No abstract available.
Humans ; Male ; Spinal Cord Injuries* ; Spinal Cord*

Basal cell nevus syndrome is an autosomal dominant disorder characterized by developmental and skeletal anomalies, palmo-plantar pits, odontogenic keratocysts, ectopic calcification, and occurrence of various types of tumors including basal cell carcinoma. Within our country, 9 cases at dentistry and 3 cases at dermatology were reported. The patient was a 66-year-old woman. Chief complaint was multiple dark brownish colored papules which were symmetrically distributed around the neck. Excision and biopsy were done under general anesthesia and the wound was healed without complication. Histological examination of the lesion revealed 'basal cell carcinoma'. During the evaluation of metastasis of basal cell carcinoma, at PNS CT we found odontogenic keratocyst on the left alveolar process of maxilla by accident. Physical examination revealed pits of the palm and sole. These are consistent with the major diagnostic criteria for basal cell nevus syndrome. Hereby we report one case of basal cell nevus syndrome.
Aged ; Alveolar Process ; Anesthesia, General ; Basal Cell Nevus Syndrome* ; Biopsy ; Carcinoma, Basal Cell* ; Dentistry ; Dermatology ; Female ; Humans ; Maxilla ; Neck* ; Neoplasm Metastasis ; Odontogenic Cysts ; Physical Examination ; Wounds and Injuries

Many attempts have been made to fill the space the dermis with biological or artificial implants. The ideal injectable material should be biocompatible, nonantigenic, nonpyrogenic, noninflammatory, nontoxic, easy to use, stable for injection, non-migratory, long-lasting, and not too expensive. This study was designed in order to select the ideal injectable filler material among PMMA microspheres suspended in collagen solution(Artecoll(R)), micronized allderm(Sheba(R)), and hyaluronic acid (Restylane(R)). We divided into 3 groups according to the injected material (Group I; Artecoll(R) , Group II; Restylane(R) , Group III; Sheba(R)). 0.2 ml of Artecoll(R) was injected into back skin of group I mice in subdermal plane. 0.2 ml of Restylane(R) & Sheba(R)were injected intradermally group II & III in each. The biopsy specimens were taken from each group at 3 day, 1 week, 4 weeks, 12 weeks, 24 weeks after injection and examined grossly as well as histologically. Three matrials showed mild inflammatory response until 4 weeks and disappeared until 12 weeks. Foreign body giant cell has not been shown in any section. In Artecoll(R) and Sheba(R) group, the volume of injected materials was reduced significantly at 24 weeks, but that of Restylane(R) group maintained at 24 weeks. In conclusion, Restylane(R) might be more ideal as an injectable filler than Artecoll(R) and Sheba(R) in this study.
Animals ; Biopsy ; Collagen ; Dermis ; Giant Cells, Foreign-Body ; Hyaluronic Acid ; Mice* ; Microspheres ; Polymethyl Methacrylate ; Prostheses and Implants ; Skin

PURPOSE: Although the analgesic effects of corticosteroids have been well documented, little information is available on periarticular injection (PI) containing corticosteroids for early postoperative pain management after total knee arthroplasty (TKA). We performed a prospective double-blind randomized trial to evaluate the efficacy and safety of an intraoperative corticosteroid PI in patients undergoing TKA. MATERIALS AND METHODS: Seventy-six consecutive female patients undergoing bilateral staged TKA were randomized to receive steroid or non-steroid PI, with 3 months separating the procedures. The steroid group received PI with a mixture containing triamcinolone acetonide (40 mg). The non-steroid group received the same injection mixture without corticosteroid. During the postoperative period, nighttime pain, functional recovery [straight leg raising (SLR) ability and maximal flexion], patient satisfaction, and complications were recorded. Short-term postoperative clinical scores and patient satisfaction were evaluated at 6 months. RESULTS: The pain level was significantly lower in the PI steroid than the non-steroid group on the night of the operation (VAS, 1.2 vs. 2.3; p=0.021). Rebound pain was observed in both groups at POD1 (VAS, 3.2 vs. 3.8; p=0.248), but pain remained at a low level thereafter. No significant differences were seen in maximal flexion, frequency of acute rescuer, clinical scores, and patient satisfaction. The steroid group was able to perform SLR earlier than the non-steroid group (p=0.013). The incidence of complications was similar between the groups. CONCLUSION: PI containing a corticosteroid provided an additional pain-relieving effect on the night of the operation. In addition, corticosteroid PI did not increase the perioperative complications of TKA.
Adrenal Cortex Hormones ; Arthroplasty* ; Female ; Humans ; Incidence ; Knee* ; Leg ; Methods ; Pain Management* ; Pain, Postoperative ; Patient Satisfaction ; Postoperative Period ; Prospective Studies ; Triamcinolone Acetonide

No abstract available.
Receptors, Nicotinic*

BACKGROUND: Arthroscopic rotator cuff repair generally has a good clinical outcome but shoulder stiffness after surgery due to subacromial adhesion is one of the most common and clinically important complications. Sodium hyaluronate (HA) has been reported to be an anti-adhesive agent in a range of surgical procedures. However, there are few reports of the outcomes of arthroscopic rotator cuff repair of the shoulder. This study examined whether a subacromial injection of HA/carboxymethylated cellulose (CMC) affected the postoperative shoulder stiffness and healing of rotator cuff repair, as well as the safety of an injection. METHODS: Between January 2008 and May 2008, 80 consecutive patients with arthroscopic rotator cuff repair were enrolled. The patients were assigned randomly to the HA/CMC injection group (n = 40) or control group (n = 40). All patients were evaluated using the visual analog scale (VAS) for pain, passive range of motion at 2, 6 weeks, 3, 6, 12 months after surgery, and the functional scores at 6, 12 months postoperatively. Cuff healing was also evaluated using CT arthrography or ultrasonography at 6 or 12 months after surgery. RESULTS: The HA/CMC injection group showed faster recovery of forward flexion at 2 weeks postoperatively than the control group but the difference was not statistically significant (p = 0.09). There were no significant difference in pain VAS, internal rotation, external rotation and functional scores between two groups at each follow-up period. The functional scores improved 6 months after surgery in both groups but there were no differences between the two groups. The incidence of unhealed rotator cuff was similar in the two groups. There were no complications related to an injection of anti-adhesive agents including wound problems or infections. CONCLUSIONS: A subacromial injection of an anti-adhesive agent after arthroscopic rotator cuff repair tended to produce faster recovery in forward flexion with no adverse effects on cuff healing. However, its anti-adhesive effects after rotator cuff repair should be considered carefully with further studies.
Adult ; Aged ; Arthroscopy/*adverse effects/*methods ; Carboxymethylcellulose Sodium ; Drug Carriers ; Female ; Humans ; Hyaluronic Acid/adverse effects/*therapeutic use ; Male ; Middle Aged ; Pain ; Prospective Studies ; Range of Motion, Articular ; Recovery of Function ; Rotator Cuff/injuries/*surgery ; Shoulder Joint/physiology ; Tissue Adhesions/*prevention & control ; Treatment Outcome ; Viscosupplements/adverse effects/*therapeutic use

The incidence of traumatic rupture of the tracheobronchial tree has been increased considerably with advent of widespread mechanization and high speed era. Rupture of the bronchus is an unusual result of nonpenetrating trauma to chest. Early diagnosis and primary repair not only restore normal lung function but also avoid difficulties and complications associated with delayed diagnosis and repair. These complications are pneumonia, atelectasis and lung abscess secondary to the bronchial obtruction. We experienced a case of partial rupture on left main bronchus caused by nonpenetrating blunt chest trauma with rib fractures 1 year ago. He was suffered from progressively developing dyspnea on exercise and treated as bronchial asthma at other hospital. Bronchoscopic finding was the narrowed lumen of left main bronchus at 1cm from carina by web-like membrane. We confirmed by bronchogram and repaired by end to end anastomosis, which is rare delayed finding in bronchial rupture without pulmonary complications. We report a case of nonpenetrating traumatic bronchial rupture, manifested by bronchial web in bronchoscopy.
Asthma ; Bronchi ; Bronchoscopy* ; Delayed Diagnosis ; Dyspnea ; Early Diagnosis ; Incidence ; Lung ; Lung Abscess ; Membranes ; Pneumonia ; Pulmonary Atelectasis ; Rib Fractures ; Rupture* ; Thorax* ; Trees

Two cases of ureteral reconstructive surgery experienced recently are presented : left complete ureteral duplication associated with ureterocele and vesicoureteral reflex and left ureteral stricture due to urinary tract tuberculosis. In the first case, left ureterocelectomy was performed with ureteroureterostomy and ureteroneocystostomy. In the second case, portion of the left ureteral stricture was excised followed by end-to-end anastomosis of the same ureter with good result.
Constriction, Pathologic ; Reflex ; Tuberculosis ; Ureter ; Ureterocele ; Urinary Tract

Statistical observation was made on in-patients in the Department of Urology. Presbyterian Medical Center, Taegu, Korea, during the period from August 1. 1970 through July 31, 1978. 1. Among 1.987 cases of in-patients, 1,505 cases were male and 481 cases were female with a ratio of 3.1: 1. Most common diseases were ureter stones (14.88%), renal tbc. (7. 74%) , bladder tumors ( 7.18%), and B. P. H. (5.7 %) in order. 2. Of 1.987 in-patients, operation was done in 1.532 cases ( 76. 3 %).3. Of 1.532 operation cases, T. U. R. ( 15. 27%) was the most common operation : nephrectomy (11.49%), ureterolithotomy (10.31%) and hydrocelectomy (6.72 %) were performed.
Daegu ; Female ; Humans ; Korea ; Male ; Nephrectomy ; Protestantism ; Ureter ; Urinary Bladder Neoplasms ; Urology*

Gastrointestinal (GI) tract metastasis of primary breast cancer is very rare. We present a patient with small bowel obstruction from distant metastasis of primary breast cancer. Each characteristic features of concern of GI tract distant metastasis from many pervious studies has been reported differently. We should remember that GI tract metastasis may coexist when patients with breast cancer have intermittent or recurrent abdominal pain with or without obstructive symptoms.
Abdominal Pain ; Breast Neoplasms ; Breast ; Gastrointestinal Tract ; Humans ; Intestinal Obstruction ; Neoplasm Metastasis ; Neoplasm Recurrence, Local