1.Clicical evaluation of open heart surgery.
Woon Ha CHANG ; Moon Geum LEE ; Byeong Rin KIM
The Korean Journal of Thoracic and Cardiovascular Surgery 1993;26(2):115-121
No abstract available.
Heart*
;
Thoracic Surgery*
2.A case of Fanconi syndrome.
Yong Woon LEE ; In Seok LIM ; Chul Ha KIM
Journal of the Korean Pediatric Society 1993;36(5):737-742
Fanconi syndrome is a complex of renal tubular dysfunction defined by glycosuria without diabetes, generalized aminoaciduria, phosphaturia, bicarbonaturia, uric aciduria, and renal tubular acidosis. It is often associated with hypokalemia, hypophosphatemia, rickets and osteomalacia. We have experienced one case of Fanconi syndrome with chronic tubulointerstitial nephritis. The patient was a 4 year old and his chief complaints were polyuria, polydipsia, and poor weight gain. There were hyperchloremic metabolic acidosis, hypokalemia, glycosuria, generalized aminoaciduria and phosphaturia. We report a case of Fanconi syndrome with brief review of the literatures.
Acidosis
;
Acidosis, Renal Tubular
;
Child, Preschool
;
Fanconi Syndrome*
;
Glycosuria
;
Humans
;
Hypokalemia
;
Hypophosphatemia
;
Hypophosphatemia, Familial
;
Nephritis, Interstitial
;
Osteomalacia
;
Polydipsia
;
Polyuria
;
Rickets
;
Weight Gain
3.Surface ECG Findings of the Patients with Left Isomerism.
Jae Kon KO ; Seong Ho KIM ; Jong Woon CHOI ; Dug Ha KIM ; Heung Jae LEE
Korean Circulation Journal 1991;21(6):1237-1241
Surface ECG findings in 29 patients with left isomerism were reviewed. Among the total 46 wave axis distributions, 25(54%) were abnormal axis, not originated from sinus node. Congenital atrioventricular block was found in 2 children. 6 patients showed the bradycardia and junctional escape rhythm intermittently or persistently. 4 of them, not related with heart surgery, were much older than 2 patients who showed these ECG findings after heart surgery. These ECG findings suggested the possibility of occurrence of sinus node or subsidiary pacemaker dysfunction in the patients with left isomerism, especially in the older patients. So we thought that electrophysiologic evaluation is necessary in some patients with left isomerism.
Atrioventricular Block
;
Axis, Cervical Vertebra
;
Bradycardia
;
Child
;
Electrocardiography*
;
Humans
;
Isomerism*
;
Sinoatrial Node
;
Thoracic Surgery
;
United Nations
4.A Study of Partial Excision and Suvdermal Exicision in Surgical Treatment of Axillary Osmidrosis.
Young Dae KWEON ; Jin Gyu LEE ; Hyeon Ho SEO ; Chang Sik KIM ; Ji Woon HA
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1999;26(5):816-821
There are 3 basic methods for surgical treatment of axillary osmidrosis; 1) method that removes only subcutaneous cellular tissue without removing skin 2) method that removes skin and subcutaneous cellular tissue en bloc, and 3) method that partially removes skin and subcutaneous cellular en bloc as well as removing the subcutaneous cellular tissue of the adjacent region. We studied the results of partial removal of the skin and subcutaneous cellular tissue en bloc, as well as the removal of subcutaneous cellular tissue of the adjacent region to compare the results of the bipedicled flap with the graft conversion method. There was no difference between two methods in results and complication rates. There are 3 advantage to this procedure. First, about 70-80% of apocrine glands were centrally distributed among the axillary hairbearing region therefore, resection of the central portion of axillary hair distribution area is important for good result. Second, the preservation of the subdermal plexus with careful excision of adjacent underlying subcutaneous tissue under the aid of the magnifying surgical loupe, is important for good wound healing. Third, the central excision of the axillary hair distribution area provides good exploration for undermining and defatting of the undersurface of the adjacent area, therefore it tooks a shorter operation time.
Apocrine Glands
;
Hair
;
Skin
;
Subcutaneous Tissue
;
Transplants
;
Wound Healing
5.Clinical Experience of Gentian Violet Dressing for Local Treatment of Wound Infection with MRSA.
Chang Sik KIM ; Young Dae KWOUN ; Hyeon Ho SEO ; Ji Woon HA
Korean Journal of Nosocomial Infection Control 1998;3(1):23-31
BACKGROUND: Methicillin-resistant Staphylococcus aureus (MRSA) is hardly controllable organism among the pathogen of nosocomial infection, because it is resistant to most antibiotics except vancomycin and local treatment with most antiseptics are not effective to eradicate MRSA from the infected wounds. There is increasing fear that MRSA infection can be spread widely in the hospitals. The effectiveness of Gentian Violet against MRSA was reported by Saji et al in 1992 for the first time. We tried Gentian Violet dressing on MRSA infected wounds to evaluate whether at not the Gentian Violet is effective to eradicate 11RSA which existed in the open wound. METHODS: 24 patients were treated by wet dressing with 0.1%Gentian Violet soaked gauze twice daily. They included 10 cases of sacral and trochanteric pressure sore, 6 cases of postoperative wound infectious, 3 cases of posttraumatic skin defects, 2 cases of DM foot, 1 case of post infectious skin defect and 2 cases of electrical burn, The wound culture was evaluated for elimination of MRSA infection twice weekly. RESULTS: The clinical results revealed that MRSA was not detected in all cases within 34days (average 13.5 days) after topical administration 0.1% Gentian Violet. CONCLUSION: There is no evidence of tissue irritation with Gentian Violet dressing on open wound or wound margin. After negative conversion of MRSA with Gentian Violet dressing, gram (-) organism was isolated in a half of the cases. 0.1% Gentian Violet topical administration is a useful treatment method of wound infection with MRSA.
Administration, Topical
;
Anti-Bacterial Agents
;
Anti-Infective Agents, Local
;
Bandages*
;
Burns
;
Cross Infection
;
Femur
;
Foot
;
Gentian Violet*
;
Gentiana*
;
Humans
;
Methicillin-Resistant Staphylococcus aureus*
;
Pressure Ulcer
;
Skin
;
Vancomycin
;
Viola
;
Wound Infection*
;
Wounds and Injuries*
6.Intralegional Triamcinolone Acetonide Therapy of Chalazia.
Young Woon KIM ; Jae Ok LEE ; Ha Bum LEE
Journal of the Korean Ophthalmological Society 1980;21(4):377-379
Chronic inflammation of the meibonliarl glands (chalazia) frequently become troublesome because of recurrences, cosmetic blemish and distortion of vision when it is large enough. Medical treatment with hot compress, topically administered antibiotics and corncosteroids often fail to cure, so leads to chalazia with trial intralesional injection of triamcinolone acetonide. Ten chalazia reso1ved within one week after only one injection, two chalazia after two injections, one chalazion after three injections and one lesion failed to respond to three injections which was removed by surgery. We observed that intralesional injection of triamcinolone acetonide for chalaza is a good procedure, which appear to be a safe, convinient and effective alternative to chalazion surgery.
Anti-Bacterial Agents
;
Chalazion*
;
Inflammation
;
Injections, Intralesional
;
Recurrence
;
Triamcinolone Acetonide*
;
Triamcinolone*
7.Reconstruction of the alveolar cleft with gingivo-vestibular-mucoperiosteal flap.
Hyeon Ho SEO ; Chang Sik KIM ; Ji Woon HA ; Se Heum JOH
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1998;25(6):1009-1016
The maxillary alveolar ridge separates the palate from the lip and clefts of the primary palate have a cleft of the alveolus as well. In the most common clefts of the primary palate, the alveolar portion of the cleft is located between the lateral incisor, if present, and the canine. The cleft may also pass between the central incisor and the lateral incisor, rarer forms of clefts may pass between the central incisor or more distally on the maxillary arch. There are still considerable differences of opinion as to the optimal time for closure of alveolar defects, with or without concomitant bone grafting. But the preferred time for the operation with bone graft is between age 9 and 11 before the canine teeth have fully erupted. As an alternative to primary bone grafting, Skoog developed the periosteoplasty, or "boneless bone graft" technique, in which periosteal continuity was established between maxillary segments by the transfer of local periosteal flaps from the anterior maxillary wall. this procedure, which takes advantage of the propensity of periosteum to form bone in young children, leads to the formation of new bone within the alveolar cleft in spite of the fact that no bone graft is used.This study attempts to defin the effectiveness of early alveolar cleft repair with gingivo-vestibular-mucoperiosteal flap.The results in 6 unilateral alveolar clefts and 1 bilateral alveolar cleft, which is corrected early by gingivo-vestibular-mucoperiosteal flap, have been satisfactory alveolar arch continuity and alveolar bone formation with tooth eruption.
Alveolar Process
;
Bone Transplantation
;
Child
;
Cuspid
;
Humans
;
Incisor
;
Lip
;
Osteogenesis
;
Palate
;
Periosteum
;
Tooth Eruption
;
Transplants
8.Comparative study on clinical application of tissue expansion, intraoperative sustained limited expansion and presuturing technique.
Eung Chun KIM ; Se Heum JOH ; In Suck SUH ; Ji Woon HA ; Suk Joon OH
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1993;20(3):561-573
No abstract available.
Tissue Expansion*
9.CLINICAL EXPERIENCE OF GENTIAN VIOLET DRESSING FOR LOCAL TREATMENT OF MRSA INFECTED WOUND.
Chang Sik KIM ; Young Dae KWOUN ; Hyeon Ho SEO ; Ran Suck BANG ; Ji Woon HA
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1997;24(6):1334-1342
No abstract available.
Bandages*
;
Gentian Violet*
;
Gentiana*
;
Methicillin-Resistant Staphylococcus aureus*
;
Wounds and Injuries*
10.Invasive aspergillosis of the maxillary antrum and lung in a patient with diabetes mellitus and liver cirrhosis
Ill Kyu KIM ; Seong Jun LEE ; Soo Yong HA ; Young Chae CHU ; Yong Woon SHIN
Journal of the Korean Association of Maxillofacial Plastic and Reconstructive Surgeons 1991;13(4):456-461
No abstract available.
Aspergillosis
;
Diabetes Mellitus
;
Humans
;
Liver Cirrhosis
;
Liver
;
Lung
;
Maxillary Sinus