No abstract available.
Tonsillectomy*

No abstract available.
Lithotripsy* ; Salivary Gland Calculi* ; Salivary Glands* ; Shock*

Ganglioneruroblastoma and neuroblastoma are among commonest types of childhood malignancy and a number of unique paraneoplastic syndromes have associated with both localized and disseminated neuroblastoma. The coincidence of neuroblastoma and myoclonic encephalopathy or other paraneoplastic syndromes occurs relatively rare, and therefore, failure to recognize this association could result in delays in both diagnosis and treatment, and the result could prove to be unfortunately fatal. The mechanism which underlies the remote damaging effect of neural crest tumor, especially neuroblastoma, on the nervous system resulting in myoclonic encephalopathy is by no means clear. In addition the nature and the extent of the pathologic lesion are inconsistent. We experienced a case of myoclonic encephalopathy associated with an occult mediastinal ganglioneuroblastoma in a 22-month-old girl who was hospitalized for inability to walk without support and tilting of the head to the left side. She became increasingly ataxic, and during the hospitalization myoclonic jerks of upper extremities and head along with chaotic, rapidly flickering, multidirectional spontaneous eye movements, were noted. Laboratory data included normal complete blood count, urinalysis, BUN and creatinine, electrolytes and bone marrow. Chest X-ray and chest CT revealed a relatively well marginated right posterior mediastinal mass. In a 24 hours urine excretion test, VMA and catecholamines were increased. Over the next 2 weeks, a surgical exploration revealed a right posterior mediastinal mass. Microscopically the mass proved to be a ganglioneuroblastoma, extending to right innominate artery and right axillary lymph nodes. Within 2 weeks after the surgery, radiotherapy (2,400 rads) and chemotherapy (CTX, DTIC, VCR) were started, but corticosteroid was not used. She has been free of tumor and abnormal neurological systemic symptoms and signs for 1 1/2 year since the completion of chemotherapy. In the 3 1/2 years follow-up period, her neurologic symptoms has completely resolved by the completion of 2 years chemotherapy. We report a case of mycoclonic encephalopathy associated with hidden ganglioneuroblastoma in 22-month-old girl.
Blood Cell Count ; Bone Marrow ; Brachiocephalic Trunk ; Catecholamines ; Creatinine ; Dacarbazine ; Diagnosis ; Drug Therapy ; Electrolytes ; Epilepsies, Myoclonic* ; Eye Movements ; Female ; Follow-Up Studies ; Ganglioneuroblastoma* ; Head ; Hospitalization ; Humans ; Infant ; Lymph Nodes ; Myoclonus ; Nervous System ; Neural Crest ; Neuroblastoma ; Neurologic Manifestations ; Paraneoplastic Syndromes* ; Radiotherapy ; Thorax ; Tomography, X-Ray Computed ; Upper Extremity ; Urinalysis

To Know the quantitative relation between the visual field defects and the disc cupping in glaucoma, 14 patients(26 eyes) with primary open angle glaucoma were studied. Visual field defects was measured with semi-automated Autofield-D perimeter. Optic disc was photograped with Canon CF-60Z wide angle camera and neuroretinal rim area was analyzed by using microcomputer (VAX-11/750) digitizer system. The following results were obtained: 1. Neuroretinal rim area on the nasal side was larger than that on the temporal side(p<0.05). There were no significance between superior and inferior side. 2. In the case of visual field defects, nasal side was larger than temporal side.(p<0.05). There was no significance between superior and inferior side. 3. The correlation between neuroretinal rim area and visual field area was significant in the mild visual field defects detected by using 2.9 filter and the moderate and marked field defects detected with either 2.4 or clear filter. 4. The correlation between neuroretinal rim area and visual field area(r=0.696) was higher than that between cup-disc ratio and visual field defects(r=0.568).
Glaucoma* ; Glaucoma, Open-Angle ; Microcomputers ; Visual Fields*

No abstract available.
Malaria*

The authors treated 4 cases of the congenital dislocation of the hip in aged patients using Klisic procedure (1976) which implies open reduction, femoral shortening and pelvic osteotomy in one stage. The results at 1 year to 16 months after operation follow-up were found very much satisfactory in general on terms of pain, leg length and range of motion. Analysis of the cases with representation of surgical procedure is to be reported.
Child ; Dislocations ; Follow-Up Studies ; Hip ; Humans ; Leg ; Osteotomy ; Range of Motion, Articular

The prevalence of gastroesophageal reflux disease (GERD) is increasing in Korea, and physicians, including surgeons, have been focusing on its treatment. Indeed, in Korea, medical treatment using a proton pump inhibitor is the mainstream treatment for GERD, while awareness of surgical treatment is limited. Accordingly, to promote the understanding of surgical treatment for GERD, the Korean Anti-Reflux Surgery Study Group published the Evidence-Based Practice Guideline for the Surgical Treatment of GERD. The guideline consists of 2 sections: fundamental information such as the definition, symptoms, and diagnostic tools of GERD and a recommendation statement about its surgical treatment. The recommendations presented 5 debates regarding fundoplication: 1) comparison of the effectiveness of medical and surgical treatments, 2) effectiveness of surgical treatment in cases of refractory GERD, 3) effectiveness of surgical treatment of extraesophageal symptoms, 4) comparison of effectiveness between total and partial fundoplication, and 5) effectiveness of fundoplication in cases of hiatal hernia. The present guideline is the first to demonstrate the efficacy of the surgical treatment GERD in Korea.
Evidence-Based Practice* ; Fundoplication ; Gastroesophageal Reflux* ; Hernia, Hiatal ; Korea ; Prevalence ; Proton Pumps ; Surgeons

Primary intestinal lymphangiectasia is a congenital lymphatic disorder in which intestinal lymphatic channels are dilated and ruptured resulting in loss of protein, lipid, and lymphocyte into the intestine or peritoneum. As a result, hypoalbuminemia, generalized edema, diarrhea are clinically manifested. We report a case of primary intestinal lymphangiectasia with generalized edema which occurred in a 7-year old boy who was treated with lipid restriction diet with medium chain triglyceride oil supplement.
Child ; Diarrhea ; Diet ; Edema ; Humans ; Hypoalbuminemia ; Intestines ; Lymphocytes ; Male ; Peritoneum ; Protein-Losing Enteropathies ; Triglycerides

BACKGROUND: Burow's graft is a useful full-thickness skin graft that employs the adjacent lax skin as a donor site and this is especially suitable for the facial region. When reconstructing a facial cutaneous surgical defect, we have to consider the facial cosmetic unit together with various other factors. OBJECTIVE: The aim of this study was to assess the feasibility of using a Burow's graft by dermatologists and the cosmetic outcomes of Burow's graft for reconstructing facial defects, based on different facial cosmetic units. METHODS: From August 2005 to February 2007, 26 patients were treated with the Burow's graft technique for the reconstruction of facial cutaneous defects following Mohs micrographic surgery. According to the facial cosmetic unit, we divided the face into the forehead, periorbital area, nose, cheek and chin, and we redistributed the cases by the cosmetic units. The post-operative result of each case was rated with using serial clinical photographs that were taken at 1, 6 and 12 months, and the patient's charts were reviewed by two independent physicians. RESULTS: The cosmetic results of facial reconstructions by using Burow's graft were satisfactory, regardless of the cosmetic unit. 21 cases out of the 26 cases (81%) showed good to excellent results after 6 months. The early cosmetic consequence of the periorbital region was better than those of the other facial cosmetic units. No side effects were reported other than a trapdoor deformity in three cases. CONCLUSION: Burow's graft can be a good choice for reconstruction of facial cutaneous defects after skin cancer surgery in all the facial cosmetic units.
Cheek ; Chin ; Congenital Abnormalities ; Cosmetics ; Forehead ; Humans ; Mohs Surgery ; Nose ; Skin ; Skin Neoplasms ; Tissue Donors ; Transplants

BACKGROUND: Burow's graft is a useful full-thickness skin graft that employs the adjacent lax skin as a donor site and this is especially suitable for the facial region. When reconstructing a facial cutaneous surgical defect, we have to consider the facial cosmetic unit together with various other factors. OBJECTIVE: The aim of this study was to assess the feasibility of using a Burow's graft by dermatologists and the cosmetic outcomes of Burow's graft for reconstructing facial defects, based on different facial cosmetic units. METHODS: From August 2005 to February 2007, 26 patients were treated with the Burow's graft technique for the reconstruction of facial cutaneous defects following Mohs micrographic surgery. According to the facial cosmetic unit, we divided the face into the forehead, periorbital area, nose, cheek and chin, and we redistributed the cases by the cosmetic units. The post-operative result of each case was rated with using serial clinical photographs that were taken at 1, 6 and 12 months, and the patient's charts were reviewed by two independent physicians. RESULTS: The cosmetic results of facial reconstructions by using Burow's graft were satisfactory, regardless of the cosmetic unit. 21 cases out of the 26 cases (81%) showed good to excellent results after 6 months. The early cosmetic consequence of the periorbital region was better than those of the other facial cosmetic units. No side effects were reported other than a trapdoor deformity in three cases. CONCLUSION: Burow's graft can be a good choice for reconstruction of facial cutaneous defects after skin cancer surgery in all the facial cosmetic units.
Cheek ; Chin ; Congenital Abnormalities ; Cosmetics ; Forehead ; Humans ; Mohs Surgery ; Nose ; Skin ; Skin Neoplasms ; Tissue Donors ; Transplants