• 대한두개안면성형외과학회지
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• 제21권3호
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• pp.161-165
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• 2020

Background: Microstomia is defined as a condition with a small sized-mouth that results in functional impairment such as difficulty with food intake, pronunciation, and poor oral hygiene and cosmetic problems. Several treatment methods for microstomia have been proposed. None of them are universally applicable. This study aims at analyzing the cases treated at our institution critically reviewing the pertinent literature. Methods: The medical records of all microstomia patients treated in our hospital from November 2015 to April 2018 were reviewed retrospectively. Of these, all patients who received surgical treatment for microstomia were included in the study and analyzed for etiology, chief complaint, surgical method, and outcomes. The functional outcomes of mouth opening and intercommissure distance before and after the surgery were evaluated. The cosmetic results were assessed according to the patients' satisfaction. Results: Five patients with microstomia were corrected. Two cases were due to scar contracture after chemical burn, two cases derived from repeated excision of skin cancer, and one patient suffered sequela of Stevens-Johnson syndrome. The following surgical methods were applied: one full-thickness skin graft on the buccal mucosa, three buccal mucosal advancement flaps after triangular excision of the mouth corner, and one local buccal mucosal flap. Mouth opening was increased by 6.0 mm, and the intercommissure distance improved by 7.2 mm on average. Follow-up was 9.6 months (range, 5-14 months). Cosmetic assessment was as follows: two patients found the results excellent, three judged it as good. Conclusion: Microstomia has several causes. In order to achieve optimal functional recovery and aesthetic improvement it is important to precisely evaluate the etiologic factors and the severity of the impairment and to carefully choose the appropriate surgical method.

• Journal of Chest Surgery
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• 제21권6호
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• pp.1099-1102
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• 1988

A vertical skin incision with median sternotomy for open heart surgery usually leaves an unsightly hypertrophic scar, and it makes cosmetic and psychic problems especially in young female patients. Since November 1986, we have used a bilateral submammary skin incision with dissection of a fasciocutaneous flap in 5 young female patients with uncomplicated acyanotic congenital heart disease. The exposure of the operative field was excellent. And we had good results without any significant complication associated with this type of incision.

• Journal of Chest Surgery
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• 제24권3호
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• pp.261-264
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• 1991

The result of thoracotomy for recurrent and persistent pneumothorax is usually excellent. However the patients undergone thoracotomy suffer from postoperative chest pain and require long postoperative recovery period. Also the operative incision scar gives the patients cosmetic problems. Subpleural blebs are usually causes of pneumothorax. They can be reached through the thoracoscope without thoracotomy and can be ablated by electrical cautery through it. Six patients with recurrent and persistent pneumothorax were managed thoracoscopic-ally. Five patients were successful and one case was failed. The failed case was explored 21 days after thoracoscopy. Follow-up period was from one to eight months. Although the follow-up period was short, thoracoscopic management of recurrent and persistent pneumothorax is thought to be good for preventing thoracotomy.

• Advances in pediatric surgery
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• 제2권2호
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• pp.100-101
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• 1996

Infantile hypertrophic pyloric stenosis is one of the most common disorders requiring surgical therapy during the first few weeks of life. Although the pyloromyotomy, reported by Fredet and Ramstedt, was accepted as a standard procedure of choice, various laparotomy incisions have been reported by several authors. Currently, the most commonly used transverse or right upper quadrant incisions, offer many advantages, but is not without drawbacks. The authors utilized the circumumbilical skin incision and upper subcutaneous dissection followed by vertical division of linea alba in 16 cases of infantile hypertrophic pyloric stenosis. This incision avoids transection of rectus muscle and offers a much better cosmetic result. We prefer this procedure because of acceptable scar and no additional wound complication.

• Archives of Plastic Surgery
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• 제47권6호
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• pp.622-625
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• 2020

Corner mouth lift is in increasing demand among young patients in East Asia. Although various surgical methods exist for corner mouth lift, many patients are reluctant to undergo surgery due to fears of postsurgical scarring. We present a new technique aimed at reducing postoperative scarring. The technique involves triangular excision of the corner of the mouth and incision of the commissure with transposition of a lateral vermilion flap to lift the corner of the mouth. The muscle around the corner of the mouth is dissected to release tension. The corner mouth lift was successfully performed in all patients. It can be effectively used even in patients, such as young Asian women, who are susceptible to hypertrophic scars.

• Archives of Plastic Surgery
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• 제39권4호
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• pp.422-425
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• 2012

Osteoma is one of the most common tumors of the cranial vault and the facial skeleton. For osteoma in the facial region, endoscopic resection is widely used to prevent surgical scarring. Tumors in a total of 14 patients were resected using an endoscopic holmium-doped yttrium aluminium garnet (Ho:YAG) laser with a long flexible fiber. Aside from having the advantage of not leaving a scar due to the use of endoscopy, this procedure allowed resection at any position, was minimally invasive, and caused less postoperative pain. This method yielded excellent cosmetic results, so the endoscopic Ho:YAG laser is expected to emerge as a good treatment option for osteoma.

• 대한의사협회지
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• 제61권12호
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• pp.740-748
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• 2018

Posttraumatic facial deformities (PTFDs) are very difficult to correct, and if they do occur, their impact can be devastating. It may sometimes be impossible for patients to return to normal life. The aim of surgical treatment is to restore the deformed bone structure and soft tissue to create symmetry between the affected side and the opposite side. In the process of managing PTFD, correcting enophthalmos is one of the most challenging aspects for surgeons because of difficulties in overcoming the scar tissue and danger of injuring to the optic nerve. In this article, surgical options for reconstruction of the medial wall, floor, lateral wall, and roof of the orbit are described. To optimize aesthetic improvement, additional cosmetic procedures such as facial contouring surgery, blepharoplasty and rhinoplasty can be used. Plastic surgeons should join emergency trauma teams to implement an overall treatment plan containing rational strategies to avoid or minimize PTFD.

• 대한관절경학회지
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• 제4권1호
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• pp.67-70
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• 2000

오스굿씨 병은 일반적으로 보존적 방법으로 치료하지만 이에 호전되지 않는 지속적 혹은 재발성 통증이 있는 경우 수술적 가료가 필요한 경우가 있다. 대부분의 저자들이 슬개건 원위 골부착 부위에 골편이 존재하는 경우에 이를 제거하는 것으로 좋은 결과를 얻을 수 있다고 보고해 왔다. 저자들은 경골결절 전면부에 절개를 가하여 슬개건을 박리 후 골편을 제거하는 기존의 방식대신 관절경을 이용하여 슬개건의 뒤쪽으로부터 골편에 접근하여 골편을 제거하는 수기를 보고하고자 한다. 관절경을 이용한 오스굿씨 병의 골편제거술은 슬개건에의 손상을 최소화 할 수 있고, 빠른 술후 회복을 기대할 수 있으며, 경골 결절 전방부에 절개를 가하지 않음으로써 절개창 치유 후에 잔존할 수 있는 무릎을 꿇을 때의 반흔부 불편감의 발생을 예방할 수 있고, 보다 미용적이라는 장점이 있는 술식으로 사료된다.

• Journal of Chest Surgery
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• 제36권6호
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• pp.391-396
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• 2003

배경: 하지정맥류에 대한 수술치료법으로 광투시 전동형 정맥적출술이 최근에 소개되어 널리 이용되고 있다. 광투시 전동형 정맥적출술의 장점은 절개를 최소화하여 미용적으로 우수하다. 그러나 단점으로는 Trivex라는 고가의 장비를 반드시 사용하여야 하며 환자부담이 증가되는 단점이 있다. 이에 저자는 Trivex 대신에 기존 관절경장비를 이용하여 광투시 전동형 정맥적출술을 실시하여 치료효과와 유용성을 관찰하였다. 대상 및 방법: 2000년 3월부터 2002년 2월까지 하지정맥류 환자 78명을 대상으로 기존 관절경장비를 이용하여 113예의 광투시 전동형 정맥적출술을 실시하였다. 환자들의 병력, 절개창 숫자, 수술의 효과와 합병증 등을 관찰하였다. 결과: 환자들의 평균연령은 41.8세였으며 남자가 34명 여자가 44명이었다. 평균수술시간은 편측 하지당 48.7분이었고 절개창은 스트리핑을 위한 서헤부와 발목부의 창상을 포함하여 평균 4.9개였다. 수술 후 합병증으로는 전례에서 반상출혈이 있었으나 저절로 흡수되어 사라졌으며, 3주 이상의 부종이 6예, 수술 시 발견치 못하고 남은 정맥류가 4예 수술 중 shaver의한 피부천공이 2예 있었다. 또한 압박스타킹 착용에 따른 접촉성 피부염이 나타난 경우가 4예 있었다. 시각적 상사척도에 의한 환자들의 수술에 대한 주관적인 만족도는 평균 92.6%였다. 결론: 관절경장비를 이용하여도 광투시 전동형 정맥적출술이 가능하며 심한 합병증 없이 미용적으로 우수하다고 생각된다.

• Archives of Plastic Surgery
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• 제34권6호
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• pp.807-812
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• 2007

Purpose: The presence of epicanthal fold and the absence of supratarsal fold are characteristics of Korean eyelids. There has been many surgical procedures to eliminate medial epicanthal fold but those procedures focus on the lengthening of horizontal palpebral fissure and the shortening of intercanthal distance so that the shape of eye had tendency to be sharp. The authors suggest that the supermedial shifting of epicanthal fold enhance the aesthetic result. Methods: From Sep 2006 to May 2007, total 17 women(mean age 22) with Type III epicanthal fold underwent epicanthoplasty using author's modified Uchida method. The design for epicanthoplasty was drawn superolaterally along epicanthal fold and split V-W plasty was done to shift the epicanthal fold superomedially. Also non-incisional double-eyelid operation was underwent. Results: The epicanthal fold was shifted in superomedially, intercanthal distance was shortened and double-eyelid was achieved. The patients were satisfied with the result and no major complication was noted. Conclusion: This method can be effective in correcting the epicanthal fold of Korean eyelid by shifting the epicanthal fold superomedially to make the shape of eye aesthetically without noticeable scar.