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임효섭,김종명,정재호 대한성형외과학회 2005 Archives of Plastic Surgery Vol.32 No.5
Cutaneous squamous cell carcinoma has a high incidence. However, regional metastasis occurs infrequently because skin cancer is usually recognized and treated early. We report the case of squamous cell carcinoma around the earlobe in a 74-year-old male patient. The cutaneous squamous cell carcinoma invaded ipsilateral parotid gland directly without lymphatic spreading. Wide excision was made with 1.5 cm margin and immediate reconstruction was performed with radial forearm fasciocutaneous free flap. During operation facial nerve was preserved. No recurrence was noted for 5 years and the patient was satisfied with good aesthetic result.Cutaneous squamous cell carcinoma spreads to the parotid gland usually through lymph nodes and there are few reports of invasive organ damage by direct invasion. We experienced a case of direct invasion to parotid gland without lymph node involvement of cutaneous squamous cell carcinoma and treated the cancer adequately with wide excision and free flap coverage.
임효섭,임춘영 중국학연구회 2013 중국학연구 Vol.- No.64
本文的目的是將通過對此部電視劇的分析來理解現代中國所面臨的根基, 並把握現代中國所追求的方向。因此本文主要對此部電視劇所展開的秦國改革變法內容與現代中國改革開放的相同點進行比較分析來闡述此部電視劇所內涵的政治思想和意識形態。其分析的內容主要有如下幾點:第一, 分析了秦國實現富國的過程與現代中國改革開放的曆程, 以及此兩者實踐方面上的共同點。; 第二, 分析了秦國與現代中國的支配階級內的政治形勢變化。; 第三, 分析了秦國變法領導者的獻身精神。; 第四, 分析了關於秦國變法的政治爭論。 通過以上的分析, 能夠了解到此部電視劇中所投影著的現代中國改革開放的曆程, 比如說:現代中國改革開放的實踐基於與毛澤東時期思想的差別性, 現代中國政治上左右派共存的持續性, 人民對政治領導者道德性的贊揚, 以及對改革開放政策的擁護。本文的結論是播放此部電視劇的目的在於宣傳中國共產黨的政策。就是說此部電視劇使中國人民對中國共產黨的政策產生共鳴。總之, 中國共產黨用此部電視劇來鼓吹中國人民的中華複興意識和愛國心。
Surgical Outcomes of Cooling Composite Graft for Fingertip Amputation
임효섭,탁승완,정찬민,조상헌,이종욱,고성훈 대한수부외과학회 2019 대한수부외과학회지 Vol.24 No.4
Purpose: This study aimed to report the surgical outcomes of postoperative management of ice-cooling combined with moist-open dressing and intravenous prostaglandin E1 (PGE1) injection. Ice cooling as postoperative management was also discussed.Methods: Forty-one fingertip amputation of 38 patients between January 2007 and December 2017 were investigated ret-rospectively. Fingertip amputations were managed with postoperative ice bag application for 72 hours followed by moist open dressing and PGE1 injection.Results: Twenty-five composite grafts (61.0%) survived with complete healing at 8 weeks after surgery, with favorable outcomes in cases with low injury level (type I, 82.3%) and guillotine injury (77.8%). A higher survival rate was signifi-cantly correlated with female sex, guillotine injury, injury without osseous tissue (type I), and cold outdoor temperature (p<0.05). Multivariate analysis revealed that differences between types I and III injuries, injury mode, and outdoor tem-perature were independent clinical parameters associated with composite graft survival.Conclusion: The present study reported comparable results with postoperative ice cooling in cases with low injury level, guillotine injury, and low outdoor temperature. Prospective studies on the specific parameters of ice cooling and standards of manageable postoperative care should be conducted to enhance survival.