• 한국의사학회지
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• 제23권2호
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• pp.47-56
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• 2010

The objective of this article is to investigate and analyze the way how the suture surgery was operated in case of external wound or incision in past Korea. The method to do this study was to search the books on the website, Knowledge of Oriental Medicine Web Service, databased and serviced by Korean Institute of Oriental Medicine. The searching key word was '縫'. The results was as follows. According to the website search, ten subjects of suture surgery could be classified: sword wound(金瘡), horse bite(馬咬), intestine incision(腸肚傷), knife or ax wound(刀斧傷), larynx incision(割喉), intestine protrusion by cow collision(牛觸腸出), self-stabbing of neck(自刎), falling from tree(童稚上木墮下), lip injury(趺損唇皮) and face wound(顔面의 外傷). Furthermore, the kinds of suturing fiber, the way how to stitch, the kinds of medical care before and after the suture surgery could also be found

• 대한장애인치과학회지
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• 제6권2호
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• pp.116-119
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• 2010

Trauma to the lips and tongue can occur by accidental self-biting after dental treatment. After local anesthesia, it is likely that the patient may feel painless even in biting the tongue. In case of young children and disabled patients, the dentists should be careful not to bite the tongue. In this report, we present a case of deep lingual laceration due to biting the tongue in the course of dental treatment under general anesthesia. A 33 year-old male was transferred to our hospital to treat tongue laceration. Before 2 hour on arrival, he had received dental care under general anesthesia at a dental hospital for the disabled because of cooperation difficulty and cerebral palsy. During recovery from general anesthesia, he tried to bite his own tongue involuntary. The doctors and nurses tried to prevent the patient from being injured. Despite these efforts, massive bleeding occurred from the injured sites of the tongue. Because we could not communicate with him, we decided to evaluate the extent of the injury and treat the injured sites under general anesthesia. The laceration wound was sutured for nearly 1 hr general anesthesia. During recovery we inserted mouth prop into the oral cavity to prevent further injuries from tongue biting. After full recovery from general anesthesia he didn't try to bite his tongue. After 4 hour admission, he was discharged without other complications.

• Archives of Plastic Surgery
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• 제42권2호
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• pp.223-225
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• 2015

The closure of any circular or asymmetric wound can result in puckering or an excess of tissue known as a 'dog ear'. Understanding the mechanism of dog ear formation is a fundamental requirement necessary to facilitate an appropriate treatment. Many solutions have been reported in the literature, but in all cases, the correction entails the extension of the scar and the sacrifice of the dermal plexus. Here, we propose a novel technique of dog ear correction by using a three-bite suture that sequentially pierces the deep fascial plane and each dog ear's margin, thus allowing for flattening the dog ear by anchoring the over-projecting tissue to the deep plane. The three-bite technique proved to be a fast, easy, and versatile method of immediate dog ear correction without extending the scar, while maintaining a full and complete local skin blood supply.

• Archives of Plastic Surgery
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• 제42권2호
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• pp.254-256
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• 2015

• 한국임상수의학회:학술대회논문집
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• 한국임상수의학회 2006년도 춘계학술대회
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• pp.150-150
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• 2006

• Archives of Plastic Surgery
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• 제43권6호
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• pp.590-594
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• 2016

Recently, the number of cases of animal bite wounds has increased significantly in concordance with an increase in the pet population around the world. The authors report two rare cases of osteomyelitis of the phalanx following cat and dog bites. On initial physical examination, signs of a severe infection were observed. Radiographs of both patients showed the presence of osteomyelitis, and in one of the patients, the diagnosis was confirmed with a bone biopsy. After use of empirical antibiotics, intravenous antibiotic therapy that matched the identified bacterium's sensitivity was initiated, and at the same time, secure dressing including debridement was performed to induce secondary healing. In addition, the patients were closely monitored with serial X-rays, and culture and blood test follow-up. One patient fully recovered without sequelae, but the other patient suffered a loss of distal interphalangeal joint motion. When dealing with bite wounds located on the hand, it is important to visit the hospital as soon as possible and receive the appropriate treatment early. Moreover, to prevent severe complications such as osteomyelitis, it is important to administer antibiotic therapy to which the cultured bacteria are sensitive, along with proper wound management and prophylactic antibiotic treatment.

• 한국어병학회지
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• 제30권2호
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• pp.97-105
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• 2017

Parasitic leeches could directly (through causing poor growth, anemia and wound in the fish) and indirectly (by predisposition of the fish to secondary bacterial and fungal infections) affects their hosts. In the present study, fishes that were attacked by leeches in natural and experimental environment were studied. Pathologic samples were obtained from damages at the site of leech bite, as well as kidney and liver of the fish. Histopathological examination revealed numerous lesions at the site of leech bite including tissue demolition, detachment at the site of leech bite in the epidermis of epithelial tissue in the skin, destructed nucleus in epithelial cells of the skin plus necrosis in the damaged skin and weak inflammatory penetration to acute necrotic damages along with piercing dermis layer. Pathologic lesions in the kidney included some changes such as proliferation by increasing glomerular cells and membrane cells in capillary vein of the kidney, blood cell necrosis in kidney with infiltration of white blood cells mainly mononuclear and less polymorphonuclear which are the symptoms of anemia due to blood feeding and sucking by leeches. There was also a chronic kidney infection probably originated from another part of body such as skin. Moreover, leeches caused hemorrhagic anemia due to blood consumption of the hosts, which led to observation of immature red blood cells. Also results showed that diseases induced by leeched in fish could be acute or chronic, which depends on size of fish, species of leech and severity of infection.

• Archives of Plastic Surgery
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• 제37권6호
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• pp.835-838
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• 2010

Purpose: Reconstruction of soft tissue defects in the distal lower leg, especially in the distal third, largely depends on free tissue transfer and local fasciocutaneous flaps. But several local muscle flaps have also been proposed as useful alternative reconstructive manner. In this report, the authors present the successful use of the flexor digitorum longus muscle flaps in the distal lower leg reconstruction. Methods: Case 1: An 81-year-old woman with a dog bite wound in the left distal lower leg was admitted. She had a $10{\times}8\;cm$ wound with tibial exposure along the medial aspect of the leg. Soft tissue reconstruction with a flexor digitorum longus muscle flap and a split-thickness skin graft was performed. Case 2: A 77-year-old woman had a squamous cell carcinoma in the right distal lower leg. After wide excision, a $5{\times}4\;cm$ wound was developed with exposure of the tibia. The flexor digitorum longus muscle flap was transposed and covered with a split-thickness skin graft. Results: The flexor digitorum longus muscle flaps were shown to be useful to cover tibial defects in the distal lower leg. During the follow-up period, no significant donor site morbidity was found. Conclusion: The flexor digitorum longus muscle flap can be used to cover the exposed distal tibia, especially when a free tissue transfer is not an option. The relative ease of dissection and minimal functional deficits were the major advantages of this flap, while the extent of reach into the lower third has a limitation.

• 농촌의학ㆍ지역보건
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• 제27권1호
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• pp.79-86
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• 2002

1998년 9월부터 1999년 8월까지 중소도시에 소재한 의료원 응급실을 방문한 지네 교상 환자는 여자 21명(58.4%), 남자 15명(41.6%)으로 총 36명이었다. 계절에 따른 변화는 6월에 한번 증가하고, 8월과 9월에 증가하며 9월에 가장 많았다. 시간에 따른 빈도는 일몰 후(저녁 6시부터 다음날 아침 6시까지)가 27명으로 일몰전 9명보다 많았다. 부위에 따른 빈도는 손가락 (30%), 목(28%), 발(25%), 손(14%) 등의 순이었다. 손과 손가락은 작업 중에 장갑을 끼거나, 일을 하던 중에 물렸으며, 발은 신발을 신다가 물렸다. 목의 경우는 잠을 자던 중에 물린 것으로 조사되었다. 국소적인 증상은 통증 36명(100%), 종창 36명(100%), 홍반 26명(72.2%), 감각이상 5명(13.9%)이 있었고 전신적인 증상은 어지러움 2명(5.6%), 오심 1명(2.8%) 있었다. 국소적 증상에서 통증의 호전은 대부분이 48시간 이내에 호전되었다. 종창의 호전은 48시간 이내 많은 호전이 있었고, 감각 이상은 72시간 이내에 호전되었다. 전신적인 증상으로 어지러움과, 오심은 24시간 이내에 호전되었다. 왕지네류 교상에서 치료와 예후는 각 나라마다 비슷하였다. 이에 우리 나라 실정에 맞는 표준화된 치료 지침을 만들어 지네에게 물렸을 때 국소적 증상과 전신적 증상, 그리고 외상에서 빨리 회복 될 수 있도록 하여야한다.

• 대한후두음성언어의학회지
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• 제12권2호
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• pp.158-160
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• 2001

Ankyloglossia is the presence of a lingual frenulum, which can range from a mucous membrane band to a short and thick band and, in extreme cases, to fusion of the tongue to the floor of the mouth. The effects of such a condition, in addition to speech defects and occasionally restriction of sucking, including dental deformities, such as open bite, or even prognathism. Treatment is surgical. The preferred treatment is horizontal sectioning of the frenulum down to the lingual septum and then suturing of the mucosa. The main problem after the healing of surgical wound is adhesion and contracture. Adhesion restrict the movement of tongue like tongue-tie. Z-plasty at the site of incision can solve this problem by changing the direction of scar. We have experienced a patient with ankyloglossia with speech defect, who underwent frenuloomy by Z-plasty. So we present a surgical treatment of Ankyloglossia using Z-plasty and discuss the treatment with a review of literature.