1.Effect of Partial Glossectomy on Speech of Down Syndrome Children.
Yong Sam PARK ; Won Yong YANG ; Jin Young KIM ; Su Jung KIM
Journal of the Korean Society of Plastic and Reconstructive Surgeons 2001;28(3):289-294
The anatomy of oral cavity in Down syndrome is characterized by hypotonic macroglossia, small oral cavity, and narrow palate with high-arch shape. Because of such characteristics, patients show difficulty in articulation, resonance and phonation. They also suffer from respiratory difficulty due to narrow upper respiratory tract which is exaggerated by hypertrophied tonsil and adenoid. So far we operated on 100 children with Down syndrome for partial glossectomy in average volume of 4.6 cc. We analyzed the results by means of questionnaires and speech test with multi-speech model 3700 program before and after the operation. After partial glossectomy, we observed that they could close their lips comfortably, and it can mitigate the stigma of Down syndrome. We could also observe the improvement in voice quality, pitch, resonance and articulation. Through paired t-test using SAS, we analyzed value of F1, F2-F1, and changes of fundamental frequency(Fo). After partial glossectomy, anteriorly positioned tongue of Down patients became significantly smaller in size and be located posteriorly.
Adenoids
;
Child*
;
Down Syndrome*
;
Glossectomy*
;
Humans
;
Lip
;
Macroglossia
;
Mouth
;
Palate
;
Palatine Tonsil
;
Phonation
;
Surveys and Questionnaires
;
Respiratory System
;
Tongue
;
Voice Quality
2.SI-30 NB Silicone IOL Implantation Through 3.2mm Clear Corneal Incision.
Do Yong LEE ; Jin Man CHO ; Jung Sam KIM
Journal of the Korean Ophthalmological Society 1997;38(9):1572-1579
We examined uncorrected visual acuity, surgically induced astigmatism and complications of 122 eyes underwent cataract surgery with implantation of the AMO Phacoflex SI-30NB. More than 80% of all cases showed uncorrected visual acuity better than 20/40. Temporal incision revealed less surgically induced astigmatism and faster rehabilitation than superior incision. Posterior capsular opacity was found in 14.8%, however Nd-YAG laser capsulotomy was performed in 2.5%. The incidences of contraction of capsular opening and displacement of intraocular lens were 4.9% and 4.1%, respectively. The range of displacement was within 1mm. Conclusively, cataract surgery with implantation of the AMO Phacoflex SI-30NB through clear corneal incision of 3.2mm revealed a low incidence of complication and provided patients rapid visual rehabilitation.
Astigmatism
;
Cataract
;
Humans
;
Incidence
;
Lasers, Solid-State
;
Lenses, Intraocular
;
Rehabilitation
;
Silicones*
;
Visual Acuity
3.Stenting of Symptomatic Middle Cerebral Artery Stenosis: Case Report.
Pyoung JEON ; Yong Sam SHIN ; Sung Ryoung LIM ; Sun Jung KIM
Korean Journal of Cerebrovascular Disease 2002;4(2):155-158
Percutaneous balloon angioplasty has been reported to be useful in the treatment of intracranial atherosclerotic arterial stenosis. However, arterial dissection with increased risk of acute closure and stroke has limited its widespread implementation. Stenting of the intracranial vasculature recently has been shown to be feasible in a variety of circumstance. However, stenting of middle cerebral artery has been limited because of difficulty with tracking stents across the carotid siphon. We report a case of successful percutaneous stenting of a symptomatic middle cerebral artery stenosis using a balloon-expandible flexible coronary stent.
Angioplasty
;
Angioplasty, Balloon
;
Constriction, Pathologic*
;
Middle Cerebral Artery*
;
Stents*
;
Stroke
4.Is an Isolated Weight-Holding Tremor a New Subtype of Isometric Tremor?
Seok Woo YONG ; Don Gueu PARK ; Jung Han YOON ; Jong Sam BAIK
Yonsei Medical Journal 2020;61(7):644-646
A weight-holding tremor is a rare type of hand tremor that occurs only when someone holds some weight. Here we report three cases of isolated weight-holding tremors, of which one patient was diagnosed with Parkinson’s disease (PD) and the others as a variant of essential tremor (ET). A 68-year-old woman presented with a left-hand tremor that appeared only when she held objects with some weight. Her tremor was reminiscent of the re-emergent tremor of PD, and dopamine transporter imaging revealed reduced uptake at the right posterior putamen. A 21-year-old man and a 71-year-old woman also presented with similar weightholding tremors. However, these tremors were not re-emergent, and no signs of parkinsonism were observed during follow-up. Although the underlying etiologies of these tremors differed, all three tremors worsened as the held weight increased. These tremors could be isolated isometric tremors, but further research is needed to clarify the nature of this rare tremor.
5.Infection Control Activities in Chonnam National University Hospital.
Joung Hae JUNG ; Jung Hee LEE ; Keu Won PARK ; Eoun Son PARK ; Sam Yong LEE ; Sook In JUNG ; Dong Hyeon SHIN ; Jong Sun REW
Korean Journal of Nosocomial Infection Control 2003;8(1):57-63
No abstract available.
Infection Control*
;
Jeollanam-do*
6.Analysis of Pineal Cyst��Clinical and Radiological Characteristics.
Yong Su KIM ; Shin JUNG ; Sang Won YOON ; Jung Kil LEE ; Tae Sun KIM ; Jae Hyoo KIM ; Soo Han KIM ; Sam Suk KANG ; Je Hyuk LEE
Journal of Korean Neurosurgical Society 2000;29(7):899-903
No abstract available.
7.Microcystic meningioma: A case report.
Seung Sam PAIK ; Se Jin JANG ; Yong Wook PARK ; Eun Kyung HONG ; Moon Hyang PARK ; Jung Dal LEE
Journal of Korean Medical Science 1996;11(6):540-543
Microcystic meningioma is a distinct morphological variant of meningioma, characterized by loose texture and microcysts with formation of large extracellular spaces containing edematous fluid. The tumor cells have stellate and vacuolated cytoplasm with long cytoplasmic processes. We experienced a case of typical microcystic meningioma occurring in the falx cerebri adjacent to the left superior parasagittal sinus in a 41-year-old man. The tumor showed the typical histologic features with a few nests of meningothelial whorls. The tumor cells showed diffuse immunoreactivity for vimentin, epithelial membrane antigen (EMA), and S-100 protein. Ultrastructural study confirmed the meningiomatous nature of the tumor.
Adult
;
Case Report
;
Human
;
Magnetic Resonance Imaging
;
Male
;
Meningeal Neoplasms/metabolism/*pathology
;
Meningioma/metabolism/*pathology
8.Association among Histopathology, Clinical Manifestation, and Ultrasonographic Grades in Pediatric Non-alcoholic Fatty Liver Disease.
Sue Jung JEE ; Yong Joo KIM ; Soon Young SONG ; Seung Sam PAIK
The Korean Journal of Gastroenterology 2011;57(3):158-165
BACKGROUND/AIMS: Nonalcoholic steatohepatitis (NASH) is the progressive form of non-alcoholic fatty liver disease (NAFLD), and its prevalence is increasing worldwide. Liver biopsy remains the best way to diagnose NASH and establish the presence of fibrosis, but has not been performed easily in children because of its invasiveness. We analyzed the ultrasonographic and histopathologic findings of pediatric NAFLD patients, and studied to find their association with clinical characteristics and laboratory findings. METHODS: The study involved 18 obese children ranging from 7 to 15 years of age, who were diagnosed with NASH by liver biopsy. We performed the abdomen ultrasonography before the liver biopsy. We reviewed their pathology slides and classified them by NASH CRN (Clinical Research Network) scoring system. We also reviewed the abdomen ultrasonographic findings of the patients and classified them into grade of 1, 2, and 3. We reviewed the medical records of the patients and investigated their clinical characteristics and laboratory findings. RESULTS: The ultrasonographic grades had significant association with NAFLD activity score, grade of steatosis amount, ballooning change, and portal inflammation. Serum triglyceride level was significantly higher in patients who showed high grade steatosis and high NAFLD activity score. CONCLUSIONS: This study showed that serum triglycerides and ultrasonographic findings are highly correlated with pathologic findings in children with NAFLD.
Adolescent
;
Biopsy, Fine-Needle
;
Child
;
Disease Progression
;
Fatty Liver/diagnosis/pathology/ultrasonography
;
Female
;
Humans
;
Male
;
Obesity/complications
;
Retrospective Studies
;
*Severity of Illness Index
;
Triglycerides/blood
9.Internal Fixation of the Unstable Cervical Spine Fracture and Subluxation.
Eul Soo JUNG ; Sam Kyu KO ; Oh Lyong KIM ; Yong Chul CHI ; Byung Yearn CHOI ; Soo Ho CHO
Journal of Korean Neurosurgical Society 1992;21(1):36-41
Recently various kinds of anterior or posterior cervical instruments have been used for stabilization of unstable cervical spinal injury. Every device has different characteristics, so none can cover all of the various types of unstable injuries. Forty six patients of unstable cervical spine fracture and subluxation underwent stabilizing operation using the anterior Caspar plate(6 cases) and the Roy-Camille posterior plate system(40 cases) during recent 3-years. Each approach employed depends on the site of compression and mechanism of injury. Six patients who had complete neurological injury expired after the surgery. The follow-up period for the 40 patients was from 5 to 32 months(average-17.5 months). During follow-up period, 16 out of 22 patients(72.7%) who had a neurological deficit showed minimal to moderate improvement and only 4 patients(10%) complained of significant arm or neck pain. The only complication of instrumentation was 5 cases of screw breakout, but 3 of them did not have any problem. Radiologically 37 patients(92.5%) had firm fixation after surgery.
Arm
;
Follow-Up Studies
;
Humans
;
Neck Pain
;
Spinal Injuries
;
Spine*
10.A Case of McCunt-Albright Syndrome Associated with Acremegaly and Fibrous Dysplasia.
Jung Guk KIM ; Sung Woo HA ; Sang Won CHUNG ; Seong Mo KOO ; Jae Tae LEE ; Kyu Bo LEE ; Yong Sun KIM ; Sam KWON ; Bo Wan KIM
Journal of Korean Society of Endocrinology 1998;13(1):108-114
Acromegaly and hyperprolactinemia have been described in association with polyostotic fibrous dysplasia. The pathogenic mechanisms of this endocrinopathy are not clear. We experienced a 19-year-old male with hypersecretion of GH, hyperprolactinemia and fibrous dysplasia. He was referred for evaluation of suspected acromegaly. He had no skin pigmentation. Plasma GH, PRL, somatomedin-C, LH, FSH, testosterone, estradiol, progesterone, T3, T4, TSH and cortisol were measured. Among those, the levels of plasma GH, PRL and somatomedin-C were high. Serum alkaline phosphatase was increased. OGTT did not suppress plasma OH concentration and GH showed paradoxical response to TRH and LHRH. GH was suppressed after a test-dose of somatastatin and bromocriptine. Brain MRI demonstrated a mass lesion in sella turcica and another mass lesions in nasal cavity and posterior occipital bone. Whole body bone scan revealed increased uptake in skull, nasal bone, both 9th posterior rib, both femurs, both tibias, left scapular and pelvic bone. These fmdings were consistent with bone tumor such as fibrous dysplasia. We report a case with incomplete MeCune-Albright syndrome including acromegaly, hyperprolactinemia and polyostotic fibrous dysplasia.
Acromegaly
;
Alkaline Phosphatase
;
Brain
;
Bromocriptine
;
Estradiol
;
Femur
;
Fibrous Dysplasia, Polyostotic
;
Glucose Tolerance Test
;
Gonadotropin-Releasing Hormone
;
Humans
;
Hydrocortisone
;
Hyperprolactinemia
;
Magnetic Resonance Imaging
;
Male
;
Nasal Bone
;
Nasal Cavity
;
Occipital Bone
;
Pelvic Bones
;
Plasma
;
Progesterone
;
Ribs
;
Sella Turcica
;
Skin Pigmentation
;
Skull
;
Testosterone
;
Tibia
;
Young Adult