1.Treatment of Progressive Hemifacial Atropht (Romberg's Desease) with Microvascuar Free Flap.
Rong Min BAEK ; Doo Seong JEONG ; Se Min BAEK
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1999;26(5):933-937
Romberg's disease is an uncommon condition manifested by progressive hemifacial atrophy of the skin, soft tissue and bone. Facial asymmetry with soft tissue deficiency in Romberg's disease causes a significant disability affecting the social life and can bring about many psychological problems. The aim of surgical treatment is cosmetic amelioration of the defect. Several conventional reconstructive procedures have been used for correcting facial asymmetry. They include fat injections, dermal fat grafts, silicone injections, cartilage and bone grafts, pedicled flaps and free flaps. We report our experience with 6 patients involving 6 free flaps with a minimun of 1 year follow-up who were treated from October 1989 to March 1998. All patients were classified as having moderate to severe atrophy. The average age of disease onset was 4.5 years. The average duration of atrophy was 5.2 years. No patient was operated on with a quiescent interval of less than 1 year. The average age at operation was 14.1 years, ranging from 10 to 24 years. Follow-up ranged from 1 to 9 years. Reconstruction was performed using 2 groin dermofat free flaps and 4 latissimus dorsi muscular free flaps. To achieve the finest symmetrical and aesthetic results, several ancillary procedures were performed in 4 patients. These procedures included Le-Fore 1 1/2 leveling osteotomy, sagittal split ramus osteotomy, reduction malarplasty and angleplasty, rib and calvarial bone graft, correction of alopecia and additional dermofat graft. All patients were satisfied with the results. We believe that free flap is one of the best choices for contoured restoration of facial asymmetry in Romberg's disease.
Alopecia
;
Atrophy
;
Cartilage
;
Facial Asymmetry
;
Facial Hemiatrophy
;
Follow-Up Studies
;
Free Tissue Flaps*
;
Groin
;
Humans
;
Osteotomy
;
Osteotomy, Sagittal Split Ramus
;
Ribs
;
Silicones
;
Skin
;
Superficial Back Muscles
;
Surgical Flaps
;
Transplants
2.Multiple polyposis coli.
Jeong Heum BAEK ; Kyu Young JUN
Journal of the Korean Society of Coloproctology 1993;9(1):9-18
No abstract available.
Adenomatous Polyposis Coli*
3.Immune response tests by multitest@ CMI and T-cell counts before surgery in the patients with stomach cancer.
Jeong Seon BAEK ; Young Sik SONG ; Kyung Bal HUR
Journal of the Korean Surgical Society 1992;43(2):196-202
No abstract available.
Humans
;
Stomach Neoplasms*
;
Stomach*
;
T-Lymphocytes*
4.Endoprosthetic replacement for unstable intertrochanteric fracture of the femur in elderly patient with osteoporosis.
Yung Khee CHUNG ; Baek Young SONG ; Yu Keun JEONG
The Journal of the Korean Orthopaedic Association 1991;26(3):756-761
No abstract available.
Aged*
;
Femur*
;
Humans
;
Osteoporosis*
5.The Analysis of Emergency Medical Transport by EMS Helicopter.
Hyoung Gon SONG ; Byeong Cheol KIM ; Keun Jeong SONG ; Yeon Kwon JEONG ; Baek Hyo SHIN
Journal of the Korean Society of Emergency Medicine 1998;9(4):543-550
BACKGROUND: The fast EMS helicopter was introduced to Korea in 1996 and from Dec. 1. 1997, it was used far transporting emergent patients. Authors, here upon, report the transporting experiences. METHODS: From Dec. 1, 1996 to Dec. 31,1997, Samsung Medical Centers EMS helicopter was used for air evacuation of critically ill patients. The patients data prospectively analyzed. RESULT: A total of 65 patients were transported. Male to female ratio was 1.95 : 1. The mean transport time was 64.1min(10-160 min). Majority of the evacuated patients was surgical patients (General Surgery'16, Orthopedic surgery : 10, Neurosurgery : 6, Infernal medicine 13, Pediatrics : 3, and others : 3). Twenty-one of the 65 patients transported were admitted to ICU and 31 did not require ICU care. During the air evacuation, one physician and one nurse trained for air evacuation amended The patients. No medical problems or deaths developed during the air evacuation period. CONCLUSION: The first EMS helicopter was introduced to Korea in 1996. From Dec. 1, 1996 to Dec. 31, 1997, Samsung Medical Center's EMS helicopter was used for air evacuation of critically ill patients. The patients data reported.
Aircraft*
;
Critical Illness
;
Emergencies*
;
Female
;
Humans
;
Korea
;
Male
;
Neurosurgery
;
Orthopedics
;
Pediatrics
;
Prospective Studies
6.Histologic Changes of Normal Human Skin in Organ Culture.
Jeong Hyon BAEK ; Yeul Hoon SUNG ; Jeung Hoon LEE ; Jang Kyu PARK ; Jeong Kyu PARK
Korean Journal of Dermatology 1990;28(2):130-135
Since adult human skin can be grown in chernically defined medium without serum, the skin organ culture has gained a great interest as a method for studies concerning skin biology, pharmacology and toxicology. however, serum supplementation has extensively been used to improve the viahility of tissue culture. This study was undertaken to evaluate the effect of serum on the histologic changes ohserved during the organ culture of the normal human skin. The general architecture of the skin was well maintained for 6 days with or without seru. After then, fetal calf serum or autologous human serum was found to enhance the viability of the epidermis. A confluent layer of necrotic spinous ceils was ovserved earlier and more widespread without serum. The addition of serum had an impressive effect on epibolization. In the absenee of serum, the formation of the epibolus was not only minimal, but also, susceptible to degeneration, and no epibolus remained at 10 days rif incubation. No difference can be found between fetal calf serm and autologous human serum in the formation of the epibolus. There was no favorable effect of serum on the formation of new stratum corneum. The thickness of new straturn corneum increased in parallel with the number of parakeratatic cells, increasing most rapidly between 6 and 8 days of incubation. Parakeratosis was more prominent in the presence of serurn.
Adult
;
Biology
;
Epidermis
;
Humans*
;
Organ Culture Techniques*
;
Parakeratosis
;
Pharmacology
;
Selective Estrogen Receptor Modulators
;
Skin*
;
Toxicology
7.A Case of Crescentic Glomerulonephritis Superimposed on Membranous Glomerulonephropathy.
Baek Nam KIM ; Jin Won YOOK ; Ji Hong KIM ; Pyung Kil KIM ; Hyeon Joo JEONG
Journal of the Korean Society of Pediatric Nephrology 1999;3(1):95-99
Cytologic findings of pleural effusion in three cases of rhabdomyosarcoma are reported. Case 1 was a pleomorphic rhabdomyosarcoma which had devoped at the chest wall of an elderly male patient and caused pleural effusion. The cytologic features were consistent with pleomorphic rhabdomyosarcoma, that was, showing loose clusters, cellular pleomorphism, and abundant finely vesicular cytoplasm. Cases 2 and 3 were embryonal rhabdomyosarcomas in young adults. Primary site was the oral cavity in case 1, but unknown in case 2 and case 3. The effusion cytology was similar in these cases. Clustered or isolated small round cells with hyperchromatic nuclei and scanty cytoplasm were smeared. The cohesiveness of tumor cells was weak and the cells did not show linear arrangement or nuclear molding. Effusion cytology in a sarcoma patient would be diagnostic when the primary site and the type of sarcoma were already known.
Aged
;
Cytoplasm
;
Fungi
;
Glomerulonephritis*
;
Glomerulonephritis, Membranous*
;
Humans
;
Male
;
Mouth
;
Pleural Effusion
;
Rhabdomyosarcoma
;
Rhabdomyosarcoma, Embryonal
;
Sarcoma
;
Thoracic Wall
;
Young Adult
8.Treatment of the lymphedema using microlymphaticovenous anastomoses: two cases.
Young Joon LEE ; Jeong Il PARK ; Heung Soo HAN ; Soo Shin KIM ; Se Min BAEK
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1992;19(6):1041-1048
No abstract available.
Lymphedema*
9.Primary malignant melanoma of the esophagus.
Seung Hwan LEE ; Yeon Hee PARK ; Baek Yeol RYOO ; Heung Tae KIM ; Sook Hyang JEONG
Korean Journal of Medicine 2004;66(2):234-235
No abstract available.
Esophagus*
;
Melanoma*
10.Pain Management for Traumatized patients in Emergency Department.
Young Ho JIN ; Tae Oh JEONG ; Hyeon No LEE ; Jae Baek LEE
Journal of the Korean Society of Emergency Medicine 1998;9(1):92-96
BACKGROUND: Pain is one of the most common presenting complaints in the emergency department(ED) and adequate analgesia for painful conditions is an important goal of emergency medical practice. This study was designed to investigate on the actual condition regarding the use of analgesic injections for traumatized patients in the field of ED and to reconsider the concern and methods of pain management in the future. METHOD: We carried out a prospective, noninterventional observational clinical study of adult patients presenting with acute trauma in the ED. Using a numeric rating scale ranging from 0 to 10, patients quantified their pain intensity on arriving at the ED and on one hour after analgesic administrations in the cases of analgesic use or after initial Assessment in the cases of no analgesic use. They also were interviewed about the level of their satisfaction to pain relief before leaving the ED. RESULTS: Seventy eight percent of all patient received analgesic injections(nonsteroidal antiinflammatory drugs; 62%, opioids; 16%) and the remaining 22 patients(22%) were treated without analgesics. At the time of secondary assessment to pain, initial pain score in the cases of analgesic administration decreased. Patients who are beyond fair in the level of satisfaction were recorded for only 18% of all patient even though 78% of patients received analgesic injections. CONCLUSION: Our data illustrate that the patient of trauma commonly receive analgesic injections in the ED but their levels of satisfaction are under fair. This finding suggests that the concern and methods of pain management have to be reconsidered through the understanding of analgesic pharmacology and pattern of pain relief by analgesics.
Adult
;
Analgesia
;
Analgesics
;
Analgesics, Opioid
;
Emergencies*
;
Emergency Service, Hospital*
;
Humans
;
Pain Management*
;
Pharmacology
;
Prospective Studies