1.Usefulness of Lung Perfusion Scan for the Evaluation of Pulmonary Arteries after Total Correction of Right Ventricular Outflow Obstructive Disease.
Youn Woo KIM ; Ho Sung KIM ; Chung Il NOH ; Jung Yun CHOI ; Yong Soo YUN
Korean Circulation Journal 1995;25(3):648-652
BACKGROUND: For the evaluation of pulmonary nrtery branches after operation of right ventricular outflow obstructive disease, we reviewed the usefulness of both simple X-ray and lung perfusion scan with 99mTc-macroaggregated albumin compared with cardiac angiography. METHODS: From March, 1986 to July, 1993, at Seoul National University Children;s Hospital, we chose 23 cases who underwent both simple X-ray and cardiac angiography among the patients who had distinct difference between right and left pulmonary blood flow in lung perfusion scan after operation of right ventricular outflow obstructive disease. So we calculated the ratio of right and left pulmonary blood flow and Spearman correlation coefficient. RESULTS: Of the 23 cases, 17 cases were tetralogy of Fallot, 4 cases pulmonary atresia, 1 case double outlet right ventricle, and 1 case truncus arteriosus. The mean age at poeration was 27 months, and the mean postoperative follow-up period was for 68 months. The correlation coefficient between cardiac angiography and simple X-ray was 0.86(p<0.01), and that beteen cardiac angiography and lung perfusion scan was 0.80(p<0.01). CONCLUSION: The cardiac angiography has been known as the best diagnostic tool for the evaluation of pulmonary artery branches after operation of right ventricular outflow obstructive ddisease, but we proposed that the lung perfusion scan should be widely used because its results were similar with those of cardiac angiography.
Angiography
;
Double Outlet Right Ventricle
;
Follow-Up Studies
;
Humans
;
Lung*
;
Perfusion*
;
Pulmonary Artery*
;
Pulmonary Atresia
;
Seoul
;
Tetralogy of Fallot
;
Truncus Arteriosus
2.Midterm Result after Transcatheter Occlusion of Patent Ductus Arteriosus with Rashkind PDA Umbrella Device.
Chung Il NOH ; Eun Sook HAN ; Ho Sung KIM ; Jung Yun CHOI ; Yong Soo YUN
Journal of the Korean Pediatric Society 1995;38(5):668-674
No abstract available.
Ductus Arteriosus, Patent*
3.Fetal Cardiac Malformation: types and associated anomalies.
Ho Sung KIM ; Jeong Wook SEO ; Chung Il NOH ; Jung Yun CHOI ; Yong Soo YUN
Journal of the Korean Pediatric Society 1995;38(6):811-818
No abstract available.
4.The surgical correction of post-traumatic malocclusion.
Ki Tae KIM ; Sung Hoon JUNG ; Sung Ho YUN ; Dong Il KIM
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1998;25(4):613-621
The characteristics of modern society's trauma is a propensity for multiple and severe trauma, specially, the fatal damage accompanied by facial bone fracture. We observed the malocclusion owing to delayed prompt treatment If the fractured fragments is crushed severely, it is difficult to make them positioned into the normal anatomical states and to fix them tightly. Post-traumatic malocclusion is usually caused by a delay in treatment and inadequate anatomic reduction. Inadequately treated facial bone fractures result in facial disfiguring and functional impairment of mastication and speech.We performed 27 cases of correction of post-traumatic malocclusion between April 1994 and June 1996. We used various operative techniques such as anterior segmental osteotomy, Le Fort osteotomy, maxillary segmental osteotomy and mandibular sagittal split osteotomy. If the malocclusion was due to disarrangement segmental osteotomy. If that malocclusion was attributed to a malpositioned skeletal bone, we take maxillary segmental osteotomy or mandibular sagittal split osteotomy. We acquired the desirable occlusion first followed by a fixation between the mandible and maxillary skeletal bones with the bite block. The aim in the correction of malocclusion was to create a harmony of centric relation and centric occlusion. After operation, intermaxillary fixation with bite block have many advantages in the treatment of malocclusion.
Centric Relation
;
Facial Bones
;
Malocclusion*
;
Mandible
;
Mastication
;
Maxillary Osteotomy
;
Osteotomy
;
Osteotomy, Le Fort
5.Validity of Office-Based Ultrasonography in the Diagnosis of a Palpable Breast Mass: A prospective study .
Sung Il CHO ; Young Jin SONG ; Hyo Yung YUN ; Sung Jin KIM ; Heon KIM
Journal of the Korean Surgical Society 2000;59(4):463-469
PURPOSE: Current evidence indicates that ultrasonography of the breast is an important adjunct to mammography and clinical examination in the diagnosis of palpable breast abnormalities. An assessment of the value of office-based ultrasonography of a palpable breast mass performed by a breast surgeon was the aim of this work. METHODS: A 7.5 MHz linear probe was used to perform office-based ultrasonography in 109 consecutive female patients having a palpable solid breast mass between August 1998 and December 1999. Breast masses diagnosed histologically as fibroadenomas or breast cancer were included in this study. The clinical impression from the physical examination (PE), the result of officed-based ultrasonography done by a surgeon (OUSG), and comprehensive judgement engaging both PE and OUSG (PEUSG) were recorded in each patient's hospital record as benign or malignant at the first visit. The diagnostic values of PE, OUSG, PEUSG, mammography (MMG), and ultrasonography done by a radiologist (USG) were compared. RESULTS: Of 109 masses, a fibroadenoma was diagnosed in 73 patients while a carcinoma was established in 36 patients. The sensitivity, the specificity, the accuracy rate, and the kappa coefficient were 91.7%, 89.0%, 89.9%, and 0.780 for PE; 100%, 90.4%, 93.6%, and 0.862 for OUSG; 97.2%, 97.3%, 97.2%, and 0.938 for PEUSG; 90.4%, 89.4%, 90%, and 0.630 for MMG; and 88.9%, 90.9%, 90% and 0.798 for USG. The diagnostic accuracy of PEUSG was significantly higher than those of PE and MG (p<0.05). CONCLUSION: These data suggest that office-based ultrasonography of the breast performed by a surgeon is a useful adjunct to clinical evaluation of the breast mass and permits timely and cost-effective patient care.
Breast Neoplasms
;
Breast*
;
Diagnosis*
;
Female
;
Fibroadenoma
;
Hospital Records
;
Humans
;
Mammography
;
Patient Care
;
Physical Examination
;
Prospective Studies*
;
Sensitivity and Specificity
;
Ultrasonography*
6.Clinical Study of Surgical Correction of Prognathism Using Mandibular Anterior Segmental Osteotomy & Genioplasty.
Dong Ho HA ; Sung Hoon JUNG ; Sung Ho YUN ; Dong Il KIM
Journal of the Korean Society of Aesthetic Plastic Surgery 1998;4(1):80-88
Mandibular prognathism was defined by Johe Hunter as follows : 'The lower jaw projecting too far forwards so that the foreteeth pass before those of upper jaw, therefore disfigurement and malocclusion are the two of facial main characteristics.' Mandibular ramus osteotomy by vertical osteotomy or sagittal splitting osteotomy recently has come into more common use. Although preoperative and postoperative orthdontic management is indispensable in surgery of this type, we occasionally encounter patients who are intolerant to a long duration of orthodontic treatment and intermaxillary fixation. We describe surgical refinement accomplishing mandibular anterior segmental osteotomy, recession genioplasty by horizontal osteotomies and decortication of the anterior portion of the bony bar for a minor degree of mandibular prognathism. In results, the amount of setback is limited to 4 to 5mm, no intermaxillary fixation is required and no orthodontic treatment, in this operation, is needed. This procedure can obtain a rapid aesthetic improvement. We used this preocedure in 8 patients (3 males and 5 females) with a mild mandibular prognathism. No major complications occurred throughout the follow-up period except transient paresthesia of the mental nerves, otherwise all patients were satisfied with the result.
Follow-Up Studies
;
Genioplasty*
;
Humans
;
Jaw
;
Male
;
Malocclusion
;
Osteotomy*
;
Paresthesia
;
Prognathism*
7.Complex Method for Correction of Inverted Nipple.
Ki Tae KIM ; Sung Hoon JUNG ; Sung Ho YUN ; Dong Il KIM ; Jae Wook OH
Journal of the Korean Society of Aesthetic Plastic Surgery 1998;4(1):66-71
The inverted nipple presents many problems including both cosmetic and functional aspects and impairment in breast feeding. the histopathologic characters of inverted nipple are that inverted nipple has less fibromuscular tissue than normal nipple and has short lactiferous duct and dense fibrous tissue. Many surgical and non-surgical techniques have been designed for correction of the inverted nipple. But most of these techniques have produced unsatisfactory problems. especially undesirable recurrence is most important problem. We experienced 19 inverted nipples in 12 patients between March 1995 and January 1998. We combined modified Teimourian method, purse-string suture and Z-plasty. and had good result for 3weeks to 30months follow up. This method was effective for correction of the inverted nipple with low recurrence rate and simple techniques.
Breast Feeding
;
Follow-Up Studies
;
Humans
;
Nipples*
;
Recurrence
;
Sutures
8.Ureteral Stricture from Retroperitoneal Fibrosis Caused by Isolated Common Iliac Artery Aneurysm .
Chan MOON ; Yun Il KANG ; Hyung Yoon MOON ; Jun RHO ; Chul Sung KIM
Korean Journal of Urology 2006;47(11):1236-1239
Retroperitoneal fibrosis sometimes causes urological problem involving the ureter, but the mechanism is uncertain. An aortic aneurysm, including an iliac artery aneurysm, is thought to be one of the mechanisms of retroperitoneal fibrosis. However, cases caused by an isolated iliac artery aneurysm are very rare, and symptoms tend to be non-specific; therefore, no definitive treatment has been established. Herein, we report our recent experience of a patient with a left common iliac artery aneurysm involving the ureter, who underwent successful surgical therapy.
Aneurysm*
;
Aortic Aneurysm
;
Constriction, Pathologic*
;
Humans
;
Iliac Artery*
;
Retroperitoneal Fibrosis*
;
Ureter*
9.Molecular cloning and characterization of an antigenic protein with a repeating region from Clonorchis sinensis.
Tae Yun KIM ; Shin Yong KANG ; Il Young AHN ; Seung Yull CHO ; Sung Jong HONG
The Korean Journal of Parasitology 2001;39(1):57-66
In the course of immunoscreening of Clonorchis sinensis cDNA library, a cDNA CsRP12 containing a tandem repeat was isolated. The cDNA CsRP12 encodes two putative peptides of open reading frames (ORFs) 1 and 2 (CsRP12-1 and -2). The repetitive region is composed of 15 repeats of 10 amino acids. Of the two putative peptides, CsRP12-1 was proline-rich and found to have homologues in several organisms. Recombinant proteins of the putative peptides were bacterially produced and purified by an affinity chromatography. Recombinant CsRP12-1 protein was recognized by sera of clonorchiasis patients and experimental rabbits, but recombinant CsRP12-2 was not. One of the putative peptide, CsRP12-1, is designated CsPRA, proline-rich antigen of C. sinensis. Both the C-termini of CsRP12-1 and -2 were bacterially produced and analysed to show no antigenicity. Recombinant CsPRA protein showed high sensitivity and specificity. In experimental rabbits, IgG antibodies to CsPRA was produced between 4 and 8 weeks after the infection and decreased thereafter over one year. These results indicate that CsPRA is equivalent to a natural protein and a useful antigenic protein for serodiagnosis of human clonorchiasis.
Amino Acid Sequence
;
Animals
;
Antigens, Helminth/*genetics/isolation & purification
;
Base Sequence
;
*Cloning, Molecular
;
Clonorchis sinensis/genetics/*immunology
;
DNA, Helminth
;
Gene Library
;
Human
;
Molecular Sequence Data
;
Rabbits
;
Recombinant Proteins
;
*Repetitive Sequences, Nucleic Acid
;
Support, Non-U.S. Gov't
10.FORMATION OF PHILTRAL COLUMN WITH PALMARIS LONGUS TENDON IN THE CORRECTION OF UNILATERAL CLEFT LIP NOSE DEFORMITY.
Do Yong YOUN ; Sung Ho YUN ; Jae Wook OH ; Dong Il KIM
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1997;24(3):495-502
A multitude of methods for correction of the residual cleft lip nose deformity have been developed. Inspite of the development it appears that no one procedure has achieved satisfactory results. In addition, the appropriate timing for surgical correction still remains unsettled. The philtrum plays a keyhole in the appearance of the upper lip and nostril sill. But the formation of philtrum with muscle flap or conchal cartilage have been resulted in a unsatisfactory aesthetic outcome. We performed 26 cases of the correction of unilateral cleft lip nose deformity between May 1993 and September 1996, and we always used autogenous palmaris longus tendon for reconstruction of philtral column and nostril sill augmentation. Palmaris longus tendon creates a more definite philtral unit comparing to other materials which have been used and it is easy to harvest and transfer and it does not affect normal function of the hand. And we followed up all patients and confirmed that disappearance of newly formed philtrum is rare. In conclusion, this study shows that autogenous palmaris longus tendon is a useful material for reconstruction of philtral column.
Cartilage
;
Cleft Lip*
;
Congenital Abnormalities*
;
Hand
;
Humans
;
Lip
;
Nose*
;
Tendons*