• Archives of Plastic Surgery
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• 제37권2호
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• pp.161-168
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• 2010

Purpose: Surgical approaches to the condylar neck and subcondyle area can cause some morbidity such as, facial nerve injury, time-consuming nature and external scar etc. So many surgeons hesitate using open reduction and internal fixation for the treatment of subcondylar fractures. We report open reduction and internal fixation of subcondylar fractures in 13 adult patients via transmasseteric approach. Methods: From 2007 to 2009, 13 adults with subcondylar fracture of mandible were treated with open reduction and internal fixation via transmasseteric approach. A preauricular incision was extended downwards in a curvilinear fashion in the cervicomastoid skin crease. Skin flap was elevated above the SMAS layer. Masseter muscle was splitted at the anteroinferior edge of the parotid gland. After the fracture was reduced, fixed with appropriate plates and screws. All operation were performed under general anesthesia. Results: Mean follow-up period was 13.3 months. There were no signs and symptoms of facial nerve injury, difficulty in mouth opening, or malocclusion. Dissection time was roughly within 30 minutes. Conclusion: Transmasseteric open reduction and internal fixation of mandible subcondylar fracture can be performed with excellent visualization, and inconspicuous scar. It also offers swift access to the subcondylar area while substatially reducing the risk to the facial nerve and eliminating the complications associated with transparotid approaches.

• 대한정형외과 초음파학회지
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• 제5권2호
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• pp.102-105
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• 2012

족근 관절 및 하지 후방의 통증은 비교적 흔히 발생하는 증상으로 이를 유발할 수 있는 질환은 매우 다양하게 존재하며 대표적으로 아킬레스건병증이나 후방 구획을 형성하는 여러 근육 및 힘줄의 염증이나 파열 등이 있다. 신경초종은 신경집 기원의 양성 종양으로 크기 증가에 따른 주변 구조물의 압박으로 인해 여러 임상 증상을 일으킬 수 있다. 만성 아킬레스건병증과 유사한 임상 증상을 유발하는 후방 경골 신경초종은 초음파 등의 영상학적 검사에 의한 감별 진단을 시행치 아니할 경우 간과하기 쉬운 질환으로, 저자들은 이를 경험하였기에 문헌적 고찰과 함께 보고하는 바이다.

• Journal of Oral Medicine and Pain
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• 제37권4호
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• pp.227-231
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• 2012

국한성 화골성 근염은 근육내에 섬유조직과 이소성 골이 형성되는 질환으로 외상성 화골성 근염으로도 알려져 있으며 외상, 외과적 술식, 지속적인 자극에 의하여 근육이 골화되는 질환이다. 주로 팔, 다리 근육에서 발생되며, 저작근에서 발생되는 예는 드물다. 저작근에 발생된 경우 주된 임상증상은 개구제한이며 환자는 이환부위의 동통이나 불편함을 호소하기도 한다. 본 연구는 30대 남성이 개구제한을 주소로 내원하여 임상검사와 방사선검사 후 저작근중에서 좌측 측두근과 외측 익돌근에서 발생된 국한성 화골성 근염으로 진단 내려진 증례를 보고하고자 한다.

• Journal of Oral Medicine and Pain
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• 제35권3호
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• pp.221-227
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• 2010

근막통증은 발통점에 의해 야기되는 근육통을 특징으로 하는 전반적인 통증 증후군으로 정의될 수 있다. 근막통증은 경부통, 견통, 두통 및 구강안면통증이 지속적으로 존재할 수 있는 흔한 원인이 될 수 있다. 구강안면통증을 치료하는 의사들은 근막통증이 구강안면통증에 기여하는 바에 대하여 이해하고 있어야 한다. 본 증례는 보툴리눔 톡신 A형을 이용한 만성 근막통증의 성공적인 치료에 대하여 보고하고자 한다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제28권1호
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• pp.74-80
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• 2002

Necrotizing fasciitis is rare acute infection showing rapidly necrosis involve the subcutaneous tissue and fascia. If treatment is delayed, infection can spread to involve the subcutaneous tissue, skin, deep fascia, and even muscle in rapid sequence, resulting in widespread necrosis and moderate to severe systemic toxicity. Most commonly this disease presents in the extremities, trunk, and perineum; it is relatively rare in the head and neck regions. If not diagnosed and treated in its early stages, necrotizing fasciitis can be potentially fatal, with a motality rate approaching 40%. Historically, the clinical entity now referred to as necrotizing fasciitis was described in the literature under various name. : hospital gangrene, necrotizing erysipelas, streptococcal gangrene, suppurative fasciitis. Necrotizing fasciitis was first described by Wilson in 1952. We experienced 3 cases of necrotizing fasciitis and will report review of literature with diagnosis, treatment, complication and consideration.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제23권3호
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• pp.212-216
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• 2001

The cervical flap, comprising skin, fascia, and platysma muscle, has significant application in the head and neck region after radical ablative surgery for cancer of the oral cavity. The flap may be used for reconstruction of the cheek, floor of the mouth, and lateral side of the tongue. This flap minimizes donor morbidity by use of cervical operation wound and flap size available is adequate for most oral defects and the procedure is relatively simple and time-saving. However the flap is not applicable in patients where there are large tissue defects and metastasis is suspected. We have used the cervical flap for its rapid, simple, and effective closure of oral defects after cancer ablation and found it is very useful for the reconstruction of relatively small oral defects.

• 대한족부족관절학회지
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• 제21권4호
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• pp.174-178
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• 2017

Traumatic neuromas are rare benign tumors that are common after trauma or surgery and are usually accompanied by obvious symptoms of pain. Most reports show neuromas in the face, neck, and limbs, and the traumatic neuroma of the medial plantar nerve has rarely been reported. We encountered a traumatic neuroma of the medial plantar nerve after a deep laceration mimicking a foreign body granuloma. A small mass lesion was found around plantar aponeurosis with heterogeneous high signal intensity in the T2 fat suppression view and slightly enhanced intensity in the magnetic resonance imaging that suggested a foreign body granuloma. The lesion was diagnosed pathologically as a traumatic neuroma. A satisfactory clinical result was obtained after excision of the traumatic neuroma and burial of the proximal and distal stumps to the adjacent muscle at the secondary operation.

• 대한정형도수물리치료학회지
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• 제20권2호
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• pp.27-34
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• 2014

Background: This study examined the effects of cervical traction group and cervical traction & nerve mobilization exercise group after applying conservative physical therapy to Computer Workers with Cervical Radiculopathy. Methods: They were randomly divided into two groups: 18 subjects were cervical traction group, 22 subjects were cervical traction and nerve mobilization exercise group. Each group performed its own exercise 30 minutes per day, three times per week, for 4 weeks. Pain intensity was measured by the visual analogue scale (VAS) and neck disability index (NDI). Cervical extensor muscles strength (CEMS) was measured by the Pressure biofeedback unit. Grasping power (GP) was measured by the Grip Track Commander. Results: After 4 weeks therapy, VAS and NDI were significantly reduced in both groups (p<.05) and CEMS and GP were significantly increased in both groups (p<.05). Significant differences were also evident between the two groups for these three measurements (p<.05). Conclusions: cervical traction and nerve mobilization exercise group is more effective than cervical traction group for reducing VAS and NDI and increasing GP in computer workers with cervical radiculopathy.

• 한국전문물리치료학회지
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• 제14권4호
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• pp.58-65
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• 2007

The purpose of this study was to investigate the effects of serratus anterior strengthening exercises on scapular position and Visual Analog Scale (VAS) pain measurements taken at the resting position in young adults with adducted scapular. The exercise program included stretching of the scapular retractor and strengthening of the serratus anterior muscle. We measured the distance from the midline of the thorax to the vertebral border of the scapular with a tape line (Superior Kibler), and the distance from the 7th cervical spinous process to the acromial angle with 3-dimension motion analysis system, to compare the resting scapular position before and after exercise. Fifteen subjects with adducted scapular were recruited to compare the resting scapular position and VAS. The distance from 7th cervical spine process to acromial angle of the scapular and VAS decreased significantly (p<.01) after exercise, while the distance from the midline of the thorax to vertebral border of the scapular increased (p<.05). The conclusion is that the serratus anterior exercise program altered the resting scapular position and decreased VAS.

• Archives of Plastic Surgery
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• 제38권1호
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• pp.69-72
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• 2011

Purpose: Myositis ossificans is a benign condition of heterotopic bone formation that still requires more of its pathologic explanation. The lesions are localized predominantly to the high-risk sites of injury, involving flexor muscles of the upper limbs and thigh, but rarely in the head and neck area. Methods: A case of a 44-year-old male patient presented with a palpable hard mass on nasal dorsum. The patient experienced a similar lesion on upper limb few years ago. On computed tomographic image, the lesion presented focal definite increase in opacity compatible to adjacent bone densitiy on nasal dorsum. Results: The lesion was excised under open rhinoplasty incision. The pathologic report revealed focal bone formation and calcification within skeletal muscle. Conclusion: We describe a unique and only case of a myositis ossificans on nasal dorsum which is indifferent from previous concept.