• Journal of Korean Neurosurgical Society
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• v.48 no.3
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• pp.294-297
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• 2010

Abnormalities of the posterior arch, including congenitally absent cervical pedicle and cervical spondylolysis, are rare entities that are usually found incidentally on neck radiographs. It is important to recognize these characteristic radiological features because their radiographic appearance may cause them to be confused with more serious entities such as fractures, locked facets, and tumor-induced bony erosions. Also, it is important to distinguish these abnormalities from similar pathologies to prevent the use of inappropriate treatment We report the relevant clinical and radiological findings seen in three cases of posterior arch defect after trauma with review of pertinent literature.

• Investigative Magnetic Resonance Imaging
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• v.22 no.3
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• pp.194-199
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• 2018

We present image findings, especially rare MRI of a primary breast angiosarcoma with its histopathology, and also analyze the relevant medical literature reports in terms of the MRI findings. As our patient had unique features of a primary breast angiosarcoma, this case could be very helpful for future diagnosis of this rare breast malignancy by MRI.

• Archives of Craniofacial Surgery
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• v.20 no.1
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• pp.48-50
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• 2019

Eccrine porocarcinoma is a rare malignant tumor arising from the intraepidermal ductal portion of the eccrine sweat gland. It develops either spontaneously or from a long standing benign eccrine poroma. This entity usually affects older people and is commonly located on the lower extremities, the trunk, and the head. We report a case of eccrine porocarcinoma on the left cheek in an 85-year-old male. In our case, the tumor was treated with wide excision and postoperative adjuvant radiation therapy. The patient recovered well without local recurrence and distant metastasis during the 14-month follow-up period. Wide excision and postoperative adjuvant radiation therapy can be considered as a safe and effective treatment option in treating patients with eccrine porocarcinoma.

• Journal of Trauma and Injury
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• v.36 no.4
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• pp.441-446
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• 2023

Inferior vena cava (IVC) injuries, while accounting for fewer than 0.5% of blunt abdominal trauma cases, are among the most difficult to manage. Despite advancements in prehospital care, transportation, operative techniques, and perioperative management, the mortality rate for IVC injuries has remained at 20% to 66% for several decades. Furthermore, 30% to 50% of patients with IVC injuries succumb during the prehospital phase. A 65-year-old male patient, who had been struck in the back by a 500-kg excavator shovel at a construction site, was transported to a regional trauma center. Injuries to the right side of the infrarenal IVC and the right external iliac vein (EIV) were suspected, along with fractures to the right iliac bone and sacrum. The injury to the right side of the infrarenal IVC wall was repaired, and the right internal iliac artery was ligated. However, persistent bleeding around the right EIV was observed, and we were unable to achieve proximal and distal control of the right EIV. Attempts at prolonged manual compression were unsuccessful. To decrease venous return, we ligated the right superficial femoral vein. This reduced the amount of bleeding, enabling us to secure the surgical field. We ultimately controlled the bleeding, and approximately 5 L of blood products were infused intraoperatively. A second-look operation was performed 2 days later, by which time most of the bleeding sites had ceased. Orthopedic surgeons then took over the operation, performing closed reduction and external fixation. Five days later, the patient underwent definitive fixation and was transferred for rehabilitation on postoperative day 22.

• Archives of Plastic Surgery
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• v.42 no.4
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• pp.507-510
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• 2015

• Korean Architects
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• no.2 s.454
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• pp.46-49
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• 2007

• Proceedings of the KIEE Conference
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• 2005.11b
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• pp.83-86
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• 2005

최근 가공 송전선로 건설에 대한 인근 지역주민들의 반대에 부딪쳐, 불가피하게 가옥이 밀집된 주거지역을 우회하거나 토지 활용도가 낮은 산악지를 이용하여 선로를 건설하는 경우가 대부분이다. 이와 같이 경과지의 제한성으로 인해 때때로 국지적인 기상현상 발생 우려가 있는 지역에 불가피하게 송전선로를 건설하는 경우가 있으며, 이상기상 현상이 발생하는 11월말에서 3월초 사이에 경기북부 지역의 국지성 돌풍에 의해 갤로핑(Galloping)현상이 종종 발생되었다 갤로핑은 바람으로 인해 전력선이 횡진과 출렁임이 발생되는 현상을 말한다. 송전선로의 지지물에는 주로 철탑이 사용되고, 전력선은 ACSR 410mm 복도체가 주로 사용된다. 송전선로는 경제성과 계통의 안전성을 고려하여 수직배열로 2회선용 표준철탑을 사용한다. 갤로핑 현상은 바람에 의해 전력설에 심한 진동을 일으켜, 수직 배열된 전력선 상간 단락 또는 전력선과 가공지선간의 지락으로 고장전류가 생기고, 고장전류에 의한 보호계전기 동작으로 선로가 트립(Trip)되며, 이로 인한 전력공급 중단이 발생된다. 또한 전력선의 기계적인 진동에 의하여 전력선의 단선 또는 지지물의 파손으로 영구고장을 일으킬 수도 있다. 본 논문에서는 경기북부지역의 산악지에 설치된 154kV 송전선로에서 산비탈면을 타고 오르는 상승 바람에 의한 갤로핑 사례를 국내 최초로 현장에서 촬영한 동영상 자료를 토대로 소개하고, 갤로핑 발생시 송전선로에 미친 영향 등 검토 결과를 설명하였다. 전력선에 생긴 아크 흔적을 토대로 전력선간의 단락이 발생했던 지점을 실제로 관측할 수 있었다. 최근 갤로핑으로 인한 상간 단락 고상 방지론 목적으로 개발된 폴리머 상간스페이서(Interphase spacer)의 시공 사례를 소개하고, 현재까지 상간스페이서가 설치된 송전선로의 점검 결과를 소개하고자 한다.

• Journal of Gastric Cancer
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• v.18 no.1
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• pp.99-107
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• 2018

Immunoglobulin G4-related disease (IgG4-RD) is an immune-mediated fibro-inflammatory disorder characterized by specific pathological findings and elevated serum IgG4 level. IgG4-RD in the stomach is rare, and occasionally diagnosed as gastric subepithelial tumor (SET) by endoscopy or computed tomography scan. Two female patients in the age group of 40-50 years were diagnosed with 4 cm sized gastric SET. One underwent laparoscopic gastric wedge resection. Another one had a history of subtotal gastrectomy for early gastric cancer and idiopathic thrombocytopenic purpura with oral steroids administration. She underwent a completion total gastrectomy with splenectomy for the gastric SET and ITP. The pathology showed storiform fibrosis, and IgG4 was positive in immunohistochemistry (IHC) stain. IgG4-RD is known as a medical disease that could be treated with oral steroids. The difficulty in preoperative diagnosis of the disease occasionally causes unnecessary gastric resection. Thus, preoperative diagnostic methods for IgG4-RD such as deep biopsy with IHC stain or magnetic resonance imaging are needed.

• Journal of Korean Dental Science
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• v.4 no.2
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• pp.39-45
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• 2011

Purpose: The goal of this research is to find the role of collagen membrane, which can reduce physical damage, as a scaffold for possible alternative to the corticotomy which causes Regional Acceleratory Phenomenon (RAP). Materials and Methods: The experiments were carried out on 12 New Zealand white rabbits, approximately 3.5 kg in bodyweight. We made an incision on the skin of the mandibular border and applied 37% phosphoric acid and collagen membrane to the mandibular bone surface of the first group (experimental group), and only phosphoric acid to the second group (control group). After 3 days, 1 week, and 2 weeks, 4 rabbits each were sacrificed and specimens were obtained. Each specimen was stained by H&E and Tartrate-resistant acid phosphatase (TRAP), and histological changes were observed by light microscope. Results: The demineralization of the experimental group was weak compared to the control group. It also showed a gradual increase of demineralization (after 3 days, 1 week, and 2 weeks) and the control group showed more extensive demineralization than the experimental group. Conclusion: This study demonstrates the amount of demineralization as a result of using phosphoric acid, and as time went by, demineralization increased. The absorbable collagen membrane was used as a scaffold to increase bone demineralization effect and prevent dispersion to adjacent tissues, but rather the amount of bone demineralization decreased. Therefore, the role of collagen membrane as a scaffold for RAP was weak.

• Archives of Craniofacial Surgery
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• v.19 no.4
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• pp.304-308
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• 2018

Replantation using microvascular anastomosis is considered to be the optimal method in treating the amputated ear in terms of resulting color, texture, and shape. Only a few cases of ear replantation have been reported because it is anatomically difficult to identify suitable vessels for anastomosis. We successfully replanted the amputated helical rim of the ear using single arterial anastomosis. A 37-year-old man had his helical rim amputated by a human bite. The amputee was about $4{\times}1cm$ in dimension, composed of skin and soft tissue including auricular cartilage. Replantation was performed anastomosing a small artery of the amputee with a terminal branch of the posterior auricular artery. After replantation, intravenous heparinization was performed and prostaglandin E1 and aspirin were administered. Venous congestion was decompressed by stab incisions applied with heparin solution soaked gauze. Venous congestion of the amputee slowly began to resolve at 4 days after the operation. The amputated segment of the helical rim survived completely with good aesthetic shape and color. The authors propose that performing microvascular anastomosis should be attempted especially if it is possible to detect vessels on cut surfaces of ear amputee and stump. Proper postoperative care for venous congestion, arterial insufficiency, and infection should be followed for amputee survival.