1.MANDIBULAR SETBACK OSTEOTOMY WITH REDUCTION CHEILOPLASTY.
Jae Bum PARK ; Soo Il JUNG ; Sang Hun AHN ; Doe Gyeun KIM ; Jae Jin AHN
Journal of the Korean Association of Oral and Maxillofacial Surgeons 1997;23(4):728-735
The face and notably the lips are important structures not only of aestheticvalue but also for expression, vibrancy and vitality. Sometimes we are encountered with the functional and aesthtetic lip problems especially in the patients with mandibular prognathism, such as excessive vermilion exposure, lip incompetence and hyperactivity of mentalis muscle. The etiologic factors are usually related to excessive anterior facial height, secondary to the abnormal development of perioral muscle, salivary gland and the swelling of lymphatic gland. Sometimes orthognathic surgery (mandibular setback osteotomy) alone is not accepted regarding to aesthetic value, there is likely to be a corresponding interest in adjunctive procedures such as genioplasty and soft tissue procedures. This article urges the incorporation of reduction cheiloplasty. It is a relatively minor procedure that can be easily reproducible and yields excellent, predictatable results with few complications. We treated two patients who have excessive vermilion exposure and marked abnormal lip eversion using reduction cheiloplasty combined with mandibular setback osteotomy, followed by improved facial harmony and patients were pleased.
Genioplasty
;
Humans
;
Lip
;
Orthognathic Surgery
;
Osteotomy*
;
Prognathism
;
Salivary Glands
2.Valgus Deformity after Non-displaced Fracutre of the Proximal Tibia in Children
Jae In AHN ; Tai Seung KIM ; Kuk Il LEE
The Journal of the Korean Orthopaedic Association 1985;20(3):501-506
Tibia valga has been described as a consequence of non-displaced fractures of the proximal metaphysis of the tibia in children. There has been considerable speculation about the cause of this deformity. Four cases of estabilished valgus deformity following injury to the proximal tibia metaphysis in children are presented. In one case of them, it was showed that an infolding of a portion of the periosteum of the tibiain medial opening of this fracture. It was treated by surgical clearence of the infolding periosteum and varus osteotomy with slight over-correction and partial fibulectomy. The recurrence of valgus deformity was absent during post operative one year. In another case, roentgenogram showed an asymmetrical growth arrest line of the pmximal tibia. The presence of asymmetrical growth arrest lines in the pmximal metaphysis of the tibia demonstrates that the valgus deformity in this patient was caused by overgrowth of the medial portion of the proximal tibial epiphyseal plate. In the remainder, we observed the deformity developed without any specific cause.
Child
;
Congenital Abnormalities
;
Growth Plate
;
Humans
;
Osteotomy
;
Periosteum
;
Recurrence
;
Tibia
3.A case of seronegative enthesopathy and arthropathy syndrome (SEA syndrome).
Il Su KIM ; Jae Yoon KIM ; Byung Su CHO ; Sung Ho CHA ; Chang Il AHN
Journal of the Korean Pediatric Society 1992;35(10):1459-1462
No abstract available.
Rheumatic Diseases*
;
Spondylarthropathies
4.A CASE OF RHABDOMYOSARCOMA IN MASSETER, PAROTID AND MANDIBULAR AREA
Soo Il JUNG ; Jae Bum PARK ; Kye Young LEE ; Doe Gyeun KIM ; Jae Jin AHN
Journal of the Korean Association of Maxillofacial Plastic and Reconstructive Surgeons 1998;20(1):69-74
Autopsy
;
Biopsy
;
Biopsy, Fine-Needle
;
Child
;
Diagnosis
;
Drug Therapy
;
Female
;
Head
;
Heart Arrest
;
Humans
;
Infant
;
Magnetic Resonance Imaging
;
Mandible
;
Mandibular Osteotomy
;
Mouth
;
Neck
;
Osteosarcoma
;
Parents
;
Pediatrics
;
Prognosis
;
Radiotherapy
;
Rhabdomyosarcoma
;
Sarcoma
;
Sublingual Gland
;
Submandibular Gland
;
Ultrasonography
5.Nephrotic syndrome under 2 years of age.
Jae Sung KO ; Kang Mo AHN ; Hye Won PARK ; Il Soo HA ; Hae Il CHEONG ; Yong CHOI ; Kwang Wook KO
Journal of the Korean Pediatric Society 1993;36(10):1395-1401
There had been total 20 patients with early onset(4 months~2 years) primary nephrotic syndrome in the Department of Pediatrics, Seoul National University Children's Hospital, during the period from March 1987 to February 1993. We analysed clinical courses, response to treatment, pathological findings and prognosis of the patients And the results were as follows; 1) The initial responders to steroid treatment were 10(50%), of whom 3 became late nonresponders. Of the 10 initial nonresponders, 8 revealed continuing nonresponsiveness. 2) Incidence of hypertension was significantly higher in the intial nonresponders than in the initial responders. 3) Renal biopsies were performed in 9 initial nonresponders and 2 late nonresponders. And the results were 6 with minimal change lesion, 4 with focal segmental glomerulosclerosis and 1 with mesangiocapillary glomerulonephritis. 4) Six continuing or late nonresponders received methylprednisolone pulse therapy or cyclophosphamide. And partial remission was induced in 4 of them. 5) The overall 3 year maintenance rate of normal renal function was 81%(100% in the initial responders and 64% in the initial nonresponders). In conclusion, the initial steroid responsiveness and prognosis were poorer in patients with early onset nephrotic syndrome than in patients with usual childhood nephrotic syndrome.
Biopsy
;
Cyclophosphamide
;
Glomerulonephritis, Membranoproliferative
;
Glomerulosclerosis, Focal Segmental
;
Humans
;
Hypertension
;
Incidence
;
Methylprednisolone
;
Nephrotic Syndrome*
;
Pediatrics
;
Prognosis
;
Seoul
6.Caudal Epidural Morphine for Postoperative Analgesia in Children.
Chan Soo HAN ; Il Suk CHOI ; Il Ho KIM ; Yu Jae KIM ; Chun Sook KIM ; Ki Rhyang AHN
Korean Journal of Anesthesiology 1997;33(6):1129-1133
BACKGROUND: The use of caudal morphine for postoperative analgesia has been increased in popularity since 1981. The purpose of this study was to compare the effect of analgesia and incidence of side effects of a mepivacaine-morphine mixture with mepivacaine alone. METHODS: Forty patients were randomly divided into two groups. In group 1, caudal block was performed with 1% mepivacaine 1 ml/kg alone. In group 2, caudal block was performed with 1% mepivacaine 1ml/kg-morphine 0.03 mg/kg mixture. Postoperative five-point pain scores and side effects were measured. RESULTS: There were no significant differences in sedation dose, incidence of side effects and supplemental analgesics. Pain scores were significantly lower at postoperative 2 and 3 hours in mepivacaine-morphine mixture group. CONCLUSIONS: Caudal epidural mepivacaine-morphine (0.03 mg/kg) mixture is effective in children for control of postoperative pain without significant side effects.
Analgesia*
;
Analgesics
;
Child*
;
Humans
;
Incidence
;
Mepivacaine
;
Morphine*
;
Pain, Postoperative
7.3 Cases of Focal Pancreatic Masses Demonstrated a Inflammation: Problems in differentiating focal pancreatitis from carinoma.
Jae Hyung AHN ; Byung Ho KIM ; Young Woon CHANG ; Jung Il LEE ; Rin CHANG ; Young Il MIN
Korean Journal of Gastrointestinal Endoscopy 1988;8(1):63-69
When ultrasound or computed tomographic (CT) scans demonstrate a focal mass within the pancreas, the radiologist or gastroenterologist assumes that it is carcinoma. Statistically this is the correct diagnosis. However, distinguishing pancreatitis from carcinoma by ultrasound and CT is occassionally impossible. Similarly, abnormalities seen on ERCP, such as simultaneous obstruction of both the common bile duct and adjacent pancreatic duct (double duct sign), has been shown to occur in pancreatitis as well as in the more commonly diagnosed pancreatic carcinoma. We experienced 3 cases af focal pancreatic masses that mistaken a carcinoma. And so, knowledge that such a mass can be benign in a clinical setting sbould result in an organiged approach to the correct diagnosis and avoidance of any unnecessary operations.
Cholangiopancreatography, Endoscopic Retrograde
;
Common Bile Duct
;
Diagnosis
;
Inflammation*
;
Pancreas
;
Pancreatic Ducts
;
Pancreatitis*
;
Ultrasonography
8.A Clinical Observation on Lupus Nephritis in Children.
Kang Mo AHN ; Jae Sung KO ; Hye Won PARK ; Il Soo HA ; Hae Il CHEONG ; Yong CHOI ; Hee Joo KIM
Journal of the Korean Pediatric Society 1994;37(6):842-849
We reviewed the clinical features, histrologic patterns and clinical courses of 30 children with lupus nephritis retrospectively, and the results were summerized as follows; 1) The male to female ratio was 1:2.8, and the mean age at the onset was 10 8/12 years. 2) The clinical symptoms were diverse, and malaise, weight loss, anorexia, fever and malar rash were the most frequent findings. 3) Among the immunologic tests, FANA and anti-ds-DNA test revealed the highest sensitivity with positive rates of 97% and 87%, respectively. 4) Clinically, 57% of patients had active nephrotic syndrome at the onset, and 33% showed (?) was the most common findings (70%). 5) During the follow-up period, one children with Class IV lupus nephritis expired. And 8 out of 9 cases with renal insufficiency at the onset showed improvement of renal function after treatment with corticosteroid and cytotoxic agents. In conclusion, the clinical features and histologic findings of lupus nephritis in children were diverse. Early diagnosis and proper treatment can prevent rapid deterioration of renal function and improve long-term survival rate.
Anorexia
;
Child*
;
Cytotoxins
;
Early Diagnosis
;
Exanthema
;
Female
;
Fever
;
Follow-Up Studies
;
Humans
;
Immunologic Tests
;
Lupus Nephritis*
;
Male
;
Nephrotic Syndrome
;
Renal Insufficiency
;
Retrospective Studies
;
Survival Rate
;
Weight Loss
9.A Case of Trensient Myeloproliferative Disorder with Down Syndrome.
Dong Gyoon KIM ; Jae Ho LEE ; Jung Il NOH ; Hyo Seop AHN ; Chang Yee HONG
Journal of the Korean Pediatric Society 1983;26(10):1024-1028
No abstract available.
Down Syndrome*
;
Myeloproliferative Disorders*
10.Two Cases of Tethered Cord Syndome.
Jae Hoon AHN ; Il Nam SUNWOO ; Ki Whan KIM
Journal of the Korean Neurological Association 1986;4(2):227-230
Tethered cord syndrome is a kind of spinal dysraphism with low-lying conus frequently associated with intraspinal lipoma, diastematomyelia, or fibrous band. The clinical manifestations include spine abnormality such as spina bifida and variable neurological symptoms involving lower extremities and sphincters. Here are two cases of tethered cord syndrome associated with intraspinal lipoma. Both are diagnoses with CTMM (computed tomographic metrizamide myelography) and one is operated.
Conus Snail
;
Diagnosis
;
Lipoma
;
Lower Extremity
;
Metrizamide
;
Neural Tube Defects
;
Spinal Dysraphism
;
Spine