• Title/Summary/Keyword: scar

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Scar formation and revision after the removal of orthodontic miniscrews

  • Choi, Yoon Jeong;Lee, Dong-Won;Kim, Kyung-Ho;Chung, Chooryung J.
    • The korean journal of orthodontics
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    • v.45 no.3
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    • pp.146-150
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    • 2015
  • Many clinicians expect complete healing after the removal of temporary anchorage devices, but clinical examination may reveal scar-like tissue. This report presents the typical features of scarring detected after the removal of miniscrews, and the clinical outcome of scar revision along with its pathologic features.

Reconstruction of Chronic Extensor Hallucis Longus Tendon Rupture Using Interposed Scar Tissue: A Case Report (만성 장무지 신전건의 파열에 대한 파열단 사이의 반흔조직을 이용한 재건술: 증례 보고)

  • Lee, Seung-Hun;Lee, Keun-Bae
    • Journal of Korean Foot and Ankle Society
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    • v.18 no.4
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    • pp.208-211
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    • 2014
  • Chronic extensor hallucis longus tendon ruptures are very rare, and may lead to hallux dysfunction. To the best of our knowledge, reconstruction of a chronic extensor hallucis longus rupture using interposed scar tissue has not been previously reported. Our results show that direct repair method using interposed scar tissue for chronic extensor hallucis longus rupture can successfully restore function of the hallux and provide good satisfaction in carefully selected patients.

Treatment of an Atrophic Scar with Fractional Carbon Dioxide Laser-assisted Poly-L-lactic Acid Delivery

  • Kim, Wan Jin;Jung, Ha Rin;Lee, Sang Ju;Cho, Han Kyoung
    • Medical Lasers
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    • v.10 no.3
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    • pp.181-184
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    • 2021
  • Scars can cause great psychological stress among patients. Currently, there are numerous topical agents, laser and surgical treatments available for skin rejuvenation and scar minimization. Laser-assisted drug delivery (LADD) is a treatment method that increases drug delivery by stimulating the skin physically and chemically to enhance the penetration of topical agents. This is one of the areas of great interest in the treatment of various skin diseases in addition to its use for cosmetic purposes. In particular, LADD is relatively non-invasive and has advantages in terms of accessibility and stability. Poly-L-lactic acid (PLLA) is a collagen stimulator known to gradually restore skin volume by inducing inflammation and fibroplasia. Herein, we report a case of treatment of an atrophic scar with fractional carbon dioxide laser-assisted PLLA delivery.

EFFECT OF SURFACE ROUGHNESS OF MATING SURFACE AND TRANSFER LAYER ON FRICTION BETWEEN a-CNx AND $Si_3N_4$ IN NITROGEN

  • Umehara, N.;Tokoroyama, T.;Tomita, H.;Takenoshita, Y.
    • Proceedings of the Korean Society of Tribologists and Lubrication Engineers Conference
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    • 2002.10b
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    • pp.155-156
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    • 2002
  • During the sliding between a-CNx and $Si_3N_4$, applying nitrogen as environmental gas provided very low friction as the level of 0.01 in friction coefficient. In order to know the effect of the running-in process on the reduction of the friction, the effect of surface roughness of mating surface on friction was investigated. It was shown that smooth surface in wear scar of ball provided low friction coefficient. Friction coefficient after running-in was proportional to the Ry value of wear scar of ball. Also smooth thin transferred layer was observed on the wear scar of balls with an AFM after sliding test. Those results showed the smoothing of wear scar of ball, the generating of the transferred layer from CNx was necessary for low friction.

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Comparison of the Effectiveness of Ablative and Non-Ablative Fractional Laser Treatments for Early Stage Thyroidectomy Scars

  • Jang, Jin-Uk;Kim, Soo-Young;Yoon, Eul-Sik;Kim, Woo-Kyung;Park, Seung-Ha;Lee, Byung-Il;Kim, Deok-Woo
    • Archives of Plastic Surgery
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    • v.43 no.6
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    • pp.575-581
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    • 2016
  • Background Open thyroidectomy is conventionally performed at the anterior side of neck, which is a body part with a comparatively great degree of open exposure; due to this, postoperative scarring may cause distress in patients. We aimed to compare the effects of ablative and nonablative fractional laser treatments on thyroidectomy scars. We examined medical records in a retrospective manner and analyzed scars based on their digital images by using the modified Manchester Scar Scale (mMSS). Methods Between February 2012 and May 2013, 55 patients with thyroidectomy scars were treated with ablative (34 patients) or nonablative (21 patients) fractional laser. Each patient underwent 4 laser treatment sessions in 3-4 week intervals, 1-2 months postoperatively. Scar improvement was assessed using patient images and the mMSS scale. Results The mean decrease in scar score was 3.91 and 3.47 in the ablative and nonablative groups, respectively; the reduction between 2 groups did not exhibit any significant difference (P=0.16). We used the scale once again to individually evaluate scar attributes. The nonablative group accounted for a considerably higher color score value (P=0.03); the ablative group accounted for a considerably higher contour score value (P<0.01). Patient satisfaction was high and no complications occurred. Conclusions Both types of fractional laser treatments can be used successfully for thyroidectomy scar treatment with minimal complications; however, results indicate that higher effectiveness may be obtained from the use of ablative and nonablative lasers for hypertrophic scars and early erythematous scars, respectively. Therefore, the appropriate laser for scar treatment should be selected according to its specific characteristics.

The efficacy of dermofat grafts from the groin for correction of acquired facial deformities

  • Choi, Min Hyub;He, Wei Jie;Son, Kyung Min;Choi, Woo Young;Cheon, Ji Seon
    • Archives of Craniofacial Surgery
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    • v.21 no.2
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    • pp.92-98
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    • 2020
  • Background: Posttraumatic acquired facial deformities require surgical treatment, with options including scar revision, fat grafts, implant insertion, and flap coverage. However, each technique has specific advantages and disadvantages. Methods: From 2016 to 2018, 13 patients (eight with scar contracture and five with a depressed scar) were treated using dermofat grafts from the groin. The harvested dermofat was then inserted into the undermined dead space after the contracture was released, and a bolster suture was done for fixation considering the patient's contour and asymmetry. A modified version of the Vancouver Scar Scale and satisfaction survey were used to compare deformity improvements before and after surgery. Results: In most cases, effective volume correction and an aesthetically satisfactory contour were maintained well after dermofat grafting, without any major complications. In some cases, however, lipolysis proceeded rapidly when inflammation and infection were not completely eliminated. A significant difference was found in the modified Vancouver Scar Scale before and after surgery, with a p-value of 0.001. The average score on the satisfaction survey was 17.07 out of 20 points. Conclusion: A dermofat graft with the groin as the donor site can be considered as an effective surgical option that is the simplest and most cost-effective method for the treatment of acquired facial deformities with scar contracture.

A Case of the Treatment of Surgical Scar with 595nm Pulsed Dye Laser (595nm Pulsed Dye Laser를 이용한 수술 흉터 치료 1예)

  • Park, Ki-Nam;Yoo, Seung-Jae;Chung, Man-Ki;Son, Young-Ik;Chun, Hyung-Ki;Kim, Won-Seok;Jeong, Han-Sin
    • Korean Journal of Head & Neck Oncology
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    • v.22 no.2
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    • pp.175-178
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    • 2006
  • Pulsed dye laser(PDL) is originally designed for the treatment of vascular lesions but also effective in improving the quality and appearance of surgical scars. Recently, 595nm Pulsed dye laser(V-beam laser), which has the advantage of deeper tissue penetration and lesser amount of purpura, is spotlighted as a new option for the treatment of surgical scar. The authors treated a surgical scar of a female patient with V-beam laser for 3 times between 4 and 12 weeks after surgery. Subjective satisfaction was improved with visual analogue scale (VAS) and objective improvements were found in parameters of vascularity, pliability and height with Vancouver Scar Scale(VSS). We report the effectiveness of V-beam laser in surgical scar of Asian patient and plan the prospective study with larger scale.

THE EFFECT OF DECORIN, $TGF-{\beta}$ ANTAGONIST, ON WOUND HEALING IN RABBITS (가토에서 $TGF-{\beta}$ 길항제인 Decorin이 창상치유에 미치는 영향)

  • Song, Sang-Hun;You, Jun-Young;Kim, Sun-Hun;Kim, Min-Suk;Yang, Byung-Eun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.27 no.4
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    • pp.301-307
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    • 2001
  • There have been many trials to decrease the scar formation followed by wound treatment. $TGF-{\beta}$ plays a important role on wound healing in adult. Therefore the repression of $TGF-{\beta}$ expression will be helpful to decrease scar formation. Decorin is known to competitively inhibit $TGF-{\beta}$ expression. Decorin were subcutaneously administered in surgical wounds in rabbits to investigate the preventing effect of scar formation for clinical application. Histologic findings of wound healing progresses is similar with control and experimental group at 2week. $2.5{\mu}g$ decorin of administrated group was similar to those of control group at 4 and 8week. In wound healing process $10{\mu}g$ decorin of administrated groupsat showed that thickness of immature collagen fibers(scar) was decreased as compared with control group at 4, 8 weeks. $20{\mu}g$ decorin of administrated group showed similar histologic features to $10{\mu}g$ administrated group. The wounds of 8week experimental group(10, $20{\mu}g$) were completely recovered to the normal surrounding skin tissue including sweat gland and hair follicle. These results suggested that decorin can be of help to the prevention of local scar formation.

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Development of RAPD-SCAR and RAPD-generated PCRRFLP Markers for Identification of Four Anguilla eel Species

  • Kim, Woo-Jin;Kong, Hee-Jeong;Kim, Young-Ok;Nam, Bo-Hye;Kim, Kyung-Kil
    • Animal cells and systems
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    • v.13 no.2
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    • pp.179-186
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    • 2009
  • Discriminating between eel species of the genus Anguilla using morphological characteristics can be problematic, particularly in the glass eel and elver stages. In this study, sequence-characterized amplified region (SCAR) and polymerase chain reaction (PCR)-restriction fragment length polymorphism (RFLP) markers were developed for the identification of Anguilla japoniea, Anguilla btcoior bicaor. Anguilla rostrata, and Anguilla anguilla. Random amplified polymorphic DNA (RAPD) fragments from A. japoniea (362 bp), A. bicolor bicctor (375 bp), A. rostrata (375 bp), and A. anguilla (375 bp) were isolated, sequenced, and converted to SCAR markers. The principal difference between the SCARs of A. japoniea and the three other species is the absence of a 13 bp deletion in the A. japoniea SCAR. Specific PCR primers amplified a 290 bp fragment for A. japoniea and 303 bp fragments for A. bicolor bicoior. A. rostrata, and A. anguilla. Restriction enzyme digestion with Taql, Mael, and Tru9l yielded PCR-RFLP patterns with differences that, when analyzed together, are sufficient for distinguishing each of the four eel species. In addition, RAPD fragments for A. japoniea (577 bp), A. bicoior bicoor (540 bp), A. rostrata (540 bp), and A. anguilla (509 bp) were also isolated and sequenced. The A. japoniea, A. bicoior blcoior. A. rostrata, and A. anguilla PCR products contain ten, nine, nine, and eight tandem repeats, respectively, of a 37 bp sequence. These results suggest that SCAR and PCR-RFLP markers and repeat numbers for specific loci will be useful for the identification of these four Anguilla eel species.

THE CHANGE OF EXTRACELLUAR ALKALINE PHOSPHATASE EXPRESSION IN HYPERTROPHIC SCAR IN RABBITS (가토의 비후성 반흔에서 세포외 알칼리성 인산효소 발현의 변화)

  • Cho, Young-Ki;Ryu, Sun-Yul
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.21 no.1
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    • pp.23-28
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    • 1999
  • ALP (alkaline phosphatase) is a membrane-bound metalloenzyme that is expressed in osteoblasts, hepatocytes, lung, kidney, endothelial cells, leukocytes and other cells. Normal soft tissue and skin show little tissue nonspecific ALP (TN-AP), However, scar tissue contains high levels of TN-AP activity, and in fact, TN-AP is expressed intensely in regenerating connective tissue after the wounding. The purpose of this study was to evaluate the change of ALP expression in hypertrophic scar model in rabbits and the effect of triamcinonolone on ALP expression. Adult male New Zealand white rabbits, weighing about 2.5 kg, were used. After full-thickeness wounding over the ventral surface of each ear, either saline (control ear) or triamcinolone (contralateral ear) was injected on day 16. Rabbits were sacrificed on day 3, 7, 15, 17, 19, 23, and the specimens were retrieved en bloc. Histologic and immunohistochemical examinations of tissue samples were done. The results obtained were as follows: On day 3, ALP reaction was observed on fibroblasts and inflammatory cells in wound margin. On day 7, ALP reaction was more intense than day p in capillaries, inflammtory cells, and fibroblasts behind newly formed epithelium. On day 15, ALP reaction was lessened in both groups and appeared mainly in subepidermal capillary network, Since day 17, ALP reaction was lessened in both groups and weaker in triamcinolone-injected group than in saline-injected group. These results suggest that ALP reaction isn't increased in triamcinolone-injected scar and triamcinolone reduces scar not by increasing TN-AP expression but other mechanism.

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