• Title/Summary/Keyword: 의정부성모병원

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Iatrogenic Spark Burn Injury to the Chest From a Transcutaneous Pacing Patch (경피적 심장 충격 장치의 사용으로 발생한 의인성 전기 화상의 증례 보고)

  • Choi, Jong Yun;Cha, Won Jin;Jung, Ee Room;Seo, Bommie Florence;Jung, Sung-No
    • Journal of the Korean Burn Society
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    • v.24 no.2
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    • pp.50-52
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    • 2021
  • Iatrogenic electrical burns that occur from the use of a defibrillator, a paddle-type cardiac shock device, have been reported in various forms. Electrical burns are usually conducted directly through the skin and are more damaging than scald burns or contact burns. A transcutaneous cardiac pacing device is a patch-type cardiac shock device that automatically delivers a shock when an abnormal heart rhythm is detected. We introduce a unique case of iatrogenic electrical burns caused by the transcutaneous pacing patch of a cardiac shock device. Electrical energy was converted into a spark due to foreign bodies deposited around the patch, resulting in damage to the peripheral area of the skin.

Feasibility of TRPM8 Agonist Agent for Management of Skin Graft Donor Site (화상 재건을 위한 식피술 공여부의 반흔 관리에 있어 TRPM8 Agonist 제재의 유용성)

  • Choi, Jangyoun;Jung, Ee Room;Cho, Jin Tae;Seo, Bommie Florence;Choi, Jong Yun;Kwon, Ho;Jung, Sung-No
    • Journal of the Korean Burn Society
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    • v.22 no.2
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    • pp.30-33
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    • 2019
  • Purpose: Wound healing and scar management of donor site after skin graft should not be overlooked. Patients continue to complain of dryness, itching sensation. Such discomfort can cause irritation to the patients and lead to delayed healing or secondary infection. Thus, the author predicted Eucalyptus Oil, which acts on Transient Receptor Potential Melastatin 8 would be effective in regulating scar by reducing itching sensation in donor site when combining conventional silicone materials. Methods: The study was performed on 30 patients who underwent split thickness skin graft with lateral thigh as donor site between January 2017 and August 2018. First, primary evaluation of fully epithelized donor site scar three weeks after surgery was conducted. Control group (n=15) applied silicone gel (Kelo-cote, USA) solely two times a day. study group (n=15) applied Eucalyptus oil, combined with silicone gel. After 3 months of follow up, donor scar was evaluated using Vancouver scar scale and VAS scores of subjective patient reports regarding pain and itching sensation. Results: It was confirmed that both groups showed stable scar improvement comparing scar quality for 3 months. After 3 months, scar quality in study group showed superiority in pigmentation, pliability and pruritus compared to control group. Conclusion: Application of Eucalyptus Oil combined with conventional silicone gel is favorable to scar management and may give additional benefit of alleviating pruritis symptoms.

Spontaneous Discharge of a Dental Implant Displaced Into Maxillary Sinus: A Case Report (자발적으로 배출된 상악동 내 함입되었던 임플란트: 증례보고)

  • Cho, Seung-Yeon;Kim, Su-Yeon;Kim, In-Soo;Lee, Won
    • Implantology
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    • v.22 no.4
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    • pp.236-241
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    • 2018
  • This case report is to report an extraordinary case of the spontaneous discharge of a dental implant. A 45-year-old woman was referred to our department complaining of symptoms of acute Maxillary sinusitis. She underwent a computed tomography scan that revealed a dental implant dislocated in the maxillary sinus. A preoperative medical treatment [Amoxicillin - Clavulanate (375 mg) and Streptokinase-Streptodornase (12500IU)] three times a day for two weeks was administered in order to prepare her for surgery. Unexpectedly, she reported that she had discharged the implant from mouth in the early morning. Mucociliary clearance in combination with a local osteolytic inflammatory process and mucolytics therapy are the likely causes of this unusual discharge.

Feasibility of Cultured Allogenic Keratinocyte Treatment for Third Degree Burns (3도 화상에 대한 동종 상피세포 치료제의 효과 보고)

  • Choi, Jangyoun;Cho, Jin Tae;Choi, Jong Yun;Seo, Bommie Florence;Jung, Sung-No
    • Journal of the Korean Burn Society
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    • v.22 no.2
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    • pp.45-48
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    • 2019
  • Allogenic keratinocyte application is widely used for treatment of second degree burns. However, there is no significant body of report on application of allogenic keratinocyte to third degree burns. A geriatric patient visited our burn center showing second to third-degree burn on dorsum of her left hand. Considering the surface area and wound depth, surgery was indicated but her medical condition and age made the surgery high risk for a long operation. Therefore, chemical escharolysis, serial bedside debridement, and cultured allogenic keratinocyte (Kaloderm®, Tegoscience, Seoul, Korea) application was done. The wound was completely epithelialized after four rounds of Kaloderm® application. For third-degree burns where definitive surgical reconstruction is precluded due to medical comorbidity of the patient, we investigated the possibility of allogenic keratinocyte treatment which may allow to avoid high-risk anesthesia and surgery.

Multidetector CT Findings of Solid Organ Injury Based on 2018 Updated American Association for the Surgery of Trauma Organ Injury Scaling System (2018 개정 미국외상수술협회 복부고형장기 손상척도에 따른 다중검출 CT 소견)

  • Hyo Hyeon Yu;Yoo Dong Won;Su Lim Lee;Young Mi Ku;Sun Wha Song
    • Journal of the Korean Society of Radiology
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    • v.81 no.6
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    • pp.1348-1363
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    • 2020
  • The newly revised 2018 Organ Injury Scale (OIS) has a similar format to the previous American Association for Surgery and Trauma (AAST) Emergency General Surgery Grading System, dividing the criteria for grading solid organ damage into three groups; imaging, operation, and pathology. The most significant alteration in the OIS system 2018 revision is the incorporation of multidetector CT (MDCT) findings of vascular injury including pseudoaneurysm and arteriovenous fistula. Similar to the previous OIS, the highest of the three criteria is assigned the final grade. In addition, if multiple grade I or II injuries are present, one grade is advanced for multiple injuries up to grade III. This pictorial essay demonstrates the MDCT findings of solid organ injury grades based on the 2018 OIS system.