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( Sang Yub Kim ),( Sook Jung Yun ),( Jee Bum Lee ),( Seoung Jin Kim ),( Young Ho Won ),( Seung Chul Lee ) 대한피부과학회 2013 대한피부과학회 학술발표대회집 Vol.65 No.2
Background: Nasal defects repairing is one of the most challenging aspects of cutaneous reconstruction. Melolabial interpolation flap (MIF) should be considered in one of the available surgical options to provide for the best postoperative outcome. Objectives: The aim of this study was to evaluate the effectiveness and cosmetic outcomes of MIF for the reconstruction of nasal defects after basal cell carcinoma (BCC) excision. Methods: Between 2003 and 2013, 26 patients were received by MIF for reconstruction of nasal defects of BCC after Mohs surgery or wide excision. We reviewed surgical techniques, complications, and final cosmetic results. Post-operative results were assessed with serial clinical photographs, physicians` objective records and patients` subjective records. Results: The size of surgical defects was ranged from 0.5 to 3.0 cm in their greatest diameter. Most of the patients involved more than 2 cosmetic subunits after excision. Frequent involved sites were nasal tip and nasal ala. There were no significant complications. And the cosmetic outcomes were considered as good or excellent in most of patients. Conclusion: MIF is regarded as the recommended technique for the repair of mid to large nasal defects, especially involving nasal ala, providing excellent cosmetic results with few complications.
( Jung Guen Cha ),( Sang Yub Lee ),( Jihoon Hong ),( Hun Kyu Ryeom ),( Gab Chul Kim ),( Young Woo Do ) 영남대학교 의과대학 2021 Yeungnam University Journal of Medicine Vol.38 No.1
Lymphorrhea is a rare but potentially severe complication that occurs after various surgical procedures. Untreated lymphorrhea may lead to wound dehiscence, infection, and prolonged hospital stay. Currently, there is no standard effective treatment. Early management usually includes leg elevation, drainage, and pressure dressing. However, these methods are associated with prolonged recovery and high recurrence rates. We report a case of lymphorrhea from a calf wound after endoscopic great saphenous vein (GSV) harvesting for coronary artery bypass grafting (CABG). The patient presented with intractable oozing from the postoperative wound on the right calf. Lymphorrhea persisted for 6 weeks despite negative-pressure wound therapy with a long-acting somatostatin. We performed unilateral pedal lymphangiography that confirmed wound lymphorrhea, followed by glue embolization. No recurrence was observed after 8 months of follow-up. This case report demonstrates the successful use of lymphangiography with glue embolization in the control of lymphorrhea after GSV harvesting for CABG.
Eui Yub Jung,In Taek Oh,Sang Yeup Shim,Byung-Ho Yoon,성열보 대한정형외과학회 2019 Clinics in Orthopedic Surgery Vol.11 No.1
Background: The purpose of this study was to evaluate the quantitative association between the degree of reduction and the position of the blade of the proximal femoral nail antirotation (PFNA) in intertrochanteric hip fractures. Methods: From March 2009 to April 2015, 530 patients treated with PFNA for intertrochanteric hip fractures were retrospectively reviewed. Patients were divided into a valgus reduced group (group 1) and a non-valgus reduced group (group 2), and the “valgus reduced” was defined as valgus reduction over 5°. We compared the calcar referenced tip-apex distance (calTAD) and the area between the blade of PFNA and the medial cortex of the femoral neck between the two groups. Results: The calTAD was measured as 22.5 ± 4.1 mm in group 1 and 24.8 ± 3.8 mm in group 2 (p < 0.05). The area between the blade and the medial femoral neck was measured as 135.5 ± 49.8 mm2 in group 1 and 145.1 ± 54.8 mm2 in group 2 (p = 0.074). The area corrected for the length difference in the femoral neck was 0.55 ± 0.16 in group 1 and 0.79 ± 0.19 in group 2 (p < 0.05). Conclusions: Valgus reduction resulted in less calTAD and inferior position of the blade at the femoral neck in the treatment of intertrochanteric hip fractures with PFNA.