• Journal of Chest Surgery
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• 제28권1호
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• pp.65-68
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• 1995

Pectus excavatum occasionally occurs in patients who have underlying cardiac disease, especially Marfan syndrome. This report describes a patient with pectus excavatum who had ascending aortic aneurysm with aortic regurgitation and anterior leaflet prolapse of mitral valve. This patient underwent replacement of aortic valve and ascending aorta with 25 mm SJM valved conduit graft[Bentall operation with Cabrol shunt , and mitral valve replacement with SJM 31 mm, the pectus excavatum was corrected at the time of completion of the intracardiac operation with the modified sternal turnover. This procedure offered excellent operative exposure for the inracardiac operation with prevention of low cardiac output after operation due to depressed sternum and maintained chest wall stability resulting good cosmetic chest wall appearance. This patient recovered and discharged in good postoperative result with minimal temporary peroneal nerve palsy in his left leg.

• The Korean Journal of Pain
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• 제2권1호
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• pp.49-56
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• 1989

Bell's palsy is not a serious disease and recovery is spontaneous in more half of the patients, but this recovery is long delayed in many instances and the cosmetic effect of an altered facial appearance is psychologically distressing. The etiology is unknown, but Kettle's ischemic hypothesis has been widely accepted. The aim of treatment is to reduce edema and improve circulation to the facial nerve. Stellate ganglion block (SGB) resulted in abolishing cerebral vascular spasm and in increasing cerebral blood flow. Thus, stellate ganglion block is effective in treatment of Bell's palsy. From 1978 to Oct. 1988, we have treated 222 patients (20 patients were recurred cases) with facial palsy by SGB and analysed the effect of SGB. We noticed that SGB was very effective in early repetitive treatment (90% recovery). This study is reported and the literature is reviewed.

• 대한두개안면성형외과학회지
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• 제19권4호
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• pp.296-299
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• 2018

Xanthelasma palpebrarum is the most common cutaneous xanthoma found on the medial side of the eyelid. The typical lesion is usually a flat and yellowish plaque on the skin. However, we report on a unique case of intramuscular xanthoma found during blepharoplasty for the correction of ptosis. A 53-year-old male patient visited our department with a complaint of a ptotic eyelid. He was concerned about the cosmetic appearance and the uncomfortable feeling while opening his eyes, and wanted these problems to be solved. A yellowish plaque of about $0.3{\times}0.3cm$ in size was found in the orbicularis oculi muscle during the surgery. The lesion was excised and xanthelasma was confirmed with biopsy. We have found this specific case of xanthelasma palpebrarum in the only muscle. Therefore, a careful approach to clinical and histologic examination and imaging is required for patients with these lesions.

• 대한두개안면성형외과학회지
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• 제23권4호
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• pp.187-189
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• 2022

Patients with pixie ear have an attached, tapering, and low-set earlobe. Traditional methods usually describe excision of the caudal portion of the lobule and reattachment in a more superior position. The present report suggests a simplified skin redraping method for correction of pixie ear. The procedure provides easy method to design and perform, which only requires elevation and trimming of the skin. Other ancillary procedures, such as flap design, anchoring, plication, and subdermal fixation, are not required. This method produces satisfactory results. Postoperative scar is invisible because the incision is on the retroauricular region, and the corrected earlobe has a more natural appearance than the repositioned earlobe. Moreover, skin redraping avoids tension, which contributes to minimization of the postoperative scar.

• 한국융합학회논문지
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• 제10권6호
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• pp.281-286
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• 2019

현대인에게 외모는 경쟁력의 수단이며 이러한 현대인의 욕구에 위해요소로 작용하는 요인 중 하나는 백모(白毛)이다. 백모를 커버하여 타인에게 아름다운 외모를 표출해야 하는 현대인을 위하여 백모 염모제 시술 후 모발분석을 실시하였다. 실험결과 1N-3N 화학염모제의 control 대조군과 1N부터 3N 실험군 간에 최대하중, 최대 인장 강도, 최대 신장률, 파단하중, 파단강도, 파단 신장률, 평가구간에 따른 최대 모듈러스 및 tangential modulus가 대체적으로 유의적인 차이를 보였다. 최대 하중과 최대 인장강도, 파단 하중과 파단 강도가 대조군에 비해 커다란 경향을 보인 반면 최대 신장률과 파단 신장률은 대조군이 가장 큰 값으로 실험군 처리에 따라 신장률이 감소하였다. 평가구간에 따른 최대 모듈러스와 tangential modulus는 대조군에 비해 1N-3N 실험군들이 0~0.15와 0.15~2.5 등 모든 strain 구간에서 대체적으로 높게 나타났다. 백모 커버용 산화염모제의 시술 전후 모발의 미용학적 변화에 대한 연구를 바탕으로 올바른 화학염모제 제품의 선택, 적당한 도포량 및 방치시간 등을 효과적으로 선택할 수 있는 기초자료로 활용되리라 사료된다.

• Archives of Plastic Surgery
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• 제37권3호
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• pp.277-280
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• 2010

Purpose: The resection of locally advanced or recurred breast cancers frequently result in large chest wall defects and it leads to a great challenges to cover. Generally simple skin grafts are not a practical option for patients because of their poor cosmetic appearance and prognosis. The latissimus dorsi and rectus abdominis musculocutaneous flap have traditionally been recommended for closure of these large defects. Though the cosmetic result of reconstruction using these flaps is often excellent, but has significant drawbacks. Therefore, we thought that chest wall reconstruction using the external oblique musculocutaneous flap can be an alternative method for extensive chest wall defect related to large, locally advanced breast carcinoma. Methods & Results: We present a case of a 50-year-old Korean female, refered to our department with a left breast tumor for 10 months. CT demonstrate a large tumor on the left anterior chest wall and multiple nodules of varying size in the cervical areas and liver. FDG-PET showed areas of hot uptake throughout the left chest wall, mediastinum and liver. Biopsy was consistent with invasive ductal carcinoma (Grade III). The initial tumor was considered inoperable, so a series of chemotherapy was initiated. Though the size of the breast mass was slightly decreased, the patient continued to suffer from purulent discharge, unpleasant odor and contact bleeding of the mass, the salvage mastectomy was performed. Conclusion: We could reconstruct $23{\times}16\;cm$ sized large chest wall defect, resulting from the resection of a locally advanced breast carcinoma, using an external oblique musculocutaneous flap successfully. Immediate postoperatively checked flap was healthy. Overall result was good without any significant complications and discharged 3 weeks after operation.

• 대한화장품학회지
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• 제42권1호
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• pp.29-35
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• 2016

본 연구에서는 미백제인 RS White를 함유한 O/W 나노에멀젼의 형성 가능성을 유화제 종류별로 실험하였다. 친수성계면활성제로 Tween 80, 60, HCO 60 및 40과 친유성 계면활성제로 Span 80을 사용한 시스템에서는 적정한 농도에서 나노에멀젼이 형성되었으나 Myrj 52, Montanov L 및 Tegocare 450과 Span 80을 사용한 시스템에서는 형성되지 않았다. 형성된 나노에멀젼은 입자의 직경이 100 nm 미만의 반투명 외관을 보였으며 시간 경과에 따른 안정성 평가에서도 안정성을 유지하였다. 이들의 경피흡수 정도를 마크로에멀젼과 비교한 결과 24 h 동안 피부 투과량은 나노에멀젼은 $70.84{\mu}g/cm^2$, O/W 마크로에멀젼은 $28.97{\mu}g/cm^2$으로 나타났다. 따라서, 본 연구는 RS White 미백제를 함유한 안정한 나노에멀젼이 기능성 소재의 효율적인 피부 전달체로서 응용 가능성이 있음을 시사한다.

• 대한두개안면성형외과학회지
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• 제10권1호
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• pp.44-48
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• 2009

Purpose: The treatment of arteriovenous malformation (AVM) of the face remains a difficult challenge in plastic surgery. Incomplete resection resulting in uncontrolled bleeding, postoperative enlargement of the remaining malformation, and a poor functional and cosmetic result could be the problems confronted by the surgeons. Methods: A 37 year-old male with large arteriovenous malformation in face treated with preoperative superselective transarterial embolization and free flap transfer. The size of the defect was $13{\times}9cm$. Sclerotheraphy without resection were performed several times but the results were unsatisfactory. Resection was performed the next day of embolization. We were able to repair with the thoracodorsal artery perforator free flap. And facial muscle reconstruction performed by simultaneous muscle and nerve transfer. Results: During the follow-up period 8 months the patient regained an acceptable cosmetic appearance. And he has shown no reexpansion of the malformation. Conclusion: The thoracodorsal artery perforator free flap could be a good choice for the reconstruction for massive defects of the face. A huge arteriovenous malformation could be safely removed and successfully reconstructed by the complete embolization, wide excision and coverage with a well vascularized tissue.

• 한국임상수의학회지
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• 제35권3호
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• pp.107-110
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• 2018

A 5-year-old Thoroughbred race horse was presented to Busan Korea Racing Authority equine hospital with a 3-year history of a slow-growing left rostral maxillary mass. The location and progressive growth of the mass eventually resulted in poor food prehension, quidding and mouth bit placement. The mass was solitary and hard, and covered by normal smooth oral mucosa. Radiographic examination of the maxillae showed a flocculated and mixed radiolucent lesion protruding outward and displacing the 202 and 203 teeth caudally. The 202 tooth was in normal size and the 203 tooth was hypoplastic on radiography. Under general anesthesia, a partial surgical resection of the mass was performed to minimize functional loss and facilitate prompt return to track. After surgery, there was improvement in food intake, mouth bit placement, and cosmetic appearance. Histopathological examination determined the resected maxillay mass to be an ossifying fibroma. However, there was continued growth of remnant mass in the maxilla. Equine ossifying fibroma is a rare condition and primarily affects the rostral mandible, and less commonly, the maxillae. In this case, the lesion was slow-growing, and caused cosmetic and functional impairments, including poor food intake and reduced trainability. Surgical resection was performed, but the effect of treatment was limited due to advanced size / stage of the tumor. Early dental care is suggested for horse owners to prevent belated identification and improve successful treatment of oral disorders like ossifying fibroma.

• 대한화장품학회지
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• 제21권1호
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• pp.67-83
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• 1995

생체내 피부 자극은 일련의 복합적인 생리 화학적 변화를 수반한다. 이러한 생체내 현상을 보다 민감하게 반영하고, 동물 시험 경감 측면 및 정확성, 재현성을 보완하기 위하여 자극 물질 검색을 위한 대체 시험법이 필요하게 되었다. CAMVA는 이러한 필요성에 의해 고안된 방법의 하나로써 약 10일된 유정란의 복합적인 혈관이 융합된 장뇨막내에 자극 물질을 투여하고 일정 시간 후, 막 내 혈관의 충혈, 출혈, 응집현상 등의 변화를 통해 자극 정도를 평가하는 in vitro 시험계이다. 본 연구에서는 화장품 영역에서 중요한 위치를 차지하는 계면활성제의 자극 정도를 검색하여 in vitro 시험법인 CAMVA와 in vivo 시험법간의 상관성을 조사하였으며, 그 결과 매우 높은 상관성을 나타냄을 알 수 있었다. 그러므로 CAMVA는 안 자극 시험의 대체 시험법 뿐만 아니라 피부자극의 예측에도 적용 가능한 유용한 시험법이라 생각된다.