• 제목/요약/키워드: surgical anatomy

검색결과 323건 처리시간 0.027초

성대 주입술 (Office Based Injection Laryngoplasty)

  • 이노희;진성민
    • 대한후두음성언어의학회지
    • /
    • 제20권1호
    • /
    • pp.17-20
    • /
    • 2009
  • Office based injection laryngoplasty for voice and swallow disorders is increasing steadily. In recent years, the application of injection laryngoplasty is extended to inject medicine, such as cidofovir or botox. The reason why office based injection laryngoplasty is increasing in popularity is several potential advantages when compared with other procedures. It can avoid surgical scar and is easily performed with local anesthesia. However, injection can be performed in a variety of settings, depending on several factors, including the goal of the procedure, patient comfort and anatomy, and physician skill. In this article, we describe indication of injection laryngoplasty and discuss about various techniques for procedure.

  • PDF

하지정맥류 수술 시 발견된 난원와에서의 대퇴동맥-대퇴정맥 전이 - 3예 보고 - (Transposition of Femoral Artery and Vein in Fossa Ovalis Encountered during Varicose Vein Surgery - 3 cases report -)

  • 김성완;김덕실
    • Journal of Chest Surgery
    • /
    • 제40권3호
    • /
    • pp.236-239
    • /
    • 2007
  • 복재-대퇴 접합부 박리 시 외음부동맥과 대복재정맥 분지의 해부학적인 변이는 자주 발견되나 대퇴동맥과 대퇴정맥의 위치 전이는 매우 드문 것으로 알려져 있다. 하지정맥류 수술 시 이러한 해부학적 변이를 염두에 둔다면 수술 시 발생되는 문제점들을 최소화할 수 있을 것으로 생각한다.

족저근막염에 대한 임상적 고찰 (A Clinical study on plantar fasciitis)

  • 정병옥
    • 대한정형도수물리치료학회지
    • /
    • 제7권2호
    • /
    • pp.57-64
    • /
    • 2001
  • Plantar fasciitis is a common pathological condition of the foot and often be a challenge for clinicans to successfully treat. The purpose of this article is to present and discuss selected literature on the function and anatomy, causes, symptoms and clinical treating methods of plantar fasciitis. A majority of patients with plantar fasciitis present with either a pronated or a cave foot. Pain is usually localized to the plantar medial heel at the attachment of the plantar fascia to the calcaneus. Surgical and nonsurgical techniques have been used in the treatment of plantar fasciitis. Nonsurgical management for the treatment of the symptoms and discomfort associated with plantar fasciitis can be classified into brod categories: reducing pain and inflammation. reducing tissue stress to a tolerable level, and restoring muscle strength and flexibility of involved tissue.

  • PDF

Brachial Plexus Injury as a Complication after Nerve Block or Vessel Puncture

  • Kim, Hyun Jung;Park, Sang Hyun;Shin, Hye Young;Choi, Yun Suk
    • The Korean Journal of Pain
    • /
    • 제27권3호
    • /
    • pp.210-218
    • /
    • 2014
  • Brachial plexus injury is a potential complication of a brachial plexus block or vessel puncture. It results from direct needle trauma, neurotoxicity of injection agents and hematoma formation. The neurological presentation may range from minor transient pain to severe sensory disturbance or motor loss with poor recovery. The management includes conservative treatment and surgical exploration. Especially if a hematoma forms, it should be removed promptly. Comprehensive knowledge of anatomy and adept skills are crucial to avoid nerve injuries. Whenever possible, the patient should not be heavily sedated and should be encouraged to immediately inform the doctor of any experience of numbness/paresthesia during the nerve block or vessel puncture.

Oral and Oropharyngeal Reconstruction with a Free Flap

  • Jeong, Woo Shik;Oh, Tae Suk
    • 대한두개안면성형외과학회지
    • /
    • 제17권2호
    • /
    • pp.45-50
    • /
    • 2016
  • Extensive surgical resection of the aerodigestive track can result in a large and complex defect of the oropharynx, which represents a significant reconstructive challenge for the plastic surgery. Development of microsurgical techniques has allowed for free flap reconstruction of oropharyngeal defects, with superior outcomes as well as decreases in postoperative complications. The reconstructive goals for oral and oropharyngeal defects are to restore the anatomy, to maintain continuity of the intraoral surface and oropharynx, to protect vital structures such as carotid arteries, to cover exposed portions of internal organs in preparation for adjuvant radiation, and to preserve complex functions of the oral cavity and oropharynx. Oral and oropharyngeal cancers should be treated with consideration of functional recovery. Multidisciplinary treatment strategies are necessary for maximizing disease control and preserving the natural form and function of the oropharynx.

Revisiting radial forearm free flap for successful venous drainage

  • Cha, Yong Hoon;Nam, Woong;Cha, In-Ho;Kim, Hyung Jun
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • 제39권
    • /
    • pp.14.1-14.4
    • /
    • 2017
  • Tissue defect reconstruction using radial forearm free flap (RFFF) is a common surgical technique whose success or failure is mainly dependent on venous drainage. RFFF has two major venous outflow systems, superficial and deep vein. Drainage methods include combining both systems or using one alone. This review aims to recapitulate the vascular anatomy and network of RFFF as well as shed light on deep vein as a reliable venous drainage system. We also discuss basic evidence for and advantages of single microanastomosis with coalesced vein to overcome technical difficulties associated with the deep vein system.

Clinical Application of Three-Dimensional Reconstruction in Shoulder Surgeries

  • Kim, Sung-Hwan;Ha, Seung-Joo
    • Journal of International Society for Simulation Surgery
    • /
    • 제1권2호
    • /
    • pp.67-70
    • /
    • 2014
  • 3-D medical image reconstruction technique using computer simulation technology has been used in the knowledge of the anatomical features and the biomechanical characteristics with the advancement of computer hardware and software. Especially, the use of 3-D image reconstruction technique in orthopaedics demonstrates that this technique is useful to improve surgical technique as well as to help inform the knowledge of shoulder joint anatomy. The purpose of this article is to introduce the utilization of 3-D image technology in shoulder surgeries.

Treatment of Complete Persistent Sciatic Artery with Distal Thromboembolism by Thromboembolectomy Only

  • Choi, Yun Kyung;Ahn, Jae Ho;Kim, Kwan Chang;Won, Tae Hee
    • Journal of Chest Surgery
    • /
    • 제45권5호
    • /
    • pp.342-344
    • /
    • 2012
  • A persistent sciatic artery (PSA) is very rare congenital vascular anomaly which is present in 0.025% to 0.04% of the population by an angiographic study. A PSA is usually combined with aneurismal disease or thromboembolic events because of its arteriosclerosis and vessel wall degeneration. The treatments of symptomatic PSA are comprised of exclusion of PSA from circulation and bypass surgery for the lower limb. However, surgical treatment should be tailored to its anatomy and presentation. We report a successful treatment of PSA with distal thromboembolism by thromboembolectomy without bypass surgery.

Aortic Root Reimplantation in a Patient Who Underwent an Arterial Switch Operation

  • Kwon, Young Kern;Kang, Seung Ri;Park, Sung Jun;Kim, Wan Kee;Kim, Joon Bum
    • Journal of Chest Surgery
    • /
    • 제51권6호
    • /
    • pp.395-398
    • /
    • 2018
  • Neo-aortic insufficiency associated with root enlargement following an arterial switch operation is a serious late complication. To achieve successful surgical correction of this condition, multiple factors should be considered, including the individual patient's anatomy, the challenging nature of the redo procedure, and the patient's young age. However, limited publications have described the use of valve-sparing techniques for the treatment of neo-aortic insufficiency associated with root enlargement following an arterial switch operation. Herein, we report our recent experience of a valve-sparing aortic root procedure with ascending aorta and hemiarch replacement despite the presence of a discrepancy in leaflet size and nearby severe adhesions.

Focal Spinal Nondisjunction in Primary Neurulation : Limited Dorsal Myeloschisis and Congenital Spinal Dermal Sinus Tract

  • Wong, Sui-To;Pang, Dachling
    • Journal of Korean Neurosurgical Society
    • /
    • 제64권2호
    • /
    • pp.151-188
    • /
    • 2021
  • Spinal dysraphic lesions due to focal nondisjunction in primary neurulation are commonly encountered in paediatric neurosurgery, but the "fog-of-war" on these conditions was only gradually dispersed in the past 10 years by the works of the groups led by the senior author and Prof. Kyu-Chang Wang. It is now clear that limited dorsal myeloschisis and congenital spinal dermal sinus tract are conditions at the two ends of a spectrum; and mixed lesions of them with various configurations exist. This review article summarizes the current understanding of these conditions' embryogenetic mechanisms, pathological anatomy and clinical manifestations, and their management strategy and surgical techniques.