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The basic criteria of facial reconstruction with the flap are consisted of easy and wide applicability, good color and texture matching to the face and reliable anatomical basis. On these points, the submental island flap is superior to other regional flaps such as tissue expansion technique and free flaps It is based on the submental vessels branching from the facial vessels located at the medial groove of submandibular gland. Its pedicle has a reliable course along the inferior border of mandible with a constant distance and its perforator(s) is (are) located at the submental area around the anterior belly of digastric muscle. We report on its use in 4 cases of facial resurfacing on the cheek, the preauricular area and the nose in arteriovenous malformation and malignant skin cancer patients. The mylohyoid and anterior belly of digastric muscles could be included within the flap and the reverse submental island flap was also useful for obtaining the wide rotation of arc. The mean follow-up period was 8.3 months and the results were satisfactory to the patients. The submental island flap is reliable flap for facial resurfacing because of its good color and texture, acceptable donor scars, and thin, flexible flap. The flap also can incorperate with the skin, the muscle, and the bone in case of complicated facial defects. The long vascular pedicle also enables a wide applicability of the flap And also it can be used as a free flap, expanded flap and reverse island flap for the facial resurfacing.
Arteriovenous Malformations ; Cheek ; Cicatrix ; Follow-Up Studies ; Free Tissue Flaps ; Humans ; Mandible ; Muscles ; Nose ; Skin ; Skin Neoplasms ; Submandibular Gland ; Tissue Donors ; Tissue Expansion

8.Clinical analysis of intussusception in infants and children.

Young Il YANG ; Tae Seok LEE ; Soo Myong OH

Journal of the Korean Surgical Society 1993;45(5):870-876

9.A Case of Nodular Amyloidosis.

Seok Ki JUNG ; Seung Ho CHANG ; Tae Young YOON

Annals of Dermatology 1999;11(1):47-50

A 38-year-old male patient visited our clinic complaining of three skin lesions on the scalp. There were yellowish to brownish, waxy, non-tender, walnut-sized nodules. Hematoxylin and eosin staining revealed amorphous pinkish material deposits in the dermis. The Congo red stain and Dylon stain under polarizing microscopy showed yellow-green birefringence and the immunoglobulin-lambda light chain stain showed a positive reaction. An electron microscopic examination revealed filaments with uniform diameter(6 to 10nm) that were straight and neither branched nor anastomosed. Based on the clinical, histopathological, immunohistochemical and electron microscopical findings, the skin lesions were diagnosed as nodular amyloidosis.
Adult ; Amyloidosis* ; Birefringence ; Congo Red ; Dermis ; Eosine Yellowish-(YS) ; Hematoxylin ; Humans ; Male ; Microscopy ; Scalp ; Skin

10.Photon Defects due to Residual Barium in the Colon Simulating Cold Bone Metastasis in Two Patients with Extraskeletal Cancer.

Seok Tae LIM ; Min Woo KIM ; Myung Hee SOHN

Korean Journal of Nuclear Medicine 2002;36(5):314-316

1.The Usefulness of Bone Scintigraphy in SAPHO Syndrome.

2.Accumulation of Ga-67 in Metastatic Pulmonary Nodules from a Moderately Differentiated Adenocarcinoma of the Rectum.

3.Vascular Calcification of the Lower Extremities Demonstrated by Tc-99m MDP Bone Scintigraphy in a Patient with Diabetes Mellitus.

4.Hot Spots on Tc-99m MAA Perfusion Lung Scan.

5.The three cases of fungal peritonitis due to trichosporon beigelii during continuous ambulatory peritoneal dialysis.

6.The three cases of fungal peritonitis due to trichosporon beigelii during continuous ambulatory peritoneal dialysis.

7.Facial reconstruction with submental island flap.

8.Clinical analysis of intussusception in infants and children.

9.A Case of Nodular Amyloidosis.

10.Photon Defects due to Residual Barium in the Colon Simulating Cold Bone Metastasis in Two Patients with Extraskeletal Cancer.

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