• Archives of Reconstructive Microsurgery
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• v.24 no.1
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• pp.28-31
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• 2015

A case report of a patient who developed radiation-induced sarcoma in the left chest wall is presented. The patient had partial mastectomy and adjuvant radiation therapy (total dose, 5,220 cGy) and chemotherapy. Five years later, she visited with rapidly growing mass with central ulceration in the irradiated chest wall. The mass was diagnosed as malignant fibrous histiocytoma. The chest wall mass resected en bloc ($23{\times}18cm$) including five consecutive ribs. After the defected thoracic cage was reinforced using a polytetrafluoroethylene patch, omental flap and split thickness skin graft was done for soft tissue coverage. We applied negative pressure wound closer system for effective suction of omeantal exudate. The wound healed without complications. The patient suffered no perioperative pulmonary complications. Pulmonary function tests showed no significant changes. Each of Gore-Tex, omental flap, negative pressure wound therapy and skin graft is widely used method. However, If these methods are used in combination, we can reconstruct the large defect of chest wall including multiple ribs without any repiratory function problems.

• Applied Chemistry for Engineering
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• v.3 no.3
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• pp.491-498
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• 1992

Graft polymerization of 2-hydroxyethyl methacrylate(HEMA) and styrene, from both their binary and unitary systems, onto polytetrafluoroethylene(PTFE) film was investigated by means of the simultaneous ${\gamma}-ray$ induced method. The effect of various parameters such as monomer concentration, dose rate, absorbed dose, HEMA/styrene feed ratios and the type of diluent on the extent of grafting in unitary and binary systems was studied. It was observed that when unitary HEMA was used for grafting, the grafting extent was very slight, whereas when comonomers were used, a good grafting yield could be obtained. Inclusion of sulfuric acid in the monomer solution resulted in enhanced grafting yields.

• Macromolecular Research
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• v.12 no.3
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• pp.269-275
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• 2004

To graft N-isopropylacrylamide (NIPAAm) onto alginate, varying dosages of ${\gamma}$-rays were irradiated onto alginate films in deionized water and methanol media, which are non-solvents of alginate. We investigated the hydrogels graft ratio, mechanical strength, swelling kinetics and ratio, and behavior with respect to drug release. The graft yield of NIPAAm increased upon increasing the irradiation dose. The use of the aqueous solution increased the graft yield relative to that obtained in methanol. The mechanical strength of the grafted hydrogels increased after grafting with NIPAAm. In a study of the swelling kinetics, we found that all hydrogels reached an equilibrium swollen state within 3 h. The equilibrium swelling ratio of the hydrogels decreased upon increasing the irradiation dose. The swelling ratio of the hydrogels decreased dramatically between 30 and 35$^{\circ}C$ because phase separation of NIPAAm occurred at 32$^{\circ}C$. The swelling process, with respect to the temperature change, was repeatable. An NIPAAm-grafted alginate containing a drug sustained its release rate until 3 h after an initial high drug release caused by a burst effect.

• Polymer(Korea)
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• v.34 no.2
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• pp.126-132
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• 2010

A cation-exchange nanofiber poly(vinylidene fluoride) (PVdF) membrane was prepared by a radiation-induced graft polymerization (RIGP) of sodium styrene sulfonate (NaSS) in the presence of the polymerizable access agents in methanol solution. The used polymerizable access agents include styrene, acrylic acid, and vinyl pyrrolidone. The anion-exchange nanofiber PVdF membrane was also prepared by RIGP of glycidyl methacrylate (GMA) and its subsequent chemical modification. The successful preparations of cation- and anion-exchange PVdF membranes were confirmed via SEM, XPS and thermal analysis. The content of the grafting yield, ion-exchange group, and water uptake was in the range of 30.0~32.3%, 2.81~3.01 mmol/g and 66.6~147%, respectively. The proton conductivity at 20$^{\circ}C$ was in the range of 0.020~0.053 S/cm. From the result, the prepared ionexchange PVdF membrane can be used as a separator in battery cells.

• Polymer(Korea)
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• v.30 no.3
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• pp.217-223
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• 2006

Ion exchange fibers, high functionalized onto hybrid polyolefine fiber's surface, were synthesized by $\gamma-ray$ mutual radiation. Degree of grafting (DG) of copolymer increased with increasing GMA monomer concentration and the maximum rate of DG was 355% at 50 GMA. The graft reaction occurred in polar solvent and DG was 190% maximum value in $1.0\times10^{-3}$ Mohr's salt and 0.1 M sulfuric acid, respectively. The amination for graft copolymers varied depending on amine reagents, and the reactivity for copolymers was highest for methylamine, and that of triethylamine lowest. It was shown that water uptake and ion exchange capacities increased with increase in the rate of amination while surface area decreased rapidly as proceeding for graft reaction and amination.

• Polymer(Korea)
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• v.35 no.3
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• pp.216-222
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• 2011

A multi-walled carbon nanotube (MWNT) support with dual properties, an ionic property via tetra-amine and unpaired electrons via tri-amine, was prepared by radiation-induced graft polymerization of glycidyl methacrylate (GMA) and the subsequent amination of its epoxy group. The electrochemical microbial biosensor (EMB) was then fabricated by immobilization of a microbe (Alkaligenes spp.) onto the dual property-modified electrode, which was prepared with the mixture of the MWNT support and a $Nafion^{(R)}$ solution on a glass carbon (GC) electrode surface by a hand-casting method. The sensing range of the prepared EMB for phenol in a phosphate buffer solution was 0.005~7.0 mM. The total concentration of phenolic compounds in a commercial red wine was also determined using the EMB.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.34 no.6
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• pp.398-403
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• 2012

Purpose: Mandible resection and discontinuity defect created lead to aesthetic and functional problems. The iliac crest bone graft exhibits relative ease for bone harvesting, possibility of two team approach, ability to close the wound primarily, large amount of corticocancellous bone and relatively few complications. Whereas the use of free vascularized flaps has donor site morbidity and worse-fitting bone contour, the use of nonvascularized iliac bone graft has advantages in the operation time and patients' recovery time. So, nonvascularized iliac bone graft could be an attractive option. Methods: Twenty-one patients (M:F=1:1.1) underwent iliac crest bone harvesting for reconstruction of mandibular discontinuity defect (mean length : $61.6{\pm}17.8$ mm), from May 2005 to October 2011 at the Department of Oral and Maxillofacial Surgery in Kyungpook National University. The average age was $44.1{\pm}16.4$ years and the mean follow up periods was $28.2{\pm}22.7$ months. Bone resorption rate, according to age, sex, primary lesion, location and distance of defect, type of fixation plate, time of graft and pre-operative radiation therapy, were measured in each patient. Results: The mean bone resorption rate was $16.1{\pm}9.0%$. Bone resorption rate was significantly increased in mandibular defect that is over 6 cm in size (P=0.015, P<0.05) and the cases treated pre-operative radiation therapy (P=0.017, P<0.05). All was successfully fixed and maintained for the long-term follow-up. There were a few donor site complications and almost all patients were shown favorable outcome without severe bone resorption in this study. Conclusion: The nonvascularized iliac bone graft seems to be a reasonably reliable treatment option for reconstruction of mandibular discontinuity defects.

• Polymer(Korea)
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• v.31 no.6
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• pp.512-517
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• 2007

The grafting of styrene, glycidylmethacrylate (GMA) or acrylic acid (AAc) onto kapok fiber were performed by $Co_{60}\;{\gamma}-ray$ radiation-induced graft copolymerization. Degree of grafting (DG) of copolymers were increased with increasing monomer concentration and radiation dose. In addition to we confirmed the introduced functional group and measured ion exchange capacity. Morphology of the ion exchange fibers and their structures were analyzed by SEM and FT-IR.

• Journal of Chest Surgery
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• v.27 no.2
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• pp.140-147
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• 1994

Reconstruction of the pharynx and cervical esophagus presents a tremendous challenges to surgeons. Over the past 2 years[1990, Dec.-1993, Jun], the free jejunal graft has been performed in 17 cases in Korea Cancer Center Hospital.The indications of this procedures were almost malignant neoplasms involving neck and upper aero-digestive tract; Hypopharyngeal cancer[12 cases, including 2 recurrent cases], laryngeal cancer[2 cases], thyroid cancer[2 cases, including 1 recurrent case], cervical esophageal cancer[1 case]. There were fifteen men and two women, and the mean age was 59.6 years. The anastomosis site of jejunal artery were common carotid artery[16 cases] or external carotid artery[1 case] and that of jejunal vein were internal jegular [15 cases] or facial[1 case] and superior thyroid vein[1 case]. The length of jejunal graft was from 9 cm to 17 cm[mean 13 cm] and the mean ischemic time was 68 minutes. There was one hospital mortality which was irrelevant to procedures[variceal bleeding] and one graft failure[1/16]. Other postoperative complications were neck bleeding or hematoma[3 cases], abdominal wound infection or disruption[5 cases], anastomosis site leakage[1 case], pneumonia[2 cases], graft vein thrombosis[1 case], and food aspiration[1 case]. The function of conduit was excellent and ingestion of food was possible in nearly all cases. Postoperative adjuvant radiation therapy was also applicable without problem in 7 cases. During follow-up periods, the anastomosis site stenosis developed in four patients, and the tracheal stoma was narrowed in one case but easily overcome with dilation. In conclusion, we think that the free jejunal graft is one of the excellent reconstruction methods of upper digestive tract, especially after radical resection of malignant neoplasm in neck with a high success rate and low mortality and morbidity rate.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.34 no.2
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• pp.140-147
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• 2012

Microvascular reconstruction, in the oral and maxillofacial regions, is a widely accepted as the best way to overcome the complex oral cavity defects. Many patients requiring composite reconstructions have been treated previously with radiation therapy, chemotherapy, selective and/or functional neck dissection or any of these combinations. In many cases of these patients, inadequate neck vessels for the microanastomosis of free flap are available, due to a lack of recipient vessels in the neck, poor vessel quality or vessel caliber mismatch. To achieve a tension-free anastomosis, vein grafting must be considered to span the vessel gap between the free flap pedicle and the recipient neck vessels. Although most microsurgeons believed that interpositional grafts are to be avoided due to vessel thrombosis and increased number of necessary microanastomosis, we, authors have some confidence of equivalency between reconstruction with and without interpositional saphenous vein graft. The great saphenous vein, also known as the long saphenous vein, is the large subcutaneous superficial vein of the leg and thigh. It joins with the femoral vein in the region of femoral triangle at the saphenofemoral junction, and coursed medially to lie on the anterior surface of the thigh before entering an opening in the fascia lata, called the saphenous opening. For a better understanding of the great saphenous vein graft for the interpositional vessel graft in the oral cavity reconstructions, and an avoidance of any uneventful complications during these procedures, the related surgical anatomies with their harvesting tips are summarized in this review article in the Korean language.