• Archives of Plastic Surgery
• /
• v.44 no.5
• /
• pp.449-452
• /
• 2017

The nipple-sharing technique for nipple reconstruction offers excellent tissue matching. The method used for nipple graft harvesting determines the quality of the graft and hence, the success of nipple sharing. Here, we described a guillotine technique wherein the nipple is first transfixed with 2 straight needles to stabilise it. Two No. 11 blades are then inserted in the center and simultaneously swept outwards to amputate the distal portion of the nipple. This technique provides good control, resulting in a very evenly cut base. The recipient bed is deepithelialized thinly, and the nipple graft is inset with interrupted 8-0 nylon sutures under magnification. Being a composite graft, it is protected with splint dressings for 6 weeks, and the dressing is regularly changed by the surgeon. The height of the nipple grafts ranges from 4 to 8 mm. This technique was performed in 9 patients with an average follow-up of 2.9 years (range, 1-4.5 years). Apposition between the nipple graft and its bed is crucial for the success of this technique. When correctly applied, we observed rapid revascularization of the graft.

• The Journal of Korean Academy of Prosthodontics
• /
• v.29 no.2
• /
• pp.35-48
• /
• 1991

Installation periods of implants in Mx. and Mn., is related to pattern of bone formation. The purpose of this study was to observe histologic response in osseointegration at root formed implant-tissue interface at Mx. and Mn., the other is comparison of osseointegration level between Mx. and Mn. at 8 weeks. In this study, unilateral upper & lower molars were extracted in dog. After allowing to heal for 4 months, two kinds of osseointegrated implants Swedevents, Corevents-were inserted in dog. The specimens were treated by conventional method. The interface zones between bone and implant were investiigated using X-rays, light microscope. The following results were obtained from this study. 1. Around titanium implants that were installed in Ma and Mn., Radio lucencies don't exist 2. There are not inflammation and mobility of titanium implants that were installed in Mx. and Mn. Most of implant surface are covered by bony tissued partly by bone-marrow tissues. 3. Titanium implants installed in Mx, in contrast to same implants in Mn., shows more coverage by bone marrow tissue and lack of apposition lamellar bone, which lead to the assumption that bone formation in Mn. is faster than in Mx.

• Journal of Haehwa Medicine
• /
• v.10 no.1
• /
• pp.167-174
• /
• 2001

According to the literatual study on the external treatment of premature ejaculation, the results were as follows. 1. Linition is inunction glans penis after infiltrate ASARI HERBA CUM RADICE(細辛), CARYOPHYLLI FLOS(丁香), CHEBULAE FRUCTUS(訶子), PAPAVERIS FRUCTUS(罌粟殼), FOSSILIA OSSIS MASTODI(龍骨), OSTREAE CONCHA(牡蠣 in oenostagma. 2. Retrojection or hypoatmism method is boiling CHINENSIS GALLA(五倍子), CNIDII FRUCTUS(蛇牀子) and hypoatmism, down temperature infiltrate glans penis. 3. Mesompharion apposition method is calorization VESPAE NIDUS(露蜂房), ANGELICAE DAHARICAE RADIX(白芷), and utilization vineger apposite mesompharion. 4. Medicament belt method is belt on lumbus and bythus by ROSAE LAEVIGATAE FRUCTUS(金櫻子), EURYALES SEMEN, OSTREAE CONCHA(牡蠣), TRIBULI FRUCTUS, AIPINIAE OXYPHYLLAE FRUCTUS(益智仁), NELUMBINIS SEMEN(蓮子肉) Powders. 5. Enema is injection in the rectum ANGELICAE GIGANTIS RADIX(當歸) effusion. 6. Much utilization agent are ASARI HERBA CUM RADICE(細辛), CHINENSIS GALLA(五倍子), OSTREAE CONCHA(牡蠣), CNIDII FRUCTUS(蛇床子), GRANATI PERICARPIUM(石榴皮), CARYOPHYLLI FLOS(丁香), CHEBULAE FRUCTUS(訶子), FOSSILIA OSSIS MASTODI(龍骨), VESPAE NIDUS(露蜂房), PAPAVERIS FRUCTUS(罌粟殼) etc. They are occupied in adstringentia, juventia, divergence agent, liver stabilizer agent.

• The Korean Journal of Zoology
• /
• v.37 no.4
• /
• pp.504-513
• /
• 1994

The present study was carried out 1) to show the ontogenic development of CA-and GnRH-containing nerve fobres in the median eminence, 2) to simultaneously demonstrate the synaptic contact between these two nenre fibres in the rat median eminence at the ultrastructural level using light and electron microscopic doublelabel immunostainlngs. GnRH-and CA-nenre terminals were detectable in the median eminence at embryonic day 19.5. The CA-newe terminals were obsenred in the entire legion of the extern31 lavers, while GnRH-newe terminals only in the lateral portion. At the 14th postnatal daw, both %ropes of nerve terminals showed a very similar distribution to those of adult one. In the median eminence of adult rats, a substantial overlap existed in the distribution of GnRH fibres with CA-containing nerve fibres. This overlap was most intense throughout the external palisade zone. Furthermore, an electron microscopic double label immunostaining showed that there was a close apposition of CA- and GnRH-nenre fobres. These axo-axonic contacts occurred frequently in the internal and palisade zones, i.e. at the level of the fobre preterminals. These morphological results suggest that the CA-mediated GnRH secretion may occur via sxo-axonic interaction in the median eminence.

• Journal of Veterinary Clinics
• /
• v.35 no.3
• /
• pp.111-113
• /
• 2018

A three-month-old female African buffalo born at Seoul Zoo showed signs of abdominal distension, bulging of the perineal skin, and small stool volume compared to feed intake. Upon physical examination, atresia ani with rectovaginal fistula was diagnosed. This case was subjected to surgery under inhalation anesthesia after injecting a sedative. Surgery was performed in two steps: anal reconstruction and closing the rectovaginal fistula. First, a circular skin incision was made at the end of the rectal pouch to create an anus, and then the skin of the anus and the mucous membrane of the rectum were brought into apposition by simple interrupted sutures. Second, the rectovaginal fistula was ligated on both vulval and anal side. Antibiotics were administered on every alternate day and the sutures were removed at ten days surgery under sedation. The rectovaginal communication was closed and the calf was able to urinate and defecate normally. The animal grew to become a normal adult without any complications. This is the first case report of atresia ani with rectovaginal fistula in an African buffalo, that was successfully treated by surgical intervention.

• Journal of Chest Surgery
• /
• v.23 no.3
• /
• pp.550-555
• /
• 1990

Since Steichen and Ravich`s pioneer work in 1972 proved that staples reduced anastomotic leaks and operative time, the use of EEA stapler`s in esophagogastrostomy have gained acceptance and popularity. But overriding these benefits are the high stricture rate, which leads to the reappearance of dysphagia. The mechanism for the development of stricture in stapled anastomosis is likely to be due to the lack of mucosa to mucosa apposition and presence of necrotic tissue between the luminal edge and the rows of the stapler. All strictures were easily dilated. Recently, we encountered a patient who suffered from an esophageal stricture that slowly developed 10 months after an esophagogastric anastomosis with a EEA 425 was performed due to severe muscular hypertrophy of esophagus. Because the stricture failed to respond to the Bougienage, we reoperated using a EEA 28 this time. We feel that this case review helps to show that despite the very low leakage rate in small size EEA stapler, there is also a very high risk of stricture.

• Journal of Veterinary Clinics
• /
• v.25 no.6
• /
• pp.545-548
• /
• 2008

A 3-year-old castrated male Siberian husky was presented for evaluation after being hit by a car. On physical examination, the dog showed open-mouth, displacement of mandible and hypersalivation with blood ting. The base of tongue was transected almost 80% on the bias from right dorsal side to the left ventral side. Radiography demonstrated separation of mandible symphysis, and fracture of right condyle and vertical ramus. After debridement of the necrotic tissue, tongue apposition with simple interrupted suture was performed. Mandibular symphysis, condyle and mandibular vertical ramus fractures were fixed using pin, cerclage wire, T-plate, and K-wires. The mouth was irrigated daily using chlorhexidine after surgery. The sutures that were loose here or untied at tongue were re-sutured under sedation. The transected tongue was healed and recovered its normal movement after 6 weeks.

• Journal of English Language & Literature
• /
• v.57 no.1
• /
• pp.51-72
• /
• 2011

This paper explores the issue of strangers and of hospitality in Mary Shelley's Frankenstein, based on Kant's concept of hospitality as "the right of a stranger" and on Derrida's discussion of hospitality. It first examines the similarities between the domestic relations within the Frankenstein family and Frankenstein's relation to the monster: an effort to create unity out of a multiplicity of elements, and what can be called a "debt economy." Then, reading the animation scene of the monster as a version of the advent of a stranger, it deals with the question of hospitality. More specifically, the arrival of Clerval immediately follows the animation of the monster because it effectively dramatizes the paradox that there is no hospitality without hostility. The opposition and the apposition between hospitality and hostility are also seen in the De Lacey family's welcoming Safie and rejecting the monster. Frankenstein's failure and the De Lacey family's failure to welcome the monster show that hospitality as "right" exemplified by Kantian hospitality does not apply to a stranger like the monster who has neither name nor relation and who is categorized into what Derrida terms "an absolute other." This paper also looks at Safie's problematic subversion against her father, which loses its subversive charge in the context of racial relations between Turkish Mahometans and European Christians. Safie's father looms large in the context of the issue of hospitality because his episode suggests that the category of race causes hospitality to malfunction.

• Journal of the Korean Academy of Esthetic Dentistry
• /
• v.29 no.1
• /
• pp.54-61
• /
• 2020

Forced orthodontic eruption(FOE) is a non-surgical treatment approach that allows augmenting both soft- and hard-tissue profiles of potential implant sites, by forced orthodontic extrusion of "hopeless" teeth and their periodontal apparatus. By stretching the gingival and periodontal ligament fibers during extrusion, tension is imparted to the entire alveolar socket, stimulating osseous apposition at the alveolar crest. FOE increases the width of the attached gingiva, and the mucogingival junction remains stable when the gingival margin migrates coronally. Based on these effects, FOE of non-restorable teeth prior to implant placement is a viable alternative to conventional surgical augmentative procedures in implant site development. The aim of this case report is to describes coronal soft-tissue augmentation around fractured teeth, which was achieved by FOE before implant placement.

• Journal of Periodontal and Implant Science
• /
• v.25 no.1
• /
• pp.67-75
• /
• 1995

The progress of periodontal disease and the wound healing process after treatment result in alveolar bone bone change. So, detection of it is very important in the diagnosis and the radiograph of periodontal disease. Various effects have been made to assess the subtle alveolar bone change and digital subtraction radiography (DSR) has been reported to be the best method in evaluating it qualitatively and quantitatively. The present study was performed to estimate the detectable alveolar bone change qualitatively with digital subtraction radiography. For the in vitro study, 10 intraoral standard radiographs were taken from porcine dry mandible which a rectangular cortical bone chip of 0.1mm to 1.0mm thickness with 0.1mm increment was attached on the buccal surface. The radiographs without and with bone plates were reviewed at the same time by 10 observers and requested to detect the presence of cortical bone plates. Digital Subtraction radiograph was reviewed subsequently by using the DSR system(digital converter-256 grey-levels,DT 2851,Data Translation Co., U.S.A;IBM 386 ; CCD camera, FOTOVIX, Tamrom Co., Japan). The detectable thickness of cortical bone plate was O.4mm on the intraoral radiograph and 0.2mm on the subtaction images. For the human study, radiographs were taken from patients by using intraoral film holding device and aluminum reference wedge before and 3 month after bone graft and 1 week after osteoplasty. The grey level change was estimated in the subtraction images and calculated to aluminum equivalent thickness. The grey level of the grafted site was higher that that of healthy controls. Average grey levels of change on healthy controls were O.48mm aluminum equivalent. However, the amount of changes in grafted sites were 1.87mm aluminum thickness equivalent and in the site of osteoplasty were -1.49mm aluminum thickness equivalent. In conclusion, digital subtraction radiography was more effective in detecting as subtle change of alveolar bone than intraoral standard radiography. With the aid of quantitative analysis of digital subtraction radiography, alveolar bone resorption of apposition can be estimated during diagnosis and treatment of periodontally diseased patients.