No abstract available.
Cystectomy* ; Lasers, Gas* ; Volatilization*

A teenaged female was found dead in front of a three story building. Blunt force injuries were found mainly in the right upper-posterior part of the body. Autopsy findings revealed basal skull fracture, multiple rib fractures of the right thoracic cage, both scapular fractures and right iliac bone fracture. Additionally, typical so-called 'tramline'bruises were bilaterally noted at buttocks. The hymen was intact, but showed mucosal hemorrhage. After the personal identity was revealed, the police could find a witness who heard the detailed description of the criminal acts from one of the suspects. According to the witness, the deceased was pushed by two other teenaged girls from the concrete fence of the roof floor after the suspects molested the genitalia of the deceased and beat on the buttocks with a wooden stick. Mathematical estimation of the height of fall based on the severity of injuries correlates with that of the three story building. Authors suggest that a careful examination of injury patterns is required to differentiate homicidal falls from suicidal or accidental ones. Furthermore, application of mathematical model might be helpful to estimate the height of falls or correlate the assumed height of fall with severity of injuries.
Accidental Falls ; Autopsy ; Buttocks ; Contusions ; Criminals ; Female ; Floors and Floorcoverings ; Forensic Pathology ; Fractures, Bone ; Genitalia ; Hemorrhage ; Homicide ; Humans ; Hymen ; Models, Theoretical ; Police ; Rib Fractures ; Skull Fractures ; Wit and Humor as Topic

PURPOSE: An anatomical study concerning the location of the perforators to the posteromedial thigh perforator flap was done for the purpose of clinical application, and reconstruction using this flap was undergone for 3 patients with ischial sores. METHODS: The authors dissected 6 cadavers, measuring the distance between the perforator of the posteromedial thigh perforator flap and the extended line of the inguinal crease. The location of the perforator was studied using this data. In the 3 cases mentioned above, perforators were traced using Doppler ultrasonography and the sores were reconstructed with posteromedial thigh perforator flaps. Anatomical study results showed that posteromedial thigh perforators were found 77+/-18.9mm below the extended line of the inguinal crease. Application of the flap in the 3 patients was successful. CONCLUSION: The perforator to the posteromedial thigh perforator flap was found to be located in a relatively consistent position. Since this flap is also comparatively easy to elevate and mobilize, and shows low donor site morbidity, it is considered to be very useful in the treatment of ischial sores.
Cadaver ; Humans ; Perforator Flap ; Thigh ; Tissue Donors ; Ultrasonography, Doppler

The auricle, which has a subtle structure, is an element that conveys signs of age or sex and decides the facial characteristic. The anatomy of the auricle differs in each individual as well as in each race. Therefore, the anatomy of the auricle can be useful for physical anthropologist to classify the race of a person or for a forensic anthropologist to identify the body of dead person. Also, a standard measurement of a normal ear is required for plastic surgeons to reconstruct an ear or artists to express the ear. Studies on the auricle of Caucasians and Koreans have been reported. However, further study on the classification of the location and shape of the auricle is necessary. The authors investigated the metric and non-metric characteristics to obtain basic data that display physical anthropologic features. Seven hundreds and thirty three Koreans under 39 years old and over 18 years old were examined. Metric items investigated were the length of the auricle, width of the auricle, morphological width of the ear, physiognomic ear length, physiognomic ear breadth, morphologic ear breadth, length of the ear cartilage, length of the ear lobule, and the height of the tragus. Non-metric items investigated were the location of the ear, shape of the helix and antihelix, and the attaching shape of the lobule. According to the metric results, all measured values were significantly greater in males than females, and there was a sexual difference except the width of the auricle, length of the ear lobule, and the height of the tragus. In non-metric results of the auricle, cases where the superaurale was located at the upper area of the eyebrow line and cases where the superaurale was between the eyebrow line and the upper eyelid showed similar rates among males. However, in 87.5% of the female group, the superaurale was located between the eyebrow line and the upper eyelid. The major shape of the helix were oval type (32.6%) and quadrilateral type (30.5%) in males, but oval type (32.7%) and triangular type (33.0%) in females. We believe that the data obtained in this study have generated standard measurements for ear reconstruction and can be used as basic data that show physical anthropologic characteristics of the Korean auricle.
Adolescent ; Adult ; Anthropology ; Classification ; Continental Population Groups ; Ear ; Ear Cartilage ; Eyebrows ; Eyelids ; Female ; Head ; Humans ; Male ; Young Adult*