A Case of Thigh Augmentation with Silicone Prosthesis in a Poliomyelitis Patient

Until now, aesthetic concerns have been focused on the face, especially on the eyes, nose and facial contour. But recently, many people have interest in the aesthetics of the trunk and extremities. There is an increasing demands for the correction or improvement of the trunk and extremity contour, especially in cases of poliomyelitis and posttraumatic deformity. Authors did the thigh augmentation with silicone prosthesis in a poliomyelitis patient. Subfascial pocket was made and prefabricated silicone implants were placed in the pocket. Circumferential differences between affected thigh and unaffected thigh were reduced from 11 cm(15 cm above knee), 9 cm(25 cm above knee) to 2.5 cm, 3 cm. No definitive complication was present. So, authors conclude that this technique is useful to obtain the good results in the aesthetic correction of asymmetric thigh.

A Case of Thigh Augmentation with Silicone Prosthesis in a Poliomyelitis Patient

Until now, aesthetic concerns have been focused on the face, especially on the eyes, nose and facial contour. But recently, many people have interest in the aesthetics of the trunk and extremities. There is an increasing demands for the correction or improvement of the trunk and extremity contour, especially in cases of poliomyelitis and posttraumatic deformity. Authors did the thigh augmentation with silicone prosthesis in a poliomyelitis patient. Subfascial pocket was made and prefabricated silicone implants were placed in the pocket. Circumferential differences between affected thigh and unaffected thigh were reduced from 11 cm(15 cm above knee), 9 cm(25 cm above knee) to 2.5 cm, 3 cm. No definitive complication was present. So, authors conclude that this technique is useful to obtain the good results in the aesthetic correction of asymmetric thigh.

Studies on E-cadherin Expression in the Fusion of Palatine Shelves and Apoptosis in Developing Fetal Rat

It is known that E-cadherin, playing a role in the differentiation of the various tissues, is expressed in the early stage of development. In this research, the expression of E-cadherin and the presence of the intracellular E-cadherin mRNA in the developing fetal rat palatine epithelium using immunohistochemistry and in situ RT-PCR are studied. The investigator also performs TUNEL method and TEM technique for detecting the apoptosis in the palatine epithelium. Fetal rats on the 14th, 15th, 16th and 18th day of gestation were used. The results obtained were as follows: Before the fusion of the both palatine shelves, E-cadherin was expressed in the oral part epithelium. After the fusion oral epithelium and original triangular area were reacted strongly. TUNEL positive cells were rarely found on the midline palatine epithelium in fused palatine processes. On the 18th day of gestation, the remodeling time, many apoptotic cells were observed in the original triangular area. It is suggested that E-cadherin plays a role in the fusion of the palatine shelves, especially in the fusion between the oral part and lower part of midline epithelium, and apoptosis plays a major role in the remodeling of the palate.

Lateral Orbital Wall Fracture: New Classification and Clinical Importance

The purpose of this study is to propose a new fracture classification of lateral orbital wall, to emphasize the clinical significance of lateral orbital wall fractures, and to suggest appropriate surgical approach according to our classification. This study is based on a treatment of forty-seven patients with lateral orbital wall fractures, and medical records and radiologic studies were reviewed retrospectively. A clinical classification was based on radiographs obtained. Grade I fracture is a fracture of the frontal process of the zygoma at the zygomatico-sphenoidal suture line. Grade I fractures are further divided into 2 subgroups: Grade IA-compressed; Grade IBa-laterally displaced fracture; Grade IBb-medially displaced fracture. Grade II fractures are fractures that extend to the orbital plate of the greater wing of the sphenoid. These fractures are further divided: Grade IIA-compressed; and Grade IIB-displaced fracture. In Grade III fractures, the entire greater wing of the sphenoid is impacted toward the orbital apex with possible intrusion into the middle cranial fossa. The most common type of fracture was Grade IBa (51%) and the least common type was Grade IIA (4%). All Grade II and Grade III fractures had major ophthalmic problems. Nineteen of 47cases (40%) developed ophthalmic problems such as proptosis (23%), diplopia (21%), restricted extraocular muscle movement (15%), displacement of eye globe (15%), optic nerve injury (4%), and globe rupture(4%). Postsurgical sequelae included proptosis (4%), diplopia (4%), restricted extraocular muscle movement (6%) and blindness (6%). Our classification can be applied to all types of lateral orbital wall fractures. Our data and analysis demonstrate that Grade II/III fractures have a significant of major and sometimes devastating ophthalmic injuries. These findings, we believe, mandate that all patients with clinically suspected lateral wall fractures obtain a thorough ophthalmologic examination and complete facial CT scans. This classification may be helpful for the diagnosis and treatment of lateral orbital wall fracture.

A Clinical Analysis and Appropriate Management of Pediatric Facial Bone Fractures: 6 Years Survey

As significant increase in the pediatric accidents becomes socially and morally concerned, reviewing over the statistical analysis of the pediatric accidents was needed especially in their facial bone traumas, in order to deduce a preventive and so to speak, protocols of treatments. This retrospective study comprise 73 pediatric patients who sustained facial bone fractures through various accidents and treated in the department of Plastic and Reconstructive Surgery, Seoul Hospital, Hanyang Medical Center during past 6 years from January 1993 to December 1998. The medical records of these 73 patients (91 fractures) were reviewed and analyzed retrospectively in order to obtain the clinical pattern and understand the therapeutic modalities. The statistical items were the prevalent time, age, sex and cause distribution, fracture sites, accompanying injuries, intervals among accident, arrival and operation, treatment methods with fixation materials, and complications were reviewed as following results. An increment of 5.1% per year of pediatric facial bone fractures was noted where 5.4% reduction of the population during the same periods. The mean age of patients was 10.5 years and the range of age was 3 to 15 years with males predominating over females in 3.1:1 ratio as in 3.5:1 in adults. Traffic accidents(43.9%) were responsible for the majority of facial bone fractures followed by violence(26.4%), fall(18.7%) and 91 facial fractures in 73 patients were classified where most common sites were nasal bone (56.1%) followed by blow-out fracture excluding other orbital fractures(17.6%), mandible(15.4%), zygoma(5.5%), orbital rim(2.2%), maxilla (2.2%) and frontal sinus(1.1%). Associated soft tissue injuries were combined in 52 patients(71.2%) and fractures other than facial bone were developed in 12 patients (16.4%) and treatment for facial bone fracture consisted of open reduction(40.6%), closed reduction(54.9%) and conservative treatment(5.5%). The complication rate was 9.4% and the most common complication was local infection followed by ophthalmologic problems and facial asymmetry. All data were analyzed based on the charts, medical records, and X-ray findings and presentation of the goals and optimal course of the entire management was made.

Clinical Experiences of Angle Splitting Osteotomy for Correction of square shape mandible

No Abstract Available.

Clinical experiences on forehead contouring

No Abstract Available.

Simultaneous calf augmentation and reduction in poliomyelitis patients

No Abstract Available.

The Effect of Leg Length Discrepancy on the Strength of Ankle Muscle

OBJECTIVE: This study was designed to evaluate the relation of leg length discrepancy on ankle muscle strength. METHOD: Twenty four adult women were tested (12 leg length equality and 12 leg length discrepancy). Leg length was measured by tape ruler from anterior superior iliac spine to medial malleolus, three times by three different trained examiners. The muscle strength (bilateral ankle dorsiflexors and plantarflexors) was measured by using Cybex 340 dynamometer at 30 degree/sec and 120 degree/sec. RESULTS: The mean value of leg length discrepancy was 0.89+/-0.24 cm. In leg length discrepancy group, the peak torque of ankle plantarflexor were 44.50+/-20.94 Nm in long leg and 51.83+/-12.75 Nm in short leg at 30 degree/sec angular velocity (p<0.05). CONCLUSION: We concluded that there were significant increase in plantar flexor peak torques of short leg than those of long legs at 30 degree/sec (P<0.05). Perhaps the difference of the muscle strength might be due to compensatory mechanism of short leg in propulsion during gait.

The Treatment of Microform Cleft Lip Patients According to the Classification

The microform cleft lip is the mildest expression of cleft lip and nose deformity, but it has no specific definition, classification, and few methods have been reported for its correction. It is characterized by deformity of the nostril, skin striae of the upper lip, notching of peaked Cupid's bow, deformity of the vermilion, and anomaly of the upper lateral incisior and alveolar ridge on the affected region. Sixty-three microform cleft lip patients were operated on between Dec. 1993 and Sep. 1998 in our department(29 males and 34 females). The age of the patients ranged from 5 months to 30 years(Mean 9 years). We classified and treated the microform cleft lip as follows: Class I: Cleft lip nose with very slight lip deformity Class II: Minimal lip deformity without vermilion notching Class III: Mild lip deformity with slight vermilion notching. The goals in the correction of a microform cleft lip are to obtain an esthetically pleasing upper lip and nose, and to reestablish muscle continuity for improved function. To attain these goals, we used the above classification and satisfactory results were obtained by treating the microform cleft according to the classification.

Endoscopically Assisted Transumbilical Subpectoral Augmentation Mammoplasty

The purpose of this study si to introduce a new method to reduce the postoperative complication of augmentation mammoplasty, and to evaluate its usefulness and results. Twenty five patients underwent endoscopically assisted transumbilical subpectoral augmentation mammoplasty designed by authors from November 1995 to May 1997, for 1 1/2 years and were followed up from 6 months to 2 years. We made subpectoral pocket for saline filled mammary implant via umbilical incision, under the endoscopic guidance and could get successful results except 1 complication. One complication was breast asymmetry, recently. We could not found any article about transumbilical augmentation mammoplasty, recently. We could not found any article about transumbilical augmentation advantages of endoscopically assisted transumbilical subpectoral augmentation mammoplasty. (1) inconspicuous scar. (2) low capsular contracture rate. (3) preservation of nerve innervation of upper arm and breast. (4) reducing of hematoma occurrence rate due to the possibility of natural drainage into the tract of abdomen and umbilicus. We concluded that endoscopically assisted transumbilical subpectoral augmentation mammoplasty was a new excellent method to take the advantages of transumbilical approach and subpectoral implantation, and to reduce the postoperative complication rate. Furthermore we think that it overcome the disadvantages of the transumbilical submammary augmentation mammoplasty.

Clinical Experience of Artecoll(R) Implantations in Orientals

No abstract available.

Clinical Considerations of Complications in Endoscopically Assisted Transumbilical Augmentation Mammoplasty

No abstract available.

Unfavorable Results and Pitfalls in Endoscopically Assisted Face Lift; Consideration and Prevention

No abstract available.

General Concept of Women's Beautiful Calves in Korea

No abstract available.

Mandibular Contouring Surgery by Angle-Splitting Ostectomy

No abstract available.

Treatment of palatal fistula using tongue flap

Primary treatment of cleft palate should result in an intact palate with separation of the oral and nasal cavities. However, the published reports of large series indicate that palatal fistula present in operated cleft palate of a small but significant groups of patients. Even in the best hands, a palatal fistula of the operated cleft palate may reoccur postoperatively. Various methods of repair including local mucosal flaps have been employed to date, but fistula repair is extremely difficult because the operative field is limited by scar formation around the palatal fistula, making wound healing unsatisfactory. In such cases, a tongue flap is commonly indicated. From May of 1991 to May of 1996, among 19 patients with palatal fistula in operated cleft palate, 11 patients were operated by anteriorly-based tongue flap. All patients were followed up for at least 6 months, with mean follow up of 18 months. Among 12 cases of 11 patients included in this study, 11 flaps survived and did not recur during follow up periods. One complication was seen in the first case. In this case, there was a flap detachment from the recipient site on the 3rd postoperative day, but he was treated successfully at a subsequent operation. There have been no problems with feeding and communication until the pedicle is cut, and no patient experienced problems either with alteration in speech or with disturbance of taste sensation following surgery. In conclusion, this study shows that the anteriorly-based tongue flap is a safe and reliable technique for closure of large palatal fistula.

A REVIEW OF THE 1857 PAPERS OF JOURNAL OF THE KOREAN SOCIETY OF PLASTIC AND RECONSTRUCTIVE SURGEONS: IN COMMEMORATION OF THE 30TH ANNIVERSARY OF THE FOUNDING KSPRS

The Korean Society of Plastic and Reconstructive Surgeons (KSPRS) has thirty years history. In general the historical review is very important and valuable for the advance of science & technology in the future. So we haute reviewed and analyzed all the papers of The Journal of the Korean Society of Plastic and Reconstructive Surgeons (JKSPRS) from No. 1 to No. 89 fort 23 years The results were as follows: 1. The number of papers has been increased from 7 to 183 per year 2. The qualities of JKSPRS have been improved and ranked with other advanced foreign journals. 3. The basic research had much more papers than any other fields. This implied the possibility of Korean plastic sugical progress in the future. 4. Most fields more advanced very rapidly in the last 10 years, particularly head and neck surgery, hand surgery, craniomaxillofacial surgery, aesthetic surgery by innovational skills & new demised instruments. 5, Official clinican's papers would be needed for evenly advancing. 6. Many papers about anatomical study and anthropometric analysis of Korean, and new designed method of operation for Korean showed that our plastic surgery was breaking from Caucacian materials and methods, and being Koreanized. 7. To be read by more plastic surgeons, the JKSPRS should be written more accurately and significantly to make excellent journals, we, all members should try continously together.

TOTALLY BIODEGRADABLE CRANIOFACIAL SKELETAL FIXATION SYSTEM USING BIODEGRADABLE PLATE AND CYANOACRYLATE ADHESIVE

No abstract available.

MEASUREMENT OF ALAR RIM & NOSTRIL SILL LENGTH IN CLEFT LIP AND PROPOSAL OF OPERATIVE METHODS

Cleft lip and palate is the most common deformity among the facial congenital anomalies. And although many research and studies of operative methods haute been performed, the actual measurement of length of alar flaring have not been reported in cleft lip and palate. For this, authors chose the length of alas rim and nostril sill, which are an objective parameter, to measure the complete and incomplete cleft lip before the remedy and it was proven by a numerical value that compare to the normal part, the length was elongated. Also we found elongation of the cleft side alar rim in which patients had been operated by triangular flap method. We propose two surgical operative methods of the correction of lengthened alar rim; 1 partial resection of the elongated alar rim. 2. conversion of ala into nostril floor (Millard II operation) We conclude that this study is more accurate correction of the nasal deformity by measuring and understanding the length of alar rim in cleft lip and palate patients.