• Title/Summary/Keyword: Maryknoll Clinic

Search Result 4, Processing Time 0.02 seconds

The First Web Space Free Flap of the Foot to Reconstruct the Pulp of Fingers (수지 수질부 재건을 위한 족부의 제 1물갈퀴부 유리 피판술)

  • Kong, Byeong Seon;Kim, Yun Seok;Lee, Hyeong Seok;Jung, Dae Won;Kwak, Jae Yong;Lee, Hyun Suk
    • Archives of Reconstructive Microsurgery
    • /
    • v.21 no.2
    • /
    • pp.153-158
    • /
    • 2012
  • Purpose: The first web space of the foot has a similar thickness and skin texture of the pulp of the fingers. Moreover, it has a reliable blood vessel and sensory nerve. The purpose of this study was to evaluate the clinical results of the first web space free flap to reconstruct the pulp of fingers. Materials and Methods: Authors have performed 23 cases of first web space free flap to reconstruct the pulp defect of the fingers between June 2004 and May 2009. The age of the patients ranged from 20 years old to 55 years old. The size of the flap ranged from $1{\times}1.5cm$ to $8.5{\times}2.5cm$. The mean flap area was 5.4 cm2. In 4 cases, we elevated the flap including lateral aspect of the big toe and medial aspect of the second toe. And then we made an artificial syndactyly to reconstruct the pulps on two fingers at the same time. In all cases, we performed 1 digital artery and 1 dorsal vein anastomosis. Every donor site that had a small defect healed spontaneously without any additional operations to cover it. Results: Of this type of surgery 21 flaps (91.3%) survived, 2 flaps (8.7%) failed. There was no severe complication in the donor sites. There was no walking disturbance due to the skin defect of the donor site. The static 2 point discrimination in 11 cases that we could check ranged from 3 mm to 15 mm. Conclusion: The authors believe that the first web space free flap of the foot is a good option for the reconstruction of the pulp of the fingers and it has a minimal donor site morbidity.

  • PDF

A Case Report of Head and Neck Neurofibroma Cured with Transitional Flap (국소피판으로 치료한 $6{\times}7cm$ 크기의 두경부 신경섬유종 1례)

  • Do Jae-Woon;Park Sang-Woo;Jeong Joon-Hun;Kang Tae-Woo
    • Korean Journal of Head & Neck Oncology
    • /
    • v.22 no.1
    • /
    • pp.36-39
    • /
    • 2006
  • The Neurofibroma is a benign neoplasm originating from neural tissue such as Schwann cell, fibroblast and peripheral fibroblast, which rarely converts to malignancy. About 25-45% of neurofibroma are located in head and neck, and the most common sites are lateral cervical region and mouth. Because of its high vascularity and invasion to the adjacent organs, surgical resection may be confronted and limited, moreover large neurofibroma can cause large defect that needs various kinds of flap. The factors related to clinically suspected malignancy are painlessness, abrupt increase in size, firm fixation, and central ulceration, although the malignancy rate of neurofibroma is low. The complete resection was failed several times at local clinic, the patient was transferred to our hospital. We have successfully removed the retroauricular neurofibroma using transposition flap & free skin graft on its large defects.

A Study on Place Archiving Methodology Through Community Participation (주민참여를 통한 장소 기록화 방안 연구)

  • Jung-Hee Ahn;Yoorim Shin
    • Journal of Korean Society of Archives and Records Management
    • /
    • v.24 no.3
    • /
    • pp.45-63
    • /
    • 2024
  • This study explores the strategies for documenting extinct places by clarifying the concepts of place and sense of place and highlighting the importance of place documentation. The disappearance of a place signifies the loss of a medium that evokes memory. Place documentation, a process of recording the sense of place, can restore memory media, resolve the lack of shared memories, and strengthen community identity. It also provides archiving methods and tools to involve stakeholders as record producers to enrich the context further. Thus, the study proposes key strategies, including resident participation, communication of place identity through archives, and cultural-artistic integration projects. The Jeungpyeong Archives' "Maryknoll Clinic" project serves as a case study based on these strategies to illustrate how place documentation is implemented.