• Title/Summary/Keyword: Skin excision

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Use of Bioadhesive to Herniorrhaphy in Indirect Inguinal Hernia of Jeju Native Pig (제주재래돼지에서 생체접착제를 이용한 탈장봉합술)

  • Park, Yong-Sang;Ko, Min-Hee;Han, Sang-Hyun;Kang, Si-Nae;Park, Jeong-Yong;Park, Nam-Geon;Ko, Moon-Suck;Kang, Tae-Young
    • Journal of Veterinary Clinics
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    • v.29 no.4
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    • pp.319-322
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    • 2012
  • This case presents application of bioadhesive for inguinal hernia repair of Jeju native pigs. An inguinal hernia was diagnosed in Jeju native pigs, respectively, 3 days of age and 30 days of age, by physical and radiographic examination. Inguinal herniorrhaphy was performed under sedation with azaperone. After excision of scrotal sac, gently separated testis and intestinal loops. Herniated testis was isolated from scrotal sac and intestinal loops were replaced in the abdominal cavity. The external inguinal ring surface and skin closed using the technique of tissue adhesive. The patients were recovered without post-operative complications. This result considered that bioadhesive application could be a simple method to reduction of scrotal hernia without post-treatment like removal of sutures.

Chondrocutaneous transposition flap for congenital tragal malformation with dystopic cartilage

  • Jeon, Ji-In;Ha, Jeong Hyun;Kim, Sukwha
    • Archives of Craniofacial Surgery
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    • v.20 no.6
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    • pp.405-407
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    • 2019
  • Due to the variety in the shape of dysmorphic cartilage, tragus reconstruction is one of the most challenging goals in otoplasty. The authors describe a method to reconstruct a prominent tragus in a simple way suitable for accounting for the size, shape, and location of the remaining ear. We present a case of tragus deformity in an 11-year-old female patient after a previous excision of pretragal skin tags. There was a small remnant of the deeply located dystopic cartilage in a horizontal orientation. The dystopic cartilage was used to reconstruct the tragus using a chondrocutaneous transposition flap. Only a small portion of the pre-existing cartilage was used to create a chondrocutaneous transposition flap that supplemented the portion of cartilage during tragus reconstruction. The result was a new tragus that showed acceptable improvement in shape, location, and projection. Patients with a small portion of pre-existing cartilage near the tragal wall may benefit from the use of this method for tragus reconstruction.

2 Cases of Postburn Breast Reconstruction using A Extended Latissimus Dorsi Myocutaneous Flap (확장광배근피판을 이용한 화상 후 반흔 유방의 재건 2례)

  • Bae, Tae-Hui;Kim, Han-Koo;Kim, Woo-Seob
    • Archives of Plastic Surgery
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    • v.37 no.1
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    • pp.83-86
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    • 2010
  • Purpose: Authors present the case of 2 patients who underwent extended Latissimus dorsi myocutaneous flap to reconstruct postburn breast deformity. Methods: A 39-year-old woman and 18-year-old woman with postburn breast deformity visited for reconstruction. The nipples were preserved but normal breast development did not occur due to scar contracture. Burn scar contracture was released by excision of the restricting burn scar and breast mound was reconstructed with extended Latissimus dorsi myocutaneous flap. Additional contracture release with multiple z-plasty was performed at the axillae and medial portion of breast. Results: Postburn breast reconstruction using Latissimus dorsi myocutaneous flap showed natural shaped breast mound and inframammary fold. There was no significant complication in both cases. Conclusion: Latissimus dorsi myocutaneous flap provide sufficient skin and soft tissue and it could be an effective method for reconstruction of postburn breast deformity.

Granular Cell Tumor in the Lower Lip : A Case Report (하구순의 과립세포종 증례보고)

  • Hur, Gi-Yeun;Oh, Suk-Joon;Koh, Sung-Hoon;Cha, Jeong-Ho;Min, Kwang-Seon
    • Korean Journal of Head & Neck Oncology
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    • v.25 no.1
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    • pp.33-35
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    • 2009
  • Purpose : Granular cell tumour(GCT) is a rare benign tumour that can arise in anywhere throughout the body. Histopathological diagnosis of malignancy is difficult. We report a case of a granular cell tumor which developed on lower lip. Methods : A 58-year-old male had a palpable mass and whitish plaque in the oral mucosa for three months. Results : Under local anasthesia, the tumor was removed through wide excision including normal skin margin. Immediate reconstruction using local flap was done. Pathologic observation showed nests of polygonal cells with abundant granular, eosinophilic cytoplasm and round nuclei. Immunohistopathologic staining showed positive reaction on S-100 protein Conclusion : The results support the hypothesis that granular cell tumor is derived from Schwann cells. We report here on a case of granular cell tumor of lower lip that was successfully treated with radical resection.

A Case of Dermoid Cyst Masquerading as Lipoma of Parotid Gland (이하선의 지방종으로 오인된 유피 낭종 1례)

  • Cho, Jung-Hae;Kim, Min-Sik;Han, Min-Ah;Sun, Dong-Il
    • Korean Journal of Head & Neck Oncology
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    • v.24 no.2
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    • pp.194-196
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    • 2008
  • Dermoid cysts are developmental anomalies that represent the simplest form of teratoma. They are the result of the sequestration of the skin along the lines of embryonic closure. These cysts of the head and neck are uncommon and account for 7% of all dermoid cysts. They are predominantly found in the orbit, floor of mouth, and nose. As a dermoid cyst of the parotid gland is extremely rare, it is often misdiagnosed preoperatively. By way of imaging modalities such as computed tomography, MRI and ultrasongraphy along with FNAB, it can be differentiated from many other cystic lesions of the parotid gland. We report a case of dermoid cyst of the parotid gland which masqueraded as lipoma before complete surgical excision.

Clinical Study of Tracheocutaneous Fistula (기관피부누공에 대한 임상적 고찰)

  • Lee, Hyung-Seok;Kim, Hyun-Soo;Shim, Bong-Taek;Tae, Kyung;Park, Chul-Won
    • Korean Journal of Bronchoesophagology
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    • v.1 no.1
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    • pp.142-145
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    • 1995
  • The tracheocutaneous fistula(TCF) may develop infrequently as a complication after tracheostomy. Prolonged tracheostomy tube dependence increases the risk of TCF developing, and in growth of stratified squamous epithelium lines the furrow connecting the tracheal mucosa and the skin, accounting for persistence of the fistulous tract. Such fistulas are a nuisance and create nursing and social problems including poor hygiene, aspiration, difficulty with speech, and depletion of pulmonary reserve. Surgical closure has generally been successful by primary closure, fistulectomy with primary closure, and closure by secondary intention following excision of the tracheocutaneous fistula. No large series compares the efficacy of these techniques and each has its own merits. Recent literature has purposed to minimizing complications. For ten years, from January 1985 to December 1994, the authors experienced 25 cases of TCF which were analyzed in respect to incidence and interval of cannulation, duration between decanulation and fistular closure, precedent disease, closure methods, and complications of TCF repair.

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A CASE OF ORAL LEIOMYOMA (구강내에 발생한 평활근종)

  • Nam, Ok-Hyun;Kim, Mi-Sung;Fung, Wo Chieh;Ahn, Sang-Hun;Ro, Hong-Sup;Chang, Eun-Yiu
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.28 no.6
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    • pp.484-487
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    • 2002
  • Leiomyoma is a benign smooth muscle tumor that usually arise in the uterus, skin and gastrointestinal system. Only 2 percent are located in the head and neck. Leiomyomas of oral cavity are uncommon as only two cases have been reported in the Korean literature. The common location of oral cavity has been tongue, but other sites include buccal mucosa, lips, palate. mouth floor, and gingiva. Our patient was 30 years old female who complained of swelling and discomfort in the mouth floor. Microscopically this tumor showed bundles of intertwining spindle cells within fibrous connective tissue stroma. The nuclei were generally pale staining and blunt ended. Masson's trichrome stain was positive for muscle, and immunohistochemical study for ${\alpha}$-smooth muscle actin revealed strong positivity. It was treated by surgical excision. We experienced a case of leiomyoma of oral cavity, so we report with literature reviews

CERVICAL ISLAND FLAP FOR INTRAORAL REPAIR (경부도상 피판을 이용한 구강내 결손부의 재건)

  • Kim, Jong-Ryoul;Seo, Jong-Cheon;Shin, Sang-Hoon;Lee, Seong-Geun;Yang, Dong-Kyu
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.17 no.3
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    • pp.209-213
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    • 1995
  • Various cutaneous as well as myocutaneous flaps have been designed for the reconstruction of tissue defects caused by the excision of oral cancer. Among these flaps, cervical island skin flap have been introduced by Farr et al and more have developed by Tashiro et al. This flap has many advantages. The flap minimizes donor size by use of cervical operation wound, flap size available is adequate for most oral defects and the procedure is relatively simple and time saving. However, this flap is not applicable in patients where there are large tissue defects and metastasis is suspected. We used this flap for it's rapid, simple, and effective, primary closure of oral defects after cancer ablation and we have found this flap very useful for the reconstruction of relatively small oral defects.

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BENIGN FIBROUS HISTIOCYTOMA OF MANDIBLE - A CASE REPORT- (하악골에 발생한 양성 섬유성 조직구종의 치험례)

  • Choi, So-Young;Kim, Jin-Wook;Kwon, Tae-Geon;Shin, Hong-In;Byeon, Ki-Jeong;Kim, Chin-Soo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.30 no.4
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    • pp.399-403
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    • 2008
  • Benign fibrous histiocytoma(BFH) is a mesenchymal cell-originated tumor composed of cells with fibroblastic and histiocytic differentiation. BFH occurs predominantly on sun-exposed skin of extremities. Oral BFH lesions are uncommon. The majority of oral lesions includes the soft tissue but not the jaw bones. The lesion appears as well-defined multilocular radiolucencies associated with bony swelling when it occurs on the jaw. The lesion induces the thinning and expansion of the cortex and shows many thin, indistinct septa in the lesion. Surgical excision is the choice of treatment. The recurrence rate is low and metastasis has not been reported. We report the clinical, radiographic and microscopic findings of a BFH case occurred in the mandible with literature reviews.

A Case of Primary Malignant Hemangiopericytoma of the Lung (폐에 발생한 원발성 악성 혈판주위세포종 1예)

  • Lee, Kang-Moon;Ahn, Joong-Hyun;Lee, Kyo-Young;Jang, Theresa;Moon, Hwa-Sik;Park, Sung-Hak;Song, Jeong-Sup
    • Tuberculosis and Respiratory Diseases
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    • v.44 no.3
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    • pp.655-660
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    • 1997
  • Hemangiopericytoma is a rare vascular tumor arising from pericytes. The tumor usually develops in the skin or subcutaneous tissue, particularly in the extremities. A pulmonary origin of hemangiopericytoma is known to be quite rare. It has the potential to become a highly malignant lesion, so wide excision is the treatment of choice. We present a case of primary malignant hemangiopericytoma of the lung and discuss the clinical symptoms, diagnosis, therapy and prognosis within the context of a brief review.

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