42 results on '"*ENDOSCOPIC surgery"'
Search Results
2. 개방성 종골 골절의 수술적 치료 결과.
- Author
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김바롬, 이준영, and 차동혁
- Subjects
- *
PATIENT aftercare , *ENDOSCOPIC surgery , *SURGICAL complications , *HEEL bone fractures , *TREATMENT effectiveness , *RISK assessment , *COMPOUND fractures , *OSTEOARTHRITIS , *DISEASE risk factors , *EVALUATION - Abstract
Purpose: This paper reports the surgical treatment results of open calcaneal fractures performed at the author's clinics focusing on open calcaneal fractures to help understand the appropriate treatment and realistic outcomes. Materials and Methods: This study was conducted on 22 cases out of 30 patients who visited the hospital from February 2009 to December 2019 and were followed up for more than one year. In open fractures, the fracture was classified using the Gustilo-Anderson classification and was evaluated using the soft tissue status at the time of visit. Intra-articular calcaneal fractures were classified using Sanders classification. The radiological parameters were measured for the Böhler angle, Gissane angle, calcaneal length, height, and width before and after surgery, and at the last follow-up. The clinical outcomes were evaluated using the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot scale and investigated complications. In addition, statistical analysis of the incidence and associated factors of posttraumatic arthritis was conducted. Results: In all cases, the surgical treatment was performed by minimally invasive surgery. The AOFAS ankle-hindfoot scale conducted for a clinical evaluation of the final follow-up was averaged 72.5 points. In the classification of open fractures, the Gustilo-Anderson classification type IIIA was the most common, and the Sanders type III was the most common. Of the 22 cases after surgery, 15 cases had complications, 11 cases had posttraumatic arthritis, eight cases had an infection, and 4 cases had both complications. Only the Sanders classification showed a statistically significant correlation with the incidence of posttraumatic osteoarthritis (p-value 0.032). Conclusion: In treating open calcaneal fractures, internal fixation by a minimally invasive approach showed relatively satisfactory results. However, follow-up research will be needed, including the results of a long-term follow-up through a large number of cases and comparative studies with other surgical methods. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
3. 급성 아킬레스건 파열의 최소 침습적 봉합술.
- Author
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이명진 and 김민우
- Subjects
- *
ENDOSCOPIC surgery , *SURGICAL complications , *ACHILLES tendon rupture , *TREATMENT effectiveness - Abstract
Recently, the incidence of Achilles tendon rupture has been increasing with an increase in the elderly and the sports population. Various kinds of surgical options have been introduced up to now. Among them, the traditional open repair is most commonly used despite the risk of re-rupture or post-operative infections, which in turn can impair the blood flow to the Achilles tendon. Therefore, minimally invasive methods to overcome these complications have been studied with excellent outcomes. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
4. 아킬레스건 파열의 수술 후 합병증의 치료.
- Author
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배서영
- Subjects
- *
CONVALESCENCE , *ENDOSCOPIC surgery , *ACHILLES tendon rupture , *FUNCTIONAL assessment , *SURGICAL site infections , *WOUNDS & injuries ,PREVENTION of surgical complications - Abstract
The surgical repair of an Achilles tendon acute rupture is a proven, traditional treatment for optimal functional recovery. However, concerns regarding complications such as re-rupture, wound problems and infections are driving new techniques, including minimally invasive approaches and nonoperative treatments. If we understand the characteristics and contemplate treatment strategies for possible complications, the surgical repair of the Achilles tendon is an attractive option and can be expected to yield satisfactory functional recovery. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
5. Minimal Invasive Surgery for Acute Achilles Tendon Rupture.
- Author
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Myoung Jin Lee and Min-Woo Kim
- Subjects
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ACHILLES tendon , *ENDOSCOPIC surgery , *ORTHOPEDIC surgery , *DISEASE incidence , *ATHLETES , *ACHILLES tendon rupture , *TREATMENT effectiveness - Abstract
Recently, the incidence of Achilles tendon rupture has been increasing with an increase in the elderly and the sports population. Various kinds of surgical options have been introduced up to now. Among them, the traditional open repair is most commonly used despite the risk of re-rupture or post-operative infections, which in turn can impair the blood flow to the Achilles tendon. Therefore, minimally invasive methods to overcome these complications have been studied with excellent outcomes. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
6. Management of Postoperative Complications Following Surgical Repair of Achilles Tendon Rupture.
- Author
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Su-Young Bae
- Subjects
- *
CONVALESCENCE , *ENDOSCOPIC surgery , *WOUND infections , *FUNCTIONAL status , *ACHILLES tendon rupture ,PREVENTION of surgical complications - Abstract
The surgical repair of an Achilles tendon acute rupture is a proven, traditional treatment for optimal functional recovery. However, concerns regarding complications such as re-rupture, wound problems and infections are driving new techniques, including minimally invasive approaches and nonoperative treatments. If we understand the characteristics and contemplate treatment strategies for possible complications, the surgical repair of the Achilles tendon is an attractive option and can be expected to yield satisfactory functional recovery. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
7. 비과학이 걸어온 혁신의 발자취.
- Author
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정회준 and 이흥만
- Subjects
- *
PARANASAL sinuses , *COMPUTER-assisted surgery , *OPERATIVE surgery , *NOSE , *NASAL septum , *ENDOSCOPIC surgery - Abstract
Rhinology is the study of nose, paranasal sinus, and nasopharynx. The nose is the most prominent structure on the human face and has been a subject of study since ancient human civilization. The history of rhinology has reflected the sociocultural aspects of the times, and rhinology has achieved remarkable growth with innovative discoveries by numerous pioneers. The focus of surgical procedures of the paranasal sinus shifted from mucosal stripping to functional endoscopic surgery with advancement of technology. Furthermore, the field of rhinology is gradually expanding due to cutting-edge technologies such as image-guided surgery, three-dimensional endoscopy, and robotic surgery. Additional clinical experiences and technological developments are expected to further advance rhinology. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
8. 소아에서 발생한 급성 고립성 접형동염 2례.
- Author
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박상욱, 이상윤, and 전영진
- Subjects
- *
DIAGNOSIS , *THERAPEUTICS , *MAGNETIC resonance imaging , *ENDOSCOPIC surgery , *CEREBROSPINAL fluid - Abstract
Acute isolated sphenoid sinusitis is a rare disease, and accounts for less than 3% of all sinusitis, especially in young children. Delayed diagnosis or misdiagnosis can occur frequently due to atypical clinical presentations. This can lead to serious complications because of the involvement of anatomically related intracranial structures. Therefore, nasal endoscopy, computed tomography (CT), and magnetic resonance imaging (MRI) are important diagnostic tools to confirm the diagnosis. We report two cases of a previously healthy 6-year-old girl and a 13-year-old boy, whose chief complaints were uncontrolled headache and high fever over 38°C. Physical examination and initial laboratory test results of blood, urine, and cerebrospinal fluid were normal. The diagnosis was made after a brain MRI revealed isolated sphenoid sinusitis. The girl was treated with third generation cephalosporins intravenously. The boy, however, had to undergo an emergent endoscopic sinus surgery as his headache and eyeball-pain symptoms did not resolve by medical treatment alone. Both cases had good outcomes, without neurological sequelae. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
9. 비부비동에 발생한 반전성 유두종 382예에 대한 임상분석.
- Author
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박수경, 이건호, 김민수, 김용민, and 나기상
- Subjects
- *
PAPILLOMA , *BENIGN tumors , *ENDOSCOPIC surgery , *MEDICAL centers , *PARANASAL sinuses , *SURGEONS , *MAXILLECTOMY - Abstract
Background and Objectives: Sinonasal inverted papilloma (IP) is a benign tumor with a locally aggressive nature and a propensity to recur. Many risk factors for recurrence have been reported, but they are still controversial. The aim of this study was to comprehensively assess the demographic data, clinical features, and potential risk factors for recurrence of IP. Subjects and Method: This work is a retrospective review of 382 patients diagnosed with and treated for sinonasal inverted papilloma between 1986 and 2017 at a single tertiary medical center. Demographic data, presence of associated malignancy, information about previous surgeries, tumor location, Krouse stage, surgical approach, follow-up duration, and data on recurrence were obtained. Results: In our study, 31 of 382 cases (8.1%) were associated with malignancy. Mean age was significantly higher in patients with associated malignancy compared to the benign IP group. Of the 351 benign cases, 263 (74.9%) were primary, and 88 (25.1%) were revision cases (residual or recurrent disease). Although the proportion of patients with high Krouse stage or multifocal involvement was high in the revision cases, there was no significant difference in recurrence rate. The 226 patients with a minimum follow-up of 1 year were included for recurrence analysis. Recurrence rate was significantly higher in the conventional surgery group (17.4%) compared to that of the endoscopic and combined surgery groups (8.1% and 3.6%, respectively). Also, the recurrence group showed significantly larger proportion of patients with high Krouse stage and multifocal involvement. Conclusion: Risk factors for recurrence of IP found in this study are comparable to those previously published. Generally, the factors associated with recurrence of IP were prior surgery, clinical stage, involved site, and surgical approach. Therefore, surgeons should always consider these risk factors to reduce the chance of recurrence. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
10. Minimally Invasive Surgery with Tenorrhaphy for Postoperative Hallux Varus Deformity Combined with Flexor Hallucis Longus Rupture after Hallux Valgus Correction: A Case Report.
- Author
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Bum Joon Nam, Jin Soo Suh, and Jun Young Choi
- Subjects
- *
EDUCATION of surgeons , *ENDOSCOPIC surgery , *HALLUX valgus , *OSTEOTOMY , *PATIENTS , *SURGERY , *SURGICAL complications , *PLASTIC surgery , *TENDON injuries , *DISABILITIES , *TREATMENT effectiveness , *FLEXOR hallucis longus - Abstract
A postoperative hallux varus deformity is a dreaded complication of hallux valgus surgery. Several surgical options have been introduced to overcome this problem. This paper reports an uncommon case of a 68-year-old female patient who presented with a postoperative hallux varus deformity combined with a rupture of the flexor hallucis longus (FHL) tendon. She was treated successfully by a minimally invasive correctional osteotomy with open tenorrhaphy. With experience in treating this complicated case, it was noted that FHL could be transected during the trans-articular adductor tenotomy. Hence, extra caution is needed when the degree of hallux valgus deformity is excessive. To the best of the author's knowledge, correctional valgization osteotomy for a postoperative hallux varus deformity in a minimally invasive manner has not been reported. This case report is expected to benefit surgeons and their patients with severe hallux valgus deformity. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
11. Clinical Results of Surgical Treatment with Minimally Invasive Percutaneous Plate Osteosynthesis for Displaced Intra-articular Fractures of Calcaneus.
- Author
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Jae Wan Suh, Jong Heon Yang, and Hyun-Woo Park
- Subjects
- *
DIAGNOSIS of diabetes , *AGE distribution , *ENDOSCOPIC surgery , *FRACTURE fixation , *HEEL bone fractures , *ORTHOPEDIC implants , *TREATMENT effectiveness , *DESCRIPTIVE statistics , *SURGICAL wound dehiscence - Abstract
Purpose: This study evaluated the clinical results of surgical treatment with minimally invasive plate osteosynthesis for treating displaced intra-articular fractures of the calcaneus in comparison with conventional lateral extensile approach plate osteosynthesis. Materials and Methods: Of 79 cases of Sanders type II or III calcaneus fractures, 15 cases treated with the minimally invasive calcaneal plate (group M) and 64 cases treated with lateral extensile approach calcaneal plate (group E) were identified. After successful propensity score matching considering age, sex, diabetes mellitus history, and Sanders type (1:3 ratio), 15 cases (group M) and 45 cases (group E) were matched and the demographic, radiologic, and clinical outcomes were compared between the two groups. Results: The median time of surgery from injury was 2.0 days in group M and 6.0 days in group E (p=0.014). At the six months follow-up, group M showed results comparable with those of group E in radiographic outcomes. In the clinical outcomes, group M showed better postoperative American Orthopaedic Foot and Ankle Society (AOFAS) and visual analogue scale (VAS) scores than did group E (p=0.001, p=0.008). A greater range of subtalar motion was achieved at the six months follow-up in group M (inversion 20.0° vs. 10.0°, p=0.002; eversion 10.0° vs. 5.0°, p=0.025). Although there were no significant differences in complications between the two groups (1 [6.7%] vs. 7 [15.6%], group M vs. group E; p=0.661), there was only one sural nerve injury and no wound dehiscence and deep infection in group M. Conclusion: Minimally invasive plate osteosynthesis showed superior clinical outcomes compared with that of the conventional lateral extensile approach plate osteosynthesis in Sanders type II or III calcaneus fractures. We suggest applying minimally invasive plate osteo-synthesis in Sanders type II or III calcaneus fractures. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
12. Operative Treatment for Osteochondral Lesions of the Talus: Bone Marrow Aspirate Concentrate and Matrix-induced Chondrogenesis.
- Author
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Bom Soo Kim, Yeop Na, and Won-Hwan Kwon
- Subjects
- *
ANKLEBONE surgery , *ANKLEBONE , *ARTHROSCOPY , *ARTICULAR cartilage , *BONE marrow transplantation , *BONE tumors , *CHONDROGENESIS , *ENDOSCOPIC surgery , *HEMATOPOIETIC stem cell transplantation , *OSTEOCHONDROSIS , *TREATMENT effectiveness , *PLATELET-rich plasma - Abstract
Bone marrow aspirate concentrate and matrix-induced chondrogenesis (BMIC) is an interesting treatment option for osteochondral lesions of the talus with promising short- to mid-term results. The various terminologies used to describe this surgical method need to be addressed. These include bone marrow-derived cell transplantation, matrix-induced bone marrow aspirate concentrate, and matrix-associated stem cell transplantation. BMIC is a one-stage, minimally invasive surgery performed arthroscopically or using a mini-open arthrotomy approach without a malleolar osteotomy in most cases. The lesion is replaced with hyaline-like cartilage, and treatment-related complications are rare. BMIC is a safe and effective treatment option and should be considered in large lesions or lesions with a prior treatment history. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
13. 만성 침습성 비강 방선균증 1예.
- Author
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김동현, 강태규, and 김선태
- Subjects
- *
SPHENOID sinus , *CEREBRAL infarction , *SINUSITIS , *ABSCESSES , *NOSE , *ANTIBIOTIC prophylaxis , *SURGICAL drainage - Abstract
A 57-year-old male patient with nasal congestion and nasal congestion, which occurred 1 month prior to the hospital visited. PNS CT and MRI was performed and revealed right orbital cellulitis, sinusitis and brain abcess. Surgical drainage was determined by rhinology, ophthalmology and neurosurgery. The right sphenoid sinus was identified as an open mucosal mucosa, and blackish mucosa was found on the right sphenoid sinus. Eucleation was performed. Infected orbital tissue removal and orbital abscess drainage were performed. Neurosurgery performed dura incision, drainage and removal of a large amount of abscess pattern, and duroplasty with artificial dura. Actinomyces odontolyti was identified by pus culture, and postoperative antibiotic treatment and dressing were performed, but infection aggravation persisted, resulting in deterioration of general condition, multiple organ damage, and cerebral infarction. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
14. 내시경하 부비동 수술 후 발생한 일시적인 시력장애 및 안근 마비 1예.
- Author
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이지수, 양정환, and 이중섭
- Subjects
- *
OCULAR toxicology , *LOCAL anesthetics , *ENDOSCOPIC surgery , *SINUSITIS , *SURGICAL complications - Abstract
Endoscopic sinus surgery (ESS) is widely used as standard surgical treatment for chronic rhinosinusitis. Orbital complications of varying degrees occurred during ESS have been widely reported. If the orbital symptoms occurred immediately after surgery, ocular damage associated with surgery is suspected if the patient’s preoperative ocular function was patent. If immediate action is not taken, permanent visual loss might develop, so it is very important to diagnose orbital complications and take appropriate action. In our case, there was no definite intraorbital hemorrhage when sudden visual loss was noted. The symptoms were fully recovered without further treatment and it is clinically suspected to be caused by transient ocular muscle toxicity of local anesthetics. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
15. 비강에 발생한 골내 혈관종.
- Author
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고성민, 최지은, 정승규, and 김효열
- Subjects
- *
SPINE , *TURBINATE bones , *NASAL bone , *BONES , *KOREAN literature - Abstract
Osseous hemangioma typically occurs in the vertebral column or skull bones. It it is extremely rare in the nasal bone. Only nine cases originating in the turbinate and maxillary bone have been reported in the English and Korean literature. Herein, we present the case of a 51-year-old women with a dorsum mass to share our experience with intraosseous hemangioma successfully removed and reconstructed by an endonasal approach. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
16. 부비동 내시경 수술 후 발생한 점막의 폴립양 변화에 대해 트리암시놀론을 함유한 젤폼의 효과.
- Author
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류광희, 조영상, 홍상덕, 김효열, 정승규, and 동헌종
- Subjects
- *
BASIC proteins , *NASAL polyps , *ENDOSCOPIC surgery , *NASAL cavity , *GELATIN - Abstract
Background and Objectives: Chronic rhinosinusitis with nasal polyps (CRSwNP) recurs frequently after endoscopic sinus surgery (ESS). The aim of study was to evaluate the efficacy of triamcinolone-soaked absorbable gelatin foam (gelfoam) as a treatment for recurred polypoid changes after ESS. Subjects and Method: A total of 35 patients and 57 nasal cavities was retrospectively reviewed. All patients underwent triamcinolone-infused gelfoam packing for 1 week under nasal endoscopic guidance. Endoscopic scores were evaluated at 1 week, 1 month, and 3 months. We analyzed clinical characteristics between success and failure groups. Results: Endoscopic scores were significantly improved after triamcinolone-soaked gelfoam packing, and the effects were maintained at 3-month follow-up (1.85±0.61 vs. 0.82±0.77, p<0.001). Duration between surgery and gelfoam packing was shorter in the success group compared to the failure group (8.2±6.9 vs. 13.7±8.4 weeks, p=0.033). Serum eosinophil cationic protein and tissue eosinophil counts were significantly higher in the failure group (p=0.025 and p=0.010, respectively). Conclusion: Triamcinolone-soaked gelfoam packing is an effective and safe method for managing recurrent polypoid change in patients with CRSwNP after ESS. Early intervention contributed to a successful result, and eosinophilic inflammation was associated with poor outcomes. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
17. 무지외반증 교정술 이후 합병된 무지내반증과 병발한 장무지굴건 파열에 대한 최소침습적 수술 및 건 봉합술: 증례 보고.
- Author
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남범준, 서진수, and 최준영
- Subjects
- *
EDUCATION of surgeons , *ENDOSCOPIC surgery , *HALLUX valgus , *OSTEOTOMY , *PATIENT satisfaction , *ORGAN rupture , *SURGICAL complications , *PLASTIC surgery , *TENDON injuries , *TREATMENT effectiveness , *FLEXOR hallucis longus - Abstract
A postoperative hallux varus deformity is a dreaded complication of hallux valgus surgery. Several surgical options have been introduced to overcome this problem. This paper reports an uncommon case of a 68-year-old female patient who presented with a postoperative hallux varus deformity combined with a rupture of the flexor hallucis longus (FHL) tendon. She was treated successfully by a minimally invasive correctional osteotomy with open tenorrhaphy. With experience in treating this complicated case, it was noted that FHL could be transected during the trans-articular adductor tenotomy. Hence, extra caution is needed when the degree of hallux valgus deformity is excessive. To the best of the author's knowledge, correctional valgization osteotomy for a postoperative hallux varus deformity in a minimally invasive manner has not been reported. This case report is expected to benefit surgeons and their patients with severe hallux valgus deformity. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
18. 최소침습적 금속판 내고정술을 이용한 전위된 관절 내 종골 골절의 임상적 치료결과.
- Author
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서재완, 양종헌, and 박현우
- Subjects
- *
FOOT radiography , *COMPARATIVE studies , *ENDOSCOPIC surgery , *FRACTURE fixation , *HEEL bone fractures , *ORTHOPEDIC implants , *ORTHOPEDIC surgery , *SURGICAL complications , *VISUAL analog scale , *TREATMENT effectiveness , *TREATMENT duration , *SUBTALAR joint - Abstract
Purpose: This study evaluated the clinical results of surgical treatment with minimally invasive plate osteosynthesis for treating displaced intra-articular fractures of the calcaneus in comparison with conventional lateral extensile approach plate osteosynthesis. Materials and Methods: Of 79 cases of Sanders type II or III calcaneus fractures, 15 cases treated with the minimally invasive calcaneal plate (group M) and 64 cases treated with lateral extensile approach calcaneal plate (group E) were identified. After successful propensity score matching considering age, sex, diabetes mellitus history, and Sanders type (1:3 ratio), 15 cases (group M) and 45 cases (group E) were matched and the demographic, radiologic, and clinical outcomes were compared between the two groups. Results: The median time of surgery from injury was 2.0 days in group M and 6.0 days in group E (p=0.014). At the six months followup, group M showed results comparable with those of group E in radiographic outcomes. In the clinical outcomes, group M showed better postoperative American Orthopaedic Foot and Ankle Society (AOFAS) and visual analogue scale (VAS) scores than did group E (p=0.001, p=0.008). A greater range of subtalar motion was achieved at the six months follow-up in group M (inversion 20.0° vs. 10.0°, p=0.002; eversion 10.0° vs. 5.0°, p=0.025). Although there were no significant differences in complications between the two groups (1 [6.7%] vs. 7 [15.6%], group M vs. group E; p=0.661), there was only one sural nerve injury and no wound dehiscence and deep infection in group M. Conclusion: Minimally invasive plate osteosynthesis showed superior clinical outcomes compared with that of the conventional lateral extensile approach plate osteosynthesis in Sanders type II or III calcaneus fractures. We suggest applying minimally invasive plate osteosynthesis in Sanders type II or III calcaneus fractures. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
19. 원위 경골 골절에서 전외측 잠김 금속판을 사용한 전외측 최소 침습적 금속판 고정술.
- Author
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서동환, 이환희, 한영훈, and 정재중
- Subjects
- *
BLISTERS , *ENDOSCOPIC surgery , *FRACTURE fixation , *COMPOUND fractures , *UNUNITED fractures , *HOSPITAL emergency services , *INTERNAL fixation in fractures , *RANGE of motion of joints , *SOFT tissue injuries , *SURGICAL complications , *TIBIA injuries , *TREATMENT effectiveness , *SEVERITY of illness index , *TREATMENT duration , *SURGICAL blood loss , *DORSIFLEXION , *PLANTARFLEXION , *DISEASE complications - Abstract
Purpose: Anterolateral minimally invasive plate osteosynthesis (MIPO) was performed to treat patients with distal tibial fractures associated with open fractures or extensive soft tissue injuries, which is limited medial MIPO. The treatment results of the anterolateral MIPO technique were evaluated and analyzed. Materials and Methods: Seventeen patients with distal tibial fractures associated with an open fracture or large bullae formation on the distal tibia medial side were treated with anterolateral MIPO using anterolateral locking plates. Within 24 hours of visiting the emergency room, external fixation was applied, and the medial side wound was managed. After damage control, the anterolateral locking plate was applied using an anterolateral MIPO technique. The union time, nonunion, or malunion were evaluated with regular postoperative radiographs. The ankle range of motion, operative time, blood loss, Iowa score, and wound complications were investigated. Results: Radiological evidence of bony union was obtained in all cases. The mean time to union was 16.7 weeks (12-25 weeks). The mean operation time was 44.0 minutes. Regarding the ankle range of motion, the mean dorsiflexion was 15°, and the mean plantarflexion was 35°. Satisfactory results were obtained in 15 out of 17 cases; five results were classified as excellent, four were good, and six were fair. The mean blood loss was 125.2 mL. Two complications were recorded. Conclusion: In distal tibial fractures with severe medial soft tissue damage caused by high-energy trauma, the staged anterolateral MIPO technique using anterolateral locking plates is a useful alternative treatment to achieving optimal wound care, rapid union with biological fixation, and intra-articular reduction. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
20. Anterolateral Minimally Invasive Plate Osteosynthesis of Distal Tibial Fractures Using an Anterolateral Locking Plate.
- Author
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Dongwhan Suh, Hwan Hee Lee, Young Hoon Han, and Jae Jung Jeong
- Subjects
- *
TIBIAL fractures , *BLISTERS , *ENDOSCOPIC surgery , *FRACTURE fixation , *COMPOUND fractures , *UNUNITED fractures , *HOSPITAL emergency services , *INTERNAL fixation in fractures , *RANGE of motion of joints , *SOFT tissue injuries , *SURGICAL complications , *TIBIA injuries , *TREATMENT effectiveness , *SEVERITY of illness index , *TREATMENT duration , *SURGICAL blood loss , *DORSIFLEXION , *PLANTARFLEXION , *DISEASE complications - Abstract
Purpose: Anterolateral minimally invasive plate osteosynthesis (MIPO) was performed to treat patients with distal tibial fractures associated with open fractures or extensive soft tissue injuries, which is limited medial MIPO. The treatment results of the anterolateral MIPO technique were evaluated and analyzed. Materials and Methods: Seventeen patients with distal tibial fractures associated with an open fracture or large bullae formation on the distal tibia medial side were treated with anterolateral MIPO using anterolateral locking plates. Within 24 hours of visiting the emergency room, external fixation was applied, and the medial side wound was managed. After damage control, the anterolateral locking plate was applied using an anterolateral MIPO technique. The union time, nonunion, or malunion were evaluated with regular postoperative radiographs. The ankle range of motion, operative time, blood loss, Iowa score, and wound complications were investigated. Results: Radiological evidence of bony union was obtained in all cases. The mean time to union was 16.7 weeks (12-25 weeks). The mean operation time was 44.0 minutes. Regarding the ankle range of motion, the mean dorsiflexion was 15°, and the mean plantarflexion was 35°. Satisfactory results were obtained in 15 out of 17 cases; five results were classified as excellent, four were good, and six were fair. The mean blood loss was 125.2 mL. Two complications were recorded. Conclusion: In distal tibial fractures with severe medial soft tissue damage caused by high-energy trauma, the staged anterolateral MIPO technique using anterolateral locking plates is a useful alternative treatment to achieving optimal wound care, rapid union with biological fixation, and intra-articular reduction. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
21. 편측 부비동에서 발생한 국균증에 동반된 방선균증 2례.
- Author
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민혜규, 권오은, 민진영, and 김성완
- Subjects
- *
SOFT tissue tumors , *ACTINOMYCOSIS , *DENTAL care , *PARANASAL sinuses , *ENDOSCOPIC surgery , *PARANASAL sinus diseases - Abstract
Actinomycosis of paranasal sinus is a very rare disease that is caused by infection of Actinomyces species that were present in oral or nasal flora due to trauma or dental treatment. Actinomycosis shows a local calcified lesion associated with soft tissue density on computed tomography, which is similar to fungal sinusitis. Actinomycosis associated with fungal ball due to Aspergillus affecting sinus ventilation has been rarely reported. We experienced two cases of actinomycosis associated with fungal ball and successfully treated with endoscopic sinus surgery and oral antibiotics for 3 months without recurrence. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
22. 신경과 진료 후 비부비동 수술을 시행받은 환자의 임상적 특성.
- Author
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길부관, 김덕수, 예미경, 이동원, and 신승헌
- Subjects
- *
PARANASAL sinuses , *NASAL polyps , *MAGNETIC resonance imaging , *ENDOSCOPIC surgery , *NOSE - Abstract
Background and Objectives: Magnetic resonance imaging is commonly used in neurologic examination of intracranial problems. Incidental abnormalities in the sinonasal area without clinical symptoms have been reported in about 38% of patients. Subjects and Method: The aim of this study was to evaluate the clinical characteristics of sinonasal surgical patients transferred from neurologists. Two hundred two patients were enrolled and divided into two groups. Group I patients had been directly transferred from the Neurology Department within 1 month after neurologic evaluation. Group II patients directly visited the Rhinology Department without a neurologic evaluation within the prior year. Both groups had received sinonasal endoscopic surgery or septal surgery. Clinical characteristics, pathologic findings, and surgical results were compared between groups. Results: Headache and dizziness were common symptoms in group I. Group II patients displayed more severe sinus involvement with nasal symptoms. Fungal ball was the main pathologic finding in group I. Nasal polyps were common in group II. Most patients had improved symptoms after sinonasal surgery. Conclusion: Patients transferred from the Neurology Department had different clinicopathologic characteristics than patients without neurologic problems who had first been evaluated at the Rhinology Department. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
23. 소형 금속판의 골수강 내 고정을 통한 최소 침습적 무지 외반증 교정 수술: 증례 보고.
- Author
-
조성탄, 서진수, and 최준영
- Subjects
- *
SKIN disease prevention , *AESTHETICS , *ENDOSCOPIC surgery , *FOOT abnormalities , *FRACTURE fixation , *HALLUX valgus , *ORTHOPEDIC implants , *OSTEOTOMY , *SEVERITY of illness index - Abstract
According to a recent systemic review, hallux valgus deformity has a prevalence rate of about 23% among adults aged 18 to 65 years. To date, more than 100 operative methods have been reported for the correction of hallux valgus deformity. For young female with mild to moderate hallux valgus deformity, minimally invasive surgery can be considered for aesthetic demands. Here, we report a case of a young female patient with mild hallux valgus deformity treated by minimally invasive surgery using intramedullary low profile plate fixation. This can be the favorable method for secure fixation of the osteotomy site and prevention of medial skin irritation symptoms derived from a sharp osteotomy margin. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
24. 6.5 mm 해면골 전산나사를 이용한 Sanders Type II 또는 III형 종골 골절의 최소 침습적 치료.
- Author
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오용승, 이경호, 김정호, and 이명진
- Subjects
- *
BONE screws , *ENDOSCOPIC surgery , *FRACTURE fixation , *HEEL bone , *HEEL bone fractures , *MEDICAL records , *TREATMENT effectiveness , *ACQUISITION of data methodology , *FRACTURE healing ,PREVENTION of surgical complications - Abstract
Purpose: This study evaluated the clinical and radiological results of 6.5 mm full threaded cancellous bone screw fixation of calcaneal fractures. Materials and Methods: Thirty seven patients diagnosed with Sanders type II or III calcaneal fractures, who underwent open reduction and internal fixation with a 6.5 mm full threaded cancellous bone screw between August 2014 and August 2017, were analyzed. Both the preoperative and postoperative Böhler angle and Gissane angle were measured radiographically. American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot scale on the final follow-up were also assessed. Results: The mean age of the patients was 52.7 years and the mean follow-up period was 29.5 months. In the Sanders classification, type II and III were 16 and 24 cases, respectively. The Böhler and Gissane angles improved from 21.2° and 122.6° preoperatively to 21.6° and 120.3°, respectively, in the postoperative radiographs. All cases achieved bony union, and the AOFAS ankle-hindfoot scale was 90.7 and 91.3 in Sanders type II and III, respectively, at the final follow-up. Conclusion: The treatment of calcaneal fractures using a 6.5 mm full threaded cancellous bone screw can reduce the complications with minimally invasive surgery and achieve firm fixation. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
25. 상악동 후비공 용종으로 오인된 섬유점액종 1례.
- Author
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허진혁, 김태현, 김태훈, and 이건희
- Subjects
- *
FACIAL bones , *NASAL polyps , *MAXILLARY sinus , *PARANASAL sinuses , *ENDOSCOPIC surgery , *MYXOMA - Abstract
Fibromyxomas are uncommon, tenaciously infiltrative neoplasms that infrequently appear in the facial bones and paranasal sinuses. The neoplasms are slow growing and result in expansion of the surrounding bony cortices. In the present study, we report an extremely rare case of antrochoanal fibromyxoma that occluded the ostiomeatal complex and originated from the maxillary sinus inferior wall. Initially, the neoplasm was suspected to be a nasal polyp. However, after endoscopic sinus surgery, the neoplasm was diagnosed as fibromyxoma based on histopathology. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
26. 상악동 진주종.
- Author
-
김보문, 신승헌, and 예미경
- Subjects
- *
MAXILLARY sinus , *PARANASAL sinuses , *MIDDLE ear , *ENDOSCOPIC surgery , *POSTOPERATIVE period , *MASTOIDECTOMY , *MAXILLARY sinus surgery - Abstract
Cholesteatoma is common disease entity within the middle ear cavity but is rarely found in the paranasal sinuses, especially the maxillary sinus. We experienced a case of cholesteatoma of the maxillary sinus without history of previous trauma or operation. The patient was not improved by functional endoscopic sinus surgery. The mucosa of the maxillary sinus was removed through the Caldwell-Luc approach, and heavy saline irrigation was performed. After reoperation, the postoperative period was uneventful, and there was no sign of recurrence on endoscopic examination. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
27. 소아 비부비동염 환자에서 비내시경 수술의 장기 추적 결과.
- Author
-
김상협, 정영준, and 모지훈
- Subjects
- *
PASSIVE smoking , *POOR children , *ENDOSCOPIC surgery , *AGE groups , *MULTIVARIATE analysis , *NASAL surgery - Abstract
Background and Objectives: Chronic pediatric sinusitis continues to be a challenging problem to otolaryngologists and has been reported to show worse prognosis than that of adults. However, most studies were performed with short-term follow-up. In this study, we aimed to assess the clinical outcome of pediatric endoscopic sinus surgery (ESS) with a longer follow-up and to determine the effect of age on postoperative outcome. Subjects and Method: A retrospective analysis was performed on pediatric patients than 15 years with ESS younger from 2005 to 2014 in a tertiary referral hospital. All patients completed a questionnaire regarding symptoms before to from 1 to 9 years after surgery. Telephone survey was performed to evaluate symptoms including nasal obstruction, nasal discharge, PND, and headache at 1 to 9 years after surgery. Results: Seventy-one pediatric patients with bilateral chronic sinusitis were treated with ESS. They showed gradual symptom improvement from 5 year after surgery for the following: nasal obstruction (p=0.032), PND (p=0.005), and headache (p=0.048). However, there was improvement in rhinorrhea after 9 years (p=0.042). In addition, when analyzed in terms of age, the outcome was poor in children younger than 13 years (p=0.003) compared with the older age group. Multivariate analysis showed that preoperative nasal obstruction was dependent on AR, and postoperative symptoms were dependent on presence of AR and involuntary smoking. Nasal discharge was dependent on presence of AR and involuntary smoking preoperatively and postoperatively. These suggest the importance of AR and involuntary smoking as risk factors for prognosis. Conclusion: Chronic pediatric sinusitis showed gradual improvement after ESS and should be more carefully monitored on a long-term basis. We should keep in mind that long-term follow-up is needed for pediatric ESS cases. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
28. 만성 족관절 외측 불안정성의 수술적 치료: 봉합술과 재건술의 비교.
- Author
-
김근수 and 박영욱
- Subjects
- *
ANKLE surgery , *LIGAMENT surgery , *ARTHROSCOPY , *AUTOGRAFTS , *ENDOSCOPIC surgery , *HOMOGRAFTS , *JOINT hypermobility , *PLASTIC surgery , *BODY mass index - Abstract
Surgical treatment to restore stability in the ankle and hindfoot and prevent further degenerative changes may be necessary in cases in which conservative treatment has failed. Anatomical direct repair using native ligament remnants with or without reinforcement of the inferior retinaculum is the so-called gold standard operative strategy for the treatment of lateral ankle instability. Non-anatomical lateral ligament reconstruction typically involves the use of the adjacent peroneus brevis tendon and applies only those with poor-quality ligaments. On the other hand, anatomic reconstruction and anatomic repair provide better functional outcomes after the surgical treatment of chronic ankle instability patients compared to a non-anatomic reconstruction. Anatomical reconstruction using an autograft or allograft applies to patients with insufficient ligament remnants to fashion direct repair, failed previous lateral ankle repair, high body mass index, or generalized ligamentous laxity. These procedures can provide good-to-excellent short-term outcomes. Arthroscopic ligament repair is becoming increasingly popular because it is minimally invasive. Good-to-excellent clinical outcomes have been reported after short and long-term follow-up, despite the relatively large number of complications, including nerve damage, reported following the procedure. Therefore, further investigation will be needed before widespread adoption is advocated. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
29. 부비동 내시경 수술 후 후각변화에 대한 예측 인자.
- Author
-
예 미 경
- Subjects
- *
SMELL disorders , *ENDOSCOPIC surgery , *SINUSITIS , *SMELL , *QUALITY of life - Abstract
Olfactory dysfunction is one of the most common complaints of patients with chronic rhinosinusitis. Patients who suffer from olfactory dysfunction report a negative effect on their overall quality of life. Chronic rhinosinusitis-related olfactory impairment is the most treatable form of olfactory disorder; however, outcomes after endoscopic sinus surgery (ESS) are challenging to predict. Previous studies have documented a wide range in overall improvement after ESS. The purpose of this study is to review the factors that predict changes in olfaction after ESS. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
- View/download PDF
30. 아킬레스건 파열의 세 가지 수술적 치료법의 임상 결과에 대한 비교: 관혈적 봉합술, 경피적 봉합술, 아킬론을 이용한 최소절개 봉합술.
- Author
-
박원석, 이명진, 강정모, and 이승엽
- Subjects
- *
CALF muscle physiology , *ANKLE surgery , *COMPARATIVE studies , *ENDOSCOPIC surgery , *INFECTION , *ONE-leg resting position , *PATIENT satisfaction , *SURGICAL complications , *TACTILE agnosia , *WOUND healing , *VISUAL analog scale , *TREATMENT effectiveness , *RETROSPECTIVE studies , *ACHILLES tendon rupture - Abstract
Purpose: This study compared the clinical outcomes of open repair, percutaneous repair, and minimal incision repair by Achillon in ruptured Achilles tendon. Materials and Methods: The outcomes of 12 patients with open repair (group 1), 8 patients with percutaneous repair (group 2), and 10 patients with minimal incision repair by Achillon (group 3) from February 2013 to March 2016 were analyzed retrospectively. The postoperative clinical evaluations were done by the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, Arner-Linholm scale, mid-calf circumference difference, one-leg heel raise difference, visual analogue scale (VAS) for postoperative scarring, time to return to work, and complications. Results: No significant difference in the AOFAS ankle-hindfoot score, Arner-Linholm scale, and time to return to work was observed among three groups (p=0.968, 0.509, and 0.585). The mean differences in the mid-calf circumference in groups 1, 2, and 3 were 1.09, 0.73, and 0.58, respectively; groups 2 and 3 were significantly higher than group 1 (p=0.002). In addition, the mean VAS scores for postoperative scarring in groups 1, 2, and 3 were 7.0, 9.1, and 9.1, respectively; groups 2 and 3 were significantly higher than group 1 (p=0.001). The mean differences in one-leg heel raising in groups 1, 2, and 3 were 2.03, 1.91, and 1.33, respectively; group 3 was significantly higher than groups 1 and 2 (p=0.010). The complications encountered were one case of deep infection in group 1 and one case of sural nerve hypoesthesia in group 2. Conclusion: Minimal incision repair by Achillon is recommended as an effective surgical treatment for Achilles tendon rupture because minimizes the risk of complications, leads to an improved tendon strength and healing, and achieves cosmetic satisfaction. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
- View/download PDF
31. 수근관증후군을 위한 이중 최소 절개 감압술: 개방적 감압술 기법에 대한 비교 연구
- Author
-
신은호, 나엽, and 이동주
- Subjects
- *
CARPAL tunnel syndrome treatment , *CARPAL bones , *ENDOSCOPIC surgery , *SURGERY - Abstract
Purpose: A minimally invasive surgical technique has been introduced to treat carpal tunnel syndrome that causes less pain, minimal scaring, and a rapid recovery. This study was designed to evaluate the safety and effectiveness of the double minimal incision release compared with the open surgery technique. Methods: A study was performed on 175 cases in 111 patients who were operated on for carpal tunnel syndrome from January 2010 to December 2014. The patients were classified into 2 groups according to the type of surgical technique: 82 cases underwent standard open surgery in group A and 93 cases underwent double minimal incision release in group B. Grip strength and postoperative pain were evaluated 4 and 8 weeks and 6 and 12 months after surgery, and the period of numbness and time needed to resume normal activities were investigated. Results: Group B patients showed better outcomes during the 2 first months after surgery than those of group A patients in numbness, pain, stiffness (p<0.05), less scar pain and tenderness (p<0.001), and shorter time needed to resume normal activities. However, no differences in these parameters were observed between the 2 groups after 6 months (p>0.05). Conclusion: Double minimal incision release offered better clinical outcomes until 2 months after surgery compared to the standard open surgery technique and reduced incipient postoperative pain and allowed for earlier resumption of normal activities. [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
- View/download PDF
32. 스폰지 겸자를 이용한 아킬레스건의 최소 절개 봉합술: 술기 보고.
- Author
-
박삼국 and 박철현
- Subjects
- *
ENDOSCOPIC surgery , *OPERATING rooms , *SURGICAL instruments , *ACUTE diseases , *ACHILLES tendon rupture - Abstract
Various minimally invasive repair techniques have been performed for acute Achilles tendon rupture. Despite this, it is difficult to use these techniques in common practice because of the necessity of special instruments. We propose a novel minimal invasive technique using sponge holding forceps, which are commonly used in the operating room for the acute Achilles tendon rupture. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF
33. 급성 아킬레스건 파열의 치료.
- Author
-
이태훈, 김학준, and 전영식
- Subjects
- *
ACHILLES tendon rupture , *ENDOSCOPIC surgery , *ACUTE diseases , *THERAPEUTICS - Abstract
Acute Achilles tendon rupture is a frequent injury during sports and recreational activities. Treatments for Achilles tendon rupture have been controversial in recent decades. Traditionally the surgical treatment had benefit over nonsurgical treatment in terms of low rerupture rate and early functional restoration. Recently, nonsurgical treatment was found to show no statistically significant inferiority in re-rupture rate, functional outcome, and calf strength. Whereas, surgical treatment had some complications including adhesion, nerve injury, and infection. Nonsurgical treatment has been increasing due to functional rehabilitation with early weight bearing and restricted early motion. It focuses more attention on the course of caring for patients with deep discussion. There are open repair and minimally invasive repair in terms of surgical treatment. There are various techniques for minimally invasive repair of Achilles tendon, which has some advantages over the open repair. However, the optimal technique for minimally invasive repair has not been established. The number of suture strands is important regardless of suture technique. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
34. Results of Minimal Incision Distal Metatarsal Osteotomy for Moderate to Severe Hallux Valgus.
- Author
-
Jung-Wook Huh, Il-Soo Eun, Young-Chul Ko, Man-Jun Park, and Sook-Hyun Park
- Subjects
- *
ENDOSCOPIC surgery , *HALLUX valgus , *METATARSUS , *OSTEOTOMY , *SEVERITY of illness index , *RECEIVER operating characteristic curves , *SURGERY - Abstract
Purpose: Minimal incision distal metatarsal osteotomy (MIDMO) is known to be an effective surgical procedure for mild to moderate hallux valgus. However, the result of MIDMO on moderate to severe hallux valgus is controversial; therefore, we investigated the radiological and clinical results of MIDMO on moderate to severe hallux valgus. Materials and Methods: We reviewed 51 feet (48 patients) with moderate to severe hallux valgus. The mean age was 67.0 years and the mean follow-up period was 32.2 months. Radiological data of hallux valgus angle, first intermetatarsal angle, and distal metatarsal articular angle on plain radiographs were analyzed. Recurrence, union, lateral translation of distal fragment and angulation were also analyzed. The clinical data were obtained using American Orthopaedic Foot and Ankle Society (AOFAS) score of preoperation and last follow-up. Receiver operating characteristic (ROC) curve was used to determine a cut-off value. Results: The mean hallux valgus angle measured at preoperation was 37.7o and 15.9o at last follow-up. The mean first intermetatarsal angle of preoperation and last follow-up were 15.2o and 8.3o. The mean distal metatarsal articular angle changed from 12.6o at preoperation to 7.8o at last follow-up. Preoperative hallux valgus angle (p=0.0051) and distal metatarsal articular angle (p=0.0078) were statistically significant factors affecting postoperative AOFAS score. Cut-off value of each was 37o and 13o, respectively. Lateral translation of distal fragment in 5 recurrent cases was 23.0% compared to 45.3% of 46 non-recurrent cases. The result was statistically significant and the cut-off value was 38%. Conclusion: Sufficient lateral translation over 38% in MIDMO on moderate to severe hallux valgus patients with preoperative hallux valgus angle under 37° and distal metatarsal articular angle under 13° can lead to good clinical results without recurrence. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
35. 코내시경 접근법과 상안검성형술 접근법을 통하여 치료한 전두동 점액낭종 1예
- Author
-
정지웅, 홍성문, 신재민, 이수형, and 이흥만
- Subjects
- *
ENDOSCOPIC surgery , *PARANASAL sinuses , *THERAPEUTICS - Abstract
In recent years, endoscopic sinus marsupialization has become the treatment of choice for the treatment of paranasal sinus mucoceles due to its noninvasiveness and successful outcome. However, mucoceles located at the lateral portion of the frontal sinus and protruding into the orbit with erosion of the frontal sinus floor arestill difficult to address with standard endoscopic sinus surgery techniques. Here, we report a case of a mucocele located at the lateral side of the frontal sinus and successfully marsupialized with a transblepharoplasty approach combined with an endoscopic approach. [ABSTRACT FROM AUTHOR]
- Published
- 2015
36. 뇌경색으로 장기간 누워 지내는 환자에서 발생한 비강 구더기증의 내시경적 제거술 1예
- Author
-
한정욱, 석상혁, 임준식, and 김보영
- Subjects
- *
CEREBRAL infarction , *MYIASIS , *ENDOSCOPIC surgery , *PATIENTS , *THERAPEUTICS - Abstract
Infestation of tissue by fly larvae is termed myiasis, and it is unusual in humans. Nasal myiasis is common in low socioeconomic status individuals due to poor nasal hygiene. It commonly affects the skin and rarely the nasal and paranasal sinuses. Recently an 82-year-old female was admitted to the emergency department because of discharge of live maggots from the nasal cavity. She had been diagnosed with brain infarction and Alzheimer’s disease several years previous. We successfully removed all the maggots from the patient’s nasal cavity and sinuses via endoscopic surgery under local anesthesia. Subsequently, the patient’s nasal problem resolved completely. [ABSTRACT FROM AUTHOR]
- Published
- 2015
37. Balloon Sinuplasty.
- Author
-
Hyun-Jin Cho and Hun-Jong Dhong
- Subjects
- *
SINUSITIS , *PARANASAL sinuses , *ENDOSCOPIC surgery , *RHINITIS , *NOSE diseases - Abstract
The basic principles of surgery for chronic rhinosinusitis are ventilation of the sinus ostia and conservation of the sinonasal mucosa. Since its introduction in 2006, balloon sinuplasty has been considered controversial by rhinologists. Balloon sinuplasty is a minimally invasive procedure for the treatment of chronic rhinosinusitis. However, some criticism has originated from the familiarity and preference many sinus surgeons have for conventional sinus surgery. Independent of this controversy, the current evidence supports the feasibility, safety, and efficacy of balloon sinuplasty. Furthermore, there has been increased interest in this procedure among physicians as well as patients. The objective of this review is to present and discuss the surgical technique, treatment outcomes and controversy associated with balloon sinuplasty. [ABSTRACT FROM AUTHOR]
- Published
- 2014
38. A Case of Extranasopharyngeal Angiofibroma Originating from Superior Turbinate.
- Author
-
Ho Jin Son, Jae Jin Ko, Yee Hyuk Kim, and Seung Heon Shin
- Subjects
- *
TURBINATE bones , *NASOPHARYNX , *ENDOSCOPIC surgery , *NOSE diseases - Abstract
Angiofibromas originate predominantly from the posterolateral wall of the nasopharynx and are typically seen in adolescent males, but they may also exist outside of the nasopharynx. Nine patients with extranasopharyngeal angiofbromas have been reported in Korea. The inferior turbinate was the most commonly affected site, and patients reported experiencing various nasal symptoms, such as epistaxis and nasal obstruction. Extranasopharyngeal angiofbroma arising from the superior turbinate is extremely rare and has not been reported to date. Recently we experienced a case of angiofibroma of the left superior turbinate in a 68-year-old male that was successfully treated with endoscopic surgery. [ABSTRACT FROM AUTHOR]
- Published
- 2014
39. Endoscopic Treatment of a Case of Post-cholecystectomy Mirizzi Syndrome.
- Author
-
Jeong Min Lee, Jin-Seok Park, Seok Jeong, Don Haeng Lee, Seong Huan Choi, Shin Il Kim, Min Ju Kim, and Gwang Seok Yoon
- Subjects
- *
CHOLECYSTECTOMY complications , *ENDOSCOPIC surgery , *GALLSTONE treatment , *ENDOSCOPIC retrograde cholangiopancreatography , *LITHOTRIPSY - Abstract
Mirizzi's syndrome (MS) caused by the retention of a stone in the cystic duct stump after cholecystectomy is rare. Most cases of MS are treated by surgical intervention. However, developments of endoscopic accessories and techniques have resulted in the recent introduction of endoscopic treatments for MS. Furthermore, in view of the postoperative morbidity caused by post-operative scarring, the endoscopic approach should be preferred to the surgical approach. In the described case, the authors were able to remove a remnant cystic duct stone endoscopically because the cystic duct stump was wide and non-tortuous. This case shows endoscopic retrograde cholangiopancreatography with mechanical lithotripsy can be utilized in suitable cases of type I MS development after cholecystectomy. [ABSTRACT FROM AUTHOR]
- Published
- 2014
- Full Text
- View/download PDF
40. A Case of Ampullary Neuroendocrine Tumor Treated by Endoscopic Papillectomy.
- Author
-
Hong Jin Yoon, Young Hak Jung, Sung Eun Choi, Jung Soo Park, Yong Hoon Kim, Hae Won Kim, Sung Ill Jang, and Dong Ki Lee
- Subjects
- *
NEUROENDOCRINE tumors , *SURGICAL excision , *CLINICAL indications , *ENDOSCOPIC surgery ,TUMOR surgery - Abstract
Ampullary neuroendocrine tumor is rare but requires total resection for treatment. Traditionally, pancreatic duodenal resection has been recommended for treatment of ampullary neuroendocrine tumor. Because of the morbidity and mortality associated with surgical resection, endoscopic papillectomy is increasingly used in selected cases with low grade, no metastasis, and no invasion of the pancreatic or bile duct. We present a case of an ampullary neuroendocrine tumor which was successfully and completely resected via endoscopic papillectomy. Endoscopic papillectomy can be a viable alternative for the resection of neuroendocrine tumor at the major duodenal papilla in cases with high surgical risks. [ABSTRACT FROM AUTHOR]
- Published
- 2014
- Full Text
- View/download PDF
41. A Comparison Study of Ballooning Time between Immediate and Conventional Deflation Method of Endoscopic Papillary Large Balloon Dilation for the Extraction of Difficult Bile Duct Stone.
- Author
-
Seung Ik Lee, Seung Jun Jang, Song Yi Han, Pyung Hwa Park, Yeon Hee Lee, Pil Kyu Jang, Ju Hyeon Kim, Jae Hee Cho, and Yeon Suk Kim
- Subjects
- *
GALLSTONE treatment , *ENDOSCOPIC surgery , *ENDOSCOPIC retrograde cholangiopancreatography , *LITHOTRIPSY , *HEALTH outcome assessment - Abstract
Background/Aims: The ballooning time in endoscopic papillary large balloon dilation (EPLBD) remains controversial. The aim of this study was to evaluate the significance of the ballooning time comparing an immediate balloon deflation method with a conventional ballooning time of > 45 seconds. Methods: Between January 2010 and December 2010, 126 patients with bile duct stones treated with EPLBD and endoscopic sphincterotomy were divided according to the ballooning time: the immediate deflation group (n=56) and the conventional inflation group (ballooning time 45s to < 60s) (n=70). Results: The overall success rate and the success rate of the first attempt of ERCP (endoscopic retrograde cholangio-pancreatography) were 96.4% (54/56) and 80.4% (45/56) in the immediate group and 97.1% (68/70) and 77.1% (54/70) in the conventional inflation group. There were no statistically significant differences in the overall success and the first attempt of ERCP success rate (p=0.99, p=0.66). The frequency of mechanical lithotripsy was 0% in the immediate deflation group and 7.1% in the conventional inflation group (p=0.065). Complications occurred in 3.6% (2/56) patients in the immediate deflation group and 8.6% (4/70) patients in the conventional inflation group (p=0.298). Conclusions: The ballooning time in EPLBD does not affect the outcomes of the treatment for bile duct stones. And the feasibility of the immediate deflation method in EPLBD is acceptable. [ABSTRACT FROM AUTHOR]
- Published
- 2014
- Full Text
- View/download PDF
42. A Case of Pleomorphic Adenoma of the Nasal Septum Excised by Endoscopic Surgery.
- Author
-
Tae Won Eom, Chang Lim Hyun, Dong Young Kim, and Jeong Hong Kim
- Subjects
- *
SUBMANDIBULAR gland , *NASAL cavity , *TUMORS , *ADENOMA ,SALIVARY gland surgery - Abstract
Pleomorphic adenoma originates mainly in major salivary glands such as the parotid and submandibular glands, but has rarely been reported to arise in the nasal cavity, especially the nasal septum. Diverse surgical approaches can be selected according to the size and location of the tumor. The treatment of choice for intranasal pleomorphic adenoma is complete surgical excision with histologically clear margin in order to prevent recurrence. However, endoscopic surgical excision has the benefits of superior visualization of the tumor margin, avoidance of external scar, and less blood loss. We report herein a case of a 48-year-old woman who presented with a seven-month history of right-sided nasal obstruction and intermittent nasal bleeding, diagnosed as pleomorphic adenoma of the nasal septum, that was treated with endoscopic surgery without any recurrence. [ABSTRACT FROM AUTHOR]
- Published
- 2014
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