Treatment of Osmidrosis with Scrape and Inhalation Technique

Traditional technique for the treatment of osmidrosis had a few problems, such as difficulty in exposing axilla because of the scar that is left after the operation, and sometimes brought misunderstanding of breast augmentation. I have designed a new operation method by improving the existing suction cannula in order to reduce the recurrence rate, by raising the apocrine gland removal to the incision technique level while maintaining the existing suction technique merits. The new method is based on negative pressure of suction, but has a scraping function added for removing the subdermal gland appropriately. It is named Scrape & Inhalation Technique(SIT). This was enforced to 104 patients from January, 2004 to December, 2004. The follow-up on the operation results were examined for at least 3 months and 19 months maximum. Recurrence and sequela were checked by direct counseling, telephone, e-mail, and cell phone messages after the operation. Among the subjects, 5 patients showed recurrence and received operation again. The others were totally satisfied with results. One patient had skin necrosis, but its diameter was not over 2cm and was completely treated by dressing having small scar. Inconvenience such as the epidermis sloughing was found in many patients, but it was treated well without any scars by simple dressing. Sequela such as permanent motor abnormality or dysaesthesia was not found at all.

Arm Span-Height Relationship for Prediction of Spirometric Values in Korean Adult Women / 결핵

BACKGROUND: Arm span measurements provide a practical substitute for standing height to predict normal spirometric values in subjects unable to stand or those with a skeletal deformity such as kyphoscoliosis. The relationship between arm span and height has previously been reported as either a fixed ratio unaffected by age or as a regression equation in which the ratio varies as a function of age. The fixed ratio or regression equation is known to be specific for sex and race. METHODS: We studied the relationship between standing height, arm span, and age in 381 Korean adult female subjects (ages 20 to 69 yrs) sampled in a general population. RESULTS: The mean ratio for arm span to height is 1.004. Multiple linear analysis found arm span and age to be predictive of standing height (p=0.0001, r2=0.76). We performed the analysis of the difference between the predicted height using either fixed ratio or regression equation and actual height. At the extremes of arm span and age, the ratio method either underestimated (at smaller arm span or younger age) or overestimated (at larger arm span or older age) as compared with actual height (p=0.0001). CONCLUSION: This results indicate that the estimated height using the fixed ratio method provides a less acceptable method of estimating height for the prediction of lung volumes in the Korean adult women when compared with the regression equations, especially at the extremes of stature or age.

Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy: Report of an autopsy case

A 35-year-old man was admitted with a 20 day history of generalized edema and muscular weakness of the lower extremities. He was alert with a pale puffy face and an ejection murmur was heard at the cardiac apex. The electrocardiogram disclosed low voltage, first degree atrioventricular block, and a right bundle branch block. During the hospitalization an intractable diastolic hypotension developed, which measured 0 mmHg at the lowest point. At that time the echocardiogram revealed a dilated, akinetic right ventricle. Eventually a multiorgan failure developed and an autopsy following his death presented a fibrofatty replacement of the right ventricular myocardium. This might be a case of an arrhythmogenic right ventricular dysplasia/cardiomyopathy, which is usually characterized clinically by a ventricular tachycardia and may cause a sudden death in young adults.

Effectiveness of Transbronchial Fine Needle Aspiration in Diagnosing Lung Cancers / 대한세포병리학회지

Transbronchial fine needle aspiration(TBNA) is one of the cytologic methods in diagnosing lung cancers. TBNA can be used in cases of hilar, mediastinal or lung masses adjacent to the bronchi. We analyzed and compaired the findings of 27 cases of TBNA and bronchial washing and brushing(BW/BB) in lung cancers confirmed by either biopsy or surgical resection between Jun, 1996 and May, 1997 in Asan Medical Center. They were 18 cases of non-small cell carcinomas(eight squamous cell carcinomas, nine adenocarcinomas, and one large cell undifferentiated carcinoma), eight cases of small cell carcinomas, and one case of metastatic hepatocellular carcinoma. The sensitivity of TBNA was 37%(10/27) and false negative was 63%(17/27). Although the sensitivity of BW/BB was 56%(15/27), it was not different statistically from that of TBNA(Chi square, p=0.38). Overall sensitivity of TBNA and BW/BB in this series was 70%(19/27). Forty-seven percent of false negative TBNA(8/17) were positive in BW/BB. The findings suggest that the addition of TBNA to the standard BW/BB increases diagnostic yield in cytologic diagnosis of lung cancer.