형광 방광경검사: 방광암 진단율을 높이기 위한 검사법

서일영(Ill Young Seo) 대한비뇨기종양학회 2010 대한비뇨기종양학회지 Vol.8 No.1

Bladder cancer is the second common cancer in genitourinary system. It is detected at early stage in most cases. However cystoscopy has an inadequate role to detect a flat lesion such as carcinoma in situ. Fluorescence cystoscopy has developed to improve the detection rate of bladder cancer as a photodynamic diagnosis. The principle of the detection is based on the preferential accumulation of photoactive porphyrins in cancer cells. The common agents for the fluorescence cystoscopy, photosensitizers, are 5-aminolevulinic acid (ALA), hexyl aminolevulininate (HAL), and hypericin. Some studies shows that the fluorescence cystoscopy improve the detection rate of bladder cancer, which may improve the prognosis. However it has to overcome shortcomings including false positive rate, limited time to use, and restriction to evaluate more invasive lesion.

중복 Z-성형술을 이용한 큐피드활의 교정

유선열,서일영,Ryu, Sun-Youl,Seo, Il-Young 대한악안면성형재건외과학회 2005 Maxillofacial Plastic Reconstructive Surgery Vol.27 No.1

이차 구순비성형술을 받고자 본과에 내원한 편측성 완전 구순구개열을 가진 29세 남자 환자에서 상방으로 반전된 큐피드활과 적순부의 휘파람 변형을 교정하기 위해 중복 Z-성형술을 시행하였다. 수술 후에 반전된 큐피드활이 정상적인 형태로 재건되고 휘파람 변형이 없어졌으며 상순의 긴장도가 완화되었다. 중복 Z-성형술시 적순부 내에서만 피판을 형성하므로 피부에는 새로운 반흔이 생기지 않아 심미적으로 만족스러웠고 상순결절은 더욱 볼록해 졌다. 수술 4년경과 후 큐피드활은 부드러운 곡선으로 좌우 대칭을 이루고 매우 자연스럽게 보였으며 장기적인 추적관찰 결과 양호한 결과를 보였다. 중복 Z-성형술은 반전된 큐피드활의 교정시 다른 수술방법에 비해 술식이 간단하고 주위조직 손상이 적으며 휘파람 변형의 교정도 가능한 좋은 방법이라고 사료된다. Cupid's bow, upper lip, columella, and ala of nose are esthetically important, in which their symmetrical plasties determine success or failure of the surgery in cleft lip and palate patients. Z-palsty and its modifications are simple and effective. The double Z-plasty is economical in surgical time and esthetics in reconstructing the cupid's bow compared with other methods. We report a 29-year-old male patient who represented reversed cupid's bow and whistle deformity after the primary repair of the cleft lip. He was corrected the cupid's bow using a double Z-plasty. The reversed cupid's bow was corrected to a normal shape and the whistle deformity disappeared. The tightness of the upper lip was relieved after the operation. The double Z-plasty was esthetically successful because the procedure was limited in the vermilion and did not produce a new scar on the skin. Furthermore, the lip tubercle became protuberant. The cupid's bow was symmetrically smoothly curved at 4 years after the operation. These results indicate that the double Z-plasty is simple, less traumatic to the surrounding tissues, and suitable for the correction of whistle deformity.

Tricalciumaluminate의 초기 수화반응에 미치는 $K_2O$의 영향

한기성,최만,서일영,Han, Ki-Sung,Choi, Man,Seo, Il-Young 한국세라믹학회 1982 한국세라믹학회지 Vol.19 No.2

Two kinds of clinker liquid melts, one containing 2.0% of $K_2O$ and the other without $K_2O$, were prepared with the similar composition as those developed during the firing of portland cement clinker. One portion of melt was quenched and found to consist of glass together with traces of proto-$C_3A$, and the other portion was allowed to cool spontaneously to crystallize $C_3A$ and calciumferrite well. The product obtained by crystallization of the melt without $K_2O$showed cubic $C_3A$, while orthorhombic $C_3A$ was formed from the crystallized product containing $K_2O$. Studies on the hydration behavior of the samples made from the melts with 30% of gypsum were carried out for 24 hours by observation at regular intervals ettringite, monosulphate hydrates and gypsum which were formed or consumed during hydration. The samples without $K_2O$ in the melts were hydrated wth addition of proper amount of $K_2SO_4$ in the water for hydration. Hydration behavior of glassified $C_3A$ showed that it has low reactivity relative to crystallized $C_3A$, and also hydration reactivity of orthorhombic $C_3A$ was much lower than that of cubic $C_3A$ in 60 minutes. Potassium sulphate in the solution reduced the hydration reactivity of $C_3A$ . Evolution peaks of hydration heat examined by twin-type conduction micro-calorimeter showed that glassified $C_3A$ without $K_2O$ had secondary peak after 9 hours and $C_3A$ containing $K_2O$ after 12 hours. When crystallized $C_3A$ was hydrated, initial peaks of hydration heat were considerably high and there was no secondary peak for cubic $C_3A$ but the secondary peak of orthorhombic $C_3A$ appeared after 4 hours.

복강경 낭종절제술로 치료한 거대 내피성 부신낭종

이정우(Jung Woo Lee),서일영(Ill Young Seo),임정식(Joung Sik Rim) 대한비뇨기종양학회 2007 대한비뇨기종양학회지 Vol.5 No.2

균혈증을 동반한 황색육아종성 부고환염

유동욱(Dong Wook Yu),서일영(Ill Young Seo),임정식(Joung Sik Rim) 대한비뇨기종양학회 2004 대한비뇨기종양학회지 Vol.2 No.2

두개 파상풍의 치험례

류승희(Seung-Hee Ryu),서일영(Il-Young Seo),박홍주(Hong-Ju Park),오희균(Hee-Kyun Oh) 대한구강악안면외과학회 2004 대한구강악안면외과학회지 Vol.30 No.4

Cephalic tetanus is a rare subtype of tetanus in which trismus is a charateristic symptom. The paralysis of one or more cranial nerves can occur. The 7th cranial nerve is most frequently involved. It account for 1 to 3% of the tetanus and has a mortality of 15 to 30%. The incubation period is 1 to 14 days, and approximately two thirds of tetanus cases progress to generalized tetanus. Generally, the symptoms of cephalic tetanus can include : facial pain, trismus, dysphagia, muscle twitching spasms of the face and jaw (risus sardonicus), neck stiffness and malaise. We present a case of cephalic tetanus who 54-year male patient had trismus and dysphagia. There was no history of trauma. As there was a delay in diagnosis of cephalic tetanus, respiratory disorder and intermittent general spasm occurred. The patient was treated by injection of antibiotics, muscle relaxant, and human anti-tetanus immunoglobulin. His symptoms were disappeared, and he was discharged ambulatory.

Treacher Collins 증후군 환아에서 급성 기도 폐색

유선열(Sun-Youl Ryu),서일영(Il-Young Seo),황웅(Ung Hwang),김선국(Sun-Kook Kim) 대한구강악안면외과학회 2004 대한구강악안면외과학회지 Vol.30 No.5

Treacher Collins syndrome is inherited as an autosomal dominant trait with variable penetrance. It shows a marked variability even in the same family. This syndrome is developmental defect affecting the branchial arches. It is not usually associated with acute respiratory distress, but has symptoms of microtia, hypoplastic zygomatic bones, hypoplastic mandibular rami, and bilateral coloboma. It usually requires an emergency operation immediately after the birth. We experienced an infant with Treacher Collins syndrome who showed retrognathia, glossoptosis, microtia, and cleft palate. Intermittent cyanosis, depression of the chest, respiratory difficulty associated with airway obstruction, and swallowing difficulty were also observed. To relieve severe upper airway obstruction caused by retrognathia and glossoptosis, we simultaneously performed tongue-lip adhesion and subperiosteal release of the floor of the mouth. The respiratory and swallowing difficulties were relieved and the tongue repositioned anteriorly. We report the present case with a review of the literature.

A Rare Case of Bronchogenic Cyst Mistaken for Adrenal Tumor

Hae Do Jung(정해도),Ill Young Seo(서일영) 대한비뇨기종양학회 2019 대한비뇨기종양학회지 Vol.17 No.3

Bronchogenic cysts are rare congenital malformations, most often occurring in the pulmonary parenchyma or posterior mediastinum. But they can develop in the ectopic area, especially in the retroperitoneal space. We report a case of adrenal bronchial cyst treated with laparoscopic excision. A 55-year-old woman was admitted with a left adrenal tumor on computed tomography during a study for dyspnea, cough, and sweats. The function of the adrenal glands was examined, and as a result, the adrenal tumors were determined to be nonfunctional. Magnetic resonance imaging showed about an 8-cm-sized large unilocular cystic lesion with mild and high signal intensities at left suprarenal fossa on T1 and T2 images. Iodine-123 metaiodobenzylguanidine scan showed no scintigraphic evidence of neuroendocrine tumor in the left adrenal gland. We performed laparoscopic adrenalectomy with transperitoneal approach. The round, cystic mass was completely excised saving normal adrenal tissues. The operative time was 75 minutes and there was no definitive bleeding and complication. The pathologic tissue weighed 35 g and measured 88 mm×45 mm×28 mm, and cystic changes were observed on the cut surface. The pathologic examination confirmed an adrenal bronchogenic cyst. We report a very rare disease, adrenal bronchial cyst, which could be easily and safely treated with laparoscopic surgery.

구순접합술이 회전신전법에 의한 편측성 완전 구순열 수복에 미치는 영향

유선열(Sun-Youl Ryu),박충열(Chung-Youl Park),서일영(Il-Young Seo) 대한구강악안면외과학회 2003 대한구강악안면외과학회지 Vol.29 No.5

The present study was carried out to evaluate the postoperative results of Millard rotation-advancement repair (MR) and lip adhesion followed by Millard rotation-advancement repair (LAMR) in unilateral complete cleft lip. Twenty patients with unilateral complete cleft lip underwent MR or LAMR at the Department of Oral and Maxillofacial Surgery of Chonnam University Hospital over a period of 6 years (January 1994 to December 1999) were analyzed. The surgical results following the operation were assessed on the basis of scoring, vertical lip length, and scar hypertrophy. The mean score was better in LAMR group (74.74±1.09, n=13) than in MR group (66.50±1.14, n=7) for both lip and nose segments. Scar hypertrophy developed in MR group with 28.6% and in LAMR group with 23.1%. No significant difference was noted in the ratio of lip length between LAMR and MR groups (0.84±0.08 and 0.73±0.10). These results suggest that LAMR is better than MR in repairing the unilateral complete cleft lip.

악골에 발생한 법랑아세포종의 임상적 연구

김현섭(Hyun-Syeob Kim),류재영(Jae-Young Ryu),유민기(Min-Gi Yu),서일영(Il-Young Seo),Uttom Kumar Shet,국민석(Min-Suk Kook),박홍주(Hong-Ju Park),유선열(Sun-Youl Ryu),최홍란(Hong-Ran Choi),오희균(Hee-Kyun Oh) 대한구강악안면외과학회 2007 대한구강악안면외과학회지 Vol.33 No.5

Ameloblastoma, a benign tumor of odontogenic type, represents 10% of all tumors of the jaw. It is localized in the mandible (80%) and in the maxilla(20%). In every case, the selection of the surgical treatment must consider some fundamental elements, including the age and general state of health the clinicopathological variant, and the localization and extent of the tumor. This study was invested the clinicopathological findings of 23 patients with ameloblastoma which had been diagnosed by biopsy during the period of 1987 to 2005 at Chonnam National University Hospital. And it contained the statistical analysis according to the treatment methods and the clinicopathological findings such as sex, age, location, chief complaints, duration, radiographic findings, histologic findings, treatment methods. The results obtained are were follows. The age of patient ranged from 10 to 91 years(means, 35.9 years) at biopsy. Thirteen(57%) of the 23 subjects were males, and 10(43%) were females. Twenty(87%) of the 23 ameloblastomas were located in the mandible. Swelling was the most common symptom and was experienced by 20(87%) patients. Radiographically, 11(48%) of the 23 tumors were unilocular with a well-demarcated border and 12(52%) were multilocular. The most common histologic pattern was plexiform and acanthomatous rather then follicular. Conservative treatment was performed 7 cases(30%), radical treatment 11 cases(48%), and combined treatment 5 cases(22%). Follow-up period ranged from 2.1 years to 22 years(mean 5.1 years). Based on the above results, surgical excision after marsupialization was found to be useful as a preliminary treatment of the large cystic ameloblastoma in children and adolescents. On the contrary, the lesion with a soap bubble appearance, the one with ineffective marsupialization was subjected to extensive excision of the tumor with a wide margin of normal bone.