• The Journal of Korean Society for Radiation Therapy
• /
• v.18 no.2
• /
• pp.113-117
• /
• 2006

Purpose: Post-mastectomy radiotherapy (PMR) is known to decrease loco-regional recurrence. Adequate skin and dermal dose are achieved by adding bolus. The more difficult clinical issue is determining the necessary number of bolus treatment, given the limits of normal skin tolerance. The aim of this study is to evaluate the necessary number of bolus treatment after PMR in patients with breast cancer. Materials and Methods: Four female breast cancer patients were included in the study. The median age was 53 years(range, $38{\sim}74$), tumor were left sided in 2 patients and right sided in 2patients. All patients were treated with postoperative radiotherapy after MRM. Radiotherapy was delivered to the chest wall (C.W) and supraclavicular lymph nodes (SCL) using 4 MV X-ray. The total dose was 50 Gy, in 2 Gy fractions (with 5 times a week). CT was peformed for treatment planning, treatment planning was peformed using $ADAC-Pinnacles^3$ (Phillips, USA) for all patients without and with bolus. Bolus treatment plans were generated using image tool (0.5 cm of thickness and 6 cm of width). Dose distribution was analyzed and the increased skin dose rate in the build-up region was computed and the skin dose using TLD-100 chips (Harshaw, USA) was measured. Results: No significant difference was found in dose distribution without and with bolus; C.W coverage was $95{\sim}100%$ of the prescribed dose in both. But, there was remarkable difference in the skin dose to the scar. The skin dose to the scar without and with bolus were $100{\sim}105%\;and\;50{\sim}75%$. The increased skin dose rates in the build-up region for Pt. 1, Pt. 2. Pt. 3 and Pt. 4 were 23.3%, 35.6%, 34.9%, and 41.7%. The results of measured skin dose using TLD-100 chips in the cases without and with bolus were 209.3 cGy and 161.1 cGy, 200 cGy and 150.2 cGy, 211.4 cGy and 160.5 cGy, 198.6 cGy and 155.5 cGy for Pt. 1, Pt. 2, Pt. 3, and Pt. 4. Conclusion: It was concludes through this analysis that the adequate number of bolus treatments is 50-60% of the treatment program. Further, clinical trial is needed to evaluate the benefit and toxicity associated with the use of bolus in PMR.

• 건강소식
• /
• v.30 no.3 s.328
• /
• pp.18-19
• /
• 2006

• The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
• /
• v.30 no.2
• /
• pp.146-154
• /
• 2017

Objectives: The purpose of this study was to evaluate the therapeutic efficacy of Sae-ssack(sprout) therapy on the face Chicken Pox scars. Methods: Sixteen patients had scars with varicella on the face were treated with Sae-ssack therapy. Sae-ssack therapy consists of a total of two treatments, a first-stage Sae-ssack acupuncture and a second-stage texture treatment(texture acupuncture and AMTS). The evaluation of the treatment effect was made by the medical staff who did not participate in the procedure, and the PGA(Physician's Global Assessment), SBSES(The Stony Brook Scar Evalustion Score) and patient satisfaction were used as the evaluation index. Results and Conclusions: According to the above indices, the Sae-ssack therapy was evaluated to be effective in the repair of atrophic scars caused by varicella. There were no visible or consistent side effects and patient satisfaction was also very high.

• Journal of Acupuncture Research
• /
• v.29 no.4
• /
• pp.81-91
• /
• 2012

Objectives : There are numerous methods in treating acne scar. On the contrary there are hardly any cases on treating acne scars through Korean medicine. By observing we compared how much acne scar was treated by scar regeneration acupuncture therapy and micro-needle therapy treatment through observing pre and post case photos, KAGS, KCADI and patient satisfaction. Results : By comparing pre and post procedure through acne scar grade criteria, total of 5 patients showed improvement and could see distinct change in skin comparing case photos. After comparing pre and post procedures, total of 5 patients showed improvements in figures of Korean acne index. 4 patients replied very satisfied and 1 replies satisfied on patient satisfaction survey. Conclusions : After observing patients satisfaction, and comparing case photos, acne scar grade criteria, korean acne index, it can be considered that scar regeneration acupuncture therapy and micro-needle therapy done in our clinic to be valid treatment.

• 방재와보험
• /
• s.108
• /
• pp.64-67
• /
• 2005

여름철에는 덥고 습한 날씨가 이어져 사람들은 최대한 신체를 노출시켜 시원함을 유지하고자 한다. 따라서 뜨거운 수증기나 국물에 데거나 다리미 등의 뜨거운 쇠붙이에 의해 접촉화상을 입는 경우가 흔하다. 이런 경우 심한 통증과 상처가 생기게 되는데, 대부분의 사람들은 당황하여 어떻게 대처해야 할지 몰라 우왕좌왕하기 마련이다. 일부의 사람들은 간장이나 된장, 알로에 등을 상처에 바르는 등 전근대적인 방법으로 상처를 치료하다가 상처를 키워서 병원에 가기도 하고, 심지어는 창상을 그대로 노출시켜 세균에 의한 감염이 발생되어 얕은 화상이 더욱 깊어져 치료만으로 나을 수 있는 상처를 피부이식술 등의 수술을 필요로 하게 되는 결과를 낳기도 한다. 또한 수술을 하는 정도는 아니더라도 화상흉터가 많이 남게 될 수도 있어 초기의 화상관리가 중요하다 하겠다. 과연 독자들은 화상상처에 어떻게 대처하는지? 초기에 상처를 어떻게 돌보는가에 따라 평생 화상흉터의 멍에를 지고 갈수 있다는 것을 알고 있는지? 이러한 많은 문제점들에 대한 관리적인 차원에서 일반인들이 어렵고 복잡하다고 생각할 수 있는 화상관리에 대해 이야기해 보고자 한다. 화상이 생겼을 때의 처치는 일반적인 열창 때의 처치와는 다른 점이 있다. 우선 열에 의해 피부가 손상을 받아 이를 식히는 과정이 필요하며 이 과정(찬물로의 창상세척)이 간과될 경우 이차적 점은 화상에 의한 상처는 손상된 피부로 인해 노출된 생살을 어떻게 세균감염으로부터 보호하느냐 하는 점이 문제가 되며 이를 예방하는 과정이 필요하다는 것이다.

• 건강소식
• /
• v.39 no.7
• /
• pp.16-17
• /
• 2015

여드름은 나이와 계절을 가리지 않고 발생하는 피부 최대의 적이다. 사계절 내내 스트레스를 불러오는 여드름의 치료에는 많은 방법이 있지만, 많은 사람들이 여드름 치료 방법을 찾을 뿐 단계에 따른 치료 방법을 찾지는 않는다. 여드름은 잘못 치료하게 되면 흉터가 남거나 오히려 피부트러블이 증기하게 되므로 단계별, 증상별로 치료를 달리하는 것이 중요하다.

• Archives of Plastic Surgery
• /
• v.33 no.6
• /
• pp.700-705
• /
• 2006

Purpose: For hypertrophic scars and keloids no universally effective treatment modality exists. Surgical revision, intralesional steroid injection, silicone gel sheeting, pressure, laser, and others have been used with variable success, but many treatments are associated with high recurrence rates. Although optimal treatment remains undefined, successful treatment can be obtained through a combined therapeutic approach. Methods: We used three therapeutic modalities in combination, which are intralesional injection of triamcinolone acetonide, silicone gel sheeting, and 585 nm flashlamp-pumped pulsed dye laser. Fifty-eight cases of hypertrophic or keloid scar were treated by combined therapeutic regimen for mean period of 18 months. The changes of thickness, color, and pliability of scars were evaluated with clinical photographs by grading scale. Results: As summing the grades and categorizing the result into three group, we obtained 28% good, 67% fair, and 5% poor results. There was a desirable improvement of scars with insignificant adverse effects. Conclusion: Combination of intralesional steroid injection, silicone gel sheeting, and pulsed dye laser can lead to successful treatment of hypertrophic scar and keloid.

• The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
• /
• v.26 no.4
• /
• pp.127-134
• /
• 2013

Objective : Acne is very common disease, it can leave permanent scars. However, there are few reports about it in oriental medicine academia. This study performed to evaluate the effect of reconstruction of skin scars and auto microneedle therapy system on acne scars. Methods : Six patients were treated by using reconstruction of skin scars and auto microneedle therapy system. We compared the degree of treatment of acne scars on pre and post case photos and Qualitative Global Acne Scarring Grading System(QGASC). Satisfaction degree were asked from the patients. Results & Conclusion : After comparing case photos and QGASC, observing patients satisfaction, it can be considered that reconstruction of skin scars and auto microneedle therapy system to be valid acne scars treatment.

• Journal of the Korean Society of Manufacturing Process Engineers
• /
• v.16 no.6
• /
• pp.95-100
• /
• 2017

Recently, biomedical-grade texture material gauze has often been used to treat wounds. At this time, it is difficult to remove scratches and pushed gauze; if you remove it with force, the tissue may separate and bleeding may occur again. In this study, we studied a method to apply medical-grade silicone material. Similar to the research result that hypertrophic wounds reduce the thickness of scar marks. Through mini-pig experiments, we evaluated the effects on scar treatment. The test results showed that the silicone cover layer applied to the wound site had a sealing effect on the wound area, skin temperature, and histopathological examination. In conclusion, gel treatment utilizing a biocompatible substance had the effect of minimizing hypertrophic scars.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.16 no.10
• /
• pp.6985-6991
• /
• 2015

Purpose: Various new techniques in thyroid surgery have been developed to improve visualization and reduce risk of complications. New approaches for robotic endoscopic thyroidectomy help to prevent neck scarring and improve surgical ergonomics. The purpose of this study was to compare the efficacy and adventages of an axillo-breast approach (AB group) and an only-axillary approach (OA group) in robotic endoscopic thyroidectomy. Methods: Between November 2008 and July 2014, axillo-breast approach was performed in 128 patients and only-axillary approach was performed in 128 patients for robotic endoscopic thyroidectomy. We compared tumor characteristics, surgical outcomes, and postoperative complications between the two approaches. The homogeneity between two groups of general characteristics was analyzed by independent t-test, fisher's exact test, Chi-square test. Results: There were no differences in terms of tumor characteristics, extent of thyroidectomy, retrieved nodes, and postoperative complications between the two approaches. The patients in OA group can avoid breast scar. Conclusion: Our techniques of AB and OA approaches for robotic endoscopic thyroidectomy are safe, feasible, and cosmetically excellent procedures. Also the OA approach for robotic endoscopic thyroidectomy is an attractive surgical option for patients with thyroid tumor who want an avoid breast scar.