This is case report of true class III malocclusion with macroglossia is corrected by glossectomy in 13 years female patient. After orthodontic treatment, the patient is bound to glossectomy because the corrected condition is relapsed to the previous condition due to relatively enlarged tongue compared with the original dental arch. By the interpretation of the cephalogram and model analysis, it is approved that the growth pattern and direction are normal range and mandible is located anterioly to the cranium. The results are follows: 1. We could treat the true Cl III malocclusion. 2. We could prevent the relapse of the treated condition by the surgical intervention, such as partial glossectomy. 3. Sensory, speech, swallowing and so other functions after the operation have been with in normal limit without any serious complications or seguellae.
Deglutition ; Dental Arch ; Female ; Glossectomy ; Humans ; Macroglossia* ; Malocclusion* ; Mandible ; Recurrence ; Reference Values ; Skull ; Tongue

A statistical analysis was made on patient of recurrent urinary stones during the period from May 1972 to April 1977 in the Department of Urology of Han Yang University Hospital and the results were obtained as following: 1. Among the 894 patient of in-patient, 290 patient were urinary stone patients (32.8 %). 2. The recurrent patients were 11 (20%), with the follow-up period from 1 year to 10 years, in whom follow-up was possible. 3. The most common age group of recurrent stones were from 20 to 40 years old ( 72.8%). 4. The mean period from primary stone to recurrent stone was 4.4 years. 5. Among the recurrent patient, 2 were prolonged recumbency patients and one had duplicated ureter. Others were idiopathic recurrent stones. 6. If the primary stone was removed by operation, recurrent stone was some hard to be passed spontaneously.
Adult ; Follow-Up Studies ; Humans ; Statistics as Topic* ; Ureter ; Urinary Calculi ; Urolithiasis* ; Urology

PURPOSE: Simple renal cysts are common in older patients and they are usually left untreated, yet only a few studies have been done on the natural history of simple renal cysts. We investigated the sequential changes in their size and number in 103 patients. MATERIALS AND METHODS: From January 1993 to August 2003, we followed 103 patients who were suffering with simple renal cysts. Their mean age was 55.8+/-18.72 years old (M:F=58:51). Using Abdominal USG and CT, the annual changes in renal cysts were analyzed through the follow-up period, and the mean follow-up period was 52.3+/-17.58 months. The values of the parameters were compared with using a 2-tailed Student's t-test, multivariate logistic regression analysis and the chi-square test. RESULTS: At the time of diagnosis, the mean number and size of simple renal cyst were 1.5+/-1.31 cysts per each kidney and 25.3+/-12.42mm, respectively. On the consecutive imaging study, the size of the renal cysts was increased 4.4+/-1.54mm per year. The average size increase was significantly greater in the individuals younger than 50 versus the patients 50 years or older (5.7+/-2.14mm/year vs 3.7+/-1.45mm/year, respectively). The multiple cysts showed a significantly larger size increase than did the single cysts (8.1+/-3.27mm/year vs 3.6+/-1.64mm/year, respectively). The size increase of the bilateral renal cysts was significantly larger than that of the unilateral renal cysts (5.6+/-1.48mm/year vs 4.1+/-1.02mm/year, respectively). No significant difference was observed for the average size increase with regard to gender or the initial cyst size. Only the number of cysts was a significant predictor of aggressiveness on the multivariate logistic regression analysis. CONCLUSIONS: The simple renal cysts progress in size and they appear to grow with aging. They seem to grow more rapidly in patients with a younger age, and for multiple and bilateral renal cysts.
Adult* ; Aging ; Diagnosis ; Follow-Up Studies ; Humans ; Kidney ; Logistic Models ; Natural History*

During the period from January 1978 to December 1980, 46 patients who were taken RGP were analyzed and observed as follows. 1) RGP was performed 46 patients who were not defined exactly on IVP. 2) Undefined findings on IVP that was performed RGP classified into four group as follows. Group I : Abnormal changes or poor visualization of calyx, pelvis and ureter; 17 (32.7%) Group II : Hydronephrosis; 12 cases (23.1%) Group III : Delayed visualization; 9 cases (17.3%) Group IV : Non-visualization; 14 cases (26.9%) 3) Of the 46 patients (52 kidneys), 35 patients (41 kidneys) were defined with RGP and remained 11 patients (11 kidneys) had been required other special urologic studies for further evaluation.
Humans ; Hydronephrosis ; Pelvis ; Ureter ; Urography*

Female cystourethritis is one of the most common urologic problems encountered in all age groups and it forms a greater proportion of the female patients on urologic practice. During the two-rear period (from March 1, 1977 to February 28, 1979), 208 cases of female cystourethritis were observed and the following results were obtained. 1) The age distribution is between 8 and 73 years of age, showing the highest incidence in 25 to 41 years of age (64.5%). 2) On duration of symptoms, 55.8% of cases were less than 1 week but 2.9% of cases were more than 5 years. 3) In order of frequency, the urinary symptoms were frequent urination in 57.7%, tenesmus in. 38.9% and dysuria in 30.8%. The extra-urinary symptoms were suprapubic discomfort in 49.0%. back pain in 30.8% and vaginal discharge in 13.0%. 4) On laboratory findings, normal urinalysis was revealed in 64.9% and bacteria was recovered in 25.5% of cases. Of vaginal smear, 56.4% of cases were normal. 5) The cystoscopic findings; trigonal hyperemia and swelling (37. 1%), trabeculation (28. 9%). localized hyperemia (21.6%) and normal (35. 1%). 6) Urethral endoscopic findings were classified with Kim`s classification: Group I : Almost normal urethra and bladder neck or with very mild mucosal changes 32 cases (16. 5%) Group II : Mild granular hyperemia of the urethral mucosa with almost normal bladder neck 55 case (28.4%). Group III : Marked bulbous and granular hyperemia of the urethral mucosa and mild bulbous bladder neck with a few pseudopolyps 92 cases (47.1%) Group IV : Marked bullous and granular hyperemia of the urethra and granular marked bullous bladder neck with many pseudopolyps 15 cases (7.7%)
Age Distribution ; Back Pain ; Bacteria ; Classification ; Dysuria ; Female* ; Humans ; Hyperemia ; Incidence ; Mucous Membrane ; Neck ; Urethra ; Urinalysis ; Urinary Bladder ; Urinary Tract Infections* ; Urinary Tract* ; Urination ; Vaginal Discharge ; Vaginal Smears

No abstract available.
Eustachian Tube*

Buerger's disease was first identified in 1908 by Leo Buerger as a distinct clinicopathological entity, which causes severe pain and necrosis on distal parts of the extremities and occurs especially in young male adults. In spite of many treatment modalities, it is not completely cured but results in amputation in the long run. So, we studied a total of 120 cases of Buerger's disease, who were admitted at Yonsei University, Severance Hospital from Jan., 1975 to June, 1985 and we obtained the following results. 1. All the patients were male and majority of them were under 40 years of age (69.2%). 2. 118 cases were smokers and 2 cases were non-smokers. 3. The initial symptoms were resting pain, necrosis, and color change in descending order of frequency. 4. Diagnoses were made mainly by angiogram(75.8%) and most common site of obstruction was popliteal artery (49.4%). 5. After sympathectomy and angioplasty, there was temporary relief of symptoms, but none showed good results after long term follow up. As a result, amputations were performed after sympathectomy in 47 cases(39.2%), of which 36 cases(76.6%) received that surgery within 2 yeas after sympathectomy. 6. The pressure index not only helps diagnose the disease but also is a very useful method to objectively assess the severity of the initial symptoms and postoperative results.
Adult ; Amputation ; Angioplasty ; Clinical Study ; Diagnosis ; Extremities ; Follow-Up Studies ; Humans ; Male ; Methods ; Necrosis ; Popliteal Artery ; Sympathectomy ; Thromboangiitis Obliterans

To assess the extent of microfilaments in cholestatic liver diseases we examined the cytoplasmic microfilaments in intrahepatic and extrahepatic cholestasis in man by electron microscopy. Study subjects were two patients with drug-induced intrahepatic cholestasis, three patients with intrahepatic cholestasis due to viral hepatitis, four patients with extrahepatic cholestasis due to stones of the common bile duct and two patients with primary biliary cirrhosis. Two biopsied specimens from patients without clinical or histological evidence of liver disease served as noncholestatic controls. The microfilaments in hepatocytes and biliary ductular cells were significantly increased in cholestasis compared with those in non-cholestatic controls. Well developed bundles of microfilaments were noted around the pericanalicular ectoplasm and seemed to be parallel to plasma membrane of the hepatocytes in cholestasis. In cholestasis, there were increased bundles of microfilaments around the periluminal region, lateral cell wall, and nucleus of biliary ductular cells. Two patterns of microfilaments bundles (fine microfilamentous network and spindle-shaped dense or clusters of microfilaments) were associated with cholestasis. The clustered form of microfilaments also seemed to be clearly associated with intracytoplasmic vacuoles containing bile salts. In conclusion, the increase of microfilaments in hepatocytes and biliary ductular cells may be the consequence of various forms of cholestasis. Further studies are needed to clarify the functional significance of increased microfilaments in cholestasis.
Bile Canaliculi/*pathology/ultrastructure ; Biopsy ; Cholestasis, Intrahepatic/*pathology ; Hepatocytes/*pathology/ultrastructure ; Humans ; Microfilaments/*pathology/ultrastructure ; Microscopy, Electron

PURPOSE: We investigated the incidence and risk factors of contralateral inguinal hernia or hydrocele in men dwelling in community with initially unilateral disease. MATERIALS AND METHODS: A total of 2,700 men aged 20 years dwelling in the community were randomly selected at a 10.0% sampling fraction after a sampling process by census district and 2,080 of these men agreed to participate in the study. All volunteers underwent a standard evaluation, including a detailed medical history and physical examination. They completed a self-administered questionnaire providing detailed information on any previous history. To evaluate risk factors for contralateral occurrence of inguinal hernia or hydrocele, we compared 3 possible variables (initial side, type and history of repair) between total patients with and those without contralateral inguinal hernia or hydrocele. For patients who underwent repair, 4 variables were compared (initial side, type, ipsilateral recurrence and age at repair) between the 2 groups. RESULTS: Of the participants, 48 men (2.3%) were observed to either have inguinal hernia or hydrocele on physical examination (n=14) or had a history of inguinal hernia or hydrocele repair (n=34). Six (12.5%) patients experienced contralateral inguinal hernia or hydrocele. Contralateral diseases occurred in 2 of 28 (7.1%) patients with initial right inguinal hernia or hydrocele, and 4 of 20 (20.0%) patients with initial left inguinal hernia or hydrocele. There were no significant differences between the 2 groups in any of the variables. CONCLUSIONS: We did not identify subgroups at sufficiently increased risk to warrant contralateral exploration. Our findings suggest that routine contralateral exploration cannot be justified in these patients since the incidence of contralateral clinical inguinal hernia or hydrocele is low.
Censuses ; Epidemiologic Studies* ; Hernia, Inguinal* ; Humans ; Incidence ; Male ; Physical Examination ; Surveys and Questionnaires ; Recurrence ; Risk Factors ; Testis ; Volunteers

PURPOSE: Management of major renal injury caused by blunt trauma is still somewhat controversial. We investigated the characteristics of grades IV and V blunt renal injury patients who underwent conservative or operative treatment, and determined the feasibility of conservative treatment of such injury. MATERIALS AND METHODS: We retrospectively reviewed the records of 25 patients who presented our hospital with grades IV or V blunt renal injury. The 10 patients treated conservatively were assigned to group 1, and the 15 patients treated surgically to group 2. Each group was compared with respect to initial evaluation, radiologic findings, associated injuries, duration of hospital and intensive care unit stay, transfusion requirements, complications and follow-up imaging. RESULTS: We found that shock was the only characteristic sign of the surgical treatment group and that the degree of hematuria did not correlate with treatment options. Radiologic findings which differed significantly between the 2 groups were the proportion of devitalized segments to total renal parenchyma and the presence of ureteral opacification despite urinary extravasation. Patients in group 1 had lower transfusion requirements but longer hospitalization, both significantly. Follow-up imaging of group 1 patients revealed functioning renal parenchyma with resolution of retroperitoneal hematoma in 8 of the 10 cases (80%). CONCLUSIONS: This study shows that conservative treatment of blunt grades IV and V renal injury should be considered for patients with hemodynamic stability, no significant associated intra-abdominal organ injuries, devitalized segments less than 25% of renal parenchyma and ureteral opacification despite urinary extravasation on radiologic finding.
Follow-Up Studies ; Hematoma ; Hematuria ; Hemodynamics ; Hospitalization ; Humans ; Intensive Care Units ; Kidney ; Retrospective Studies ; Shock ; Ureter