• Clinics in Shoulder and Elbow
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• 제9권2호
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• pp.227-230
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• 2006

Acromioclavicular joint cyst is a extremely rare condition, usually occuring in the presence of a wide communication between glenohumeral and acromioclavicular joint in patients with a full thickness rotator cuff tear. Removal of cyst only is reported with high recurrence rate. There was no case previously reported in Korea. We report a case of recurred acromioclavicular joint cyst with a massive rotator cuff tear after simple excision, which was treated by excision of cyst, acromioplasty and resection of the lateral end of the clavicle.

• Journal of Korean Neurosurgical Society
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• 제43권4호
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• pp.201-204
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• 2008

Angiosarcoma of the brain, either primary or metastatic is extremely rare. Moreover, angiosarcoma metastazing to the brain is also highly unlike to occur when comparing with metastases to the other organs. Thus, an ideal treatment strategy has not been established. A 67-year-old man with past surgical history of a scalp angiosarcoma underwent surgical resection of intracranial invasion. Because of wide scalp flap excision and resultant poor vascularity of the scalp flap, additional radiation was not provided. Because adjuvant therapy is impossible due to poor scalp condition, more careful but ample resection of the primary lesion is essential to conduct initial operation.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제42권6호
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• pp.370-374
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• 2016

Mucoepidermoid carcinoma (MEC) is the most common type of malignant neoplasm in the minor salivary gland. The hard palate is a frequently involved site of MEC. The treatment of low-grade MEC on the hard palate is wide local resection with a tumor-free margin. In the present case, the maxillary defect was reconstructed using a buccal fat pad (BFP) flap, followed by application of 4-hexylresorcinol (4HR) ointment for 2 weeks. The grafted BFP successfully covered the tumor resection defect without tension and demonstrated complete re-epithelialization without any complications.

• Journal of Chest Surgery
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• 제39권9호
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• pp.722-724
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• 2006

흉막폐아세포종은 소아에서 발생하는 아주 드문 흉강 내 원발성 종양으로 폐아세포종과는 다른 병리학적 소견을 가진다. 수술적 완전 절제가 우선적인 치료법이며, 빠른 진행 및 전이를 보이기 때문에 신보조항암요법, 보조항암요법 등의 다각적인 방법을 고려하여야 한다. 저자들은 수술적 절제 및 보조항암요법으로 치료한 흉막폐아세포종 1예를 보고한다.

• Journal of Chest Surgery
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• 제31권1호
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• pp.86-88
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• 1998

늑골에 발생하는 동맥류성 골낭종은 희귀한 질환으로 섬유성 이형성증이나 거대세포종과 감별을 요하는 질환이나 장골의 골간단이나 안면골에도 발생할 수 있다. 환자는 14세 남자 환자로 특이 증상없이 학교신체검사에서 발견된 환자로 핵자기공명촬영상 우측 제 4늑골에 동맥류성 골낭종이 발견되어 광범위 절제술후 현재 16개월까지 재발없이 경과 관찰 중이다.

• 대한기관식도과학회:학술대회논문집
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• 대한기관식도과학회 1983년도 제17차 학술대회연제순서 및 초록
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• pp.14.1-14
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• 1983

기관발거 곤란증은 주로 외상으로 인한 경우가 많으나 의인적인 기관손상, 즉 high tracheostomy, 부적절한 cannula사용, 2 차감염, 육아조직생성 및 기관전벽의 광범위한 절제 등과, 기타 정신적인요소등이 그 원인으로 알려져 있으며 치료로는 steroid사용, stent삽입, 기관공확장술 및 협착부위를 절제한 후 단단봉합하는 등의 방법이 알려져 있다. 최근 저자들은 2세된 남아에서 기관지 이물제거를 위해 기관절개술을 시행한 후 발생한 기관발거 곤란증 환자에서 Silicon T-tube를 사용하여 치유한 예를 문헌고찰과 함께 보고한다.

• 임상이비인후과
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• 제29권2호
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• pp.295-300
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• 2018

Pleomorphic liposarcoma is extremely rare in the head and neck region. It can be diagnosed by identifying multivacuolated lipoblast with pleomorphism. Most studies have reported that pleomorphic liposarcoma shows an aggressive behavior with poor prognosis. The treatment of choice is wide resection to ensure negative margin. The authors report a case of pleomorphic liposarcoma in a 67-year-old female, who was treated with primary resection of tumor and postoperative radiation therapy. The patient is well without any recurrence or metastasis after 1 year of follow-up.

• 대한두개안면성형외과학회지
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• 제10권1호
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• pp.44-48
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• 2009

Purpose: The treatment of arteriovenous malformation (AVM) of the face remains a difficult challenge in plastic surgery. Incomplete resection resulting in uncontrolled bleeding, postoperative enlargement of the remaining malformation, and a poor functional and cosmetic result could be the problems confronted by the surgeons. Methods: A 37 year-old male with large arteriovenous malformation in face treated with preoperative superselective transarterial embolization and free flap transfer. The size of the defect was $13{\times}9cm$. Sclerotheraphy without resection were performed several times but the results were unsatisfactory. Resection was performed the next day of embolization. We were able to repair with the thoracodorsal artery perforator free flap. And facial muscle reconstruction performed by simultaneous muscle and nerve transfer. Results: During the follow-up period 8 months the patient regained an acceptable cosmetic appearance. And he has shown no reexpansion of the malformation. Conclusion: The thoracodorsal artery perforator free flap could be a good choice for the reconstruction for massive defects of the face. A huge arteriovenous malformation could be safely removed and successfully reconstructed by the complete embolization, wide excision and coverage with a well vascularized tissue.

• 구강회복응용과학지
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• 제32권3호
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• pp.232-239
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• 2016

목적: 임플란트가 대중화 되어 있는 시대에서 치근절제술의 다양한 적용사례와, 장기적 관점에서 보철 치료 또는 임플란트 치료에 있어 긍정적인 부가적 효과를 소개하고자 한다. 연구 재료 및 방법: 본 연구는 다양한 원인으로 치근절제술을 시행한 증례들의 임상적, 방사선학적 평가를 통해, 치근절제술의 부가적 효용을 평가하였다. 결과: 모든 증례에서 부작용 보고 없이, 양호한 치료결과를 보여주었고, 장기적으로 잘 유지되고 있다. 다근치에서 유지하는 치근 주변의 치조제는 잘 보존되고, 절제된 치근부의 치조제는 양호한 회복을 보여주었다. 결론: 손상된 치주조직을 가진 임상증례에서, 다양한 치료 접근법에 대한 고려가 필요하며, 차후 임플란트를 대비한 치조제 회복을 도모하는데, 치근절제술의 부가적인 장점이 있을 것이다.

• 대한두개안면성형외과학회지
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• 제16권1호
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• pp.17-23
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• 2015

Background: Treatment of skull base tumors is challenging due to limited access and presence of important neurovascular structures nearby. The success of a complete tumor resection depends on the extent of tumor exposure and secure field of view. While these tumors are often removed by transcranial endoscopic access, transfacial approach is sometimes required depending on the location and size of the tumor. This study describes various transfacial approaches in patients undergoing skull base tumor resection. Methods: From March to November 2013, 15 patients underwent skull base tumor resection via transfacial accesses at a tertiary institution. Data were reviewed for patient demographics, type of access used, completeness of tumor resection, surgical outcome, and postoperative complications. Results: Two clivus tumor patients underwent transmaxillary approach; three tuberculum-sellae and suprasellar-hypothalamus tumor patients underwent transbasal approach; three clinoid and retrobulbar intraconal orbital tumor patients underwent orbitozygomatic approach; and seven petroclival-area, pons, cavernous sinus, and lateral-sphenoid-wing tumor patients underwent zygomatic approach. In all cases, the upper and lower margins of the tumor were visible. Complete tumor removal consisted of 10 cases, and partial tumor removal in 5. There were no immediate major complications observed for the transfacial portion of the operations. The overall cosmetic results were satisfactory. Conclusion: Plastic surgeons can use various transfacial approaches according to the location and size of skull base tumors to secure a sufficient field of view for neurosurgeons.