TREATMENT OF BURN DEFORMITIES USING FREE FLAPS.
Journal of the Korean Society of Plastic and Reconstructive Surgeons.1997;24(4):691-699.
Journal of the Korean Society of Plastic and Reconstructive Surgeons
to Present ISSN: 1015-6402
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Journal of the Korean Society of Plastic and Reconstructive Surgeons.1997;24(4):674-690.
Journal of the Korean Society of Plastic and Reconstructive Surgeons.1997;24(4):660-673.
No abstract available.
Rabbits*
Rabbits*
THE EFFECT OF PG E1 ON SKIN FLAP SURVIVAL AFTER SECONDARY VENOUS ISCHEMIA.
Journal of the Korean Society of Plastic and Reconstructive Surgeons.1997;24(4):651-659.
Journal of the Korean Society of Plastic and Reconstructive Surgeons.1997;24(4):637-650.
No abstract available.
Adult* ; Humans ; Skin* ; Transforming Growth Factor beta* ; Wound Healing* ; Wounds and Injuries*
Adult* ; Humans ; Skin* ; Transforming Growth Factor beta* ; Wound Healing* ; Wounds and Injuries*
Mastopexy with Mammary Parenchymal Z-plasty Pattern.
Journal of the Korean Society of Plastic and Reconstructive Surgeons.2011;38(4):408-414.
PURPOSE: To correct breast ptosis, reduction mammoplasty and mastopexy have been developed in a way that minimizes complications. Recently, as the mean age of breast cancer occurrence is decreasing, the need for breast reconstruction in patients with breast cancer is rising. If mastopexy is performed with breast reconstruction at the same time, the size of the normal breast and the new one is not quite different. We decided to apply Z-plasty, which is a widely-used technique in plastic surgery to lengthen or change the direction of tension of the tissue. METHODS: From March 2008 to December 2009, we performed breast reconstruction in 6 patients with breast cancer and scar contracture. After breast reconstruction, mastopexy with Z-plasty was applied to correct the asymmetry. The new nipple-areolar complex is placed on the line connecting the midclavicle and the current nipple. The inferior border of the new areola corresponds with the inferior border of the original areola, and the superior border about 2 cm upward the original superior border. We drew two oblique lines connecting the medial end of the incision line lower to the nipple-areola complex and the lateral end of the inframammary fold for Z-plasty. The excess tissue between these two lines was removed and the new triangular flaps were put together. RESULTS: The average age of patients was 42.6 years, aged from 36.1 to 48.1 The weight of removed tissue was between 54g and 95 g, with the mean of 74 g. The average distance from the midclavicle to the nipple was 24 cm before surgery, and 21 cm after the surgery. The average operation time per patient (1 mastopexy) was 45 minutes, and the patients were satisfied with the size and shape. CONCLUSION: Applying Z-plasty for the mastopexy on the normal breast ptosis is a relatively simple way to achieve symmetry in patients who need breast reconstruction.
Aged ; Breast ; Breast Neoplasms ; Cicatrix ; Contracture ; Female ; Humans ; Mammaplasty ; Nipples ; Surgery, Plastic
Aged ; Breast ; Breast Neoplasms ; Cicatrix ; Contracture ; Female ; Humans ; Mammaplasty ; Nipples ; Surgery, Plastic
Long-term Result of Nipple Reconstruction Using Skate Flap after Breast Reconstruction.
Journal of the Korean Society of Plastic and Reconstructive Surgeons.2011;38(4):401-407.
PURPOSE: A number of flap for nipple reconstruction have been well described in the literature. However, most of these techniques do not permit the reconstruction of a projecting nipple and all are hampered to some extent by long-term loss of nipple projection. The objective of this study is to evaluate the long-term result and clinical efficacy of nipple reconstruction using skate flap technique after breast reconstruction. METHODS: A retrospective chart review was carried out on 23 patients who underwent 25 nipple reconstructions. In those patients with greater than 10 mm nipple projection, reconstruction with skate flap and full-thickness skin graft and/or tattooing was performed. Maintenance of nipple projection was then carefully assessed over one-year follow-up. The following factors were analyzed: type of breast reconstruction, type of areola reconstruction, follow-up period, decrease in nipple projection, complication, and whether secondary nipple reconstruction was necessary and/or performed. RESULTS: Breast reconstructions were performed in 17 patients with free transverse rectus abdominis musculocutaneous flap, 3 patients with extended latissimus dorsi musculocutaneous flap, and 3 patients with expander and implant. The mean follow-up after nipple reconstruction was 17 months. Mean loss of projection were 17.0 +/- 13.99%, 25.0 +/- 12.70%, 30.0 +/- 12.57% and 30.8 +/- 12.49% at 3, 6, 9 months and over one year, respectively. The greatest decrease in projection was noted in the first 3 months following surgery. CONCLUSION: These results indicated that nipple reconstruction with skate flap showed about 70 percent of the projection achieved over one year postoperation. Therefore, the skate flap may be a reliable method of nipple reconstruction in those patients with greater than 10 mm nipple projection.
Breast ; Female ; Follow-Up Studies ; Humans ; Mammaplasty ; Nipples ; Rectus Abdominis ; Retrospective Studies ; Skin ; Tattooing ; Transplants
Breast ; Female ; Follow-Up Studies ; Humans ; Mammaplasty ; Nipples ; Rectus Abdominis ; Retrospective Studies ; Skin ; Tattooing ; Transplants
Solitary Subungual Myxoid Neurofibroma of the Thumb: A Case Report.
Journal of the Korean Society of Plastic and Reconstructive Surgeons.2011;38(4):398-400.
PURPOSE: Subungual tumors are a common cause of nail plate deformity, and may be caused by fibrokeratoma, Koene's tumor and glomus tumors. Neurofibromas, either as part of neurofibromatosis or as a solitary tumor are exceptionally rare in the digits. METHODS: A 44-year-old man presented with painless onychodystrophy and nail plate elevation of the right thumb due to a small subungual mass that had started growing 3 years ago. Sensory evaluation of the distal phalanx was normal, and no discoloration nor infection signs were seen. The nail plate was extracted under local anesthesia, and the mass was delicately removed without injury to the nail bed. The nail matrix was repaired with primary closure. RESULTS: Histopathology shows a well circumscribed, cellular tumor with myxoid stroma. Tumor cells were S-100 protein positive, and the patient was diagnosed with myxoid neurofibroma. There has been no sign of recurrence to date, 14 months after the operation. CONCLUSION: Presentation of cutaneous neurofibromas in the digits is an uncommon finding. They may occur as a manifestation of neurofibromatosis or as a solitary tumor. Subungual neurofibromas are exceptionally rare. To our knowledge, there are only ten reports of solitary subungual neurofibroma unrelated to neurofibromatosis to date. We report a rare case of solitary subungual myxoid neurofibroma of the thumb, that was treated through total excision, with preservation of the nail matrix.
Adult ; Anesthesia, Local ; Congenital Abnormalities ; Glomus Tumor ; Humans ; Nail Diseases ; Nails ; Neurofibroma ; Neurofibromatoses ; Recurrence ; S100 Proteins ; Thumb
Adult ; Anesthesia, Local ; Congenital Abnormalities ; Glomus Tumor ; Humans ; Nail Diseases ; Nails ; Neurofibroma ; Neurofibromatoses ; Recurrence ; S100 Proteins ; Thumb
Clinical Experiences with Foreign Body Granuloma of the Nose: 7-Year Experience with 18 Patients.
Journal of the Korean Society of Plastic and Reconstructive Surgeons.2011;38(4):391-397.
PURPOSE: The injection of various materials, including medical fillers and unregulated products, is widespread, potentially causing the development of foreign body granulomas. Should this occur on the nose, the contour deformity and inflammatory signs that result from these granulomas are aesthetically undesirable to patients. The purpose of our study is to share our experiences using different surgical approaches, depending on the affected portion of the nose, to optimize management of this challenging problem and to evaluate patient's satisfaction using our in-house questionnaire along with degree of improvement by two independent plastic surgeons. METHODS: We treated 18 patients who underwent surgical excision of nasal foreign body granulomas via a perilesional approach to the lesion (n=12) or by transcolumellar incision (n=6) at our hospital over a period of seven years from March 2003 to October 2010. Nonparametric statistics were used and are presented as medians (25th-75th). Patient satisfaction was evaluated on a scale of 1 to 5 using an in-house questionnaire. All pre-and post-operative photographs were analyzed by two independent plastic surgeons. Post-operative outcomes were evaluated based on the surgeons' consensus ratings. RESULTS: All patients receiving the transcolumellar approach reported a high level of satisfaction with the results. All but two patients who received the perilesional approach were satisfied with the outcome. No outcomes were rated as no change or worse by the consensus ratings. CONCLUSION: For the upper two-thirds of the nose, perilesional surgical excision can lead to substantial patient satisfaction with modified contour deformity and infection control. The transcolumellar approach resulted in better outcomes and patient satisfaction for the lower one-third of the nose.
Congenital Abnormalities ; Consensus ; Foreign Bodies ; Granuloma ; Granuloma, Foreign-Body ; Humans ; Infection Control ; Nose ; Paraffin ; Patient Satisfaction ; Surveys and Questionnaires
Congenital Abnormalities ; Consensus ; Foreign Bodies ; Granuloma ; Granuloma, Foreign-Body ; Humans ; Infection Control ; Nose ; Paraffin ; Patient Satisfaction ; Surveys and Questionnaires
Correction of Upper Lip Depression Using Conchal Cartilage Graft in Unilateral Cleft Lip Deformity.
Journal of the Korean Society of Plastic and Reconstructive Surgeons.2011;38(4):383-390.
PURPOSE: To correct the upper lip depression after the correction of unilateral cleft lip, autologous grafts such as bone, dermal, fascial grafts and fat injections or alloplastic implants are used. Transplanted bones, dermis and fascia have a tendency to be absorbed and have donor morbidity. Fat injections are absorbed inconsistently and alloplastic implants have problems such as foreign body reactions, protrusions and infections. Authors corrected the upper lip depression using conchal cartilage graft in unilateral cleft lip deformity and the results was analysed with photos. METHODS: 26-unilateral cleft lip and 2-microform cleft lip cases, totally 28 cases were performed. Their mean age was 21.89 years. The male and female cases were 12 and 16, respectivley. Under anesthesia (general: 18 cases and local: 10 cases), cavum conchae (n=8), cymba conchae (n=16) and whole conchae (n=4) were harvested. Transversely cut the margin of the obtained cartilage, we cut out the most bent portion and put a partial-thickness incision on concave surface in cases of excessive convexity. Then, we performed the onlay graft of the conchal cartilage via scar revision site in unilateral cleft lip and via the reconstruction site of the cupid bow in microform cleft lip. The augmentation of the upper lip was evaluated with photos. Adapting the baseline connecting between the both cheilions as a horizontal standard line, we measured the highest point among the tangents between the upper lip and nose (point a), the lowest point (point c), the middle point between a and c (point b) and the vertical line from the alare (point d) to the horizontal standard line. To assess the postoperative symmetry, we compared cleft side upper lip contour index (%) A,B,C,D=(a,b,c,d)-ch x 100/(ch-ch) and non-cleft side upper lip contour index (%) A',B',C',D'= (a',b',c',d')-ch x 100 / (ch-ch).h) RESULTS: After the surgery, no complication was found except in one case which double layers graft performed in the cleft lip deformity, the lateral portion was protruded. The upper lip contour index, the difference of A and A' were-0.83%, and thus the mild depression was persisted. Difference of B and B', C and C', D and D' were 0.83%, 1.07%, 0.90%. There were statistically significant difference, and thus the depression of upper lip were improved generally. CONCLUSION: Authors performed the onlay graft of the conchal cartilage in unilateral cleft lip deformity and found that the depression of the upper lip was well corrected except the uppermost part when photogrammetrically analyzed.
Anesthesia ; Cartilage ; Cicatrix ; Cleft Lip ; Congenital Abnormalities ; Depression ; Dermis ; Fascia ; Female ; Foreign Bodies ; Humans ; Inlays ; Lip ; Male ; Microfilming ; Nose ; Tissue Donors ; Transplants
Anesthesia ; Cartilage ; Cicatrix ; Cleft Lip ; Congenital Abnormalities ; Depression ; Dermis ; Fascia ; Female ; Foreign Bodies ; Humans ; Inlays ; Lip ; Male ; Microfilming ; Nose ; Tissue Donors ; Transplants
Country
Republic of Korea
Publisher
ElectronicLinks
Editor-in-chief
Abbreviation
J Korean Soc Plast Reconstr Surg
Vernacular Journal Title
ISSN
1015-6402
EISSN
Year Approved
2007
Current Indexing Status
Currently Indexed
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