• Title/Summary/Keyword: 신경 재건술

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Thoracoscopic Sympathetic Nerve Reconstruction with using an Intercostal Nerve Graft after Thoracoscopic Sympathetic Clipping for Facial Hyperhidrosis (안면부 다한증에서 흉부교감신경차단수술 후 발생한 보상성 다한증에서 흉강경을 이용한 흉부교감신경 재건술)

  • Haam, Seok-Jin;Lee, Doo-Yun;Kang, Cheong-Hee;Paik, Hyo-Chae
    • Journal of Chest Surgery
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    • v.41 no.6
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    • pp.807-810
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    • 2008
  • From October 2005 to August 2006, sympathetic nerve reconstruction with using the intercostal nerve was performed in 4 patients with severe compensatory hyperhidrosis following thoracoscopic sympathetic surgery for facial hyperhidrosis. The interval between the initial sympathetic clipping and the sympathetic nerve reconstruction was a median of 23.1 months. The compensatory sweating after sympathetic nerve reconstruction was improved for 2 patients, but it was not improved for 2 patients. Thoracoscopic sympathetic nerve reconstruction may be one of the useful treatment methods for the patients with severe compensatory hyperhidrosis after they under go sympathetic nerve surgery for hyperhidrosis.

Phrenic Nerve Reconstruction During Anterior Mediastinal Tumor Resection (전종격동 종양 절제시 시행한 횡격막 신경 재건술)

  • 김태윤;홍기우;김건일;이원진;최광민
    • Journal of Chest Surgery
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    • v.35 no.7
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    • pp.560-563
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    • 2002
  • Unilateral diaphragmatic paralysis due to a phrenic nerve injury is not rare after cardiothoracic surgery and may range from an asymptomatic radiographic abnormality to severe pulmonary dysfunction and even mortality in patients with reduced lung function. The most effective treatment for symptomatic unilateral diaphragmatic paralysis has been known to be a plication of the paralyzed hemidiaphragm. A 38 year-old male patient with asthma received a phrenic nerve reconstruction with a sural nerve for right phrenic nerve injury during resection of the anterior mediastinal tumor. Ten months later, chest PA showed good result and we report this case with literature.

Compartment Syndrome and Deep Vein Thrombosis after Repetitive Posterior Cruciate Ligament Reconstruction (반복된 후방 십자 인대 재건술 후 발생한 구획 증후군 및 심부 정맥 혈전증)

  • Kim, Jin-Goo;Lee, Soo-Won;Choi, Hong-Joon
    • Journal of the Korean Arthroscopy Society
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    • v.12 no.1
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    • pp.58-62
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    • 2008
  • Posterior cruciate ligament reconstructions are dangerous procedure in terms of neurovascular complication. But deep vein thrombosis and associated compartment syndrome after posterior cruciate ligament reconstruction has not been reported, yet. We have experienced a patient who developed a deep vein thrombosis and compartment syndrome after revision posterior cruciate ligament reconstructive surgery, and report the importance of diagnosis and management with the discussions.

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Tracheoinnominate Artery Fistula after Tracheal Reconstruction (기관 재건술 후 발생한 기관 무명동맥루)

  • 곽영태;신원선;맹대현;이신영;김수철;박주철;김동원
    • Journal of Chest Surgery
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    • v.29 no.11
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    • pp.1288-1291
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    • 1996
  • Tracheoinnominate artery fistula is a rare but a catastrophic complication after tacheostomy or tracheal reconstruction. We experienced one case of tracheoinnominate artery fistula after tracheal reconstruction. The patient was a 11 year old girl with cerebral arteriovenous malformation who maintained tracheostomy for 6 months before undergoing tracheal reconstruction. She complained of dyspnea and paroxysmal cough 5 months after tracheostomy and was diagnosed as tracheal stenosis. We performed 4cm of tracheal resection and end to end anastomosis. Three days after tracheal reconstruction, massive bleeding occurred through the intubation tube. She underwent emergency reoperation of repair the innominate artery with 5-0 Prolene and re-reconstruction of trachea. The patient died of bleeding 3 days after the reoperation.

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Effect of Convergence-Based Russian Current and Transcutaneous Electrical Nerve Stimulation at Quadriceps Muscles on Pain, Strength, and Performance in Persons with Anterior Cruciate Ligament Reconstruction (융복합기반 러시안전류와 경피신경전기자극이 앞십자인대재건술 환자의 넙다리네갈래근의 통증, 근력, 기능에 미치는 효과)

  • Lee, Deok-Jae;Shim, Jae-Hun;Yoon, Seoung-Ic;Park, Shin-Jun
    • Journal of the Korea Convergence Society
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    • v.8 no.1
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    • pp.77-87
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    • 2017
  • The purpose of This study was to compare the effect of Convergence-Based russian current(RC) and transcutaneous electrical nerve stimulation(TENS) on pain, muscle strength, function of knee who had a surgical anterior cruciate ligament reconstruction(ACLR). A total of 40 Participants divided into 2 groups, with ACLR, were assigned to russian current group(RCG) or transcutaneous electrical nerve stimulation group(TENSG). Both groups were measured by varieties of tests: visual analog scale(VAS), knee flexion & extension muscle strength, knee injury and osteoarthritis outcome score(KOOS), korean lower extremity functional scale(LEFS). Both groups has shown significant changes within the measurements of VAS, Knee Flexion & Extension muscle strength, KOOS and LEFS. The RCG had more significant increase within knee extension muscle strength, LEFS compared to TENSG. By studying this research, both interventions were effective to ACLR patients, moreover, RC was more effective for knee muscle strength and lower extremity function than the TENS.

Immediate Facial Reanimation Surgery Following Tumor Resection after Iatrogenic Complete Facial Nerve Palsy (종양 절개생검 이후에 발생한 의인성 완전안면신경마비에서 즉각적인 안면신경마비 재건술에 대한 증례 1예)

  • Kim, Jong-Sei;Cho, Jae Keun;Jeong, Han-Sin;Son, Young-Ik;Baek, Chung-Hwan
    • Korean Journal of Head & Neck Oncology
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    • v.29 no.2
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    • pp.87-92
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    • 2013
  • Complete facial nerve palsy is emotionally and physiologically devastating condition. Management of patients with the facial nerve palsy poses significant challenges to achieve the goal of returning patients to their premorbid state. We experienced a case of iatrogenic facial nerve palsy in a 66 year-old patient, who was diagnosed as facial nerve schwannoma with previous incisional biopsy. The author describes the management of this patient and reviews the literature.

The Effects of Electrical Stimulation Method on Muscle Strength, Pain, Range of Motion, Fear Avoidance-Belief in Patients with Anterior Cruciate Ligament Reconstruction (전기자극방법이 앞십자인대 재건술환자의 근력과 통증, 관절가동범위 및 공포-회피반응에 미치는 영향)

  • Park, Shin-Jun;Lee, Ju-Hwan;Lee, Duck-Jae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.6
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    • pp.538-546
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    • 2017
  • The purpose of this study was to investigate the effect of neuromuscular electrical stimulation (NMES) and transcutaneous electrical nerve stimulation (TENS) on muscular strength, pain, range of motion and fear-avoidance in anterior cruciate ligament reconstruction (ACLR) patients. The subjects of this study who received ACLR after arthroscopic injury were divided into two groups: NMES (n=14) and TENS (n=14). Each group received intervention after routine physical therapy. Each electrotherapy intervention was applied regularly for a total of 12 times, 3 times a day (30 minutes) for 4 weeks. The evaluation by intervention method included isokinetic muscle strength in flexion and extension of the knee joint, pain, range of motion of the knee joint, and fear-avoidance beliefs. The results showed significant improvement in pain, range of motion, and fear-avoidance beliefs in both groups (p<0.05). However, there was a significant improvement in isokinetic knee flexion and extension strength only in the NMES group (p<0.05). There was no significant difference between the two electrotherapy methods in muscle strength, pain, range of motion, and fear-avoidance beliefs. These study results suggest that NMES and TENS can be effective intervention methods for pain, range of motion, and fear-avoidance response in patients with ACLR, but to improve muscle strength NMES may be more effective.

Reconstruction of the Lower Extremity with the Microsurgical Technique (미세수술을 이용한 하지 재건술)

  • Hahn, Soo-Bong;Jeon, Chang-Hoon
    • Archives of Reconstructive Microsurgery
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    • v.3 no.1
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    • pp.32-39
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    • 1994
  • One hundred and sixty patients had reconstructive surgery of the lower extremity with the microsurgical technique at the department of orthopaedic surgery, Yonsei University College of Medicine from 1982 to 1989. There were ninty-six cases of men and sixty-four cases of women, in which the mean age was 23.8 years. These patients were followed for 21.4 months. The causes were 114 cases from traffic accidents, 18 cases from tumors, 12 cases from machinery injuries, 5 cases from burns, 2 cases from explosive injuries, and 9 cases from other reasons. There were 55 cases of scapular flap, 35 cases of groin flap, 23 cases of free vascularized osteocutaneous flap, 18 cases of parascapular flap, 9 cases of combined scapular and latissimus dorsi flaps, and 8 cases of segmental resection and rotationplasty. Success in reconstructive surgery with the microsurgical technique was achieved in one hundred and thirty four cases, and function and cosmetic results were excellent. Free vascularized flap with development of the microsurgical technique has taken an important role in reconstruction of large extremity defects where skin graft and distant flap were not applicable. Reconstruction of the lower extremity with the microsurgical technique is indicated with free vascularized osteocutaneous flap when there is a large defect of bone, a need for injured nerve replacement, and in the case of needed multiple staged operations. In these instences, this technique is regarded as simple one-staged reconstructive surgery.

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