• Title/Summary/Keyword: atrophic

Search Result 319, Processing Time 0.036 seconds

A Surgical Experience of Livedo Vasculitis: A Case Report (청피반성 혈관염의 수술적 치험 1례)

  • Choi, Won Seok;Park, Dae Hwan;Song, Chul Hong
    • Archives of Plastic Surgery
    • /
    • v.33 no.5
    • /
    • pp.666-668
    • /
    • 2006
  • Purpose: Livedo vasculitis is recurrent painful ulceration of the feet, ankles and legs characterized by purpuric papules and plaques that undergo superficial necrosis and healing with residual white atrophic scars (atrophie blanche). The typical histopathologic findings of livedo vasculitis are characterized by endothelial proliferation and hyaline degeneration along with thrombosis of dermal vessels. Standard therapeutic strategies for treatment of livedo vasculitis are usually on the basis of rheologic, anti-inflammatory or immnosuppressive treatments, a aspirin, dipyridamole, glucocorticosteroids, pentoxyfylline, or high-dose intravenous immunoglobulin are often ineffective or partially effective. Methods: We report a case of 24-year-old male patient with livedo vasculitis on the ankles and dorsal surfaces of both feet. Results: The lesion that had been unresponsive to medical treatment were successfully healed with complete debridement and skin grafting without recurrences. Conclusion: Surgical treatment can be one of the therapeutic choice in Livedo vasculitis.

Fine Needle Aspiration Cytologic Findings of Fibromatosis Colli - A Report of Three Cases - (경부섬유종증의 세침흡인 세포소견 - 3예 보고 -)

  • Park, In-Suh;Kim, Lucia;Choi, Suk-Jin;Han, Jee-Young;Chu, Young-Chae;Choi, Sun-Geun;Kim, Joon-Mee
    • The Korean Journal of Cytopathology
    • /
    • v.16 no.1
    • /
    • pp.61-65
    • /
    • 2005
  • Fibromatosis colli is a benign fibrous tissue proliferation of sternocleidomastoid muscle, which is usually observed during the first month of life, often associated with congenital torticollis. It should be differentiated from other neck masses in infants because the usual initial treatment of fibromatosis celli is conservative management and invasive therapy should be avoided. Fine needle aspiration cytology provides an excellent minimally invasive diagnostic way for evaluation of infantile neck masses. We describe three cases of fibromatosis colli diagnosed by fine needle aspiration cytology. All of them were younger than one month and presented as a neck mass. Clinical impressions were malignant tumors in two cases and fibromatosis colli in one case. Fine needle aspiration cytology revealed benign and mature fibroblasts and atrophic striated muscle fibers. The cytologic diagnosis was fibromatosis colli or benign fibous lesion.

Resorption of bone graft after maxillary sinus grafting and simultaneous implant placement

  • Kim, Young-Kyun;Kim, Su-Gwan;Kim, Bum-Su;Jeong, Kyung-In
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • v.40 no.3
    • /
    • pp.117-122
    • /
    • 2014
  • Objectives: The purpose of this study was to evaluate the sinus bone graft resorption over 3 years after two-stage implant placement. Materials and Methods: The subjects for this study included 30 patients whose maxillary posterior ridges were too atrophic for implants. Bone-added osteotome sinus floor elevation was used in 15 maxillary sinuses, while the bone graft by lateral approach technique was used in 25 maxillary sinuses. The height from the top of the fixture to the sinus floor was estimated immediately after implant placement and the follow-up period was over 3 years. The surgery was classified with two groups: sinus bone grafting with and without autogenous bone. All implants were placed simultaneously. Results: The mean vertical bone loss was $3.15{\pm}2.95mm$. The survival rate of implants was 94.7%. Conclusion: The amount of bone resorption was not significantly associated with the surgical methods, the type of bone graft materials used, or sinus perforation during surgery.

The Value of Diagnostic Laparoscopy for Impalpable Testes (비촉지성 정류고환에서 진단적 복강경검사의 유용성)

  • Lee, Young-Guk;Park, Jae-Shin;Lee, Eun-Suk
    • Advances in pediatric surgery
    • /
    • v.13 no.1
    • /
    • pp.66-71
    • /
    • 2007
  • There have been no definitive preoperative diagnostic imaging studies for impalpable testes. We observed the effectiveness of laparoscopy for detecting impalpable testes not identified with ultrasonography (USG) or careful physical examination under general anesthesia. We retrospectively reviewed 117 patients (118 testes) who were operated upon for undescended testes from January 1998 to December 2004. The testes of these patients were palpable in 97(82 %) and impalpable in 21 (18 %). We analyzed the preoperative diagnostic method, site of the testes, operative method and operative findings of the 21 impalpable testes. Preoperative USG and physical examination under general anesthesia were performed on 20 patients, and 12 patients' testes could be localized. Eight patients whose testes could not be localized with USG and physical examination underwent laparoscopy. Seven of the 8 patients had testes in inguinal canal and 4 of these were atrophied and underwent orchiectomy because of atrophy (2) and vanishing (2). Only 1 patient had bilateral intraabdominal testes and one of the testes was atrophied. Laparoscopy was a useful method for detecting impalpable testes, but the clinical application might be limited because the location of atrophic or vanishing testes was mainly inferior to internal inguinal ring.

  • PDF

INFERIOR ALVEOLAR NERVE REPOSITIONING IN THE ATROPHIC POSTERIOR MANDIBULAR ALVEOLAR RIDGE (하악 무치악 인공치아매식술시 하치조신경 전위술)

  • Choi, Eui-Hwan;Ha, Jeong-Wan;Kim, Su-Gwan;Chung, Tae-Young;Kim, Soo-Heung
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • v.23 no.3
    • /
    • pp.226-231
    • /
    • 2001
  • Modified surgical technique for transposition of the inferior alveolar nerve followed by immediate placement of endosseous implants in mandibles with moderate to severe atrophy are presented. Five transpositions of the inferior alveolar nerve together with the installation of 10 implants were performed in four patients. The mean postoperative follow-up time was 17 months, with a range of 8 to 20 months. All implants with functioning pontics remained stable, with no mobility or symptoms of pain and infection during the follow-up period. Neurosensory evaluation was performed using the two-point discrimination test. Two patients had objective neurosensory dysfunction at postoperative, but all the nerve function were reported as normal by the patients 4 months postoperatively.

  • PDF

SINUS GRAFT AND VERTICAL AUGMENTATION OF MAXILLARY POSTERIOR ALVEOLAR RIDGE USING MANDIBULAR RAMAL BLOCK BONE GRAFT (상악동 골이식술과 하악지 자가골 블록을 이용한 상악 구치부 치조제 수직증강술)

  • Kim, Kyoung-Won;Lee, Eun-Young
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • v.32 no.3
    • /
    • pp.276-281
    • /
    • 2010
  • The maxillary posterior area is the most challenging site for the dental implant. After missing of teeth on maxillary posterior area due to periodontal problems, the remaining alveolar ridge is usually very thin because of not only pneumatization of maxillary sinus but also destruction of alveolar bone. The maxillary sinus bone graft procedure is one of the most predictable and successful treatments for the rehabilitation of atrophic and pneumatized endentulous posterior maxilla. But, in case of severe destruction of alveolar bone due to periodontal problems, very long crown length is still remaining problem after successful sinus graft procedures. We performed vertical augmentation of maxillary posterior alveolar ridge using mandibular ramal block bone graft with simultaneous sinus graft. After this procedures, we could get more favorable crown-implant ratio of final prosthodontic appliance and more satisfactory results on biomechanics. This is a preliminary report of the vertical augmentation of maxillary posterior alveolar ridge using mandibular ramal block bone graft with simultaneous sinus graft, so requires more long-term follow up and further studies.

New bone formation in the maxillary sinus without bone grafts:Covering of lateral window with non-resorbable membrane or bony window (골이식재를 사용하지 않은 상악동 거상술:골창의 패쇄방법에 따른 치험례)

  • Son, Dong-Seok;Lee, Ji-Su;An, Mi-Ra;Sin, Hong-In
    • The Journal of the Korean dental association
    • /
    • v.46 no.4
    • /
    • pp.222-231
    • /
    • 2008
  • Various maxillary sinus floor augmentation techniques were common performed and in the most cases, many kinds of bone graft materials were used. The graft materials are autogenous bone or other biomaterials of human, animal or synthetic origin. But these cases report describes a new surgical technique by which dental implants are inserted in a void space created by elevating the sinus membrane without additional graft material in atrophic posterior maxilla. We created lateral bony window using piezoelectric device and elevated the schneiderian membrane in five patients and was repositioned with bony window in five patients, without any bone graft. From the clinical and histological results, it is found there is potential capacity for bone formation and placement of implants in the maxillary sinus without the use of bone grafts or bone substitutes.

  • PDF

Rehabilitation of a patient with atrophic ridges using gothic arch tracing and nonpressure impression: a case report (심하게 흡수된 치조제를 가진 환자에서 고딕 아치 기록과 무압 인상을 이용한 총의치 수복: 증례보고)

  • Lee, Shin-Yeop;Yu, Jung-Hyun
    • Journal of Dental Rehabilitation and Applied Science
    • /
    • v.34 no.3
    • /
    • pp.232-238
    • /
    • 2018
  • Flabby ridges adversely affect the stability of complete dentures. For the management it is suggested that soft tissues reconditioned before making definitive dentures, and modified impression techniques used for the flabby ridges. Also, correct record of centric relation is important in complete dentures. This case of 67-year-old edentulous female patient had atrophied ridges on the mandible and the flabby ridge on the maxilla. Treatment dentures were fabricated using gothic arch tracing method and tissue conditioner. Definitive dentures were made using window opening impression technique, the gothic arch tracing method, and lingualized occlusion. The patient was satisfied with the function and esthetic quality of the new prostheses.

Controlled Release of Bordetella Bronchiseptica Dermonecrotoxin(BBD) Vaccine from BBD-Loaded Chitosan Microspheres In Vitro

  • Jiang, Hu-Lin;Park, In-Kyu;Shin, Na-Ri;Yoo, Han-Sang;Akaike, Toshihiro;Cho, Chong-Su
    • Archives of Pharmacal Research
    • /
    • v.27 no.3
    • /
    • pp.346-350
    • /
    • 2004
  • Chitosan microspheres were prepared by ionic gelation process with sodium sulfate for nasal vaccine delivery. Bordetella Bronchiseptica Dermonecrotoxin (BBD) as a major virulence factor of a causative agent of atrophic rhinitis (AR) was loaded to the chitosan microspheres for vaccination. Morphology of BBD-loaded chitosan microspheres was observed as spherical shapes. The average particle sizes of the BBD-loaded chitosan microspheres were about $2.69$\mid${\;}\mu\textrm{m}$. More BBD was released with an increase of molecular weight of chitosan and with an increase of medium pH in vitro due to weaker intermolecular interaction between chitosan and BBD. Tumor necrosis $factor-{\alpha}{\;}(TNF{\alpha})$ and nitric oxide (NO) from RAW264.7 cells stimulated with BBD-loaded chitosan microspheres were gradually secreted, suggesting that released BBD from chitosan microspheres had immune stimulating activity of AR vaccine.

THE SHELLFISH POISON IN TAPES PHILIPPINARUM LISCHKE (바지락독에 관한 연구)

  • CHUN Seh Kyu;KIM Seong Jun;CHANG Dong Suck
    • Korean Journal of Fisheries and Aquatic Sciences
    • /
    • v.2 no.2
    • /
    • pp.139-146
    • /
    • 1969
  • Incidents of poisoning caused by edible marine bivalve, Tapes philippinarum in Kojedo, Korea were reported in March 1968 and 1969. The results of the present investigation revealed that the incidents were caused by hemorrhagic diathesis and liver injuries, as those caused by acute yellow atrophic liver. The minimal lethal dose of the liver extract of the bivalve varied with seasons. The dose was 0.02ml in March and increased to 0.25ml in April-May 1969. After lune the extract showed no toxicity. Phthalein reaction of smashed liver solution of the bivalve showed a great variation with seasons. In March the values of $P_1$(crude solution) and $P_2$ (boiled one) were 0.1 and 10, at its strongest toxicity. In May those of $P_1\;and\;P_2$ were 1 and 1,000. However the mouse died after intraperitoneal administration of 0.25ml of the liver extract at the $P_2$ value of 1,000. For this reason, determination of the toxicity is difficult by judging from the phthalein reaction alone. The bivalves collected from Pusan, Kaduk, Koje, Hansan, Yeosu, Mokpo and Kunsan were found nontoxic during April-August 1969.

  • PDF