BACKGROUND: During breast augmentation, the transaxillary approach provides the advantage of allowing the mammary prosthesis to be placed through incisions that are remote from the breast itself, thereby reducing the visibility of postoperative scars. For patients experiencing capsular contracture who do not want additional scars, the previous transaxillary scar can be used for site change and implant exchange. METHODS: This study analyzed 17 patients (34 breasts) with submuscular breast implants with grade III-IV capsular contracture who received treatment from 2010 to 2015. The mean age of the patients was 29 years (range, 20–38 years). The inclusion criterion was a pinch test of more than 3 cm at the upper pole of the breast. Previous axillary scars were used to expose the pectoralis fascia, and submuscular breast implants were removed carefully. The dissection underneath the pectoralis fascia was performed with endoscopic assistance, using electrocautery under direct visualization. RESULTS: The mean follow-up period was 14 months (range, 6–24 months). The entire dissection plane was changed from the submuscular plane to the subfascial plane. Round textured gel implants were used, with a mean implant size of 220 mL (range, 160–300 mL). Two patients developed grade II capsular contracture. There were no cases of malposition or asymmetry. Three patients complained of minor implant palpability. None of the patients required additional surgery. CONCLUSIONS: Endoscopic subfascial conversion may be an effective technique for treating capsular contracture and avoiding scarring of the breast in selected patients.
Axilla ; Breast Implants* ; Breast* ; Cicatrix ; Contracture ; Electrocoagulation ; Endoscopes ; Fascia ; Female ; Follow-Up Studies ; Humans ; Mammaplasty ; Prostheses and Implants ; Reoperation

Tracheobronchial disruption is a rare injury associated with blunt trauma, and for proper management, accurate diagnosis is essential. We describe a case of isolated tracheal rupture following blunt trauma, and the related CT findings, including details of the injury site. Preoperative bronchoscopy was not performed, but the patient immediately underwent surgery, which was successful. This case demonstrates that CT scanning is very helpful both for diagnosis of tracheobronchial injury and for delineation of the exact injury site.
Bronchoscopy ; Diagnosis* ; Humans ; Rupture* ; Tomography, X-Ray Computed

PURPOSE: Treatment of impotence has advanced considerably by an orally active, effective and well-tolerated drug, sildenafil citrate. However, Sildenafil citrate is not so effective for the treatment of severe organic impotence patients. Intracavernosal injection of vasoactive substance is still the most effective therapy for those patients but side effects, e.g. pain, priapism, require a more comfortable therapy. We performed this study to assess the feasibility of sildenafil citrate as a new intracavernosal agent. MATERIALS AND METHODS: In New Zealand white male rabbits (n=11), relaxations of precontracted cavernosal smooth muscle strips were studied after administration of sildenafil citrate, acetylcholine and sodium nitroprusside (SNP), respectively. In separate in vivo experiment, changes of intracavernosal pressure (ICP), duration of increased ICP and changes of systemic arterial blood pressure after retrograde selective internal pudendal arterial administration of four separate doses (0.1 mg, n=5; 0.3 mg, n=6; 0.5 mg, n=7; 1.0 mg, n=7) of sildenafil citrate were monitored in adult male cats (n=25). RESULTS: Acetylcholine, SNP and sildenafil citrate effectively relaxed the precontracted strips in a dose-dependent manner (3x10 8-3x10 3 M), respectively. Maximal relaxation of strips to acetylcholine, SNP and sildenafil citrate were 50.11%, 98.65%, and 68.32%, respectively. The order of potency was acetylcholine Acetylcholine ; Adult ; Animals ; Arterial Pressure ; Cats ; Citric Acid* ; Erectile Dysfunction ; Humans ; Male ; Muscle, Smooth ; New Zealand ; Nitroprusside ; Penis ; Priapism ; Rabbits ; Relaxation ; Sildenafil Citrate

PURPOSE: Food intake of COPD patients decreases because of appetite loss, depression, and breathing problems while eating, which increase the likelihood of patients becoming malnourished. This study investigated the nutrient intake and dietary quality of people with and without COPD in Korea. METHODS: There were 2,160 adults aged 50 and over who participated in the 5~6th Korea National Health and Nutrition Examination Survey. The subjects were divided into the COPD group and non-COPD group according to the rate of forced expiratory volume at 1 second (FEV1) against forced vital capacity (FVC). Consumption of food and nutrients were calculated based on the nutrition examination survey. Statistical analyses were conducted using SPSS 19.0. RESULTS: Among individuals in their 50s, intake of vitamin B1 in the COPD group was significantly less than the NCOPD group, while intake of sodium in the COPD group was significantly greater than the NCOPD group. Among individuals in their 60s, the energy intake of the COPD group was significantly less than that of the NCOPD group. The COPD group showed significantly less intake of vitamin B1 and vitamin C, but greater intake of sodium than the NCOPD group. In the group aged 70 and over, The COPD group had significantly less intake of vitamin B1 than the NCOPD group and showed lower nutrient adequacy ratio values in protein, vitamin B1, vitamin B2, and iron than the NCOPD group. CONCLUSION: The COPD group consumed less energy and certain nutrients, and their dietary quality was poor compared to the NCOPD group. Thus, more detailed research is required to understand the concrete relationship between COPD and malnutrition.
Adult* ; Appetite ; Ascorbic Acid ; Depression ; Eating ; Energy Intake ; Forced Expiratory Volume ; Humans ; Iron ; Korea* ; Malnutrition ; Nutrition Surveys* ; Nutritional Status ; Pulmonary Disease, Chronic Obstructive* ; Respiration ; Riboflavin ; Sodium ; Thiamine ; Vital Capacity

OBJECTIVE: To evaluate the effects of age, height, weight, body mass index (BMI), diabetes mellitus, osteoporosis, smoking and alcohol on postural sway (PS) and limb load asymmetry (LLA) in the rural inhabitants in Korea METHOD: Nine hundred and sixty inhabitants were included in this study. PS and LLA were recorded while the subjects were standing on two adjacent force platforms (Mediance(R); Human-Tech Inc, Korea) in a comfortable stance for 30 seconds. Bone mineral density was measured in the right calcaneus by ultrasonography (Sahara(R); Hologic Inc, USA). History of diabetes and smoking were taken through interview. RESULTS: PS and LLA were correlated with age (p<0.01). There were significant decreases in PS and LLA in the young age-group (p<0.01). There was no significant difference in PS and LLA in terms of sex, osteoporosis, height, weight, BMI and smoking. There was a significant difference in LLA (p<0.05) but no difference in PS between diabetic and normal groups. CONCLUSION: PS and LLA may be related with ageing. Diabetic group may have higher LLA than normal group. However, sex, osteoporosis, height, weight, BMI, and smoking may not affect on PS and LLA.
Body Weight ; Bone Density ; Calcaneus ; Diabetes Mellitus ; Extremities* ; Korea* ; Osteoporosis ; Smoke ; Smoking ; Ultrasonography

OBJECTIVE: The purpose of this study was to estimate the effects of a jazz dance program on musculoskeletal pains of female telephone operators. METHOD: Ten female telephone operators with neck and upper extremity discomfort were studied. The jazz dance program was carried out three times a week for 12 weeks. The effect of the jazz dance program was assessed with visual analogue scale (VAS) and the pressure thresholds of muscles of right neck and shoulder (the upper trapezius, rhomboideus, infraspinatus, and levator scapulae) with pressure algometer before and after exercise in every week. RESULTS: There was significant increase of the pressure thresholds on four muscles of right neck and shoulder (p<0.05). There was significant decrease of the averages of VAS of neck and upper extremity (p<0.05). CONCLUSION: Jazz dance program is an effetive tool for the prevention and treatment of musculoskeletal pains in Visual Display Terminal (VDT) workers.
Computer Terminals ; Female ; Humans ; Muscles ; Musculoskeletal Pain* ; Neck ; Shoulder ; Superficial Back Muscles ; Telephone* ; Upper Extremity

The purpose of this study were to obtain the prevalence of the physically disabled order as a basic data for the planning of Community-Based Rehabilitation in a rural community and to evaluate the seventy of the physically disabled by according to the physical disability grade. The total residents in the community were surveyed to in May 1996. The prevalence of the physically disabled was 6.92% of the total population. The male: female ratio was 1:0.7. The most freguent age for the on set of physical disability was sixties and this group represented 35.5% of all physical disabilities. The majority of the physically disabled was graded an 10 th, 11 th, 12 th grade. The prevalence of the physically disabled in this study was higher than that a the previous study due to the inclurion of more mild disability groups were important in the prevalence of the physically disabled.
Disabled Persons* ; Female ; Humans ; Male ; Prevalence* ; Rehabilitation ; Rural Population*

OBJECTIVE: To investigate a characteristics of short physical performance battery (SPPB) in some Korean rural community and to obtain a preliminary data of SPPB in Korea. METHOD: A total of 488 persons aged 22 to 82 with no disability, interviewed and administered a SPPB and a balance test using Mediance(R). Subjects were divided into 3 groups with high (less than 6 points), medium (7 to 9 points) and low (10 to 12 points) risk groups according to SPPB score. Lower extremity performance was measured using SPPB including assessment of standing balance, a timed 4-m walk, and timed test of rising 5 times from a chair. Chronic condition were ascertained as self-report of past disease history. The relationship between general characteristics of subjects, self-report of past history of disease, limb load asymmetry, postural sway and SPPB score were statistically analyzed. RESULTS: In a multivariate analysis, older age, lower educational background and high body fat mass were associated independently with poor performance. In a multivariateanalysis of subjects aged 60 or older, older age, lower educational background and history of hypertension were associated independently with poor performance. CONCLUSION: These findings should be considered in planning specially tailored intervention for disability prevention in this subgroups. And this study provides the preliminary evidence that a SPPB is a useful tool in evaluating Korean elderly who are not disabled but have poor lower extremity performance.
Adipose Tissue ; Aged ; Extremities ; Humans ; Hypertension ; Lower Extremity ; Multivariate Analysis ; Rural Population

OBJECTIVE: This study is designed to evaluate the relationship between bone mineral density (BMD) and life-style factors such as physical activity, smoking, and alcohol consumption and to offer the information for the modification of life-style. METHOD: Eight hundred and sixty nine inhabitants (354 males and 515 females whose age was 55.0+/-13.9 years- old) were participated in this study. BMD was measured in the right calcaneus by quantitative ultrasound (Mark 6000(R), Medison). Amount of physical activity, smoking, and alcohol consumption were got through the closely designed interview. Independent sample T-test and simple regression were used for data analysis. RESULTS: Amount of physical activities were 2656.8+/-732.3 cal/day, smokers were 329 persons (37.9% of inhabitants), and amount of alcohol consumption were 26.2+/-53.3 g/day. Increasing the amount of physical activity, BMD showed significantly higher T-score (p<0.01). Increasing the amount of alcohol consumption, BMD showed significantly lower T-score (p<0.01). BMD in smokers appeared significantly lower T-score than non-smokers (p<0.01). CONCLUSION: Life-style factors significantly effect on bone mineral density. Therefore prevention of osteoporosis through maintenance or augmentation of BMD needs proper physical activity, cessation of smoking, and no heavy drinking.
Alcohol Drinking ; Bone Density* ; Calcaneus ; Drinking ; Female ; Humans ; Male ; Motor Activity ; Osteoporosis ; Smoke ; Smoking ; Statistics as Topic ; Ultrasonography

PURPOSE: The purpose of this study is to search for factors which can help in deciding on proper treatment for patients who visit the Emergency department (ED) with symptoms of foreign body ingestion. METHODS: This study was a retrospective review of medical records of ED patients with primary symptoms of foreign body ingestion. The patients' demographic data, elapsed time since the ingestion, type of foreign body, symptoms, and the method of removal were analyzed. Receiver operating characteristic (ROC) curve was used for analysis of whether these factors can be used to decide on proper treatment. RESULTS: Among 321 patients, a foreign body was removed successfully in 285 patients and the foreign body was not found in the remaining 36 patients. Of the successfully treated cases, 76 were removed grossly, 133 were removed using a laryngoscope, 74 were removed with endoscopy, and 2 were removed spontaneously. Comparing the group in which a foreign body was found and the other group, there was a significant difference in elapsed time since the onset of symptoms (p=0.013) and the type of foreign body (p=0.001). There was no significant reliable factor which can predict the existence of a foreign body. CONCLUSION: There was no significant factor which can predict the existence of a foreign body. Considering that the foreign body was found in most suspected patients, and that numerous patients in which a foreign body was not found had shown signs of complications due to foreign body, constructive treatment should be advocated.
Adult* ; Eating* ; Emergencies* ; Emergency Service, Hospital* ; Endoscopes ; Endoscopy ; Foreign Bodies ; Gastrointestinal Tract* ; Humans ; Laryngoscopes ; Medical Records ; Retrospective Studies ; ROC Curve