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        회음부에 발생한 양성 섬유상피성 용종

        기경도 ( Kyung Do Ki ),이선경 ( Seon Kyung Lee ),노동규 ( Dong Kyu Noh ),서상기 ( Sang Gi Seo ),양문호 ( Moon Ho Yang ),김윤화 ( Yoon Wha Kim ),유영천 ( Young Chun Yoo ) 대한산부인과학회 2005 Obstetrics & Gynecology Science Vol.48 No.2

        A case of fibroepithelial polyp on vulvoperineal area is described. Her age is 20 year old and the tumor measured 9cm in its largest diameter and was connected to the left labium majus. This case is very unusual in that almost all reported vulvar fibroepi

      • SCOPUSKCI등재

        흉배동맥 관통분지 피판술을 이용한 연부조직 결손의 재건

        유석근,이정재,손유리,유영천,조주원 大韓成形外科學會 1999 Archives of Plastic Surgery Vol.26 No.5

        In the case of a soft tissue defect which requires thin & pliable tissues, the choice of donor site is limited due to flap bulkiness and donor site morbidity. To overcome these problems, a variety of perforator-based flaps such as paraspinous and parasacral perforator flap, deep inferior epigastric perforator flap, gluteal perforator flap, and thoracodorsal artery perforator flap have recently been introduced. We experienced 8 cases of soft tissue defects from December 1996 to March 1999 using the thoracodorsal artery perforator flap for reconstruction. We could elevate the cutaneous flap with preservation of the latissimus dorsi muscle flap only when it was based on one cutaneous perforator. Defatting procedure was possible for further thinning of skin flap. In one case, axillary defect after release of postburn scar contracture was repaired with island perforator flap and the other seven cases were repaired with free flap. The results were satisfactory. We believe the thoracodorsal artery perforator flap is useful for reconstruction of soft tissue defects which are large or under conditions requiring thin flap.

      • SCOPUSKCI등재

        기관절개술 반흔의 교정

        유석근,손유리,유영천,김창욱,이정재 大韓成形外科學會 1999 Archives of Plastic Surgery Vol.26 No.5

        The tracheostomy is increasingly being performed. In most cases, the tracheostomy sites are left to heal by secondary intention, so it leaves a depressed and wide scar that is cosmetically disfigured. Another problem os that the scar is also attached directly to the trachea itself and will move vertically with the trachea during the act of swallowing. Even though the tracheostomy scar is cosmetically acceptable, the mobility and retraction of the scar is a continual nuisance to the patient. We performed a retrospective study on 9 patients who had undergone revision of the depressed thracheostomy scar by the Renner Method from June, 1997 to February, 1999. The method includes transverse fusiform incision of the original scar and excision of the depressed portion of the scar to the level of the trachea itself. To prevent attachment of the skin and trachea, a bilateral subcutaneous flap and muscle flap were simply advanced to the midline and overlapped. Then the rest of scar that was not depressed was deepithelized and flipped to augment the soft tissue volume in the central depressed area. Satisfactory results were achieved in all patients without hematoma, infection, hypertrophic scar, and keloid formation. We believe this simple Renner method is one of the best ways of performing posttracheostomy scar revision.

      • SCOPUSKCI등재

        심부하복벽동맥피부유리피판의 임상례

        유석근,유영천,이정재 大韓成形外科學會 1998 Archives of Plastic Surgery Vol.25 No.3

        Since the use of the rectus abdominis myocutaneous flap was first reported by Mathes and Bostwick in 1977, its clinical utility both as an pedicled flap and a free flap has broadened reconstructive surgery. But there is a risk of postoperative abdominal hernia formation and bulkiness due to the volume of the rectus muscle and subcutaneous fatty tissue, it is pointed out as a disadvantage in the recipient site where a thin flap is required. To overcome these problems, Koshima(1989), and Itoth(1993) described the modification of this flap which contained little or no muscle or fascia. In our department , we performed deep inferior epigastric artery free skin flap in soft tissue reconstruction in three patients: we dissected one or two muscle perforator from the rectus muscle, removed the deep fatty layer, so we could elevate a thin flap. The results were good, so we are willing to describe the operative technique and its usefulness.

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