Tong Kyu JHIN ; Chang Soo KIM ; Joon SEOK ; Jae Yoon CHO ; Hyeong Ho LEE ; Kye Cheol KWON
Korean Journal of Hematology 1991;26(2):419-423
No abstract available.
Leukemia*
4.A Case of Lentigo Maligna Melanoma Treated with Mohs Micrographic Surgery.
Bon Seok KU ; Oh Eon KWON ; Dae Cheol KIM ; Keun Cheol LEE ; Chae Wook LEE ; Ki Ho KIM
Korean Journal of Dermatology 2006;44(4):457-461
Lentigo maligna melanoma and lentigo maligna are typically located on photo-exposed sites such as the head and neck, with the cheek being the most common site. Since lentigo maligna melanoma and lentigo maligna are found predominantly on such cosmetically-sensitive areas, it is critical to determine the exact histologic margin for maximal sparing of tissue and complete extirpation of the tumor. Since Mohs micrographic surgery has been recommended for tumors on cosmetically-sensitive locations where the tumor margin is indistinct, it appears to be a reasonable treatment modality for this type of tumor. We describe a case of lentigo maligna melanoma on the cheek, which was resected with Mohs micrographic surgery.
Cheek
;
Head
;
Hutchinson's Melanotic Freckle*
;
Lentigo*
;
Melanoma*
;
Mohs Surgery*
;
Neck
5.Long Term Results in the Unilateral Cleft Lip Repair by Mulliken's Method.
Seok Kwun KIM ; In Sun MOON ; Chang Ho LEE ; Jung HEO ; Yong Seok KWON ; Keun Cheol LEE
Journal of the Korean Society of Plastic and Reconstructive Surgeons 2009;36(2):174-182
PURPOSE: The Mulliken's method is a one of the very excellent technique to correction of the unilateral cleft lip. It could decrease the need of additional operation and second operation by the early simultaneous correction of unilateral cleft lip and nasal deformity, at a time. Numerous procedures were advocated for the correction of nasal deformity, but with general dissatisfaction of the results, it became obvious that no one procedure is the ideal one. The authors have been operating on unilateral cleft lip by Mulliken's method and long term follow-up of postoperative result was evaluated. METHODS: The authors have done long term follow-up of results in the 75 cases unilateral cleft lip patient, during 1-7 years. That was repaired by simultaneous correction of cleft lip and nasal deformity by Mulliken's method at the period from June 1997 to December 2007. The patients were unilateral complete cleft lip 39 cases, unilateral incomplete cleft lip 36 cases. In the severe complete cleft lip cases, lip adhesion operation was done before definite operation. The mean age of unilateral cleft lip operation was 3.2 months. Five anthropometric parameters, which were upper lip, cutaneous lip and vermilion mucosa height, nasal tip protrusion, columella length were measured by Sliding Vernier Caliper. The anthropometric analysis was performed preoperatively, and the results were com pared with those of age- matched, normal children postoperatively in 6 months, 3, 5 and 7 years. T-tests were used to analyze the differences between the measurements. RESULTS: Long-term postoperative results were evaluated by anthropometrically. Most patients showed adequate growth of upper lip height, vermilion mucosa height and columella length. But nasal tip protrusion was relatively short compare to the normal value. Incomplete cleft lip group was nearly normal growth results than complete cleft lip group. CONCLUSION: In conclusion, we could make harmonious Cupid's bow, natural philtrum and lip, appropriate nasal shape by Mulliken's method. But nasal tip protrusion was under the normal values on complete and incomplete group. And incomplete group showed more good results than complete group. We have experienced repair of cleft lip by Mulliken's method with 75 cases of unilateral cleft lip patients and conclude that it is a very useful method.
Child
;
Cleft Lip
;
Congenital Abnormalities
;
Follow-Up Studies
;
Humans
;
Lip
;
Mucous Membrane
;
Reference Values
6.Otoplasty with High Density Polyethylene Implant (MEDPOR(R)).
Keun Cheol LEE ; Yong Seok KWON ; Jung HEO ; Ju Bong MOON ; Seok Kwun KIM
Journal of the Korean Society of Plastic and Reconstructive Surgeons 2009;36(2):167-173
PURPOSE: The key points of treatment of cryptotia are the elevation of invaginated ear helix and the correction of deformed cartilage. Prevention of stabilized cartilage contouring from returning to the previous state is also important. The authors carried otoplasty by modified Onizuka's method or Ohmori's method that conchal cartilage graft or high density polyethylene implant(MEDPOR(R)) graft served as fixation after spreading posterior aspect of adhered antihelix and a splint for prevention of recurrence of cartilage deformities. The aim of this study is to reveal the availability of the high density polyethylene implant(MEDPOR(R)) graft for the correction of cryptotia. METHODS: We have repaired 17 cryptotic deformities using cartilage graft from cavum of concha(12 cases) or high density polyethylene implant(5 cases) for correction of deformed cartilage. We investigate the operative time, complications, and satisfaction of postoperative ear shape on both autogenous cartilage graft group and high density polyethylene implant graft group. RESULTS: There was 1 case of reinvagination on autogenous cartilage graft group. Implant exposure was occurred on high density polyethylene implant graft group, as 1 case. These were statistically no differences between autogenous cartilage graft group and high density polyethylene implant graft group to the satisfaction of ear shape. CONCLUSION: High density polyethylene implant (MEDPOR(R)) present an alternative to autogenous material as they allow of fibrovascular ingrowth, leading to stability of the implant and decreased infection rates. The correction of deformed cartilage by using the high density polyethylene implant(MEDPOR(R)) is a good option for the treatment of cryptotia.
Cartilage
;
Congenital Abnormalities
;
Ear
;
Operative Time
;
Polyethylene
;
Recurrence
;
Splints
;
Transplants
7.The Useful Method on Temporary Fixation with Screw-wire Technique.
Myung Hoon KIM ; Yong Seok KWON ; Jung HEO ; Keun Cheol LEE ; Seok Kwun KIM
Journal of the Korean Society of Plastic and Reconstructive Surgeons 2008;35(2):181-186
PURPOSE: Until now, many kinds of treatment modalities for facial bone fractures have been proposed. Among them, the semi-rigid fixation using miniplates has become the most popular procedure due to its simplicity and good clinical results. However, achieving anatomic reduction of bone fragments with miniplates may be difficult because of inadequate instrumentation for fracture fragment stabilization. We examined the use of inter-maxillary fixation screws or titanium screws tied with stainless steel wire to assist in positioning of fractured segment. METHODS: We used this method for reduction in 50 cases of facial bone fractures. Inter-maxillary fixation screws or titanium screws tied with stainless steel wire were used to assist in aligning bony segment. Postoperative radiologic and clinical follow-ups were performed. RESULTS: Radiologic follow-up showed correct reduction and fixation in all cases. Nonnunion and malunion were not shown. Clinical follow-up showed an satisfactory results. CONCLUSION: By using Inter-maxillary fixation screws tied with stainless steel wire, it was shown that reducing the bony segment to their preinjury position is easy to perform and it enables us to make more accurate reduction, ensure wider visual field.
Dietary Sucrose
;
Facial Bones
;
Follow-Up Studies
;
Stainless Steel
;
Titanium
8.The Effect of Human Adipose Tissue Derived Mesenchymal Stem Cells and Growth Hormone on the Recovery of Neurological Deficits due to Experimental Spinal Cord Injury in Rat.
Keun Cheol LEE ; In Sun MOON ; Jung HEO ; Yong Seok KWON ; Seok Kwun KIM ; Hee Dong SON
Journal of the Korean Society of Plastic and Reconstructive Surgeons 2008;35(1):13-18
PURPOSE: Human adipose tissue-derived mesenchymal stem cells(hATSCs) can be differentiated into multiple mesenchymal lineages, including bone, cartilage, and muscle. And growth hormone play important roles in the normal growth and development of the CNS. In this study, we explored whether the transplanted hATSCs and growth hormones could improve functional recoveries from rats with contusive spinal cord injury. METHODS: We divided 30 female rats, which were subjected to a weight driven implant spinal cord injury, into 3 groups with 10 rats each; Group A as a control group, group B with hATSCs transplantation on injured region, and group C with hATSCs transplantation and GH administration for 7 days. Then, we researched their neurologic functional recoveries before and 2, 4, and 8 weeks after transplantation using Basso-Beattie-Bresnahan (BBB) locomotor rating scale. And we checked Y- chromosome positive cells by FISH(Fluorescent in situ hybridization) to identify the survival of transplanted mesenchymal stem cells. RESULTS: After 4 weeks of transplantation, the group B and group C showed significant improvement of neurologic function on BBB locomotor rating scale in comparison with the group A(Group A: 13.1+/-0.58, Group B: 14.6+/-0.69, Group C: 14.9+/-0.56). Moreover, the group C displayed meaningful recovery of neurologic function after 8 weeks in comparison with group B (Group B: 15.7+/-0.63, Group C: 16.5+/-1.14). The group A, the control one, improved for 5 weeks after injury, and had no more recovery. On the other hand, Group B and C showed the improvement of neurologic function continuously for 9 weeks after injury. CONCLUSION: In this study, we found out that hATSCs transplantation have an effect on neurologic functional recovery of spinal cord injured rat and GH injection seems to bring the synergistic results on this good tendency.
Adipose Tissue
;
Animals
;
Cartilage
;
Female
;
Growth and Development
;
Growth Hormone
;
Hand
;
Humans
;
Mesenchymal Stromal Cells
;
Muscles
;
Rats
;
Spinal Cord
;
Spinal Cord Injuries
;
Transplants
9.The Necessary & Method of Scrotoplasty in Female to Male Transgender.
Seok Kwun KIM ; In Sun MOON ; Yong Seok KWON ; Keun Cheol LEE
Journal of the Korean Society of Plastic and Reconstructive Surgeons 2009;36(4):437-444
PURPOSE: Transgender is a disorder of gender identity, who have appropriate chromosomal, hormonal and anatomical characteristics corresponding to their sexual phenotype but feel strongly with respect to their sexual identity, that they belong to the opposite sex. There is a persistence discomfort and sense of inappropriateness about one's assigned sex in a person who has reached puberty. Transgender is a psychiatric problem, but surgical method provides more satisfactory adjustment for patients. In gender reassignment surgery for female to male transgender, mastectomy, nipple reduction, hysterectomy, oophorectomy and phalloplasty are included. And as the final operation, recommended for scrotoplasty and artificial testes insertion. So we investigated the necessity and method of scrotoplasty in the final operation of female to male transgender. METHODS: The authors have long term follow-up of 75 cases female to male transgender from January 1991 to February 2008. Among them, 13 cases were evaluated in this study. During phalloplasty, the labium major skin preserved. And this labium majoral skin flap was made for the neoscrotum. At least six months later, artificial testes were inserted in neoscrotum with local anesthesia. Middle sized(3cm diameter) artificial testes(silicon gel or carving soft silicone implant) were used because of the limitation of the neoscrotum. We evaluated the questionnaire and interview about the postoperative satisfaction in configuration of reconstructed scrotum, and the necessity of operation, the postoperative psychosocioeconomic improvement and limitation of body exposure activities such as swimming, public bathing. RESULTS: Based on this study, satisfaction of reconstructed scrotum after scrotoplasty was improved(92%). The necessity of scrotoplasty was in 92.3% and the postoperative psychosocioeconomic well-being improvement was 77% in answers. Less limitation of activities requiring body exposure was 54% in answers. Most of the patients were satisfied with the results of surgical operation despite of some postoperative complications. CONCLUSION: This study reports that the scrotoplasty in female to male transgender is not only a conversion of external genitalia but also an improvement of psychosocial state. As most of the patients sincerely hope to take this operation, we improve our surgical method for more good results.
Anesthesia, Local
;
Baths
;
Female
;
Follow-Up Studies
;
Gender Identity
;
Genitalia
;
Humans
;
Hysterectomy
;
Male
;
Mastectomy
;
Nipples
;
Ovariectomy
;
Phenotype
;
Puberty
;
Questionnaires
;
Scrotum
;
Sex Reassignment Surgery
;
Silicones
;
Skin
;
Swimming
;
Testis
10.The Treatment of the Large Palatal Fistula Using the Tongue Flap.
Seok Kwun KIM ; Joo Bong MOON ; Jeong HEO ; Yong Seok KWON ; Keun Cheol LEE
Journal of the Korean Cleft Palate-Craniofacial Association 2007;8(2):49-53
INTRODUCTION: Most of the palatal fistulas develop along the suture line in a small size, so they can be corrected easily by re-palatoplasty or various flap surgery using the local mucoperiosteum. But it is very difficult to repair if the fistula is very large or located anterior to the hard palate. Buccal mucosal or vestibular mucosal flaps may settle the problems but there are many limitations on the size and location. And other extraoral distant flaps need not only many surgical steps but also cause inconvenience. But tongue flap proffers as an excellent method for the repair of large anterior palatal fistula because of highly mobility and rich blood supply and low donor site morbidity. MATERIALS & METHODS: We treated the six cases of large palatal fistulas using the distally based tongue flap. We dissected under the submucosa layer around fistula site preserving the mucoperiosteum and the elevated flap was rotated to nasal side and sutured with 4-0 Vicryl(R) for the repair of the nasal side. And then we elevated the tongue flap on the distal portion of the tongue. The elevated tongue flap was placed on the defect area and sutured with 4-0 Chromic(R). After 2 or 3 weeks, we detached the tongue flap which was placed on the fistula site. Donor site was closed with 4-0 Chromic(R). RESULTS: The mean size of palatal fistula was 7.2 cm. All of patients complained the discomforts in masticating and speaking before flap detaching operation. A wound dehiscence was observed on tongue flap sutured to defect site. But it was healed by revisionary suture. There was no donor site complication. CONCLUSION: The authors propose that the distally based tongue flap is an excellent method for the repair of large palatal fistula because of its highly mobility, rich blood supply, and few of donor site morbidit
Fistula*
;
Humans
;
Palate, Hard
;
Sutures
;
Tissue Donors
;
Tongue*
;
Wounds and Injuries