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  • 1
    Online Resource
    Online Resource
    Clinical significance of early venous enhancement on CT angiography of the ischemic lower limbs
    Ovid Technologies (Wolters Kluwer Health) ; 2022
    In:  Medicine Vol. 101, No. 39 ( 2022-09-30), p. e30560-
    Details
    In: Medicine, Ovid Technologies (Wolters Kluwer Health), Vol. 101, No. 39 ( 2022-09-30), p. e30560-
    Abstract: The authors observed good clinical courses in patients with lower limb ulcers and extensive skin inflammation who showed early venous enhancement at contrast-enhanced lower extremity computed tomographic angiography. The author hypothesized that these early venous enhancements tend to occur in conditions of healthier vascular status. A total of 145 patients who met the inclusion criteria were classified based on the degree of arterial occlusion and early venous enhancement according to lower extremity angiography. Early venous enhancement correlated with age over 65 (t-score = 0.001), absence of ulcer history (t-score = 0.003), absence of amputation history (t-score = 0.004), and low ankle-brachial index ( P value = .001). We confirmed that the factors related with early venous enhancement differ from the factor inducing arterial occlusion. Prior to this study, early enhancement of veins in the lower limb was thought to be an artifact. However, in this study, veins that show early enhancement are suspected of being healthier and more responsive to inflammation than those that do not show early enhancement. These findings may help to predict the clinical course and to determine therapeutic planning without additional studies. Also, it can be easily reproduced in other facilities.
    Type of Medium: Online Resource
    ISSN: 1536-5964
    URL: Article
    DOI: 10.1097/MD.0000000000030560
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2022
    detail.hit.zdb_id: 2049818-4
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  • 2
    Online Resource
    Online Resource
    Reduction of comminuted fractures of the anterior wall of the frontal sinus using threaded Kirschner wires and a small eyebrow incision
    Korean Cleft Palate-Craniofacial Association ; 2022
    In:  Archives of Craniofacial Surgery Vol. 23, No. 5 ( 2022-10-20), p. 220-227
    Details
    In: Archives of Craniofacial Surgery, Korean Cleft Palate-Craniofacial Association, Vol. 23, No. 5 ( 2022-10-20), p. 220-227
    Abstract: Background: Frontal sinus fractures are relatively rare. Their surgical management significantly differs depending on whether the posterior wall is invaded and the clinical features vary. A bicoronal incision or endoscopic approach can be used. However, the minimally invasive approach has been attracting attention, leading us to introduce a simple and effective surgical method using multiple-threaded Kirschner wires.Methods: All patients had isolated anterior wall fractures without nasofrontal duct impairment. The depth from the skin to the posterior wall was measured using computed tomography to prevent injury. The edge of the bone segment on the skin was marked, a threaded Kirschner wire was inserted into the center of the bone segment, and multiple Kirschner wires were gently reduced simultaneously.Results: Surgery was performed on 11 patients. Among them, seven patients required additional support for appropriate fracture reduction. Therefore, a periosteal elevator was used as an adjunct through a small sub-brow incision because the reduction was incomplete with the Kirschner wire alone. The reduction results were confirmed using facial bone computed tomography 1 to 3 days postoperatively. The follow-up period was 3 to 12 months.Conclusion: The patients had no complications and were satisfied with the surgical results. Here we demonstrated an easy and successful procedure to reduce a pure anterior wall frontal sinus fracture via non-invasive threaded Kirschner wire reduction.
    Type of Medium: Online Resource
    ISSN: 2287-1152 , 2287-5603
    URL: Article
    DOI: 10.7181/acfs.2022.00934
    Language: English
    Publisher: Korean Cleft Palate-Craniofacial Association
    Publication Date: 2022
    detail.hit.zdb_id: 2800630-6
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  • 3
    Online Resource
    Online Resource
    Prediction of diabetic foot amputation using newly revised DIRECT coding system: Comparison of accuracy with that of five existing classification systems
    Wiley ; 2023
    In:  International Wound Journal Vol. 20, No. 2 ( 2023-02), p. 359-371
    Details
    In: International Wound Journal, Wiley, Vol. 20, No. 2 ( 2023-02), p. 359-371
    Abstract: Diabetes mellitus (DM) causes various complications over time, one such complication is diabetic foot ulcers (DFU), which are challenging to treat and can lead to amputation. Additionally, a system for accurate prediction of amputation has yet to be developed. In total, 131 patients were included in the study after retrospectively collecting data from 2016 to 2020 about DFU. The collected data were used for comparison of the accuracy between five existing classification systems and the newly revised DIRECT coding system, and investigation of risk factors for lower extremity amputation (LEA). The existing five classification systems and DIRECT system can effectively predict LEA. The DIRECT3 system has three elements, C‐reactive protein (CRP), ulcer history (UH), and hypertension (HTN) in addition to those of the DIRECT system. It had a high predictive value and accuracy similar to that of Wagner and University of Texas (UT) on depth among the five classification systems. Among the statistically significant risk factors, duration of DM and HTN, haemoglobin (Hb), CRP, and UH showed an association with LEA. The DIRECT coding system is effective for predicting LEA and explaining appropriate treatment methods for DFU, and is widely applicable because of its user accessibility and convenience.
    Type of Medium: Online Resource
    ISSN: 1742-4801 , 1742-481X
    URL: Issue
    URL: Article
    DOI: 10.1111/iwj.v20.2
    DOI: 10.1111/iwj.13884
    Language: English
    Publisher: Wiley
    Publication Date: 2023
    detail.hit.zdb_id: 2152163-3
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  • 4
    Online Resource
    Online Resource
    A Rare Variant of Mazabraud’s Syndrome Overlapping with McCune-Albright Syndrome with a Clinical Review: A Case Report
    Soonchunhyang Medical Research Institute ; 2022
    In:  Soonchunhyang Medical Science Vol. 28, No. 1 ( 2022-06-30), p. 44-48
    Details
    In: Soonchunhyang Medical Science, Soonchunhyang Medical Research Institute, Vol. 28, No. 1 ( 2022-06-30), p. 44-48
    Abstract: Mazabraud syndrome (MS) is a rare and sporadic disorder. It is mainly characterized by fibrous dysplasia (FD) of single or multiple bones and intramuscular myxomas (IM). Data on the prevalence since it was first reported, clinical features, and prognosis are extremely scarce. We report a case of a 59-year-old woman with IM and polyostotic FD. She also had multiple cafe’-au-lait spots suggestive of McCune-Albright syndrome (MAS). On magnetic resonance imaging, there are masses with well-defined heterogeneous enhancement, accompanied by an inner cyst in the vastus lateralis muscle and femur. These radiological results are identical to those of FD. After surgical intervention with excision of intramuscular soft-tissue mass, a diagnosis of IM of MS was confirmed. Given that cafe’-au-lait spots also appeared, the patient was diagnosed with a variant of MS with some of the clinical characteristics of MAS.
    Type of Medium: Online Resource
    ISSN: 2233-4289 , 2233-4297
    URL: Article
    DOI: 10.15746/sms.22.008
    Language: English
    Publisher: Soonchunhyang Medical Research Institute
    Publication Date: 2022
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  • 5
    Online Resource
    Online Resource
    Clinical analysis of the communicating artery between the dorsal and plantar aspects of the foot
    Korean Society for Surgery of the Hand ; 2022
    In:  Archives of Hand and Microsurgery Vol. 27, No. 3 ( 2022-09-01), p. 247-257
    Details
    In: Archives of Hand and Microsurgery, Korean Society for Surgery of the Hand, Vol. 27, No. 3 ( 2022-09-01), p. 247-257
    Abstract: Purpose: One of the treatment methods for critical limb ischemia is percutaneous transluminal angioplasty (PTA). In severe cases, however, multiple vessels are blocked, including the main vessels of the lower extremities. This study aimed to determine whether wound healing and symptom relief occurred depending on whether the communicating artery was patent after PTA.Methods: In total, 120 patients (120 lower extremities) who underwent PTA from January 2016 to February 2018 were followed up for 6 months.Results: Out of 87 patients who had wounds, 34 had a patent communicating artery and 53 had a non-patent communicating artery. Out of 34 patients who had wounds but a patent communicating artery, 29 completely healed within 6 months. Among the 53 patients who had wounds and a non-patent communicating artery, 16 totally healed within 6 months, and 37 did not heal within 6 months. In the indirect revascularization group, 18 of 21 patients with complete wound healing within 6 months in the indirect revascularization group had a patent communicating artery.Conclusion: If only indirect revascularization is possible, it is important to ensure the patency of the communicating vessels that link the pedal and plantar arterial systems.
    Type of Medium: Online Resource
    ISSN: 2586-3290 , 2586-3533
    URL: Article
    DOI: 10.12790/ahm.21.0137
    Language: English
    Publisher: Korean Society for Surgery of the Hand
    Publication Date: 2022
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  • 6
    Online Resource
    Online Resource
    Sebaceous carcinoma arising from sebaceoma
    Korean Cleft Palate-Craniofacial Association ; 2021
    In:  Archives of Craniofacial Surgery Vol. 22, No. 2 ( 2021-04-20), p. 126-130
    Details
    In: Archives of Craniofacial Surgery, Korean Cleft Palate-Craniofacial Association, Vol. 22, No. 2 ( 2021-04-20), p. 126-130
    Type of Medium: Online Resource
    ISSN: 2287-1152 , 2287-5603
    URL: Article
    DOI: 10.7181/acfs.2021.00059
    Language: English
    Publisher: Korean Cleft Palate-Craniofacial Association
    Publication Date: 2021
    detail.hit.zdb_id: 2800630-6
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