1.Tetralogy of Fallot associated with a Cardiac Rhabdomyoma in a Infant.
Chan Uhng JOO ; Hyun Seup SIM ; Eun Kyung CHOI ; Min Ho KIM
Korean Circulation Journal 2001;31(6):588-591
No abstract available.
Humans
;
Infant*
;
Rhabdomyoma*
;
Tetralogy of Fallot*
2.The Relationship between Explanation and Patient Compliance in Hirudotherapy.
Kwang Seog KIM ; Ho Seup SIM ; Jun Ho SHIN ; Jae Ha HWANG ; Sam Yong LEE
Archives of Craniofacial Surgery 2017;18(3):179-185
BACKGROUND: The use of leeches can effectively increase the salvage rate of flap congestion. However, the first reaction from patients and carers in using leeches in clinical fields is strong aversion. This can be due to the fact that development of our culture from agriculture to industrial society, coming across leeches became fairly rare. Also because of the biological traits that leeches carry; staying attached to a leg or other body parts of the host, sucking blood, and leaving wounds. METHODS: This study was conducted through questionnaires, divided into many subgroups. We scaled the compliance of the two therapies, with or without leech. Maximum scale of 10 showing no rejective response to the therapy and minimum scale of 0 showing the greatest rejective response. RESULTS: Overall subjects' compliance was improved after explaining the benefits of hirudotherapy. Irrelevant to the explanation, there was no significant difference in general compliance between male and female. Young-aged group and medical personnel or people studying medicine showed higher compliance over older-aged group and the general public. CONCLUSION: In the terms of general social cognition, recognizing leech as a therapeutic material may not be welcomed at first, but provided with proper information and explanations, overall compliance of patients and carers can be improved and consequently result in superior outcomes in flap salvage.
Agriculture
;
Bloodletting
;
Caregivers
;
Cognition
;
Compliance
;
Estrogens, Conjugated (USP)
;
Female
;
Human Body
;
Humans
;
Leeches
;
Leg
;
Male
;
Patient Compliance*
;
Surgical Flaps
;
Surveys and Questionnaires
;
Wounds and Injuries
3.Peripheral osteoma on the medial eyebrow successfully extracted while preserving supratrochlear nerve
Ho Seup SIM ; Dong Gyu LEE ; Jae Ha HWANG ; Kwang Seog KIM ; Sam Yong LEE
Archives of Craniofacial Surgery 2019;20(6):421-424
Osteomas are benign, slow-growing osteogenic lesions frequently found in the craniomaxillofacial region. They can be classified as peripheral, central, or extraskeletal. Reactive mechanisms to trauma or infection, as well as muscle traction, are thought to play a major role in the development of peripheral osteomas. In the present report, a 41-year-old woman presented with a slow-growing, painless mass on her left eyebrow. She had suffered trauma 15 years prior. In the computed tomography scan, a 2.5 × 2 × 0.7-cm radio-opaque tumor was detected just medial to the left supraorbital foramen, and a peripheral osteoma was clinically diagnosed. An elective operation under general anesthesia was planned. Following a suprabrow incision, subcutaneous and intramuscular dissection was performed. In the surgical plane deep to the corrugator muscles and superficial to periosteum, a branch of the supratrochlear nerve was encountered and preserved using a vessel loop. The osteoma beneath the periosteum was extracted in multiple fragments using a chisel and mallet to minimize trauma to the nerve. Contour and facial symmetry were corrected. To use a suprabrow incision, the surgeon must understand neighboring anatomical structures, including the course of the supratrochlear and supraorbital neurovascular bundles. When these structures are located adjacent to tumor lesions, careful surgical maneuvers should be performed to preserve them.
Adult
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Anesthesia, General
;
Eyebrows
;
Female
;
Forehead
;
Humans
;
Muscles
;
Osteoma
;
Periosteum
;
Traction
4.Intramasseteric schwannoma treated with facelift incision and retrograde facial nerve dissection
Jae Ha HWANG ; Dong Gyu LEE ; Ho Seup SIM ; Kwang Seog KIM ; Sam Yong LEE
Archives of Craniofacial Surgery 2019;20(6):388-391
Schwannoma is a slow-growing, well-demarcated, benign soft tissue tumor of the peripheral nerve sheath. It commonly develops in the head and neck region, usually in the parapharyngeal space. In this case, a 42-year-old woman visited the outpatient department to manage a painless mass on her left cheek. She had no history of concern and no neurological symptoms were observed. In the enhanced computed tomography scan, a 2.8 × 2.8 × 1.8 cm, heterogeneously enhanced tumor was detected in the left masseter muscle. A tumor resection under general anesthesia was planned. For the resection, a facelift incision was chosen; branches of the facial nerve were identified and retrogradely dissected. A well-marginated, yellowish, solid mass was found in the left masseter muscle. The mass was excised and given a histopathological diagnosis of schwannoma. A definite diagnosis of schwannoma, originating in the masseter muscle, is difficult to arrive at with radiographic findings alone; it is often misdiagnosed as intramuscular hemangioma. Histopathological examinations, including fine-needle aspiration or histological biopsy after surgery, are necessary. Using a facelift incision with retrograde facial nerve dissection, tumor resection in an intramasseteric lesion can be performed efficiently, without nerve damage, or leaving conspicuous scars on the face.
Adult
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Anesthesia, General
;
Biopsy
;
Biopsy, Fine-Needle
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Cheek
;
Cicatrix
;
Diagnosis
;
Facial Nerve
;
Female
;
Head
;
Hemangioma
;
Humans
;
Masseter Muscle
;
Neck
;
Neurilemmoma
;
Outpatients
;
Peripheral Nerves
;
Rhytidoplasty
5.The Versatility of Cheek Rotation Flaps.
Kyung Pil KIM ; Ho Seup SIM ; Jun Ho CHOI ; Sam Yong LEE ; Do Hun LEE ; Seong Hwan KIM ; Hong Min KIM ; Jae Ha HWANG ; Kwang Seog KIM
Archives of Craniofacial Surgery 2016;17(4):190-197
BACKGROUND: The cheek rotation flap has sufficient blood flow and large flap size and it is also flexible and easy to manipulate. It has been used for reconstruction of defects on cheek, lower eyelid, or medial and lateral canthus. For the large defects on central nose, paramedian forehead flap has been used, but patients were reluctant despite the remaining same skin tone on damaged area because of remaining scars on forehead. However, the cheek flap is cosmetically superior as it uses the adjacent large flap. Thus, the study aims to demonstrate its versatility with clinical practices. METHODS: This is retrospective case study on 38 patients who removed facial masses and reconstructed by the cheek rotation flap from 2008 to 2015. It consists of defects on cheek (16), lower eyelid (12), nose (3), medial canthus (3), lateral canthus (2), and preauricle (2). Buccal mucosa was used for the reconstruction of eyelid conjunctiva, and skin graft was processed for nasal mucosa reconstruction. RESULTS: The average defect size was 6.4 cm², and the average flap size was 47.3 cm². Every flap recovered without complications such as abnormal slant, entropion or ectropion in lower eyelid, but revision surgery required in three cases of nasal side wall reconstruction due to the occurrence of dog ear on nasolabial sulcus. CONCLUSION: The cheek rotation flap can be applicable instead of paramedian forehead flap for the large nasal sidewall defect reconstruction as well as former medial and lateral canthal defect reconstruction.
Animals
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Cheek*
;
Cicatrix
;
Conjunctiva
;
Dogs
;
Ear
;
Ectropion
;
Entropion
;
Eyelids
;
Forehead
;
Humans
;
Lacrimal Apparatus
;
Mouth Mucosa
;
Nasal Mucosa
;
Nose
;
Retrospective Studies
;
Skin
;
Skin Pigmentation
;
Transplants
6.Pseudoaneurysm of Coronary Artery in a Patient with Behcet's Disease.
Ji Hoon KANG ; Sang Hee LEE ; Joon Ho BAE ; Gue Ru HONG ; Jong Seon PARK ; Dong Gu SHIN ; Young Jo KIM ; Bong Seup SIM
Journal of the Korean Society of Echocardiography 2004;12(1):45-48
Behcet's disease is multi-systemic vasculitis affecting all sizes of arteries and veins. The prevalence of coronary involvement in Behcet's disease is extremely rare. A 35-year-old woman with one-year history of Behcet's disease was in hospitalized with pseudoaneurysm of left anterior descending coronary artery, which was detected by echocardiography. The patient was successfully treated by implantation of an endovascular graft-stent.
Adult
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Aneurysm, False*
;
Arteries
;
Coronary Vessels*
;
Echocardiography
;
Female
;
Humans
;
Prevalence
;
Vasculitis
;
Veins
7.Mortality, prognostic factor and cause of death of acute myocardial infarction in Korean patients: single center experience.
Ji Hoon KANG ; Jong Seon PARK ; Jang Won SON ; Hyeun Su JO ; Jun Ho BAE ; Geu Ru HONG ; Dong Gu SHIN ; Young Jo KIM ; Bong Seup SIM
Korean Journal of Medicine 2006;70(1):33-40
BACKGROUND: The number of patients suffering from acute myocardial infarction is on the increase in Korea due to the westernization of life style. Recent improvement of therapeutic stratigies have shown early mortality benefits in acute myocardial infarction. But we don't have data how many patients died and what's the cause of death in these patients. This study aimed to find out the mortality rate, cause of death and it's relevant prognostic factors of myocardial infarction (MI) patients who admitted alive, and to construct a database which will be used to develop a risk stratification strategy for the implementation of new preventive therapeutic modalities, such as implantable cardioverter-defibrillator (ICD). METHODS: Seven hundred and forty two MI patients admitted to our hospital from March, 1999 to August, 2002 were included in this study. The risk factors and survivals were evaluated by medical record searching and telephone survey in these patients. RESULTS: The average age was 64 years-old and 67% was male. During the mean follow up 20.7+/-15.4 months, total 105 cardiac death (14.2%) was occurred and cumulative mortality rate at 1 year and 2 year was 5.69% and 10.80%, respectively. Of the total 129 death, in-hospital death was 68 (cardiac death 48, non-cardiac death 20) and out of hospital death was 60 (cardiac death 57, non-cardiac death 4). When it comes to cause of death, most common cause of cardiac death was malignant arrhythmia. The proportion of malignant arrhythmia in cardiac death was 81.3% and 72% of in-hospital and out of hospital death, respectively. Multivariate analysis showed that old age, low LV ejection fraction and no percutaneous coronary intervention (PCI) treatment were independent risk factors for cardiac mortality. CONCLUSIONS: Myocardial infarction shows still high mortality rate despite the recent development of therapeutic strategy. As post-MI patients with low LVEF or no PCI shows high mortality, the early reperfusion therapy should be encouraged. Additionally, because malignant arrhythmia was one of the most in cause of cardiac death, ICD therapy to prevent sudden cardiac death should be considered in an active manner.
Arrhythmias, Cardiac
;
Cause of Death*
;
Death
;
Death, Sudden, Cardiac
;
Defibrillators, Implantable
;
Follow-Up Studies
;
Humans
;
Korea
;
Life Style
;
Male
;
Medical Records
;
Middle Aged
;
Mortality*
;
Multivariate Analysis
;
Myocardial Infarction*
;
Percutaneous Coronary Intervention
;
Reperfusion
;
Risk Factors
;
Telephone