• Title/Summary/Keyword: pedicle

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A Case of Wandering Spleen (유주 비장 1례)

  • Lee, Suk Jin;Kim, Yong Woo;Chun, Yong Soon;Song, Min Seob
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.7 no.2
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    • pp.248-252
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    • 2004
  • Wandering spleen is a rare condition characterized by migration of the spleen from its normal position due to laxity or absence of the supporting splenic ligaments. Ultrasonography shows the absence of the spleen in left upper quadrant (LUQ) and the presentation in the lower abdomen of a homognous mass whose sonographic appearance is consistent with that of a spleen. Contrast-enhanced CT reveals the absence of the spleen in LUQ, a soft tissue mass resembling spleen in the lower abdomen, and the splenic pedicle of whirled appearance. We present a case of wandering spleen, which could be diagnosed with US and CT by the ectopic location of spleen and the whirling pattern of splenic pedicle.

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Optimum Machining Condition Determination for Pedicle Screw using Experimental Design Method (실험계획법에 의한 척추경 나사의 최적 절삭조건 결정)

  • Jang, Sung-Min;Cho, Myeong-Woo
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.3 no.2
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    • pp.3-9
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    • 2004
  • The main objectives of this paper are to determine optimum cutting conditions using experimental design method to manufacture pedicle screws. Generally, titanium alloys are known as difficult-to cut materials. In the machining of titanium alloy, high cutting temperature and strong chemical affinity between the tool and the work material are generated because of Its low thermal conductivity and chemical reactivity. Such phenomenon cause increase of tool wear and deterioration of surface quality. Thus, in this paper, required experimental investigations are performed to evaluate the machinability of titanium materials With tungsten carbide tools Required simulation and experiments are performed, and the results are investigated.

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Malignant Localized Fibrous Mesothelioma - Report of one case - (악성 국한성 섬유성 중피종 - 1예 보고 -)

  • 박해문
    • Journal of Chest Surgery
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    • v.20 no.3
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    • pp.593-597
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    • 1987
  • Mesothelioma is a primary tumor of the pleura. There are two forms of mesotheliomas; diffuse form and localized form. The majority of localized mesotheliomas are benign, but the tumor with pedicle recur at 20% after removal of it. Malignant localized fibrous mesothelioma is differential diagnosed pathologically and clinically with diffuse mesothelioma. Symptoms of localized mesothelioma are generally related to the size of the tumor. We presented one case of malignant localized fibrous mesothelioma. The patient was 32 years old female and chief complaints were dyspnea and dry cough. Sputum cytology and needle lung biopsy were not able to diagnose definitely the tumor. Explothoracotomy was carried out for definite tissue biopsy. At the time of operation, huge adult head size mass was in the right thoracic cavity. The surface of the mass was nodular, multilobular and had hard consistency. Pedicle was formed above first rib and its diameter was 4.5cm. There was no adhesion except to RUL. Frozen biopsy suggested mesothelioma. Extirpation of the mass, right upper lobectomy. and partial pleurectomy were carried out.

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Lateral Arm Flaps : Its Clinical Applications and Superiority (외측 상완 피판 : 그 응용과 우수성)

  • Park, Myong-Chul;Park, Dong-Ha;Lee, Byeong-Min;Kim, Kwan
    • Archives of Reconstructive Microsurgery
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    • v.5 no.1
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    • pp.62-69
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    • 1996
  • Lateral arm flap has been used for the reconstruction of the various defects in hand, head and neck region. This flap is highly dependable as a free flap because of its thin flap thickness, constant vascular anatomy and possibility of osteocutaneous flap and fascial flap. Recently, many authors tried extended approach for vascular pedicle and distal flap extension for bigger defects. In this study, we review previous articles and 14 cases used lateral arm flaps for coverage of the varying defect on head and neck, upper and lower extremities succesfully. In conclusion, lateral arm flap has constant anatomical structure and can overcome the disadvantages such as short pedicle length and limited flap size, then the range of its application can be very widened.

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Congenital Defect of the Posterior Arch of Cervical Spine : Report of Three Cases and Review of the Current Literature

  • Song, Kyo-Chang;Cho, Kyoung-Suok;Lee, Sang-Bok
    • Journal of Korean Neurosurgical Society
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    • v.48 no.3
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    • pp.294-297
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    • 2010
  • Abnormalities of the posterior arch, including congenitally absent cervical pedicle and cervical spondylolysis, are rare entities that are usually found incidentally on neck radiographs. It is important to recognize these characteristic radiological features because their radiographic appearance may cause them to be confused with more serious entities such as fractures, locked facets, and tumor-induced bony erosions. Also, it is important to distinguish these abnormalities from similar pathologies to prevent the use of inappropriate treatment We report the relevant clinical and radiological findings seen in three cases of posterior arch defect after trauma with review of pertinent literature.

Primary Torsion of Greater Omentum in Children -Report of Two Cases - (소아에서 발생한 일차성 대망 염전)

  • Koo, Tae-Young;Mok, Woo-Kyun
    • Advances in pediatric surgery
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    • v.11 no.1
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    • pp.34-39
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    • 2005
  • Two cases of primary torsion of the greater omentum were described. The first patient was a 5-year-old boy who was admitted to the hospital because of severe abdominal pain for 1 day. The The clinical features were similar to perforated acute appendicitis. Laparotomy revealed a normal appendix and the greater omentum twisted around its pedicle. The second patient was a 7-year-old girl admitted to the hospital because of abdominal pain in right lower quadrant for 2 days. The clinical features? were that of acute appendicitis. Laparotomy revealed a normal appendix and primary torsion of greater omentum around its pedicle. In both cases, resection of twisted omentum and incidental appendectomy were done. The microscopic findings in two cases consisted of congestion and vascular hemorrhage. Both patients recovered uneventfully. Torsion of the greater omentum, therefore, may be added to the entities to consider in the differential diagnosis of acute appendicitis.

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Revision of Lateral Arm Free Flap; Can It be a Substituete for Radial Forearm Free Flap? (외측상박 유리피판의 유용성에 관한 재조명; 전박부 유리피판을 대체할 수 있는가?)

  • Ahn, Hee-Chang
    • Archives of Reconstructive Microsurgery
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    • v.6 no.1
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    • pp.80-86
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    • 1997
  • The lateral arm flap was reported first by Song et al. in 1982, and Katsaros and colleagues described an anatomic study and clinical cases in 1984. This flap is thin, has relatively constant vascular anatomy, and provides relatively acceptable scar at the donor site. Despite its many advantages its wide application has been limited by its short vascular pedicle with small diameter of lumen, and its small skin paddle. We studied its anatomical structure to get longer length of vascular pedicle, wide diameter and thinner part of flap beyond the lateral condyle through 6 fresh cadaver dissection and dye injection study. We experienced 21 cases of lateral arm free flaps and 26 cases of forearm free flaps from May, 1992 to January, 1996. We compared its usefulness with forearm free flaps in the aspects of donor morbidity, operative factors, quality of flap, and versatility. In conclusion, lateral arm flap can replace the role of forearm flap in most cases so that patient's donor morbidity can be reduced especially in the women.

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Reconstrution with Nasolabial Flap Following Excision of Epidermoid Carcinoma of Mouth Floor (비순 피부편을 이용한 구강저 재건 치험 1례)

  • Kim Kwang-Moon;Chung Young-Suk;Jang Mi-Sook
    • Korean Journal of Head & Neck Oncology
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    • v.7 no.2
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    • pp.99-103
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    • 1991
  • The nasolabial flap is a well-known one for regional repairs. When the inferior-based nasolabial flap was used, the beard area was avoided, and subcutaneous flap pedicle versatility was increased. The inferiorly-based nasolabial flap with a subcutaneous pedicle was useful in the primary repair of surgical defects of the floor of mouth. maxillary alveolus, palate. and tonsillar area in selected patients.

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Traumatic Complete Renal Avulsion Herniating into the Left Pleural Cavity -A case report- (외상성 횡경막 탈장을 통한 신장손상 -1예 보고-)

  • Chon Soon-Ho;Lee Chul Burm
    • Journal of Chest Surgery
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    • v.38 no.5 s.250
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    • pp.400-402
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    • 2005
  • Herniation of the kidney through a traumatic diaphragmatic rupture in itself is rare. However, complete avulsion of the renal pedicle implies not only a more rare event, but also a surgical emergency. We report a case of a patient with complete avulsion of renal vessels and ureter of an intrathoracic kidney herniated through a diaphragmatic rupture caused by blunt trauma. Prompt diagnosis with a computer tomographic scan and immediate surgery saved the patient's life.