No abstract available.

PURPOSE: Recently medical dispute about plastic surgery is increasing rapidly as a result of growing surgery itself due to high interest in appearance and advertisement of plastic surgery. We wanted to find a way to prevent similar medical accident by making alternative plan of plastic surgery through case analysis of medical dispute. METHODS: 161 cases of plastic surgery asked for aid at Korea Consumer Agency and 41 cases judged at the court were surveyed. Items such as gender, location and type of hospital, goal and type of operation, making operation agreement or not, type of damage, result of process, result of lawsuit were studied from January 1, 2004 to December 31, 2006. RESULTS: Medical doctor have to explain about symptoms of disease, method of treatment, possibility of complication, prognosis to patients before therapy so they can make decision if they take operation by doctor or not. On this survey, among the patients who underwent re-operation or had complication, 88.1% (96 from 109 cases) of them didn't get enough explanation about possibility of complication before surgery. They brought lawsuit insisting they would not undergo operation if they got enough explanation about possibility of complication and result of operation before surgery. CONCLUSION: It is advisable that doctor must observe the duty of explanation before surgery and respect the right to decide of patient, make operation agreement and put down concrete progress note and store the pre and post operative photo to avoid medical accident. It is also needed to have guideline of therapy, Code of ethics, organization which deals with medical dispute, reconsideration of law to control that.
Codes of Ethics ; Dissent and Disputes ; Humans ; Jurisprudence ; Korea ; Prognosis ; Surgery, Plastic

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No abstract available.
Facial Nerve* ; Paralysis* ; Transplants*

No abstract available.
Free Tissue Flaps* ; Lower Extremity* ; Soft Tissue Injuries*

Background: The study aimed to evaluate nasal reconstruction techniques customized for Asians. The currently available nasal reconstruction guidelines are based on Caucasian patients, and their applicability is limited in Asian patients due to differences in anatomical and structural features. Methods: A retrospective analysis was performed of the medical records of 76 patients who underwent nasal reconstruction at a single center between January 2010 and June 2020. A comprehensive evaluation was conducted of patients’ baseline demographics and clinical characteristics, including age, sex, medical history, defect size and location, reconstructive procedure, pathological diagnosis, postoperative complications, and recurrence. Results: In 59 cases (77%), nasal defects resulted from tumor ablation, and the remaining 17 cases involved post-traumatic (20%) and infection-induced (3%) tissue damage. The most common defect location was the alae, followed by the sidewalls, tip, and dorsum. Forehead flaps were the most commonly used reconstructive technique, followed by nasolabial advancement flaps, rotation flaps, and skin grafts. Each procedure was applied considering aspects of structural anatomy and healing physiology specific to Asians. Complications included nasal deformity, hypertrophic scarring, secondary infection, and partial flap necrosis, but no cases required additional surgical procedures. Tumors recurred in two cases, but tumor recurrence did not significantly affect flap integrity. Conclusion Nasal reconstruction techniques applied considering Asians’ facial features resulted in fewer postoperative complications and higher patient satisfaction than the approaches that are currently in widespread use. Therefore, this study is expected to serve as an essential reference for establishing treatment guidelines for nasal reconstruction in Asians.

Background: We have devised a novel surgical method, termed as temporalis muscle tendonperiosteum (T-P) compound surgical method, by modifying pre-existing techniques. Our method is characterized by elevation of temporalis muscle tendon and the periosteum of the mandibular ramus as a single compound. Here, we describe the concept and clinical outcomes of our method. Methods: We conducted both a cadaveric study and a clinical study. First, we used four human cadavers (two males and two females) to confirm the anatomy of the temporalis muscle tendon and availability of sufficient length extension through the elevation of the T-P compound. Moreover, we obtained measurements of the mouth angle and the philtrum angle from a total of six patients (two males and four females) and compared them between preoperatively and postoperatively. Results: The mean length of the periosteal portion was measured as 2.43± 0.15 cm (range, 2.2–2.6 cm). There was an improvement in the mouth angle postoperatively as compared with preoperatively (7.2°± 3.0° vs. 14.5°± 4.7°, respectively). Moreover, there was also an improvement in the philtrum angle postoperatively as compared with preoperatively (7.2°± 3.4° vs. 17.2°± 6.5°, respectively). Conclusion Our method is a simple, minimally-invasive modality that is effective in achieving good clinical outcomes. Its advantages include an ability to achieve a firm extension of the temporalis muscle tendon as well as a lack of requirement for a donor site that may cause complications.

Myoepithelioma is a relatively common benign tumor that exhibits various cellular morphologies. It primarily occurs in soft tissues, most commonly in the head and neck region, particularly in the salivary glands. Cases of intraosseous myoepithelioma have rarely been reported, with documented occurrences in sites such as the cranium, maxilla, iliac bone, vertebrae, tibia, and fibula. We present a rare case of intraosseous myoepithelioma involving zygomatic bone. 51-year-old male patient visited our clinic presenting zygomatic intraosseous tumor without any symptom. The patient underwent complete surgical excision involving subtotal portion of zygoma including frontal process, body and temporal process. The tumor had epithelial and spindle cell morphology and immunohistochemistry showed positive results for EMA, CK, SMA, S100, and negative results for CD34. After surgery, complete symmetry achieved, with no recurrence observed during a 1-year follow-up.