1.Midplantar Fasciocutaneous Flap Done for the Defect of the Hinfoot in Explosive Wound
Jung Ham YANG ; Won Mo YANG ; Seung Ki JEONG ; Min Sung KIM
The Journal of the Korean Orthopaedic Association 1988;23(6):1494-1500
The hindfoot in the human body is known to play an important function for weight bearng, shock absorption and locomotion. The defect of hindfoot presents serious problems of the leg length discrepancy and weight bearing. Therefore, it is essential to reconstruct the defect of hindfoot. Up to date, many surgical modalities from a skin graft to the innervated osteocutaneous flap have been developed, but a completely satisfactory method of reconstruction has not been found. The ideal reconstructive method should provide sufficient padding tissue and sensibility. In the Department of Orthopaedic Surgery, capital Armed Forces General Hospital, two cases of hindfoot defect due to explosion were reconstructed by the midplantar fasciocutaneous flap with free iliac bone graft. The results of our procedure were very acceptable one year after the operations.
Absorption
;
Arm
;
Explosions
;
Hospitals, General
;
Human Body
;
Leg
;
Locomotion
;
Methods
;
Shock
;
Skin
;
Transplants
;
Weight-Bearing
;
Wounds and Injuries
2.Clinical observations on human rotavirus gastroenteritis.
Seung Ryong HAN ; Seung Hyun SEO ; Ki Sik MIN ; Jong Wan KIM ; Kwang Nam KIM ; Ki Yang RYOO
Journal of the Korean Pediatric Society 1992;35(2):226-233
No abstract available.
Gastroenteritis*
;
Humans*
;
Rotavirus*
3.Location of maxillary intraosseous vascular anastomosis based on the tooth position and height of the residual alveolar bone: computed tomographic analysis.
Seung Min YANG ; Seung Beom KYE
Journal of Periodontal & Implant Science 2014;44(2):50-56
PURPOSE: The aims of this study were to measure the distance of the intraosseous vascular anastomosis in the anterolateral wall of the maxillary sinus from different reference points, and to correlate the location of the intraosseous vascular anastomosis with the tooth position and the residual bone height of the maxilla. METHODS: Computed tomography (CT) images were taken from 283 patients undergoing dental implants placement in the posterior maxilla. Three horizontal lines were drawn at the ridge crest, maxillary sinus floor, and the position of the anastomosis. A vertical second line at the center of each tooth was drawn perpendicular to the horizontal lines. The distance from the ridge crest to the maxillary sinus floor and the distance from the maxillary sinus floor to the bony canal were measured from the intersections of the horizontal and vertical lines. The residual alveolar bone height was used to categorize three groups: group 1,<4 mm; group 2, between 4 and 8 mm; and group 3, >8 mm. RESULTS: The residual bone height values of different tooth positions were significantly different (P=0.0002). The distance from the maxillary sinus floor to the intraosseous vascular anastomosis was significantly different between groups 1 and 3 (P=0.0039). At the molar sites, a moderate negative correlation was found between the residual bone height and the distance from the maxillary sinus floor to the intraosseous anastomosis. The distances of the alveolar ridge crest and the maxillary sinus from the intraosseous vascular anastomosis were not significantly different between sexes. CONCLUSIONS: Within the limitations of this study, sites with a higher residual bone height in the molar regions were at a relatively high risk of artery damage during window osteotomy preparation; therefore, we recommend taking more precautions when using a lateral approach for sinus elevation.
Alveolar Bone Loss
;
Alveolar Process
;
Arteries
;
Dental Implants
;
Humans
;
Maxilla
;
Maxillary Artery
;
Maxillary Sinus
;
Molar
;
Mouth, Edentulous
;
Osteotomy
;
Sinus Floor Augmentation
;
Tomography, X-Ray Computed
;
Tooth*
4.Clinical Study of the Risk Factors of Recurrence after the Antiepileptic Drug Discontinuation in Childhood Epilepsy.
Young Eun LEE ; Byung Ho CHA ; Whang Min KIM ; Jae Seung YANG ; Jong Soo KIM
Journal of the Korean Child Neurology Society 1997;5(1):31-37
59 children seen from Jan. 1990 to Jun. 1994 with epilepsy were retrospectively reviewed to evaluate the tendency of recurrence and the risk factors after the antiepileptic drug discontinuation. The population consisted of 59 children who were seizure free for more than 2 years and followed up for more than 1 year after the discontinuation via department of pediatrics, Yonsei University, Wonju College of Medicine. We analyzed risk factors of recurrence(age of seizure onset, seizure frequency before treatment, interval from seizure onset to start of treatment, duration from neurologic disorders, and EEG done just before discontinuation) between non-recurrent group(43 patients) and recurrent group(16 patients). The results were as follows: 1) In 59 patients with epilepsy, 16(27.1%) patients showed recurrence after the discontinuation and 14(87.5%) patients of those were developed during taperring and within less than 1 year. The probability of recurrent seizure by Kaplan-Meier curve at 12 and 24 months after discontinuation are 23.7% and 33.6% respectively. 2) There were significant differences on seizure frequency before treatement, duration from start of treatment to control (9.5months vs 31.1months), and associated neurologic disorders(11.6% vs. 56.2%) between non-recurrent and recurrent group. 3) There were no significant differences on age at seizure onset(70.6 months vs. 58.5months), interval from seizure onset to start of treatment(9.5months vs. 6.6months), length of seizure free(49.7months vs 39.3months), abnormal EEG finding done just before withdrawal(23.2% vs. 25.0% ) between non-recurrent and recurrent group.
Child
;
Electroencephalography
;
Epilepsy*
;
Gangwon-do
;
Humans
;
Nervous System Diseases
;
Pediatrics
;
Recurrence*
;
Retrospective Studies
;
Risk Factors*
;
Seizures
5.Three Cases of Transverse Myelopathy.
Hae Joung JOUNG ; Hwang Min KIM ; Jae Seung YANG ; Baek Keun LIM ; Jong Soo KIM
Journal of the Korean Pediatric Society 1990;33(10):1418-1422
No abstract available.
Spinal Cord Diseases*
6.A case of primary pulmonary hypertension.
Sang Woo LEW ; Hae Yong LEE ; Hwang Min KIM ; Jae Seung YANG ; Jong Soo KIM
Journal of the Korean Pediatric Society 1993;36(10):1452-1457
We have experienced a 14 year old female patient who had suffered from headache, dizziness, exertional dyspnea and chest pain during 6 months. She was diagnosed as primary pulmonary hypertension by ultrasonogram and cardiac cathererization. On the cardiac catheterization, there was elevated pulmonary artery pressure and normal pulmonary wedge pressure. We report this case with related literature review.
Adolescent
;
Cardiac Catheterization
;
Cardiac Catheters
;
Chest Pain
;
Dizziness
;
Dyspnea
;
Female
;
Headache
;
Humans
;
Hypertension, Pulmonary*
;
Pulmonary Artery
;
Pulmonary Wedge Pressure
;
Ultrasonography
7.A Case of Malignant Pheochromocytoma in Child.
Seung Ok YANG ; Min Ho KANG ; Hyung Jin KIM ; Tae Sun PARK
Korean Journal of Urology 2000;41(6):799-802
No abstract available.
Child*
;
Humans
;
Pheochromocytoma*
8.Prophylactic Effect of Diazepam to Prevent Recurrent Febrile Seizure.
Seung Eun CHOI ; Ki sik MIN ; Jong Wan KIM ; Kwang Nam KIM ; Ki Yang RYOO
Journal of the Korean Pediatric Society 1995;38(5):685-691
No abstract available.
Diazepam*
;
Seizures, Febrile*
9.Three cases of purpura fulminans.
Sun Hee SUH ; Hwang Min KIM ; Jae Seung YANG ; Baek Keun LIM
Journal of the Korean Pediatric Society 1993;36(5):725-732
Purpura fulminans is one of rare consumptive coagulopathy in children. The most common predisposing conditions of purpura fulminans are infectious disease like streptococcal infection and chickenpox. This disease is characterized by ecchymotic lesions that are usually distributed symmetrically on the lower extremities and buttocks. These ecchymotic lesions undergo necrosis, unless there is effective treatment. We experienced 3 cases of purpura fulminans which improved almost completely after early heparin administration. In the case 1, a 12 month old girl, purpura fulminans developed during sepsis and gastroenteritis. In the case 2, a 4 month old boy, purpura fulminans developed during acute sepsis. We reported 3 cases with a brief review of related literature.
Buttocks
;
Chickenpox
;
Child
;
Communicable Diseases
;
Dacarbazine
;
Female
;
Gastroenteritis
;
Heparin
;
Humans
;
Infant
;
Lower Extremity
;
Male
;
Necrosis
;
Purpura Fulminans*
;
Purpura*
;
Sepsis
;
Streptococcal Infections
10.Diagnostic Significance of Red Cell Indices in Non-anemic Iron Deficiency and Iron Deficiency Anemia: Reevaluation with ROC Curve.
Hwang Min KIM ; Won Kyu CHOI ; Jae Seung YANG ; Jong Soo KIM
Journal of the Korean Pediatric Society 1994;37(1):33-39
To validate the diagnostic significance of red cell indices in non-anemic iron deficiency and iron deficiency anemia, complete blood count, serum iron, total iron binding capacity, and serum ferritin were measured in 208 middle school girls between 13 and 15 years of age. We used Reciever Operatin Characteristic (ROC) curve to compare the diagnostic significances of various red cell indices (MCV, MCH, MCHC, RDW). We also established the ideal cutoff values of red cell indices for the diagnosis of iron deficiency anemia. The results were as follows: 1) The prevalence of iron deficiency anemia and non-anemic iron deficiency were 4.8% and 11.1% respectively. 2) For the diagnosis of iron deficiency anemia, MCV had the highest diagnostic capacity, and MCH was the secondly useful one. 3) For the diagnosis of non-anemic iron deficiency. MCV had the highest diagnostic capacity, but the sensitivity and specificity of the 4 red cell indices(MCV, MCH, MCHC, RDW) were so low that they could not be used as screening or confirmative tests. 4) The sensitivity and specificity of MCV were 1 for the diagnosis of iron deficiency anemia(cutoff value: MCV=79 fl). In case of MCH, the sensitivity was. 1 and the specificity was 0.995 for the diagnosis of iron deficiency anemia(cutoff value: MCH=25pg). In case of MCHC, the sensitivity was 1 and the specificity was 0.69 for the diagnosis of iron deficiency anemia (cutoff value: MCH-33g/dl). In case of RDW, the sencitivity was 0.9 and the specificity was 0.96 for the diagnosis of iron deficiency anemia(cutoff value: RDW=13.5%). With above results, we could conclude that MCV and MCH were very useful screening tests for iron deficiency anemia and MCV could be used as a confirmative test of iron deficiency anemin.
Anemia, Iron-Deficiency*
;
Blood Cell Count
;
Diagnosis
;
Erythrocyte Indices*
;
Female
;
Ferritins
;
Humans
;
Iron*
;
Mass Screening
;
Prevalence
;
ROC Curve*
;
Sensitivity and Specificity