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柳在德,閔大泓,張寅奎 최신의학사 1969 最新醫學 Vol.12 No.7
It is often on the alert as to the facial nerve damage as one gets laceration of the face. Nevertheless, we used to neglect to seek for the possible coincidental damages to the parotid gland or duct, even when the facial lacerations involved the posterior cheek region. Although the injuries of parotid gland can be healed without the major complication, those of parotid duct have usually been complicated with the long-standing fistula formation. We present here a case who wassuccessfully treated by surgery for his`salivary fistula of the cheek following the primary repair of a laceration. Various methods of treatment for the parotid duct injury are also discussed.
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류재덕,한창환,성진형,차원진 대한골절학회 1998 대한골절학회지 Vol.11 No.3
Most fractures of the shaft of the femur are caused by high-energy trauma. It would be expected that in many cases the ipsilateral knee ligaments are subjected to severe stress. In these days, early diagnosis and proper treatment of combined ligament injury in ipsilateral femoral shaft fracture become to be important and are possible by arthroscope and MRI. We retrospectively reviewed a series of 97 patients with 97 fractures of the femoral shaft from March 1995 to December 1997. Demonstrable ipsilateral knee ligament laxity was present in 10(l 1.3 per cent) of these patients. There were 7 males and 8 left femur fractures. Eight of them were injured by traffic accident. Ten patients were followed for an average months. PCL injuries were five cases and ACL and MCL injuries were two cases each and posterolateral instability was one case. Early diagnosis was possible in MCL and ACL cases but diagnosis was delayed to average 10 months post-accidentally in PCL injuries. MCL injuries and one ACL injuries were treated conservatively and one ACL and one PCL avulsion fracture were treated with pull-out suture technique and another 4 PCL injuries were treated with reconstruction using bone patella tendon bone. From this study, we advocate careful assessment of the knee, especially PCL injury in all cases of fracture of the femur caused by high-energy trauma.
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申晙,卓寬哲,李英浩,柳在德 大韓成形外科學會 1977 Archives of Plastic Surgery Vol.4 No.2
Branchial cysts, sinuses and fistulas were so named because of their supposed embryologic derivation from the branchial arches. Although the explanation of their origin has been handed down in the literature and texts for many years, there was not a great deal of evidence to support this hypothesis. branchial cysts and sinuses have been of interest ever since they were first reported by hunczowski in 1989. However all discussions of the embryological origin of anomalies in the lateral neck regions were dated to the publication, in 1832, of studies by von Ascherson of all the cases of lateral cervical anomalies available at that times. His conclusion was that these lesions resulted from failure of closure or obliteration of the branchial clefts. In 1912 Wenglowski reinvestigated and concluded that branchial cysts arose from the remnants of the thymic duct. But this theory has reputed by many as untenable although Meyer agreed with him. More recently King(1949) believed that it would be better to name these cysts according to their anatomical position or pathologic entity, such as, lateral lympho-epithelial cysts of the neck. In 1959, Bhaskar and Bernier reviewed the histologic features of 168 cases and concluded that these cysts arise from epithelial inclusions in lymph nodes. Although it is not the purpose of this paper to discuss at any great length the possible embryologic development of branchial cysts and sinuses, believing that the long time usage of the terms "Branchial cysts and fistulas" makes them permanent in our literature, these two conditions were considered separately because of significant differences in the history and objective findings. Author reviewed the patients with branchial cysts, sinuses and fistulas who were admitted treated in Yonsei medical center during the period between 1965 and 1976 and evaluated clinical patterns, proper management and discussed possible embryologic origin. there have been 55 cases of branchial cysts, sinuses and fistulas in that period. The following results were obtained: 1. Incidence was ordered as follow; preauricular sinuses, lateral cervical cysts, lateral cervical sinus group, preuricular cyst. 2. Females were affected 3 times more than males in preauriculr cysts and lateral cervical sinus group. 3. Left side was predominant in lateral cervical sinus group and bilateral in volvement was overall 6%. 4. Preauricular lesions and lateral cervical were always evident at birth or just after birth. however, lateral cervical cysts were evident in 2nd and 3rd decade. The average age of onset for the lateral cervical cysts was 16.7% years. 5. Recurrence was higher in sinus group than cysts group in 2 to 4 times. 6. the presenting symptom in most of all the preauricular sinuses was small opening on crus of helix. 7. In most cases of the lateral cervical cyst, mass was presented in the upper 1/3 of the neck along the anteromedial border of the Sternocleidomastoid muscle. 8. In most cases of the lateral cervical sinuses and complete fistulas, the cutaneous oriffice was located in the lower one thirds of the neck, in reaching the pharynx, passed betweem the internal and external carotid artery. Internal openings were found uniformly in the region of the base of the supratensillar fossa. 9. Usually combined with acute oro-pharyngeal inflection, such as U.R.I., tensillitis, sinusitis, caries especially in cyst group. 10. Combined congential anomalies were cleft lip; 1 case, microtia; 1 case and accessory ear; 1 case. 11. Frequently mis-diagnosed as T.B. lymphadenitis or thyroglossal duct cyst especially in lateral cervical cysts.(47%) 12 Management was sufficient with complete excision of firtulous openings and tracts or cysts through single skin incision or two transverse incision 13. No specific complications except post-operative would infections. 14. Microscopically the sinus tracts showed lining epithelium of columnar type throughout of the major portion. the cyst wall and distal extremity of the sinus tract revealed st. squamous epithelium. Lymphoid tissue was uniformly present beneath epithelial lining in either cyss and sinus tract.
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