1.The treatment of congenital cutis aplasia.
Young Ha KIM ; Gyu Ho CHA ; Jae Ho JUNG ; Kyung Ho LEE ; Jung Hyun SEUL
Yeungnam University Journal of Medicine 1992;9(2):422-426
One case of congenital cutis aplasia is presented. The defect involved includes full-thickness skin defect of scalp and cranium. The patient was treated with debridement of dirty necrosed crust which covered exposed dura mater and with double opposing rotation flap including pericranium for bone regeneration. The donor site was covered with skin graft from right thigh. During operation, the superficial temporal artery was found to be short and weak. And after operation, the margin of flap were congested and finally necrotized. The necrotic wound was treated with conservative management. The vascular impairment is thought to be main course of congenital cutis aplasia. So we conclude that the treatment of choice is conservative management or careful flap surgery for coverage of defect area.
Bone Regeneration
;
Debridement
;
Dura Mater
;
Estrogens, Conjugated (USP)
;
Humans
;
Scalp
;
Skin
;
Skull
;
Temporal Arteries
;
Thigh
;
Tissue Donors
;
Transplants
;
Wounds and Injuries
2.Pharyngoesophageal reconstruction.
Gyu Ho CHA ; Jeong Cheol KIM ; Kyung Ho LEE ; Dong Bo SUH ; Jang Su SUH
Yeungnam University Journal of Medicine 1992;9(1):167-174
Microvascular tissue transfers have facilitated primary closure of various complex defects after radical ablation of head and neck cancers. From Oct 1991 to Feb 1992, we used forearm free flap in two patients and delto-pectoral flap in one patient who had preoperative irradiation for pharyngoesophageal reconstruction. The stricture and fistula formation were most troublesome complication in forearm free flap, so we designed as lazy S shape in distal flap margin to prevent circular contraction and longitudinal margin was deepithelialized (5 mm) and sutured double layer to withstand fistular formation and this can be considered useful in place of a free jejuna transfer.
Constriction, Pathologic
;
Fistula
;
Forearm
;
Free Tissue Flaps
;
Head
;
Humans
;
Neck
3.Correction on duplicated thumbs.
Gyu Ho CHA ; Ki Yeul KIM ; See Ho CHOI ; Jung Hyun SEUL
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1992;19(3):492-498
No abstract available.
Thumb*
4.Utility of Lamellar Body Count in the Assessment of Fetal Lung Maturity.
Bong Gyu KWAK ; Sang Hoon LEE ; Moon Seok CHA ; Hyun Ho KIM
Korean Journal of Perinatology 2000;11(3):330-334
No abstract available.
Lung*
5.Immediate reconstruction of thumb tip injury.
Gyu Ho CHA ; Sang Hyun WOO ; Dae Hoon LEE ; Jeong Hyun SEUL
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1991;18(3):533-538
No abstract available.
Thumb*
6.Transcervical interruption of ectopic pregnancy.
Seio Beom CHO ; Chul Joong KIM ; Myung Gyu KIM ; Young Rahn LEE ; In Ho CHA ; Nam Jun LEE ; Kyoo Byung CHUNG
Journal of the Korean Radiological Society 1993;29(3):492-496
The diagnostic possibility and the incidence of ectopic pregnancy are increasing due to several factor. Furthermore, radioimmunoassay of serum β-HCG and US make it possible to diagnose early before the tubal rupture. A conventional surgical approach has been considered as a choice of treatments. Until recent years, however, surgery may have considerable risk of infertility and sugical hazard. In view of the natural tendency of some ectopic pregnancies to terminate in tubal abortion or complete resorption, we tried to cure ectopic pregnancy with nonsurgical transcervical intervention. Five of 8 patients with unruptured tubal pregnancies, it was possible to inject PGF2a into the tubes or gestational sac. 4 of them were ended up with satisfactory reduction of serum β-HCG level and improvement of symptoms & signs. In only one patient, β-HCG level remained a high level continuously, so salpingectomy was done. As a result, we consider that fluoroscopy-guided transcervical interventional procedure is a useful treatment modality for early unruptured ectopic pregnancy.
Abortion, Spontaneous
;
Female
;
Gestational Sac
;
Humans
;
Incidence
;
Infertility
;
Pregnancy
;
Pregnancy, Ectopic*
;
Pregnancy, Tubal
;
Radioimmunoassay
;
Rupture
;
Salpingectomy
7.Transcervical interruption of ectopic pregnancy.
Seio Beom CHO ; Chul Joong KIM ; Myung Gyu KIM ; Young Rahn LEE ; In Ho CHA ; Nam Jun LEE ; Kyoo Byung CHUNG
Journal of the Korean Radiological Society 1993;29(3):492-496
The diagnostic possibility and the incidence of ectopic pregnancy are increasing due to several factor. Furthermore, radioimmunoassay of serum β-HCG and US make it possible to diagnose early before the tubal rupture. A conventional surgical approach has been considered as a choice of treatments. Until recent years, however, surgery may have considerable risk of infertility and sugical hazard. In view of the natural tendency of some ectopic pregnancies to terminate in tubal abortion or complete resorption, we tried to cure ectopic pregnancy with nonsurgical transcervical intervention. Five of 8 patients with unruptured tubal pregnancies, it was possible to inject PGF2a into the tubes or gestational sac. 4 of them were ended up with satisfactory reduction of serum β-HCG level and improvement of symptoms & signs. In only one patient, β-HCG level remained a high level continuously, so salpingectomy was done. As a result, we consider that fluoroscopy-guided transcervical interventional procedure is a useful treatment modality for early unruptured ectopic pregnancy.
Abortion, Spontaneous
;
Female
;
Gestational Sac
;
Humans
;
Incidence
;
Infertility
;
Pregnancy
;
Pregnancy, Ectopic*
;
Pregnancy, Tubal
;
Radioimmunoassay
;
Rupture
;
Salpingectomy
8.MRI Findings of Extramedullary Hematopoiesis of the Spleen in Patient with Idiopathic Myelofibrosis: 2 case report.
Hyoung Seuk KIM ; Cheol Min PARK ; In Ho CHA ; Aeree KIM ; Moon Gyu LEE ; Yong Ho AUH
Journal of the Korean Radiological Society 1998;38(3):507-510
MRI findings of extramedullary hematopoiesis of the spleen have not been described in the literature. Wereport the MRI features of this condition, as seen in two patients and confirmed by fine needle biopsy. Threesmall masses(< or =3cm) were isointense on T1WI, hyperintense on T2WI, and enhanced after the injection of gadolinium.Two 6cm-sized masses were hypointense on both T1WI and T2WI, and showed no contrast enhancement.
Biopsy, Fine-Needle
;
Hematopoiesis, Extramedullary*
;
Humans
;
Magnetic Resonance Imaging*
;
Primary Myelofibrosis*
;
Spleen*
9.Ultrasound Elastography in Differential Diagnosis of Benign and Malignant Thyroid Nodules.
Ki Young KIM ; Jin Woo CHA ; Seok Ho CHOI ; Chang Gyu BYUN ; Young Taek KOH ; Dong Yup SEO
Korean Journal of Endocrine Surgery 2010;10(4):229-234
PURPOSE: The study evaluated elastography, a technique that allows differentiation between pathological and normal tissue by determination of tissue hardness. METHODS: From March 2009 to April 2010, 25 consecutive patients with thyroid nodules who were referred for surgical treatment were examined in this prospective study. Thirty nodules in these patients were examined by conventional ultrasound, ultrasound elastography, and fine needle aspiration cytology. Lesions were scored (1~3) according to hardness based on the Ueno classification system. The final diagnosis was based on histopathologic results. RESULTS: Of the 30 thyroid nodules, four were classified as benign and 26 were malignant. Two of the nodules with an elastography score of 1 were benign and 17 nodules whose elastography score was 3 were malignant. Two benign nodules and nine malignant nodules had an elastography score of 2. Applying an elastography score exceeding 2 as a indicator for malignancy determined that the sensitivity and specificity of the ultrasound elastography was 100.0% and 50.0%, respectively, the positive and negativepredictive values were 92.9% and 100.0%, respectively, and the accuracy of the technique was 93.3%. CONCLUSION: Ultrasound elastography may be a useful adjunct to ultrasonography in the identification of indeterminate thyroid nodules for which tissue diagnosis is required.
Biopsy, Fine-Needle
;
Classification
;
Diagnosis
;
Diagnosis, Differential*
;
Elasticity Imaging Techniques*
;
Hardness
;
Humans
;
Prospective Studies
;
Sensitivity and Specificity
;
Thyroid Gland*
;
Thyroid Nodule*
;
Ultrasonography*
10.Chronic-Contained Rupture of an Isolated Internal Iliac Arterial Aneurysm: A Case Report.
Jang Gyu CHA ; Na Mi CHOI ; Beom Ha YI ; Jong Sea LEE ; Dae Ho KIM ; Sung il PARK
Journal of the Korean Radiological Society 2008;58(6):623-626
We describe here a 57-year-old woman with a chronic-contained rupture of an internal iliac arterial aneurysm, and this was eroding the sacral neural foramen. Although an isolated internal iliac arterial aneurysm is known to be rare, the ruptured internal iliac arterial aneurysm was diagnosed based on the characteristic radiolgic findings with performing color Doppler ultrasound, MRI and multi-slice computed tomography. The ruptured aneurysm was successfully treated by coil embolization. Color Doppler US, MRI and multi-slice CT are useful for evaluating a mass of a vascular origin that involves the neural foramen.
Aneurysm
;
Aneurysm, Ruptured
;
Cytochrome P-450 CYP1A1
;
Embolization, Therapeutic
;
Female
;
Humans
;
Middle Aged
;
Rupture
;
Spine