• Title/Summary/Keyword: forearm skin

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Functional Results of Soft Palate Defect Reconstruction using Radial Forearm Free Flap after Tonsil Cancer Surgery (편도암 절제술후 전완유리피판술을 이용한 연구개 결손부 재건의 기능적 결과)

  • Kim, Min-Sik;Sun, Dong-Il;Park, Hae-Sup;Cho, Seung-Ho;Jai, Hyeon-Soon
    • Korean Journal of Bronchoesophagology
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    • v.5 no.2
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    • pp.191-197
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    • 1999
  • Background and Objective : Soft palate plays a great role in function of speech and swallowing. Ablation of tonsil cancer results in multi-demensional defect including soft palate in most cases and restoration of the postoperative oral cavity function is a continuing surgical challenge. Although a variety of techniques are available, radial forearm free flap has been known as an effective method for these defect, which offers a thin, pliable, and relatively hairless skin, and a long vascular pedicle. The aim of the present study is to report the speech and swallowing function test results of our 5 consecutive radial forearm free flaps used for tonsil cancers. Materials and Methods : We reviewed the medical records of 5 patients who were offered intraoral reconstruction with a radial forearm free flap after ablative surgery for tonsil cancers, from Dec. 1997 to Oct. 1998, and analyzed the surgical methods, complications, and speech and swallowing function test results. We have examined with modified barium swallow to evaluate postoperative wallowing function and articulation and resonance test for speech. Results : The tumor sizes by TNM stage(AJCC, 1997) were T1(1), T2(2), and T4(3). The paddles of flaps were tailored in multilobed designs from oval shape to pentalobed design and in variable size from 24$cm^2$ to 108$cm^2$(average size = 78.4$cm^2$), according to the defect after ablation. This procedures resulted in satisfactory flap success and functional results all but 1 case of flap contracture in 2 postoperative week, achieved early oral diet until 16-57 postoperative day(average, 28 days) and social speech. The oropharyngeal defect including soft palate reconstruction with radial forearm free flap might be an excellent method for the maximal functional results, after ablative surgery of tonsil cancer that results in multidimensional defect.

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Reconstruction with Radial Forearm Free Flap after Ablative Surgery for Oral Cavity and Oropharyngeal Cancers (구강암과 구인두암의 절제술 후 전완유리피판술을 이용한 재건술)

  • Cho Kwang-Jae;Chun Byung-Jun;Sun Dong-Il;Cho Seung-Ho;Kim Mn-Sik
    • Korean Journal of Head & Neck Oncology
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    • v.19 no.1
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    • pp.41-46
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    • 2003
  • Background and Objectives: Surgical ablation of tumors in the oral cavity and the oropharynx results in a three dimensional defect because of the needs to resect the adjacent area for the surgical margin. Although a variety of techniques are available, radial forearm free flap has been known as an effective method for this defect, which offers a thin, pliable, and relatively hairless skin and a long vascular pedicle. We report the clinical results of our 54 consecutive radial forearm free flaps used for oral cavity and oropharynx cancers. Materials and Methods: We reviewed the medical records of patients who were offered intraoral reconstruction with a radial forearm free flap after ablative surgery for oral cavity and oropharyngeal cancers from August 1994 to February 2003 and analyzed surgical methods, flap survival rate, complication, and functional results. Among these, 20 cases were examined with modified barium swallow to evaluate postoperative swallowing function and other 8 cases with articulation and resonance test for speech. We examined recovery of sensation with two-point discrimination test in 15 cases who were offered sensate flaps. Results: The primary sites were as follows : mobile tongue (18), tonsil (17), floor of mouth (4), base of tongue (2), soft palate (2), retromolar trigone (3), buccal mucosa (1), oro-hypopharynx (6), and lower lip (1). The paddles of flaps were tailored in multilobed designs from oval shape to tetralobed design and in variable size according to the defects after ablation. This procedures resulted in satisfactory flap success rate (96.3%) and showed good swallowing function and social speech. Eight of 15 cases (53.3%) who had offered sensate flap showed recovery of sensation between 1 and 6 postoperative months (average 2.6 month). Conclusion: The reconstruction with radial forearm free flap might be an excellent method for the maximal functional results after ablative surgery of oral cavity and oropharyngeal cancers that results in multidimensional defect.

Malignant Melanoma Arising from the Mediastinum - A Case Report - (종격동에 발생한 악성 흑색종;1례 보고)

  • 이석열
    • Journal of Chest Surgery
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    • v.25 no.8
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    • pp.791-794
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    • 1992
  • Authors experienced a case of malignant melanoma of the mediastinum, At the time of first visit to the hospital, the female patient, aged 48, and had chief complaints of right shoulder pain that was radiated to its forearm and right Horner`s syndrome. In chest X-ray and CT, extrapulmonary circumscribed mass in the right apicomedial aspect of mediastinum was found. She had no nevus and no melanoma on entire skin area. We excised the tumor and confirmed it as malignant melanoma by histopathology.

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Effects of Skin Pressure by All-in-one on the Rhythm of Body Temperature During Sleep (올인원에 의한 인체 압박이 수면시의 체온 리듬에 미치는 영향)

  • Jeong, Jeong-Rim;Kim, Hee-Eun
    • The Korean Fashion and Textile Research Journal
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    • v.12 no.6
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    • pp.830-836
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    • 2010
  • The purpose of this research was to investigate the effects of skin pressure by wearing all-in-one on the rhythm of body temperature such as skin and rectal temperature which play a crucial role in the nocturnal rhythm. Five healthy female were participated in the study as subjects. The experimental clothing was an all-in-one, one of the foundation, which is worn for shaping the body. The total experimental periods were 5 days. On the 1st day, subjects did not wear the all-in-one (None), and they wore it for about 12 hours per day from 2nd to 5th day (Wearing1~4). Skin and rectal temperature were measured during the entire experimental days to figure out the rhythm of body temperature during sleep. When subjects wore the all-in-one, the gradients of the forearm and calf skin temperature at the sleep onset were significantly smaller than "None". It indicated that the rise of extremities' skin temperature was low on the "Wearing1~4". The decline of rectal temperature in "Wearing 1~4" was smaller than "None". Therefore, the skin pressure by all-in-one may cause the temperature of extremities' skin and rectum to change, resulting the fluctuation of the circadian rhythm, finally it could have effects on the rhythm of sleep.

A Study Comparing the Effects of Burst Mode and High Rate Mode Transcutaneous Electrical Nerve Stimulation on Experimental Pain Threshold and Skin Temperature (Burst형과 고빈도형 경피신경전기자극치료가 실험적 동통역치와 체온에 미치는 영향 비교)

  • Kim, Suhn-Yeop;Choi, Houng-Sik;Kwon, Oh-Yun
    • Journal of Korean Physical Therapy Science
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    • v.2 no.2
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    • pp.465-479
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    • 1995
  • We randomly assigned 61 healthy subjects(male 14, female 47) to compare the experimental pain threshold and skin temperature between high mode TENS and burst mode TENS. In this study, 61 subjects were divided into three groups ; high mode TENS(n=20), burst mode TENS (n=20), and control group(n=21). Experimental pain thresholds and skin temperatures were measured before, immediately after cessation of stimulation, and at 30 minutes post stimulation. Stimulation was applied to the dorsal surface of the forearm(L14, LI10). Pain thresholds were measured by chronaxie meter. Skin temperature were measured by electrical digital thermometer. The results are as follows ; 1. There were no statistical difference in the pain threshold and skin temperature at before TENS stimulation among the three groups(p>0.05). 2. The pain threshold and skin temperature in burst mode TENS group was significantly higher and longer effect than that in high mode TENS group and control group(p<0.01). 3. The pain threshold in burst mode TENS group decreased to prestimulation levels by 30 minutes poststimulation. 4. The skin temperature in burst mode TENS group decreased to prestimulation levels by 20 minutes poststimulation. 5. The skin temperature was significantly difference among three group at immediately after, and at 30 minutes poststimulation and the skin temperature in burst mode TENS group was significantely higher than that in two groups(p<0.001). 6. The increasing rate of pain threshold in high mode TENS group after immediately cassation of stimulation was 24.3%(p<0.001). 7. The increasing rate of pain threshold in burst mode TENS group after immediately cessation of stimulation was 93.5% (p<0.001).

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Development the protective clothing for a dropworts cropping workers (미나리 작업자를 위한 작업복 개발에 관한 연구)

  • 최정화;백윤정
    • Journal of the Korean Society of Clothing and Textiles
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    • v.24 no.8
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    • pp.1266-1275
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    • 2000
  • This study was to research the actual condition of a dropworts working environment and to develope the clothing to reduce the work road. The actual conditions of working environment, working position and clothing were surveyed. Experiments were performed in the chamber and in the field. In the chamber, rectal temperature, 11 points skin temperatures(forehead, chest, abdomen, upperarm, forearm, dorsum manus, palm, thigh, calf, dorsum pedis and pelma), heart rates, microclimates inside clothing on the chest and subjective sensations were measured for comparing between 2 different types o garments. In the field, rectal temperature, abodomen skin temperature, 3 points microclimates inside clothing(chest, back and thigh), heart rates, the volume of EMG and subjective sensations were measured. The results were as follows; 1. There were no significant differences in rectal temperature between a old type protective clothing and a new type both in the chamber and the field. 2. Subjects wearing a old type clothing responded \"a little cold\", \"a little uncomfortable\" and subjects wearing a new type protective clothing responded \"normal\", \"comfortable\" both in the chamber and the field. 3. In the field test results, abodemen skin temperature in a old type clothing was higher and microtemperatures inside clothing of chest, back and thigh in a new type protective clothing were higher. 4. The volume of EMG was lower in the new type protective clothing than in the old one.protective clothing than in the old one.

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Development of Dry-type Surface Myoelectric Sensor for the Shape of the Reference Electrode and the Inter-Electrode Distance (기준전극의 형상과 입력전극사이의 간격을 고려한 건식형 표면 근전위 센서 개발)

  • Choi, Gi-Won;Choe, Gyu-Ha
    • The Transactions of the Korean Institute of Electrical Engineers D
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    • v.55 no.12
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    • pp.550-557
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    • 2006
  • This paper proposes a dry-type surface myoelectric sensor for the myoelectric hand prosthesis. The designed surface myoelectric sensor is composed of skin interface and processing circuits. The skin interface has one reference and two input electrodes, and the reference electrode is located in the center of two input electrodes. In this paper is proposed two types of sensors with the circle- and bar-shaped reference electrode, but all input electrodes are the bar-shaped. The metal material of the electrodes is the stainless steel (SUS440) that endures sweat and wet conditions. Considering the conduction velocity and the median frequency of the myoelectric signal, the inter-electrode distance (IED) between two input electrodes as 18mm, 20mm, and 22mm is selected. The signal processing circuit consists of a differential amplifier with a band pass filter, a band rejection filter for rejecting 60Hz power-line noise, amplifiers, and a mean absolute value(MAV) circuit. Using SUS440, six prototype skin interface with different reference electrode shape and IED is fabricated, and their output characteristics are evaluated by output signal obtained from the forearm of a healthy subject. The experimental results show that the skin interface with parallel bar shape and the 18mm IED has a good output characteristics. The fabricated dry-type surface myoelectric sensor is evaluated for the upper-limb amputee.

Effects of Hair Style on Human Physiological Response in a Thermal Neutral Environment (쾌적 환경에서 헤어스타일 유형이 인체 생리 반응에 미치는 영향)

  • Kim, Myung-Ju
    • The Korean Journal of Community Living Science
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    • v.21 no.1
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    • pp.117-124
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    • 2010
  • Recently, research on variables associated with hair styles are increasing with the spreading of total coordinated intention in the fields of clothing and cosmetology. In the present study, we focused on examining the skin temperature on the scalp(the vertex, temporal, and occiput), humidity on the occiput, skin temperatures (the forehead, back of ear, back of neck, upper back, abdomen, forearm, hand, thigh, calf, and foot), rectal temperature, total body mass loss by hair styles in a thermal neutral environment. Four young females participated as subjects. For a certain period, each subject had the five different hair styles in a random order: (1)Straight short hair(SS), (2)Perm waved short hair(PS), (3) Straight long hair(SL), (4)Perm waved long hair(PL), (5)Ponytail style(PT). Subjects wore briefs, bra, shirts with long sleeves, long legged training pants, and socks. The environmental variables of a climatic chamber were kept constant at $21{\pm}0.5^{\circ}C$ of air temperature and 55${\pm}$5%RH of air humidity. The results indicated the following: The skin temperature and humidity on the scalp did not show any significant differences among five different hair styles, but straight long hair style(SL)was the highest on the vertex, temporal, and occiput. The temporal skin temperature($29.8\sim30.8^{\circ}C$) was the highest, while the vertex skin temperature($28.7\sim30.1^{\circ}C$) was the lowest. Humidity on the occiput was the highest in the perm waved long hair style(PL). The back of ear skin temperature was significantly lower in the ponytail style(PT) than in the other four hair styles(p<.001). In the straight long hair style(SL), the skin temperature on the back of the neck and on the upper back were significantly higher than those of the other four hair styles(p<.01). Mean skin temperature and rectal temperature had no significant differences among hair styles. Total body mass was the highest in the perm waved long hair style(PL)(p<.05). We acquired fundamental data to enable the improvement of the current hair clinic system, wigs, functional hats, and helmets.

Assessment of Wear Comfort of Water-vapor-permeable (WVP) garments (투습방수의류의 착용쾌적성 평가)

  • Kang, In-Hyeng;Park, Hyo-Suk;Lee, Han-Sup
    • Journal of the Korean Society of Clothing and Textiles
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    • v.36 no.9
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    • pp.928-939
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    • 2012
  • This study evaluates wear comforts of water-vapor-permeable (WVP) garments through a measurement of various parameters such as skin and rectal temperatures, microclimate between skin and clothing, sweat rate, and subjective sensations (thermal, wet and comfort sensations) to correlate the physiological responses of the human body with its comfort feeling. Wear comfort during a specific exercise on a treadmill in a climatic chamber (temperature T = $20{\pm}0.5^{\circ}C$ and relative humidity H = $50{\pm}10%$) were studied using eight men wearing seven sportswear outfits (a long sleeve shirts and a long pants) made with seven different WVP fabrics. A comfort sensation was found to be highly correlated with skin T (p<.001), microclimate (T and H) between skin and clothing (p<.001) and sweat rate (p<.05). A regression model correlating comfort sensations and physiological responses obtained from wearer trials could be established: Y = 14.167 - 0.362 ${\times}$ X1 + 0.424 ${\times}$ X2 - 0.238 ${\times}$ X3 - 0.561 ${\times}$ X4 + 0.253 ${\times}$ X5 + 0.214 ${\times}$ X6 - 0.393 ${\times}$ X7 + 0.023 ${\times}$ X8 - 0.043 ${\times}$ X9. (Y = comfort sensation, X1 = forehead skin T, X2 = forearm skin T, X3 = hand skin T, X4 = thigh skin T, X5 = T of chest microclimate, X6 = T of thigh microclimate, X7 = chest sweat rate, X8 = H of back microclimate, X9 = H of thigh microclimate. The regression model obtained in this work can be used by manufacturers to objectively estimate the comfort sensation of sportswear before it is introduced to the consumer market. This study provides salient information to sportswear manufacturers and sportswear consumers.

The Characteristics of Skin Water Content, Sebum Content, and Transepidermal Water Loss from Trial Subjects (한국인의 피부 수분함유량, 유분 함유량 및 경표피수분손실량의 특성에 관한 연구)

  • Suk, Jang Mi;Park, Shin Young;Choi, Mi Ra;An, Song Yi;Kim, Beom Joon;Park, Jin O;Jung, Sang Wook
    • Journal of the Society of Cosmetic Scientists of Korea
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    • v.39 no.3
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    • pp.233-239
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    • 2013
  • In this study, water content, sebum content, and transepidermal water content were investigated to provide basic data for the future cosmetics industry as comparing the skin characteristics of different ages. Water content of cheek area, sebum content of nose area, and transepidermal water loss (TEWL) of cheek and forearm of trial subjects (total 638 people of both male and female) were measured. Data were analyzed using Statistical Package for the Social Sciences program (version 19.00; SPSS Inc., Chicago, IL, USA). Water content, sebum content, and TEWL of skin were measured as mean ${\pm}$ standard deviation. As a result, water content of cheek from female was higher than male and the water content increased with the older ages. However, sebum content of nose from male was higher than female and the sebum content increased with the younger ages. TEWL of cheek from female was higher than male, but TEWL of forearm from male was higher than female. Therefore, these results can be used as basic data in the development of future cosmetics for different ages and genders.