• Title/Summary/Keyword: after school

Search Result 27,327, Processing Time 0.069 seconds

Frey Syndrome after Retromandibular Approach for Condyle Fracture Reduction (하악과두골절 수술 후 발생한 Frey Syndrome)

  • Lee, Jae-Min;Ki, Eun-Jung;Cheon, Hae-Myung;Choi, Moon-Gi
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • v.35 no.6
    • /
    • pp.376-380
    • /
    • 2013
  • Frey syndrome is a disease characterized by abnormal sweating, facial redness, and rare pain by stimulation of taste sense on the limited area dominated by the auriculotemporal nerve and great auricular nerve. Although the developmental mechanism and histopathologic cause of Frey syndrome are still being debated, the most reliable theory is based on injury of the parathympathetic nerve connected to the auriculotemporal nerve continuing to abnormal regeneration. The other theory is that the sweat glands develop an increased sensitivity after degeneration of sympathetic fibers. Therapy of Frey syndrome includes drugs, radiographic treatment, and surgical treatment; however, in most cases, treatment is not satisfactory. This is a case report on a 24-year-old male patient with Frey syndrome caused by the fracture reduction with retromandibular approach after multiple facial traumas and spontaneous healing without any special treatment.

Strength prediction of corrosion reinforced concrete columns strengthened with concrete filled steel tube under axial compression

  • Liang, Hongjun;Jiang, Yanju;Lu, Yiyan;Hu, Jiyue
    • Steel and Composite Structures
    • /
    • v.37 no.4
    • /
    • pp.481-492
    • /
    • 2020
  • Twenty-two corrosion-damaged columns were simulated through accelerated steel corrosion tests. Eight specimens were directly tested to failure under axial load, and the remaining specimens were tested after concrete-filled steel tube (CFST) strengthening. This study aimed to investigate the damage of RC columns after corrosion and their restoration and enhancement after strengthening. The research parameters included different corrosion degrees of RC columns, diameter-to-thickness ratio of steel tube and the strengthening concrete strength. Experimental results showed that CFST strengthening method could change the failure mode of corrosion-damaged RC columns from brittleness to ductility. In addition to the bearing capacity provided by the strengthening materials, it can also provide an extra 26.7% amplification because of the effective confinement provided by steel tubes. The influence of corrosion on reinforcement and concrete was quantitatively analysed and considered in the design formula. The proposed formula accurately predicted the bearing capacity of the strengthened columns with a maximum error of only 7.68%.

Acellular Dermal Matrices and Paraffinoma: A Modern Tool for a Nearly Obsolete Disease

  • Grassetti, Luca;Torresetti, Matteo;Scalise, Alessandro;Lazzeri, Davide;Di Benedetto, Giovanni
    • Archives of Plastic Surgery
    • /
    • v.44 no.3
    • /
    • pp.234-237
    • /
    • 2017
  • Paraffinoma is a destructive complication of paraffin oil injection, usually associated with massive tissue destruction, thus requiring radical surgery and subsequent complex reconstruction. Although breast and penile paraffinomas have been widely described and their management is quite standardized, paraffinomas of the knee are still rare and only few case reports or small case series are available in the current literature. We describe the case of a 77-year-old man with a large paraffinoma of the right knee that occurred after self-injection of paraffin oil, 58 years before. He underwent wide surgical resection of the soft tissues overlying the knee and subsequent two-stage reconstruction by using acellular dermal matrix and, after 20 days, split-thickness skin grafts. Follow-up after 16 months showed no signs of skin ulcerations or inflammation, with an overall improvement in function. Even though conventional flap reconstructions may be still useful, the authors believe that acellular dermal matrices represent a safe, reliable, and less invasive alternative for challenging soft tissue reconstructions even in elderly patients with multiple medical problems.

A Case Report of Improvement of Docetaxel-induced Fluid Retention in a Patient with Advanced Gastric Cancer using Herbal Decoction, Modified Bangkihwangki-tang

  • Choi, Seong-Heon;Lee, Jee Young;Lee, Sung-Un;Lee, Soo-Min;Park, Sora;Jung, Yee-Hong
    • The Journal of Korean Medicine
    • /
    • v.35 no.4
    • /
    • pp.110-115
    • /
    • 2014
  • Objectives: A 54-year-old advanced gastric cancer patient developed severe fluid retention after docetaxel chemotherapy, at cumulative dose of $930mg/m^2$, with no improvement using diuretics or prophylactic glucocorticoids. Consequently, he changed chemotherapy regimen from docetaxel to paclitaxel. After he treated with herbal decoction Bangkihwangki-tang (BHT), which is widely used to treat several symptoms including edema in traditional Korean medicine, docetaxel-induced fluid retention (DIFR) was significantly improved along with associated symptoms, such as peripheral edema, pleural and pericardial effusion, pain, scleroderma, and hypoesthesia. As the symptoms were relieved, his performance status and ambulatory ability were improved. During herbal treatment, he continued chemotherapy without any problems and didn't show any adverse events related to herbal medicine. Although there is possibility of natural improvement progress after withdrawal of docetaxel, he showed shorter recovery period and significant improvement despite of severity of initial symptoms.

Neurologic Changes in the Donor Limb after Contralateral-C7 Transfer in Brachial Plexus Injury (상완 신경총 손상시 건측 제 7번 경추신경 전이술 후 건측 상지의 신경 변화)

  • Han, Chung-Soo;Cha, Jae-Ryong;Shin, Dong-Jun;Im, Yang-Jin
    • Archives of Reconstructive Microsurgery
    • /
    • v.10 no.1
    • /
    • pp.7-11
    • /
    • 2001
  • Purpose : To evaluate the neurologic abnormalities in the donor limb after contralateral C7 transfer in brachial plexus injury. Materials and Methods : From August 1996 to December 1999, five patients with brachial plexus injury were treated with contralateral C7 nerve root transfer. The average follow up was 16 months(range, 5 to 36 months). The clinical findings were assessed using the British Medical Research Council Grading System, and also measured grip power, pinch power of hand and two point discrimination of the fingers. Results : We had no difference in shoulder abduction and elbow flexion after contralateral C7 transfer. The grip and pinch strength were recovered within 4weeks. Sensory loss occurred in all patients and was noted to be more severe on index and middle finger. Four patients recovered within 2 weeks, one continued till one year. Subjective numbness and pain on percussion minimally persisted until last follow-up. Conclusion : The division of the C7 nerve root resulted in minimal and temporary functional deficit in the donor upper limb.

  • PDF

Dysphagia after Retropharyngeal Abscess Treated with Transcutaneous Injection of Botulinum Toxin at Cricopharyngeus Muscle (경피적 윤상인두근 보툴리눔 독소 주입으로 치료한 후인두농양 후 발생한 연하곤란증)

  • Kwon, Ki Jin;Kim, Tae Hoon;Eun, Young-Gyu;Lee, Young Chan
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
    • /
    • v.30 no.2
    • /
    • pp.136-138
    • /
    • 2019
  • Recently, negative pressure wound therapy (NPWT) has been reported to be effective for the treatment of cervical infections including retropharyngeal abscess. The 71-year-old woman with retropharyngeal abscess presented in this case showed improvement of infection through long-term NPWT. She continued to complain of swallowing difficulties after recovery. In this case, we performed the transcutaneous injection of botulinum toxin at the cricopharyngeus muscle for the patient who developed dysphagia after treatment for retropharyngeal abscess and observed improvement in swallowing.

Clinical Study of Sanjoin- Tang on Insomnia Patients with Cerebrovascular Accident (뇌혈관 장애환자의 불면증에 대한 산조인탕의 치료효과에 대한 임상연구)

  • Hong Hyun Woo;Lee Sung Do;Gam Chul Woo;Park Dong Il
    • Journal of Physiology & Pathology in Korean Medicine
    • /
    • v.18 no.6
    • /
    • pp.1927-1932
    • /
    • 2004
  • This research study has been conducted to identify and evaluate the effectiveness of Sanjoin-Tang(酸棗仁湯) for insomnia relief. The clinical testing of Sanjoin-Tang(酸棗仁湯) was carried out at Oriental Medical Center of Dong-Eui University with the participation of 30 patients. The results of Sanjoin-Tang(酸棗仁湯) treatments show as follows: Change of total amount of sleep showed 1.75±2.23 hours of increase.(p-value=0.001, respectively) Change of average delaying bedtime before and after the treatment showed 1.57±2.50 hours of decrease.(p-value=0.001, respectively) Change of average bedtime arousal before and after the treatment showed 0.96±1.46 times of decrease. (p-value=0.004, respectively) Change of sleep quality after the treatment has improved. According to statistical results, Sanjoin-Tang(酸棗仁湯) has proven effective for reducing sleep disorders, and this, restoring normal sleep patterns.

Prolonged Cardiopulmonary Resuscitation in a Cardiac Arrest Patient with Aconitine Intoxication (장시간 심폐소생술을 요한 초오중독에 의한 심정지 1례)

  • Hwang, In-Woo;Jeong, Tae-O;Lee, Jae-Baek;Jin, Youn-Ho
    • Journal of The Korean Society of Clinical Toxicology
    • /
    • v.5 no.1
    • /
    • pp.67-70
    • /
    • 2007
  • Aconitum is an extremely dangerous plant that contains various toxic diterpenoid alkaloids, primarily concentrated in the roots. We report a case of acute intoxication of a 60-year-old man admitted to our emergency department after ingestion of a large amount of homemade aconitine decoction. At presentation about one hour after intake, the patient was unconscious and electrocardiographic analysis showed a ventricular tachycardia/fibrillation. Several times defibrillation was applied and antiarrhythmic agents were administered, but the patient still exhibited a refractory ventricular fibrillation and failed to return to spontaneous circulation. Sustained cardiopulmonary resuscitation finally produced a pulsatile cardiac rhythm at two hours after intake. The patient was discharged from our hospital on day 8. The authors stress that clinicians must be aware of the possible occurrence of life-threatening ventricular arrhythmia in cases of aconitine intoxication and be prepared to persist with prolonged CPR as necessary.

  • PDF