• Title/Summary/Keyword: Dressings

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A Rare Case of Auricular Endochondral Pseudocyst (이개연골에 발생한 가성낭종 1예)

  • Joo, Jae Doo;Kang, Dong Hee;Kim, Hyonsurk
    • Korean Journal of Head & Neck Oncology
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    • v.34 no.1
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    • pp.55-58
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    • 2018
  • Auricular endochondral pseudocyst is a very rare, benign intracartilaginous cystic lesion which most commonly presents as a cystic mass in the anterior plane of the auricle. We present a case report of a 48-year-old man with a fluctuating lesion of 3 week's duration on the left auricle, with no specific history of trauma or disease. Initial incisional drainage revealed an abundance of serous fluid, which quickly recurred. Surgical removal of the hypertrophic perichondrium forming the pseudocyst anterior wall and ear cartilage curettage was carried out with intraoperative absolute alcohol sclerotherapy, followed by compression dressings. The auricle healed uneventfully, with a good final cosmetic result and no recurrence within a 6-month follow-up period. We report this unusual case as the first in Korean plastic surgery with a review of the literature.

Microbiological Hazard Analysis of Non-Heating Process Menus Served at Foodservice Operations and Hygienic Improvements by Implementing HACCP (급식소에서 제공되는 비가열조리 음식의 위해요인 분석과 HACCP 적용 후 위생개선효과)

  • Lee, Mi-Ra;Kim, Heh-Young
    • Korean journal of food and cookery science
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    • v.23 no.5
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    • pp.749-760
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    • 2007
  • The purpose of this study was to evaluate the microbiological quality of non-heat-processed foods and the effects of HACCP implementation. Here, cabbage salad and cucumber&onion salad were selected and we investigated HA(Hazard Analysis) by checking microbiological quality, time and temperature, pH, and water activity at each processing stage. Thus, the receiving of spices and dressings, washing and sterilizing, cutting, cooking, and serving stages were all considered CCPs. Before implementing HACCP, microbial analysis showed that standard plate counts and coliform counts were higher than standard levels in most of the raw ingredients of each menu, as well as during the production process. The microbiological quality of the utensils and employee's hands used during cooking indicated levels requiring direct management. Evaluations of falling bacteria-in the foodservice establishment work areas ranged from $2{\sim}12CFU/plate$. However, after HACCP implementation, microbiological levels improved to standard levels fly sanitation education. Also, the number of falling bacteria were lower than before implementing HACCP. Therefore, it is essential the foodservice operations make efforts to implement HACCP, so that microbiological hazard levels are lowered and hygienic status improved.

Effect of Topically Applied Silver Sulfadiazine on Fibroblast Cell Proliferation and Biomechanical Properties of the Wound

  • Lee, Ae-Ri-Cho;Moon, Hee-Kyung
    • Archives of Pharmacal Research
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    • v.26 no.10
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    • pp.855-860
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    • 2003
  • The effect of silver sulfadiazine (SSD) on the proliferation of human dermal fibroblast (HDF) was studied to determine the impact of the drug on the wound healing process and dermal mechanical strength. Human dermal fibroblasts were cultured to 80% confluency using DMEM with 10% FBS and viability of the cell was estimated using neutral red assay. In addition, the $2^{nd}$ degree burn wound was prepared on the anterior part of rabbit ear skin and dressings containing SSD were applied for 96 h. Presence of inflammatory cells and degree of re-epithelialization were investigated in the wound. After 15 day of the induction of burn wounds, the treated area was excised and dermal mechanical strength was quantitatively measured with a constant speed tensiometer. SSD was found to be highly cyto-toxic in cultured HDF cells. The topical application of SSD (2%) could control the infection as evidenced by the lack of accumulation of inflammatory cells in histological evaluation. Therefore, these observations suggested that the impairment of dermal regeneration and decreased mechanical strength of dermal tissue was resulted from the cyto-toxic effect of SSD on dermal cells. Since the decreased mechanical strength may lead to reduction in resilience, toughness and maximum extension of the tissue, the identification of optimum dose for SSD that limits infection while minimizes the cyto-toxic effect may be clinically relevant.

Treatment of Diabetic Ulcer Using Autologous Fibroblast-Hyaluronic Acid Complex (자가 섬유아세포-히알루론산 복합체를 이용한 당뇨발의 치료)

  • Eum, Soo Jin;Han, Seung Kyu;Gu, Ja Hea;Jeong, Seong Ho;Kim, Woo Kyung
    • Archives of Plastic Surgery
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    • v.36 no.5
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    • pp.548-554
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    • 2009
  • Purpose: To evaluate clinical efficacy and safety of hyaluronic acid based autologous dermal fibroblasts (Hyalograft 3D) in the treatment of diabetic foot ulcers. Methods: A total of 28 patients with diabetic ulcers were randomized to either the control group with nonadherent foam dressings(n=14) or the treatment group with autologous tissue - engineered grafts(n=14). Weekly assessment contained vital sign checks, ulcer size measurements, and wound photos. At 12th week, percentages of complete wound healing and mean healing times were compared. Safety was also monitored by adverse events. Results: Complete wound healing was achieved in 84.6% of the treatment group and 23.1% of the control group (p<0.005). The mean times of closures for the treatment versus control groups were 6.1 weeks and 10.9 weeks, respectively. No adverse events related to the study treatment occurred. Conclusion: The use of hyaluronic acid based autologous fibroblast grafts was found to be a safe and effective treatment for diabetic foot ulcers.

Efficiency of Mineral Nitrogen Fertilization on Yiled and Botanical Composition of Grassland II. Seasonal distribution of dry matter yield and economical mineral nitrogen application on grassland (무기태 질소시비가 초지의 수량과 식생구성에 미치는 영향 I. 초지수량의 계절적 분포와 경제적 무기태 질소시비한계)

  • ;G. Schechtner
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.10 no.3
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    • pp.158-163
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    • 1990
  • This experiment was to study the effect of pure mineral nitrogen fertilizing on seasonal distribution of dry matter yield and the advisable mineral nitrogen amounts on grassland. The results were as follows: 1. With longer regrowth periods the absolute dry matter yields and the nitrogen-efficiences due to nitrogen fertilizing increased substantially, whereas the quality declined at the relatively lesser cutting frequencies. 2. The first cut at 3-cut regimes, the first and fourth cut at 4-cut regimes, and the second and last cut at 5-and 6-cut regimes showed the highest nitrogen-efficiency, respectively. 3. By the sigmaformed process of production curve the most efficient mineral N-dressing rate per ha and cut was calculated: 42-56kg N on the 3-cut areas, 39-55kg N on the 4-cut areas, 38-47kg N on the 5-cut areas and 35-48kg N/ha/cut on the &cut areas. 4. In dependence on site and kind of calculation the economical borders were reached with the following dressings of mineral N/ha/cut: 90-100kg on the 3-cut areas, 70-100kg on the 4-cut areas and 50- 90kg on the 5-and 6-cut areas.

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Effeciency of Mineral Nitrogen Fertilization on Yield and Botanical Composition of Grassland III. The Effect of Mineral Nitrogen Fertilization on Botanical Composition of Grassland (무기태 질소시비가 초지의 수량과 식생구성에 미치는 영향 III. 무기태 질소시비가 초지의 식생구성에 미치는 영향)

  • ;G.Shechtner
    • Asian Journal of Turfgrass Science
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    • v.4 no.2
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    • pp.133-144
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    • 1990
  • This experiment was carried out to study the effect of pure nitrogen fertilization on botanical composition of grassland in 1987~ 1988 under practical conditions at the " Federal Institute for Agriculture in the Alps" in Austria. The application rates were 0, 30, 60, 90 and 120kg/ha/cut, the cutting regimes 3-, 4 , 5- and 6-cuts/year. The results were as follows: 1. Only PK fertilization resulted in higher botanical composition of Trifolium repens among legumes in grassland, which was increased by cutting frequency .2. Nitrogen fertilization on three-cut areas resulted in higher existence of generally valuable tall grasses such as Arrhenotherum elatius Trisetum flavescens and Dactylis glomerata . On the other hand, nitrogen fertilization on four-, five- and six-cut areas showed mainly Doctylis glomerato and Poa pratensis appearance. 3.For some cases, appearance of less valuable grasses, herbs and weeds such as Agropyron repens, Poa trivialis, Poa annua, Setoria viridis, Aegopodium podagra rio, Men landrium rubrum, Taraxacum officlnale, Achillea millefolium, Rorippa sylvestris and Polygonum ocleulare was *Bundesanstalt fur alpenlandische Landwirtschaft Gumpenstein(A-8952 Irdning, 6sterreich) increased on medium and high rates of N fertilized areas. 4.Reduction of sward density may also diminish the advantages of nitrogen fertilization and may be threatened by mainly high dressings of nitrogen combined with too late utilization of the sward. 5.Location altered the efficiency of nitrogen fertilization on botanical composition.mposition.

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Review of negative-pressure wound therapy (음압 창상 처치(Negative pressure wound therapy)에 대한 문헌적 고찰)

  • You, Ju Lee;Kang, Jae Kyoung
    • Journal of Medicine and Life Science
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    • v.15 no.2
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    • pp.56-61
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    • 2018
  • Advances in medical technology has enabled better management of complicated and chronic wounds. Negative-pressure wound therapy (NPWT) is a novel dressing technique that uses negative pressure to drain exudates and blood from wounds. NPWT increases local blood flow and promotes reduction of edema and wound healing and is suitable for a variety of wounds. It is associated with few adverse effects and shows excellent efficacy and cost-effectiveness. NPWT promotes rapid growth of granulation tissue and wound contraction; thus, it is more advantageous than general dressings as it reduces the size skin of grafts or flaps required for repair, and patients with chronic wounds can be treated as outpatients. We investigated the general usage and mechanism of NPWT, its clinical applications and adverse effects.

Use of the cross-leg distally based sural artery flap for the reconstruction of complex lower extremity defects

  • Liang, Weihao;Tan, Bien Keem
    • Archives of Plastic Surgery
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    • v.46 no.3
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    • pp.255-261
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    • 2019
  • Cross-leg flaps are a useful reconstructive option for complex lower limb defects when free flaps cannot be performed owing to vessel damage. We describe the use of the extended distally based sural artery flap in a cross-leg fashion for lower extremity coverage in three patients. To maximise the viability of these extended flaps, a delay was performed by raising them in a bipedicled fashion before gradual division of the tip over 5 to 7 days for cross-leg transfer. Rigid coupling of the lower limbs with external fixators was critical in preventing flap avulsion and to promote neovascular takeover. The pedicle was gradually divided over the ensuing 7 to 14 days before full flap inset and removal of the external fixators. In all three patients, the flaps survived with no complications and successful coverage of the critical defect was achieved. One patient developed a grade 2 pressure injury on his heel that resolved with conservative dressings. The donor sites and external fixator pin wounds healed well, with no functional morbidity. The cross-leg extended distally based sural artery flap is a reliable reconstructive option in challenging scenarios. Adequate flap delay, manoeuvres to reduce congestion, and postoperative rigid immobilization are key to a successful outcome.

The use of negative-pressure wound therapy over a cultured epithelial autograft for full-thickness wounds secondary to purpura fulminans in an infant

  • Goh, Benjamin Kah Liang;Chua, Alvin Wen Choong;Chew, Khong Yik;Kang, Gavin Chun-Wui;Chiang, Li-Wei;Tan, Bien-Keem;Ramachandran, Savitha
    • Archives of Plastic Surgery
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    • v.48 no.3
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    • pp.338-343
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    • 2021
  • Purpura fulminans is a serious condition that can result in severe morbidity in the pediatric population. Although autologous skin grafts remain the gold standard for the coverage of partial- to full-thickness wounds, they have several limitations in pediatric patients, including the lack of planar donor sites, the risk of hemodynamic instability, and the limited graft thickness. In Singapore, an in-house skin culture laboratory has been available since 2005 for the use of cultured epithelial autografts (CEAs), especially in burn wounds. However, due to the fragility of CEAs, negative-pressure wound therapy (NPWT) dressings have been rarely used with CEAs. With several modifications, we report a successful case of NPWT applied over a CEA in an infant who sustained 30% total body surface area full-thickness wounds over the anterior abdomen, flank, and upper thigh secondary to purpura fulminans. We also describe the advantages of using NPWT dressing over a CEA, particularly in pediatric patients.

Comparative evaluation of the efficacy of wound healing with and without dehydrated human amniotic/chorionic membrane in alveoloplasty: a pilot study

  • Gajul, Monica;Bhate, Kalyani;Awate, Sayali;Kakodkar, Pradnya;Shah, Sonal
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.47 no.4
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    • pp.279-285
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    • 2021
  • Objectives: Wound healing is an integral part of any surgical procedure. Appropriate wound closure is critical to any successful surgical procedure, especially intraoral procedures. Various factors aid in wound healing, both pharmacological and non-pharmacological. Dehydrated human amniotic/chorionic membrane (dHACM) is an emerging bioinert material that contains anti-inflammatory properties, angiogenetic properties, osteogenic potential, and various growth factors. The purpose of this study was to evaluate the efficacy of wound healing properties of dHACM in bilateral alveoloplasty patients. Materials and Methods: A prospective split-mouth study was conducted on 10 patients. Site A received sutures with dHACM and site B was sutured without dHACM. Wound healing was assessed with the Landry, Turnbull, and Howley Index. Results: Sites A and site B were compared. A P<0.05 and a test value of 22 was obtained, indicating a statistical difference between the two sites. Conclusion: Our study showed better healing with dHACM than without.