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문석호,임선,박근영,문수진,박혜정,최현숙,조일련 대한재활의학회 2013 Annals of Rehabilitation Medicine Vol.37 No.4
Baker cyst is an enlargement of the gastrocnemius-semimembranosus bursa. Neuropathy can occur due to either direct compression from the cyst itself or indirectly after cyst rupture. We report a unique case of a 49-year-old man with left sole pain and paresthesia who was diagnosed with posterior tibial neuropathy at the lower calf area, which was found to be caused by a ruptured Baker cyst. The patient’s symptoms resembled those of lumbosacral radiculopathy and tarsal tunnel syndrome. Posterior tibial neuropathy from direct pressure of ruptured Baker cyst at the calf level has not been previously reported. Ruptured Baker cyst with resultant compression of the posterior tibial nerve at the lower leg should be included in the differential diagnosis of patients who complain of calf and sole pain. Electrodiagnostic examination and imaging studies such as ultrasonography or magnetic resonance imaging should be considered in the differential diagnosis of isolated paresthesia of the lower leg.
소절개 및 Dual-top screw를 이용한 전두동 전벽 단순 함몰골절의 치료
문석호,오득영,서병철,이종원,안상태 대한성형외과학회 2008 Archives of Plastic Surgery Vol.35 No.3
Purpose: Fracture of the frontal sinus accounts for 5-15% of all facial fractures. Only anterior table fracture occupies one third of the frontal sinus fracture. Conventional coronal approach is the standard treatment, but this method is very aggressive, especially in patient with simple, depressed, anterior frontal sinus wall fracture. We introduce new, simple technique for these patients, using small incision and Dual-top screws.Methods: A 27-year-old male patient was introduced to our department under the impression of fracture of frontal sinus, involving only anterior table. Under general anesthesia, 1.5cm-sized, small incision was made on the suprabrow area. We reduced fractured fragment with two dual-top screws and 25G wires. Fixation was not necessaryResults: The operation took about forty minutes, and the patient discharged 2 days after the operation. Postoperative 2 months follow up CT shows maintenance of reduction site. Gross depression of the forehead and visible scar was not observed.Conclusion: Although the indication of this procedure is limited, less aggressive, simple and very effective to the patient with simple. depressed, anterior frontal sinus fracture.
문석호,유결,한기택,임진수,최윤석 대한두개안면성형외과학회 2008 Archives of Craniofacial Surgery Vol.9 No.1
Salivary duct carcinoma is a high-grade adenocarcinoma arising from the ductal epithelium and has very low prevalence. We report a case of salivary duct carcinoma in high risk group with satisfactory result. A 65-year-old male was referred to our clinic complaining of mass on Rt. cheek. Preoperative CT and MRI shows 2.0×1.9cm sized multilobulated, cystic mass on the superficial lobe of Rt. parotid gland and multiple lymph node enlargement thorough the Rt. internal jugular chain. Total parotidectomy and modified radical neck dissection with adjuvant radiation therapy was performed. Pathologic result was salivary duct carcinoma and resection margin was free. Postoperative radiation therapy with 6400cGy(200cGy× 12 fx) was performed. During the 24-months of follow up periods, recurrence or complications associated with operation and radiation therapy was not observed. Salivary duct carcinoma is rare disease with very poor prognosis. Lymph node metastasis is commonly accompanied at the time of diagnosis. Distant metastasis is the most common cause of death. Total parotidectomy, radical neck disssection and adjuvant radiation therapy can be the appropriate modality for the control of the salivary duct carcinoma especially in high risk group.
문석호,한현호,최종윤 대한수부외과학회 2015 대한수부외과학회지 Vol.20 No.3
This case is about a rare type of a solitary neurofibroma that originated from the digital nerve between the proximal phalanx of a finger and the web space, which was first misdiagnosed as giant cell tumor, ganglionic cyst, or fibroma originating from the tendon before radiologic studies were done. The preoperative magnetic resonance imaging (MRI) showed a non-enhanced well-circumscribed mass and the digital nerve was deviated to the volar-medial side due to the mass effect. Since neurofibroma is difficult to differentiate from others by physical examination, crucial information such as the connection between the mass and the nerve or the deviation of the digital nerve can be obtained by MRI findings. And it is important to plan the surgery safely from this information.