Here, we report 3 cases of mixed tumor of the lacrimal gland. The age of the patients were 43, 26 and 35 respectively. The two of these were male and one female. The most outstanding complaint was exopthalmos. A mass was palpated on the orbit and eye ball deviation in downward position was present in all cases. Pathologic findings were mixed tumor of the lacrimal gland with no evidence of malignancy. These tumors were well encapsulated and any evidence of involving bone and soft tissue was not found. Modified Kroenlein-Berke operation was performed and tumor mass was removed entirely with finger dissection in all cases. The vision was not improved but the cosmetic result was satisfactorr.
Female ; Fingers ; Humans ; Lacrimal Apparatus* ; Male ; Orbit

A clinical study was made on 189 cases of various types of arrhythmia diagnosed among 1,100 patients. Incidence of arrhythmia was 17.2% of the total cases (male 58.2%, female 41.8%). Of 189 cases of arrhythmias, 78(41.3%) had bundle branch block, 42(22.2%) atrial fibrillation, 18(9.5%) atrioventricular block, 15(8%) premature ventricular contraction, 6(3.2%) sinus arrhythmia, 6(3.2%) W.P.W. syndrome, 4(2%) premature atrial contraction, 3(1.6%) atrial flutter-fibrillation, 3(1.6%) ventricular bigeminy, 3(1.6%) intraventricular conduction defect, 2(1.1%) atrial flutter, 2(1.1%) nodal bigeminy, 2(1.1%) ventricular bigeminy, 1(0.5%) paroxysmal atrial contraction and 1(0.5%) A-V nodal rhythm, 1(0.5%) nodla premature contraction, 1(0.5%) paroxysmal atrial contraction and 1(0.5%) sinus arrest. Etiological diagnoses of patients with arrhythmia were rheumatic heart disease (21.7%), hypertensive heart disease (12.7%), arteriosclerotic heart disease (12.7%), thyrotoxic heart disease (1.6%), anemic heart disease(1.6%) congenital heart disease (2.6%), cerebral vascular accident (1.6%), essential hypertension (9%) cerebral arteriosclerosis (0.53%), cor pulmonale (2.1%). chronic myocarditis (1.6%), anemia (1.6%), chronic nephritis (1.6%), acute glomerulonephritis (0.53%) chronic hepatitis (1.1%), tuberculosis (4.2%), bronchiectasis (1.1%), leprosy (0.53%), epilepsy (0.53%) intoxication (2.6%) cardiac neurosis (11.6%) and unknown (8%). The cardinal symptoms consisted of palpitation, dyspnea, headache, edema, dizziness, cough, left chest pain. gastrointestinal complaints, chest discomfort (thightness), weakness and fatigability. The incidence of arrhythmia was highest in the 4 th decade.
Anemia ; Arrhythmia, Sinus ; Arrhythmias, Cardiac* ; Atrial Fibrillation ; Atrial Flutter ; Atrial Premature Complexes ; Atrioventricular Block ; Bronchiectasis ; Bundle-Branch Block ; Chest Pain ; Cough ; Diagnosis ; Dizziness ; Dyspnea ; Edema ; Epilepsy ; Female ; Glomerulonephritis ; Headache ; Heart ; Heart Defects, Congenital ; Heart Diseases ; Hepatitis, Chronic ; Humans ; Hypertension ; Incidence ; Intracranial Arteriosclerosis ; Leprosy ; Myocarditis ; Nephritis ; Neurocirculatory Asthenia ; Pulmonary Heart Disease ; Rheumatic Heart Disease ; Thorax ; Tuberculosis ; Ventricular Premature Complexes

In the fractures and dislocations of the carpus, prompt and accurate diagnosis is the prime prerequisite for restoring function to this most complicated joint in the body. And then, early precise reduction and continuous maintenance of the reduced position until ligamentous and bone healing is complete provide the best chance of achieving a satisfactory restoration of function. We analysed forty five cases of fractures and dislocations of the carpus which were treated for 5 years from Jan. 1984 to Dec. 1988 at the Department of Orthopedic Surgery, College of Medicine, Hallym University. The following results were obtained; l. Of the total 45 injuries, scaphoid fractures were seen in 32(71.1%), other carpal bone fractures except scaphoid in 13 patients(28.9%), and carpal bone dislocation and fracture- dislocations in 11 patients(24.4%). 2. Carpal scaphoid fracture 1) 19 of the 32 patients(59.4%) had an associated ipsilateral upper extremity injury. 2) This fracture was common in the young male. 3) A union rate(95.6%) was achieved using a usual conservative treatment for undisplaced racture(14), operative treatment for displaced(18). 4) The mean time to radiological union for all fractures was 11.1 weeks. Old fracture by SotoHall classification took the longest time to union(18.2 weeks), subacute fracture 13 weeks, and acute fracture 9 weeks. 5) 10 cases were treated for nonunion, 5 of 10 nonunions were classified as type (50%). 2 cases showed ultimately nonunion in spite of various sorts of treatment, which belonged to waist fracture. 3. Other carpal bone fractures except scaphoid were seen in 13(15 bones) of 45 injuries, and pisiform(4) and triquetrum(4) fractures were common. 4. Carpal dislocation and fracture-dislocations were seen in 11 of the 45 injuries and dorsal transscaphoid perilunate dislocations(4) were common. These were treated by C.R. and cast immobilization or O.R. and K-wire fixation relatively good results were obtained.
Carpal Bones ; Classification ; Clinical Study ; Diagnosis ; Dislocations ; Humans ; Immobilization ; Joints ; Ligaments ; Male ; Orthopedics ; Upper Extremity

It is indispensable to cover the skin defect when bone or tendon is exposed. In case of inevitable amputation of an extremity, it is possible to harvest a free flap from the amputed limb for providing coverage of the other wound. This technique allows immediate wound coverage without the morbidity of an additional donor site. We experienced an electrical burn case with inevitahle wrist disarticulation and successfully treated soft tissue defect of ankle using free vascularized flap.
Amputation ; Ankle* ; Burns ; Disarticulation ; Extremities ; Free Tissue Flaps ; Hand* ; Humans ; Skin ; Tendons ; Tissue Donors ; Wounds and Injuries ; Wrist

The pedicled fillet flap concept has been successfully applied in both the upper and lower extremities for the treatment of difficult wound. In cases of inevitable extremity amputation, the transfer of pedicled flap from the amputed part is possible. In such substance, it is possible to obtain the pedicled fillet flap from the amputed limb to provide stump coverage. We experienced two cases of below-knee amputation due to severe flame burn which the stump was covered with island pedicled sole-fillet flap.
Amputation Stumps* ; Amputation* ; Burns ; Extremities ; Knee* ; Lower Extremity ; Surgical Flaps ; Wounds and Injuries

The purpose of this study is to evaluate the influence of the extent of involvement in the results of cementless THA in patients with idiopathic AVN of the femoral head. We reviewed 70 hips (52 patients) who had undergone cementless THA for idiopathic AVN of the femoral head. Anatomic femoral components were used in 43 hips and Harris Galante porous prosthesis were employed in 27 cases. The hips were classified according to International Classification (Association Research Circulation Osseous). The length of the follow-up period ranged from 3 to 5 years (average 53.5 months). Preoperative and postoperative clinical documentation and radiographs were evaluated. Statistical analysis was performed on the results of three analysis groups (Group A, comparison of results among Stage IIIA, IIIB, IIIC, and IV; Group B, between stage III and IV; Group C, between IIIA+IIIB and IIIC + IV). Of the 70 hips in the present study, there were 47 hips in stage III (IIIA, 15; IIIB, 19; IIIC, 13) and 23 hips in stage IV. The average postoperative Harris hip score at the time of study was 91.5 (Analysis Group C, p=.009). Femoral subsidence of more than 5 mm occurred in 5 hips (7.1%). Two hips were in Stage IIIC and three hips were in Stage IV (Group C, p=.024). The hips lower than -10 on Engh's index were present in one hip in Stage IIIC and three hips in Stage IV (Group C, p=.011). This study demonstrated that the clinical and radiological results of cementless THA were poor when the extent of involvement was greater or in the case of late stage subjects, particularly those above IIIC (p<05), with avascular necrosis of the femoral head.
Arthroplasty, Replacement, Hip* ; Classification ; Follow-Up Studies ; Head* ; Hip ; Humans ; Necrosis* ; Prostheses and Implants

There were many instances in which glaucoma, esp. primary, combined with hearing disturbance. The etiology of these cases has not been known until now. We had 15 primary glaucoma patients for whom pure tone audiometry wa~ performed, and could find the hearing defect in high tone in 5 cases (1/3 among those patients). The audiometric curve was similar to that in the presbycusis, but severer in degree than that occured within the normal physiological aging process. The average age was 62.4 year in the group with the hearing defect, and 45.6 year in the group without the hearing defect. There were no relationship between the hearing defect and intraocular tension, visual field change, glaucomatous cupping, and duration of glaucoma. These results may support the opinion of the authors that the hearing disturbance in glaucomatous patients is related to the arterioscIerotic changes which aggrevate the presbycusis, and not related to glaucoma itself. On the otherhand, however, it is stilI impossible for us to rule out that the pleiotropic and multifactorial genetic factors may play as a common important role in the hearing disturbances and glaucoma. And further studies would be necessary for these problems.
Aging ; Audiometry ; Glaucoma* ; Hearing* ; Humans ; Presbycusis ; Visual Fields

No abstract available.
Prognosis* ; Reye Syndrome*

No abstract available.
Glomerulonephritis*

No abstract available.