Xanthelasma palpebrum is the most common type of xanthoma that develops mainly on the inner epicanthus of upper eyelids with symmetrical distribution. The lesion tends to be permanent, progressive and cosmetically disfiguring. The recommended treatment has been surgical excision, local treatment with chemicals, and carbon dioxide laser. All of the mentioned treatment have some disadvantages including scarring, pigmentary change and need for local anesthesia. We describe the treatment of xanthelasma palpebrum with the pulsed dye laser which coagulates the hyperpermeable vessels so that the lipid leakage could be blocked and prevent recurrence and further progression.
Anesthesia, Local ; Cicatrix ; Eyelids ; Lasers, Dye* ; Lasers, Gas ; Recurrence ; Xanthomatosis

No abstract available.
Diagnosis*

No abstract available.
Cicatrix* ; Herpes Zoster* ; Histiocytoma, Benign Fibrous*

No abstract available.
Lipoma* ; Scalp*

The propose of this study was to quantify the changes of soft tissue profile following orthodontic treatment and to evaluate the relationship of those to the skeletal elements. Pre-and post-treatment lateral cephalometric head films of 40 cases(20 extraction cases, 20 non-extraction camas) were traced, and the changes following treatment were measured and quantified by digital subtraction method, and statisticall analyzed. The obtained results were as follows; 1. in extraction group, the change of upper lip area(UL) was 558.60+/-355.17 pixels, that of lower lip area(LL) was 941.15+/-364.07 pixels. But, in non-extraction group the change of uper lip area(UL) was 125.65+/-404.16 pixels, that of lower lip area(LL) was 104.05+/-440.93 pixels, which was significantly lesser than those in extraction group. 2. In extraction group, there was significant correlationship between upper lip area change(UL) and difference of upper incisor point(deltaUIP). Lower lip area change(LL) was significantly correlated with difference of upper incisor(deltaUIP), difference of Frankfort upper incisor angle(deltaFUIA) or difference of interincisal angle(deltaIIA). 3. In extraction group, the ratio of difference of upper incisor point(deltaUIP) to difference of labrale superius(deltaLS) was 1.68; difference of lower incisor point(deltaLIP) to difference of labrale inferius(deltaLI) was 1.19; difference of upper incisor point(deltaUlP) to increment in upper lip thickness(deltaTUL) was 1.95. 4. In non-extraction group, there was a significant cortelationship between upper lip area change(UL) and difference of upper incisor point(deltaUIP).
Head ; Incisor ; Lip

OBJECTIVE: To introduce the technique of the ultrasound-guided selective nerve root injection in the lower cervical spine and to evaluate its accuracy and distribution patterns of injections. METHOD: Thirty-one patients with the cervical radiculopathies (C5 to C7) from cervical disc herniation were enrolled in this study. Targeted nerve root image was obtained and the needle was introduced to its dorsal surface under the ultrasound guidance. Then 2 ml of contrast media was injected which was followed by fluoroscopic image. The accurate injection was defined as the contrast media placed over the neural foramen along the targeted nerve root. RESULTS: 24 of 31 (77.4%) procedures were assesed to be accurately placed and there was no significant complication. The accuracy of injection was lower at the C7 nerve root (70.0%) than other nerve roots. In all cases, large amount of back flow to the brachial plexus and spread to the adjacent nerve roots were observed. CONCLUSION: In the lower cervical spines, ultrasound-guided selective nerve root injections might be considered as a radiation free, safe and available method.
Brachial Plexus ; Contrast Media ; Equidae ; Humans ; Needles ; Radiculopathy ; Spine

PURPOSE: To evaluate outcome and morbidity in patients with vulvar cancer treated with radiotherapy, concurrent chemoradiotherapy or postoperative radiotherapy. MATERIALS AND METHODS: The records of 24 patients treated with radiotherapy for vulvar cancer between July 1993 and September 2009 were retrospectively reviewed. All patients received once daily 1.8-4 Gy fractions external beam radiotherapy to median 51.2 Gy (range, 19.8 to 81.6 Gy) on pelvis and inguinal nodes. Seven patients were treated with primary concurrent chemoradiotherapy, one patient was treated with primary radiotherapy alone, four patients received palliative radiotherapy, and twelve patients were treated with postoperative radiotherapy. RESULTS: Twenty patients were eligible for response evaluation. Response rate was 55% (11/20). The 5-year disease free survival was 42.2% and 5-year overall survival was 46.2%, respectively. Fifty percent (12/24) experienced with acute skin complications of grade III or more during radiotherapy. Late complications were found in 8 patients. 50% (6/12) of patients treated with lymph node dissection experienced severe late complications. One patient died of sepsis from lymphedema. However, only 16.6% (2/12) of patients treated with primary radiotherapy developed late complications. CONCLUSION: Outcome of patients with vulvar cancer treated with radiotherapy showed relatively good local control and low recurrence. Severe late toxicities remained higher in patients treated with both node dissection and radiotherapy.
Carcinoma, Squamous Cell ; Chemoradiotherapy ; Disease-Free Survival ; Humans ; Lymph Node Excision ; Lymphedema ; Pelvis ; Recurrence ; Retrospective Studies ; Sepsis ; Skin ; Treatment Outcome ; Vulvar Neoplasms

BACKGROUND: In September 2002, typhoon RUSA brought heavy rains to parts of Kangwondo province. The river rose above the flood stage, and muddy water covered many houses. Along the damaged infrastructures, there were many patients who needed medical care. Among them, a significant portion had dermatologic problems. OBJECTIVE: The aim of this study was to find out the relationship between the floods and skin diseases. The other purpose was to evaluate how the floods can affect the distribution of dermatoses. METHODS: The 177 dermatology patients who were flood victims were analyzed according to their sexs, age, and their diseases. RESULTS: The results can be summarized as follows. Among 757 patients who were registered to special clinic for flood victims, 177 were seen in dermatology department. Although dermatology patients increased compared to ordinary times, the proportion of them decreased compared to that of flood victims in northern Kyonggi-do in 1998. In the second group of patients who were seen from September 11th to 13th, the proportion of dermatology patients were increased to 23.0% compared to the first group of patients who were seen from September 4th to 6th(12.6%). In age distribution, the most frequent age groups were 3rd decade(24.3%), 4th decade(35.9%), 5th decade(25.4%) amounting to 85.6% of the total dermatology patients. The ratio of male to female was 1: 2.1. The four most common dermatoses were eczematous dermatoses, superficial fungal infections, pruritus & urticaria, and infectious dermatoses. The most commonly used medications were oral antihistamines and topical steroids. CONCLUSION: The most common skin diseases among flood victims were eczematous dermatoses. It was contradictory finding compared to the victims of northern Kyunggido floods in 1998 who showed superficial fungal infection most commonly.
Age Distribution ; Cyclonic Storms ; Dermatology ; Disasters* ; Epidemiology ; Female ; Floods ; Gangwon-do ; Gyeonggi-do ; Histamine Antagonists ; Humans ; Male ; Pruritus ; Rain ; Rivers ; Skin Diseases* ; Skin* ; Steroids ; Urticaria

BACKGROUND: The present study was performed to elicit what effect nalbuphine would have on isoflurane MAC (minimum alveolar concentration) in the patients undergoing lower abdominal surgery. METHODS: Sixty-two women were randomly allocated to one of five study groups to receive an intravenous injection of no nalbuphine (group I), 0.25 mg/kg (group II), 0.5 mg/kg (group III), 1.0 mg/kg (group IV), 1.5 mg/kg (group V). Anesthesia and tracheal intubation were induced with propofol 2 mg/kg, succinylcholine 1 mg/kg. Patients were inhaled at a preset end-tidal concentration of isoflurane, which was maintained for 20 min. Response to skin incision, movement or no movement, was determined 30 minutes after nalbuphine injection. The isoflurane concentration of the next patient in the same group moved up or down in steps of 0.1~0.3%, according to the previous patient's response. MAC was determined using the "up-down" method and logistic regression. RESULTS: The MAC's of isoflurane were 1.09 vol% end-tidal in the control group, 0.89 vol% in group II, 0.65 vol% in group III, 0.55 vol% in group IV, and 0.51 vol% in group V. CONCLUSIONS: It would be suggested that nalbuphine dose-dependently reduce the isoflurane MAC, and have ceiling effect on the reduction of isoflurane MAC.
Anesthesia ; Female ; Humans ; Injections, Intravenous ; Intubation ; Isoflurane* ; Logistic Models ; Nalbuphine* ; Propofol ; Skin ; Succinylcholine

Mondor's disease is a uncommon disorder characterized by superficial thrombophlbitis, classically of thoracoabdominal wall. In about 50%-60% of cases, the cause is not determined, whereas in the others it is due to primary or secondary hypercoagulation requiring careful investigation. A 30-year- old woman presented a cord-like tender subcutaneous lesion on the left thoracoabdominal wall and histologic finding reveals thrombophlebitis. We found no evidence for primary and secondary hypercoagulable states.
Female ; Humans ; Thrombophlebitis