We have examined the regenerative capabilities of the human scalp hair follicle after grafting the lower half of the follicle. Twenty-eight of 32 intact whole-hair follicles isolated from the human scalp regenerated hairs when grafted onto the forehead of the same person. Seven of the 15 lower-half follicles regenerated complete hair follicles 8 months after grafting showed that the lower-half follicle implant reconstituted the complete hair follicle. The sebaceous gland was not regenerated, but there was an outgrowth in the sebaceous gland regPark ion. Some grafts formed epithelial cysts. Two years after grafting, the histological examination of the regenerated follicle from the lower-half implant showed that the sebaceous gland was completely regenerated. While an intact follicle shows prominent naked shaft outgPark Park Parkrowth, the sheath grows concomitantly with the shaft in lower-half follicles in culture. If grafted lower-half follicles were located too deep, the regrown sheath could not reach the epidermal layer. In this situation, the formation of an epidermal cyst was likely.
Epidermal Cyst ; Forehead ; Hair Follicle* ; Hair* ; Humans ; Scalp ; Sebaceous Glands ; Transplants*

There have been several reports on the relationship between toxocariasis and eosinophilia, but all have been limited to the areas of Seoul or Gangwon-do. In the present study, we investigated the seroprevalence of toxocariasis among eosinophilia patients in Chungcheongnam-do, the central district of Korea. Among the 101 patients tested, 51 (50.5%) were identified as positive by Toxocara ELISA, and 46 (45.5%) were confidently diagnosed with toxocariasis because of absence of any other cause of eosinophilia. Whereas 22 of 42 seropositive patients (52.3%) had a recent history of consuming raw livers, especially the cow liver, only 1 of 25 seronegative patients (4%) had done so (P<0.01). From these results, we could confirm that toxocariasis is related to eosinophilia, and infer that ingestion of raw cow liver plays a vital role in the transmission of toxocariasis in Chungcheongnam-do.
Adolescent ; Adult ; Aged ; Animals ; Antigens, Helminth/*blood ; Enzyme-Linked Immunosorbent Assay ; Eosinophilia/*etiology ; Female ; Humans ; Male ; Middle Aged ; Republic of Korea/epidemiology ; Seroepidemiologic Studies ; Toxocariasis/*epidemiology ; Young Adult

Drooling is defined as the unintentional flow of saliva out of the mouth or to the back of the pharynx due to salivary control problems and swallowing difficulties. Drooling is caused by posture, oral sensori-motor and cognitive problems, and medical symptoms. Treatments of drooling are defined under two criteria: 1) non-invasive treatment, which includes posture and oral motor therapy, and 2) invasive treatment, including botox injection and surgery.Drooling treatment should be initiated non-invasively and in a step-wise manner in all individuals. This mode of treatment is safe, age-free, and is considered the first line of therapy, before subjecting to invasive treatment.Clinical professionals provide non-invasive treatment via manual approaches, through passive sensori-motor stimulation to active oral motor activities. Comprehensive therapy protocols such as oral motor facilitation technique (OMFT) for oral sensory normalization, head and neck postural control, and oral motor function improvements, are required to help control drooling. Clinical professionals therefore need to deeply understand the reason for drooling, and provide qualified non-invasive treatment for intensifying drooling control.

Drooling is defined as the unintentional flow of saliva out of the mouth or to the back of the pharynx due to salivary control problems and swallowing difficulties. Drooling is caused by posture, oral sensori-motor and cognitive problems, and medical symptoms. Treatments of drooling are defined under two criteria: 1) non-invasive treatment, which includes posture and oral motor therapy, and 2) invasive treatment, including botox injection and surgery.Drooling treatment should be initiated non-invasively and in a step-wise manner in all individuals. This mode of treatment is safe, age-free, and is considered the first line of therapy, before subjecting to invasive treatment.Clinical professionals provide non-invasive treatment via manual approaches, through passive sensori-motor stimulation to active oral motor activities. Comprehensive therapy protocols such as oral motor facilitation technique (OMFT) for oral sensory normalization, head and neck postural control, and oral motor function improvements, are required to help control drooling. Clinical professionals therefore need to deeply understand the reason for drooling, and provide qualified non-invasive treatment for intensifying drooling control.

The definition of drooling is very broad, Drooling is characterized by saliva flowing out of the mouth or moving behind the pharynx unintentionally due to various reasons. Drooling is affected by increased salivation, and oral motor and swallowing functions. The amount depends on the situation, place, mood, and concentration. There is a need for comprehensive evaluation and treatment since drooling could be stimulated by various causes, such as sensory, motor, cognitive, and behavioral. Drooling evaluation is divided into objective and subjective evaluations. The objective evaluation mainly measures the amount of saliva secretion using a towel, a container, and a dental swab, and assessing the frequency of drooling at a fixed time. Subjective evaluation usually evaluates the subject’s severity and frequency of drooling during certain periods. A comprehensive evaluation that identifies the effects of salivation on the subject’s daily life, social interaction, psychology, and self-esteem, and evaluates the degree of drooling according to various postures, situations, and conditions, also needs to be considered. Nevertheless, there are several difficulties in developing standardized drooling assessment tools. The evaluation contents and results may vary depending on the treatment approach, such as botulinum toxin treatment or oral exercise therapy. The current article will help understand and select drooling assessment tools for identifying and measuring outcomes in clinical settings and studies.

Objective: This study was undertaken to identify the effect of Oral Motor Facilitation Technique (OMFT) on the drooling control ability of children afflicted with Cerebral Palsy (CP). Methods: Totally, 21 CP children with drooling problems participated in the study. OMFT was provided for 16 weeks (30 minutes, 1 session a week, 16 sessions). The drooling control ability was assessed by determining the severity and frequency using the Drooling Severity and Frequency Scale (DSFS) before, at 8 weeks, and 16 weeks after OMFT administration. The effectiveness of OMFT was analyzed at the time intervals using the Friedman test. Post hoc analyses were conducted by the Wilcoxon signed rank test and Kruskal Wallis test. Results: Drooling control ability showed significant improvement after 16 weeks of OMFT. Although the severity of drooling significantly increased after 8 weeks, the frequency was unchanged. Our results indicate that OMFT is a useful oral motor treatment protocol to manage the drooling control ability of children with CP. We recommend at least 8 weeks of OMFT administration. Conclusion Drooling is an important problem in dysphagia. Clinicians need to show more importance in controlling drooling, and a comprehensive oral motor treatment like OMFT should be considered for children afflicted with CP.

PURPOSE: Delayed treatment of congenital hypothyroidism (CH) is a common cause of mental retardation. The aim of the present study was to evaluate intellectual outcomes in preschool children with treated CH. METHODS: We retrospectively reviewed the clinical records of 43 children (age range: 13 to 60 days of life; 22 girls and 21 boys) diagnosed with CH. Children aged 5 to 7 years were examined using the Korean Wechsler Intelligence Scale for Children or the Korean Wechsler Preschool and Primary Scale of Intelligence. RESULTS: The patients started treatment between 13 and 60 days of age. The mean intelligence quotient (IQ) of patients tested at age 5 to 7 years was 103.14±11.68 (IQ range: 76–126). None had intellectual disability (defined as an IQ <70). Twenty-one subjects were treated with a low dose (6.0–9.9 µg/kg/day) and 22 with a high dose of levothyroxine (10.0–16.0 µg/kg/day). There was no significant difference in the mean full-scale IQ (FSIQ), verbal IQ (VIQ), and performance IQ (PIQ) scores between the 2 groups. FSIQ, PIQ, and VIQ scores were not significantly correlated with initial dose of L-T4, initial fT4, age at treatment in multivariate analysis. CONCLUSION: IQ scores of subjects with early treated CH diagnosed through a neonatal screening test were within normal range, regardless of etiology, thyroid function, initial dose of levothyroxine, and age at start of treatment.
Child ; Child, Preschool* ; Congenital Hypothyroidism* ; Female ; Humans ; Hypothyroidism ; Infant, Newborn ; Intellectual Disability ; Intelligence ; Multivariate Analysis ; Neonatal Screening ; Reference Values ; Retrospective Studies ; Thyroid Gland ; Thyroxine

PURPOSE: To report a case of ciliary body tuberculoma, which induced scleral melting. CASE SUMMARY: A 32-year-old man, who was diagnosed with miliary pulmonary tuberculosis 1 week earlier, presented with a conjunctival injection and mass on his right eye 3 months in duration. On excisional biopsy, melted sclera and exposed uveal tissue were found; acid-fast stain was positive. Two months after anti-tuberculosis treatment, anterior granulomatous uveitis and granuloma formation on the anterior chamber angle developed. A low-dose systemic steroid therapy was added. Six weeks after systemic steroid therapy, anterior uveitis and granuloma on anterior chamber angle disappeared. CONCLUSIONS: We experienced a case of ocular tuberculosis on the ciliary body. A low-dose systemic steroid along with multi-drug anti-tubercular therapy may be an effective treatment of ciliary body tuberculoma.
Adult ; Anterior Chamber ; Biopsy ; Ciliary Body ; Eye ; Freezing ; Granuloma ; Humans ; Sclera ; Tuberculoma ; Tuberculosis, Ocular ; Tuberculosis, Pulmonary ; Uveitis ; Uveitis, Anterior

False aneurysms (Pseudoaneurysms) and arteriovenous fistulas have only rarely been reported in the facial region. In this region the false aneurysm arises most frequently in the superficial temporal and facial artery, but other branches of the external carotid are sometimes involved, including the maxillary and lingual artery. False aneurysms can be occurred by blunt trauma that either laceration or rupture the full thickness of the arterial wall. The diagnosis of a false arterial aneurysm can be often made solely on the basis of physical examination. Angiography is helpful for conformation, for delineating the lesion and its vascular supply, and for ruling out the presence of associated vascular lesions such as arteriovenous fistulas. Ultrasonography may also be useful in delineating lesions that are not easily accessible for physical examination. Treatment of false aneurysms is excision, ligation, and arterial embolization. This is a case of false aneurysm of the lingual artery after facial trauma caused by traffic accident. The lesion was successfully treated by embolization and ligation of the lingual and facial branches of the external carotid artery.
Accidents, Traffic ; Aneurysm ; Aneurysm, False* ; Angiography ; Arteries* ; Arteriovenous Fistula ; Carotid Artery, External ; Diagnosis ; Lacerations ; Ligation ; Physical Examination ; Rupture ; Ultrasonography

Acinic cell carcinoma is a rare salivary gland carcinoma, usually being found in the parotid gland and is uncommon in the other major and minor salivary glands. The tumor cells consist of either serous or mucous acinar cells with few ductal or myoepithelial cell elements. The tumor is a low-grade malignancy with slow growth potential. Surgical therapy depends on tumor size and the extent of infiltration into neighboring tissues. Superficial parotidectomy or total parotidectomy is the initial method of therapy in case of acinic cell carcinoma on parotid gland. When regional neck lymph nodes are involved, the operation is combined with a neck dissection, or with radiation therapy. In the short follow up period, acinic cell carcinoma has good prognosis with 5 year survival rate after surgery is over 80%. In the long-term follow-up, however, there is a tendency to increase in recurrence or metastasis. We experienced a case of acinic cell carcinoma of the parotid gland in a 57-year-old female, so we report it with literatures review.
Acinar Cells* ; Carcinoma, Acinar Cell* ; Female ; Follow-Up Studies ; Humans ; Lymph Nodes ; Middle Aged ; Neck ; Neck Dissection ; Neoplasm Metastasis ; Parotid Gland* ; Prognosis ; Recurrence ; Salivary Glands ; Salivary Glands, Minor ; Survival Rate