No abstract available.
Temporal Bone*

Chronic pelvic pain (CPP) refers to pain perceived in the pelvic region for over 6 months. It is described more specifically according to the organs involved. The diagnosis and classification of CPP are not easy because of the vague diagnostic criteria, variety of presenting symptoms, absence of diagnostic tools, and coexisting symptoms due to accompanying other diseases. This concise review aims to help urologists diagnose CPP by focusing on identifying urological pain.

PURPOSE: Despite plenty of evidence that the healing of skin wounds is fostered by the use of skin tape and early suture removal, the technique has not been widely practiced. In order to investigate the combined technique of early suture removal using skin tape, we compared it with conventional suture removal. METHODS: We analyzed, retrospectively, 260 patients who underwent on appendectomy during 1999 to compare the two methods on the basis of age, sex, wound infection by class and incision type, cosmetic effect, and other suture site complication, including seroma, hematoma, dehiscence, and pain. RESULTS: Out of these 260 patients, 124 had conventional suture removal while 136 had early suture removal using skin tape. In the group of early suture removal using skin tape, there were a lower incidence of seroma, hematoma, and wound infection, a shorter period of postoperative wound pain, and superior cosmetic results and patient acceptability. CONCLUSION: We have found the combined technique to have advantages that produce a lower incidence of wound complication with a superior cosmetic result and an excellent patient acceptance.
Adhesives* ; Appendectomy* ; Hematoma ; Humans ; Incidence ; Retrospective Studies ; Seroma ; Skin* ; Surgical Tape* ; Sutures* ; Wound Infection ; Wounds and Injuries

Accidents, Traffic ; Diagnosis ; Facial Injuries ; Female ; Head ; Humans ; Incidence ; Inpatients ; Jeollanam-do ; Lacerations ; Male ; Mandibular Fractures ; Neck ; Postoperative Complications ; Social Environment ; Surgery, Oral ; Violence

We experienced 450 cases of anesthesia for the operation of cleft lip and cleft palate. The observed results were as follows. 1) Anesthetics for the operation of cleft lip were 200 cases(44.4%), cleft palate were 248 cases(55.1%), naso-ocular fistula correction and oro-ocular correction was 1 case each. 2) Sex distribution was 298 males(66.2%) and 152 females(33.8%). 3) 292 cases(66%) were under 20kg of body weight. 4) The techniques of anesthesia were NRB with Jackson-Rees' modification in 297 cases (66%) and the semiclosed circle absorption system in 153 eases(34%). 5) The main anesthetics were halothane in 431 cases(95.8%) and Valium-Dmerol in 19 cases (0. 42%) 6) The mean blood loss in palatoplasty was 6.4 ml per kg of body weight but it was 10. 7 ml per kg in the 5~10 kg of body weight group, 9. 6 ml per kg in the 10-20 kg of body weight group, and 8. 5 ml per kg in the 20~30 kg of body weight group. 66 cases (14.7%) received blood transfusion. 7) Familial incidence was found in 4.7% (21 cases). 8) Incidence of cleft lip combined with cleft palate was 42.7%(192 cases among 450 cases), and 154 cases(51.7%) were males and 88 cases(25%) were females. 9) The most common type of cleft lip was incomplete left cleft lip(30%), and of cleft palate was complete median cleft palate(52%). 10) lntraoperative anesthetic complication occurred in 8 cases(1.8%).
Absorption ; Anesthesia* ; Anesthetics ; Blood Transfusion ; Body Weight ; Cleft Lip* ; Cleft Palate ; Female ; Fistula ; Halothane ; Humans ; Incidence ; Male ; Sex Distribution

We performed the interscalene technic of brachial plexus block for an operation of the upper extremity in 94 patients. We used 1%, 1.5% or 2% lidocaine solution with or without 1:200,000 epinephrine. There were paresthesias in all cases of needle puncture with the interscalene approach. The resutls were as follows: 1) Onset of anesthesia was observed in 3~10 minutes(average: 5 min.) 2) Complete anesthesia was observed in 10~30 minutes(average: 18 min.) 3) The mean interval of anesthesia to operation was 22 minutes. 4) We observed satisfactory blocks in 81 cases, unsatisfactory block in 8 cases and failure in 5 cases. 5) There were not any complications such as pneumothorax, dyspnea, convulsions, subarachnoid or epidural injection, etc.
Anesthesia ; Brachial Plexus* ; Dyspnea ; Epinephrine ; Humans ; Injections, Epidural ; Lidocaine ; Needles ; Paresthesia ; Pneumothorax ; Punctures ; Seizures ; Upper Extremity

Psoriatic arthritis is a rare inflammatory joint disease associated with radiographic evidence of periarticular bone erosion and sometimes frank joints destruction among psoriatic patients. There have been only a few reports of atlantoaxial subluxation in patients with psoriatic arthritis in the world. The authors report a case of psoriatic arthritis with atlantoaxial subluxation. This 27-year-old man with a three year history of psoriatic skin lesion presented with painful limitation of neck and multiple joint deformities of the hands and feet, etc. We performed combined interspinous and Gallie fusion for the atlantoaxial subluxation and obtained good results of immediate and long term postoperative stability with Philadelphia neck collar only after this procedure.
Adult ; Arthritis, Psoriatic* ; Congenital Abnormalities ; Foot ; Hand ; Humans ; Joint Diseases ; Joints ; Neck ; Skin

Background: Little is known about capsule endoscopy (CE) findings in patients with intestinal tuberculosis who exhibit small bowel lesions. The aim of the present study was to distinguish between Crohn’s disease (CD) and intestinal tuberculosis based on CE findings. Methods: Findings from 55 patients, who underwent CE using PillCam SB CE (Given Imaging, Yoqneam, Israel) between February 2003 and June 2015, were retrospectively analyzed. Results: CE revealed small bowel lesions in 35 of the 55 patients: 19 with CD and 16 with intestinal tuberculosis. The median age at diagnosis for patients with CD was 26 years and 36 years for those with intestinal tuberculosis. On CE, three parameters, ≥10 ulcers, >3 involved segments and aphthous ulcers, were more common in patients with CD than in those intestinal tuberculosis. Cobblestoning was observed in five patients with CD and in none with intestinal tuberculosis. The authors hypothesized that a diagnosis of small bowel CD could be made when the number of parameters in CD patients was higher than that for intestinal tuberculosis. The authors calculated that the diagnosis of either CD or intestinal tuberculosis would have been made in 34 of the 35 patients (97%). Conclusion The number of ulcers and involved segments, and the presence of aphthous ulcers, were significantly higher and more common, respectively, in patients with CD than in those with intestinal tuberculosis. Cobblestoning in the small bowel may highly favor a diagnosis of CD on CE.

Unilateral renal agenesis associated with genito-urinary disease was found in 2 siblings of a single family. There are a few reports of familial unilateral renal agenesis. Bilateral renal agenesis is a fetal condition and unilateral renal agenesis or hypoplasia is usually asymptomatic, so investigations for renal anomalies have not been frequently undertaken in healthy members of families in which bilateral agenesis has occurred. The present report suggests that unilateral renal agenesis could occur as a manifestation of a genetic disorder.
Humans ; Kidney Diseases ; Siblings*

The authors reported 100 cases of acute subdural hematomas confirmed by operation from Jan. 1972 to Sept. 1975. We discussed the relationship of the type of operation to mortality in acute subdural hematomas. The types of surgical operations were divided in 4 groups. The surgical mortality rate was 19% for frontotemporoparietal craniotomy, 29% for multiple burr holes technique, 42% for craniectomy and 48% for subtemporal decompression with burr holes and total over-all mortality was 36% in our cases. The authors reviewed the literatures described the surgical operative method and it's mortality and so we thought large frontotemporoparietal craniotomy is more valuable method for operation of the acute subdural hematomas.
Craniotomy ; Decompression ; Hematoma, Subdural, Acute* ; Mortality