1.Traumatic retrolisthesis of the lumbosacral junction: a case report.
Key Yong KIM ; Choon Sung LEE ; Sung Il BIN ; Won Hyeok OH ; Hwa Yeop NA
The Journal of the Korean Orthopaedic Association 1991;26(4):1329-1332
No abstract available.
2.DEVELOPMENT OF Le FORT II AND I COMBINED OSTEOTOMY FOR CORRECTION OF MIDFACIAL DEFORMITY : THE RATIONALE AND TECHNIQUE.
Myung Jin KIM ; An Na YI ; Il Woo NAM ; Jong Won KIM ; Sung Gon KIM
Journal of the Korean Association of Oral and Maxillofacial Surgeons 1997;23(4):704-715
Many authors reported the etiology of hypoplasia of the nasomaxillary complex as trauma, infection, underdevelopment. To correct these deformities, Le Fort II Osteotomy and its modification has been popularly applied. This method enabled total advancement of nasomaxillary complexes and acquirememt of midfacial esthetics. But it has some limitations such as various occlusal deviation or lateral shifting of nasomaxillary complex in case of nasomaxillary retrusion. We grouped these patients as follows : 1. Nasomaxillary retrusion without shifting of nasomaxillary complex (1) Anteroposterior deviation of occlusal plane (2) Lateral deviation of occlusal plane(including canting) (3) Supero-inferior deviation of occlusal plane (4) Combined disturbance of occlusal plane without shifting of nasamaxillary complex 2. Lateral shifting of nasomaxillary complex with or without deviation of occlusal plane We performed Le Fort II and I combined osteotomy on eleven cases of midfacial deformity from June 1994 to July 1997 and in most of the cases, followed up maximum 36 months and could acquire positional stability and improvement of facial eathetics.
Congenital Abnormalities*
;
Dental Occlusion
;
Esthetics
;
Humans
;
Osteotomy*
4.Does the Use of a Silicone Ring Tourniquet Help Reduce Bleeding in the Minimally Invasive Internal Fixation with Locking Plate for Distal Femoral Fractures?
Ki-Bong PARK ; Hong-Ki JIN ; Il-Yeong HWANG ; Sung-Who CHANG ; Sung-Cheon NA
Journal of the Korean Fracture Society 2020;33(3):148-153
Purpose:
This study evaluated the usefulness of a silicone ring tourniquet by analyzing the changes in the perioperative hemoglobin (Hb) levels or amount of perioperative bleeding compared to those of a pneumatic tourniquet or no usage during minimally invasive plate fixation for distal femoral fractures.
Materials and Methods:
From January 2017 to December 2019, 30 patients who underwent minimally invasive plate fixation using a locking compression plate for distal femoral fractures were evaluated and classified as a silicone ring tourniquet (Group 1), a pneumatic tourniquet (Group 2), and no usage (Group 3). The variables for analysis were age, sex, preoperative Hb (preHb), postoperative 72-hour Hb (postHb), differences between preHb and postHb (preHb-postHb), amount of intraoperative and overall transfusion, estimated unit of transfusion corrected by preHb-postHb and total transfusion (Hb-lost), amount of intraoperative and postoperative and total bleeding. One-way ANOVA was used to identify the differences between the groups.
Results:
The age, sex, operation time, preHb, preHb-postHb, amount of intraoperative and overall transfusion and Hb-lost were similar in the two groups. The amount of intraoperative bleeding was significantly lower in Group 1 than Group 3 (p=0.004), but there was no difference in the amount of postoperative and total bleeding between the two groups.
Conclusion
The use of a silicone ring tourniquet in the minimally invasive plate fixation for distal femoral fractures decreased the amount of intraoperative bleeding compared to no use of a tourniquet.
5.The Study on the Preventive Method of the Middle Ear Barotrauma Caused by Hyperbaric Oxygen Therapy.
Chang Il KANG ; Jong Won NA ; Sung Kon KIM ; Won Chan CHOI ; Min Kyu PARK ; Su Young LEE
Korean Journal of Otolaryngology - Head and Neck Surgery 2002;45(1):22-25
BACKGROUND AND OBJECTIVES: Middle ear barotrauma is a damage of the ear resulting from the pressure difference between the middle ear and the atmospheric environment. We investigated the effects of chewing gum and administering the systemic decongestant in hyperbaric oxygen therapy. MATERIALS AND METHOD: We investigated the cases of the middle ear barotrauma which came from hyperbaric oxygen therapy for finger replantation. We studied 81 patients without E-tube dysfunction. They were divided into three groups: the non-treated patients, the patients chewing gums and receiving high-pressure treatment, and the patients receiving the systemic decongestant. We investigated the patients for symptoms, otoscopic findings, tympanometry, and PTA. Otoscopic findings were classified by modified Teed classification. RESULTS: In the first group, 36 of 60 (60%) ears had otologic symptoms, 37 of 60 (62%) ears were above the grade 1, 31 of 60 (52%) ears were B or C type in tympanometry and 20 of 60 (33%) ears were above 20dB in AB gap (air-bone gap). In the second group, 23 of 60 (38%) ears had the otologic symptom, 26 of 60 (43%) ears were above the grade 1, 19 of 60 (32%) ears were the B or C type and 10 of 60 (17%) ears were above 20dB in AB gap. In the third group, 18 of 42 (43%) ears had the otologic symptoms, 19 of 42 (45%) ears were above the grade 1, 15 of 42 (36%) ears were the B or C type and 7 of 42 (17%) ears were above 20dB in the AB gap. CONCLUSION: The second group was better than the first group with regard to otologic symptom, otoscopic findings, tympanometry, PTA, and showed statistical significance. On the other hand, the third group was effective but did not show statistical significance.
Acoustic Impedance Tests
;
Barotrauma*
;
Chewing Gum
;
Classification
;
Ear
;
Ear, Middle*
;
Fingers
;
Hand
;
Humans
;
Hyperbaric Oxygenation*
;
Replantation
6.Temporal Analysis of Postoperative Outcomes With or Without Intraoperative Motor Evoked Potentials and Somatosensory Evoked Potentials Monitoring for Intracranial Meningioma Surgery
Na Il SHIN ; Hye Jin HONG ; Young Il KIM ; Il Sup KIM ; Jae Hoon SUNG ; Sang Won LEE ; Seung Ho YANG
Brain Tumor Research and Treatment 2024;12(1):50-57
Background:
This study aimed to retrospectively assess results of intracranial meningioma surgerywith or without intraoperative neuromonitoring (IONM) in a single institution.
Methods:
Two cohorts (a historical cohort and a monitoring cohort) were collected for the analy-sis. Before IONM was introduced, a total of 107 patients underwent intracranial meningioma operation without IONM from January 2000 to December 2008 by one neurosurgeon (historical cohort). After IONM was introduced, a total of 99 patients with intracranial meningioma were operated under IONM between November 2018 and February 2023 by two neurosurgeons (monitoring cohort). A retrospective comparison was made on the complications from meningioma surgery between the two groups.
Results:
In the monitoring cohort, warning signals of motor evoked potential (MEPs) or so-matosensory evoked potential (SSEPs) were alarmed in 10 patients. Two of these 10 patients aborted the operation and eight of these 10 patients with warning signals underwent tumor resection. Of these eight patients, five showed postoperative morbidity. Five of 89 patients without warning signals developed neurological deficits. In the historical cohort, 14 of 107 patients showed postoperative morbidity or mortality.
Conclusion
Even after successful resection of intracranial meningiomas prior to the advent ofIONM, integration of MEPs and SSEPs monitoring yielded valuable insights for surgical teams during operative procedures.
7.Evaluation of Renal Oxygenation in Normal Korean Volunteers Using 3.0 T Blood Oxygen Level-Dependent MRI.
Sung Il HWANG ; Hak Jong LEE ; Ho Jun CHIN ; Dong Wan CHAE ; Ki Young NA
Journal of the Korean Society of Magnetic Resonance in Medicine 2013;17(1):19-25
PURPOSE: Renal blood oxygen level-dependent (BOLD) MRI has been used in the evaluation of renal oxygenation. We tried to provide the normal R2* value of the human kidney with 3.0 T, and evaluated the differences in R2* values according to gender and location. MATERIALS AND METHODS: Twenty-four healthy volunteers underwent BOLD MRI at 3.0 T. Multi gradient echo-echo planar imaging sequence with seventeen echoes was used. After generation of the T2* map, the R2* was calculated. The statistical differences in R2* values between the cortex and medulla, males and females, and the right and left kidney were analyzed. The regional differences of R2* within the both kidneys were evaluated respectively. RESULTS: BOLD MRI was successful in all participants. No gross artifact interfered with R2* measurement. The mean R2* at 3.0 T was 17.1 +/- 2.60 s-1 in the cortex and 27.7 +/- 4.83 s-1 in the medulla (p < 0.001). The R2* value in the medulla was significantly higher in the male than female volunteers (p = 0.025). There were no statistical differences of R2* according to the side and location in the kidney (p = 0.197). CONCLUSION: Renal BOLD MRI can be efficiently performed with 3.0 T MRI. Renal medullary hypoxia is present in normal volunteers. Our results may be used as reference values in the evaluation of pathologic conditions using BOLD MRI.
Anoxia
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Artifacts
;
Female
;
Humans
;
Kidney
;
Male
;
Oxygen
;
Reference Values
8.A Case of Intravitreal Bevacizumab Injection for the Treatment of Choroidal Neovascularization in Morning Glory Syndrome.
Moon Won HWANG ; Ha Na OH ; Sung Hyup LIM ; Hyun Woong KIM ; Il Han YUN
Journal of the Korean Ophthalmological Society 2014;55(5):770-774
PURPOSE: We report a case of intravitreal bevacizumab injection for the treatment of choroidal neovascularization in morning glory syndrome. CASE SUMMARY: A 51-year-old male visited our hospital for a 1.5-year visual disturbance in his right eye. The patient's best-corrected visual acuity was 0.1 in the right eye. After fundus examination, we found characteristic findings of morning glory syndrome with submacular hemorrhage and serous retinal detachment in the right eye. Optical coherence tomography, fluorescein angiography and indocyanine green angiography were performed for evaluation. Retinoschisis, subretinal fluid, and choroidal neovascularization were detected, and thus bevacizumab was injected in the right eye. After intravitreal bevacizumab injection, retinoschisis was improved, and subretinal fluid was decreased. However, retinal pigment epithelial detachment was newly detected, and serous retinal detachment persisted. After 2 months, a second bevacizumab injection was performed. After these intravitreal bevacizumab injections at 1 and 2 months, visual acuity was 0.4 and 0.6, respectively. Visual acuity improved to 1.0 after 3 months. Visual acuity was maintained for at least 6 months with no relapse of choroidal neovascularization. CONCLUSIONS: The choroidal neovascularization in morning glory syndrome was effectively treated with intravitreal bevacizumab injections.
Angiography
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Choroidal Neovascularization*
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Fluorescein Angiography
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Hemorrhage
;
Humans
;
Indocyanine Green
;
Male
;
Middle Aged
;
Recurrence
;
Retinal Detachment
;
Retinoschisis
;
Subretinal Fluid
;
Tomography, Optical Coherence
;
Visual Acuity
;
Bevacizumab
9.A Case of Endobronchial Carcinoid Tumor Treated by Flexible Bronchoscopic Resection.
Yong Sub NA ; Sung Ho YOON ; Seung Il LEE ; Yong Eun KWON
Tuberculosis and Respiratory Diseases 2011;70(6):516-520
Bronchial carcinoid tumor accounts for less than 5% of all primary lung tumors in adults. Although surgical resection is the treatment of choice, here we report a case of bronchial carcinoid tumor treated with flexible bronchoscopic resection. A 19-year-old-man presented with a history of wheezing with dyspnea for six months. A simple chest x-ray showed no abnormal findings, but a pulmonary function test showed a moderate obstructive lung disease pattern without a bronchodilator response. A computed tomogram of the thorax revealed an enhanced 15x12 mm nodule in the left main bronchus. Bronchoscopic examination showed a polypoid mass with a stalk in the left main bronchus, which almost completely occluded the left main bronchus. Histopathology of the resected specimen revealed a bronchial carcinoid tumor. We treated the carcinoid tumor with a flexible bronchoscopic resection. During the follow up period of 6 months, the previous tumor didn't relapse. Initial bronchoscopic resection should be considered when bronchial carcinoid tumor can be approached by bronchoscopy.
Adult
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Bronchi
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Bronchoscopy
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Carcinoid Tumor
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Dyspnea
;
Follow-Up Studies
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Humans
;
Lung
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Lung Diseases, Obstructive
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Recurrence
;
Respiratory Function Tests
;
Respiratory Sounds
;
Thorax
10.A Case of Verrucous Carcinoma of Scrotum.
Kyoung Il NA ; Dong Soo LEE ; Kwan Joong JOO ; Hyun I CHO ; Jun CHEON ; Sung Kun KOH
Korean Journal of Urology 1995;36(9):1011-1014
The variant of squamous carcinoma of the scrotum known as verrucous carcinoma is very rare, but has a distinct clinical and pathological condition which has a significantly better prognosis than the more common infiltrative type. We report one case of verrucous carcinoma of the scrotum that was treated by wide local excision with placing the bilateral testes subcutaneously in the thigh and a split-thickness skin graft to cover the scrotum. And we tried to detect human Papillomavirus (HPV) type 6, 11, 16 and 18 with DNA in situ hybridization method.
Carcinoma, Squamous Cell
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Carcinoma, Verrucous*
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DNA
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Humans
;
In Situ Hybridization
;
Prognosis
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Scrotum*
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Skin
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Testis
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Thigh
;
Transplants