• Archives of Plastic Surgery
• /
• 제36권1호
• /
• pp.51-55
• /
• 2009

Purpose: Excessive apocrine gland secretion and bacterial decomposition cause axillary osmidrosis, which results in physical discomforts and social problems of patients. Many surgical procedures have been introduced such as skin excision and simple closure, local flap, skin graft, subcutaneous shaving and liposuction method, but the result was not satisfactory to patients and several complications, such as symptom recurrence, hematoma, seroma, delayed wound healing, skin flap necrosis and scarring remain as problems. Methods: For the purpose of reducing these problems, we employed combination treatment of liposuction and rasping method. From January 2006 to February 2008, Total 54 patients were treated with this procedure for bilateral axillary osmidrosis. Results: Follow - up evaluation period was from 2 months to 12 months, and the results were satisfactory. In our method, the length of skin incision is less than 1 cm, so the resultant scar is negligible. Apocrine glands in subcutaneous tissue were mostly removed by liposuction apparatus and remained other glands in subdermal area were mostly removed by rasping. The recurrence rate and postoperative complication were minimal. Conclusion: Our method is very simple, short operation time and excellent results without specific complication.

• Journal of Chest Surgery
• /
• 제40권3호
• /
• pp.244-246
• /
• 2007

식도암 수술 시 종격동 림프절 절제는 식도암의 재발과 관련하여 환자의 장기 생존율을 높이는 하나의 방법이다. 하지만 좌측 종격동 림프절 절제는 수술 시야의 제한으로 인해 절제가 거의 불가능하다. 이에 본원에서는 식도암 최소 침습 수술 시 경부 절개창을 통하여 흉강경을 이용한 좌측 종격동 림프절 절제를 시행하였기에 보고하는 바이다.

• Clinics in Shoulder and Elbow
• /
• 제9권1호
• /
• pp.124-129
• /
• 2006

Distal clavicular fracture frequently requires operative treatment due to high rate of non-union. The operative technique includes the tension band wiring, K- wire fixation, and cerclage wiring etc. Each method has disadvantages somewhat like pin migration or acromioclavicular joint injury and so on. For the distal clavicular fracture type 2a, because of its oblique fracture line, the cerclage wiring is suitable. We performed the cerclage wiring percutaneously under minimal incision without injury to periosteum for the patient who had the distal clavicular fracture type 2a, and the result was favorable.

• 대한소아치과학회지
• /
• 제25권3호
• /
• pp.499-505
• /
• 1998

Idiopathic gingival hyperplasia is a rare condition of undetermined etiology. The enlargement is usually associated with the emergence of the teeth into the oral cavity and may regress after extraction. The enlarged gingiva may be primarily attributed to hyperplasia of the subepithelial layer that is relatively avascular and consists of densely arranged collagen bundles and numerous fibroblasts. The recommended time for treatment is after completion of eruption of permanent teeth. But the most important thing is the patient's psychological and esthetic needs. Lately, Schluger has proposed modified gingivectomy procedure with horizontal, internal beveled incision for thinning of the flap resulting in less pain and bleeding after treatment, minimal opportunity of infection. The purpose of this report is to document a case of 8-year-old girl who had registered in Dept. of Pediatric Dentistry of Seoul National University dental hospital for treatment of her gingival hyperplasia and delayed tooth eruption

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• 제48권5호
• /
• pp.267-276
• /
• 2022

Objectives: Recently a modified high-submandibular approach (HSMA) has been introduced for treatment of condylar fracture. This approach involves an incision line close to the mandibular angle and transmasseteric transection, leading to a low incidence of facial palsy and allowing good visualization of the condyle area, especially the condylar neck and subcondyle positions. This study reports several cases managed with this modified HSMA technique for treating condylar fractures. Materials and Methods: Six cases of condylar fractures treated with modified HSMA technique were reviewed. Results: Three unilateral subcondylar fracture, 1 bilateral subcondylar fracture, 1 unilateral condylar neck fracture, 1 unlateral simultaneous condylar neck and subcondylar fracture cases were reviewed. All the cases were successfully treated without any major complication. Conclusion: Reduction, fixation, and osteosynthesis of condylar fractures via the modified HSMA technique enabled effective and stable treatment outcomes. Therefore, the described approach can be used especially for subcondylar and condylar neck fractures with minimal complications.

• Journal of Gastric Cancer
• /
• 제24권1호
• /
• pp.57-68
• /
• 2024

Reduced-port gastrectomy (RPG) includes all procedures derived from various efforts to minimize surgical invasiveness, with single-incision laparoscopic gastrectomy (SILG) being the ultimate reduced-port technique. However, there are challenges related to its feasibility, oncological validity, training, and education. This review describes the current issues and challenges, as well as the future prospects of RPG for gastric cancer. Gastrectomy, which started as an open surgery, has evolved into a laparoscopic surgery. With the advancements in laparoscopic technology, SILG has been used to minimize surgical scarring. However, owing to the technical difficulties of SILG, cases involving the addition of 1 trocar or needle grasper alongside the multichannel port have also been reported. Additionally, 3-port laparoscopic gastrectomy (3PLG) using only 3 trocars is also being performed. RPG, as a concept, includes a range of approaches such as SILG, 2-port laparoscopic gastrectomy, and 3PLG. These techniques aimed to reduce the number of ports or incisions required for laparoscopic gastrectomy. Despite technical difficulties, RPGs offer numerous advantages, including minimal invasiveness, excellent cosmetic outcomes, and the potential for improved postoperative recovery, such as reduced length of hospital stay and post-operative pain. It could be considered similar to conventional laparoscopic gastrectomy, and may not be oncologically inferior. Ongoing studies, such as the KLASS 12, are required to gain further insights.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• 제27권1호
• /
• pp.78-82
• /
• 2001

Background : The coronal incision is versatile surgical approach to upper and middle region of the facial skeletal including the zygomatic arch. The advantages of coronal approach are minimal injury of facial tissue including facial nerve and satisfactory cosmetic result by hidden scar at hair. But wide exposure of scalp, its disadvantages are operation time and massive blood loss. Methods : Thirty patients undergoing elective surgery were divided 3 groups. Group I used only coronal approach, group II used coronal with subciliary approach and group III used coronal with subciliary and intraoral approach. And then retrospected of the preoperative, postoperative red blood cell count, hemoglobin(Hb), hematocrit, transfused red blood cell units and platelet cell units, and the amount of infused crystalloids and colloids, and postoperative hemovac count was estimated. Results: 1. Red blood cell count were decreased in all groups at immediated postoperation and decreased in all group of postoperative first day and decreased in group I, II but increased group III of postoperative third day. 2. Hemoglobin and hematocrit were decreased in all group at immediated postoperation and decreased in all group of postoperative first day and decreased in group I, II., but increased group III postoperative third day. 3. Platelet was decreased in all group at immediated postoperation, and decreased in group II, III but increased in group I of postoperative first day and decreased in group I but increased group II, III of postoperative third day. 4. Mean postoperative hemovac mean drainage group I of first day is $48.63{\pm}21.12ml$ and second day is $23.92{\pm}19.53ml$ and third day is $7.82{\pm}5.32ml$ and group II of first day $60.45{\pm}22.65ml$ and second day is $22.14{\pm}13.21ml$ and third day is $7.32{\pm}6.25ml$. III group of first day $58.16{\pm}10.13ml$ and second day is $21.27{\pm}11.72ml$ and third day is $7.13{\pm}4.90ml$. 5. Infusion of group I is mean PRC $1.08{\pm}0.91$ pint, FFP $1.03{\pm}0.75$ pint, crystalloid $2562.23{\pm}1345.53ml$ and group II is mean PRC $1.05{\pm}0.89$ pint, FFP $1.71{\pm}0.78$, crystalloid $2650.47{\pm}1096.36ml$ and group III is mean PRC $1.79{\pm}1.45$ pint, crystalloid $3295.43{\pm}1472.432ml$.

• 대한관절경학회지
• /
• 제3권1호
• /
• pp.54-61
• /
• 1999

광범위한 반월상 연골 손상에 대한 최근의 치료는 수많은 연구와 임상적 접근을 통해 정상적인 반월상 연골의 기능을 회복하기에 이르렀다. 냉동 보관된 반월상 연골의 동종이식은 연골의 정상적인 회복을 위한 유용한 방법중 하나이다. 저자들의 첫 4례의 동종연골이식은 관절경의 도움으로 시행하였고, 이후 22 예에서는 최소한의 관절 절개를 이용하였다. 또한 모든 동종 연골 이식에서 반월상 연골의 안정성과 회복을 위해 반월상 연골에 골교를 부착하여 고정하였다. 전방 십자 인대 재건술은 반월상 연골 동종이식술시 동시에 시행하였다. 내측 반월상 연골은 일명 Key-hole technique을 사용하여 골터널에 의한 관절 연골의 침습을 최소화하려 하였다. 우선 반월상 연골의 골교를 원통형으로 만들고 수혜자의 슬관절의 전방 십자 인대의 내측연을 따라 골 터널을 만들어 반월상 연골의 골교를 press-fit하도록 한다. 삽입된 반월상 연골은 일반적인 반월상 연골 봉합술로 관절경을 이용하여 봉합한다. 외측 반월상 연골은 내측 반월상 연골과는 달리 반월상 연골의 골교를 반원통 모앙으로 만들고 수혜자의 슬관절의 전방 십자 인대의 외측연을 따라 반원통 모양의 골 요지를 만든다. 반월상 연골을 골 요지에 얻고 인도 봉합사를 경골의 전면으로 뽑아내 이를 묶음으로써 고정을 한다. 삽입된 반월상 연골은 내측 반월상 연골이식술과 같은 방법으로 봉합한다. 저자들은 이와 같은 방법으로 관절 연골의 침습을 최소화하고 비교적 정확한 위치에 반월상 연골을 이식할 수 있었다.

• Journal of Periodontal and Implant Science
• /
• 제51권6호
• /
• pp.398-408
• /
• 2021

Purpose: In this study, we aimed to evaluate the clinical validity of the modified tunneling technique using minimal soft tissue harvesting and volume-stable collagen matrix in the anterior mandible. Methods: In total, 27 anterior mandibular teeth and palatal donor sites in 17 patients with ≥1 mm of gingival recession (GR) were analyzed before and after root coverage. For the recipient sites, vertical vestibular incisions were made in the interdental area and a subperiosteal tunnel was created with an elevator. After both sides of the marginal gingiva were tied to one another, a prepared connective tissue graft and volume-stable collagen matrix were inserted through the vestibular vertical incision and were fixed with resorbable suture material. The root coverage results of the recipient site were measured at baseline (T₀), 3 weeks (T₃), 12 weeks (T₁₂), and the latest visit (T_l). For palatal donor sites, a free gingival graft from a pre-decided area avoiding the main trunk of the greater palatine artery was harvested using a prefabricated surgical template at a depth of 2 mm after de-epithelization using a rotating bur. In each patient, the clinical and volumetric changes at the donor sites between T₀ and T₃ were measured. Results: During an average follow-up of 14.5 months, teeth with denuded root lengths of 1-3 mm (n=12), 3-6 mm (n=11), and >6 mm (n=2) achieved root coverage of 97.01%±7.65%, 86.70%±5.66%, and 82.53%±1.39%, respectively. Miller classification I (n=12), II (n=10), and III (n=3) teeth showed mean coverage rates of 97.01%±7.65%, 86.91%±5.90%, and 83.19%±1.62%, respectively. At the donor sites, an average defect depth of 1.41 mm (70.5%) recovered in 3 weeks, and the wounds were epithelized completely in all cases. Conclusions: The modified tunneling technique in this study is a promising treatment modality for overcoming GR in the anterior mandible.

• Journal of Yeungnam Medical Science
• /
• 제4권2호
• /
• pp.75-81
• /
• 1987

저자들은 선천성 두안면기형의 재건이나 두안면골을 침범한 종양, 심한 외상으로 인한 두안면골 결손을 재건하기 위하여 최근 많이 사용되는 자가두개골 외판을 이용한 골이식술을 3 예에서 시행한 결과 전통적으로 골이식의 공여부로 사용되어 온 늑골, 경골 또는 장골등과 비교해 볼 때 많은 장점을 가지고 있으며 또한 만족할 만한 결과를 얻을 수 있었다.