• Archives of Plastic Surgery
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• 제38권1호
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• pp.113-116
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• 2011

Purpose: Many fingertip injuries are associated with nail injury and it is hard to repair to original shape due to its unique characteristic. Mucosal graft is used for a defect of the nail bed injury. Hereby, we introduce a DAP flap and buccal mucosal graft, with which we could reduce the defect size of the injured fingertip and donor site morbidity at the same time, without any need for harvesting additional skin from other part of hand. Also, mucosal graft makes good cosmetic and functional outcome of nail. Methods: This method was performed in a 56-year-old man with fingertip injury on dorsal side of left thumb due to electrical saw. First, DAP flap was performed on the injured finger to reduce the size of the defect of fingertip and cover the bone exposure. Second, nail bed part of the DAP flap was de-epithelized and buccal mucosal graft was done from left side of intraoral cavity wall. Results: Flap and graft survived without any necrosis but some nail bed could not be covered with flap due to insufficient flap size. All wounds healed well and did not present any severe adversary symptoms. Conclusion: DAP flap with mucosal graft is an effective method that we can easily apply in reconstruction of fingertip injury. We suggest that the combination of the two procedures makes good functional and cosmetic outcome compared to the usual manner, especially in cases of nail bed injury without distal phalanx bone defect.

• Archives of Reconstructive Microsurgery
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• 제6권1호
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• pp.87-95
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• 1997

Traumatic injury to the hand often leads to soft tissue defects with exposed tendons, bones, or joints. Though many new flap have been introduced, the choice of flap that would be best for the patient depends on such factors as the site, size, and degree of wounds. Additionally the selected surgical method should be yielded cosmetic and functional superiority by the one-staged reconstruction. In our experience, small to medium sized soft tissue defect with bone and tendon exposure of hand can be resurfaced with an arterialized venous free flap from the volar aspect of distal forearm. Wide and deep defects of the hand can be covered with a sensory cutaneous free flap such as the medial plantar free flap, dorsalis pedis free flap, and radial forearm free flap. Specialized flap such as wrap-around flap, toe-to-finger transfer, onychocutaneous free flap can be used for the recontruction of defect on the thumb and finger. Based on the above considerations and our clinical experience of 60 free flap cases of the hand, the various methods for the proper repair of soft tissue defects of the hand are described. And we obtained satisfactory functional and cosmetic results with 95% success rate of free flap.

• Archives of Plastic Surgery
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• 제41권5호
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• pp.550-555
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• 2014

Background Nipple reconstruction following breast mound reconstruction is the final step in breast reconstruction. Although nipple reconstruction is a simple surgery, the psychological aspects of nipple reconstruction are thought to be important. Nipple projection is a key factor in determining patient satisfaction with the surgery. In the present study, the Hammond flap technique was introduced for nipple reconstruction. Methods Twenty-six patients who had undergone breast reconstruction from February 2008 to March 2012 were enrolled in this prospective study. All patients were evaluated based on preoperative photos, and their nipple diameters and heights were measured. Postoperative evaluation was conducted 3, 6, 9, and 12 months following nipple reconstruction. A questionnaire on patient satisfaction with the nipple reconstruction was administered 12 months after nipple reconstruction. Moreover, the same plastic surgeon scored nipple projection and overall cosmetic result of the new nipple. Results The mean projection was 4.4 mm (range, 3-6 mm), and it well matched the contralateral nipple. Twelve months following nipple reconstruction, the mean reduction rate in the nipple projection was 43.6%. Patients were satisfied or very satisfied with the nipple projection and the overall cosmetic result in 80.7% cases. Conclusions In the present study, compared with other techniques, the use of the Hammond flap technique in nipple reconstruction showed competitive results with regard to nipple projection and patient satisfaction.

• 한국콘텐츠학회논문지
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• 제19권12호
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• pp.184-192
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• 2019

국내 화장품 시장은 현재 포화상태로 시장에 안정적으로 진입하기 위해선 높은 고객 충성도를 확보하는 것이 가장 중요하다. 이를 위해선 고객이 해당 브랜드의 진정성을 통해 깊은 신뢰감과 유대감을 가져야 한다. 이 때, 브랜드 진정성의 요소 중 기업 진정성이 고객의 브랜드 애착과 충성도에 긍정적인 영향을 미친다. 하여 기업 진정성을 가장 효과적으로 보여줄 수 있는 CSR 활동을 중심으로 마케팅 전략을 제시하였다. 먼저 1년이상 지속적으로 활동하고 활동 내용과 결과가 명확하여 진정성을 인정받은 사례만 선별했다. 20개의 화장품브랜드가 이 조건을 충족하였고 해당 브랜드에서 진행한 28개의 CSR을 분석했다. 이를 EU에서 제시한 바람직한 사회의 상 4가지 영역으로 나누어 각 영역의 특징을 도출하였고 각 유형에 맞는 마케팅 전략을 제시하였다. 이 연구가 추후 기업에서 CSR 활동을 전개할 때 실질적인 도움이 될 것이다.

• 대한화장품학회지
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• 제39권2호
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• pp.105-115
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• 2013

국내의 주름개선 혹은 미백 효능을 평가하기 위한 인체시험 방법은 식약청 가이드라인에 근거하여 시행 되어왔으며, 인체시험에서 육안평가 및 기기평가 결과에 대해 시험군과 대조군 간의 효과를 비교하기 위해서 unpaired t-test를 주로 이용하였고, 시술 전후의 효과를 비교하기 위해서 paired t-test를 이용하였다. 설문평가 결과에 대해서는 빈도분석을 이용한 기술통계법이 이용되고 있다. 미국 및 유럽의 임상 평가기관에서도 이와 유사한 시험법 및 통계분석 방법을 이용하고 있다. 그러나 동일 개체에 대하여 처치를 반복 적용하여 얻은 자료는 서로 관련성이 높아 이를 감안한 분석법을 적용해야 한다. 따라서 본 연구에서는 화장품 분야에서는 처음으로 기능성 화장품 중 주름 개선 및 미백 효능 시험의 육안평가 및 기기평가 자료에 대해 repeated measures ANCOVA (RM ANCOVA)와 repeated measures ANOVA (RM ANOVA)를 적용하여 통계 방법의 타당성 여부를 검증함으로서 현재의 인체시험 방법에 적합한 새로운 통계분석 방법을 제시하였다.

• 대한화장품학회지
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• 제45권2호
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• pp.105-116
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• 2019

두발이나 인체 세정 과정에서 일어나는 오일 흡착은 내부 성분량 변화와 컨디셔닝 기능에 큰 영향을 준다. 본 연구에서는 오일을 흡착재에서 직접 검출하여 편리하게오일량을 정량할 수 있는 흡수 분광 평가법을 개발하였다. 먼저, 오일 흡착량에 영향을 미치는 코아세르베이트 함량을 판단하기 위해서 음이온과 양쪽성 계면 활성제간 몰비율에 따른 코아세르베이트 함량을 조사하였다. 이 데이터를 활용하여 오일 흡착량 평가에 가장 적합한 오일 점도값을 확보하였고 세정제의 계면활성제간 몰비 조정 등을 통해 모발 대체 흡착재와 흡착 및 용출에 필요한 가장 최적의 방법을 확립하였다. 이렇게 확립한 평가법으로 자외선 흡광도가 있는 오일을 자외선 흡광도가 없는 실리콘 같은 오일 대신 배합해서 흡착시키고 용출시킨 후 흡수 분광법으로 오일 흡착량을 정량 계산해 본 결과를 HPLC의 질량분석과 AFM을 이용한 점착력 결과와 비교하였다. 오일 흡착에 영향을 미치는 요인인 양이온 폴리머를 다르게 하고 복합 폴리머를 사용해 본 결과 본 평가법이 모든 오일의 흡착량 평가에 적용할 수 있음을 입증하였다.

• Archives of Plastic Surgery
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• 제50권6호
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• pp.557-562
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• 2023

Augmentation mammoplasty is one of the most popular cosmetic surgeries, but there is a high reoperation rate (29.7%) commonly due to capsular contracture, implant malpositioning, infection, and unsatisfactory size. Although infection only accounts for 2% of cases, its management is very challenging, especially with nontuberculous mycobacteria (NTM) infection. Breast prosthetic NTM infection is a rare but is a disastrous condition with an incidence of approximately 0.013%. Immediate salvage reimplantation is usually not suggested, and most studies recommend a gap of 3 to 6 months after combination antibiotics therapy before reimplantation. However, delayed reimplantation often leads to great psychological stress and struggle between the doctor and patient. We present the case report of successful reimplantation in treating prosthetic NTM infections in a 28-year-old female. We discuss a novel technique "transaxillary capsulorrhaphy" to correct the bottoming-out deformity. One year after the combination of antibiotics and surgery, the follow-up computed tomography scan showed complete remission of NTM without recurrence. We discuss the surgical technique in detail. The 1-year follow-up assessment (photos and dynamic video) revealed good cosmesis and reliable correction using the new technique. This report is the first formal description and discussion of one-stage reimplantation following NTM infections. Transaxillary capsulorrhaphy allows for a successful salvage operation when an implant is displaced. This approach provides highly favorable result in eastern women undergoing revision augmentation mammoplasty. This study reflects level of evidence V, considering opinions of respected authorities based on clinical experience, descriptive studies, or reports of expert committees.

• 대한두경부종양학회지
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• 제1권1호
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• pp.35-61
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• 1985

The surgical treatment of advanced carcinomas and some benign tumors having clinically malignant behaviors of the head and neck region often require extensive resection, necessitating large flaps for reconstruction. Since the original upper arm flap was described by Tagliacozzi in 1597, a variety of technique such as random pattern local flap, axial flap, distant flap, scalping flap, myocutaneous flap, free flap etc. have been proposed for reconstruction of head, face and neck defects. Reconstruction of the facial defects usually require the use of distant tissue. Traditionally, nasal reconstruction has been carried out with a variety of forehead flaps. In recent years, there has been more acceptance of immediate repairs following the removal of these tumors. As a result, patients are more willing to undergo these extensive resections to improve their chances of cure, with the reasonable expectation that an immediate reconstruction will provide an adequate cosmetic result. Authors experienced 13 cases of head and neck tumor during last three and half years that required wide excision and immediate reconstruction with various flaps, not with primary closure or simple skin graft. We present our experience with varied flaps for reconstruction after wide resection of head and neck tumors 3 cases of defect of dorsum of nose or medial canthus with island forehead flaps, lower eyelid defect with cheek flap, cheek defect with Limberg flap, orbital floor defect with Temporalis muscle flap, lateral neck defects with Pectoralis major myocutaneous flap or Latissimus dorsi myocutaneous free flap, subtotal nose defect with scalping flap, wide forehead defect with Dorsalis pedis free flap and 3 cases of mandibular defect or mandibular defect combined with lower lip defect were reconstructed with free vascularized iliac bone graft or free vascularized iliac bone graft concomitantly combined with free groin flap pedicled on deep circumflex iliac vessels We obtained satisfactory results coincided wi th goal of treatment of head and neck tumors, MAXIMAL CURE RATE with MINIMAL MORBIDITY, OPTIMAL FUNCTION, and an APPEARANCE as close to normal as possible.

• Archives of Plastic Surgery
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• 제47권5호
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• pp.467-472
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• 2020

Background Dimples on the cheeks can make the smile look more cheerful and attractive. Therefore, some people who do not have dimples may choose to undergo dimple creation surgery. Although dimple surgery is quite common, those desiring this procedure often lack information about it. Therefore, we conducted the present study to share our surgical tips and clinical experiences regarding safe dimple creation surgery. Methods This study included 2,048 patients who underwent dimple creation surgery at our plastic surgery clinic between April 2010 and June 2014. These patients were selected from those who displayed no scarring from injury or tumor removal in the central face during the presurgical evaluation. Medical records were used to identify the age and sex of each patient, the location of dimple creation, any postoperative complications, reoperation, and the reason for reoperation. Results Of the 2,048 patients, 159 (7.7%) underwent reoperation. The reason for reoperation was undercorrection in 78 cases (49.0%), disappearance of the dimple in 62 cases (38.9%), and overcorrection in nine cases (5.6%). Five patients (3.1%) had their stitches removed to eliminate the created dimple because they changed their minds, and five patients (3.1%) had their stitches removed because of infection. No patients reported complications after reoperation, and no other complications, such as hyperpigmentation or foreign body reaction, were observed. Conclusions Safe surgery with minimal complications and satisfying cosmetic results can be achieved via accurate knowledge of the relevant anatomy and its relationship with dimples, as well as appropriate surgical methodology.

• Journal of Trauma and Injury
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• 제32권4호
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• pp.202-209
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• 2019

Purpose: Cranioplasty (CP) is often required for survival after decompressive craniectomy. Several materials, including autologous bone and various artificial materials, have been introduced for CP, but it remains unclear which material is best for CP. This study aimed to explore differences in complications between patients who underwent CP using an autologous bone flap versus a three-dimensional (3D) titanium mesh and to identify significant risk factors for post-CP complications. Methods: In total, 44 patients were enrolled in this study and divided into two groups (autologous bone vs. 3D titanium mesh). In both groups, various post-CP complications were evaluated. Through a comparative analysis, we aimed to identify differences in complications between the two groups and, using binary logistic analysis, to determine significant factors associated with complications after CP. Results: In the autologous bone flap group, there were three cases of surgical infection (3/24, 12.5%) and 11 cases of bone flap resorption (BFR) (11/24, 45.83%). In the 3D titanium mesh group, there was only one case of surgical infection (1/20, 5%) and 11 cases of various complications, including mainly cosmetic issues (11/20, 55%). A subgroup risk factor analysis of CP with an autologous bone flap showed no risk factors that predicted BFR with statistical significance, although a marginal association was found between larger bone flaps and BFR (odds ratio [OR]=1.037, p=0.090). In patients treated with a 3D titanium mesh, multivariate analysis revealed that only the existence of a ventriculo-peritoneal shunt system was strongly associated with overall post-CP complications (OR=18.66, p=0.021). Conclusions: Depending on which material was used, different complications could occur, and the rate of complications was relatively high in both groups. Hence, the material selected for CP should be selected based on individual patients' conditions.