• Title/Summary/Keyword: Subcutaneous exposure

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Histopathological Changes of Subcutaneous Exposure to Glass Fibers in Rats (흰쥐에서 유리섬유의 피하삽입에 의한 경시적 병리조직학적 변화)

  • Lee, Min-Jae;Cho, Soo-Hun;Jang, Ja-June
    • Journal of Preventive Medicine and Public Health
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    • v.30 no.1 s.56
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    • pp.69-76
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    • 1997
  • To exanime in vivo tissue reactions of glass fibers, we injected glass fibers to rats subcutaneously. We made fibers of average dimensions of approximately $2{\mu}m$ in diameter and $60{\mu}m$ in length. After instilation of glass fiber we sacrificed rats sequentially at 1, 3 and 6 months. At 1 month after injection of glass fibers, the exposure area turned to yellow color and formed well-demarcated round mass. The average size of the mass was $1\times0.3cm$. Grossly detectable mass was decreased in size at 6 months compared to 1 or 3 months. Microscopically, strong foreign body reaction to glass fibers, inflammation and fibrosis were observed until 6 months. Foreign body reaction was increased up to 3 months, but it was decreased after 6 months. In scanning electron microscope, there was many bundles of glass fibers around the inflammation area, but the size of glass fibers were gradually reduced from 1 month to 6 months. These results suggest that subcutaneous exposure of glass fiber can provoke strong tissue reaction including foreign body granulomas, inflammation and fibrosis. But glass fiber itself did not produce any neoplastic changes.

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HISTOPATHOLOGIC STUDY ON THE RAT SUBCUTANEOUS TISSUE FOLLOWING EXPOSURE TO VARIOUS CONCENTRATIONS OF CANAL IRRIGANT AND CANAL MEDICAMENTS (희석(稀釋)된 수종(數種)의 근관소독제(根管消毒劑) 및 근관세척제(根管洗滌劑)가 백서피하조직(白鼠皮下組織)에 미치는 영향(影響)에 대(對)한 병리조직학적(病理組織學的) 연구(硏究))

  • Suh, Woonn-Suk;Yoon, Soo-Han
    • Restorative Dentistry and Endodontics
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    • v.8 no.1
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    • pp.77-87
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    • 1982
  • The purpose of this study is to estimate the reaction of rat subcutaneous tissues following exposure to the various concentrations of formocresol (100, 50, 20%), eugenol (100, 75, 50%), and sodium hypochlorite. (5, 3.5, 0.5%) The results were as follows: 1. As the concentration of formocresol was decreased, the inflammatory reaction was decreased conspicuously. 2. The inflammatory reaction of 100% eugenol was appeared to be similar to that of 75% eugenol. The inflammatory reaction of 50% eugenol was decreased conspicuously. 3. No significant differences were found in inflammatory response between 3.5% and 5% sodium hypochlorite. 4. The inflammatory reaction of 0.5% sodium hypochlorite was mild and appeared to be similar to that of saline solution in 7 days.

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Use of Acellular Biologic Matrix Envelope for Cardiac Implantable Electronic Device Placement to Correct Migration into Submuscular Breast Implant Pocket

  • Peyton Terry;Kenneth Bilchick;Chris A. Campbell
    • Archives of Plastic Surgery
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    • v.50 no.2
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    • pp.156-159
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    • 2023
  • Breast implants whether used for cosmetic or reconstructive purposes can be placed in pockets either above or below the pectoralis major muscle, depending on clinical circumstances such as subcutaneous tissue volume, history of radiation, and patient preference. Likewise, cardiac implantable electronic devices (CIEDs) can be placed above or below the pectoralis major muscle. When a patient has both devices, knowledge of the pocket location is important for procedural planning and for durability of device placement and performance. Here, we report a patient who previously failed subcutaneous CIED placement due to incision manipulation with prior threatened device exposure requiring plane change to subpectoral pocket. Her course was complicated by submuscular migration of the CIED into her breast implant periprosthetic pocket. With subcutaneous plane change being inadvisable due to patient noncompliance, soft tissue support of subpectoral CIED placement with an acellular biologic matrix (ABM) was performed. Similar to soft tissue support used for breast implants, submuscular CIED neo-pocket creation with ABM was performed with durable CIED device positioning confirmed at 9 months postprocedure.

Disulfiram Implantation for the Treatment of Alcoholism: Clinical Experiences from the Plastic Surgeon's Point of View

  • Sezgin, Billur;Sibar, Serhat;Bulam, Hakan;Findikcioglu, Kemal;Tuncer, Serhan;Dogan, Bilge
    • Archives of Plastic Surgery
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    • v.41 no.5
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    • pp.571-575
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    • 2014
  • Background Disulfiram implantation is a widely used treatment alternative for alcohol abuse, yet reports on the surgical aspect of disulfiram implantation with respect to patient and drug-related treatment efficacy and wound complications are very limited. We present our clinical experiences with disulfiram implantation and discuss the surgical outcomes obtained with different anatomical planes for implantation. Methods Medical records of all patients referred to our clinic from the psychiatry department between 2007 and 2013 for disulfiram implantation were retrospectively analyzed. Implantation was carried out using 10 sterile Disulfiram tablets (WZF Polfa S.A.), each tablet containing 100 mg of disulfiram. The procedure was carried out by implanting the tablets randomly in either a subcutaneous or an intramuscular plane. The location and the plane of implantation and the complications were recorded for each patient and compared to determine the differences in the outcomes. Results A total of 32 implantation procedures were evaluated for this study. Twenty-five implants were placed in the intramuscular plane (78.2%), while seven implants were placed subcutaneously (21.8%). Exposure was encountered in three of the seven subcutaneous implants (42.9%), while no exposure was seen with the intramuscular implants. Incomplete absorption of the tablets was encountered in one patient with a previous subcutaneous implant who presented 1 year later for re-implantation as part of the continuation of therapy. Conclusions To overcome the issue of treatment continuation in the case of disulfiram therapy, which may be ceased due to frequently encountered wound complications, we believe that implantation in the subscapular intramuscular plane allows both uneventful healing and an out-of-reach implant location.

Treatment of Axillary Osmidrosis Using a Subcutaneous Pulsed Nd-YAG Laser

  • Kim, Dae-Jin;Kim, Jun-Hyung;Yeo, Hyeon-Jung;Kwon, Hyuk-Jun;Son, Dae-Gu;Han, Ki-Hwan
    • Archives of Plastic Surgery
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    • v.39 no.2
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    • pp.143-149
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    • 2012
  • Background : Axillary osmidrosis is characterized by an unpleasant odor, profuse sweating, and in some instances, staining of clothes that may socially and psychologically impair affected individuals. Various types of surgical procedures have been developed for the treatment of axillary osmidrosis. This study was undertaken to evaluate the effectiveness of subcutaneous pulsed neodymium: yttrium-aluminum-garnet (Nd-YAG) laser treatment for the treatment of axillary osmidrosis. Methods : Twenty-nine patients with axillary osmidrosis were included in this study. Patients were categorized according to the results of an axillary malodor grading system, and a subcutaneous pulsed Nd-YAG laser was applied to all patients. The treatment area for the appropriate distribution of laser energy was determined using the iodine starch test (Minor's test) against a grid pattern composed of $2{\times}2cm$ squares. The endpoint of exposure was 300 to 500 J for each grid, depending on the preoperative evaluation results. The results were evaluated by measurement of axillary malodor both pre- and postoperatively using the grading system and iodine starch test. Results : The average follow-up period was 12.8 months. Nineteen patients had a fair-to-good result and ten patients had poor results. The postoperative Minor's test demonstrated that there were remarkable improvements for patients with mild to moderate symptoms. Complications including superficial second degree burns (n=3) were treated in a conservative manner. A deep second degree burn (n=1) was treated by a surgical procedure. Conclusions : Subcutaneous pulsed Nd-YAG laser has many advantages and is an effective noninvasive treatment for mild to moderate axillary osmidrosis.

Effect of Cigarette Smoke Exposure on MPTP Metabolism in the Liver of Mice

  • Heung Bin Lim;Ja Young Moon;Hyung Ok Sohn;Young Gu Lee;Dong Wook Lee
    • Journal of the Korean Society of Tobacco Science
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    • v.20 no.1
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    • pp.99-107
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    • 1998
  • Numerous studies have demonstrated a negative association between cigarette smoking and Parkinson's disease. The present study was undertaken to investigate whether chronic exposure of mice to cigarette smoke a(footed the metabolism of 1-methyl-1113,6-tetrahydro-pyridine (MPTP) by cytochrome P4SO (P-450) or flavin-containing monooxygenase (FMO) in the hepatic microsomes of C57BL6/J mice. Adult male C57BL6/J mice were exposed to mainstream smoke generated from 15 cigarettes for 10 min a day and 5 day per week for 6 weeks. MPTP (10 mg/kg body weight) was administered to mice by subcutaneous injection for 6 consecutive days. Microsolnal P-450 content was increased by MPTP, smoke exposure, or both, but NADPH cytochrome P-450 reductase activity was rather decreased by the same treatments. The activities of benzo(a)pyrene hydroxylase, 7-ethoxycoumarin O-deethylase and ethoxyresorufin O-deethylase were significantly increased by the exposure of cigarette smoke, but were not or little affected by MPTP treatment. Benzphetamine N-demethylase activity was not affected either by MPTP treatment or by cigarette smoke exposure, but it was significantly increased by the combined MPTP treatment with cigarette smoke exposure, showing their synergic effect for the induction of the enzyme activity. Interestingly, in vitro studies of hepatic FMO and P-450 system both O-oxygenation and N-demethylation of MPTP were increased in the smoke-exposed or in the MPTP-treated mice. These results suggest that the enhancement in the N-demethylation as well as O-deethylation of P-450 system and in the N-oxygenation of FMO activity by cigarette smoke exposure in mouse liver may contribute to attenuating the neurotoxic effects of MPTP on the nigrostriatal dopaminergic neurons.

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Horizontal submammary skin incision for median sternotomy (유방하 피부 횡절개를 이용한 정중흉골 절개술)

  • 공현우
    • Journal of Chest Surgery
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    • v.22 no.1
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    • pp.155-157
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    • 1989
  • Median sternotomy is the incision of choice to allow access to the anterior mediastinum, heart, or both lungs. The vertical skin incision generally gives a poor cosmetic result. In certain patients particularly those who are asymptomatic and undergoing short, low risk procedures, cosmetic considerations are of relatively greater importance. A bilateral horizontal submammary skin incision with dissection of a flap including the subcutaneous tissue and breast allows exposure of the sternum so that a median sternotomy can be performed. We have performed this incision in 12 patients undergoing open heart surgery. Although obtaining the usual midsternal exposure takes some extra time, results have shown the va1ue of this approach and its benefit to the patients.

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BEHAVIORAL TERATOGENICITY OF METHAMPHETAMINE

  • Chin, Kang;Cho, Dae-Hyun;Cho, Tae-Soon
    • Toxicological Research
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    • v.6 no.2
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    • pp.121-130
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    • 1990
  • Pregnant Wister rats were given daily subcutaneous administrations of methamphetamine (MAPT; varying doses ranging from 1.0 to 4.5mg/kg) from days 7 to20 of gestation and teratogenic effects have been determined. The teratogenic effects inducible with orally administered caffeine (90mg/kg/day)for the same durations were used as the positive controls. MAPT doses greater than 2.0 mg/kg have suppressed the rate of maternal weight gain. Some of the offsprings (F1) of the prenatal MAPT treated groups had decreased growth rate and delayed development of physical characters and functional reflexes. The male offsprings of the MAPT treated groups had significant decreases in their spontaneous motor activity but had enhanced conditioned avoidance responses. However, the mating performances of these offsprings were not affected. These results indicated that prenatal exposure of MAPT may induce some behavioral teratogenicity in rats.

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Versatility of Adipofascial Flap for the Reconstruction of Soft Tissue Defect on Hand or Foot (수족부 연부조직 결손의 재건에 있어서 지방근막피판술의 유용성)

  • Cheon, Nam Ju;Kim, Cheol Hann;Shin, Ho Sung;Kang, Sang Gue;Tark, Min Sung
    • Archives of Plastic Surgery
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    • v.34 no.6
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    • pp.759-764
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    • 2007
  • Purpose: Various types of flaps, with their own advantages and disadvantages, have been described for reconstruction of soft tissue defect with exposure of tendons, bones, or joints in the hand or foot. Local flaps with random vascularity have a limitation by their length. Free flaps are time-consuming procedure that may require the sacrifice of some major vessels. The ideal flap for covering soft tissue defects of the hand or foot must provide subcutaneous tissue that tendons can glide through which, supply enough subcutaneous tissue for cover of vital neural, bony, vascular and joint structures, and it has to be aesthetically pleasing. The adipofascial flap fulfills these criteria. It allows immediate or early closure of difficult wound of hand and foot in an easy way, and is especially indicated for small to medium-sized defects. Methods: From October 2005 to December 2006, seven cases underwent this procedure to reconstruct soft tissue defect on hand or foot. Results: All flaps survived completely, and no complications were observed. Conclusion: The adipofascial flap is a convenient flap for coverage of soft tissue with exposure of vital structure in the hand or foot, and provide several advantages, as following; easy and safe, short operating time, one stage procedure, thinness and good pliability of the flap, preservation of the major vascular pedicles, skin preservation at the donor site, thus preserve the shape of the limb and minimize donor site scar.

Effects of Rhus verniciflua Stokes (RVS) Extract on Diet-induced Obesity in C57BL/6 mouse (옻나무 추출물이 식이에 의한 비만유도 C57BL/6 mouse에 미치는 영향)

  • Kim, Jung-Hee;Lee, Hye-Won;Ko, Byoung-Seop;Kim, Ho-Kyoung;Jeon, Won-Kyung
    • Korean Journal of Pharmacognosy
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    • v.34 no.4 s.135
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    • pp.339-343
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    • 2003
  • We investigated the effects of Rhus verniciflua Stokes (RVS) on high fat diet- induced obesity in C57BL/6 that received ad libitum exposure to a high fat diet for 8 weeks. Male C57BL/6 mice weighing $20.1{\pm}0.95\;g$ were divided into four groups and the body weight and food intake were weighed for 8 weeks. After the administration of RVS extract, the liver, subcutaneous and retroperitoneal adipose tissue in the mice were weighed and common blood count in whole blood and biochemical parameters in plasma were measured. It was founded that body weight increase was significantly suppressed by the oral administration of RVS extract in group with high fat diet. Weight of subcutaneous adipose tissue and concentration of triglyceride in plasma from mice which were administrated RVS extract were lower than obesity control group. These results suggest that RVS extract may effect on inhibition of diet-induced obesity.