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김상화,서병철,오득영,서제원,안상태,이종원,Kim, Sang-Wha,Seo, Byung-Chul,Oh, Deuk-Young,Seo, Je-Won,Ahn, Sang-Tae,Rhie, Jong-Won 대한성형외과학회 2010 Archives of Plastic Surgery Vol.37 No.6
Purpose: Traditional radical surgery for vulvar cancer produces severe skin and soft tissue defects in the vulvar and vaginal area. Vulvoperineal V-Y advancement fasciocutaneous flaps have limitations in advancement and tension at the wound margin and vaginal orifice area, causing wound disruption or vaginal wall exposure. Therefore, we designed the "Butterfly flap" using a vulvoperineal V-Y advancement fasciocutaneous flap and an inguinal rotational skin flap for 3-dimensional reconstruction of vagina and vulvar area. Methods: A 27 year-old female was diagnosed with vulvar intraepithelial neoplasia. Radical vulvectomy and full-thickness-skin-graft was performed. We designed a vulvoperineal V-Y advancement fasciocutaneous flap as the greater wing and inguinal rotational skin as the lesser wing. After flap elevation, the inguinal flap was rotated $180^{\circ}$ to reconstruct the labia major and vaginal orifice. The perineum was reconstructed using V-Y advancement flaps. Results: The flap survived completely, without any complications. After 6 months, the patient was able to perform normal sexual activities and after 18 months, the patient was able to give birth to normal child by caesarean section. Conclusion: The traditional vulvoperineal V-Y advancement fasciocutaneous flap is thin, reliable, easily elevated and matches local skin quality. However, the vaginal wall becomes exposed due to limited advancement and tension of the flap. The "Butterfly flap" using a vulvoperineal V-Y advancement fasciocutaneous flap and an inguinal rotational skin flap is useful for the release of vaginal orifice contracture, reconstruction of the labia major, and 3-dimensional reconstruction of vagina and vulvar area.
Acute isometric exercise가 중년여성의 혈압 및 총경동맥혈류변인에 미치는 영향
김훈(Kim Hoon),김상화(Kim Sang-Wha) 한국체육과학회 2009 한국체육과학회지 Vol.18 No.4
The purpose of this study was to evaluated the effects of blood pressure and blood flow velocity markers of right common carotid artery during acute isometric exercise in middle-aged women. Who participated in this study was thirty females. Range of subjects aged 30~50 years. Also, subjects were divided into three groups (Yoga exercise, Aerobic dance, and Non-exerciser). Non-exerciser were do not experience of any kind of regular physical exercise training. All subjects participated in a supervised isometric exercise (leg press). Results of in this study, there was a significant differences on systolic and diastolic blood pressure within group, and between the groups. Heart rate of general group was to elevated immediately after isometric exercise than Yoga and Aerobic dance groups. There was a significant differences on blood resistance index (BRI) between the groups. And general group was a higher on maximum blood velocity (BVmax) than Yoga group during acute isometric exercise. Moreover, we known that who participating a regular physical activity may decreased the resting heart rate, blood pressure, and blood resistance index, and blood flow velocity to the carotid artery from heart. So, it's may prevent the cardiovascular disease and stroke.
증례 보고: 2개의 종괴를 모방하는 볼 지방 덩이에서 유래한 거대 지방종
김태운(Taewoon Kim),김상화(Sang Wha Kim) 대한두경부종양학회 2020 대한두경부 종양학회지 Vol.36 No.2
We report a surgically challenging case of a large lipoma located from the temple, across the zygomatic region to the buccal area, resembling two different masses. An 82-year-old man presented with two persistently growing soft masses at his left temple and cheek. A computed tomographic scan revealed a single large radiolucent mass extending from the submuscular layer of the left temple crossing beneath the zygomatic arch to the buccal region, rather than two individual masses. Excision was performed through upper gingivobuccal and temporal incisions. The mass was dissected through both incisions, cut in half, and extracted from both sides. No complications were observed. The biopsy result was consistent with a lipoma. Four months later, the scars were inconspicuous, and the patient was satisfied. Considering the size, shape, and location, this is a rare and intriguing case. The bi-directional approach allowed for successful total excision without any complications, leaving inconspicuous scars.
윤태근(Taekeun Yoon),김상화(Sang Wha Kim) 대한두경부종양학회 2022 대한두경부 종양학회지 Vol.38 No.1
The latissimus dorsi flap has high vascularity and is helpful for the reconstruction of infected areas. Herein, we present a patient with recurrent infections and soft-tissue defects who underwent cranial reconstruction using a free latissimus dorsi flap. The patient had undergone craniectomy and reconstruction using alloplastic bone 18 years previously. A scalp defect accompanied by infection occurred five years ago, and patient underwent reconstruction using a free flap at another hospital; however, the problem persisted. After debridement and bone flap removal, the right latissimus dorsi musculocutaneous flap was elevated, and the thoracodorsal artery and vein were anastomosed end-to-end to the right superficial temporal artery and vein. Methicillin-resistant Staphylococcus aureus was eradicated, and the flap survived. Cranioplasty was performed eight months later, and one year follow-up proceeded without complications. Effective reconstruction and cranioplasty are possible using the free latissimus dorsi musculocutaneous flap, even on scalp with persistent infections and soft-tissue defects.
신경 섬유종증 1형 환자의 양측 후두 신경통: 증례보고
김지영(Ji-Young Kim),전성미(Sungmi Jeon),김상화(Sang Wha Kim) 대한두경부종양학회 2021 대한두경부 종양학회지 Vol.37 No.2
Plexiform neurofibromas (PNFs) represent an uncommon variant (30%) of neurofibromatosis type 1 (NF-1), in which neurofibromas arise from multiple nerves as bulging and deforming masses involving connective tissue and skin folds. We report the case of a 17-year-old man with known NF-1 presenting with bilateral occipital neuralgia that began in his late adolescence. His chief complaint was radiating pain in the occiput induced by protective helmet wear when riding alpine skiing. Craniofacial magnetic resonance imaging (MRI) confirmed the presence of fusiform masses arising from the bilateral greater occipital nerves. Histopathological examination of the biopsy samples showed PNFs. After surgical treatment, the patient s symptoms completely improved. Unlike cutaneous neurofibromas, PNFs have different clinical characteristics and have the risk of malignant mutations. Correct diagnosis and adequate surgical treatment are necessary for PNFs.