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RISS 인기검색어
- 검색키워드
- 저자 : 성건용 ( Kun Yong Sung ) (검색결과 4 건)
- 무료
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Sensory Restoration of Abdomen after Free TRAM Flap for Breast Reconstruction
성건용,안희창,황원중,조동인,Sung, Kun Yong,Ahn, Hee Chang,Hwang, Weon Jung,Jo, Dong In 대한성형외과학회 2005 Archives of Plastic Surgery Vol.32 No.1
The purpose of this study is to assess abdominal sensation after free TRAM flap for breast reconstruction. 74 patients underwent breast reconstruction with free TRAM flap by authors and were followed up to check the sensation on abdomen following the surgery at the out patient clinic. They are compared with 20 female volunteer controls. Abdomens were divided into 13 zones, and assessed for superficial touch, superficial pain, temperature, two-point discrimination, and vibration. For all five sensory modalities, subjects were found to have decreased sensation in the umbilical and infraumbilical regions. This was statistically significant compared with controls. Division following pedicle dissection showed more reduction of sensation than non-dissection side. Both Inguinal areas below the donor site closure also showed markedly decreased sensation. Sensation on most area of abdomen recovered in postoperative 1 year, however, there were remained hypoesthesia in umbilical and infraumbilical area after post operative 1 year. This study clearly demonstrates that there is a significant and persistent reduction in abdominal sensibility following free TRAM flap surgery.
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안희창,성건용,조동인,최승석,Ahn, Hee Chang,Sung, Kun Yong,Jo, Dong In,Choi, Seung Suk 대한미세수술학회 2004 Archives of reconstructive microsurgery Vol.13 No.1
Transverse rectus abdominis muscle (TRAM) free flap is widely used for breast reconstruction, however donor-site morbidities such as abdominal wall weakness, hernia, bulging are troublesome. For the purpose of minimizing donor-site morbidity, there has been a surge in interests in muscle sparing free TRAM flap preserving the anatomy of rectus abdominis muscle, fascia, and motor nerve. The purpose of this study is to investigate complication and morbidity after muscle sparing free TRAM flap. Between August, 1995 and May, 2003, there were 108 cases of muscle sparing free TRAM flap of breast reconstruction. There was no abdominal hernia. There were 4 cases of dog ear, 3 cases of marginal necrosis of apron flap, 2 cases of asymmetry of umbilicus. At 1 year after operation, most patients feel comfortness in physical exercise. Muscle sparing free TRAM flap provides ample amount of well vascularized soft tissue with small inclusion of rectus abdominis muscle and fascia. Also it minimizes donor-site morbidity with rapid recovery of abdominal strength.
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횡복직근 유리 피판술로 재건된 가슴에서의 감각 회복에 대한 임상적 고찰
안희창,성건용,최승석,황원중,Ahn, Hee-Chang,Sung, Kun-Yong,Choi, Matthew Seung-Suk,Hwang, Won-Joong 대한미세수술학회 2005 Archives of reconstructive microsurgery Vol.14 No.2
The purpose of this study is to introduce a sensory restoration in reconstructed breast with free TRAM flap to evaluate recovery aspect and recovery quantity. 144 patients underwent breast reconstruction with free TRAM flap by authors and were followed up at the out patient clinique. We discovered that sensory of operated breast was recoverd. We divide the breast into 5 region (upper medial, lower medial, upper lateral, lower lateral, nipple areolar complex) for examining the sensory restoration. Sense of upper medial region & upper lateral region is recovered more quickly than other region. Touch sensation was recovered more quickly than pain sensation, temperature sensation, vibratory sensation. After about 1 year all protective sensation was recovered in all patient. We discovered that severe postop scar and irradiation of breast is related to delayed sensory recovery, age and size of flap is not related to sensory recovery.
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지연성 요추 부위 Morel-Lavalee Lesion에 대한 경피적 배농술 및 경화술을 이용한 치료 - 2명의 사례 보고 -
주홍실 ( Hongsil Joo ),서상교 ( Sang Gyo Seo ),이상열 ( Sang Yeul Lee ),성건용 ( Kun Yong Sung ) 대한골절학회 2016 대한골절학회지 Vol.29 No.4
비개방적인 박탈성 손상은 근막과 피하조직 사이의 분리와 연관되는 중요한 연부조직 손상이다. 이러한 Morel-Lavallee lesion 의 진단은 임상적 영상학적으로 이루어지지만, 약 1/3에서 적절한 진단을 내리지 못하는 경우도 많고, 치료에의 어려움도 있다. 본 연구에서는 골절이 동반되지 않은 지연성 Morel-Lavallee lesion에 대해 경피적 배농술 및 경화술을 통한 치료 증례를 보고하고자 한다. 본 증례에서는 최소 침습 경피적 접근을 통하여 성공적인 병변의 치료를 얻었다. 이러한 치료는 피하의 혈류를 보존할 수 있어 절개 수술에 비해 피부의 손상을 최소화할 수 있을 것으로 판단된다. Closed internal degloving is a significant soft-tissue injury associated with a trauma that results in a tear of the subcutaneous tissue away from the underlying fascia. Although the diagnosis of Morel-Lavallee lesion (MLL) is routinely based on clinical and radiological examinations, in one-third of the cases, there is a possibility that clinicians may fail to diagnose MLL due to its inconsistent clinical manifestations. Additionally, it often involves initial skin bruising due to underlying soft-tissue injury. We present two cases of delayed MLL without a fracture treated using percutaneous drainage and sclerotherapy. Our cases demonstrated successful treatment with a minimally invasive percutaneous approach. The potential advantage of using a percutaneous technique is to preserve the subdermal arterial plexus, which is the only remaining blood supply to the skin in the area of the lesion. Maintaining this blood supply may result in healthier skin at the time of any open procedure.
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