• Title, Summary, Keyword: Treating of wound

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Vacuum-assisted Closure Therapy for Treating Patients with Severe Subcutaneous Emphysema (피하기종의 Vacuum-assisted Closure Therapy)

  • Oh, Tak-hyuk;Lee, Sang Cjeol;Lee, Deok Heon;Cho, Joon Yong
    • Journal of Trauma and Injury
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    • v.28 no.4
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    • pp.276-279
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    • 2015
  • Subcutaneous emphysema is a benign condition following trauma (pneumothorax and oropharyngeal), cervical or thoracic procedures, and mediastinal infection. However, severe subcutaneous emphysema may be related to serious complications such as respiratory failure, airway compromise, and tension- related phenomena. Many alternative therapies have been tried to treat patients with this condition. We report our experience with vacuum-assisted closure therapy for treating patients with severe subcutaneous emphysema.

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Complications of Calcaneal Fracture (종골 골절의 합병증)

  • Bae, Su-Young
    • Journal of Korean Foot and Ankle Society
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    • v.17 no.2
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    • pp.84-92
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    • 2013
  • Quite high prevalence of acute and chronic complications of calcaneal fractures has been reported. Acute complications include blisters, wound necrosis or infection. Late complications include subtalar arthritis, calcaneal malunion, lateral subfibular impingement, tendon problems, sural nerve complications. There are many surgical or nonsurgical treatment modalities to manage those complications. However strategic initial surgical approach with gentle soft tissue handling accompanied by comprehensive understanding about numerous complications might be the best tool to achieve pain free and functional heel after treating calcaneal fractures.

Pain Relief and Accelerated Healing Processes of Wound by Low Level Laser Irradiation(Case Report) (저출력 레이저 조사에 의한 창상의 통증완화 및 치유조장 -증례 보고-)

  • Lee, Tae-Hyun;Sohn, Duk-Hee;Kim, Bong-Il;Cho, Sung-Kyeong;Lee, Sang-Hwa
    • The Korean Journal of Pain
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    • v.7 no.1
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    • pp.74-77
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    • 1994
  • Since its introduction, low level lasers have been utilized in many varied clinical applications for the treatment of musculoskeletal and body surface lesions. Due to the laser beams specific characteristic-coherence, monochromaticity and unidirectionality, without adverse reaction with neighbouring tissue, physicians have used it with relative ease. We observed accelerating effects of healing process of some intractable skin wound, improvement of graft survival, as well as reduction of pain on ulcerating tissues, by treating twice weekly with low level Helium-Neon(He-Ne) and Infrared(IR) laser. The laser's energy density was set at $1\;J/cm^2$ and a fixed frequency of 600 Hz by continuous scanning. Irradiating time was calculated according to the cross diameter of the wound. Further clinical work will be required to evaluate the accelerated healing processes by biostimulating mechanisms of laser ray, especially for the intractable(diabetic) skin ulceration.

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A New Modality for Treating Congenital Melanocytic Nevus: "Cogwheel Pattern" Serial Excision Method

  • Kang, Hyun Gu;Park, Myong Chul;Park, Dong Ha
    • Archives of Plastic Surgery
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    • v.41 no.4
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    • pp.418-420
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    • 2014
  • Congenital melanocytic nevus consists of congregations of nevomelanocytes. It is found in approximately 1% of new born infants. Congenital melanocytic nevus needs to be excised before it transforms into a malignant lesion. Many strategies have been attempted for the removal and reconstruction of the nevus. Serial excision enables wound closure to be accomplished with a shorter scar than if the original lesion was elliptically excised in a single stage and reorientation of the scar closer to the relaxed skin lines. The routine utilization of an elliptical serial excision as a standard method of closure often leads to the formation of elongated scars and waste of skin. The "Cogwheel pattern" serial excision is a new technique for reducing the size of the nevus efficiently. Reducing the final scar length, distributing the tension over many directions, and having the chance of decrease in operation numbers are ultimately achieved with the use of the "Cogwheel pattern" serial excision.

Laryngotracheal Stenosis (후두-기관 협착)

  • Ryu, In-Sun;Choi, Seung-Ho
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.23 no.1
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    • pp.21-27
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    • 2012
  • Laryngotracheal stenosis is a congenital or acquired narrowing of the airway, representing a continuum of disease that may affect the glottis, subglottis, and/or trachea. The larynx and trachea are semirigid tubular structures in which concentric scar contraction - a normal wound healing process - tends to narrow the lumen. The diversity of causes, severity, location of stenosis, and association with swallowing and phonation make this disease difficult to compare across patient populations and treating otolaryngologists. The wide array of surgical techniques for any given stenosis attests to the complexity and less than perfect results of the treatment. This review will address the etiology, diagnosis, and management of laryngotracheal stenosis.

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A technique for treating exposed cardiac Pacemaker (피부괴사로 노출된 심장 Pacemaker에 대한 처치 : 증례 보고)

  • Sin, Geuk-Seon;Yu, Jae-Deok;Hong, Seung-Rok
    • Journal of Chest Surgery
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    • v.17 no.1
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    • pp.125-128
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    • 1984
  • The management of the exposed cardiac pacemaker or its lead is a new challenge to the plastic surgeon. This complication is not rare. Coburn et al. [1972] reported less than 5 percent, but Sowton et al. [1974] showed that over a period of 19 years, in a series of 372 patients, the pacing system had to be removed because of local wound breakdown or infection in 10 percent of the cases. The methods used to treat exposure may vary from removal and re-introduction at anterior site to the rotation of local flaps to cover the exposed pacemaker. Recently we have experienced 6 times of migration and recurrent skin ulcerations without pyogenic infection overlying the pacemaker in one patient. We developed a new technique, anchoring the pacemaker to the clavicle by a wire through the hole of clavicle and by creating a pocket under the pectoralis major muscle. Then we would like to emphasize this operating method could be choice of treatment to prevent the migration of pacemaker and the ulceration of skin when complication of implantation of pacemaker is occurred.

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Pulp necrosis following luxated injury to teeth in a patient with uncontrolled type II diabetes mellitus: a case report (비조절성 제2형 당뇨 환자의 치아 탈구 손상에 따른 치수 괴사: 증례 보고)

  • Shin, Han-Eol;Lee, Seung-Jong;Jung, Il-Young;Lee, Chan-Young
    • Restorative Dentistry and Endodontics
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    • v.37 no.1
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    • pp.61-65
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    • 2012
  • Patients with diabetes mellitus show delayed wound healing and increased susceptibility to infection. Therefore, the effects of diabetes on pulpal and periodontal healing should be taken into consideration when treating diabetic dental traumatized patients. This case presents the treatment for dental traumatized 20 yr old female with uncontrolled type II diabetes. The traumatized upper central incisors had showed pulpal healing in early days. However, 7 mon after the trauma, the teeth had been diagnosed with pulp necrosis with apical abscess. Eventually, non surgical root canal treatment on the teeth had been performed.

A Case Report of Quadriplegia Patients with Decubitus Ulcer (사지부전마비를 동반한 뇌경색 환자의 욕창 치험 1례)

  • Kim, Ki-tae;Jung, Jinhwa
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.19 no.3
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    • pp.185-193
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    • 2015
  • Objectives The purpose of this report is to represent decubitus ulcer(pressure sore) improved by carbon arc and oriental medicine. Methods Patients with decubitus ulcer were treated with carbon arc, acupuncture, herbal medicine and simple dressing. Laser was irradiated at ulcer site once a day for 5 hour, using cored carbon number 3000,3002. Simple dressing with wound cleansing was performed to prevent reinfection. Herbal medicine and acupuncture treatment were applied to improve patients' general condition. Ulcer sizes and aspects were carefully checked by one week. Results Sizes of the decubitus ulcer decreased. Stage of ulcer was improved from stage 3 to stage 2. These results show that carbon arc may play a role in treating the decubitus ulcer with oriental medicine.

Surgically Removed Intrapulmonary Shotgun Pellet without Traumatic Hemopneumothorax

  • Yoon, Soo Young;Sul, Young Hoon
    • Journal of Trauma and Injury
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    • v.34 no.1
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    • pp.66-69
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    • 2021
  • When treating firearms injuries, knowledge of the proper management is important because these injuries have high morbidity and mortality. However, due to strict gun safety regulations, surgeons in Asia often have limited experiences with gunshot wound management. Recently, the authors had the experience of removing a bullet that did not cause hemopneumothorax, but remained in the lung parenchyma. Due to the risk of complications that could occur if the bullet was not removed, surgical treatment was eventually performed to remove the bullet. A literature review was needed to determine whether this treatment was appropriate. We concluded that removing the bullet could prevent incidental complications. In this regard, the authors report a case along with a review of the relevant literature to suggest appropriate treatment directions for surgeons who do not have experience with gunshot wounds.

Successful ankle replantation in two cases with different presentations

  • Wen, Adzim Poh Yuen;Jusoh, Mohd Hanifah;Saad, Arman Zaharil Mat;Halim, Ahmad Sukari;Faisham, Nu'man Wan Ismail Wan;Azman, Wan Sulaiman Wan
    • Archives of Plastic Surgery
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    • v.47 no.2
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    • pp.182-186
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    • 2020
  • We report our experience of treating two patients with ankle amputation with different presentations. The first case was a clean-cut sharp amputation. The second case was an avulsion injury following a motor vehicle accident in a patient who arrived 8 hours after the injury. Replantation was successful in both cases. In avulsion injuries, a secondary operation for wound coverage is required at a later stage. With good strategy and a support team, encouraging limb survival outcomes are possible post-replantation.