• 제목/요약/키워드: Local tissue

검색결과 780건 처리시간 0.027초

슬관절 주위 거대세포종의 치료 (Surgical treatment of Giant Cell Tumor in Knee Joint)

  • 배대경
    • 대한골관절종양학회지
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    • 제1권1호
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    • pp.1-6
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    • 1995
  • Giant cell tumors are primary bone tumors originating from non-osteoblastic connective tissue. The sites of involvement were commonly distal femur, proximal tibia, proximal humerus, distal radius and others (including os calcis, ilium and sacrum). Giant cell tumor located around knee joint has been difficult to treat because of local recurrence following curettage with or without bone graft. Although primary resections reduce recurrence of the lesion, the joint function will be markedly impaired. Marginal excision was very often complicated by a loss of joint integrity since all the giant cell tumors occupy juxtaarticular positions. Techniques involving physical adjuncts(high speed burr and electric cauterization) have been used in the hope of decreasing the rate of local recurrence and avoiding the morbidity of primary resection. A meticulous clinical, radiological and histological evaluation is needed to choose the correct treatment, keeping in mind the possibility of recurrence after each treatment modality.

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Removal of a broken needle using three-dimensional computed tomography: a case report

  • Kim, Jin-Ha;Moon, Seong-Yong
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제39권5호
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    • pp.251-253
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    • 2013
  • Inferior alveolar nerve block obtained maximum anesthetic effect using a small dose of local anesthetic agent, which also has low a complication incidence. Complications of an inferior alveolar nerve block include direct nerve damage, bleeding, trismus, temporary facial nerve palsy, and etc. Among them, the major iatrogenic complication is dental needle fracture. A fragment that disappears into the soft tissue would be hard to remove, giving rise to a legal problem. A 31-year-old woman was referred for the removal of a broken needle, following an inferior alveolar nerve block. Management involved the removal of the needle under local anesthesia with pre- and peri-operative computed tomography scans.

Ho-166 활액막절제술의 임상시험 (Preclinicnl Trial of Radiation Synovectomy with Ho-166)

  • 이종두
    • 대한핵의학회:학술대회논문집
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    • 대한핵의학회 1999년도 제38차 춘계학술대회
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    • pp.200-204
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    • 1999
  • Rheumatoid arthritis (RA) is o chronic inflammatory disease of joints with proliferation of synovial epithelial tissue. Therapeutic approach of the RA consists of pharmacological and surgical interventions. Synovectomy is indicated in patients with progressive inflammatory signs and symptoms intractable to medical treatment including local intracavitary steroid injection. Recently, local injection of radionuclides which emit high energy beta rays are labeled with chemical compounds such as $^{90}Y,\;^{165}Dy-ferric$ hydroxide macroaggregate and have been introduced as an alternative therapeutic modality to surgical synovectomy. Holmium-166 is one of beta emitter and Ho-166-chitosan complex was developed for radiation synovectomy. Preclinical trial is on-going at our hospital using Ho-166-chitosan. The procedure and methods of preclinical trial are discussed.

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LASER를 이용한 FRENECTOMY (CASE REPORTS ON LASER FRENECTOMY)

  • 김용철;김종수;김용기
    • 대한소아치과학회지
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    • 제23권3호
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    • pp.609-614
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    • 1996
  • Laser is getting more attention from increasing numbers of dental clinicians by its own several unique characteristics : precision, hemostasis, and bactericidal capacity. It also provides patients with several advantages of minimal tissue damage. faster healing with less postoperative pain and minimal use of local anesthetics. Labial or lingual frenectomies were performed successfully in three pediatric patients using Nd-YAG laser. When compared to the conventional scalpel method, less local anesthetics were needed and the bleeding control was so excellent that any suture was not necessary. The operation sites were completely healed without any infection or complication and discomfort from swelling or pain was not noted in all cases throughout the healing process.

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Pilomatrix Carcinoma in the Chest Wall Around an Eloesser Open Window - A case report -

  • Jeong, In-Seok;Oh, Bong-Suk;Kim, Soon-Jin;Yun, Chi-Hyeong;Beom, Min-Sun;Kim, Do-Wan
    • Journal of Chest Surgery
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    • 제44권3호
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    • pp.269-271
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    • 2011
  • Pilomatrix carcinoma originates in the matrix cell and is marked by exophytic growing and common local recurrence. There is no established treatment for wide local invasion and metastasis of the pilomatrix besides wide surgical resection. We report a case of rapidly progressive pilomatrix carcinoma, which arose around an Eloesser open window with direct invasion to the adjacent tissue.

고형지질마이크로스피어를 이용한 방출제어형 국소마취주사제의 제제설계 및 평가 (Solid Lipid Microspheres for Controlled Release Abdominal Injection of Local Anesthetic)

  • 박용근;이종화;김동우;윤재남;전일순;이은미;이계원;지웅길
    • 약학회지
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    • 제47권2호
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    • pp.78-84
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    • 2003
  • Local anesthetics are used to reduce pain, but they are so frequently injected to patients. So, we prepared lidocaine solid lipid microspheres (SLM) as long acting abdominal injection using spray drying method and evaluated drug entrapment, particle size, SEM, zeta potential and in vitro and in vivo drug release pattern, The particle sizes of SLM were 30∼100$\mu$m and it is enough to inject into abdominal tissue. The entrapment efficiency of SLM was over 95% as spray drying method. Surfactant and PC decreased the burst effect by 20∼30%. In in vivo test, C-6 showed controlled release concentration profile in plasma for 8 days and C-5 sustained longer than we expected.

염류용액 방전의 온도 측정에 관한 연구 (A Study on the Temperature Measurement Using Optical Emission in Saline Solution Discharge with Pin to Plate Electrodes)

  • 김중균
    • 조명전기설비학회논문지
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    • 제30권1호
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    • pp.66-71
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    • 2016
  • In this study, electrical and spectroscopic characteristics were investigated in the pin to plate discharge of 0.9% weight per unit volume saline solution. The positive and positive- and negative-going dc pulse with 5% duty ratio were applied to tungsten pin electrode. The more amount of discharge current flew in negative discharge. The temperature, which is considered as a local value in the vicinity of vapor of discharge, was about 3,000K which is much higher than the value recommended to be controlled. It can be suggested that not only the temperature of liquid but also the local temperature of vapor is monitored to investigate damages on tissue or cells in biological application.

경피기주입술(Carboxytherapy)에 대한 문헌적 고찰 (Review of Literature on Chi Acupunture(Carboxytherapy))

  • 심우진;송재철;이종수;신현택
    • 한방비만학회지
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    • 제6권2호
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    • pp.43-49
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    • 2006
  • Objective : This study was conducted to offer basic materials for the clinical study of Chi acupuncture (carboxytherapy). Methods : Recent clinical studies were reviewed for carboxytherapy (carbon dioxide therapy) and the ancient and present texts were reviewed for Chi acupuncture. Results and Conclusions : Chi acupuncture is oriental medical therapeutic treatment using carboxytherapy. Chi acupuncture refers to the transcutaneous administration of CO2 gas for therapeutical purposes relating to obesity, cellulites, local circulation and skin irregularity. Recent studies have demonstrated the effects of this therapy on adipose tissue by showing vasomotor effects, increasing local circulation and inducing a partial increase in tcPO2. Chi acupuncture influences the microcirculation and likely has a positive effect upon the physiological oxidative lipolytic process.

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HA/TCP 골이식재상에 이식된 지방유래 줄기세포의 골모세포로의 분화 및 골형성에 대한 연구 (BONE REGENERATION WITH ADIPOSE TISSUE-DERIVED MESENCHYMAL STEM CELL AND HA/TCP)

  • 임재석;권종진;장현석;이의석;정유민;이태형;박정균
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제32권2호
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    • pp.97-106
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    • 2010
  • Aim of the study: An alternative source of adult stem cells that could be obtained in large quantities, under local anesthesia, with minimal discomfort would be advantageous. Adipose tissue could be processed to obtain a fibroblast-like population of cells or adipose tissue-derived stromal cells (ATSCs). This study was performed to confirm the availability of ATSCs in bone tissue engineering. Materials amp; Methods: In this study, adipose tissue-derived mesenchymal stem cell was extracted from the liposuctioned abdominal fat of 24-old human and cultivated, and the stem cell surface markers of CD 105 and SCF-R were confirmed by immunofluorescent staining. The proliferation of bone marrow mesenchymal stem cell and ATSCs were compared, and evaluated the osteogenic differentiation of ATSCs in a specific osteogenic induction medium. Osteogenic differentiation was assessed by von Kossa and alkaline phosphatase staining. Expression of osteocyte specific BMP-2, ALP, Cbfa-1, Osteopontin and osteocalcin were confirmed by RT-PCR. With differentiation of ATSCs, calcium concentration was assayed, and osteocalcin was evaluated by ELISA (Enzyme-linked immunosorbant assay). The bone formation by 5-week implantation of HA/TCP block loaded with bone marrow mesenchymal stem cells and ATSCs in the subcutaneous pocket of nude mouse was evaluated by histologic analysis. Results: ATSCs incubated in the osteogenic medium were stained positively for von Kossa and alkaline phosphatase staining. Expression of osteocyte specific genes was also detected. ATSCs could be easily identified through fluorescence microscopy, and bone formation in vivo was confirmed by using ATSC-loaded HA/TCP scaffold. Conclusions: The present results show that ATSCs have an ability to differentiate into osteoblasts and formed bone in vitro and in vivo. So ATSCs may be an ideal source for further experiments on stem cell biology and bone tissue engineering.

연부조직 종물의 진단에서 초음파 유도하 중심부 침생검 (Ultrasound-guided Core Needle Biopsy in Diagnosis of Soft Tissue Masses)

  • 김정일;윤명수;천상진;최경운;이태홍
    • 대한골관절종양학회지
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    • 제10권2호
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    • pp.113-119
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    • 2004
  • 목적: 근골격계 종물의 진단에 있어 초음파 유도하 생검의 유용성을 알아보고자 하였다. 대상 및 방법: 2002년 3월부터 2003년 8월 사이에 본원 정형외과를 내원한 환자 중 연부조직 종물을 가지는 환자의 진단을 위하여 조직 생검이 필요하였던 5 5명 환자를 대상으로 하여 전향적인 연구를 하였다. 조직검사는 초음파 유도하에서 조직의 채취 부위에 국소마취하에 시행하였으며 14 gauge 또는 18 gauge의 굵은 바늘을 사용하여 5~6개의 조직을 얻을때까지 시행하였다. 통계적인 분석은 임상적으로 치료가 가능하였던 11명의 환자와 수술적 절제 후 조직의 최종 확인이 가능한 38명을 포함하여 49명을 대상으로 하였다. 결과: 불충분한 조직을 얻은 경우나 조직학적 진단이 불가능한 6명의 환자를 제외하고 정확한 진단은 49명의 환자중 47명의 환자에서 얻을 수 있어 정확도는 96%였고 민감도는 90%, 특이도는 100%였다. 전체 55명의 환자중 89%(49명)에서 조직학적 진단이 가능한 충분한 조직을 얻을 수 있었다. 모든 환자에서 특별한 부작용은 없었다. 결론: 초음파 유도하 생검은 연부 조직 종물의 정확한 위치에 바늘을 위치시킬 수 있어 연부조직 종양의 진단이나 골종양의 진단에서 골외 부분이 있는 경우 시행할 수 있는 안전하면서 유용한 방법이라 생각된다.

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