1.Rhiltral Reconstruction in Facial Burn Scars using Fenestrated Auricular Composite Graft.
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1999;26(5):1062-1068
The surgical correction of postburn nose and lips deformities still remains a difficult task domain to be done by plastic surgery. Consequently, the performance of autogenous cartilage graft and ear cartilage graft to maintain a better philtral form were found to raise the problem of a defect in the unnatural form due to consecutive tension in the region. Recently, focus had been placed on composite graft, including auricular cartilage, to obtain a unique dimple in the philtrum, and concurrently with this, part of its natural form has been acknowledged. However, composite graft on scar beds with poor circulation on the recipient site dose not represent safe survival, has increased risk allotment, which laeds to difficult application. From Jan. 1992 to Dec. 1998, the authors have experienced auricular composite graft in 15 patients who had a defect on the philtrum due to postburn scar contractures. As types of this operation, in method I, the subcutaneous pocket is made at the midline of the upper lip. The next step is cartilage insertion into subcutaneous tissue. The cartilage graft is fixed to be overlying skin by the bolus sutures. In Method II, the recipient site is excavated by some excision of the soft tissue in the central upper lip after scar tissue excision. The obtained auricular skin composite graft is placed and fixed to the philtral area. In Method III the auricular skin composite graft is harvested, and 2 or more 2mm-sized multiple holes are made along the midline of cartilage. Then composite graft is fixed to the defects of philtrum. The elongated portion of the distal tip of cartilage is embedded into the vermilion tubercle for sprouting and fullness. The most effective method was Method III, which enhanced the survival of auricular cartilage graft and its overlying skin, by trimming the margin of grafts, and enhancement of the connecting vessels through fenestrated holes of cartilage between the recipient site and composite graft. The authors hereby report the results of the present study along with study findings based on literature surveys.
Burns*
;
Cartilage
;
Cicatrix*
;
Congenital Abnormalities
;
Contracture
;
Ear Cartilage
;
Humans
;
Lip
;
Nose
;
Skin
;
Subcutaneous Tissue
;
Surgery, Plastic
;
Sutures
;
Transplants*
2.Analysis and Treatment of Postburn Hand Deformities Durn to Burn Scar Contracures in Children.
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1999;26(4):567-574
Though proper management of hand burns in children is provided, hypertrophic scars frequently cause various hand deformities or functional disturbances in growing hands. When correction principles have not been observed for the long term, contraction of the skin, tendon and joints has a serious influence on hand deformities and bone change occur in growing children and second, to determine when is the proper operative time to minimize hand deformities and recurrences. We reviewed 107 hands in 103 admitted pediatric patients who had postburn hands deformities by scar contracture. The analysis of severity of hand deformities was evaluated by assessment of our hospital scale. According to these data, we performed the operations and compared the final results. The results were as follows: The types of burn hand deformities among 107 involved hands of 103 patients included flexion contracture (39.3%), syndactyly (29.9%), extension contracture (10.3%), Boutonniere deformity (9.3%), claw hand deformity (5.6%), severe hypertrophic scar (3.7%), swan neck deformity (0.9%), and loss of digit (1.9%) etc. On 98 preoperative x-ray examinations, bone changes were common, including angular deformity (19.4%), epiphyseal plate loss(18.4%), osteoporosis (17.3%), bony erosion (17.3%), joint change (15.3%), and ankylosis (9.2%). Thus, early correction of postburn hand deformities is imperative in pediatric patients, even though there is a greater chance of secondary operation due to immature scars. All patients were operated on by our proposed protocol and postoperative results showed greatly improved finger joint motion than before. We concluded that early correction of Grade III to V postburn hand deformities is mandatory in rapidly growing pediatric patients.
Animals
;
Ankylosis
;
Burns*
;
Child*
;
Cicatrix*
;
Cicatrix, Hypertrophic
;
Congenital Abnormalities
;
Contracture
;
Finger Joint
;
Growth Plate
;
Hand Deformities*
;
Hand*
;
Hoof and Claw
;
Humans
;
Joints
;
Neck
;
Operative Time
;
Osteoporosis
;
Recurrence
;
Skin
;
Syndactyly
;
Tendons
3.A Case of Atraumatic Aseptic Necrosis of Both Talus: A Case Report
Dong Hae KIM ; Hyun Gyu KIM ; Kyung Soo YOO
The Journal of the Korean Orthopaedic Association 1976;11(2):273-276
We report one case of aseptic necrosis of both talus which has developed without any evidence of previous trauma. Aseptic necrosis of the talus is known to occur after any trauma which result in iterruption the blood supply to talus. Atraumatic aseptic necrosis of talus is extremely rarre condition. Some cases of atraumatic aseptic necrosis of talus were repoted by some authers, in whom Garcia described the first case in 1928. Most of the reported atraumatic aseptic necrosis were due to long term steroid therapy for unrelated medical problems and others were related to Alcoholism, Sepsis and Tuber culosis. ln this case we think for it may be caused or contributed by steroid therapy.
Alcoholism
;
Necrosis
;
Sepsis
;
Talus
4.A comparative study for the effect of ACTH therapy in patients with infantile spasms.
No Hyun KIM ; Tae Gyu HWANG ; Soon Yong LEE
Journal of the Korean Child Neurology Society 1993;1(2):64-73
No abstract available.
Adrenocorticotropic Hormone*
;
Humans
;
Infant
;
Infant, Newborn
;
Spasms, Infantile*
5.MR imaging of oral cavity malignancy.
Dong Gyu NA ; Moon Hee HAN ; Sang Joon KIM ; Kwang Hyun KIM ; Kee Hyun CHANG
Journal of the Korean Radiological Society 1993;29(2):179-185
We retrospectively analyzed the Magnetic Resonance (MR) imaging findings in 41 cases of histologically proved malignant tumors of oral cariey. The diagnostic value of MR imaging in detection and delineation of the lesions was assessed. The value of MRI was compared with that of Computed Tomography (CT) in 14 patients. Thirty-four cases of 41 malignant tumors were squamous cell carcinomas. Adenoic cystic carcinomas (2 cases), malignant melanomas (2 cases), non-Hodgkin lymphomas (2 cases) and mucoepidermoid carcinoma(1 cases) were also included in this study. Most of the lesions were isointense or slightly hyperintense to muscle on T1 weighted images and showed variable degrees of high signal intensity on T2 weighted images. Two cases of malignant melanomas showed characteristic hyperintensity on T1 weighted images. T2 weighted image was better in detection and delineation of tumor in most of the cases. In 6 cases, Gd-DTPA-enhanced T1 weighted image was better than T2 weighted image. T2 weighted image was useful for the evaluation of deep tissue infiltration and T1 weighted image was useful for the evaluation of bone invasion and superficial tissue plane invasion. The lesion was detected only by MR in 3 cases of 14 in which CT was also performed. MR imaging was more sensitive in the evalustion of bone marrow involvement. MR imaging is very useful modality in evaluating oral cavity malignany and is superior to CT in delineation of the as well as in the evaluation of mandible invasion.
Bone Marrow
;
Carcinoma, Squamous Cell
;
Humans
;
Lymphoma, Non-Hodgkin
;
Magnetic Resonance Imaging*
;
Mandible
;
Melanoma
;
Mouth*
;
Retrospective Studies
6.Induction chemotherapy in locally advanced cervical cancer.
Yong Hak KIM ; Byung Gyu YOO ; Ki Tae KIM ; Hyun Chan KIM
Korean Journal of Obstetrics and Gynecology 1992;35(9):1288-1299
No abstract available.
Induction Chemotherapy*
;
Uterine Cervical Neoplasms*
7.Intrapericardial tuberculous abscess invading myocardium.
Hyun Gyung KIM ; Eun Soon KWEON ; Gyu Man KIM ; Jong Won KIM
The Korean Journal of Thoracic and Cardiovascular Surgery 1992;25(11):1245-1249
No abstract available.
Abscess*
;
Myocardium*
8.Clinical evaluation of total abdominal hysterectomy.
Gyu Mi SHIN ; Hyun Ok KIM ; Hyeon Gyeong CHOI ; Jung Hye KIM
Korean Journal of Obstetrics and Gynecology 1992;35(8):1181-1189
No abstract available.
Hysterectomy*
9.Efficient Production of Retroviruses Encoding Human Costimulatory Molecule, B7 - 1 ( CD80 ).
Dong HOUH ; Tai Gyu KIM ; Hoon HAN ; Hyun Il CHO ; Ji Young KIM ; Cliona M ROONEY
Korean Journal of Immunology 1997;19(4):481-492
No abstract available.
Humans*
;
Retroviridae*
10.A Case of Spindle Cell Hemangioendothelioma.
Jun Gyu JANG ; Hyun Chul KIM ; Young Soo CHAE ; Kee Suck SUH ; Sang Tae KIM
Korean Journal of Dermatology 1997;35(2):322-326
Spindle cell hemangioendothelioma was first described in 1986 by Weiss and Enzinger as a low grade angiosarcoma resr mbling a cavernous hemangioma and kaposis sarcoma. Recently, it is suggested to be non neoplastic lesion or reactive process arising from pre-existing vascular mal- formation. We report a case of spindle cell hemangioendothelioma in a 9-month-old boy. He had multiple, variable sized, colorful, cutaneous or subcutaneous nodules on the forearm and hand. The tumor first appeared on the forearm as erythematous patches at birth and grew rapidly with- in 3 months. Histopatholgical findings showed that the lesion was composed of thin walled cavernous spaces mixed with spindle cells and occasional epithelioid endothelial cells containing intracytoplasmic vacuole. Most af the endothelial cells lining the cavernous spaces and intracytoplasmic lumina, were positive for factor VIII associated antigen. But the spindle cells were negative. Atypical vascular structures resembling arteriovenous shunts were noted around the tumor suggesting a reactive proliferation due to disturbance of local blood flow. Several turnors were excised. No recurrence has been recognized in the one year- follow-up period.
Endothelial Cells
;
Factor VIII
;
Follow-Up Studies
;
Forearm
;
Hand
;
Hemangioendothelioma*
;
Hemangioma, Cavernous
;
Hemangiosarcoma
;
Humans
;
Infant
;
Male
;
Parturition
;
Recurrence
;
Sarcoma, Kaposi
;
Vacuoles