• Archives of Reconstructive Microsurgery
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• 제5권1호
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• pp.62-69
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• 1996

Lateral arm flap has been used for the reconstruction of the various defects in hand, head and neck region. This flap is highly dependable as a free flap because of its thin flap thickness, constant vascular anatomy and possibility of osteocutaneous flap and fascial flap. Recently, many authors tried extended approach for vascular pedicle and distal flap extension for bigger defects. In this study, we review previous articles and 14 cases used lateral arm flaps for coverage of the varying defect on head and neck, upper and lower extremities succesfully. In conclusion, lateral arm flap has constant anatomical structure and can overcome the disadvantages such as short pedicle length and limited flap size, then the range of its application can be very widened.

• Clinical and Experimental Pediatrics
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• 제57권7호
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• pp.297-303
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• 2014

Transcatheter closure of atrial septal defects has become a popular procedure. The availability of a preprocedural imaging study is crucial for a safe and successful closure. Both the anatomy and morphology of the defect should be precisely evaluated before the procedure. Three-dimensional (3D) echocardiography and cardiac computed tomography are helpful for understanding the morphology of a defect, which is important because different defect morphologies could variously impact the results. During the procedure, real-time 3D echocardiography can be used to guide an accurate closure. The safety and efficiency of transcatheter closures of atrial septal defects could be improved through the use of detailed imaging studies.

• Archives of Plastic Surgery
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• 제47권5호
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• pp.382-391
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• 2020

Facial palsy has a broad clinical presentation and the effects on psychosocial interaction and facial functions can be devastating. Pediatric facial palsy, in particular, introduces unique familial and technical considerations as anatomy, future growth potential, and patient participation influence treatment planning. Though some etiologies of pediatric facial palsy are self-limiting, congenital and long-standing facial palsies pose difficult challenges that require a combination of surgical, adjunctive, and rehabilitative techniques to achieve facial reanimation. Given the spectrum of ages and symptom severity, as well as the various surgical options available for facial palsy, a tailored approach needs to be developed for each child to restore facial balance and function. Here, we review the etiologies, workup, and treatment of pediatric facial palsy and present our novel algorithmic approach to treatment.

• The Korean Journal of Pain
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• 제11권1호
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• pp.134-137
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• 1998

The presence of an enlarged transverse process on one or both sides of the last lumbar vertebra is a common congenital anomaly of the lumbar vertebra. It is thought to be a genetic or developmental anatomical variant. The first reported assimilation of the fifth lumbar vertebra into the sacrum associated with low back pain was in 1917 by Bertolotti. However, clinical significance of lumbosacral transitional vertebra has not been fully considered due to lack of scientific investigations dealing with it. We experienced a case of symptomatic lumbosacral transitional vertebra during management of low back pain. Low back pain was relieved after infiltration of local anesthetics and steroid into the false joint of lumbosacral transitional vertebra. This result may possibly indicate a significant correlation between low back pain and lumbosacral transitional vertebra.

• 대한물리치료과학회지
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• 제22권1호
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• pp.37-42
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• 2015

Purpose : The purpose of this study is to introduce the necessity of introduction and to proposal the methods of introduce for animal physical therapy in Korea. Method : This study is a literature study with books, article and the information through every route for introduction of animal physical therapy in Korea. Results : Animal physical therapy should be introduced to Korea with global trend. For this, it should be need academic exchanges of veterinary and physiotherapy. And there is an urgent need for an educational framework and an institutional framework. And physiotherapist requires preparation and understanding of the animal anatomy. Conclusion : There is an urgent need for an animal physical therapy to welfare and medical benefit of Korean animal companion. The physiotherapist should be prepare educational framework, institutional framework and clinical strategy.

• Journal of Korean Neurosurgical Society
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• 제53권3호
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• pp.187-189
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• 2013

We report an unusual case of cerebral aneurysmal subarachnoid hemorrage (SAH) with Fabry's disease. A 42-year-old woman presented with aneurysmal SAH originated from a saccular aneurysm of the right posterior communicating artery. The patient was treated by an endovascular coil embolization of aneurysm. Postoperatively the patient recovered favorably without any neurological deficit. During her admission, the patient had a sign of proteinuria in urine analysis. The pathologic findings of kidney needle biopsy implied nephrosialidosis (mucolipidosis of lysosomal stroage disease), which is consistent with a Fabry's disease. It is uncommon that Fabry's disease is presented with aneurysmal SAH, especially in middle-aged patients, but could be a clinical concern. Further investigations are needed to reveal risk factors, vascular anatomy, and causative mechanisms of Fabry's disease with aneurysmal SAH.

• Journal of Korean Neurosurgical Society
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• 제29권1호
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• pp.72-77
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• 2000

The authors describe the experience with the interactive image-guided Zeiss SMN system, which has been applied to 20 patients with various intracranial lesions during one year. Preoperative radiologic evaluation was CT scan in 6 cases, MRI in 14 cases. In all except one case, average fiducial registration errors were less than 2mm. There was no statistical difference in registration error between CT and MR image. This system considered to be relatively stable with respect to soft and hardware. Also it was useful for the designing of the scalp incision and bone flap and assessing the extent of resection in tumors, especially in gliomas. Moreover, it was helpful to evaluate complex surgical anatomy in skull base surgery.

• 대한치과교정학회지
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• 제16권1호
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• pp.35-49
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• 1986

전치개교에 관한 원인과 여러가지 치료법의 장단점을 논의했고 전치개교본태를 객관적으로 이해하는데 강조했다. 진단의 주관적인 해석은 부정교합을 잘못 기술해서 위험한 결과를 흔히 유도하게 된다. 해부학, 생리학, 조직학과 교정기계요법의 역학에 관한 길은 지식을 가진다면 대부분 전치개교치료는 외과적중재 없이 높은 성공율과 안정을 기할 수 있다. 이러한 점에서 지난 20여년동안 임상적으로 정립된 Kim의 MEAW 시술을 설명했으며 전치개교치료증례들이 이 MEAW요법을 입증하는데 제시되었다.

• 대한심미치과학회지
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• 제11권2호
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• pp.9-13
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• 2002

In the last decade, the replacement of old PFM restorations has been a common dental procedure, especially on the anterior regions. Gingiva conditions in most re-treatment cases are not healthy with the old restorations due to ill-fitting margin, improper tooth reduction and poor oral hygiene. Practitioners must carefully evaluate and manage periabutmental gingiva for final restorations. The role of provisional restoration became a major clinical concern at this point. Well-fabricated provisional restorations with precise-fit margin and proper anatomy are critical for achieving good gingival health. Thus, the key of success in replacing old PFM crown depends on the proper tissue management by precise provisional restorations.

• 대한두개안면성형외과학회지
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• 제18권1호
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• pp.1-4
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• 2017

Frontal sinus outflow tract (FSOT) injury may occur in cases of frontal sinus fractures and nasoethmoid orbital fractures. Since the FSOT is lined with mucosa that is responsible for the path from the frontal sinus to the nasal cavity, an untreated injury may lead to complications such as mucocele formation or chronic frontal sinusitis. Therefore, evaluation of FSOT is of clinical significance, with FSOT being diagnosed mostly by computed tomography or intraoperative dye. Several options are available to surgeons when treating FSOT injury, and they need to be familiar with these options to take the proper treatment measures in order to follow the treatment principle for FSOT, which is a safe sinus, and to reduce complications. This paper aimed to examine the surrounding anatomy, diagnosis, and treatment of FSOT.