• 대한두개안면성형외과학회지
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• 제21권4호
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• pp.237-243
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• 2020

Background: The scalp is an important functional and aesthetic structure that protects the cranial bone. Due to its inelastic characteristics, soft-tissue defects of the scalp make reconstruction surgery difficult. This study aims to provide an improved scalp reconstruction decision making algorithm for surgeons. Methods: This study examined patients who underwent scalp reconstruction within the last 10 years. The study evaluated several factors that surgeons use to select a given reconstruction method such as etiology, defect location, size, depth, and complications. An algorithmic approach was then suggested based on an analysis of these factors. Results: Ninety-four patients were selected in total and 98 cases, including revision surgery, were performed for scalp reconstruction. Scalp reconstruction was performed by primary closure (36.73%), skin graft (27.55%), local flap (17.34%), pedicled regional flap (15.30%), and free flap (3.06%). The ratio of primary closure to more complex procedure on loose scalps (51.11%) was significantly higher than on tight scalps (24.52%) (p=0.011). The choice of scalp reconstruction method was affected significantly by the defect size (R=0.479, p<0.001) and depth (p<0.001). There were five major complications which were three cases of flap necrosis and two cases of skin necrosis. Hematoma was the most common of the 29 minor complications reported, followed by skin necrosis. Conclusion: There are multiple factors affecting the choice of scalp reconstruction method. We suggest an algorithm based on 10 years of experience that will help surgeons establish successful surgical management for their patients.

• Journal of Korean Neurosurgical Society
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• 제58권3호
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• pp.298-300
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• 2015

Arteriovenous fistula of the scalp is relatively rare disease. We report a traumatic arteriovenous fistula of the scalp treated with complete surgical excision and review the literature with regard to etiology, pathogenesis, and management of these unusual lesions.

• 대한의용생체공학회:학술대회논문집
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• 대한의용생체공학회 1994년도 춘계학술대회
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• pp.75-78
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• 1994

To represent the overall potential distribution on the entire scalp it is necessary to interpolate between sampled EEG(electroencephalogram) values, we describe a method to interpolate between scalp recorded EEG data which obtained from electrodes irregularly disposed on the scalp, using polynomial interpolation. This method can analyze the variance of source temporally or spatially and present continuous distributed topographic mapping of the EEG records. In the result, we obtained the overall potentials distribution on the entire scalp from the EEG records of a patient which was known to epilepsy.

• 대한두개안면성형외과학회지
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• 제17권4호
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• pp.233-236
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• 2016

Scalp defect management is complicated secondary to reduced laxity in the scalp and forehead area. For reconstruction of larger defects with exposed bone and loss of the periosteal layer, free flap reconstruction is one option for single-stage surgery, although the procedure is lengthy and includes the possibility of flap loss. We successfully performed a single-stage reconstruction of a large scalp defect using a combination of artificial dermis, split-thickness skin graft, and full-thickness skin graft following wide excision of a cutaneous angiosarcoma, and present our method as one option for the treatment of large oncologic surgical defects in patients who are poor candidates for free flap surgery.

• Journal of Korean Neurosurgical Society
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• 제38권4호
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• pp.269-272
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• 2005

Objective : The object of this study is to present the treatment experience of the 6cases of scalp arteriovenous malformations[AVMs] focus on treatment strategy. Methods : Six patients with scalp AVM were treated during past 12years. We analysis the clinical characteristics of the lesions, treatment methods and management outcomes. Results : The lesions were located on temporal in 2patients, parietal in 2patients, frontal and occipital area in each one. Four of six patients had a trauma history on scalp. The presenting symptoms were progressive enlarged pulsating mass with or without bruit. Four of the six lesions had the large fistula in the lesion. Two patients were treated with surgical resection alone, three patients with proximal feeding artery balloon[s] occlusion followed by surgical resection, and one patient with coil embolization through trans-venous route alone. We obtained good results in all patients. Conclusion : Most of scalp AVM can be completely cured by Judicious selection and a combination of treatment modalities, i.e., surgery only, or embolization only, or embolization plus surgical therapy. Although embolization became a primary therapy for this sort of scalp AVM recently, the selection of treatment modality should be chose based on the size, angioarchitecture, and clinical presentations of the lesion.

• 산경연구논집
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• 제14권7호
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• pp.27-38
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• 2023

Purpose: The new technological innovation caused by the Fourth Industrial Revolution will bring about a major change in the scalp healthcare market and the wig industry. This review paper is an empirical analysis focusing on the development potential of the Korean beauty tech market and the wig industry. Research design, data and methodology: This review of the wig industry and consumer experience is an important literature review. The PRISMA flow chart was used. Beauty Tech; Beauty Industry; Wig Industry; Wig; Scalp Healthcare; was used as Keywords as records verified through database screening. A total of 513 references were finally selected through major journal search sites such as PubMed, Google Scholar, RISS, Scopus, and Research Gate. Among the selected references, a total of 52 papers were selected in the final stage from 2001 to 2022. Results: For the sustainable development of wig industry management, consumers' desire for new and convenient products should be secured through technologies related to the 4th industrial revolution, and creative thinking was presented throughout manufacturing, distribution, and customer service. Conclusions: Hair loss reduces the quality of life due to mental stress and affects social life. The continuous development of wig companies, such as information on wigs and quality improvement, should be supported.

• 대한두개안면성형외과학회지
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• 제20권6호
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• pp.392-396
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• 2019

Renal cell carcinoma (RCC) represents 2% to 3% of human cancers and is aggressive, with metastatic capability. The frequent metastatic sites are lung, bone, and liver. Reports of RCC metastatic to skin, and especially scalp are rare. Here we present an 83-year-old woman who was diagnosed with RCC 19 years prior and had a metastatic scalp lesion. An 83-year-old woman presented with a red-to-purple, protruding lesion at the right parietotemporal area. Twenty-three years ago, a right renal mass was incidentally discovered on ultrasound through a routine medical examination. She underwent right nephrectomy for RCC 4 years later. Five months after nephrectomy, new lung nodules were observed. Fifteen years after nephrectomy, metastatic lesions were found in the pelvic bone. She visited dermatology department for evaluation of the new scalp lesion, a year before she first visited our department. Despite chemotherapy, the mass was gradually enlarged. She consulted the plastic surgery department for management of the metastatic RCC was successfully treated with total excision including a 1-cm safety margin, local flap, and STSG coverage. Complete healing was observed, without evidence of recurrence during a 7-month followup. Metastases to the skin are rare, but must be kept in mind because of its high metastatic ability and poor prognosis.

• 한국의류학회지
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• 제41권3호
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• pp.556-574
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• 2017

This study explored the appearance management experiences of breast cancer patients undergoing mastectomy. For data collection, one-on-one interviews were held with 18 Korean females diagnosed with breast cancer from the first stage to the third stage from 2008 to 2015. The data was analyzed through a three-step analysis of grounded theory. QSR NVivo 11.0 for Mac was applied in order to avoid biased results according to the subjective viewpoint of researchers. From open coding results, six paradigms and 15 categories were drawn. The results of axial coding showed that the psychological changes category was the central phenomenon. Additionally, three categories (skin changes, scalp/hair changes, and general reactions) were found to be causal conditions, and five paradigms (clothing behavior, skin care behavior, makeup behavior, scalp/hair-care behavior, and shopping behavior) were found to be action/interaction strategies. Last, selective coding integrated fragmented qualitative data through open coding and axial coding in order to derive explanatory narratives. A comprehensive examination of the appearance management behaviors of breast cancer patients suffering from extreme stress due to physical/psychological changes enables this study to provide a foundation for related studies to be activated in the clothing and textiles discipline.

• Journal of Trauma and Injury
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• 제33권1호
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• pp.48-52
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• 2020

Composite skull defects in patients with severe head injuries are very challenging to manage. The dilemma when deciding whether to perform a definitive reconstruction is how long to wait for physiological recovery before an intervention complicates the situation. The inability of such patients to tolerate prolonged anesthetic exposure is a driving factor for performing the minimal intervention necessary to facilitate recovery. Herein, we present a case involving the successful immediate reconstructive treatment of a severely head-injured adolescent with a composite scalp defect secondary to trauma. A 14-year-old boy sustained a severe head injury from a motor vehicle accident with a composite scalp defect in the right fronto-parietal region. The frontal lobe was exposed, and the right eye was crushed and devitalized. The patient was deeply unconscious for 3 days, without any significant improvements before reconstructive surgery was proposed due to fear of possible meningitis resulting from the exposure of brain structures. We successfully managed the patient with a fronto-parieto-occipital flap, after which the patient promptly recovered consciousness.

• 융합정보논문지
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• 제10권12호
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• pp.208-215
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• 2020

본 연구는 SUKI를 활용하여 두피의 중금속 감소에 대해 미치는 영향에 대해 알아보았다. 연구대상자는 총 26명이었으며 실험군과 대조군 각각 13명이었다. SUKI 도구를 활용한 두피 중금속 배출에 대한 중재를 8주간 주 2회씩 실시하였고, 결과는 다음과 같다. 총 각각 8 종목의 실험군과 대조군의 비교에서 실험군에서 유의한 차이가 있었다. 실험군의 중금속인 Hg, Pb, Al, Cd, As, Ba, Ur, Cs 중에서 6가지 항목의 Hg, Al, Cd, As, Ba, Ur과 같은 중금속들에서 통계적으로 유의한 감소(p<.05)를 보여주었으며, Pb, Cs 는 유의하지 않았다. 그리고 해당 유해중금속 중에서 Al, Ba, Hg가 가장 큰 차이의 감소율을 나타냈다. 따라서 SUKI 도구의 중재가 일부 중금속 배출에 영향을 줄 수 있다는 것을 시사한다(p<.05). 결론적으로 향후 지속적인 연구를 통해 두피의 중금속 배출을 위한 기초자료로 활용될 수 있을 것으로 사료된다.