• Title/Summary/Keyword: surgeon

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TREATMENT OF FACIAL MULTIPLE COMPLEX FRACTURES;CASE REPORTS (안면부 다발성 복잡골절의 치료;증례보고)

  • Kim, Young-Kyun;Yeo, Hwan-Ho;Yang, In-Seog
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.16 no.2
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    • pp.208-214
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    • 1994
  • Successful treatment of patients with multiple complex facial bone fractures is dependent on the precise clinical and diagnostic image, well-established systematic principles of fracture repair. The oral and maxillofacial surgeon should appreciate the postoperative complications and minimize or manage adequately. Most of complications can be treated secondarily, but we should appreciate the fatal complications which are impossible to treat.

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Hypoglossal nerve stimulation for treatment of obstructive sleep apnea (OSA): a primer for oral and maxillofacial surgeons

  • Hong, Sung ok;Chen, Yu-Feng;Jung, Junho;Kwon, Yong-Dae;Liu, Stanley Yung Chuan
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.39
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    • pp.27.1-27.5
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    • 2017
  • The prevalence of obstructive sleep apnea (OSA) is estimated to be 1-5% of the adult population world-wide, and in Korea, it is reported at 4.5% of men and 3.2% of women (Age 40 to 69 years old). Active treatment of OSA is associated with decrease in insulin resistance, cardiovascular disease, psychosocial problems, and mortality. Surgical treatment of OSA has evolved in the era of neuromodulation with the advent of hypoglossal nerve stimulation (HGNS). We share this review of HGNS with our maxillofacial surgical colleagues to expand the scope of surgical care for OSA.

Design of A Femoral IM Nail by analysis of Lateral Curve Angle (한국형 Femoral IM Nail 설계를 위한 표준 Lateral 휨각도 분석)

  • Kim, Sung-Min;Park, Sung-Yun;Lee, Man-Pyo
    • Journal of the Korean Society for Precision Engineering
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    • v.22 no.11 s.176
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    • pp.190-195
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    • 2005
  • A Femur is the longest and largest bone which supports body in human musculoskeletal structure. Therefore, it may cause heavy loss of blood when it is suffered by a simple or complex fracture, and the complication is very dangerous with a possibility of severe tissue damage. In this study, the femoral cancellous angle change is estimated in order to design the Korean femoral IM nail. Generally, it is various in the size and curvature of femoral cancellous bone depending on patient's body dimension. Therefore surgeon has difficulty in fitting this femoral IM nail to the patient in the surgical procedure. In our study, we tries to estimate femoral lateral curve angle with more precise method based on CT image of the femur and utilize this information on the design of femoral IM nail for Korean patients.

Subtalar Arthroscopy (거골하 관절경술)

  • Suh, Jin-Soo
    • Journal of Korean Foot and Ankle Society
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    • v.16 no.1
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    • pp.26-30
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    • 2012
  • The subtalar joint is a complex joint that is functionally responsible for inversion and eversion of the hindfoot. Advances in optical technology and surgical instrumentation have allowed the arthorscocpic surgeon to investiagate the small joints including the subtalar joint. Indications for subtalar arthroscopy include pain, swelling, stiffness and locking. Therapeutic indications include treatment of chondromalacia, osteophytes, arthrofibrosis, synovitis, loose bodies, osteochondral lesions, excision of a painful os trigonum, arthrodesis, and FHL tendinopathy. Contraindications to subtalar arthroscopy include infection, advanced osteoarthritis with deformity, severe edema, poor vascularity and poor skin quality. Subtalar arthroscopy is a technically demanding and difficult procedure that should only be performed by experienced surgeons. With proper instrumentation and careful operative techniques, satisfactory results may be obtained with minimal morbidity.

Stability dip, the obstacle of early loading protocol, how can it be figured out? (임상가를 위한 특집 2 - Early loading의 난제 stability dip, 어떻게 극복할 것인가?)

  • Park, Chang-Joo
    • The Journal of the Korean dental association
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    • v.51 no.4
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    • pp.198-203
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    • 2013
  • Nowadays, it seems like that the concept of the early loading protocol has been intruded between the concept of the immediate loading supported by advanced clinicians and the concept of the conventional loading supported by the prudent clinicians. In particular, the stability dip, which is found to occur usually at 4~6 weeks after dental implant placement because the decrease of the primary mechanical stability is not compensated by the increase of the secondary biologic stability, is frequently pointed out as one of the major causes of early loading failure. In this article, based on our recent clinical investigation about the crestal bone preservation effect of the early loaded NanoTite$^{TM}$ Tapered Certain Prevail$^{(R)}$ (Biomet 3i, USA), the concept of the early loading is revisited. In addition, various methods to overcome the stability dip are reviewed as the oral and maxillofacial surgeon's view point.

Nonoperative Management of Foot and Ankle Injury Related to Sports (스포츠와 관련된 족부 및 족관절 손상에 대한 비수술적 치료)

  • Gwak Heui-Chul;Seo Seung-Suk;Kim Chang-Wan
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.3 no.2
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    • pp.118-127
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    • 2004
  • The foot and ankle are one of the most common sites for acute musculoskeletal injuries related to sports activity. Foot and ankle injury includes ligament injury, tendon injury, bone and osteochondral injury, nerve injuy, heel pain syndrome, phalangeal injury. This is a article about nonoperative management of foot and ankle injury. Therefore, this article includes various exercise technique, range of motion, stretching for muscle relaxation, proprioception training for rehabilitation. We recommend that orthopedic surgeon should discuss with patient and specialist for treatment plan after foot and ankle injury

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Reverse Abdominoplasty with Augmentation Mammoplasty Using Breast Implant: A Case Report (보형물을 이용한 유방성형술을 동반한 역복부성형술의 치험례)

  • Bae, In-Ho;Lee, Yoon-Ho
    • Archives of Plastic Surgery
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    • v.38 no.4
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    • pp.535-538
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    • 2011
  • Purpose: The reverse abdominoplasty has been reported infrequently as a procedure to improve the upper abdominal wall contour. Especially, there have been rare cases on the surgical techniques with augmentation mammoplasty using implant. It is known to maintain the result. Methods: This is a retrospective review of the senior surgeon's patients who underwent reverse abdominoplasty with augmentation mammoplasty. A 63-year-old female was dissatisfied with her contracted breast and upper abdominal contour after previous abdominal wall liposuction. We performed reverse abdominoplasty with augmentation mammoplasty through same inframammary incision. Results: There was a significant improvement of the upper abdominal wall and breast contour. There was no perioperative complication. The patients was satisfied with the results and retained a good shape during the 3 months follow-up periods. Conclusion: Reverse abdominoplasty with augmentation mammoplasty is an acceptable technique that provides good results and should be considered in cases of upper abdominal laxity with capsular contracture on both breasts.

Aortic Valve Replacement with Patch Enlargement of Aortic Annulus in Aortic Stenosis with small aortic Annulus. (소 대동맥 판막륜을 가진 대동맥판막 협착증 치험 1례 보고)

  • 권오춘
    • Journal of Chest Surgery
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    • v.18 no.4
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    • pp.663-666
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    • 1985
  • Whatever a surgeon choose aortic prosthesis in aortic stenosis, it will always provoke some degree of obstruction to flow due to its smaller effective orifice area to tissue annulus. Occasionally, we meet small aortic annulus to his or her body surface area in aortic valve replacement. The small annulus remains a problem in that both tissue and mechanical prosthesis have significant pressure gradients between LV and aorta in resting or exercising states. In these circumstances, diverse surgical procedures, such as tilting disc prosthesis, supraannular position of aortic prosthesis, and enlargement of aortic root [including aortoventriculoplasty, translocation of aortic valve, & double outlet of LV by valved conduit], were applied. We experienced one case of aortic stenosis with small aortic annulus. Systolic pressure gradients between LV & aorta were 90 mmHg. Diameter of annulus was 19 mm. So we performed patch enlargement of aortic root by Manouguian and AVR with St. Jude medical valve 23 mm.

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Clinical Analysis of Cardiac Injury - A Report of 8 Cases - (심장손상에 대한 임상적 고찰 -8예 분석보고-)

  • 이필수
    • Journal of Chest Surgery
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    • v.22 no.5
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    • pp.760-765
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    • 1989
  • Cardiac injury remains one of the most spectacular injuries which the present day cardiac surgeon is called upon to treat. Eight consecutive patients with penetrating or blunt injury to the heart underwent operation at the Department of Thoracic and Cardiovascular Surgery, Masan Koryo General Hospital from April 22 88 to April 6 89. l. Among the 8 cases of cardiac injured patients, 7 cases were penetrating injury [stab injury] and one case was blunt injury [traffic accident]. 2. The site of cardiac injury was LV mainly and the next RV, SVC-RA junction in order. 3. The all patients were admitted to our hospital via ER and most of cases, CVP was elevated above 15 cmH2O and 7 of 8 cases were shock state. 4. In 6 of 8 cases revealed cardiomegaly in simple chest X * ray. 5. 7 cases were operated through the median sternotomy, 1 case the right anterolateral thoracotomy. 6. Associated injuries in penetrating cardiac injury were hemothorax, pneumothorax, sternal fracture, lung laceration, LAD transaction in blunt injury, hemoperitoneum.

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Surgical Treatment of A-V Fistula Following Lumber Laminectomy (요추 추굴절제술후에 발생한 동정맥루의 외과적 치료 -증례보고-)

  • 장택희
    • Journal of Chest Surgery
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    • v.27 no.5
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    • pp.399-401
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    • 1994
  • We experienced one case of surgical treatment of A-V fistula between the right common iliac artery and the right common iliac vein after lumbar laminectomy. The average vascular surgeon does not have extensive experience with this disorder owing to its rarity. Arteriovenous fistula of the aorta and its major branches present an unparalleled challenge in patient care. Because of their central location, blood flow through these fistulas may be massive;the associated complications are usually dramatic, resulting in severe refractory congestive heart failure, massive venous hypertension, or extensive hemorrhage during an illfated surgical repair.For this reason, it behooves one to become well acquainted with the problem in order to avoid morbid complications and thus ensure optimal patient care.

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