• 대한두개안면성형외과학회지
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• 제20권2호
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• pp.112-115
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• 2019

Linear scleroderma en coup de sabre (LScs) is a variant of localized scleroderma. This disease typically occurs in patients in their 20s or younger individuals and predominantly occurs in the forehead area. A 26-year-old man with linear scleroderma was surgically treated at our center with Medpor (porous polyethylene) and dermal fat graft for the forehead lesion. After 26 months of postoperative follow-up, the depressed lesion that appeared scarred as well as the margins improved significantly. The surgical treatment of LScs using Medpor and dermal fat graft is an effective treatment modality that can increase patient satisfaction.

• 대한두개안면성형외과학회지
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• 제18권3호
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• pp.166-171
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• 2017

Background: Localized scleroderma is characterized by a thickening of the skin from excessive collagen deposits. It is not a fatal disease, but quality of life can be adversely affected due to changes in skin appearance, joint contractures, and, rarely, serious deformities of the face and extremities. We present six cases of localized scleroderma in face from our surgical practice. Methods: We reviewed six localized scleroderma cases that were initially treated with medication and then received follow-up surgery between April 2003 and February 2015. Six patients had facial lesions. These cases presented with linear dermal sclerosis on the forehead, oval subcutaneous and dermal depression in the cheek. Results: En coup de sabre (n=4), and oval-shaped lesion of the face (n=2) were successfully treated. Surgical methods included resection with or without Z-plasty (n=3), fat graft (n=1), dermofat graft (n=1), and adipofascial free flap (n=1). Deformities of the affected parts were surgically corrected without reoccurrence. Conclusion: We retrospectively reviewed six cases of localized scleroderma that were successfully treated with surgery. And we propose an algorithm for selecting the best surgical approach for individual localized scleroderma cases. Although our cases were limited in number and long-term follow-up will be necessary, we suggest that surgical management should be considered as an option for treating scleroderma patients.

• Archives of Plastic Surgery
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• 제48권5호
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• pp.524-525
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• 2021

• Maxillofacial Plastic and Reconstructive Surgery
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• 제37권
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• pp.29.1-29.7
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• 2015

Facial asymmetry is found in patients with or without cosmetic facial alterations. Some patients have facial asymmetry that manifests underlying skeletal problems, while others have only limited soft-tissue facial asymmetry. Orthognathic surgery brings about a dermatic change, as soft tissue covers underlying bones. Limited soft-tissue asymmetry, meanwhile, is difficult to correct. The treatment modalities for the creation or restoration of an esthetically pleasing appearance were autogenous fat grafts, cartilage graft, and silicon injections. A young female patient had right-side facial asymmetry. The clinical assessment involved visual inspection of the face and palpation to differentiate soft tissue and bone. Although the extra-oral examination found facial asymmetry with skin atrophy, the radiographic findings revealed no mandibular atrophy or deviation. She was diagnosed as localized scleroderma with muscle spasm. In conclusion, facial asymmetry patients with skeletal asymmetry can be esthetically satisfied by orthognathic surgery; however, facial atrophy patients with skin or subdermal tissue contraction need treatment by cosmetic dermatological surgery and orthodontic correction.

• 대한구순구개열학회지
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• 제15권1호
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• pp.1-10
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• 2012

Parry-Romberg syndrome(PRS) is a degenerative disease characterized by progressive hemifacial atrophy. A 10-year-old girl who had been treated for linear scleroderma at the dermatologic department visited the orthodontic department. The frontal facial photograph showed mild facial asymmetry. On the left side, mild atrophy of soft tissue, enophthalmos, cheek depression, and dry skin with dark pigmentation were observed. The radiograph showed the hypoplasia of both the maxilla and mandible on the left side. This case report describes the treatment of a patient with PRS for 7 years. To minimize the effect of progressive atrophy on the facial growth, a hybrid appliance was used. The facial photos and radiographic records were periodically taken to analyze the progression of PRS. Although it is impossible to prevent the progression of facial asymmetry, it appears to be possible to limit the atrophic effect. After the stabilization of PRS, the orthodontic treatment by the fixed appliance was performed. Additionally, autologous fat graft was performed three times at 6 month intervals. After the treatment, the patient had a confident smile and facial asymmetry was improved.

• 한국산림과학회지
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• 제82권4호
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• pp.366-380
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• 1993

상수리나무 묘목(苗木)의 균근(菌根)은 정단형(頂端型)(apical type), 선형(線型)(linear type), 곤봉형(棍棒型)(clavate type), 확산형(擴散型)(diffuse type), 피라미드형(pyramidal type), 산호형(珊瑚型)(coralloid type), 괴근형(塊根型)(nodular type)으로 식별(識別)되었다. 균근형성(菌根形成) 초기(初期)에는 모든 균근(菌根)의 표면(表面)이 매끈(velvety) 하였고, 9월 30일의 Pisolithus tinctorius(Pt) 균(菌)들은 왕성(旺盛)한 Felt질(質)의 담황색 균투(菌套)를 형성(形成)하였고, 그외 균근균(菌根菌)에 의해서 형성(形成)된 균근(菌根)은 모두 Felt질(質)의 백색(白色) 균투(菌套)가 발달(發達)하였다. 균근형성(菌根形成) 초기(初期)에는 균근(菌根)이 연유색(煉乳色)이나 연유(煉乳)빛 갈색(褐色)으로 부풀어 오른 형태(形態)를 하고 있었고 얇은 균투(菌套)를 형성하였다. 그러나 횡단면(橫斷面)과 종단면(縱斷面)을 관찰(觀察)하였을 때 Hartig net가 형성(形成)된 외피세포(外皮細胞)(epidermal cell)와 한층(層)의 피층세포(皮層細胞)(cortical cell)가 방사상(放射狀) 배열(配列)을 하고 있었다. 두꺼운 균투(菌套)를 가지고 있는 9월 30일의 균근(菌根) 횡단면(橫斷面)의 방사상배열(放射狀配列) 외피(外皮), 피층세포층(皮層細胞層)의 폭(幅)은 초기상태(初期狀態)와 큰 차이가 없었다. Pisolithus tinctorius KJ-1 균주와 Pisolithus tinctorius #250 균주는 같은 종(種)인데도 산호형(珊瑚型) 균근(菌根)이 Pt #250 접종묘(接種苗)에서는 많았으나 Pt KJ-1 접종묘(接種苗)에서는 형성(形成)되지 않았고, 선형(線型) 균군(菌根)의 평균(平均)길이는 Pt KJ-1와 Pt #250이 각각(各各) 2.21mm와 1.32mm로서 Pt KJ-1의 균근(菌根)이 1.5배 가량 길었다. Pt KJ-1, Pt #250, Lycoperdon pedicellatum, Scleroderma verrucosum에 의해서 접종(接種)된 묘목(苗木)의 총건중(總乾重)은 Suillus granulatus와 Laccaria laccata에 의해서 접종(接種)된 것보다 높았다.