No Abstract Available.
Cicatrix* ; Cleft Lip* ; Congenital Abnormalities* ; Nose*

Neuromyelitis Optica(Devic's Disease) is characterized by a disease process that is relatively afebrile and strictly limited to the spinal cord and optic nerves. We experienced a case of neuromyelitis optica characterized by binocular blindness and paresthesia below the umbilicus level with paraplegia of both lower legs associated with urinary incontinence and defication difficulty. We report above case with brief review of literatures.
Blindness ; Leg ; Neuromyelitis Optica* ; Optic Nerve ; Paraplegia ; Paresthesia ; Spinal Cord ; Telescopes ; Umbilicus ; Urinary Incontinence

Conventional Conjunctivodacryocystorhinostomy[CDCR]which is performed for canalicular obstruction or failed DCR, is well known as one of the most effective treatment modalities. The authors compared surgical results of endoscopic with those of conventional method to evaluate advantages of endoscopic method over conventional CDCR and important success factors. Primary success rates were 90%[86/96]in endoscopic method and 86%[214/217]in conventional method. Final success rates were 97%[93/96]and 96%[237/247]in endoscopic and conventional method, respectively[p>0.05]. We considered that endoscopic method was superior to conventional method in accurate measurement of Jones tube length at the time of endoscopic operation. It was considered the most important success factor.

We studied the relationship among hypertension and retinal and retinal vessel change of 200 hypertensive out and in patients in Seoul Red Cross Hospital. The results are: 1) About 50% of hypertensive patients fall in 2nd stage hypertensive retinopathy. Systolic blood pressure is proportion to hypertensive retinopathy. 2) Generalized narrowing accounts for 86% of retinal vessel change, focal constriction 36.5% and increased central reflex accounts for 68%. 3) Concealment account for 57.5% of A-V crossing sign and anterior displacement accounts for 34%. 4) The commonest site of A-V crossing is inferior-temporal branch and superior-temporal branch come after. The former accounts for 45.3% of A-V crossing and the latter accounts for 36.8%. 5) In grade m retinal changes, puntate hemorrhage accounts for 30. 6% of retinal hemorrhages, flame shaped hemorrhages 32.1% punctate exudates 32.1% and cotton-wool patches accounts for 39%.
Blood Pressure ; Constriction ; Exudates and Transudates ; Hemorrhage ; Humans ; Hypertension* ; Hypertensive Retinopathy ; Red Cross ; Reflex ; Retinal Hemorrhage ; Retinal Vessels ; Retinaldehyde ; Seoul

Craniosynostosis is the term that designates premature fusion of one or more sutures in either cranial vault or cranial base. Strip craniectomy had been recorded in the literature before the turn of the century, and remarkable improvements in the correction of the craniosynostosis have taken place. Various surgical methods including frontal bone advancement and cranial vault remodeling have been developed in an effort to correct craniosynostosis. However, the standardized surgical method has not yet been established. Distraction osteogenesis had been developed by Ilizarov to elongate bones without bone graft and the technique was developed so as to lengthen the long bones. Karp and McCarthy reported successful membranous bone lengthening with external devices and noted that cortical bone formed in the expanded area of the mandible. In the field of cranial vault, the technique has been successfully used by Sugawara and many efforts are made to improve cranial vault deformities. There are two possible modes of bone regeneration in case of patients for whom gradual distraction of cranial vault is performed. Bone regeneration of cranial vault may occur from the cut edges of calvaria(distraction osteogenesis) or from islands within the dura mater. We have experienced four patients with craniosynostosis who had undergone surgical correction using distraction device. Because we believed that latent period was not an important factor, we could early initiate distraction schedule. All patients obtained satisfactory results and no relapse was observed during the follow-up period. In conclusion, we believe that latent period would not be an important factor in distraction osteogenesis of cranial vault and the distraction osteogenesis by gradual distraction is useful for the correction of craniosynostosis.
Appointments and Schedules ; Bone Lengthening ; Bone Regeneration ; Congenital Abnormalities ; Craniosynostoses* ; Dura Mater ; Follow-Up Studies ; Frontal Bone ; Humans ; Islands ; Mandible ; Osteogenesis, Distraction* ; Recurrence ; Skull Base ; Sutures ; Transplants