• Title/Summary/Keyword: Head resection

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Multilevel Dumbbell Tumor of the Posterior Mediastinum -1 Case Report- (다범위 종격동 Dumbbell종양 - 1례 보고 -)

  • 허동명;김병호;조재훈;강동기
    • Journal of Chest Surgery
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    • v.32 no.8
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    • pp.768-771
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    • 1999
  • A 45 year old man was admitted for further examination of an abnormal shadow of the right posterior mediastinum. The patient suffered from dysesthesia in the right thoracic wall of dermatome T7. CT scan and MRI revealed that two separate tumors had developed in the right paravertebral area linked to the vertebral canal via an intervertebral foramina. One-stage removal of the tumors were performed safely through the right posterolateral thoracotomy following the resection of the rib head and vertebral pedicle. The tumors were confirmed as histologically neurilemomas. The postoperative course was uneventful.

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Platysma myocutaneous flap - its current role in reconstructive surgery of oral soft tissue defects

  • Eckardt, Andre M.
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.39 no.1
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    • pp.3-8
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    • 2013
  • Reconstruction of oral soft-tissue defects following resection of oral carcinomas can be achieved using various techniques including microsurgical tissue transfer. However, there seems to be a role for regional or local flaps. Small to medium-size defects can be functionally reconstructed with the platysma myocutaneous flap as an excellent choice particularly in medically compromised patients not being eligible for free tissue transfer. The present paper reviews the indication, surgical technique, and complications following reconstruction of defects of the oral cavity with the platysma myocutaneous flap.

Osteochondroma of the Distal Clavicle: A Rare Cause of Impingement and Biceps Tear of the Shoulder

  • Kim, Dong-Wan;Bae, Ki-Cheor;Son, Eun-Seok;Baek, Chung-Sin;Cho, Chul-Hyun
    • Clinics in Shoulder and Elbow
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    • v.21 no.3
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    • pp.158-161
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    • 2018
  • Hereditary multiple exostosis (HME) is an autosomal dominant disorder manifested by the presence of multiple osteochondromas. Although the lesions are benign in nature, exostoses are often associated with characteristic progressive skeletal deformity and displaying clinical symptoms such as mechanical irritation or impingement. We present the successful arthroscopic resection in a 24-year-old HME male with impingement syndrome and long head tendon tear of the biceps caused by osteochondroma arising from the distal clavicle.

Circumferential Resection and End to End Anastomosis of Mediastinal Trachea for Long Tracheal Stenosis (주기관 긴 협착증 환자의 수술 치험)

  • 유정훈
    • Journal of Chest Surgery
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    • v.25 no.6
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    • pp.588-592
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    • 1992
  • Recently we have experienced one case of long tracheal stenosis which developed after pulmonary tuberculosis. The patient was 32 years old woman, 165cm in height. She complained severe dyspnea and headache. We could hear the inspiratory wheezing sound and stridor without stethoscope. Preoperative tracheogram and chest CT scan showed long tracheal stenosis from the posterior portion of clavicular head to the upper portion of carina and right main bronchus. Under the general anesthesia, the stenotic segment, about 7.5cm, was resected and end to and anastomosis was performed successfully through the right anterolateral thoracotomy and supraclavicular collar incision. Her postoperative course was uneventful and the patient has remained well till now.

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Acquired Hallux Varus Treated Using Extensor Hallucis Brevis Tendon - A Case Report - (무지 내반증의 단무지 신전근을 이용한 치료 - 증례보고 1예 -)

  • Lee, Kyung-Tai;Young, Ki-Won;Ong, Sang-Suk;Kim, Jin-Young;Seon, Jae-Myoung
    • Journal of Korean Foot and Ankle Society
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    • v.4 no.1
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    • pp.23-29
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    • 2000
  • Acquired Hallux varus is defined radiographically by a negative metatarsophalangeal angle and clinically by adduction of the hallux on the first metatarsal and most commonly occurs after hallux valgus surgery. It's the prevalence has ranged from 2% to 17%. We report a case of hallux varus resulted from weakening of support of lateral soft tissue and resection of an excessive amount of the metatarsal head during a bunionectomy after initial correction of hallux valgus. We corrected the hallux varus deformity using transfer of extensor hallucis brevis tendon with reconstruction os lateral capsule.

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Nodular Fasciitis of the Nose: A Case Report (비부에 발생한 결절성 근막염 치험 1례)

  • Kim, Jee Hoon;Kwon, Ho;Jung, Sung No
    • Archives of Plastic Surgery
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    • v.32 no.6
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    • pp.770-772
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    • 2005
  • Nodular fasciitis is an unusual benign tumor which is composed of myofibroblast. Typical histologic findings include haphazardly arranged pleomorphic arranged spindle cells in a myxoid stroma. These lesions may easily be misinterpreted as malignancy clinically and histologically because it presents as a rapidly growing mass from subcutaneous or deep fascia. These lesions are usually located over upper extremity and rarely in the head and neck region. It's important to emphasize the need of clinical suspicion and accurate histopathology of this rare benign lesion usually misdiagnosed as a malignacy to avoid unnecessary and inappropriate aggressive wide resection, when encountering subcutaneous nodules of the face and neck region. In this article, we report a rare case of Nodular fasciitis on the Nose and some reviews of the literature.

Oral and Oropharyngeal Reconstruction with a Free Flap

  • Jeong, Woo Shik;Oh, Tae Suk
    • Archives of Craniofacial Surgery
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    • v.17 no.2
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    • pp.45-50
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    • 2016
  • Extensive surgical resection of the aerodigestive track can result in a large and complex defect of the oropharynx, which represents a significant reconstructive challenge for the plastic surgery. Development of microsurgical techniques has allowed for free flap reconstruction of oropharyngeal defects, with superior outcomes as well as decreases in postoperative complications. The reconstructive goals for oral and oropharyngeal defects are to restore the anatomy, to maintain continuity of the intraoral surface and oropharynx, to protect vital structures such as carotid arteries, to cover exposed portions of internal organs in preparation for adjuvant radiation, and to preserve complex functions of the oral cavity and oropharynx. Oral and oropharyngeal cancers should be treated with consideration of functional recovery. Multidisciplinary treatment strategies are necessary for maximizing disease control and preserving the natural form and function of the oropharynx.

Tracheoesophageal Fistula Associated with Endotracheal Intubation (기관삽관과 관련된 경부 기관의 기관식도루)

  • Hah, J. Hun
    • Korean Journal of Bronchoesophagology
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    • v.18 no.2
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    • pp.41-44
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    • 2012
  • Acquired tracheoesophageal fistula (TEF) can occur rarely from various causes. Recently, cuff-related tracheal injury after endotracheal intubation with the orotracheal tube and tracheostomy cannula is the most common etiology of nonmalignant TEF. Since cuff-related TEF is usually preventable with proper selection of the cuffed tube and close monitoring of cuff pressure. Although most patients present increased secretions, recurrent pneumonia, or coughing after swallowing, a high index of suspicion is required in patients at risk for developing a TEF. Surgical correction for the defectis required. In most cases, primary closure of the esophageal defect and tracheal resection and end-to-end anastomosis give the best results.

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Situs inversus totalis in a dog with splenic marginal zone lymphoma

  • Choi, Sooyoung;Kim, Heesu;Lee, Kija;Park, Inchul
    • Korean Journal of Veterinary Service
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    • v.41 no.4
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    • pp.281-285
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    • 2018
  • An 11-year-old intact male mixed-breed dog was referred for evaluation of a splenic mass. On radiographs, the cardiac apex, stomach, and head of the spleen were on the right and the descending colon was on the left of the midline. In addition, the left kidney was located more cranially than the right kidney. Standard two-dimensional echocardiographic images were obtained from each inverted left and right parasternal windows. Furthermore, the spleen was observed on the right side and a splenic mass was found on the splenic tail. Based on the radiographic and ultrasonographic characteristics of the patient, a diagnosis of situs inversus totalis (SIT) and a splenic mass was made, and splenic resection was performed successfully with no unexpected complications. The splenic mass was confirmed histopathologically as being marginal zone lymphoma (MZL). This report describes a dog with SIT and splenic MZL.

Aggressive cutaneous squamous cell carcinoma of the scalp

  • Suk, Sangwoo;Shin, Hyun Woo;Yoon, Kun Chul;Kim, Junekyu
    • Archives of Craniofacial Surgery
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    • v.21 no.6
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    • pp.363-367
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    • 2020
  • Cutaneous squamous cell carcinoma (cSCC) is the second most common nonmelanoma skin cancer, and its incidence is increasing globally. In Korea, there were 12,516 diagnosed cases of cSCC between 1999 and 2014. Surgical treatment, for which several options are available, is the standard of care for cSCC and securing a sufficient surgical resection margin is always important. cSCC of the scalp sometimes exhibits unusually aggressive behavior. In this article, we report a case of cSCC of the scalp with invasion into the skull and dura mater.