• 제목/요약/키워드: Soft tissue reconstruction

검색결과 510건 처리시간 0.025초

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

  • 박계현
    • Journal of Chest Surgery
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    • 제24권6호
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    • pp.547-554
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    • 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.

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

  • Georgescu, Alexandru V.
    • Archives of Plastic Surgery
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    • 제39권2호
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    • pp.94-105
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    • 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.

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

  • 심형보;남상재;윤상엽
    • Archives of Plastic Surgery
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    • 제32권4호
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    • pp.416-420
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    • 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.

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

  • 정구연;김경태;이태희;안재용;한정수
    • 대한의용생체공학회:의공학회지
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    • 제21권3호
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    • pp.279-283
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    • 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.

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

  • 정상원;강지훈;여준모;고재욱
    • 대한임상독성학회지
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    • 제9권2호
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    • pp.101-104
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    • 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.

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

  • 배양일;변영남;송노헌
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제18권4호
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    • pp.741-745
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    • 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.

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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
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    • 제23권1호
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    • pp.25-28
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    • 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.

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

  • 박기성
    • Journal of Chest Surgery
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    • 제37권10호
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    • pp.892-895
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    • 2004
  • 유척삭종(parachordoma)은 팔, 다리, 가슴에 주로 발생하며 천천히 자라는 저등급 악성 종양으로 알려져 있다. 대표적인 감별진단으로는 척삭종(chordoma), 뼈외 점액양 연골육종(extraskeletal myxoid chondrosarcoma) 등이 있으며, 조직학적 검사와 함께 면역조직화학적 검사가 감별진단에 도움이 된다. 저자는 우측 흉벽에 발생한 유척삭종을 광범위 절제 및 흉벽 재건술 후 16개월 동안 재발없이 추적 관찰한 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.