A case of nevus sebceous of Jadassohn, which has developed on the frontal hair-line of scalp of 31 male patient since birth and associated with syrignocystadenoma papilliperum and basal cell carcinoma on excisional biopsy, showing soft yellowish 3.2*4com sized flat verucous plaque is reported.
Biopsy ; Carcinoma, Basal Cell* ; Humans ; Male ; Nevus* ; Parturition ; Scalp

A case of familial telangiectasia of face resembling lupus erythematosus but no having other involved symptoms, except ichthyosis vulgaris of lower legs in all 4 sisters, appeared on 8 months through 2 years after birth is reported Authors suggest this case to be simplified congenital telangiectasia of face, because of not consisted with preexistiong various diseases such as Bloom's syndrome, Ataxia-Telangiectasia, Rothmund-Thomsons' Syndrome, Dyskeratosis congenita, and Cockayne's syndrome, which show the familial telangiectasia of face.
Ataxia Telangiectasia ; Bloom Syndrome ; Dyskeratosis Congenita ; Humans ; Ichthyosis Vulgaris ; Leg ; Parturition ; Siblings ; Telangiectasis*

The surgical treatment of long duration lagaphthalmos was traditionally conducted using the Gillies (1934) method of temporal muscle transfer. This method has been effective in cases of simultaneous lagaphthalmos in the upper eyelid and ectropion in the lower eyelid. In the past, we treated 18 leprosy patients who suffered complications of ptosis in the upper eyelid and ectropion in the lower eyelid after the application of the Gillies method. To treat these complications, we removed the fascia strips emplaced during temporal muscle transfer from the upper and lower eyelid. Thereafter, we implanted a 1.0 gram gold plate in the upper eyelid and either a conchal cartilage graft. In the treatment of Lagaphthalmos over the past seven years, we have applied gold plate lid loading in 120 cases. However, in five of these cases, patients suffered from exposure of the gold plate due to paralytic orbicularis oculi muscle tearing. Recently, to correct this, we covered the gold plate with AlloDerm tissue to protect and support the muscle. In the treatment of ectropion over the last six years, we have had over 30 cases of cartilage grafts (over 35mm in length and 5mm in breadth) in the lower eyelid. However, the end of the cartilage graft would warp and create new partial ectropion several months later. Because of this, we shifted from cartilage to AlloDerm. We applied 40mm (length) and 7mm (breadth) to the lower border of the tarsus and fixed at each end with medial and canthal ligament. From 1997 to 2002, in the Institute of Leprosy Research, we operated on 25 patients suffering from Lagaphthalmos and Ectropion using a newer treatment to correct ectropion more effectively. The levator muscle of the upper eyelid loses the funtion of its antagonistic muscle, namely the orbicularis oculi due to facial nerve palsy, and results in retraction of the upper eyelid. To correct upper eyelid retraction, we severed the levator and muller muscle from the superior tarsal border and discontinued the use of gold lid loading which is visually evident. This method does not result in ptosis and the eye is more normal in appearance.
Ankle ; Cartilage ; Ectropion ; Eyelids* ; Facial Nerve ; Fascia ; Humans ; Leprosy ; Ligaments ; Paralysis ; Temporal Muscle ; Transplants

Nowadays, upper eyelid blepharoplasty is one of the most commonly practiced aesthetic operations. Different from double-fold operations mainly performed in teenagers or early twenties, the upper eyelid blepharoplasty is mainly performed in aged persons for rejuvenation by resecting an excess of skin, muscle and fat around the periorbita to enhance the eyebrow decent by sub-brow resection due to drooping of the lateral eyebrow. In addition, the upper eyelid blepharoplasty in aged persons who are often accompanied with the blepharoptosis caused by dehiscence or stretching of the aponeurosis itself to the tarsus and by non-delivery of contractile power to upper eyelid needs tucking of the levator aponeurosis and suturing the reversed septum to orbicularis oculi muscle to the inferior flap.
Adolescent ; Aged ; Animals ; Ankle ; Blepharoplasty ; Blepharoptosis ; Eyebrows ; Eyelids ; Humans ; Muscles ; Rejuvenation ; Skin

Axillary osmidrosis, also referred to as bromhidrosis, is a condition of excess, abnormal, or strong acrid body odor that typically manifests itself after puberty with the enlargement of apocrine glands. This condition often causes the affected to avoid social settings and personal relationships particularly throughout puberty and into adult life. The surgical objectives for treating axillary osmidrosis are to eliminate malodor and postoperative recurrence, to reduce significant complications such as hematoma and skin flap necrosis causing scarring, to decrease the recovery time, and to reduce the surgical scars. In order to meet the objectives, I recommend to use three surgical methods such as subdermal shaving method with scissors, liposuction and curettage method, and curettage and dermal shaving with manual and electric bone rasp. The subdermal shaving method demands the surgeon to execute meticulous hemostasis in the central axilla. Quilting sutures should be placed to fixate the skin flap to the axillary base to further prevent hematoma and to shorten recovery time. A relatively simple pressure dressing is removed after a couple of days, which will allow the patients to resume their routine daily life. Liposuction and curettage method is used to remove the apocrine glands in the subcutaneous layer. Apocrine and eccrine glands in the lower dermis are removed by dermal shaving with a manual or electric bone rasp or by a suction assisted cartilage shaver.
Adolescent ; Adult ; Apocrine Glands ; Axilla ; Bandages ; Cartilage ; Cicatrix ; Curettage ; Dermis ; Eccrine Glands ; Hematoma ; Hemostasis ; Humans ; Lipectomy ; Necrosis ; Odors ; Puberty ; Recurrence ; Skin ; Suction ; Sutures

No abstract available.
Blepharoptosis*

A statistical observations were made on total 79 In-Patients in the departments of dermatology, Dongsan Presbyterian Hospital, Kyungpook National University and Fatima Hospital, Taegu, Korea during the period from Sept. 1, 1975 to August 31, 1976.
Daegu* ; Dermatology* ; Gyeongsangbuk-do* ; Korea* ; Protestantism*

No abstract available.
Syringes

Lepra bacilli invade the nasal mucosa from early stage. The infiltrated mucous membrane breaks down and ulcerates easily. Irritating crusts and ulcers occur, creating in perforation of the septum. When most of the septum and inner mucosal lining of the nose is destroyed, the nose is deprived of its support and it collapses. The nasal bones are typically intact, and the collapsed nose adheres to the facial skeleton, giving the characteristic 'sunken and short nose' deformities. We have operated on 25 patients with deformities such as short nose, sunken nose, collumela deformity and ala collapse since 1992. In short nose we operated with a paramedian forehead flap and rib cartilage graft in a cantilever pattern. In ala collapse we used a conchal cartilage graft. Lastly, in collumela deformity we used the local flap and a composite graft.
Cartilage ; Congenital Abnormalities* ; Forehead ; Humans ; Leprosy* ; Mucous Membrane ; Nasal Bone ; Nasal Mucosa ; Nose ; Ribs ; Skeleton ; Transplants ; Ulcer

Since 1992, We have treated nearly nine hundreds cases with paralytic ectropion and lagophthalmos as a sequela of Hansen's disease. Treatment to correct paralytic ectropion was performed by already established conventional surgical methods or their minor modifications. Although most of patients quite improved postoperatively, lagophthalmos frequently remained partially. Involutional orbital changes superimposed on decreased tone of the paralyzed orbicularis muscle make the corrective effect short-lived, which in turn brings about recurrence of ectropion and lagophthalmos. Of the surgical techniques, dynamic Gillies' temporalis muscle transfer was used mostly in the early stage. After that, various static methods such as gold plate insertion, transsection of levator muscle and spacer graft in the upper eyelid, and medial tarsorrhaphy, medial canthoplasty, horizontal wedge resection, spacer graft, lateral tarsal strip and lateral canthoplasty in the lower eyelid were applied. Sometimes canthal sling with Alloderm or autologous fascia to pull upward the lower eyelid or Kuhnt-Szymanowsky flap to tighten eyelid skin was added to the surgical procedures. In future, the more sophisticated techniques must be exploited to fulfill complete eyelids closure and to lower the recurrence rate. Upgrade of canthal sling method or return to Gillies' method may be an alternative at present.
Collagen ; Ectropion ; Eyelids ; Fascia ; Humans ; Leprosy ; Muscles ; Orbit ; Recurrence ; Skin ; Transplants