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성형외과 영역에서 이물질 주사에 대한 고해상초음파 검사의 유용성
고응열,성하민,조건,박영규,탁경석,서인석,양익,Ko, Eung-Yeol,Sung, Ha-Min,Cho, Geon,Park, Young-Kyu,Tak, Kyoung-Seok,Suh, In-Suck,Yang, Ik 대한성형외과학회 2010 Archives of Plastic Surgery Vol.37 No.4
Purpose: The purpose of this study is to demonstrate the usefulness of the high resolutional ultrasonographic features in patients with foreign body. Methods: From September 2007 to August 2009, we retrospectively reviewed high resolutional ultrasonogram using 5~12 MHz linear transducer of 13 patients presenting with inflammation after foreign body injection. They were referred for complications after foreign body injection. Injected foreign bodies were 4 silicone, 4 paraffin, 2 artecoll, and 3 unknown. We treated them with foreign body removal (7), foreign body removal and corrective plastic surgery (4), and conservative treatment with antibiotics and steroid injection (2). Results: High resolutional ultrasonography well demonstrated the existence of foreign body and it's overall size, location within the tissue layer, and vascularity. Comparison between preoperative and postoperative ultrasonographic findings was useful not only to evaluate the prognosis but also to plan the treatment. These ultrasonographic findings aided in precise assessment of the contour and location of the foreign body and led to an accurate surgery. We were able to acquire various information in order to set a detailed plan for the operation which in turn, led to a precise, successful surgery. After the treatment, complication did not occur in 12 patients, except 1 patient. But this patient was also treated after reoperation. Postoperative high resolutional ultrasonography shows almost foreign body removed and inflammation disappeared. Conclusion: Considering the usefulness of highresolution ultrasonography in foreign body injection, highresolution ultrasonography would be necessary for both the patient and the doctor. Preoperative and postoperative high resolutional ultrasonography is highly accurate, safe, inexpensive and easy. It can be a useful modality in foreign body after plastic surgery.
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조건,서인석,탁경석,박영규,고응열,성하민,신미경 대한두개안면성형외과학회 2010 Archives of Craniofacial Surgery Vol.11 No.2
Purpose: Primary malignant lymphomas of the salivary glands are uncommon, representing only 1.7%to 3.1% of all salivary neoplasms and 0.6% to 5% of all tumors and tumor-like lesions of the parotid gland. Lymphomas of the parotid glands are usually manifestations of a systemic disease process but primary lymphomas of the parotid glands are rare. Most of these lesions are classified as extranodal non-Hodgkin's lymphoma. We report the clinicopathological features of primary malignant lymphoma of the parotid gland based on an analysis of our cases. Methods: The subject was a 48-year-old male patient with a malignant lymphoma originating in the parotid gland, which had been slowly increasing in size over previous 6 months. The diagnosis was established by MRI and a superficial lobectomy. After diagnosis, the patient was referred to an oncologist for staging and medical treatment. Results: The stage was IIIA. The patient was treated with chemotherapy following surgery with rituximab and CHOP (Cyclophosphamide, Adriamycin, Vincristine, Prednisolone). The tumor was controlled successfully by chemotherapy. The patient was followed up for 1 year with no relapse. Conclusion: A case of primary non-Hodgkin's lymphoma of the parotid gland was treated with a superficial parotidectomy and chemotherapy. The disease was well controlled after a 1 year follow-up. (J Korean Cleft Palate Craniofac Assoc 11: 99, 2010)
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성형외과 영역의 수술 시 마취하 감시관리의 응용에 대한 고찰
조건,서인석,최영룡,정미화,탁경석,박영규,김재현,고응열,성하민 대한성형외과학회 2011 Archives of Plastic Surgery Vol.38 No.1
Purpose: Many patients have fears of the surgery owing to the injection of lidocaine and the possible pain in the course of the operation. For resolving such problems the cases to do plastic surgery with monitored anesthetic care, in which something like sedatives is injected into vein without endotracheal intubation and under voluntary respiration are increasing, but the usage is now under the controversy. Methods: There are 25 patients who had surgery with local anesthesia and also 25 patients who had surgery with monitored anesthetic care which belong to ASA class 1 and 2 from January to April, 2009. Records about their anesthesia were collected and surveys sere given before and after the surgery and the surgery staff recorded OAA / S during the surgery. And surveys after the surgery were also given about the awakening during the surgery, pain, anxiety, and the degree of patient's satisfaction through visual analogue scale to know the difference between the two ways. Results: The results OAA / S results according to time lapse show that it was possible to lead a fast effective sedation and recovery with monitored anesthetic care, and monitored anesthetic care had higher result of surgeon's convenience and patient's satisfaction, but in regard with awakening, pain, and anxiety were lower than local anesthesia. Conclusion: The current paper shows about the plastic surgery, particularly the outpatient surgery, when monitored anesthetic care method is applied, could gain a fast sedation and recovery or an effective sedation of patients. The method also has some affirmative effects in regard with surgeon's convenience and the patients' satisfaction degree and the reduction of their awakening, pain, and anxiety so that if there is careful and adequate watch and measures about vital signs like electrocardiogram, the degree of oxygen saturation, and blood pressure it could clinically be very useful.
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