• 제목/요약/키워드: Vascular anatomy

검색결과 239건 처리시간 0.03초

근위부 경골 노출을 동반한 벗겨진 손상의 장딴지 근육 피판을 이용한 조기 피복 치험례 (Early Resurfacing Using Gastrocnemius Muscle Flap Transposition for Degloving Injury with Exposure of Proximal Tibia)

  • 정희선;이혜경
    • Journal of Trauma and Injury
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    • 제21권2호
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    • pp.140-143
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    • 2008
  • Degloving injuries result from the tangential force against the skin surface, with resultant separation of the skin and the subcutaneous tissue from the rigid underlying muscle and fascia. These injuries are associated with extensive soft tissue loss and occasionally with exposure of bone, and they require reconstructive modality for resurfacing and successful rehabilitation that considers the vascular anatomy and the timing of the operation. A 19-year-old male patient was transferred to our facility with degloving injury extending from the lower third of the right thigh to the malleolar area. The tibial bone was exposed to a size of $2{\times}3.5cm^2$ on the upper third of the lower leg at the posttraumatic third day. The exposed soft tissue was healthy, and the patient did not have any other associated disease. At the posttraumatic sixth day, one-stage resurfacing was performed with a medial gastrocnemius muscle flap transposition for the denuded bone and a split-thickness skin graft for the entire raw surface. The transposed gastrocnemius muscle attained its anatomical shape quickly, and the operating time was relatively short. No transfusion was needed. This early reconstruction prevented the accumulation of chronic granulation tissue, which leads to contracture of the wound and joint. The early correction of the gastrocnemius muscle flap transposition made early rehabilitation possible, and the patient recovered a nearly full range of motion at the injured knee joint. The leg contour was almost symmetric at one month postoperatively.

얼굴이식을 위한 운동과 감각신경을 가진 중하안면피판 모델(파노라마 얼굴피판)에 대한 연구 (A New Facial Composite Flap Model (Panorama Facial Flap) with Sensory and Motor Nerve from Cadaver Study for Facial Transplantation)

  • 김찬우;도언록;김홍태
    • 대한두개안면성형외과학회지
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    • 제12권2호
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    • pp.86-92
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    • 2011
  • Purpose: The purpose of this study was to investigate the possibility that a dynamic facial composite flap with sensory and motor nerves could be made available from donor facial composite tissue. Methods: The faces of 3 human cadavers were dissected. The authors studied the donor faces to assess which facial composite model would be most practicable. A "panorama facial flap" was excised from each facial skeleton with circumferential incision of the oral mucosa, lower conjunctiva and endonasal mucosa. In addition, the authors measured the available length of the arterial and venous pedicles, and the sensory nerves. In the recipient, the authors evaluated the time required to anastomose the vessels and nerve coaptations, anchor stitches for donor flaps, and skin stitches for closure. Results: In the panorama facial flap, the available anastomosing vessels were the facial artery and vein. The sensory nerves that required anastomoses were the infraorbital nerve and inferior alveolar nerve. The motor nerve requiring anstomoses was the facial nerve. The vascular pedicle of the panorama facial flap is the facial artery and vein. The longest length was 78 mm and 48 mm respectively. Sensation of the donor facial composite is supplied by the infraorbital nerve and inferior alveolar nerve. Motion of the facial composite is supplied by the facial nerve. Some branches of the facial nerve can be anastomosed, if necessary. Conclusion: The most practical facial composite flap would be a mid and lower face flap, and we proposed a panorama facial flap that is designed to incorporate the mid and lower facial skin with and the unique tissue of the lip. The panorama facial composite flap could be considered as one of the practicable basic models for facial allotransplantation.

Ginsenoside Rg3 attenuates skin disorders via down-regulation of MDM2/HIF1α signaling pathway

  • Han, Na-Ra;Ko, Seong-Gyu;Moon, Phil-Dong;Park, Hi-Joon
    • Journal of Ginseng Research
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    • 제45권5호
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    • pp.610-616
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    • 2021
  • Background: Thymic stromal lymphopoietin (TSLP) acts as a master switch for inflammatory responses. Ginsenoside Rg3 (Rg3) which is an active ingredient of Panax ginseng Meyer (Araliaceae) is known to possess various therapeutic effects. However, a modulatory effect of Rg3 on TSLP expression in the inflammatory responses remains poorly understood. Methods: We investigated antiinflammatory effects of Rg3 on an in vitro model using HMC-1 cells stimulated by PMA plus calcium ionophore (PMACI), as well as an in vivo model using PMA-induced mouse ear edema. TSLP and vascular endothelial growth factor (VEGF) levels were detected using enzyme-linked immunosorbent assay or real-time PCR analysis. Murine double minute 2 (MDM2) and hypoxia-inducible factor 1α (HIF1α) expression levels were detected using Western blot analysis. Results: Rg3 treatment restrained the production and mRNA expression levels of TSLP and VEGF in activated HMC-1 cells. Rg3 down-regulated the MDM2 expression level increased by PMACI stimulation. The HIF1α expression level was also reduced by Rg3 in activated HMC-1 cells. In addition, Rg3-administered mice showed the decreased redness and ear thickness in PMA-irritated ear edema. Rg3 inhibited the TSLP and VEGF levels in the serum and ear tissue homogenate. Moreover, the MDM2 and HIF1α expression levels in the ear tissue homogenate were suppressed by Rg3. Conclusion: Taken together, the current study identifies new mechanistic evidence about MDM2/HIF1α pathway in the antiinflammatory effect of Rg3, providing a new effective therapeutic strategy for the treatment of skin inflammatory diseases.

Hataedock Treatments for Dermatophagoides Farinae-induced Atopic Dermatitis in NC/Nga Mice Treated with High-fat Diet

  • Ahn, Sang Hyun;Kim, Hee Yeon;Yang, In Jun;Jeong, Han Sol;Kim, Kibong
    • 동의생리병리학회지
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    • 제32권6호
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    • pp.396-402
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    • 2018
  • Hataedock (HTD) treatment is a traditional preventive therapy for the fetal toxicosis- the acute allergic disease after childbirth, mainly manifested by a variety of skin allergies such as scab, phlegm. The aim of this study was to investigate the efficacy of HTD treatments for the alleviation of inflammation in Dermatophagoides farinae-induced obese NC/Nga mice. 20 mg/kg of Coptidis Rhizoma, Glycyrrhizae Radix (CRGR) extracts as a remedy of HTD treatments were orally administered to NC/Nga mice. We induced obesity in the mice by high-fat diet. To induce skin allergies, the extracts of Dermatophagoides farinae were topically applied on the NC/Nga mice at 4th-6th and 8th-10th weeks. Structural and molecular changes in the skin tissues were measured by immunohistochemical staining. HTD treatment decreased the atopic dermatitis (AD)-like symptoms including hemorrhage, erythema, erosion, edema, and dryness. HTD treatment suppressed the mast cell activation confirmed by reduction of $Fc{\varepsilon}RI$, substance P, and serotonin. The expression of several inflammatory mediators including nuclear factor-kappa B ($NF-{\kappa}B$) p65, inducible nitric oxide synthase (iNOS), vascular endothelial growth factors (VEGFs) was also decreased by HTD treatment. HTD treatment suppressed the allergic, inflammatory responses in the skin tissues of the NC/Nga mice by reducing mast cells and down-regulating several inflammatory mediators.

Eight-week healing of grafted calvarial bone defects with hyperbaric oxygen therapy in rats

  • Oh, Seo-Eun;Hu, Kyung-Seok;Kim, Sungtae
    • Journal of Periodontal and Implant Science
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    • 제49권4호
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    • pp.228-236
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    • 2019
  • Purpose: The purpose of this study was to evaluate the synergistic effect of adjunctive hyperbaric oxygen (HBO) therapy on new bone formation and angiogenesis after 8 weeks of healing. Methods: Sprague-Dawley rats (n=28) were split into 2 groups according to the application of adjunctive HBO therapy: a group that received HBO therapy (HBO group [n=14]) and another group that did not receive HBO therapy (NHBO group [n=14]). Each group was divided into 2 subgroups according to the type of bone graft material: a biphasic calcium phosphate (BCP) subgroup and an Escherichia coli-derived recombinant human bone morphogenetic protein-2-/epigallocatechin-3-gallate-coated BCP (mBCP) subgroup. Two identical circular defects with a 6-mm diameter were made in the right and left parietal bones of each rat. One defect was grafted with bone graft material (BCP or mBCP). The other defect was not grafted. The HBO group received 2 weeks of adjunctive HBO therapy (1 hour, 5 times a week). The rats were euthanized 8 weeks after surgery. The specimens were prepared for histologic analysis. Results: New bone (%) was higher in the NHBO-mBCP group than in the NHBO-BCP and control groups (P<0.05). Blood vessel count (%) and vascular endothelial growth factor staining (%) were higher in the HBO-mBCP group than in the NHBO-mBCP group (P<0.05). Conclusions: HBO therapy did not have a positive influence on bone formation irrespective of the type of bone graft material applied after 8 weeks of healing. HBO therapy had a positive effect on angiogenic activity.

삼백초와 약모밀의 내부형태 비교 연구 (A Comparative Anatomical Study of Saururus chinensis (Lour.) Baill. and Houttuynia cordata Thunb. (Saururaceae))

  • 양선규;최고야
    • 대한본초학회지
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    • 제33권3호
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    • pp.11-18
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    • 2018
  • Objectives : Saururus chinensis and Houttuynia cordata (Saururaceae) are perennial herbs using for medicinal purposes in Korea. The objectives of this study are to compare anatomical key characters between two medicinal plants and to provide fundamental information for the identification of two herbal medicines by using anatomical features. Methods : Cross-sections of root, rhizome, stem, petiole, and leaf for each species were observed in this study. Materials were analyzed through dehydration, paraffin embedding and micro-sectioning, and double staining with Safranin O and Fast-Green FCF. Observations of permanent preparation were conducted using light microscope. Results : S. chinensis and H. cordata were distinguished with anatomical differentiations; Idioblasts with essential oil were scattered in the parenchyma cell of cortex, pith, and phloem of S. chinensis, on the other hand, in H. cordata, idioblasts were distributed ring-shaped in the cortex of the root. S. chinensis had two cycles of vascular bundles in the stem while H. cordata had one cycle. Hypodermis layer was conspicuous in a stem of H. cordata, crystals were observed the only parenchyma in a stem of S. chinensis, and epidermal oil cells were developed in the epidermis of H. cordata. S. chinensis had air cavity at the cortex and pith of the stem. The shape of cross-section was polygonal in the stem of S. chinensis and was circular in the stem of H. cordata. Conclusions : We investigated anatomical study of Korean S. chinensis and H. cordata. To identify two herbal medicines, we considered main anatomical features and provided identification key here.

A Rare Atypical Case of Asymptomatic and Spontaneous Intraneural Hematoma of Sural Nerve: A Case Report and Literature Review

  • Shin Hyuk Kang;Il Young Ahn;Han Koo Kim;Woo Ju Kim;Soo Hyun Woo;Seung Hyun Kang;Soon Auck Hong;Tae Hui Bae
    • Archives of Plastic Surgery
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    • 제51권2호
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    • pp.208-211
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    • 2024
  • Intraneural hematoma is a rare disease that results in an impaired nerve function because of bleeding around the peripheral nerve, with only 20 cases reported. Trauma, neoplasm, and bleeding disorders are known factors for intraneural hematoma. However, here we report atypical features of asymptomatic and spontaneous intraneural hematoma which are difficult to diagnose. A 60-year-old woman visited our clinic with the complaint of a palpable mass on the right calf. She reported no medical history or trauma to the right calf and laboratory findings showed normal coagulopathy. Ultrasonography was performed, which indicated hematoma near saphenous vein and sural nerve or neurogenic tumor. We performed surgical exploration and intraneural hematoma was confirmed on sural nerve. Meticulous paraneuriotomy and evacuation was performed without nerve injury. Histological examination revealed intraneural hematoma with a vascular wall. No neurologic symptoms were observed. In literature review, we acknowledge that understanding anatomy of nerve, using ultrasonography as a diagnostic tool and surgical decompression is key for intraneural hematoma. Our case report may help establish the implications of diagnosis and treatment. Also, we suggested surgical treatment is necessary even in cases that do not present symptoms because neurological symptoms and associated symptoms may occur later.

재배양식(栽培樣式)에 따른 벼와 피의 생장(生長) 및 해부형택학적(解剖形態學的) 차이(差異) - II. 재배양식(栽培樣式)에 따른 벼와 피간(間)의 해부학적(解剖學的) 차이(差異) (Morphological Characteristics of Growth of Rice and Barnyardgrass under Various Cropping Patterns - II. Difference in Anatomical Characteristics)

  • 천상욱;구자옥;박상진
    • 한국잡초학회지
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    • 제14권2호
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    • pp.128-143
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    • 1994
  • 다양(多樣)한 재배양식(栽培樣式)하에서 파종(播種)및 이앙(移秧)한 5, 10, 15, 20일간 생장한 벼와 피를 굴취하여 해부학적(解剖學的) 특성차이(特生差異)를 검토(檢討)하고자 광학현미경(光學顯微鏡)으로 줄기, 잎, 뿌리의 구조(構造)를 각각(各各) 관찰(觀察)하였으며 그 결과(結果)를 요약(要約)하면 다음과 같다. 1. 줄기의 해부학적(解剖學的) 특성(特性) 차이(差異) 가. 5DAS/T째 벼와 피의 줄기종단(縱斷)을 통한 해부학적(解剖學的) 차이(差異)는 벼는 피보다 엽(葉)의 분화(分化)가 느리고 측아형성(側芽形成)도 적었으며, 분열조직(分裂組織) 신장(伸長)도 피보다 적었다. 나. 담수조건(湛水條件)보다 건답(乾沓)에서 생장속도(生長速度)가 빨랐고 줄기종단(縱斷)에 의한 벼는 엽초가 두껍고, 최외층(最外層) 세포(細胞)가 정교(精巧)하며, 규칙적(規則的)으로 배열(配列)되어 있으나 피는 엽초가 짧고 거칠며 성기고 큰 세포(細胞)들이 불규칙적(不規則的)으로 배열(配列)되어 있는 것이 특징이었다. 다. 건답(乾沓)벼에서의 엽시원체(葉始原體)는 세포내용물(細胞內容物)이 있었던 반면 담수조건(湛水條件)에서는 세포내용물(細胞內容物)이 없는 통기세포(通氣細胞)가 발달하였다. 라. 이앙(移秧)벼에서는 직파(直播)벼에 비해 많은 엽시원체(葉始原體)가 분화(分化)되었고 큰 통기강(通氣腔)들이 발달하였다. 2. 잎의 해부학적(解剖學的) 특성(特性) 차이(差異) 가. 벼의 표피세포(表皮細胞)는 작고 치밀(緻密)한 배열(配列)을 하며 우두상세포(牛頭狀細胞)가 존재(存在)하고 엽물세포(葉肉細胞)에 엽록소(葉綠素)가 있는 반면, 피는 표피세포(表皮細胞)가 크고 성기게 배열(配列)되어 있으며 유관속초세포에 엽록소(葉綠素)가 있고 우두상세포(牛頭狀細胞) 없었다. 엽신(葉身)의 단위(單位)길이당(當) 유관속수(維管束數)는 벼끼리는 차이(差異)가 인정되지 않으나 피는 벼보다 더 많았고, 피는 건답(乾沓)보다 담수(湛水)가 더 많았다. 다. 5DAS/T째 엽신(葉身)의 두께는 이앙(移秧)벼보다는 직파(直播)벼, 건답조건(乾畓條件)보다는 담수조건(湛水條件)에서 피보다 벼가 더 컸으며 직파(直播)벼에 비하여 이앙(移秧)벼는 표피세포(表皮細胞)와 세포벽이 비후화(肥厚化)되었고 엽신(葉身)이 우두상세포(牛頭狀細胞)(기동세포(機動細胞)) 부위에서 굴곡(屈曲)되어 되어 전개(展開)되었다. 3. 뿌리의 해부학적(解剖學的) 특성(特性) 차이(差異) 가. 벼와 피의 근구조(根構造)의 기본적인 차이는 근단(根端)으로부터의 거리에 따라 보면 1mm 부위는 직경(直徑)이 피보다 벼가 크고, 벼의 표피세포(表皮細胞)는 좁고 긴 타원형(楕圓形) 세포(細胞)로 배열(配列)되어 있고, 표피(表皮) 아래층(層)에 외피층(外皮層)이 존재하며 후벽세포(厚壁細胞)가 형성(形成)된 것이 특징(特徵)이고 각(各) 세포(細胞)가 조밀(稠密)하게 배열(配列)된데 비해 피는 크고 둥근 타원형세포로 된 표피세포(表皮細胞)가 있고 외피층(外皮層)과 후벽세포(厚壁細胞)가 없으며 성기게 배열(配列)되어 있었다. 나. 재배양식(我培樣式)에 따른 차이에 있어서 근단(根端) 5mm 부위(部位)의 건답(乾沓짧)벼의 뿌리는 세포내용물(細胞內容物)이 있고 세포배열(細胞配列)이 규칙적(規則的)이며 세포간극(細胞問隙)이나 통기세포(通氣細胞)가 관찰되지 않았으나, 건담(乾沓) 및 담수(湛水)피는 핵(核)이 없고 세포배열(細胞配列)이 불규칙적(不規則的)인 경향(京鄕)이었다. 다. 담수(湛水)벼는 세포간극(細胞間隙)과 통기세포(通氣細胞)가 잘 발달(發達)되고 표피세포(表皮細胞)가 아주 작으며 조밀(稠密)하게 배열(配列)되고 그 아래엔 외피층(外皮層)이 형성되어 있는 것이 특징이었다. 라. 이앙(移秧)벼의 뿌리는 같은 담수상태(湛水狀態)의 직파(直播)벼와도 달리 치밀(緻密)하고 규칙적(規則的)인 표피세포(表皮細胞) 배열(配列)과 세포간극(細胞間隙)의 발달(發達), 핵(核)이 있는 왕성(旺盛)한 세포(細胞)들로 구성(構成)되어 있었다.

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허혈양상화와 KATP 통로가 허혈후 재관류된 흰쥐의 골격근육에서 SOD 활성 및 apoptosis에 미치는 영향 (Effects of ischemic preconditioning, KATP channel on the SOD activation and apoptosis in ischemic reperfused skeletal muscle of rat)

  • 안동춘;백두진;양홍현
    • 대한수의학회지
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    • 제39권5호
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    • pp.878-895
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    • 1999
  • Ischemic preconditioing (IPC), i.e., a preliminary brief episode of ischemia and reperfusion, has been shown to reduce the cell damage induced by long ischemia and reperfusion. Superoxide radical which is produced during reperfusion after ischemia was recognized as a factor of the ischemic injury and it is dismutated into $H_2O_2$ and $O_2$ by two types of intracellular superoxide dismutase (SOD), Cu,Zn-SOD in cytoplasm and Mn-SOD in mitochondria. Recently oxygen free radicals are suggested to induce the apoptosis, however mechanism of the reduced apoptosis by ischemic preconditioing was unknown, while many studies performed in mammalian heart indicated that ATP-sensitive $K^+$ ($K_{APT}$) channel activation related with the protective effects. The aim of present study is to investigate 1) whether IP upregulate the Cu,Zn-SOD and Mn-SOD activities, and 2) whether ischemic preconditioning decreases apoptosis via $K_{APT}$ channel activation in timely reperfused skeletal muscle after long ishemia. The experimental animals, Sprague-Dawley rats weighing 250~300g, were divided into 8 groups; 1) control group, 2) ischemic preconditioning only groups, 3) pinacidil, a $K_{APT}$ channel opener, treatment only groups, 4) glibenclamide, a $K_{APT}$ channel blocker, treatment only groups, 5) ischemia groups, 6) ischemia after IPC groups, 7) ischemia and pinacidil treatment groups, and 8) IP and ischemia after glibenclamide pretreatment groups. Animals of the control group were administered with the vehicle (DMSO) alone. Pinacidil (1mg/kg) was administered intravenously 5 minutes after initiation of ischemia, and glibenclamide (0.5mg/kg) was injected intravenously 20 minutes before IPC. In rats that were ischemic preconditioned, the left common iliac artery was occluded for 5 minutes followed by 5 minutes of reperfusion by three times using vascular clamp. Ischemia was done by occlusion of the same artery for 4 hours. The specimens of left rectus femoris muscle were obtained immediately (0 hour), 12 hours, 24 hours after drug administrations, IP or ischemia and reperfusion. The immunoreactivities of SOD and its alterations were observed by use of sheep antihuman Cu,Zn-SOD and Mn-SOD antibodies on the $10{\mu}m$ cryosections. The incidencies of apoptosis were observed by TUNEL methods with in situ apoptosis detection kit on $6{\mu}m$ paraffine section. The results obtained were as follows : 1. After IPC, immunoreactivities of Cu,Zn-SOD mainly in the small-sized fibers were increased by 24 hours, that of Mn-SOD at 0 hour and 24 hours. 2. No significant changes in immunoreactivities of SOD was observed in the pinacidil and in the glibenclamide treatment only groups, and in the ischemia only groups. 3. The immunoreactivities of the Cu,Zn-SOD were increased in the ischemia after IPC groups and the ischemia and pinacidil treatment groups. 4. The immunoreactivities of the Cu,Zn-SOD in the IPC and ischemia after glibenclamide pretreatment groups were not increased except for the 12 hours reperfusion group. But, Mn-SOD immunoreactivities were increased in the 0 hours, 12 hours and 24 hours after reperfusion. 5. In the control group, the IPC only groups, and the pinacidil treatment only groups, negative or trace apoptotic reactions were observed, but the positive apoptotic reaction occured in the glibenclamide treatment groups. 6. Moderate or many number of apoptosis were revealed in the ischemia groups, and also the IPC and ischemia after glibenclamide pretreatment group except for 12 hours and 24 hours after reperfusion. However, the incidence of apoptosis was decreased in the ischemia after IPC groups and in the ischemia and pinacidil treatment groups. 7. There is a coincidence between the increase of Cu,Zn-SOD immunoreactivities and the decrease of apoptosis in the presence of ischemia and reperfusion. These results suggest that the protective effects of ishemic preconditioing may related to the SOD activation, and the ischemic preconditioning decreases the apoptosis partially via $K_{APT}$ channel activation in timely reperfused rat skeletal muscle. It is also suggested that inhibition of apoptosis by IPC may related with the SOD activation.

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Tumor angiogenesis에 있어서 RLIP76의 중요성 (RalA-binding Protein 1 is an Important Regulator of Tumor Angiogenesis)

  • 이승형
    • 생명과학회지
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    • 제24권5호
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    • pp.588-593
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    • 2014
  • 본 논문은 RLIP76 단백질이 암, 종양 혈관 신생 및 그 치료에 미치는 중요성을 보고함에 있다. 암의 연구에 있어서, 종양의 혈관 신생을 억제시키는 인자와 영향을 끼치는 인자를 밝혀내는 것은 암의 억제와 치료를 위한 분자 생물학적 기전에 중대한 영향을 미친다. 최근 연구에서, RLIP76 단백질이 혈관 신생에 영향을 끼치는 역할을 발견하였다. RLIP76 제거 마우스의 종양은 일반 종양과 비교하여 혈관의 크기가 작으며, 가늘고, 그 혈관의 수가 적고 길이가 짧은 것으로 보고되고 있다. 게다가, Matrigel plugs을 이용한 혈관 신생 실험에서, RLIP76이 제거된 마우스에서는 혈관 생성이 억제 되었으나, 일반 마우스에서는 혈관이 생성되었다. 또한, 혈관세포를 이용한 in vitro 실험에 있어서, proliferation, migration 및 cord formation 모두가 RLIP76에 의해서 조절되었다. 일반적으로 RLIP76은 대부분의 인간 조직과 종양에서 발현되며, 약의 저항 기전 연구에 이용되고 있기도 한다. 또한, 이RLIP76은 small GTPase R-Ras와 상호작용을 통하여 세포 spreading 및 migration에 관여하고 있다. 이러한 결과는 RLIP76와 암 연구의 중요성을 보고하고 있으며, 혈관 세포의 기능의 기전 및 종양의 혈관 신생을 위한 RLIP76 단백질의 중요성을 알리고 있고, RLIP76의 추가적인 연구를 통하여 종양의 혈관 신생의 기전을 밝히는 것이 필요함을 제안하는 바이다.