Retrospective Photogrammetric Analysis of Surgical Correction of Korean Hump Nose

A nose is an important organ in a human body and it is an anatomical structure which plays significant roles functionally and cosmetically in many respects of one's whole life. Therefore, the authors have thought that for improving the quality of the cosmetic surgery, it is worthy to analyze and consider the reasonabilities of each case of all cosmetic or reconstructive operations which may result in the modification of nasal structures. As the common criterion of the beauty is globalized, many plastic surgeons in Asia including Korea have developed the regionally adapted concepts of the rhinoplasty, whereas they have not been successful in introducing a new concept of correcting a hump nose other than the prevailing concept of the 'reduction'. Accordingly, for the purpose of reducing the unnecessary procedures of the surgical operations and the consequent unwanted results from the conventional treatment on a hump nose. The authors have made a retrospective analysis on photographic profile data of 27 cases which have been available for the past 7 years, in comparison with the prevailing ideal criteria, in order to confirm reasonabilities of operations on patients group corrected with the conventional formulars. The analysis showed us that the hump nose in each of 27 cases was less protruded than the ideal criteria data. We found out that, if the nasal framework is not deviated, the nasal hump is not the object to be removed, but the touchstone of the augmentation rhinoplasty, in terms of non- destructive cosmetic operations.

Eccrine hidrocystoma of the Nasal Tip

Eccrine hidrocystoma is a cyst origined from the secretory portion of the eccrine sweat gland and tends to occur as a solitary facial lesion. Clinically, an eccrine hidrocystoma presents as a small, translucent and cystic swelling(often having a bluish hue) which measures 1 to 3 mm in diameter. In some patients, the mass is appeared with numerous lesions. The mass has the tendency that the number of cyst increases in warm weather and decreases during winter. The histologic finding is an intradermal cyst with a thin wall composed of two layers of eosinophilic- staining cuboidal cells. Eccrine hidrocystoma has not yet reported in the journal of korean society of plastic and reconstructive surgeons. Thus, we report a case of 65-years-old female patient with eccrine hidrocystoma, which presents 2.1 x 1.6 x 1.6 cm in size and bluish hue color, occurring on the nasal tip.

A Case of Choledochocolonic Fistula Combined with Absence of Gallbladder / 대한소화기내시경학회지

The enterobiliary fistulas are mostly spontaneous and are caused by biliary disease associated with calculi. Review of many series shows that the most common variety of enterobiliary fistulas is a cholecystoduodenal fistula followed by cholecystocolic, cholecystogastric and choledochoduodenal fistula in that order. But very few cases of choledochocolonic fistulae have been reported. We report a case of choledocholithiasis combined with the absence of gallbladder leading to a choledochocolonic fistula, which was confirmed by endoscopic retrograde cholangiography and abdominal exploration in a 63- year-old male patient with complaint of right upper abdominal pain.

A Case of Gastric Adenocarcinoma Appearing as Skin Metastasis / 대한소화기내시경학회지

The skin is an uncommon site of distant metastasis from any internal malignancy, and the incidence of metastatic skin lesions as the first symptom of disease is only 0.8% in patients with all systemic malignancies. Furthermore, cutaneous metastasis from adenocarcinoma of the stomach has been found to be extremely rare. A 35-year-old female patient was admitted due to multiple cutaneous nodules in her chest, abdomen, and back. A gastroendoscopic examination and biopsy was made according to the results of skin pathologic findings. Stomach and skin biopsy results revealed a signet ring cell type of adenocarcinoma. A case of gastric adenocarcinoma in which metastatic skin nodules appeared as the first sign of disease, is here in reported with a review of related literature.