1.SURGICAL TREATMENT OF FACIAL DOG BITE INJURIES IN A CHILD: REPORT OF A CASE.
Se Chan PARK ; Hyun JUNG ; Yu Keun OH ; Yong Ki JO ; Kwang Sob SO ; Hong Ju PARK ; Hee Kyun OH ; Sun Youl RYU
Journal of the Korean Association of Oral and Maxillofacial Surgeons 1999;25(2):91-95
Although today most injuries of face and head are the result of traffic accident, dog bites are a cause of facial injuries in children. In recent years, general guidelines have been established concerning the surgical treatment of facial dog bite injuries in children. Contrary to past beliefs, primary closure of selected bites produces the best outcome for patients without increasing the risk of infection. Special attention is attached to the functional and aesthetic outcome. The purpose of this article is to provide the oral and maxillofacial surgeon about management of facial dog bite injuries and guidelines for effective and rational treatment with review of a literature. We report a case of multiple facial dog bite injuries treated surgically by primary closure of the wound and secondary revision with rotation flap after excision of partial necrotic tissue.
Accidents, Traffic
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Animals
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Child*
;
Dogs*
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Facial Injuries
;
Head
;
Humans
;
Wounds and Injuries
2.The Differentiation of Phase of Spinal Cord Injury Based on the Changes in Gene Expression.
June Ho LEE ; Jun Young YANG ; June Kyu LEE ; Yong Bum JOO ; Soo Min CHA
Journal of Korean Society of Spine Surgery 2011;18(3):75-82
STUDY DESIGN: An experimental study. OBJECTIVES: To define the phases of chronic spinal cord injury by researching the changes in gene expression. SUMMARY OF LITERATURE REVIEW: The exact time of conversion from acute stage to chronic stage in spinal cord injury is unknown. MATERIALS AND METHODS: We used 18 month-old Beagle dogs as study subjects. Under spinal cord monitoring, we underwent laminectomy on thoracic vertebra 10 and 11, and induced cord injury by a weight-drop injury method. Dogs in each group with spinal cord injury and group without spinal cord injury on POD 1, 7, 30, and 90. The motor functions were evaluated using the Tarlov scale. Tissues were prepared from 0.5cm up and down from the 10th thoracic level. Additional cephalic and caudal lesions from the injured site were prepared. We have checked the differentially expressed gene(DEG). RESULTS: The mean Tarlov value was 0.67 which indicated a significant cord injury. 4 DEG (GP3, 9, 25, 34) were detected among 40 primers after screening, the detection percentage of which was 10. In the tissues of study subjects with spinal injury, DEG was found at the injury site and cephalic lesion. DEG expressed GP3, GP9 and GP34 started expression on day 30, and GP25 was expressed on day 90. CONCLUSIONS: According to the changes in gene expression, the day 30 would be considered as the date of conversion from acute to chronic phase of cord injury. Inhibiting secondary inflammatory change and apoptosis following spinal cord injury until this period would maximize the effect of chronic phase therapy such as cell-transplantation.
Animals
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Apoptosis
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Dogs
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Gene Expression
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Laminectomy
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Mass Screening
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Spinal Cord
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Spinal Cord Injuries
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Spinal Injuries
;
Spine
3.Establishment of an animal model of blast-fragment combine injury on facial nerve.
Yanliang WANG ; Shuxia ZHOU ; Delin LEI
West China Journal of Stomatology 2003;21(2):95-97
OBJECTIVEThis study was to establish an animal model to imitate facial nerves injury by explosion.
METHODSThe impact was simulated by detonator blast in the distance of 5 cm, 10 cm and 15 cm over the face of dogs under anesthesia and the edge injury of masseters were made by rifle-shot steel ball to imitate segment injury in real explosion. The dogs were killed after different time of injury and the heart, lung, brain and facial nerve were taken to observe the pathological changes in order to evaluating the wound effect in different distances.
RESULTSThe animal was injured severely in the distance of 5 cm and could not survive for a long time because of severe damage to brain, heart and lung. The dogs injured at 10 cm could survive after emergency treatment, and there was diffusing hemorrhage in edematous nerve trunk. In the distance of 15 cm, the dogs were injured slightly and, as the distance to the explosive source increased, the local wound became slighter. Under light microscope, the breakage and necrosis of facial nerve fibers could be widely observed, degenerative and necrotic neurons with infiltrating inflammatory cells could be found in the facial nerve nuclei as well.
CONCLUSIONThe dog's traumatic model established by impact wave and segment in this experiment is an appropriate animal model for the research of explosive effect on facial nerves because of its controllable and repeatable injuring conditions.
Animals ; Blast Injuries ; complications ; pathology ; Disease Models, Animal ; Dogs ; Facial Nerve Injuries ; etiology ; pathology ; Female ; Male
4.Microsurgical repair at early stage for soft tissue defect of limbs wounded by modern firearm.
Jincai LIU ; Xueliang PENG ; Yinqiu LIU ; Xinan LAI ; Shuguang LI ; Mingang WANG ; Haiyang HUANG ; Quanyin DU ; Hongzhen SUN
Chinese Journal of Traumatology 2002;5(3):142-145
OBJECTIVETo explore an early stage repair method for soft tissue defect of limbs of modern firearm wound, and to improve treating result.
METHODSDefects of the hind limbs of dogs were repaired with skin, muscle and myocutaneous flaps.
RESULTSWounds healed within 2 weeks in the experimental group except one that healed in 3 weeks because of infection. Limb function was close to normal. The treatment result was better in the experimental group than the control.
CONCLUSIONSSkin, muscle and myocutaneous flaps can cover soft tissue defect at an early stage, prevent and reduce infection, promote the healing and recovery of combined injury, reduce the time of treatment and disability rate.
Animals ; Debridement ; Dogs ; Hindlimb ; injuries ; Microsurgery ; Soft Tissue Injuries ; surgery ; Wound Healing ; Wounds, Gunshot ; surgery
5.Feasibility of utilizing the patellar ligament angle for assessing cranial cruciate ligament rupture in dogs.
Journal of Veterinary Science 2014;15(4):563-568
The patellar ligament angle (PLA) was assessed in 105 normal stifle joints of 79 dogs and 33 stifle joints of 26 dogs with a ruptured cranial cruciate ligament (CrCL). The PLA of stifles with complete CrCL rupture was significantly lower than that of normal stifles, particularly at a flexion angle of 60~80degrees in both plain and stress views. If the PLA was <90.55degrees on the stress view with a 60~80degrees flexion angle, the dog was diagnosed with a complete rupture of the CrCL with a sensitivity of 83.9% and specificity of 100%. In conclusion, measuring the PLA is a quantitative method for diagnosing complete CrCL rupture in canines.
Animals
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Anterior Cruciate Ligament/*injuries/radiography
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Dogs/*injuries
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Patellar Ligament/physiology/*radiography
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Radiography/*veterinary
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Retrospective Studies
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Rupture/veterinary
6.Animal models for study on rotator cuff injury.
Ping LIU ; Weihong ZHU ; Qian LIU
Journal of Central South University(Medical Sciences) 2021;46(4):426-431
Rotator cuff injuries are the most common cause of shoulder pain and dysfunction. Ideal animal shoulder models should have similar shoulder anatomy and function as human, and are able to replicate the microenvironment change after tendon injury. At present, a variety of animal models including rat, mouse, rabbit, sheep, canine, bovine, and primate have been used to study the mechanism of rotator cuff injury, effects of different repair techniques, and factors affecting tendon to bone healing. Although large animal models are more anatomically similar to humans, small animal models are more convenient in revealing the biological mechanism of rotator cuff injury and healing. Choosing appropriate animal models based on research objectives and establishing new small animal models play a critical role in revealing the mechanism of rotator cuff diseases and developing novel treating strategies.
Animals
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Cattle
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Disease Models, Animal
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Dogs
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Mice
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Rabbits
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Rats
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Rotator Cuff
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Rotator Cuff Injuries
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Sheep
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Tendon Injuries
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Wound Healing
7.Corneal Epithelial Separation and Corneal Wound Healing Effect between Alcohol and Mechanical Device for Epithelial Flap.
Sung Chul KIM ; Wung Jae KIM ; Sung Kun CHUNG
Journal of the Korean Ophthalmological Society 2006;47(8):1332-1339
PURPOSE: Laser epithelial keratomileusis (LASEK) is a refractive surgery technique in which the cornea is covered with the epithelial flap after keratectomy. However, there have been reports of tissue damage by the alcohol utilized in this procedure while preparing the epithelial flap, which has led to novel methods. One of these is the mechanical designing of the epithelial flap named epipolis laser assisted in situ keratomileusis (Epi-LASIK). This study evaluates the histologic features and wound healing process of the corneal flap using Epi-Tome, which is the epithelial cutter of the newly introduced Epi-Lasik. METHODS: Twenty-four eyes of 12 dogs were devided into two groups. In one group (n=12), 20% alcohol was used and, in the other group (n=12), Epi-Tome (Gebauer, Germany) was used to make a corneal flap. The size change of a fluorescein-stained epithelial defect was followed postoperatively at 6, 12, 24, and 36 hours. RESULTS: The maximum decrease in defect size were observed at 0 to 6 hours in the Epi-Tome group, and from 6 to 12 hours in the alcohol group; the value were 10.01+/-5.32 mm2 and 9.23+/-4.75 mm2 respectively. Histologic review revealed that there was less tissue damage and smoother cut edge in the Epi-Tome group compared to the alcohol group, and the adhesion between stroma and epithelium was faster in the Epi-Tome group. CONCLUSIONS: Mechanically detached corneal flaps had favorable chances of survival such that re-epithelialization occurred early in the postoperative phase. A few epithelial fragments at a corneal section plane prevent corneal opacification and minimize inflammatory reaction, thus reducing postoperative pain.
Animals
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Cornea
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Dogs
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Epithelium
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Pain, Postoperative
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Re-Epithelialization
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Refractive Surgical Procedures
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Wound Healing*
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Wounds and Injuries*
8.Chondrocyte allograft transplantation for damaged growth plate reconstruction.
Jin Soo PARK ; Jae In AHN ; Duck Ill OH
Yonsei Medical Journal 1994;35(4):378-387
The growth plate is responsible for longitudinal bone growth. The problem of repair of damaged growth plate in children has never been adequately solved. The purpose of this study is to investigate the ability of the cultured chondrocyte for the prevention of bony bridge and repairment of damaged growth plate. Chondrocytes were obtained from the new born canine epiphyseal plate and was cultured in high density. Fourteen days later they formed micromass easily removable from the culture flask. Twenty dogs were divided into two groups; in group I, the medial proximal tibial growth plate was destroyed and then cultured chondrocytes were transplanted into the defect, and in group II, the medial proximal tibial growth plate was left in destroyed state. Each left leg was remained as a control. The growth pattern was observed radiographically and histologically until 16 weeks after graft. 4 weeks after the operation, the angular deformity had been observed, and 31 degrees of angulation was noted at the 16th week in group II, while there was less than 8 degrees of angulation and nearly normal growth in most of dogs of group I (8 of 10 dogs). The other 2 dogs had shown 20 degrees angulation. In group II, there was definite bony bridge on the medical proximal growth plate. In group I, initially, the cultured chondrocyte remained as a amorphous cartilagenous mass, but as time progressed, amorphous cartilagenous mass had formed cartilagenous matrix which was proved by Safranin-O staining. Although this study showed the role of cultured chondrocyte as a method of preventation of bony bridge formation and possibility to repair of growth plate, further studies should be done to prove the reconstruction of the growth plate.
Animal
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Cartilage/*cytology
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*Cell Transplantation
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Cells, Cultured
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Dogs
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Growth Plate/injuries/*surgery
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Transplantation, Homologous
9.Experimental Studies on Extravesical Ureteroneocystostomy in Dogs.
Korean Journal of Urology 1981;22(3):250-257
We have performed experimental bilateral extravesical Ureteroneocystostomy in dogs. The technique of procedure was as follows : A longitudinal myotomy incision was made near the bladder dome directed forward the bladder neck for 2cm and then separated to allow the mucosa to pout. A 1 cm incision was then made in the bladder mucosa at the distal end of the detrusor incision. Excess ureter was excised and the ureter spatulated for 1 cm. A 6-0 Prolene suture was then placed at each apex and fullthickness of ureter anastomosed to the bladder mucosa in one layer with a continuous, nonlocking stitch. The myotomy incision was then closed over the ureter with interrupted 4-0 chromic catgut. The surgical wound was closed without drains. The roentgenographic findings and gross findings of the ureter and kidney were observed on the 3 wks after the operation For microscopic observation of the ureteroneocystostomy site were observed. The results are as follows: 1. Retrograde cystographic finding showed on ureterovesical reflux in 6 dogs. 2. Intravenous urographic findings were no hydronephrosis and dye were well drained into the bladder, except 1 dog which showed severe hydronephrosis on right kidney and mild hydronephrosis on left kidney. 3. Gross findings of ureter and kidney revealed no obstruction and renal enlargement, except one dog showed incomplete bilateral obstruction on ureteroneocystostomy site.
Animals
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Catgut
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Dogs*
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Hydronephrosis
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Kidney
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Mucous Membrane
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Neck
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Polypropylenes
;
Sutures
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Ureter
;
Urinary Bladder
;
Wounds and Injuries
10.The Three-Bite Technique: A Novel Method of Dog Ear Correction.
Omar JABER ; Marta VISCHIO ; Angela FAGA ; Giovanni NICOLETTI
Archives of Plastic Surgery 2015;42(2):223-225
The closure of any circular or asymmetric wound can result in puckering or an excess of tissue known as a 'dog ear'. Understanding the mechanism of dog ear formation is a fundamental requirement necessary to facilitate an appropriate treatment. Many solutions have been reported in the literature, but in all cases, the correction entails the extension of the scar and the sacrifice of the dermal plexus. Here, we propose a novel technique of dog ear correction by using a three-bite suture that sequentially pierces the deep fascial plane and each dog ear's margin, thus allowing for flattening the dog ear by anchoring the over-projecting tissue to the deep plane. The three-bite technique proved to be a fast, easy, and versatile method of immediate dog ear correction without extending the scar, while maintaining a full and complete local skin blood supply.
Animals
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Cicatrix
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Dogs*
;
Ear*
;
Reconstructive Surgical Procedures
;
Skin
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Surgery, Plastic
;
Sutures
;
Wounds and Injuries