• Title/Summary/Keyword: Scarring

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A toxoplasmic uveitis case of a 60-year-old male in Korea

  • Kim, Min-Ho;Choi, Yeun-Kyoung;Park, Yun-Kyu;Nam, Ho-Woo
    • Parasites, Hosts and Diseases
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    • v.38 no.1
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    • pp.29-31
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    • 2000
  • A toxoplasmic uveitis case was reported on the focus of impairment of pathological findings and serological antibody titers after chemotherapy. A chief complaint of a 60-year-old male was a decreased and blurred vision in his right eye for 2 weeks after experiencing tremendous stress and fatigue. A steroid therapy for 3 weeks was not effective and the retinal lesion became necrotic. Anti-Toxoplasma gondii antibody titer was checked to be a strong positive by both ELISA and indirect latex agglutination assay (lLA). He was treated with Fansidar F for 8 weeks. His vision improved as the necrotic lesion healed by scarring, but the antibody titers still remained very high without any signs of negative conversion. It is suggested to be a recurrent case of the past asymptomatic infection by presumed immune suppression caused by excessive stress.

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Design of Dexterous Manipulator for MIS (복강경 수술을 위한 지능형 작동기의 제작)

  • Song, Ho-Seok;Chung, Jong-Ha;Lee, Jung-Ju
    • Proceedings of the KSME Conference
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    • 2004.11a
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    • pp.823-828
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    • 2004
  • Minimally Invasive Surgery (MIS) is surgery of the chest, abdomen, spine and pelvis, done with the aid of a viewing scope, and specially designed instruments. Benefits of minimally invasive surgery are less pain, less need for post-surgical pain medication, less scarring and less likelihood for incisional complications. Since the late 1980's, minimally invasive surgery has gained widespread acceptance because of the such advantages. However there are significant disadvantages which have, to date, limited the applications for these promising techniques. The reasons are limited degree-of-freedom, reduced dexterity and the lack of tactile feeling. To overcome such disadvantages many researchers have endeavored to develop robotic systems. Even though some robot aided systems achieved success and commercialized, there still remain many thing to be improved. In this paper, the robotic system which can mimic whole motions of a human arm by adding additional DOF is presented. The suggested design is expected to provide surgeons with improved dexterity during minimally invasive surgery.

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Thoracic (Bronchopulmonary) Actinomycosis : A Case Report (폐 Actinomycosis 치험 1례)

  • 강정호
    • Journal of Chest Surgery
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    • v.8 no.2
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    • pp.153-158
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    • 1975
  • Actinomycosis is a chronic suppurative granulomatous disease due to Actinomyces israelii characterized by multiple abscess and sinus tract formation with dense fibrous scarring. This disease, especially thoracic infection, is very rare in Korea so we are not famiIliar with to make diagnosis and treatment. Otherwise the unspecificity of the clinical symptoms and the lack of adequate examination recedure (as anaerobic fungus culture) are the causes of misdiagnosis. Thoracic actinomycosis is very similar to chronic infectious disease of the lung and chest or thoracic neoplasm. Recently we experienced a case of thoracic actinomycosis (bronchopulmonary) which had been confused with chronic lung abscess and pathologically confirmed as broncho-pulmonary actinomycosis. The purpose of this report is to review our experience more thorouly to enhance consideration of Artinomycosis.

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Robotic Lateral Compartment Selective Neck Dissection in Well-Differentiated Thyroid Carcinoma (갑상선 분화암에서 로봇을 이용한 측경부 림프절 절제술)

  • Tae, Kyung
    • Korean Journal of Bronchoesophagology
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    • v.17 no.2
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    • pp.83-88
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    • 2011
  • Robotic thyroidectomy has been developed to minimize neck scarring, and several authors have described its feasibility and safety, and have reported surgical outcomes comparable with conventional open thyroidectomy. The da Vinci surgical system robot provides a three-dimensional $10-12{\times}$magnified view of the surgical area. It also provides hand-tremor filtration, fine motion scaling, and precise and multi-articulated hand-like motions. Recently, robotic technology has also been applied to lateral compartment neck dissection in thyroid cancer. We have developed a new novel selective neck dissection procedure by a gasless unilateral axillo-breast (GUAB) approach with a da Vinci Surgical System for well-differentiated thyroid carcinoma to avoid a long visible neck scar. Based on our early experience, robotic selective neck dissection by GUAB approach is a safe, feasible and cosmetically excellent procedure. It can be an alternative to conventional open surgery in the highly selected patients with well-differentiated thyroid carcinoma. The oncologic safety of robotic selective neck dissection should be verified with long-term follow-up data.

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Surgical Treatement of Lung Actinomycosis (폐방선균증의 외과적 치료 -2례 보고-)

  • Park, Kyung-Sin;Lim, Seung-Pyung;Lee, Young
    • Journal of Chest Surgery
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    • v.28 no.4
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    • pp.419-422
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    • 1995
  • Pulmonary actinomycosis is a chronic pulmonary infection characterized by suppuration, abscess formation, and dense scarring. The causative agent, Actinomyces israelii, is a gram-positive, microaerophilic bacterium that resemble fungi. We recently treated two cases of pulmonary actinomycosis. A patient was underwent right lower lobectomy under the impression of bronchiectasis. Pulmonary actinomycosis was diagnosed of postoperatively. He was medicated with high-dose penicillin parenterally. The other patient was also undergone right lower lobectomy under the impression of broncholithiasis and received parenteral penicillin and oral roxythromycin. There was no recurrence or development of empyema. The purpose of this paper is to review of our experience and to enhance consideration of pulmonary actinomycosis.

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Minimally Invasive Excision of Epidermal Cysts through a Small Hole Made by a $CO_2$ Laser

  • Song, Seung Wook;Burm, Jin Sik;Yang, Won Yong;Kang, Sang Yoon
    • Archives of Plastic Surgery
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    • v.41 no.1
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    • pp.85-88
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    • 2014
  • To improve the cosmetic results of removing epidermal cysts, minimally invasive methods have been proposed. We proposed a new minimally invasive method that completely removes a cyst through a small hole made by a $CO_2$ laser. Twenty-five patients with epidermal cysts, which were 0.5 to 1.5 cm in diameter, non-inflamed, and freely movable, were treated. All of the patients were satisfied with the cosmetic results. This method is simple and results in minimal scarring and low recurrence rates without complications.

Serially expanded flap use to treat large hairless scalp lesions

  • Shin, Dongwoo;Kim, Yong Hun;Song, Han Gyeol;Hong, Jong Won
    • Archives of Craniofacial Surgery
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    • v.20 no.6
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    • pp.408-411
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    • 2019
  • Hairless scalp areas can occur due to trauma, tumors, or congenital disease. This aesthetically unpleasing condition can lead to psychosocial distress, and thin skin flaps may be prone to scarring. Treating the hairless scalp by simple excision is challenging because of skin tension. Tissue expanders are a good option for hairless scalp resurfacing. However, a single expansion may be inadequate to cover the entire defect. This report describes good results obtained using a serial resurfacing method involving re-expansion of the flap with a tissue expander to treat two patients with large lesions: one due to aplasia cutis congenital and another who underwent dermatofibrosarcoma protuberance resection. The results suggest that scalp resurfacing by serial tissue expansion using a tissue expander can be used for extensive lesions.

Effects of Skin Rehabilitation Massage Therapy on Pruritus, Skin Status, and Depression in Burn Survivors

  • Roh, Young-Sook;Cho, Hee;Oh, Jung-Ok;Yoon, Cheon-Jae
    • Journal of Korean Academy of Nursing
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    • v.37 no.2
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    • pp.221-226
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    • 2007
  • Purpose. Hypertrophic scarring and depression are the principal problems of bum rehabilitation. This study was done to verify the effects of skin rehabilitation massage therapy (SRMT) on pruritus, skin status, and depression for Korean bum survivors. Methods. A pretest - posttest design using a nonequivalent control group was applied to examine the effects of SRMT for 3 months in a group of 18 bum survivors. The major dependent variables - including pruritus, objective and subjective scar status, and depression - were measured at the beginning and at the end of the therapy to examine the effects of SRMT. Results. Bum survivors receiving SRMT showed reduced pruritus, improved skin status, and depression. The remaining scar also showed improvement in skin pigmentation, pliability, vascularity, and height (compared to the surrounding skin) as measured on the Vancouver Scar Scale (VSS). Conclusions. The findings demonstrate that SRMT for bum survivors may improve their scars both objectively and subjectively, and also reduce pruritus and depression.

Trend of Basic Research for Vocal Fold Scar (성대 반흔에 대한 기초연구의 최신 경향)

  • Lee, Byung-Joo
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.23 no.1
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    • pp.28-32
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    • 2012
  • Vocal fold scar disrupts structure of lamina propria and causes significant change in vocal fold tissue biomechanics, resulting in a range of voice problems that often significantly compromise patient quality of life. Although several therapeutic management have been offered in an attempt to improve vocal fold scar, the ideal treatment has not yet been found. Recently, several tissue engineering technique for vocal fold scar using growth factors, several cells, and scaffolds have been described in tissue culture and animal models. Several growth factors such as hepatocyte growth factor, basic fibroblast growth factor, and transforming growth factor beta 3 for therapy and prevention of vocal fold scar have been studied. Cell types to regenerate vocal folds in scarring tissue have been introduced autologous or scarred vocal fold fibroblast and adult mesenchymal stem cells. Decellularized organ matrix and several hyaluronic acid materials have used as scaffolds for vocal fold scar.

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Alternative Treatment of Osteoma Using an Endoscopic Holmium-YAG Laser

  • Han, Ba Leun;Shin, Ho Seong
    • Archives of Plastic Surgery
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    • v.39 no.4
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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.