2.A clinical Study on the Fractures of the Femoral Neck in Children
Dong Ho SUK ; Kyoo Ho SHIN ; Jang Suk CHOI ; Byung Jik KIM ; Young Goo LEE
The Journal of the Korean Orthopaedic Association 1989;24(2):443-452
Most obviuos will be the several anatomic differences between the proximal femur of the child and the adult. Fractures of the femoral neck in the children are extremely rsre and usually are the result of severe trauma in 80% of the cases. This accounts for the high frequency of serious associated injuries. In this injury the vascular anatomy changing with age, continuing growth potential and the effect of deforming forces play critical roles in high complication rate and these make treatment difficult. But still any secure guidelines for the treatment of this injury are not established and this is a field which requires more active research and further progress in future. 26 cases treated at Paik Hospital from Jan. 1979 to June 1988 were analyzed in clinical and radiological aspect and the following results were obtained. 1. The commonest type was Cervicotrochanteric fracture in 13 cases(50%),displaced one 21 cases. 2. In Transepiphyseal, Transcervical and Cervicotrochanteric fracture by early reduction and internal fixation, and in Intertrochanteric fracture by conservative treatment we gained satisfactory results. 3. We experienced 2 cases of coxa vara in nonthreaded pin used cases, 4 cases of premature epiphseal closure and 4 cases of avascular necrosis in threaded pin used ones. 4. Complications were developed in 13 cases (50%). These were 5 cases of coxa vara(19.2%) 4 cases of premature epiphyseal closure (15.4%) and 4 cases of avascul necrosis (15.4%). 5. Avascykar necrosis was developed in displaced fracture of Transcervical or Cervico- trochanteric fracture beyond postoperative 1 year. So. we recommend periodic long follow up for evaluation of avascular necrosis.
Adult
;
Child
;
Clinical Study
;
Coxa Vara
;
Femur
;
Femur Neck
;
Follow-Up Studies
;
Hip
;
Humans
;
Necrosis
3.A comparison of bioresorbable membranes alone or in combination with platelet-derived growth factors and insulin-like growth factors on the periodontal healing of the dehiscence defects in dogs..
Kyoo Sung CHO ; Chang Sung KIM ; Seong Ho CHOI
The Journal of the Korean Academy of Periodontology 1997;27(1):217-234
The purpose of present study is to compare the effect of treatment using Guidor(R) as a barrier membrane in conjunction with platelet-derived growth factor and insulin like growth factors on experimental dehiscence defects. Following the resection of premolar crowns, roots were submerged. After 12 weeks of healing period, experimental dehiscence defects of 4mm in height and 4mm in width were surgically created on the mid-facial aspect of the lower premolar roots in each of 4 adult dogs. After root planning and demineralization of the root surface with citric acid, the control groups received 4% methylcellulose gel only, the test group I received 4% methylcellulose gel and were covered by Guidor(R) and the test group II were treated with PDGF and IGF and 4% methylcellulose gel with Guidor(R) coverage. Histological and histomorphometric analysis following 8 weeks of healing revealed the following results. 1. The new bone formation showed no statistically significant difference in all groups with 0.59+/-0.82mm(14.03+/-19.60%) for control, 0.70+/-0.39mm(16.30+/-9.01%) for group I, 0.87+/-0.76mm(18.74+/-16.03%) for group II. 2. The new cementum formation showed no statistically significant difference in all groups with 0.54+/-0.48mm(16.38+/-14.57%) for control, 0.95+/-0.38mm(23.43+/-9.30%) for group I, 1.01+/-0.75mm(22.10+/-16.11%) for gorup II. 3. The root resorption showed statistically significant differences betweenthe control group and all test groups(p<0.05) with 2.11+/-0.53mm(52.93+/-12.32%) for control, 0.63+/-0.27mm(15.32+/-7.05%) for group I, 0.89+/-0.33mm (19.26+/-7.11%) for group II. On the bases of these results, there were no statistically difference between treatment using resorbable membrane and resorbable membrane in conjunction with PDGF and IGF in the dehiscence defects, where it was difficult to maintain space. The use of membrane seemed to be more effective in the inhibition of root resorption.
Adult
;
Animals
;
Bicuspid
;
Citric Acid
;
Crowns
;
Dental Cementum
;
Dogs*
;
Humans
;
Membranes*
;
Methylcellulose
;
Osteogenesis
;
Platelet-Derived Growth Factor*
;
Root Resorption
;
Somatomedins*
4.Mesenteric Cystic Lymphangioma with Sustained Abdominal Pain : Report of a case.
Gyeong Hoon KANG ; Yong Il KIM ; Woo Ho KIM ; In Sung SONG ; Kyoo Wan CHOI
Korean Journal of Pathology 1991;25(5):488-490
A case of cystic lymphangioma of the mesentery with severe and persistent abdominal pain in a 22-year-old man is presented. The cyst was filled with chylous fluid. Microscopically, numerous nerve bundles were incorporated within the lymphangiomatous walls, and some protruded into the lumen. The above findings lead to a suggestion that mesenteric lymphangioma may differ from those in the other sites by its abundance of incorporation of nerve bundles into the lymphangiomatous walls, and that increase of tumor size by intracystic accumulation of chylous fluid may subsequently result in increase of intraluminal pressure to compress the nerve bundles with which abdominal pain is much enhanced.
Male
;
Humans
;
Cysts
5.Effect of Mouthrinses prepared by Sterilized Water-Generating Device on the Control of Periodontal Disease.
Ji Hyun LEE ; Jeong Ho YUN ; Seong Ho CHOI ; Kyoo Sung CHO
The Journal of the Korean Academy of Periodontology 2004;34(3):659-669
The aim of this study was to evaluate the clinical efficacy of mouthrinses prepared by sterilized water-generating device(Purister(R)) on the control of gingivitis and incipient periodontitis when it was used as a adjunctives to the mechanical plaque control. 40 healthy patients with gingivitis or incipient periodontitis were divided into two groups. Patients in the experimental group use mouthrinses prepared by sterilized water-generating device(Purister(R)) after tooth brushing while patients in the control group do only tooth brushing for plaque control. All patients received scaling and tooth brushing instruction. 1 week after scaling was set as baseline. Probing pocket depth, clinical attachment level, and bleeding on probing were scored at baseline, 4 weeks. Gingival index and plaque index were scored at baseline, 2 weeks, and 4 weeks. The results were as follows: 1. In the experimental group, gingival index, plaque index, probing pocket depth, and clinical attachment level showed statistically significant decrease, but in the control group, significant increase(p<0.05). 2. There was no significant difference between the experimental and the control group in bleeding on probing, but significant decrease in the experimental group and significant increase in the control group in a time-dependent manner(p<0.05). From these results, it can be concluded that regular use of mouthrinses prepared by sterilized water-generating device(Purister(R)) as adjunctives of mechanical plaque control, may be effective to prevent and treat gingivitis and incipient periodontitis.
Gingivitis
;
Hemorrhage
;
Humans
;
Periodontal Diseases*
;
Periodontal Index
;
Periodontitis
;
Tooth
6.The effects of composit grafts of allogenic decalcified freeze Dried bone and calcium sulfate on the healing of 1-wall intrabony defects in dogs.
Jong Jin SUH ; Seong Ho CHOI ; Kyoo Sung CHO ; Jung Kiu CHAI
The Journal of the Korean Academy of Periodontology 1998;28(2):249-262
The present study evaluates the effects of calcium sulfate and DFDB on alveolar bone regeneration and cementum formation and connective tissue adhesion in intrabony angulated 1 wall defects of dogs. Four millimeter-deep angulated one-wall intrabony defects were surgically created in the mesial & distal aspects of premolars and with flap operaion alone(control group), with calcium sulfate(experimental group 1), with composit graft of 50% calcium sulfate and 50% DFDB(experimental group 2), with DFDB alone(experimental group 3). Histologic analysis following 8 weeks of healing revealed the following results: 1. The lengths of connective tissue adhesion was 1.05+/-0.48mm in the control, 1.30+/-0.67mm in the test group I, 0.97+/-0.22mm in the test group II and 0.93+/-0.15mm in the test group III. There was no statistical significance between control and all experimental groups. 2. Changes in alveolar bone level was 0.97+/-0.27mm in the control group, 1.45+/-0.42mm in the test group I, 2.00+/-0.33mm in the test group II , 1.88+/-0.34mm in the test group III. There was no statistically significant difference between control and experimental group I. There was a statistically significant difference between the control and experimental group II,III.(p<0.05). There was no statistically significant difference between all experimental group. 3. Cementum formation was 1.13+/-0.17mm in the control, 1.78+/-0.31mm in the test group I, 2.17+/-0.38mm in the test group II, 2.15+/-0.47mm in the test group III with statistically significant differences between control group and all experimental group(P<0.05). There was no statistically significant differences between all experimental group. These results suggest that the use of composit graft of 50% calcium sulfate and 50% DFDB and DFDB alone in angulated 1 wall intrabony defects has little effects on connective tissue adhesion, but has significant effects on new bone and new cementum formations.
Animals
;
Bicuspid
;
Bone Regeneration
;
Calcium Sulfate*
;
Calcium*
;
Connective Tissue
;
Dental Cementum
;
Dogs*
;
Transplants*
7.The Effect of composite Graft of allogenic DFDB and Calcium Sulfate with and without Calcium Sulfate barrier in Periodontal 1 wall intrabony defects in Dogs.
Hee Il MOON ; Kyoo Sung CHO ; Jung Kiu CHAI ; Seong Ho CHOI
The Journal of the Korean Academy of Periodontology 1998;28(2):219-233
Numerous bone graft materials have been used in Periodontics, in an attempt to reach the main goal of periodontal therapy, i.e. the regeneration of periodontal tissue lost due to destructive periodontal diseases. The present study investigates the effect of composite graft of DFDB and Calcium sulfate with and without Calcium sulfate barrier in Periodontal 1-wall intrabony defects in dogs. Following the initiation of general anesthesia by I.V. administration of 40mg/Kg of Pentobabital, second premolar was extracted and full thickness flap elevated. The crown portion of premolars was removed. Exposed root canals were sealed with Caviton and covered completely with flap. After the healing period of 8 weeks, the surgical sites were re-opened and 1-wall intrabony defects were created, and treated with flap operation alone(control group), with composit graft of 80% DFDB and 20% Calcium sulfate(Experimental group 1), with composite graft of DFDB and calcium sulfate with calcium sulfate membrane(Experimental group 2). Healing response was histologically observed after 8 weeks and the results were as follows: 1. New bone formation was 70 % in the control group, 93 % in the Experimental group I, 89 % in the Experimental group II. There was a no differences between Experimental groups. 2. New cementum formation was not significantly different between control and two Experimental groups. 3. The length of connective tissue adhesion was 30 % in the control, 7% in the Experimental group I and 11 % in the Experimental group II. 4. After 8weeks, calcium sulfate was completely resorbed, while DFDB particle remained. These results suggest that the use of composite graft of allogenic DFDB and Calcium sulfate with and without Calcium sulfate barrier in periodontal 1 wall intrabony defects have little effect on connective tissue adhesion, but has beneficial effect on new alveolar bone and new cementum formation, and prevent downgrowth of epithelium and connective tissue effectively.
Anesthesia, General
;
Animals
;
Bicuspid
;
Calcium Sulfate*
;
Calcium*
;
Connective Tissue
;
Crowns
;
Dental Cementum
;
Dental Pulp Cavity
;
Dogs*
;
Epithelium
;
Osteogenesis
;
Periodontal Diseases
;
Periodontics
;
Regeneration
;
Transplants*
8.Fibronectin in the trabecular meshwork: immunofluorescent and immunoelectron microscopic findings.
Young In CHOI ; Dong Ho YOUN ; Myung Kyoo KO ; Joon Kiu CHOE
Korean Journal of Ophthalmology 1991;5(1):1-8
We examined the fibronectin (FN) secretion of cultured trabecular meshwork (TM) cells in a normal human eye by indirect immunofluorescent technique using mouse anti-human FN monoclonal antibody and FITC-conjugated goat anti-mouse IgG. To localize FN on frozen sections of normal TM, which were obtained from 7 enucleated eyes owing to traumatic eyeball rupture, the same indirect immunofluorescent method was used. Immunoelectron microscopy was applied to demonstrate the distribution pattern of FN in the normal TM of 2 human eyes using an avidin-biotin-peroxidase complex method. In the tissue culture of TM, the TM cell walls and extracellular matrices showed an intense staining with antibody to FN. Indirect immunofluorescent staining of FN on frozen sections of TM showed strong positive reactions in the subendothelial region. There was no reaction in the central core of the trabecular beam. Immunoelectron microscopy revealed the reaction products to FN in the areas lining the trabecular endothelial cells.
Adolescent
;
Adult
;
Antibodies, Monoclonal
;
Cells, Cultured
;
Fibronectins/biosynthesis/*metabolism
;
Fluorescent Antibody Technique
;
Humans
;
Male
;
Microscopy, Immunoelectron
;
Trabecular Meshwork/*metabolism/ultrastructure
9.An Unusual Case of Churg-Strauss Syndrome.
Sung Eun CHANG ; Jhoon Kyoo CHEONG ; Jee Ho CHOI ; Kyung Jeh SUNG ; Kee Chan MOON ; Jai Kyoung KOH
Annals of Dermatology 1998;10(3):167-171
Churg-Strauss syndrome (CSS) is a very rare disease which combines the features of asthma, hypereosinophilia, multisystem necrotizing vasculitis and extravascular granuolma. To our knolwedge, there have been four reports in Korean journals, but none in dermatology journals. We report a 37-year-old male who had allergic rhinitis, pansinusitis, a history of atopic dermatitis, multiple prurigo-nodularis like skin lesions, non-fixed interstitial lung in-filtration, hypereosinophilia and subclinical asthma. Clinical and histopathological features of his skin lesions were nonspecific where perivascular lymphocytic infiltration and mild lymphocytic vasculitis were shown. The presence of a pituitary mass and proximal myopathy as op-posed to peripheral neuropathy have not been reported in previous reports of CSS. However, other features of our patient met the criteria of CSS.
Adult
;
Asthma
;
Churg-Strauss Syndrome*
;
Dermatitis, Atopic
;
Dermatology
;
Humans
;
Lung
;
Male
;
Muscular Diseases
;
Peripheral Nervous System Diseases
;
Rare Diseases
;
Rhinitis, Allergic
;
Skin
;
Vasculitis
10.Primary Mucinous Carcinoma of the Skin with Unusual Histopathological Features.
Sung Eun CHANG ; Jhoon Kyoo CHEONG ; Jee Ho CHOI ; Kyung Jeh SUNG ; Kee Chan MOON ; Jai Kyoung KOH
Annals of Dermatology 1998;10(4):266-269
Mucinous carcinoma can occur in non-cutaneous visceral sites and may metastasize to the skin. Thus it is important to exclude the possibility of a non-cutaneous visceral primary tumor before diagnosing primary mucinous carcinoma of the skin (PMCS). We describe a PMCS with unusual histopathological 6ndings. Although the microscopical, immunohistochemical, and ultrastructural characteristics of PMCS have been well defined, only less than sixty cases have been published since the disease was first reported by Lennox. This is an unusual case where combined features of apocrine carcinoma and predominant cribriform patterns reminiscent of adenoid cystic carcinoma exist in part, with highly anaplastic cellular features and frequent mitosis. To our knowledge, there have been no reports of this rare neoplasm in Korea.
Adenocarcinoma, Mucinous*
;
Carcinoma, Adenoid Cystic
;
Korea
;
Mitosis
;
Mucins*
;
Skin*