• 제목/요약/키워드: plastic features

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Current concepts of Kimura disease: pathophysiology and evolution of treatment

  • Woo Ju, Kim;Han Koo, Kim
    • 대한두개안면성형외과학회지
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    • 제23권6호
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    • pp.249-255
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    • 2022
  • Kimura disease (KD) is a chronic inflammatory disorder that frequently involves the subcutaneous tissue of the head and neck regions. It often manifests as regional lymphadenopathy or salivary gland enlargement in the affected area. The histologic architecture of the lymph nodes in KD patients is preserved, while the affected tissues show follicular hyperplasia and eosinophilic infiltration. No single modality has been adopted as an optimal treatment for KD. This article concentrates on the fundamental features of KD and reviews current approaches to its treatment.

A vertically split fracture of the marginal tubercle of the zygoma in a 3-year-old boy: a case report

  • Chan Yeong, Lee;Chul Han, Kim
    • 대한두개안면성형외과학회지
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    • 제23권6호
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    • pp.274-277
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    • 2022
  • Fractures of the zygoma are rarely encountered in pediatric patients. This report presents a case of a 3-year-old child who presented with a vertically split fracture of the marginal tubercle of the zygoma. The marginal tubercle, a bony portion present on the posterior border of the frontal process, assists in attaching the temporalis fascia. This patient was treated surgically with bony fixation using tissue glue. To the best of our knowledge, no cases of fracture of the marginal tubercle of the zygoma have been reported in the literature. Fractures of the marginal tubercle of the zygoma in pediatric patients may be overlooked because of their anatomic location and the musculoskeletal characteristics of these patients. Here, we discuss the clinical features of marginal tubercle fractures of the zygoma.

가토 악하선 도관 결찰과 절단 후 악하선 세포의 증식에 관한 전자 현미경 및 면역조직화학적 연구 (ELECTRON MICROSCOPIC AND IMMUNOHISTOCHEMICAL STUDY ON THE PROLIFERATION OF RABBIT SUBMANDIBULAR GLANDULAR CELL AFTER DUCT LIGATION AND CUT)

  • 한승우;김경욱;이재훈
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제20권4호
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    • pp.316-333
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    • 1998
  • Obstructive sialadenitis of major salivary glands is a common entity that occurs either in sialolithiasis or in foreign-body obstruction of the excretory ducts. This is characterized histologically by the presence of duct-like structural groups in a highly fibrotic stroma. Although the pathologic features are well recognized, the various cell types involved in the atrophy and subsequent regeneration of the obstructed salivary gland have been controversial. For this reason, an animal model of obstructive sialadenitis that induced atrophy in the salivary gland was used. Experimental study was performed to observe changes of submandibular gland in rabbit and apply the results to clinical activity. Forty-five rabbits each weighing about 3Kg were used and divided into control and experimental group. In the experimental group, ducts of submandibular gland was ligated and cutted divided into each twenty rabbits. Rabbits were serially sacrificed on the 3rd, 5th, 14th, 30th day of experiment. The submandibular glands were dissected out at sacrifice and stained with H&E, MT, immunohistochemical stain and the histological examinations were carried out under the light and transmission electron microscope. After examination and comparison of all specimens, the results of this study were as follows: 1. In the features of H&E stain, moderate infiltration of inflammatory cell were present at 3rd day of experiment. The features of ductal metaplasia was observed after 7th day in the ligation group and destructive changes was continued. In the cutting group, atrophic changes were less severe than ligation group but the small ductule were separated from stroma after 7th day. 2. In the feature of MT stain, apposition of connective tissue was increased in all group, more active in ligation group. 3. In the features of immunohistochemical stain, ligation group showed increased PCNA positive response at 7th day and the higher activity of duct cells was observed. Severance group showed more PCNA positive response than ligation group at 30th day. 4. In TEM features, ductal metaplasia was started at 7th day and degenerative change with margination of nucleus had been severe. Although ductal metaplasia was seen in the severance group, more numerous granule in different size was founded than ligation group. From above results, degenerative change was identified with ductal metaplasia, apically apposition of granule, r-ER destruction in ligation group. Severance of duct elicit degenerative change of grandular cells but the change was less severe than ligation group and more PCNA positive cell was founded at acinar cell.

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Study on the Influence of Contemporary Art on Furniture Design -Based on the Analysis on with Key Features of Contemporary Art and Furniture Design-

  • Kim, Jin-Woo
    • 한국가구학회지
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    • 제20권6호
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    • pp.543-551
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    • 2009
  • The history repeatedly shows that designers have sought their creative inspiration from fine arts. was also influenced by contemporary art such as surrealism or installment works. This thesis aims to examine the inter-relationship between contemporary art and contemporary furniture design with examples of organic modernism and minimalism furniture design. Also, will be analyzed in light of such interdisciplinary relationship, explaining the significances of in scholastic perspective. The previous research analysis of finding out examples of how fine art and design sought mutual exchanges to develop will help to examine the significance of in the context of art history. This analysis could be used as an important academic material to understand the origin and characteristics of modern design furniture. The features of surrealism and minimalism will be discussed in light of their influences on and interactive relationship with organic modernism furniture design. This provides important basic material to further analyze . Furthermore, the artistic language and plastic features of contemporary sculptors and installment artists such as Jean Arp, Richard Serra and Anish Kapoor will be examined to show how integrated and combined main features of those artists. extracted cognitive and phenomenological aspects from Serra's works that overwhelm viewers with their massive scales. Somewhat abstract yet somewhat primitive and dynamic features of Arp's works was also referred to . are made of FRP, composed of three partitions and six stools. This work was analyzed in aspect of form, composition and function. They have organic and flexible formations with free composition availability which endow free disassemble and arrangement. Also, they have cognitive features as of small elements are freely dispersed upon spaces to bestow certain presences. Based on this, this thesis could develop scholastic researches that examine the mutual and interactive relationship between contemporary art and furniture design with much more detailed discussions and examples.

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과다 유두(Supernumerary Nipple) 2례 (Two Cases of Supernumerary Nipple)

  • 이정우;양정덕;이정훈;최강영;김귀락;정호윤;조병채
    • Archives of Plastic Surgery
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    • 제37권5호
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    • pp.695-698
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    • 2010
  • Purpose: Supernumerary nipple or polythelia is one of the developmental anomalies occurring at the embryonic stage and this anomaly usually arises from the milk line. While this atypical feature is determined during early developmental stage, it may not come out obviously or become troublesome until puberty or lactation. Moreover, sometimes it is confused with a pigmented nevus. Methods: Case 1, a 18-year-old woman with intramammary supernumerary breast consisted of another nipple with middle sized areola on the right lower breast was admitted for a $2.8{\times}3.1\;cm$-sized mass on the right breast which was starting appeared 1 year earlier. The preliminary cytological examination of the material obtained by needle aspiration biopsy from the mass was revealed by fibroadenoma with no malignant change. The patient had the surgical excision of the mass and accessory breast. Case 2, a 16 year-old woman admitted for intra-areolar polythelia of the left breast, even she doesn't have any family history of polythelia. Since she wanted surgical correction of her atypical nipple for aesthetic and psychological reasons, we reconstructed the areola using transposition flaps in an S-plasty design. Results: Case 1, the excised supernumerary nipple showed following histological features. In the superficial layer, an acanthotic and hyperpigmented epithelium with elongated rete ridges was found. In the dermis, there were follicles with hairs surrounded by hypertrophic sebaceous glands. In the deepest portion, abundant secretory glomerules and excretory ducts of apocrine gland type were observed. Case 2, follow-up visits 3 months after the procedure showed a satisfactory result with good shape and projection of the nipple. Conclusion: We report two cases of aberrant mammary tissue who underwent surgical correction, including complete breast (with nipple, areola, and glandular tissue) and intra-areolar polythelia according to the Kajava's classification, and the results were satisfactory.

흰쥐에 삽입된 인공성형삽입물의 생체내 물리, 조직학적 변화의 비교 (Comparison of Physical & Histological Change of Alloplastic Implants after Implantation in Rat)

  • 김성남;노복균;김의식;황재하;김광석;이삼용;조백현
    • Archives of Plastic Surgery
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    • 제33권2호
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    • pp.219-224
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    • 2006
  • Augmentation rhinoplasty is one of the most popular aesthetic procedure in Asians. Numerous alloplastic implants have been used until now, but no accurate comparative analysis about the implant materials has been reported yet. This study in animal model was designed to determine the safety and effectiveness of various implant materials in augmentation rhinoplasty. The $15{\times}15{\times}2mm$ sized square shaped plate of $Gore-Tex^{(R)}$, silicone rubber, and $15{\times}15{\times}1.5mm$ sized $Medpor^{(R)}$ were implanted under panniculus carnosus of the abdomen wall of rat. And tissue specimens including the implant and surrounding soft tissue were obtained by en bloc excision in 6 months after implantation. The implants were estimated in weight and volume, and also the specimens were examined grossly and microscopically. The results revealed that increase of average weight 26.9%, decrease of average volume 55.4% in $Gore-Tex^{(R)}$ implant, increase of each average weight and volume 62.6%, 8.7% in $Medpor^{(R)}$ implant and very slight increase of both average weight and volume 4.7%, 1.1% in silicone rubber implant. Grossly, the $Gore-Tex^{(R)}$ was deformed, $Medpor^{(R)}$ was strongly adherent to surrounding soft tissue and the silicone rubber was well encapsulated and easily peeled off. Microscopically, silicone rubber showed foreign body reaction slightly and there were no inflammatory responses in all alloplastic implants. In our study, silicone rubber showed very proper alloplastic features for augmentation rhinoplasty due to causing no inflammatory response, no physical change, and no deformity.

Salvage of Infected Breast Implants

  • Song, Joon Ho;Kim, Young Seok;Jung, Bok Ki;Lee, Dong Won;Song, Seung Yong;Roh, Tai Suk;Lew, Dae Hyun
    • Archives of Plastic Surgery
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    • 제44권6호
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    • pp.516-522
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    • 2017
  • Background Implant-based breast reconstruction is being performed more frequently, and implants are associated with an increased risk of infection. We reviewed the clinical features of cases of implant infection and investigated the risk factors for breast device salvage failure. Methods We retrospectively analyzed 771 patients who underwent implant-based breast reconstruction between January 2010 and December 2016. Age, body mass index, chemotherapy history, radiation exposure, and smoking history were assessed as potential risk factors for postoperative infection. We also evaluated the presence and onset of infection symptoms, wound culture pathogens, and other complications, including seroma, hematoma, and mastectomy skin necrosis. Additionally, we examined the mastectomy type, the use of acellular dermal matrix, the presence of an underlying disease such as hypertension or diabetes, and axillary node dissection. Results The total infection rate was 4.99% (58 of 1,163 cases) and the total salvage rate was 58.6% (34 of 58). The postoperative duration to closed suction drain removal was significantly different between the cellulitis and implant removal groups. Staphylococcus aureus infection was most frequently found, with methicillin resistance in 37.5% of the cases of explantation. Explantation after infection was performed more often in patients who had undergone 2-stage expander/implant reconstruction than in those who had undergone direct-to-implant reconstruction. Conclusions Preventing infection is essential in implant-based breast reconstruction. The high salvage rate argues against early implant removal. However, when infection is due to methicillin-resistant S. aureus and the patient's clinical symptoms do not improve, surgeons should consider implant removal.

Al-Mg-Si합금의 고온 소성 변형 거동 (Plastic Deformation Behavior Of Al-Mg-Si Alloy At The Elevated Temperature)

  • 권용남;이영선;이정환
    • 한국소성가공학회:학술대회논문집
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    • 한국소성가공학회 2003년도 추계학술대회논문집
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    • pp.172-175
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    • 2003
  • Thermomechanical behavior of Al-Mg-Si alloys have been studied to investigate the effect of microstructural features such as pre-existing substructure and distribution of particles on the deformation characteristics. The controlled compression tests have been carried out to get the basic information on how the alloy responds to temperature, strain amount and strain rate. Then hot forging of Al-Mg-Si alloys has been carried out and analyzed by the comparison with the compression tests. Microstructural features after forging have been discussed in terms of the thermomechanical response of Al-Mg-Si alloys. As already well mentioned, we have found that the deformation of Al-Mg-Si at the elevated temperature brought the recovered structure on most conditions. In a certain time, however, abnormally large grains have been found as a result of deformation assisted grain growth, which means that hot forging of Al-Mg-Si alloys could lead to a undesirable microstructural variation and the consequent mechanical properties such as fatigue strength.

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Bond and ductility: a theoretical study on the impact of construction details - part 2: structure-specific features

  • Zwicky, Daia
    • Advances in concrete construction
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    • 제1권2호
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    • pp.137-149
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    • 2013
  • The first part of this two-part paper discussed some basic considerations on bond strength and its effect on strain localization and plastic deformation capacity of cracked structural concrete, and analytically evaluated the impacts of the hardening behavior of reinforcing steel and concrete quality on the basis of the Tension Chord Model. This second part assesses the impacts of the most frequently encountered construction details of existing concrete structures which may not satisfy current design code requirements: bar ribbing, bar spacing, and concrete cover thickness. It further evaluates the impacts of the additional structure-specific features bar diameter and crack spacing. It concludes with some considerations on the application of the findings in practice and an outlook on future research needs.

Al-Mg-Si 합금의 고온 소성 변형 거동 (Plastic Deformation Behavior of Al-Mg-Si Alloys at the Elevated Temperatures)

  • 권용남;이영선;이정환
    • 소성∙가공
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    • 제13권1호
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    • pp.27-32
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    • 2004
  • Thermomechanical behavior of Al-Mg-Si alloys was studied to investigate the effect of microstructural features such as pre-existing substructure and distribution of particles on the deformation characteristics. The controlled compression tests were carried out to get the information on how the alloy responds to temperature, strain amount and strain rate. Then hot forging of Al-Mg-Si alloys carried out and analyzed by the comparison with the compression tests. Microstructural features after forging were discussed in terms of the thermomechanical response of Al-Mg-Si alloys. As already well mentioned, we found that the deformation of Al-Mg-Si at the elevated temperature brought the recovered structure on most conditions. In a certain time, however, abnormally large grains were found as a result of deformation assisted grain growth, which means that hot forging of Al-Mg-Si alloys could lead to a undesirable microstructural variation and the consequent mechanical properties such as fatigue strength.