No abstract available.
Adhesives* ; Ear Canal* ; Foreign Bodies*

In modern society we have been gradually interested in the elderly and easily come into contact with many medical favors to enhance the quality of life, and the elderly are gradually increasing owing to the development of the basic science such as new diagnostic machinery, operative technique and development of the therapeutics. However, the variation of the environment has increased the possibility to be exposed to the dangerous factors, and it has given rise to the problems about the quality of the elderly life. It has also greatly enlarged in medical as well as social. Therefore, the frequency of the elderly reconstructive surgery to increase the quality of the elderly life by operation without life or death has increased in plastic surgery. So authors thought that the safe operative study is necessary. We reviewed the case of 102 elderly patients (65 years of age), who were operated during the period from 1988 to 1995, and analyzed the age & sex distribution, classification & distribution of diseases in elderly, operation of plastic & reconstructive surgery in elderly, anesthetic, methods, underlying diseases, and postoperative complications through the patient records. We also examined postoperative function, aesthetic improvement, progression of the quality of life by telephone and analyzed the elderly classification and elderly plastic & reconstructive surgery. The results are as follows : 1. There were benign neoplasm, facial bone fracture, aesthetic surgery, skin and soft tissue defect, complicated diabetic mellitus, malignant ulcer, malignant neoplasm, pressure sore in elderly diseases of plastic & reconstructive surgery. 2. We mainly performed skin graft, flap surgery, ORIF, aesthetic surgery. 3. The recovery rate after postoperative evaluation shows that ; 1) 52% of total interviewee feel that their QOL has improved. 2) 24% of total interviewee feel that their QOL has not changed. 3) 24% of total interviewee feel that their QOL has deteriorated. We report the point at issue and statistical examination with record investigation.
Aged* ; Classification ; Dermatologic Surgical Procedures ; Facial Neoplasms ; Fractures, Bone ; Humans ; Postoperative Complications ; Pressure Ulcer ; Quality of Life ; Sex Distribution ; Skin ; Surgery, Plastic* ; Telephone ; Transplants ; Ulcer

Mycosis fungoides(MF) is a cutaneous T-cell lymphoma of low-grade malignancy characterized by the proliferation of small to medium-sized cerebriform lymphoid cells confined to the skin. It usually shows favorable prognosis, but morphologic transformation occurs in some cases and is often associated with a more aggressive clinical course. Herein we report a case of Ki-1 positive large cell lyrnphoma (Ki-1 LCL) which developed in the plaque stage of mycosis fungoides. Although the lesions responded well to low-dose methotrexate therapy and there was no evidence of local or systemic recurrence until now, continuous follow-up is needed because the prognosis of transformed MF is known to be poor compared with primary cutaneous Ki-1 LCL. We also discussed the differential diagnosis of primary cutaneous Ki-1 positive lymphoproliferative disorders.
Diagnosis, Differential ; Follow-Up Studies ; Lymphocytes ; Lymphoma* ; Lymphoma, T-Cell, Cutaneous ; Lymphoproliferative Disorders ; Methotrexate ; Mycosis Fungoides* ; Prognosis ; Recurrence ; Skin

No abstract available.
Ulcer* ; Uterine Neoplasms*

No abstract available.
Female ; Ovarian Cysts*

No abstract available.
Insulin Resistance* ; Insulin*

Squamous cell carcinoma has occasionally been encountered in orthopedic practice as a complication of chronic osteomyelitis, burn scar and other lesions. The possible occurrence of this secondary change impose difficulty in the diagnosis and management of chronic orthopedic diseases. During 11 years from 1966 to 1976, 16 cases of squamous cell carcinoma were confirmed by histopathological examination and the results of clinical observation on them are summarized here. l. Of 16 patients, men were 15 and woman one. Their average age was 51.3 years 2. The primary lesions in which this malignancy developed were osteomyelitis (5 cases), and scar (5 cases), and scar after extensive laceration (2 cases). In one case no primary lesion was present. 3. Average duration of symptomatology of the primary lesion was 35.4 years in osteomyelitis and 31.2 yeary in burnscar. 4. Location of the lesion was in lower extremity in 15 cases, eight of which were in the leg. 5. Methods of treatment undertaken were; amputation (10 cases), chemotherapy (2 cases), chemotherapy and irradation (1 case). In three no treatment was done because of refusal. 6. The follow-up study was possible in five of them. Of four cases amputated, one was well alive for two years after ablation with no evidence of metastasis, the others two showed spread, to inguinal nodes in one and ribs in the other, after two years and the fourth died of unknown disease after two years. The fifth died, after initial remission with chemotherpy and irradation, of lung cancer after two years.
Amputation ; Burns ; Carcinoma, Squamous Cell ; Cicatrix ; Diagnosis ; Drug Therapy ; Epithelial Cells ; Female ; Follow-Up Studies ; Humans ; Lacerations ; Leg ; Lower Extremity ; Lung Neoplasms ; Male ; Neoplasm Metastasis ; Orthopedics ; Osteomyelitis ; Ribs

Neurofibromat osis is a familial discase with widespread manifestations such as lesions of the skin, tumors of the central and peripheral nervous system and abnormalities of bone. The presence of at least two of the following features was considered for diagnostic criteria; positive family history, positive blopsy, a minimum of six cafe-au-lait spots each with a diameter of at least 1.5 cm and multiple subcutaneous nodules. From January 1971 to December 1979, 17 patients of neurofibromatosis and 30 patients of neuro- fibroma treated at Yonsei Medical Center were clinically analized for the study and the results obtained from this study were as follows; 1. Positive family history was obtained In 2 per cent of cases with neurofibromatosis. 2. Cafe-au-lait spots or tumors were the most common findings in neurofibromatosis. The bone changes were presented in 8 patients(45 per cent) and scoliosis has been In 62.5 per cent of them. 3. The location of the neurofibroma was variable. Central nervous sustem was involved in 40.4 per cent and peripheral nervous system in 59.4 per cent. 4. Myelography and determinations of the cerebro-spinal fluid protein concentration led us to a correct diagnosis of the neurofibroma which involved the spinal cord. For the treatment of the neurofibroma, 9 out of 30 patients were performed laminectomies and excision of the intradural masses, and one of them was flxed the spinous processes with a plate and wires after laminectomy for prevent spinal instability. 5. in 3 patients with progressive scoliosis, the best results were obtained with early Harrington instrumentation and posterior fusion.
Cafe-au-Lait Spots ; Chymopapain ; Clinical Study ; Diagnosis ; Fibroma ; Humans ; Laminectomy ; Myelography ; Neurofibroma ; Neurofibromatoses ; Peripheral Nervous System ; Scoliosis ; Skin ; Spinal Cord

As a variety of the industrial accidents, we have experienced the paint-gun injuries at ship yard. Authors have experienced 17 patients (18 cases) of the paint-gun injuries at Okpo Daewoo Hospital, Daewoo Medical Foundation, Kyungnam from January, 1986 to September, 1992. After clinical and roentgenographical analysis, the clinical results were summarized as follows: The hand was the most common site (83.3%) among the upper extremity injuries, espicially right hand and we have had good results from the extensive debridement, curettage, prophylactic antibiotics and the penrose drain insertion in extensive injury cases, compared with minimal injury cases. However, we concluded that most of the cases in Paint-injures were preventalbe.
Accidents, Occupational ; Anti-Bacterial Agents ; Curettage ; Debridement ; Gyeongsangnam-do ; Hand ; Humans ; Ships ; Upper Extremity

We observed a significant sign in postenhancement CT of liver cirrhosis, that is visualization of portalvenous branches. During postenhancement CT scanning of liver, the portal vein can not be identifed in liverparenchyme in 84% of patients without known cirrhosis (including chronic active hepatitis). Two have the samehemodynamic changes in that there is diffuse fibrosis and resultant decrease in vascular bed. Visualization ofintrahepatic portal branches in postenhancement CT is because of decreased diffusion ability and portalhypertension.
Diffusion ; Fibrosis ; Hemodynamics ; Humans ; Liver Cirrhosis ; Liver ; Portal Vein ; Tomography, X-Ray Computed