1.A Clinicopathologic Study on Postinfectious Glomerulonephritis.
Journal of the Korean Pediatric Society 1988;31(6):723-730
No abstract available.
Glomerulonephritis*
2.Fixation Failure of Instrumentation for the Spinal Fusion in Lumbar Region.
Hong Tae KIM ; Soon Man HONG ; In Hak CHOI ; Keun ll LEE ; Jin Wook JUNG
Journal of Korean Society of Spine Surgery 1997;4(2):319-328
STUDY DESIGN: A retrospective review of the patients who have a fixation failure of instrumentalion for the spinal fusion in lumbar region. OBJECTIVES: To assess the incidence and different types of the mechanical failure of fixation and to evaluate their managements and their influences on the progression of a spinal fusion and to the clinical outcomes. SUMMARY OF LITERATURE REVIEW: Most of the spine surgeons have been experiencing the mechanical failures after instrumentations for a spinal fusion, eden though the incidence is decreasing with a modification of the implants. Reports on this problem are sporadic in conjunction with the other topics, rarely focusing on their management and their influences on the final outcomes. MATERIALS AND METHODS: 338 consecutive patients who had a lateral fusion in the lumbar region with an instrumentation of pedicle screws and rods, mostly with decompression, were reviewed to analyse the fixation failures of instrumentation after surgery. RESULTS: There were 26 patients (7.7%) who had the fixation failures of instrumentation, in terms of loosening around the pedicle screws in 18 patients (5.3%), the breakage of the pedicle screws in fide patients (1.5%), and the migration of a rod in three patients (0.9%). They were managed by prolonged use of brace and ergonomic back cares. Even with the fixation failures, 19 patients (73.1%) disclosed solid union uneventfully, but one patient had re-operation to obtain solid fusion. The final outcomes were satisfactory in 22 patients (84.6%), including four of six patients who had pseudoarthrosis. CONCLUSIONS: The fixation failure of instrumentation after a spinal fusion in lumbar region was not rare, but the progression of a spinal fusion usually quite well achieved and the final outcomes were not so bad, even with the implant failures and pseudoarthrosi s. Except for the persistently symptomatic pseudoarthrosis, only a prolonged use of brace and the ergonomic back cares are recommended for symptomatic patients.
Braces
;
Decompression
;
Humans
;
Incidence
;
Lumbosacral Region*
;
Pseudarthrosis
;
Retrospective Studies
;
Spinal Fusion*
;
Spine
3.Cauda Equina Syndrome in the Lumbar Disc Herniation.
Hong Tae KIM ; Soon Man HONG ; Keun Il LEE ; Jin Wook JUNG ; Yeon Min PARK
Journal of Korean Society of Spine Surgery 1998;5(1):116-121
STUDY DESIGN: A retrospective analysis of the patients who had cauda equina syndrome caused by a herniated lumbar disc. OBJECTIVES: To assess the clinical debates concerning the diagnosis, treatment, and results of treatment. SUMMARY OF LITERATURE REVIEW: This syndrome has been considered as an absolute indication of surgical treatment in the herniated lumbar disc and poor prognosis after surgery were reported. Although there are debates on the timing of surgery, early recognition early surgical treatment are recommended for a better results of treatment. MATERIALS AND METHODS: 23 consecutive patients having a cauda equina syndrome caused by herniated lumbar disc were reviewed retrospectively. They were 14 males and 9 females having ages of 41.6 in average. The incidence of this syndrome was 3.8% of the patients who had surgical treatment of herniated lumbar disc. RESULTS: All patients had bladder dysfunction in addition to the low back pain and radicular pain in the leg, but five patient did not recognize their urinary retention which were shaded by severe leg pain. A surgical treatment were performed for all patients at 6.8 days in average after onset of the bladder dysfunction. At follow-up of 3 years and 3 months in average after surgery, 20 patients(86.9%) had satisfactory resolution of the low back pain and leg pain, and all patients had complete recovery of motor weakness except one patients who had residual foot drop. Bladder function recovered satisfactorily in 18 patients (78.3%), but 4 patients had some difficulty of urination and one patient needed a sphinterotomy for urination. CONCLUSIONS: The cauda equine syndrome in herniated lumbar disc was often not recognized early and a poor result of treatment was not rare, particularly in the patients who had acute onset and severe bladder dysfunction. So, early diagnosis and active surgical treatment are recommended for a better results of treatment.
Cauda Equina*
;
Diagnosis
;
Early Diagnosis
;
Female
;
Follow-Up Studies
;
Foot
;
Humans
;
Incidence
;
Leg
;
Low Back Pain
;
Male
;
Polyradiculopathy*
;
Prognosis
;
Retrospective Studies
;
Urinary Bladder
;
Urinary Retention
;
Urination
4.Age Estimation by Appearance of Gray Hair in Vibrissae.
Eui U PARK ; Seok Chan HONG ; Jin Kuk KIM ; Jeong Eon JIN ; Dong Wook KIM
Korean Journal of Legal Medicine 1999;23(1):48-50
The gray vibrissae of Korean males(n =189) between 15 and 75 years old and females(n =111) between-15 and 74 years old who visited the department of otorhinolaryngology, Konkuk university Chungju hospital during 1996 to 1998, were counted for the purpose of estimating approximate age range in individuals of unknown age . The lowest age appearing gray hairs in both sexes was 15-year-old. The Pearson's correlation coefficient in both sexes was 0.490 (p<0.01). The age appearing gray vibrissae in females was slightly earlier than that of males, however, the differences between right and left sides of nasal cavity were insignificant. This method of counting gray vibrissae would be useful to estimate age range in personal identification together with other methods available until now.
Adolescent
;
Aged
;
Chungcheongbuk-do
;
Female
;
Hair*
;
Humans
;
Male
;
Nasal Cavity
;
Otolaryngology
;
Vibrissae*
5.Glomus Tumor of the Stomach: 1 Case report.
Nam Ho KIM ; Wook Hwan KIM ; Jin Hong KIM ; Hoon JI ; Hee Jae JOO ; Myung Wook KIM
Journal of the Korean Surgical Society 1998;54(1):136-140
Glomus tumors are maturely organized proliferations of glomus cells and vascular channels. Such tumors are rare in the stomach, and only two cases have been reported in Korea. Because specific clinical or radiologic features are not associated with the glomus tumor, it can be recognized only by histologic characteristics. Although available data are inadequate for determining the histogenesis of this tumor, it may represent a hamartoma rather than a neoplastic disease. The treatment of choice is local resection. In frozen sections, it may be misidentified as a carcinoid tumor, leading to more extensive surgery than required for cure. We report a case of a glomus tumor of the stomach in a 30-year-old female patient who was operated on, and we present a review of the literature on this subject.
Adult
;
Carcinoid Tumor
;
Female
;
Frozen Sections
;
Glomus Tumor*
;
Hamartoma
;
Humans
;
Korea
;
Stomach*
6.Glomus Tumor of the Stomach: 1 Case report.
Nam Ho KIM ; Wook Hwan KIM ; Jin Hong KIM ; Hoon JI ; Hee Jae JOO ; Myung Wook KIM
Journal of the Korean Surgical Society 1998;54(1):136-140
Glomus tumors are maturely organized proliferations of glomus cells and vascular channels. Such tumors are rare in the stomach, and only two cases have been reported in Korea. Because specific clinical or radiologic features are not associated with the glomus tumor, it can be recognized only by histologic characteristics. Although available data are inadequate for determining the histogenesis of this tumor, it may represent a hamartoma rather than a neoplastic disease. The treatment of choice is local resection. In frozen sections, it may be misidentified as a carcinoid tumor, leading to more extensive surgery than required for cure. We report a case of a glomus tumor of the stomach in a 30-year-old female patient who was operated on, and we present a review of the literature on this subject.
Adult
;
Carcinoid Tumor
;
Female
;
Frozen Sections
;
Glomus Tumor*
;
Hamartoma
;
Humans
;
Korea
;
Stomach*
7.Cystic Partially Differentiated Nephroblastoma: A Case Report.
Jin Wook HONG ; Jong Byung YOON
Korean Journal of Urology 1984;25(3):363-368
No abstract available.
Wilms Tumor*
8.The Findings of 2D and M-mode Echocardiography in Young Insulin-Dependent Diabetes Mellitus.
Byoung Rei CHO ; Jae Wook KO ; Young Jin HONG ; Don Hee AHN ; Keun Chan SOHN
Journal of the Korean Pediatric Society 1990;33(1):88-93
No abstract available.
Diabetes Mellitus, Type 1*
;
Echocardiography*
9.Endoscopic Enucleation of a Gastric Lipoma by Strip Biopsy.
Moon Sung LEE ; Chan Wook PARK ; Jin Hong KIM ; Sung Won CHO ; Chan Sup SHIM
Korean Journal of Gastrointestinal Endoscopy 1991;11(2):273-277
Gastric lipomas are rare benign submucosal tumors which can present the diagnostic and therapeutic problems. The preferred treattment is observation or local excision. Since preoperative diagnosis and differentation from malignant tumors can be difficult by use of the conventional diagnostic modalities such as X-ray or endoscopic examination, patients are sometimes subjected to more extensive surgical procedures than warranted. As to the diagnosis of submucosal tumors of the upper digestive tract, a newly developed diagnostic modality of endoscopic ultrasonography(EUS) allows us to visuialize the structures underlying the gastrointestinal wall in a noninvasive maneuver, and can contribute to make differential diagnosis and decision of management. Strip biopsy is an endascopic tissue resection technique which permits resection of both mucosal and submucosal tissue regardless of the morphological type of the lesion, because the submucosal saline injections during the procedures make the flat or depressed lesions to be elevated. Now, we report a 56-yr-old female which had a Yamada type I polypoid gastric submucosal lipoma in the antrum, which could be performed the different diagnosis and successful endoscopic removal by endoscopic ultrasonography and strip biopsy.
Biopsy*
;
Diagnosis
;
Diagnosis, Differential
;
Endosonography
;
Female
;
Gastrointestinal Tract
;
Humans
;
Lipoma*
10.Estimation of the Depth of Invasion in Depressed Type of Early Gastric Cancer by Endoscopic Ultrasonography.
Jin Hong KIM ; Chan Wook PARK ; Moon Sung LEE ; Sung Won CHO ; Chan Sup SHIM
Korean Journal of Gastrointestinal Endoscopy 1991;11(2):261-271
A new method for combining ultrasonography snd endoscopy, endoscopic ultrasonography (EUS), was developed to improve the diagnostic accuracy of ultrasound by direct image of the target lesion via the gastrointestinal lumen. EUS has the unique ability to provide clear sonographic images of the wall structure of the stomach. This capability can be ultilized in assessing the depth of cancer invasion of the stomach by identifying which layer the ultrasonographic change extends to. However, the depressed types of early gastric cancer(EGC) are often accompanied by ulcerative change in the tumor foci. And the ultrasonographic picture is also influenced by the ulcerative change. (continue...)
Endoscopy
;
Endosonography*
;
Stomach
;
Stomach Neoplasms*
;
Ulcer
;
Ultrasonography