• 제목/요약/키워드: Scar

검색결과 1,056건 처리시간 0.03초

Early postoperative treatment of mastectomy scars using a fractional carbon dioxide laser: a randomized, controlled, split-scar, blinded study

  • Shin, Hyun Woo;Suk, Sangwoo;Chae, Seoung Wan;Yoon, Kun Chul;Kim, Junekyu
    • Archives of Plastic Surgery
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    • 제48권4호
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    • pp.347-352
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    • 2021
  • Background Mastectomy leaves unsightly scarring, which can be distressing to patients. Laser therapy for scar prevention has been consistently emphasized in recent studies showing that several types of lasers, including fractional ablation lasers, are effective for reducing scar formation. Nonetheless, there are few studies evaluating the therapeutic efficacy of ablative CO2 fractional lasers (ACFLs). Methods This study had a randomized, comparative, prospective, split-scar design with blinded evaluation of mastectomy scars. Fifteen patients with mastectomy scars were treated using an ACFL. Half of each scar was randomized to "A," while the other side was allocated to group "B." Laser treatment was conducted randomly. Scars were assessed using digital photographs of the scar and Vancouver scar scale (VSS) scores. Histological assessments were also done. Results The mean VSS scores were 2.20±1.28 for the treatment side and 2.96±1.40 for the control side. There was a significant difference in the VSS score between the treatment side and the control side (P=0.002). The mean visual analog scale (VAS) scores were 4.13±1.36 for the treatment side and 4.67±1.53 for the control side. There was a significant difference in VAS score between the treatment side and the control side (P=0.02). Conclusions This study demonstrated that early scar treatment using an ACFL significantly improved the clinical results of the treatment compared to the untreated scar, and this difference was associated with patient satisfaction.

Prognostic Factors of Renal Scarring on Follow-up DMSA Scan in Children with Acute Pyelonephritis

  • Lee, Juyeen;Woo, Byung Woo;Kim, Hae Sook
    • Childhood Kidney Diseases
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    • 제20권2호
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    • pp.74-78
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    • 2016
  • Purpose: Early diagnosis and treatment of urinary tract infection have been emphasized to prevent renal scarring. If untreated, acute pyelonephritis could cause renal injury, which leads to renal scarring, hypertension, proteinuria, and chronic renal failure. The purpose of this study was to assess risk factors of renal scarring after treatment of acute pyelonephritis (APN). Methods: The medical records of 59 patients admitted at Daegu Fatima Hospital because of APN between March 2008 and April 2015 whose renal cortical defects were confirmed by using initial technetium-99m dimercaptosuccinic acid (DMSA) scans were reviewed retrospectively. We divided 59 patients into 2 groups according to the presence of renal scar and assessed risk factors of renal scar, including sex, age at diagnosis, feeding method, hydronephrosis, bacterial species, vesicoureteral reflux, and vesicoureteral reflux grade. Results: Of 59 patients (41%), 24 showed renal scar on follow-up DMSA scan. No significant differences in sex, hydronephrosis, bacterial species, and fever duration were found between the renal-scarred and non-scarred groups. As for age at diagnosis, age of >12 months had 5.8 times higher incidence rate of renal scarring. Vesicoureteral reflux (VUR) affected renal scar formation. VUR grade III or IV had 14.7 times greater influence on renal scar formation than VUR grade I or II. Conclusion: Our data suggest that the presence of VUR and its grade and age at diagnosis are risk factors of renal scar on follow-up DMSA scan after APN.

인공어초 안정성 해석 프로그램 개발 - 컴퓨터 코딩시스템 적용 (Development of a Program for Analyzing the Stability of Artificial Reefs - Application of a Computer Coding System -)

  • 전용호;박재형;윤한삼
    • 해양환경안전학회지
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    • 제24권5호
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    • pp.537-544
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    • 2018
  • 본 연구에서는 해수 중 유체력에 의한 인공어초의 활동 및 전도를 평가하기 위한 간편하고 효율적인 사용자 중심의 전산 프로그램(SCAR program)을 개발하였다. 개발된 전산 프로그램은 인공어초의 안정성 평가 공식인 모리슨(Morison) 식을 기반으로 델파이(Delphi) 코드 및 그래픽 사용자 인터페이스(GUI, Graphic User Interface) 방식을 적용하였다. 개발된 SCAR 프로그램은 학부 및 대학원 과정, 실제 현장 전문가들의 수산구조물(인공어초 또는 수중구조물 등) 설계 및 안정성 평가에 널리 적용 가능할 것으로 판단된다.

한국잔디 중지 변이개체와 연관된 RAPD-SCAR 마커 (RAPD-SCAR Markers Linked to Medium-Leaf Zoysiagrass Ecotypes)

  • 정성진;박수정;김헌중;양근모;최준수;오찬진;장덕환;송인자;이긍주
    • Weed & Turfgrass Science
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    • 제2권2호
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    • pp.191-197
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    • 2013
  • 한국 잔디 신품종 개발 목적으로 전라남도 장성군 삼서면 일대 한국잔디 중지류 생산포장에서 선발한 생육 및 피복속도가 빠르고 밀도 또는 가을철 녹색기간이 긴 2개 우량계통을 대상으로 DNA 수준에서 기존 중지류 또는 한국잔디들과 차이를 살펴보고 신품종 특이적으로 차이를 보이는 DNA 염기서열을 기반으로 RAPD-SCAR 마커를 개발하고자 본 연구를 실시하였다. RAPD 프라이머를 스크리닝 한 결과 N8021와 N8001 프라이머가 CY6069와 CY6097 품종 각각에 특이적인 DNA 절편을 약 600 bp와 700 bp 부근에서 발견할 수 있었다. 특이 밴드는 TA-cloning vector에 삽입 후 대장균에 형질전환하여 배양하였고, 이로부터 추출된 플라스미드 DNA의 염기서열 분석을 실시하여 최종적으로 중지류 신품종 특이 SCAR 마커 프라이머를 작성하였다. CY6069 선발 품종 특이 SCAR 마커(CY6069_550)는 다른 한국잔디 들잔디(야지), 한국잔디 중지, 갯잔디, 금잔디에서는 보이지 나타나지 않았던 식별 가능한 밴드를 보였고(550 bp), CY6097 선발 품종 식별을 위한 SCAR 마커(CNU70-6_1500)도 CY6097 계통에서만 특이적으로 나타나는 DNA 밴드를 약 700 bp 부근에서 증폭할 수 있었다. 형태 및 생육특성 차이와 함께 본 연구를 통해 개발된 RAPD-SCAR 마커를 활용하면 선발된 중지류 한국잔디 CY6069와 CY6097 계통을 실험실내에서 PCR을 통해 유전자원 식별 및 원산지 증명이 가능해졌고 영양번식을 통해 주로 번식하는 난지형 잔디 생산 포장에서 품종의 혼입으로부터 정확하게 분리해 낼 수 있을 것으로 판단된다.

얕은 지방층을 포함한 피부복합조직이식을 이용한 손화상 반흔구축의 교정 (Preserved Superficial Fat Skin Composite Graft for Correction of Burn Scar Contracture of Hand)

  • 손대구;정회준;최태현;김준형;한기환
    • Archives of Plastic Surgery
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    • 제35권6호
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    • pp.716-722
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    • 2008
  • Purpose: Split or full thickness skin graft is generally used to reconstruct the palmar skin and soft tissue defect after release of burn scar flexion contracture of hand. As a way to overcome and improve aesthetic and functional problems, the authors used the preserved superficial fat skin(PSFS) composite graft for correction of burn scar contracture of hand. Methods: From December of 2001 to July of 2007, thirty patients with burn scar contracture of hand were corrected. The palmar skin and soft tissue defect after release of burn scar contracture was reconstructed with the PSFS composite graft harvested from medial foot or below lateral and medial malleolus, with a preserved superficial fat layer. To promote take of the PSFS composite graft, a foam and polyurethane film dressing was used to maintain the moisture environment and Kirschner wire was inserted for immobilization. Before and after the surgery, a range of motion was measured by graduator. Using a chromameter, skin color difference between the PSFS composite graft and surrounding normal skin was measured and compared with full thickness skin graft from groin. Results: In all cases, the PSFS composite graft was well taken without necrosis, although the graft was as big as $330mm^2$(mean $150mm^2$). Contracture of hand was completely corrected without recurrence. The PSFS composite graft showed more correlations and harmonies with surrounding normal skin and less pigmentation than full thickness skin graft. Donor site scar was also obscure. Conclusion: The PSFS composite graft should be considered as a useful option for correction of burn scar flexion contracture of hand.

The Effects of Topical Agent (Kelo-Cote or Contractubex) Massage on the Thickness of Post-Burn Scar Tissue Formed in Rats

  • Ko, Won Jin;Na, Young Cheon;Suh, Bum Sin;Kim, Hyeon A;Heo, Woo Hoe;Choi, Gum Ha;Lee, Seo Ul
    • Archives of Plastic Surgery
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    • 제40권6호
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    • pp.697-704
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    • 2013
  • Background We conducted an experimental study to compare the effect of massage using topical agents (Kelo-cote or Contractubex) on scar formation by massaging the healed burn wound on the dorsal area of Sprague-Dawley (SD) rats. Methods Four areas of second degree contact burn were made on the dorsal area of each of 15 SD rats, using a soldering iron 15 mm in diameter. After gross epithelialization in the defect, 15 SD rats were randomly divided into four groups: the Kelo-cote group, Contractubex group, Vaseline group, and control group. Rats in three of the groups (all but the Control group) were massaged twice per day for 5 minutes each day, while those in the Control group were left unattended. For histologic analysis, we performed a biopsy and evaluated the thickness of scar tissue. Results In the Kelo-cote and Contractubex groups, scar tissue thicknesses showed a significant decrease, compared with the Vaseline and control groups. However, no significant differences were observed between the Kelo-cote and Contractubex groups. In the Vaseline group, scar tissue thicknesses showed a significant decrease, compared with the control groups. Conclusions The findings of this study suggest that massage using a topical agent is helpful in the prevention of scar formation and that massage only with lubricant (no use of a topical agent) also has a considerable effect, although not as much as the use of a topical agent. Thus, we recommend massage with a topical agent on the post-burn scar as an effective method for decreasing the scar thickness.

반흔 성형술의 임상적 고찰 (CLINICAL STUDY OF SCAR REVISIONS)

  • 김영균;여환호;변웅래
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제16권2호
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    • pp.137-144
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    • 1994
  • Inselecting scars for treatment, attention be paid not only to the features of the defect as seen objectively but also to the element of the defect most disturbing to the patient. We revised the scar tissues with simple elliptical excision, Z-plasty, modified Z-plasty, W-plasty and hand dermabrasion in varialbe pattern of scars and got the favorable results. The success rate of scar revision usually depends on the patient's subjective judgement. We must inform our patient the limitation of scar revision and importance of postoperative care. The oral and maxillofacial surgeons must resolve the variable scars which re involved in variable operations and traumas.

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진구성 아킬레스건 파열에 대한 파열 단 사이의 반흔 조직을 이용한 재건술 (2예 보고) (Reconstruction of Chronic Achilles Tendon Rupture Using Interposed Scar Tissue (A Report of Two Cases))

  • 조현종;여제형;이근배
    • 대한족부족관절학회지
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    • 제17권4호
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    • pp.316-320
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    • 2013
  • It has been reported that the gap between the tendon stumps in chronic Achilles tendon rupture is filled with interposed scar tissue. If it was available to use the interposed scar tissue for reconstruction or augmentation of Achilles rupture, possible damage of normal tissues could be avoided. Our results show that direct repair method using interposed scar tissue for chronic Achilles tendon rupture can successfully relieve pain and restore function of the ruptured Achilles tendon in carefully selected patients.

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
    • 대한한의학회지
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    • 제36권4호
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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.

Development of a SCAR Marker for Sex Identification in Asparagus

  • Kim, Seong-Cheol;Jung, Yong-Hwan;Seong, Ki-Cheol;Chun, Seung-Jong;Kim, Chun Hwan;Lim, Chan Kyu;Joa, Jae-Ho;Lee, Dong-Sun
    • 한국자원식물학회지
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    • 제27권3호
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    • pp.236-241
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    • 2014
  • A sex-linked random amplified polymorphic DNA (RAPD) marker was identified from Asparagus officinalis L. and was converted into a sequence-characterized amplified regions (SCAR) marker for the large-scale screening of male and female plants. A total of 100 arbitrary decamer oligonucleotide primers were used for the RAPD analysis. Among them, the primer UBC347 amplified one female-specific 400 base pair DNA. Subsequently, the amplified RAPD fragment was cloned and sequenced. The fragment was abundant in AT and shared sequence homology with retrotransposon elements. On the basis of the sequence obtained, a pair of SCAR primer was designed. The amplification product, named F400, was the same size as the respective RAPD fragment from which it was derived. The F400 SCAR marker resulted to be female-specific in the three asparagus varieties tested in this study. This SCAR marker can be used for an early and rapid identification of female and male plants during breeding programs of asparagus.