• Title/Summary/Keyword: Soft tissue reconstruction

Search Result 510, Processing Time 0.027 seconds

Surgical Management of Chest Wall Tumors (흉벽 종양의 외과적 치료)

  • 박계현
    • Journal of Chest Surgery
    • /
    • v.24 no.6
    • /
    • pp.547-554
    • /
    • 1991
  • From May 1965 to December 1990, 78 patients with chest wall tumors were operated on. The mean age of the patients was 31.5 years with 50 male and 28 female patients. Forty-nine cases[62.8%] were developed at bony or cartilaginous wall and 29 cases[37.2%] at soft tissue of chest wall. Thirty-two of them[41.0%] were malignant, either primary or metastatic, and 46 tumors[59.0%] were histologically benign. For 55 patients who were operated on since 1982, 6 surgical biopsies. 39 tumor excisions, and 11 wide excisions with chest wall reconstruction were done. Preoperative factors favoring diagnosis of malignant neoplasm were; 1] old-aged male patient, 2] bone or cartilaginous tumors, 3] involvement of multiple ribs, 4] complaint of pain, 5] large size on palpation[larger than 4cm]. With proper diagnosis and management plan, we think, operations of chest wall tumors can give good results.

  • PDF

Propeller Perforator Flaps in Distal Lower Leg: Evolution and Clinical Applications

  • Georgescu, Alexandru V.
    • Archives of Plastic Surgery
    • /
    • v.39 no.2
    • /
    • pp.94-105
    • /
    • 2012
  • Simple or complex defects in the lower leg, and especially in its distal third, continue to be a challenging task for reconstructive surgeons. A variety of flaps were used in the attempt to achieve excellence in form and function. After a long evolution of the reconstructive methods, including random pattern flaps, axial pattern flaps, musculocutaneous flaps and fasciocutaneous flaps, the reappraisal of the works of Manchot and Salmon by Taylor and Palmer opened the era of perforator flaps. This era began in 1989, when Koshima and Soeda, and separately Kroll and Rosenfield described the first applications of such flaps. Perforator flaps, whether free or pedicled, gained a high popularity due to their main advantages: decreasing donor-site morbidity and improving aesthetic outcome. The use as local perforator flaps in lower leg was possible due to a better understanding of the cutaneous circulation, leg vascular anatomy, angiosome and perforasome concepts, as well as innovations in flaps design. This review will describe the evolution, anatomy, flap design, and technique of the main distally pedicled propeller perforator flaps used in the reconstruction of defects in the distal third of the lower leg and foot.

Breast Augmentation using Expandable Implants (확장성(더블루멘) 보형물을 이용한 유방확대술)

  • Sim, Hyung Bo;Nam, Sang Jae;Yoon, Sang Yup
    • Archives of Plastic Surgery
    • /
    • v.32 no.4
    • /
    • pp.416-420
    • /
    • 2005
  • Ideal results of augmentation mammaplasty consist of symmetry, natural shape, soft feeling and inconspicuous scar. In addition, patient's preferences about size and shape should be included. Static implants could not perfectly satisfy patients' desires for size and shape, but expandable implants enable to change the volume after the operation. From September 2001 to September 2004, 76 patients(150 breasts) underwent breast augmentation using permanent expandable implant. The procedure was unilateral in 2 women and bilateral in 74 women. Age ranged from 19 to 50 years(mean, 29 years). Fifty nine patients underwent simple augmentation mammaplasty, 7 patients were corrected of their severe asymmetry, 2 patients with the congenital breast deformity underwent mammaplasty using this, and 2 patients who had undergone unilateral mastectomy were reconstructed of their breasts using expandable implant. There were no definite complications such as capsular contracture, implant rupture, asymmetry. And there reported little dissatisfaction about the size. The permanent expandable implants might be good alternatives in cases of ordinary breast augmentation as well as tissue deficient patients, asymmetry, congenital anomaly, and breast reconstruction.

Design of Femoral Tunnel Entrance to Operate Notchplasty (Notchplasty 시술을 위한 대퇴골 터널 입구 형상 설계)

  • Chung G.Y.;Kim K.T.;Lee T.H.;Ahn J.Y.;Han J.S.
    • Journal of Biomedical Engineering Research
    • /
    • v.21 no.3 s.61
    • /
    • pp.279-283
    • /
    • 2000
  • After ACL reconstruction. abrasion or wear of graft appeared frequently because of contact stresses between femoral tunnel and ACL. To minimize these problems. optimal shape of femoral tunnel is necessary. In this study. we evaluate friction force by degree of wear due to abrasion of soft tissue and develop 3-dimensional FEM model using ANSYS 5.5.1 version to analyze stress growths between femoral tunnel and ACL, We conclude that femoral tunnel angle must be slacked parallel to tunnel direction to minimize contact stress.

  • PDF

Nicolau Syndrome following Diclofenac Injection in an Emergency Department (응급실에서 디클로페낙 근주 후 발생한 니콜라우 증후군 1례)

  • Chung, Sang-Won;Kang, Ji-Hoon;Yeo, Jun-Mo;Ko, Jai-Woog
    • Journal of The Korean Society of Clinical Toxicology
    • /
    • v.9 no.2
    • /
    • pp.101-104
    • /
    • 2011
  • Nicolau syndrome is a rare adverse reaction at the site of an intramuscular injection, and is characterized by severe pain immediately after the injection and rapid development of distinct skin lesions. As this syndrome is rare, it may be overlooked at the early clinical phase and subsequently, clinical outcomes may be worse due to delay in treatment. We report on a female who developed Nicolau syndrome following intramuscular diclofenac injection, which required surgical reconstruction. Understanding the characteristics of Nicolau syndrome and careful surveillance for relevant clinical features may help physicians to more quickly diagnose and treat this condition.

  • PDF

A CASE REPORT : AVMS IN LEFT UPPER LIP (좌측 상순에 발생한 동정맥 기형 1증례)

  • Bae, Yang-Il;Byun, Young-Nam;Song, No-Hun
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • v.18 no.4
    • /
    • pp.741-745
    • /
    • 1996
  • AVMs is not a neoplasm, but a congenital developmental anomalies.$^{5)}$ In oral and maxillofacial area, the high recurrence rate and more facial disfigurement give a difficult problem to surgen and patient.$^{8)}$ Conventional treatment modality nowadays is presurgical embolization and surgical resection. In treatment planning, we consider the possibility of complete surgical resection and the esthetics of soft tissue reconstruction. But, two things are very difficult to achieve. We present a patient with AVMs in left upper lip, he had presurgical embolization with Ivalon and Bucrylate, and conservative surgical procedure. So we present this possible treatment modality.

  • PDF

Hatchet-type Gluteus Maximus Musculocutaneous Flap for Reconstruction of Sacral Pressure Sore

  • Bae, Sang Wook;Lim, Tae Kang;Kim, Hyong Suk;Song, Baek Yong
    • Archives of Reconstructive Microsurgery
    • /
    • v.23 no.1
    • /
    • pp.25-28
    • /
    • 2014
  • One of the most frequently used flaps for coverage of sacral skin and soft-tissue defects is the gluteus maximus musculocutaneous flap. These authors encountered two cases of sacral pressure sore, for which reconstructive surgery was performed, using the hatchet-shaped gluteus maximus musculocutaneous flap - a modified flap type. We report on our experience in treatment of these two cases, with an excellent outcome.

Parachordoma of the Chest Wall -1 case report- (흉벽에 발생한 유척삭종(Parachordoma) -1예 보고-)

  • 박기성
    • Journal of Chest Surgery
    • /
    • v.37 no.10
    • /
    • pp.892-895
    • /
    • 2004
  • Parachordoma is a very rare, slow-growing, and low-grade malignant tumor that occurs in the extremities and trunk. The differential diagnosis includes extraskeletal myxoid chondrosarcoma and chordoma in the histologic finding. Thus, histologic findings with immunohistochemistry may be helpful in distinguishing parachordoma from extraskeletal myxoid chondrosarcoma and chordoma. I report with a brief review of literatures one case of parachordoma of the chest wall which was successfully treated by en-bloc resection and chest wall reconstruction using 2 mm Gore-Tex$^{\circledR}$ soft tissue patch and free from recurrence for 16 months.