• Title/Summary/Keyword: Skin area

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Analysis of Risk Factors and Management of Cerebrospinal Fluid Morbidity in the Treatment of Spinal Dysraphism

  • Lee, Byung-Jou;Sohn, Moon-Jun;Han, Seong-Rok;Choi, Chan-Young;Lee, Dong-Joon;Kang, Jae Heon
    • Journal of Korean Neurosurgical Society
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    • v.54 no.3
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    • pp.225-231
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    • 2013
  • Objective : Spinal dysraphism defects span wide spectrum. Wound dehiscence is a common postoperative complication, and is a challenge in the current management of cerebrospinal fluid (CSF) leaks and wound healing. The purpose of this study is to evaluate the risks of CSF-related morbidity in the surgical treatment of spinal dysraphism. Methods : Ten patients with spinal dysraphism were included in this retrospective study. The median age of the cohort was 4.8 months. To assess the risk of CSF morbidity, we measured the skin lesion area and the percentage of the skin lesion area relative to the back surface for each patient. We then analyzed the relationship between morbidity and the measured skin lesion area or related factors. Results : The overall median skin lesion area was 36.2 $cm^2$ (n=10). The percentage of the skin lesion area relative to the back surface ranged from 0.6% to 18.1%. During surgical reconstruction, 4 patients required subsequent operations to repair CSF morbidity. The comparison of the mean area of skin lesions between the CSF morbidity group and the non-CSF morbidity group was statistically significant (average volume skin lesion of $64.4{\pm}32.5cm^2$ versus $27.7{\pm}27.8cm^2$, p<0.05). CSF morbidity tended to occur either when the skin lesion area was up to 44.2 $cm^2$ or there was preexisting fibrosis before revision with an accompanying broad-based dural defect. Conclusion : Measuring the lesion area, including the skin, dura, and related surgical parameters, offers useful information for predicting wound challenges and selecting appropriate reconstructive surgery methods.

A Simple Strategy in Avulsion Flap Injury: Prediction of Flap Viability Using Wood's Lamp Illumination and Resurfacing with a Full-thickness Skin Graft

  • Lim, Hyoseob;Han, Dae Hee;Lee, Il Jae;Park, Myong Chul
    • Archives of Plastic Surgery
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    • v.41 no.2
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    • pp.126-132
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    • 2014
  • Background Extensive degloving injuries of the extremities usually result in necrosis of the flap, necessitating comprehensive skin grafting. Provided there is a sufficient tool to evaluate flap viability, full-thickness skin can be used from a nonviable avulsed flap. We used a Wood's lamp to determine the viability of avulsed flaps in the operation field after intravenous injection of fluorescein dye. Methods We experienced 13 cases during 16 months. Fifteen minutes after the intravenous injection of fluorescein dye, the avulsed skin flaps were examined and non-fluorescent areas were marked under Wood's lamp illumination. The marked area was defatted for full-thickness skin grafting. The fluorescent areas were sutured directly without tension. The non-fluorescent areas were covered by defatted skin. Several days later, there was soft tissue necrosis within the flap area. We measured necrotic area and revised the flap. Results Among all the cases, necrotic area was 21.3% of the total avulsed area. However, if we exclude three cases, one of a carelessly managed patient and two cases of the flaps were inappropriately applied, good results were obtained, with a necrotic area of only 8.4%. Eight patients needed split-thickness skin grafts, and heel pad reconstruction was performed with free flap. Conclusions A full-thickness skin graft from an avulsed flap is a good method for addressing aesthetic concerns without producing donor site morbidity. Fluorescein dye is a useful, simple, and cost-effective tool for evaluating flap viability. Avulsed flap injuries can be managed well with Wood's lamp illumination and a full-thickness skin graft.

Detection of Skin Pigmentation using Independent Component Analysis

  • Yang, Liu;Lee, Suk-Hwan;Kwon, Seong-Geun;Kwon, Ki-Ryong
    • Journal of Korea Multimedia Society
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    • v.16 no.1
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    • pp.1-10
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    • 2013
  • This paper presents an approach for detecting and measuring human skin pigmentation. In the proposed scheme, we extract a skin area by a Gaussian skin color model that is estimated from the statistical analysis of training images and remove tiny noises through the morphology processing. A skin area is decomposed into two components of hemoglobin and melanin by an independent component analysis (ICA) algorithm. Then, we calculate the intensities of hemoglobin and melanin by using the location histogram and determine the existence of skin pigmentation according to the global and local distribution of two intensities. Furthermore, we measure the area and density of the detected skin pigmentation. Experimental results verified that our scheme can both detect the skin pigmentation and measure the quantity of that and also our scheme takes less time because of the location histogram.

Study on Hand Greater Yang Skin from the Viewpoint of Human Anatomy

  • Park, Kyoung-Sik
    • The Journal of Korean Medicine
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    • v.39 no.4
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    • pp.121-125
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    • 2018
  • Objectives: This study was carried out to analyse Hand Greater Yang Skin in human. Methods: Hand Greater Yang meridian was labeled with latex in the body surface of the cadaver. And subsequently body among superficial fascia and muscular layer were dissected in order to observe internal structures. Results : A depth of Skin encompasses a common integument and a immediately below superficial fascia, this study established Skin boundary with adjacent structures such as relative muscle, tendon as compass. The Skin area of the Hand Greater Yang in human are as follows: The skin close to 0.1chon ulnad of $5^{th}$ nail angle, ulnad base of $5^{th}$ phalanx, ulnad head of $5^{th}$ metacapus(relevant muscle: abductor digiti minimi muscle), ulnad of hamate, tip of ulnar styloid process(extensor carpi ulnaris tendon), radiad of ulnar styloid process, 2cm below midpoint between Sohae and Yanggok(extensor carpi ulnaris), between medial epicondyle of humerus and olecranon of ulnar(ulnar nerve), The skin close to deltoid muscle, trapezius muscle, platysma muscle, inner muscles such as teres major muscle, infraspinatus muscle, supraspinatus muscle, levator scapulae muscle, splenius cervicis muscle, splenius capitis muscle, sternocleidomastoid muscle, digastric muscle, stylohyoid muscle, zygomaticus major muscle, auricularis anterior muscle. Conclusions: The Skin area of the Hand Greater Yang from the anatomical viewpoint seems to be the skin area outside the superficial fascia or muscles involved in the pathway of Hand Greater Yang meridian, collateral meridian, meridian muscle, with the condition that we consider adjacent skins.

Automation of Skin Allergy Test using Fuzzy Set (Fuzzy Set을 이용한 피부반응 검사의 자동화 연구)

  • Shim, Chul;Jeong, Byeong-Sun;Lee, Myeong-Ku;Park, Mi-Gnon
    • Proceedings of the KOSOMBE Conference
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    • v.1990 no.05
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    • pp.43-46
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    • 1990
  • Modern society is prevailed a lot of allergies. So, the allergy test is very important. There are many kinds of allergy test. A doctor usually uses skin allergy test among many allergy tests. However, little standadization and objectivity of grading-standard has been established in the skin allergy test. A measurement of the reaction area has been a major objective to perform skin allergy test. Recently, a doctor's method is to measure the reaction area after drawing a line that represents the reaction area on the skin. But this method differs slightly from the real reaction area and individual doctor's measurement is different, because the edge of the reaction area is obscure. In this paper, we propose a algorithm which is able to detect vague edges using the fuzzy set. The algorithm that detects the line and curve is proposed first. Here, the maximum value is calculated by comparing the membership function of the line and curve seperately. We also encode the direction of the line and curve by using 8-direction code. Then, we calculate the reaction area by measuring the pixels which are inside the reaction area. And finally the Allergy grade is decided by grading-standard, and we accomplish faster, the 80re accurate and objective allergy grade decision.

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Phenomenological Study of Skin Scuba Participants in Busan Region (부산지역 스킨스쿠버 참여자의 현상학적 연구)

  • JANG, Jae-Yong
    • Journal of Fisheries and Marine Sciences Education
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    • v.29 no.1
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    • pp.148-157
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    • 2017
  • This study has studied the phenomenon exclusive to the activity of skin scuba among marine sports in Busan region, and such empirical studies are for the development of skin scuba, and even of the entire marine sports, and in order to achieve such objective, the study method centered around qualitative study method of in-depth interview, participatory observation, and documentation study, the results of which are as follows. First is the advantage of the local environment as an open-water location. This study area has beaches of pebbles, and the underwater is also comprised of pebbles up to a certain distance, securing a superior underwater visibility compared to the sand of other Busan regions, and such local environment is thought to be an advantage of skin scuba activity. Second is the satisfaction of accessibility. This study area had an advantage in participant accessibility, which is thought to act as a good strength for the marine sports development of this area in the future. Third is the satisfaction of education. The club instructors of this study area had various marine sports-related licenses such as skin scuba, along with marine lifeguard trainer qualifications to prepare against safety accidents, which are also thought to have positive influences on the education satisfaction for beginners. Fourth is the inconvenient subsidiary facility. This study area has great natural environment for open waters, but the subsidiary facilities of the club for skin scuba activity was found to be very inconvenient by this study, and for the future development of skin scuba, the improvement of subsidiary facilities should be considered. Fifth is the inconvenient parking facilities. The participants in this study area agreed upon the inconvenience of the parking issue alongside the subsidiary facilities. There are always parking issues near the coasts of Busan region, and in order to resolve such issues, active assistance from the City of Busan and each local government, and if such methods are well proposed, the conflict between the marine sports participants and local residents shall be resolved, it would play a great role in the development of marine sports.

Study on the Skin of Hand Lesser Yang from the Viewpoint of Human Anatomy

  • Park, Kyoung-Sik
    • The Journal of Korean Medicine
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    • v.36 no.4
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    • pp.69-73
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    • 2015
  • Objectives: This study was carried out to analyse the skin of the Hand lesser yang in human. Methods: The Hand lesser yang meridian was labeled with latex in the body surface of the cadaver, subsequently dissecting a body among superficial fascia and muscular layer in order to observe internal structures. Results: This study has come to the conclusion that a depth of the skin has encompassed a common integument and a immediately below superficial fascia, and this study established the skin boundary with adjacent structures such as relative muscle, tendon as compass. The skin area of the Hand lesser yang in human is as follows: The skin close to the ulnar root angle of 4th finger nail, above between 4th and 5th metacarpal bone, between extensor digit. minimi tendon(t.) and extensor digit. t., extensor digit. m(muscle). at 2, 4, 7 cun above dorsal carpal striation, triceps brachii m. t., deltoid m., trapezius m., just around the ear, upper orbicularis oculi m. Conclusions: The skin area of the Hand lesser yang from anatomical viewpoint seems to be the skin area outside the superficial fascia or the muscle involved in the pathway of the Hand lesser yang meridian, the collateral meridian, the meridian muscle, with the condition that we consider adjacent skins.

Improvement of the skin condition according to the face mapping (안면 구획화에 따른 부위별 피부개선 효과)

  • Kwon, Hye-Jin
    • Journal of the Korean Applied Science and Technology
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    • v.36 no.4
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    • pp.1219-1223
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    • 2019
  • The skin condition varies by the parts of the face. This study intended to visualize the facial skin based on the characteristics including moisture, sebum, dryness, amount of dead skin cells, and roughness by sectionalizing the facial skin into 9 areas. A total of 98 female in their 20~35s were selected, and the characteristics of skin by area were selected and listed in the order, and the area they felt each characteristic most strongly was analyzed with a weight and the result was visualized. The result showed that the area where they felt dryness the most was around the lips and eyes, and the area where the largest amount of dead skin cells and rough skin existed was the chin. There was a significant increase in moisture content (p <.05), and 90.5% of satisfaction with dryness was satisfied. The result of this study will be used as a basic data for the development of a cosmetic mask pack or a functional cosmetic product for each part.

Skin Pigment Recognition using Projective Hemoglobin- Melanin Coordinate Measurements

  • Yang, Liu;Lee, Suk-Hwan;Kwon, Seong-Geun;Song, Ha-Joo;Kwon, Ki-Ryong
    • Journal of Electrical Engineering and Technology
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    • v.11 no.6
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    • pp.1825-1838
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    • 2016
  • The detection of skin pigment is crucial in the diagnosis of skin diseases and in the evaluation of medical cosmetics and hairdressing. Accuracy in the detection is a basis for the prompt cure of skin diseases. This study presents a method to recognize and measure human skin pigment using Hemoglobin-Melanin (HM) coordinate. The proposed method extracts the skin area through a Gaussian skin-color model estimated from statistical analysis and decomposes the skin area into two pigments of hemoglobin and melanin using an Independent Component Analysis (ICA) algorithm. Then, we divide the two-dimensional (2D) HM coordinate into rectangular bins and compute the location histograms of hemoglobin and melanin for all the bins. We label the skin pigment of hemoglobin, melanin, and normal skin on all bins according to the Bayesian classifier. These bin-based HM projective histograms can quantify the skin pigment and compute the standard deviation on the total quantification of skin pigments surrounding normal skin. We tested our scheme using images taken under different illumination conditions. Several cosmetic coverings were used to test the performance of the proposed method. The experimental results show that the proposed method can detect skin pigments with more accuracy and evaluate cosmetic covering effects more effectively than conventional methods.

Capsular Flaps for Correcting Implant Palpability in Secondary Augmentation Mammoplasty (유방성형술의 재수술에서의 보형물 만져짐 교정을 위한 피막 피판)

  • Yoo, Gyeol;Lee, Paik-Kwon
    • Archives of Plastic Surgery
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    • v.36 no.6
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    • pp.767-772
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    • 2009
  • Purpose: Among reasons for reoperations in augmentation mammoplasty, palpable implant, due to thin skin is relatively common, but not easy to correct, especially if thin skin area is wide. The capsule around the implant is a physiologic response to foreign body, naturally formed, and suitable for use as a flap because of its high vascularity. Authors report that capsular flap is very effective and successful method for correction of implant palpability in secondary breast augmentation. Methods: From September 2007 to September 2008, the capular flaps were performed on 5 patients having palpable and wrinkling breast implants due to very thin skin among the cases on whom secondary augmentation mammaplasty had been performed. After the capsular flap was elevated according to thin skin area, the capsular flap was turned down or over to cover the thin skin area and made the thin skin area thick. Results: Post - implant palpable breast wrinkling had been successfully corrected by capsular flaps and breast implants were not palpable any more during the follow - up period(average 9.2 months). All patients who suffered from deformed breast were satisfied. Conclusion: Authors suggest that the capsular flap is a ideal, effective and useful method in management of implant palpability.