• Title/Summary/Keyword: surgery method

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Management of Gestational Gigantomastia with Goldilocks Procedure after Mastectomy: A Case Report and Review of Literature

  • Ho Yoon Jeong;Taewoo Kang;Heeseung Park;Kyoung Eun Kim;Su Bong Nam;Ju Young Go;Seong Hwan Bae
    • Archives of Plastic Surgery
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    • v.51 no.1
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    • pp.62-66
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    • 2024
  • Gestational gigantomastia is characterized by the rapid growth of breasts during pregnancy. The treatment method of gestational gigantomastia is unclear; if the medical treatment is ineffective, surgery is considered. However, sufficient research on which method is best to perform breast reconstruction for the gestational gigantomastia patient has not yet been conducted. Our patient was young and had aesthetic needs; thus, we did not recommend modified radical mastectomy. However, it was difficult for the patient to consider active reconstruction using an implant or autologous tissue because of the expected complications and economic problems. The patient had a thin body shape and very large breasts compared with the trunk. Therefore, breast volume was not significantly required after reconstruction. Additionally, we expected that a considerable portion of skin would remain after mastectomy as a tubular-shaped breast. It was expected that the Goldilocks technique would be sufficient to meet the patient's volume needs. Therefore, we proceeded with total mastectomy and reconstruction using the Goldilocks procedure. No complications were recorded after the operation; most of the patient's discomfort was resolved, and the shape and size of the breasts were satisfactory.

Endovascular Placement of Self-Expandable Stent-Graft for the Treatment of Aortic Aneurysms -2 cases- (자가팽창성 Stent-graft의 경관적 설치술을 이용한 대동맥류의 치료 -2 예 보고-)

  • 신현우;이재성
    • Journal of Chest Surgery
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    • v.33 no.1
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    • pp.99-102
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    • 2000
  • The usual treatment for aortic aneurysms is surgical replacement with a prosthetic graft; however the associated morbidity and mortality rates must be considered. Endovascular placement of self-expandable stent-graft is a safe noninvasive treatment that can be an alternative to the surgical repair, the postoperative course of the 2 cases of thoracoabdominal aortic aneurysms was uneventful and no complication has been associated with the stent-graft during the 17 months and 5 months follow-up studies,.

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Subxiphois Approach for The Repair of Atrial Septal Defects -A cases report- (검상돌기하절개에 의한 심방중격결손증의 교정 -2례보고-)

  • 오상기
    • Journal of Chest Surgery
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    • v.33 no.2
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    • pp.183-185
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    • 2000
  • With the marked decrease in operative mortality in simple heart diseases there have been several reports on the minimally invasive and cosmetic techniques including submammary incision right parasternal approach right anterolateral thoracotomy partial sternotomy and subxiphoid approach. We report here subxiphoid approach without sternotomy for the repair of atrial septal defect as the procedure that has less invasive technique and more cosmetic effect.

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Condylar repositioning using centric relation bite in bimaxillary surgery

  • Lee, Chang-Youn;Jang, Chang-Su;Kim, Ju-Won;Kim, Jwa-Young;Yang, Byoung-Eun
    • The korean journal of orthodontics
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    • v.43 no.2
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    • pp.74-82
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    • 2013
  • Objective: The purpose of this study was to evaluate displacement of the mandibular condyle after orthognathic surgery using a condylar-repositioning device. Methods: The patient group comprised 20 adults who underwent bimaxillary surgery between August 2008 and July 2011. The degree of condylar displacement was measured by pre- and postoperative tomographic analysis using centric relation bite and a wire during surgery. A sur vey assessing temporomandibular joint (TMJ) sound, pain, and locking was performed. The 20 tomographs and surveys were analyzed using the Wilcoxon signed-rank test and McNemar's test, respectively. Results: No significant changes were observed in the anterior, superior, or posterior joint space of the TMJ (p > 0.05). In addition, no significant change was observed in TMJ sound (p > 0.05). However, TMJ pain and locking both decreased significantly after surgery (p < 0.05). Conclusions: Due to its simplicity, this method may be fea sible and useful for repositioning condyles.

A Longitudinal Study on the Mostly Visited Plastic Surgery Web Sites in 2006~2011 in Korea (다(多) 방문 성형외과 웹 사이트에 대한 종단적 연구 : 2006~2011년)

  • Cho, Yeong Bin;Kim, Chae-Bogk
    • Journal of Information Technology Applications and Management
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    • v.20 no.3_spc
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    • pp.187-199
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    • 2013
  • South Korea became the country where there is the most plastic surgery per person in the world. Plastic surgery already has been the core part in the beauty industry. Therefore, in order to understand the beauty industry, we studied the characteristics of the plastic surgery's websites. From 2006 to 2011, we researched total number of 407 plastic surgery websites including, 166 the most visited plastic surgery websites, 241 comparing of bench mark websites. The collected data was analyzed by using the method of Multiple Discriminant Analysis(MDA). As a result of the research, firstly, the most visited plastic surgery websites were not a contents provider but a community website, secondly, well organized and actively adaptable of the rapid changes from environment. In addition, there were also competitiveness to become the most visited plastic surgery website and by the possibilities, the relatively large size of plastic surgery had high probability to own the most visited website. This research paper is looking forward to be used as the understanding the e-business of the plastic surgery.

Application of 3D Simulation Surgery to Orthognathic Aurgery : A Preliminary Case Study

  • Lim, Jung-Hwan;Kim, Hyun-Young;Jung, Young-Soo;Jung, Hwi-Dong
    • Journal of International Society for Simulation Surgery
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    • v.1 no.1
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    • pp.23-26
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    • 2014
  • The aim of this report is to evaluate accuracy using3D surgical simulationand digitally printedwafer in orthognathic surgery. 22-year-old female was diagnosed with mandibular prognathism and apertognathia based on 3D diagnosis using CT. Digital dentition images were taken by laser scanning from dental cast, and each STL images were integrated into one virtual skull using simulation software. Digitalized intermediate wafer was manufactured using CAD/CAM software and 3D printer, and used to move maxillary segment in real patient. Constructed virtual skull from 1 month postoperative CT scan was superimposedinto simulated virtual model to reveal accuracy. Almost maxillo-mandibular landmarks were placed in simulated position within 1 mm differences except right coronoid process. Thus 3D diagnosis, surgical simulation, and digitalized wafer could be useful method to orthognathic surgery in terms of accuracy.

The 50 Most Cited Papers in Craniofacial Anomalies and Craniofacial Surgery

  • Mahon, Nicola A;Joyce, Cormac W;Thomas, Sangeetha;Concannon, Elizabeth;Murray, Dylan
    • Archives of Plastic Surgery
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    • v.42 no.5
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    • pp.559-566
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    • 2015
  • Background Citation analysis is a recognized scientometric method of classifying cited articles according to the frequency of which they have been referenced. The total number of citations an article receives is considered to reflect it's significance among it's peers. Methods Until now, a bibliometric analysis has never been performed in the specialty of craniofacial anomalies and craniofacial surgery. This citation analysis generates an extensive list of the 50 most influential papers in this developing field. Journals specializing in craniofacial surgery, maxillofacial surgery, plastic surgery, neurosurgery, genetics and pediatrics were searched to demonstrate which articles have cultivated the specialty within the past 55 years. Results The results show an intriguing compilation of papers which outline the fundamental knowledge of craniofacial anomalies and the developments of surgical techniques to manage these patients. Conclusions This citation analysis provides a summation of the current most popular trends in craniofacial literature. These esteemed papers aid to direct our decision making today within this specialty.

Video-Assisted Thoracic Surgery Core Needle Biopsy for Pulmonary Nodules in Patients with Impaired Lung Function: Is It Feasible and Safe?

  • Yong-Seong Lee;Jong Duk Kim;Hyun-Oh Park;Chung-Eun Lee;In-Seok Jang;Jun-Young Choi
    • Journal of Chest Surgery
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    • v.56 no.1
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    • pp.1-5
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    • 2023
  • Background: The number of patients with incidentally identified pulmonary nodules is increasing. This study attempted to confirm the usefulness and safety of video-assisted thoracic surgery (VATS) core needle biopsy of pulmonary nodules. Methods: Data from 18 patients diagnosed with pulmonary nodules who underwent VATS core need biopsy were retrospectively reviewed. Results: Of the 18 patients, 15 had malignancies (primary lung cancer, n=14; metastatic lung cancer, n=1), and 3 had benign nodules. Mortality and pleural metastasis did not occur during the follow-up period. Conclusion: In patients with solitary pulmonary nodules that require tissue confirmation, computed tomography-guided percutaneous cutting needle biopsy or diagnostic pulmonary resection sometimes may not be feasible choices due to the location of the solitary pulmonary nodule or the patient's impaired pulmonary function, VATS core needle biopsy may be performed in these patients as an alternative method.

Clinical analysis of factors affecting the failure of free flaps used in head and neck reconstruction

  • Beom Jin Lim;Jin Yong Shin;Si-Gyun Roh;Nae-Ho Lee;Yoon Kyu Chung
    • Archives of Craniofacial Surgery
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    • v.24 no.4
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    • pp.159-166
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    • 2023
  • Background: Free tissue transfer is the preferred method of reconstructing head and neck defects, with a success rate of approximately 95%. Although flap failure is uncommon, it has a major impact on patient morbidity and diminishes quality of life, making it is important to investigate the causes of flap failure. Methods: This retrospective chart review analyzed patients who underwent free tissue transfer during head and neck reconstruction at a single institution between 2016 and 2021. Results: During the study period, 58 patients underwent 60 free flap procedures. Revision surgery was needed in 14 patients. Subsequent free flap surgery was performed in one patient, and three free flaps (5%) could not be salvaged. Cardiovascular disease was significantly associated with flap failure, and venous congestion (thrombosis) was the most common reason for revision surgery. Conclusion: Cardiovascular disease clearly emerged as a factor related to the failure of free flap surgery, and this issue warrants particular attention in patients for whom free tissue transfer is planned.

Surgical Treatment of Acromioclavicular Dislocation -Comparison of modified Weaver-Dunn method and modified Phemister method- (견봉 쇄골 관절 탈구의 수술적 치료 - Weaver-Dunn 변법과 Phemister 변법의 비교 -)

  • Bae, Ki-Cheol;Sohn, Sung-Won;Cho, Chul-Hyun;Jung, Su-Won
    • Clinics in Shoulder and Elbow
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    • v.9 no.2
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    • pp.155-161
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    • 2006
  • Purpose: To compare the clinical and radiological results between the modified Weaver-Dunn method and modified Phemister method in the acute acromioclavicular joint dislocation. Materials and Methods: We reviewed 19 patients who were treated for the acute acromioclavicular joint dislocation from 2001 to 2002. 10 patients were operated with the modified Weaver-Dunn method (group A) and the others with modified Phemister method (group B). The classification of preoperative injury was analyzed by using the Rockwood system, the clinical assessment of preoperative and postoperative by the modified UCLA rating scale and the radiological assessment by simple x-ray. Results: With the modified UCLA rating scale, group A showed 5 cases(50%) of excellent and 5 cases(50%) of good, group B showed 4 cases(44.4%) of excellent and 5 cases(55.6%) of good. In the radiologic findings of the coracoclavicular distances, group A was 16.2 mm at preoperative, 8.8 mm at postoperative, 9.7 mm at last follow-up and group B was 12.9 mm, 6.7 mm and 7.9 mm respectively. Postoperatively there were no complications such as surgical wound infection and failure of Kirschner wires. Conclusion: Both the modified Weaver-Dunn and modified Phemister methods have shown satisfied clinical and radiologic results, and there was no difference in these result between two groups (p>0.05).