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V-Y Advancement Flap: Aesthetic Reconstruction for Auriculotemporal Keloid Excision
SEOBOMMIEFLORENCE,고효선,권호,정성노 대한미용성형외과학회 2017 Archives of Aesthetic Plastic Surgery Vol.23 No.3
Keloid scars are commonly found on the ears. Treatment modalities include compression, intralesional steroid injection, and surgical excision with or without radiotherapy, depending on the size and location of the keloid scar. Excision may be a curative solution, but it always requires the immediate reconstruction of the excised defect. Herein, we report the case of a keloid scar located at the helical base of the auriculotemporal sulcus that was treated by excision and a V-Y temporal advancement flap.
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대사증후군을 갖는 정신분열병 환자의 삶의 질 및 신체상에 대한 연구
윤인선,고효선,이상열 대한정신약물학회 2011 대한정신약물학회지 Vol.22 No.4
이 연구는 정신분열병 환자에서 대사성 증후군의 빈도와 대사증후군과 연관된 임상 변인을 측정하고, 대사성 증후군이 정신분열병 환자에서 건강과 관련된 삶의 질 및 신체상에 미치는 영향에 대해 평가하는데 목적을 두었다. 연구대상자는 지난 3개월간 원광대학교 신경정신과에 입원치료 중인 환자 중 정신분열병으로 진단된 81명의 환자를 대상으로 하였으며 대사성 증후군은 NCEP-ATP III의 진단기준에 의해 진단되었고, 삶의 질은 36항목 단축형 삶의 질 설문지로, 신체상은 신체상척도를 이용하여 측정하였다. 그 결과 피험자의 24.7%가 대사증후군에 동반이환되었으며, 유병기간이 길수록 대사증후군의 동반이환율이 높았다. 대사성 증후군으로 진단된 환자는 육체적 역할과 통증 항목에서 삶의 질이 저하되었고, 신체적 외모와 관련된 항목에서 부정적인 신체상을 가지고 있었다. 본 연구결과는 만성 정신분열병 환자들에서 대사증후군이 흔할 것을 시사하며 대사증후군의 병발은 환자들의 삶의 질 저하와 신체상에 대한 부정적 인식을 가져올 수 있다는 것을 의미한다. 아울러 향후 임상의들은 정신분열병 환자들에서의 대사증후군 발병 위험성을 충분히 인식해야 하며, 대사증후군의 예방과 치료를 위해 적극적으로 개입하는 것이 필요하다. Objective This study aimed to investigate the prevalence of metabolic syndrome, associated factors in schizophrenia patients and whether metabolic syndrome have an effect on health related quality of life (QoL) and body image. Methods 81 subjects were included in this study, who were diagnosed as schizophrenia defined by DSM-IV criteria and admitted in neuropsychiatric department, Wonkwang university hospital. For each subject, anthropometric index and laboratory pa-rameters were measured. Metabolic syndrome defined by National Cholesterol Education Program-Adult Treatment Panel III. The subjects were evaluated health related QoL with Short-Form 36 Health Survey-Korean (SF-36-K), and were evaluated body image with Body Image Scale. Results Of patients, 24.7% had metabolic syndrome. Metabolic syndrome was associated with long duration of illness. The patients with metabolic syndrome showed poorer QoL, especially role physical and bodily pain in SF-36-K. Also, the patients with metabolic syndrome had negative body image, especially body feature, compared to the patients without metabolic syndrome. Conclusion This study suggests that metabolic syndrome is common among patients with chronic schizophrenia. Also It may lead to lowering of QoL and deterioration of body image. So clinicians should be cautious to aware the increased risk for the me-tabolic syndrome and intervene actively to prevent and treat metabolic morbidity among chronic patients with schizophrenia.
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Nonsyndromic Multiple Basal Cell Carcinomas
김동휘,고효선,전영준 대한두개안면성형외과학회 2017 Archives of Craniofacial Surgery Vol.18 No.3
Basal cell carcinoma (BCC) comprising several lesions is not uncommon, but nonsyndromic multiple BCCs with parotid invasion are rare entities. We present two cases of multiple sporadic, nonsyndromic BCCs, and one of these cases is a unique case of parotid invasion associated purely with actinic keratosis. In Case 1, a 79-year-old female presented with multiple skin lesions on the face and left hand. All lesions were completely removed by surgery. The pathologic results showed lesions consistent with BCC and some lesions consistent with actinic keratosis. After 8 months, the patient presented with skin lesions in bilateral temporal areas and left cheek area. Surgical excision of the lesions was performed, and the biopsy results were squamous cell carcinoma in situ and actinic keratosis. In Case 2, a 43-year-old woman presented with multiple skin lesions on the face, scalp, right chest, abdomen and right leg. All lesions were completely removed by surgery. Pathologic evaluation confirmed the diagnosis of BCC. BCC is rarely metastatic, but it can lead to severe disfiguration or destruction. It is important to diagnose and treat BCC at an early stage.
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Radial Nerve Compression Caused by a Ganglion Cyst at the Elbow
김동휘,고효선,전영준 대한수부외과학회 2017 대한수부외과학회지 Vol.22 No.2
Although ganglion cyst is a relatively common benign mass in soft tissues, there have been very few reports of intramuscular ganglion cyst. We encountered such a case located in the antecubital fossa originating from the supinator muscle. A 61-year-old woman presented with a painless mass in the antecubital fossa. However, the patient complained of a significant sensory deficit in the radial side of the thumb, index, and middle finger. She also had extensor weakness at the metacarpophalangeal joint. The mass was excised completely, with no post-surgical complications. Pathologic results revealed the ganglion cyst. The patient showed improvements in sensory dysfunction and extensor weakness. Intramuscular ganglion cyst can be misdiagnosed. This report might be useful for making an accurate diagnosis and rapidly initiating treatment for an intramuscular mass.
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오상우,김윤희,고효선,이상열,노승호 圓光大學校 醫科學硏究所 2008 圓光醫科學 Vol.23 No.2
배경: 본 연구는 SCL-90-R에서 9개 증상차원의 요인구조가 어떻게 나타나는지를 알아보는 데 목적이 있다. 방법: SAS 프로그램을 이용하여 정신과적 장애로 진단받은 환자 188명이 수행한 SCL-90-R 자료의 요인구조를 분석하였다. 결과: 요인분석 결과 SCL-90-R의 9개 증상차원은 단일요인으로 나타났다. 결론: SCL-90-R의 요인분석 결과 단일 요인 모형이 탐색되었다. 추후 연구에서는 SCL-90-R의 9개 척도에 대한 확인적 요인분석이 필요할 것으로 생각된다. Background: To find of this study was to find exploratory factor analysis of the nine scales of the Symptom Checklist-90-Revision(SCL-90-R). Methods: This study was investigated the factor structures of nine scales of the SCL-90-R in 188 patients with psychiatric disorders using SAS 8.02 software. Results: The factor structure showed that the factor structures of nine scales of the SCL-90-R had one factor. Conclusion: The factor structures showed that the factor structures of the SCL-90-R had one factor. Further research is nedeed about confirmatory factor analysis of the nine scales of the SCL-90-R.
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