• Title/Summary/Keyword: SCARs

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First Report of Black Spot Caused by Alternaria alternata on Grafted Cactus

  • Choi, Min-Ok;Kim, Sang-Gyu;Hyun, Ik-Hwa;Kim, Jeong-Ho;Cho, Chang-Hui;Park, Myung-Soo;Kim, Young-Ho
    • The Plant Pathology Journal
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    • v.26 no.1
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    • pp.80-82
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    • 2010
  • A stem spot disease was observed on Gymnocalycium mihanovichii (Korean name: Bimoran), a scion of graftcactus, in major growing areas of Goyang and Eumseong, Korea during 2008 and 2009. Typical symptoms were initial blackish brown lesions produced mainly on areoles and scars of injured stem tissues, gradually becoming large black spots. A causal organism isolate CD2-7A isolated from the infected stems was identified as Alternaria alternata based on its morphological characteristics and confirmed by the DNA sequencing analysis of ITS, glyceraldehydes-3-phosphate dehydrogenase (gpd), and allergen Alt a1 (Alt a 1) genes. Artificial inoculation of the fungal isolate CD2-7A produced the same rot symptoms on the cactus stems, from which the same fungus was isolated and identified. This is the first report of the black spot caused by A. alternata in the grafted cactus.

A Surgical Experience of Livedo Vasculitis: A Case Report (청피반성 혈관염의 수술적 치험 1례)

  • Choi, Won Seok;Park, Dae Hwan;Song, Chul Hong
    • Archives of Plastic Surgery
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    • v.33 no.5
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    • pp.666-668
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    • 2006
  • Purpose: Livedo vasculitis is recurrent painful ulceration of the feet, ankles and legs characterized by purpuric papules and plaques that undergo superficial necrosis and healing with residual white atrophic scars (atrophie blanche). The typical histopathologic findings of livedo vasculitis are characterized by endothelial proliferation and hyaline degeneration along with thrombosis of dermal vessels. Standard therapeutic strategies for treatment of livedo vasculitis are usually on the basis of rheologic, anti-inflammatory or immnosuppressive treatments, a aspirin, dipyridamole, glucocorticosteroids, pentoxyfylline, or high-dose intravenous immunoglobulin are often ineffective or partially effective. Methods: We report a case of 24-year-old male patient with livedo vasculitis on the ankles and dorsal surfaces of both feet. Results: The lesion that had been unresponsive to medical treatment were successfully healed with complete debridement and skin grafting without recurrences. Conclusion: Surgical treatment can be one of the therapeutic choice in Livedo vasculitis.

Two Cases of Ultrasound-Guided Angiocatheter Irrigation and Drainage of the Head and Neck Abscesses (초음파 유도하 Angiocatheter를 이용한 두경부 농양의 세척 및 배농 2예)

  • Roh, Kyung-Jin;Suh, Michelle J.;Park, Sang-Chul;Kim, Hong-Jun;Kim, Bo-Mi;Shin, Hyang-Ae
    • Korean Journal of Head & Neck Oncology
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    • v.27 no.2
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    • pp.230-233
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    • 2011
  • Head and neck abscess usually requires hospitalization, intravenous antibiotic therapy, and surgical incision and drainage. Open surgical drainage may result in unsightly scars. We report two cases of a 56-year-old man with a facial abscess and a 47-year-old man with a parotid abscess. The patients were successfully treated with ultrasound-guided angiocatheter irrigation and drainage without scar. Ultrasound-guided angiocatheter irrigation and drainage can be a simple, safe and effective alternative procedure to open surgery in the management of the selected head and neck abscesses.

Transtherapy for moderate to severe acne scar: a study of 2 cases

  • Sung, Soo-Hyun;Park, Jong-Hyun;Han, Chang-Hyun;Hong, Seung-Min;Park, Eun-Jung;Na, Ho-Ik;Park, Sung-Jin;Yu, Ji-Hee;Ha, Ji-Hun
    • The Journal of Korean Medicine
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    • v.36 no.4
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    • pp.122-128
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    • 2015
  • Objectives: The purpose of this study is to present effect of transtherapy which is treatment of Korean Medicine to acne scar patients. Methods: We used transtherapy to moderate and severe acne scar patients and evaluated by a Photo evaluation with 10-point score and Qualitative Global Acne Scarring Grading System. Results: After transtherapy treatment, mean of Qualitative Global Acne Scarring Grading System of patients changed from $3.5{\pm}0.71$ to $1.5{\pm}0.71$. Acne scar showed an improvement at least 8 up to 9 and mean of their acne scar improvement scores was $8.33{\pm}0.52$ on photo evaluation with 10-point score. Conclusions: This paper shows that transtherapy in the treatment of moderate to severe acne scars is beneficial for promoting skin regeneration.

Improvement of fibrosed scar tissue elongation using self-inflatable expander

  • Jung, Gyu-Un;Kim, Jin-Woo;Pang, Eun-Kyoung;Kim, Sun-Jong
    • The Journal of the Korean dental association
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    • v.54 no.7
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    • pp.501-512
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    • 2016
  • We evaluated a self-inflatable osmotic tissue expander for its utility in creating sufficient soft tissue elongation for primary closure after bone grafting. Six patients with alveolar defects who required vertical augmentation of >6 mm before implant placement were enrolled. All had more than three prior surgeries, and flap advancement for primary coverage was restricted by severely fibrosed scars. Expanders were inserted beneath the flap and fixed with a screw. After 4 weeks, expander removal and bone grafting were performed simultaneously. A vertical block autograft and guided bone regeneration and distraction osteogenesis were performed. Expansion was sufficient to cover the grafted area without additional periosteal incision. Complications included mucosal perforation and displacement of the expander. All augmentation procedures healed uneventfully and the osseous implants were successfully placed. The tissue expander may facilitate primary closure by increasing soft tissue volume. In our experience, this device is effective, rapid, and minimally invasive, especially in fibrous scar tissue.

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Correction of the Epicanthal Fold with Invisible Scar (눈에 띄는 흉의 생성 없는 내안각췌피 교정술)

  • Lee, Yoon Ho;Lee, Si Woo;Baek, Rong Min
    • Archives of Plastic Surgery
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    • v.32 no.3
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    • pp.299-303
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    • 2005
  • The epicanthal fold is common natural finding in Asian eyes. It is very common that patients, who look for oriental blephaloplasty for double eye lid, request correction epicanthal fold. It is very often difficult to achieve satisfactory results if the correction of the epicanthal fold is not corrected concomitantly. Many authors described surgical procedures for correction of epicanthal folds. But most of them leave additional scars which tend to be hypertrophic and noriceable. We achieved satisfactory result in epicanthoplasty with invisible scar, using combination of procedures, such as upward incision, double eyelid operation, anchoring suture of the medial upper lid skin to the medial canthal tendon, trans-nasal root subcutaneous mattress suture of the epicanthal fold itself and combined rhinoplasty. For past six years (1998 to 2003) 17 patients have been operated with one of these mentioned procedures. The mean follow up was 4months (2weeks to 6months). All patients were satisfied and no major complication was noted. This method can be one of the effective procedures for correcting the Asian epicanthal fold for avoiding potential visible scar and ancillary procedure in double eye lid blephaloplasty.

A New Technique for Conchal Cartilage Harvest

  • Kim, Joon Young;Yang, Ho Jik;Jeong, Ji Won
    • Archives of Plastic Surgery
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    • v.44 no.2
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    • pp.166-169
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    • 2017
  • The goal of auricular cartilage harvest is to obtain a sufficient amount for reconstruction and to minimize the change in ear shape. The cartilage can be harvested by a posterior or anterior approach, and each method has advantages and disadvantages. The posterior approach presents the advantage of scar concealment, but there are limits to the amount of cymba cartilage that may be harvested. In contrast, the anterior approach may cause a noticeable scar. However, as cartilage is collected, the anterior approach provides a view that facilitates the preservation ear structure. In addition, it is possible to obtain a greater amount of cartilage. From January 2014 to December 2015, we harvested auricular cartilage graft material in 17 patients. To prevent the development of trapdoor scars or linear scar contracture, short incisions were made on the superior border of the cymba and cavum. Two small and narrow incisions were made, resulting in suboptimal exposure of the surgical site, which heightens the potential for damaging the cartilage when using existing tools. To minimize this, the authors used a newly invented ball-type elevator. All patients recovered without complications after surgery and reported satisfaction with the shape of the ear.

Clinical considerations on Factors related the Acne (여드름 관련 인자에 대한 임상적 고찰)

  • Lee, Hyung-Kee;Ok, Young-Kil;Choi, Yong-Hun;Kim, Jung-Ho
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.28 no.2
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    • pp.13-22
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    • 2015
  • Objective : To investigate how general characteristics and life habits of patients affect severity of acne which was determined by Korean Acne Grading system(KAGS). To adress correlation between the severity of acne and subjective stresses from which patients suffer. Methods : 86 patients answered to questionaire sheet on their general characteristics and life habits and rated their level of stresses as a number in the range between 0 and 10. Then an oriental medical doctor evaluated subject's acne grades, based of KAGS, through observations on papules, nodules, and scars before (medical) treatments. All data (collected) were analyzed using SPSS 22 (software for windows). To clearly demonstrate association of subjects general characteristics, life habits with KAGS grades, Chi-square tests were performed. The correlation between the KAGS grades and the level of stresses was determined using one-way ANOVA followed by Scheffe's post-hoc analysis. Results & Conclusion : Majority of subjects were women, students between 15 and 25 years old, and patients with normal range of Body Mass Index(BMI). Dysmenorrhea presence and premenstrual exacerbation of acne had statistically significant relationship, suggesting their potential influences on KAGS grades as major factors.

Correction of Bilateral Cleft Lip Using Modified Noordhoff Technique (개선된 Noordhoff 방법을 이용한 양측성 구순열의 교정)

  • Cho, Byung Chae;Lee, Yong Jig
    • Archives of Plastic Surgery
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    • v.33 no.4
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    • pp.399-406
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    • 2006
  • Purpose: The authors accessed the anthropometric measurements of fourty non-cleft normal a three-month-old infant and using this obtained data as a basic guideline, authors applied the modified Noordhoff technique for the treatment of bilateral cleft lip. Methods: Over a period of 10 years, a total of 21 bilateral cleft lips were operated. 13 cases of complete and 8 cases of incomplete bilateral cleft lip and palate. In the complete type of bilateral cleft palate, elastic head cap and passive intraoral appliance were applied at 1 to 2 week of age for 2 months duration. The definitive cheiloplasty was performed at 3 months of age using the modified Noordhoff technique. Results: After a follow-up period ranging one to nine years, most patients presented with cosmetically and functionally satisfying results, with an exception of two cases where an undesired peaking effect of the vermilion and dimpling of the vermilion mucosa was encountered. Conclusion: Accessing the anthropometric measurements of fourty non-cleft normal three-month-old infant and using this obtained dara as a guideline, the modified Noordhoff technique can be applied to either complete or incomplete bilaterally cleft lip providing more naturally pleasing and cosmetically satisfying scars that lie in harmony with the philtral ridges, lip tubercle positioned just below the vermilion and a distinct white line and Cupid's bow.

Reduction of Zygomatic Fractures Using the Carroll-Girard T-bar Screw

  • Baek, Ji Eun;Chung, Chan Min;Hong, In Pyo
    • Archives of Plastic Surgery
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    • v.39 no.5
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    • pp.556-560
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    • 2012
  • Zygomatic fractures are the second most common facial bone fractures encountered and treated by plastic surgeons. Stable fixation of fractured fragments after adequate exposure is critical for ensuring three-dimensional anatomic reduction. Between January 2008 and December 2010, 17 patients with zygomatic fractures were admitted to our hospital; there were 15 male and 2 female patients. The average age of the patients was 41 years (range, 19 to 75 years). We exposed the inferior orbital rim and zygomatic complex through a lateral brow, intraoral, and subciliary incisions, which allowed for visualization of the bone, and then the fractured parts were corrected using the Carroll-Girard T-bar screw. Postoperative complications such as malar asymmetry, diplopia, enophthalmos, and postoperative infection were not observed. Lower eyelid retraction and temporary ectropion occurred in 1 of the 17 patients. Functional and cosmetic results were excellent in nearly all of the cases. In this report, we describe using the Carroll-Girard T-bar screw for the reduction of zygomatic fractures. Because this instrument is easy to use and can rotate to any direction and vector, it can be used to correct displaced zygomatic bone more accurately and safely than other devices, without leaving facial scars.