• 대한두개안면성형외과학회지
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• 제16권2호
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• pp.80-83
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• 2015

We present reconstruction of a complicated scalp-dura defect using acellular human dermis and latissimus dorsi myocutaneous free flap. A 62-year-old female had previously undergone decompressive craniectomy for intracranial hemorrhage. The cranial bone flap was cryopreserved and restored to the original location subsequently, but necessitated removal for a methicillin-resistant Staphylococcal infection. However, the infectious nidus remained in a dermal substitute that was left over the cerebrum. Upon re-exploration, this material was removed, and frank pus was observed in the deep space just over the arachnoid layer. This was carefully irrigated, and the dural defect was closed with acellular dermal matrix in a watertight manner. The remaining scalp defect was covered using a free latissimus dorsi flap with anastomosis between the thoracodorsal and deep temporal arteries. The wound healed well without complications, and the scalp remained intact without any evidence of cerebrospinal fluid leak or continued infection.

• Archives of Plastic Surgery
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• 제36권4호
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• pp.417-421
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• 2009

Purpose: Dermatofibrosarcoma protuberans(DFSP) is a moderate - degree malignant tumor of soft tissue from dermis to fat layer with high recurrences(11% to 73%) due to its local infiltrative characteristic. Many debates and controversies in deciding accurate surgical margin were presented before, but references about depth of invasion and appropriate surgical excision level were not properly made out. Therefore, we tried to identify the degree of tissue invasion of DFSP. Methods: Twenty patients, including 8 patients with recurrent lesions, over last 10 years were reviewed retrospectively. Different surgical margins were applied according to the location and based on histopathologic result, we have defined as a 'deep tissue invasion' if there were infiltration of tumor cell into fascia or underlying muscle layer was present. All invaded tissue including dermis, fat, fascia and muscle were excised until no tumor cell was found during intraoperative frozen section biopsy. And comparative analysis of deep tissue invasion according to age, primary site, duration of disease and recurrence was done. Results: Thirteen patients(65%) showed deep tissue invasion and incidence was found to be increasing with age(over 30 years old). All patients with DFSP on head and neck region revealed deep tissue invasion followed by trunk(54%) and lower extremities(50%). There was no relationship between duration of disease and deep tissue invasion. Conclusions: It is clear that many cases of DFSP had a deep tissue invasion. And high prevalence of deep tissue invasion with age, primary site was intimately associated. So, underlying deep tissue must be completely examined and excised sufficiently throughout the operation for clear resection of DFSP with no recurrences, especially when age is over 30s and on head and neck region.

• Parasites, Hosts and Diseases
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• 제48권3호
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• pp.259-261
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• 2010

Human Gnathostoma hispidum infection is extremely rare in the world literature and has never been reported in the Republic of Korea. A 74-year-old Korean man who returned from China complained of an erythematous papule on his back and admitted to our hospital. Surgical extraction of the lesion and histopathological examination revealed sections of a nematode larva in the deep dermis. The sectioned larva had 1 nucleus in each intestinal cell and was identified as G. hispidum. The patient recalled having eaten freshwater fish when he lived in China. We designated our patient as an imported G. hispidum case from China.

• Journal of Yeungnam Medical Science
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• 제12권2호
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• pp.405-411
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• 1995

Lichenoid drug eruption is lichenoid skin eruptions caused by certain drugs and compounds, and can be identical or similiar to lichen planus. A 75-year-old woman who had taken antituberculosis medication(INH, ethambutol, rifampin) for 4 months developed pruritic generalized erythematous papular eruptions on the trunk and extremities, alopecia and nail dystropy. Histopathologic findings were hyperkeratosis, hypergranulosis, hydrophic degenaration of basal layer, band like lymphohistiocytic infiltration in the upper dermis and perivascular lymphohistiocytic infiltration in the deep dermis. She was treated with systemic corticosteroid, and then skin lesion were slightly improved. After termination of antituberculosis medication, skin lesions were markedly improved with residual hyperpigmentation. Alopecia and nail dystrophy were also improved.

• 한국어류학회지
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• 제11권2호
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• pp.109-116
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• 1999

한국산 미꾸리 Misgurnus anguillicaudatus의 피부 구조 및 조직화학적 특정을 조사하기 위해 등, 측면, 복부, 머리부분의 피부를 조사하였다. 미꾸리의 epidermis는 elongated mucous cell과 club cell의 2개의 gland로 구성되었으며 두께는 아주 두꺼웠다. mucous cell은 acid mucopolysaccharides의 물질을 분비하였으나 club cell은 mucopolysaccharides에 어떠한 반응도 보이지 않았다. 표피의 기저층은 림파구를 가지는 lymphocytic space가 발달하였으며 기저막과 상피세포사이에 배모양의 감각세포인 pit organ이 존재하였다. Dermis의 stratum laxum에는 acid mucopolysaccharides를 나타내는 부분(a definite area)이 존재하며, 이러한 물질은 비늘에도 분포하고 있다. 작은 비늘이 dermis속에 파 묻혀 있으나 머리부분에는 없다. 또한 많은 양의 모세혈관들이 기저막 바로 아래에 존재하였다. 피부의 이러한 특징들은 미꾸리가 공기를 이용하는 피부호흡과 밀접한 관계가 있다.

• Journal of the Optical Society of Korea
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• 제15권1호
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• pp.61-67
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• 2011

The confocal laser scanning microscopy and two-photon microscopy was implemented based on a single laser source and an objective lens. We imaged and compared the morphology of identical sites of ex vivo human skin using both microscopes. The back-scattering emission from the sample provided the contrast for the confocal microscopy. The intrinsic autofluorescence and the second harmonic generation were used as the luminescence source for the two-photon microscopy. The wavelength of the Ti:Sapphire laser was tuned at 710 nm, which corresponds to the excitation peak of NADH and FAD in skin tissue. The various cell layers in the epidermis and the papillary dermis were clearly distinguished by both imaging modalities. The two-photon microscopy more clearly visualized the intercellular region and the nucleus of the cell compared to the confocal microscopy. The fibrous structures in the dermis were more clearly resolved by the confocal microscopy. Numerous cells in papillary dermal layer, as deep as $100\;{\mu}m$, were observed in both CLSM and two-photon microscopy. While most previous studies focused on fibrous structure imaging (collagen and elastin fiber) in the dermis, we demonstrated that the combined imaging with the CLSM and two-photon microscopy can be applied for the non-invasive study of the population, distribution and metabolism of papillary dermal cells in skin.

• Medical Lasers
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• 제9권2호
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• pp.142-149
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• 2020

Background and Objectives A picosecond-domain laser treatment using a microlens array (MLA) or a diffractive optical element elicits therapeutic micro-injury zones in the skin. This study examined the patterns of tissue reactions after delivering multiple pulses of 1,064-nm, MLA-type, picosecond neodymium:yttrium-aluminum-garnet laser treatment. Materials and Methods Multiple pulses of picosecond laser treatment were delivered to ex vivo human or brown micropig skin and analyzed histopathologically. A high-speed cinematographic study was performed to visualize the multiple pulses of picosecond laser energy-induced skin reactions in in vivo human skin. Results In the ex vivo human skin, a picosecond laser treatment at a fluence of 0.3 J/cm² over 100 non-stacking passes generated multiple lesions of thermally-initiated laser-induced optical breakdown (TI-LIOB) in the epidermis and dermis. In the ex vivo micropig skin, stacking pulses of 20, 40, 60, 80, and 100 at a fluence of 0.3 J/cm² generated distinct round to oval zones of tissue coagulation in the mid to lower dermis. High-speed cinematography captured various patterns of twinkling, micro-spot reactions on the skin surface over 100 stacked pulses of a picosecond laser treatment. Conclusion Multiple pulses of 1,064-nm, MLA-type, picosecond laser treatment elicit marked TI-LIOB reactions in the epidermis and areas of round to oval thermal coagulation in the mid to deep dermis.

• 대한수의학회지
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• 제46권3호
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• pp.275-278
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• 2006

A 7-month-old brown pig with a discoid and pedunculate mass measuring $14.0{\times}12.5{\times}2.5cm$ on the skin of the right shoulder was noted at the slaughter house in Jeju. The surface of mass approximately $7{\times}4cm$ was interfaced with skin. The color of mass with firm consistency was mainly black and partially white on cut surface. Histopathologically, numerous unencapsulated endocrine-like cellular nodules of epithelioid cell type with abundant intracytoplasmic black pigment, melanin, were occupied in dermis and subcutis. Most of nodules in deep dermis were surrounded by lightly pigmented spindle cells and loose fibrous tissues. Mitotic figures were infrequently observed. The overlying epidermis was hyperplastic due to the down-growth of rete peg. Based on the gross and histopathologic findings, this case was diagnosed as cutaneous melanoma. In our best knowledge, this is the first case of swine cutaneous melanoma in Korea.

• 대한두개안면성형외과학회지
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• 제18권2호
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• pp.132-136
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• 2017

Frey's syndrome and infra-auricular depressed deformities are the ones of the most common complications that can occur after total parotidectomy. We report 1 case of pleomorphic adenoma occurred in the deep lobe that obtained good results from using acellular dermal matrix (ADM) after total parotidectomy. A 24-year-old man visited the hospital with oval shape mass in right mandibular angle which of 4 cm in size was found in the deep lobe of right parotid gland from Magnetic resonance imaging scanning and a pleomorphic adenoma was suspected. A total parotidectomy was performed while preserving the facial nerve. The material known as ADM were placed in the depressed part from where the mass was removed, and the site was sutured. The surgery site was healed well without any complications such as Frey's syndrome or infra-auricular depressed deformities. The pathological result was confirmed as pleomorphic adenoma. In addition to these advantages, it does not have little potential of deformation by the gravity after the surgery, and there is no restraint on circulation, which makes fabrication free and each deformation into various shapes can be described as another advantage of the reconstruction using the ADM.

• 한국동물학회지
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• 제24권3호
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• pp.133-144
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• 1981

도룡뇽 배부피부의 색소세포를 전자현미경으로 관찰한 바 다음과 같은 결과를 얻었다. 1. 표피의 색소세포는 종자층 사이에 있는 흑색소세포와 각질세포층에 산재해 있는 흑색 소보유세포로 구성되었으며 표피내 이들 세포의 특징은 다음과 같다. A. 흑색소세포의 핵은 원형 또는 타원형이며, 부분적으로 크고 작은 핵막함요를 나타내었다. B. Rough-surfaced endoplasmic reticulum과 Golgi체가 특히 흑색소세포의 핵 아래부분의 세포질에 잘 발달되었으며, ribosome은 특히 핵 주변부와 인접하여 산재해 있었다. C. 흑색소세포의 흑색소과립은 전자밀도가 높고 낮은 원형 또는 타원형으로 나타났다. D. 흑색소보유세포의 핵은 일부분의 핵막이 깊게 함입하였으며, 흑색소과립이 세포질에 채워져 있으므로 다른 세포소기관은 구별되지 않았다. 2. 진피는 기저막 바로 밑의 대황세포와 흑색소보유세포로 구성되었으며, 전피내 이들 세포의 특징은 다음과 같다. A. 대황세포는 크기가 다른 원형 또는 타원형의 소낭을 가지고 있으며, 그 소낭은 6가지의 형으로 구분되었다. (제 1형 prerinosome, 제 2형 pterinosome, 제 3형, pterinosome, 제 4 형 pterinosome, 제 5 형 pterinosome, 제 6 형 pterinosome). B. 진피의 흑색소보유세포의 핵은 긴 타원형이며, 핵막의 일부분이 깊게 함입되었다. C. 같은 전자밀도의 흑색소과립이 흑색소보유세포의 전 세포질에 채워져 있으며, 다른 세포소기관은 관찰되지 않았다. D. 흑색소보유세포의 돌기는 대황세포와 평행하여 뻗어 있었으며, 그 돌기속에는 흑색소과립이 채워져 있었다.