No abstract available.
Arthritis, Juvenile*

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*

The Arnold-Chiari malformation (ACM) is an anomaly of the hindbrain consisting of two components: a variable displacement of a tongue of tissue derived from the inferior cerebellar vermis in the upper cervical canal and a similar caudal dislocation of the medulla and fourth ventricle. Hydrocephalus and meningomyelocele are another abnormalities that associated frequently. We present a case of Arnold-Chiari malformation with hydrocephalus and meningomyeolcele and a brief review of the literatures was added.
Arnold-Chiari Malformation* ; Cerebellar Vermis ; Dislocations ; Fourth Ventricle ; Hydrocephalus ; Meningomyelocele ; Rhombencephalon ; Tongue

No abstract available.
Child* ; Humans ; Hyperhidrosis*

No abstract available.
Neurofibroma* ; Pilomatrixoma*

PURPOSE: To compare the clinical results of hydrophilic acrylic IOL 570H (Centerflex(R), Rayner, UK) with those of hydrophobic acrylic IOL MA60BM (Acrysof(R), Alcon, USA). METHODS: Centerflex(R) and Acrysof(R) were each implanted in one eye of 31 patients with bilateral cataracts. We evaluated and compared best corrected visual acuity (BCVA, logMAR), refractive error, anterior capsular fibrosis, and posterior capsular opacification at mean 9.3 months after surgery. RESULTS: BCVA (logMAR) was 0.04 +/- 0.07 in the Centerflex(R) group and 0.03 +/- 0.07 in the Acrysof(R) group. There was no statistically significant difference between the two groups. Refractive error was -0.23 +/- 0.76 diopter (D) in the Centerflex(R) group and 0.09 +/- 0.61 D in the Acrysof(R) group. There was a statistically significant difference of refractive error between the two groups (p=0.02). In the Centerflex(R) group, the rates of both anterior capsular fibrosis and posterior capsular opacification were statistically significantly higher than those in the Acrysof(R) group (both, p=0.05). CONCLUSIONS: We found no statistically significant difference of postoperative visual acuity between Centerflex(R) and Acrysof(R) lenses implanted in the bag after phacoemulsification. However, mean refractive error in eyes implanted with Centerflex(R) lens was -0.23 D at mean 9.3 months after surgery and we recommended that the preoperative target refraction of the Centerflex(R) lens be 0.23 D hyperopic and that postoperative anterior capsular fibrosis and posterior capsular opacification be checked carefully.
Cataract* ; Fibrosis ; Humans ; Phacoemulsification ; Refractive Errors ; Visual Acuity

PURPOSE: In patients with small or large aneurysms, the decision for surgical treatment is not so simple. The mortality of ruptured abdominal aortic aneurysm (AAA) is high. This study was designed to retrospectively analyse the clinical characteristics of patients with AAA. METHODS: Ninety-one cases of AAA were surgically treated between January 1991 and January 2003 at the Department of Surgery, Chonnam National University Hospital. Patients were divided into 49 elective cases and 42 emergency cases, and retrospective analysed on the basis of age, sex, chief complaints, physical examination, associated diseases, size of aneurysm, diagnostic modalities, operative mortality and causes of death. RESULTS: The initial presentations were mainly palpable masses in the elective cases. On the other hand, in the emergency cases which were ruptured, many patients complained of abdominal or back pain. There was a positive relationship between the size of AAA and the incidence of the rupture in our study, especially in the case of transverse diameters above 10 cm (P<0.001). There was no death in the elective cases, but there were 22 surgical mortalities in the 42 emergency cases (52.3%, P<0.001). Overall surgical mortality was 24.1%. The causes of death were intraoperative and postoperative bleeding (11), myocardial infarction (5), acute renal failure (4), and sepsis (2). CONCLUSION: Surgical mortality in ruptured AAA was high. Consequently, surgical intervention is recommended and the operation must be performed. In that way we can reduce the operative mortality and improve the treatment outcome.
Acute Kidney Injury ; Aneurysm ; Aortic Aneurysm, Abdominal* ; Back Pain ; Cause of Death ; Emergencies ; Hand ; Hemorrhage ; Humans ; Incidence ; Jeollanam-do ; Mortality ; Myocardial Infarction ; Physical Examination ; Retrospective Studies ; Rupture ; Sepsis ; Treatment Outcome

Diabetes is a rapidly increasing heath care problem all over the world due to increased prevalence during past decade. Diabetic nephropathy develops in 25-30% of patients with type 1 diabetes and is the leading cause of end stage renal disease. Diabetic nephropathy is characterized by persistent proteinuria, decline in renal function, hypertension and increased cardiovascular morbidity and mortality. Early detection of diabetic nephropathy risk is an important goal because early diagnosis and treatment prevent advanced renal damage and other diabetic complications. Increased urinary albumin excretion rate is widely accepted as the first clinical sign of diabetic nephropathy. However, reduced glomerular filtration or hypertension could be the first manifestation in some diabetic patients. We need improved markers and predictors of diabetic nephropathy risk. We report a case of diabetic nephropathy and decreased glomerular filtration rate (GFR) without microalbuminuria occcured in type 1 diabetic patient.
Diabetes Complications ; Diabetic Nephropathies* ; Early Diagnosis ; Filtration ; Glomerular Filtration Rate ; Humans ; Hypertension ; Kidney Failure, Chronic ; Mortality ; Prevalence ; Proteinuria

PURPOSE: To evaluate the surgical outcomes of primary 23-gauge (23G) transconjunctival sutureless vitrectomy (TSV) with air tamponade in patients with idiopathic simple rhegmatogenous retinal detachment (RRD). METHODS: A chart review of 38 eyes with idiopathic simple RRD which underwent primary 23G TSV with air tamponade and without prone positioning by a single vitreoretinal surgeon was retrospectively performed. All cases were followed up for a minimum of 3 months after the operation. RESULTS: The primary anatomical success rate was 94.7% (36/38 eyes). Preoperative mean logMAR (Snellen) best corrected visual acuity (BCVA) was 0.81 +/- 0.13 and improved to 0.63 +/- 0.37 and 0.48 +/- 0.37 at postoperative 1 week and 3 months (p < 0.05), respectively. The mean 21.35% amount of air bubble remained in the vitreous cavity at postoperative 1 week and the residual air bubble was completely absorbed at postoperative 2 weeks. Complications were sclerotomy site leakage (1 eye), cataract (3 eyes), vitreous hemorrhage (1 eye), epiretinal membrane (2 eyes) and increased intraocular pressure (3 eyes). CONCLUSIONS: The use of 23G TSV with air tamponade in cases with idiopathic simple RRD may be an effective and safe surgical technique.
Cataract ; Epiretinal Membrane ; Eye ; Humans ; Intraocular Pressure ; Retinal Detachment ; Retinaldehyde ; Retrospective Studies ; Visual Acuity ; Vitrectomy ; Vitreous Hemorrhage

A 46-year-old man presented with a six-month history of recurrent episodes of abnormal behaviors characterized by agitation, anxiety, aggression, impulsion, and depression. They were not accompanied by obvious convulsions. Brain MRI demonstrated cerebromalacia from previous traumatic brain injury in both frontal and left anterior temporal lobe. Interictal EEG showed a focal seizure disorder arising from both temporal areas. Following antiepileptic medication, the abnormal behaviors disappeared. These results suggest that non-convulsive status epilepticus or a cluster of seizures could account for prolonged behavioral disturbances.
Aggression ; Anxiety ; Brain ; Brain Injuries ; Depression ; Dihydroergotamine ; Electroencephalography ; Encephalomalacia ; Epilepsies, Partial ; Humans ; Magnetic Resonance Imaging ; Middle Aged ; Seizures* ; Status Epilepticus ; Temporal Lobe