Journal of Yeungnam Medical Science

Tae Hoon Lee

4 Articles

Reconstruction of Midface Defect with Latissimus Dorsi Myocutaneous Free Flap.: Jeong Cheol Kim, Sang Hyun Woo, Tae Hoon Lee, See Ho Choi, Jung Hyun Seul; Yeungnam Univ J Med. 1990;7(1):173-179. Published online June 30, 1990; DOI: https://doi.org/10.12701/yujm.1990.7.1.173

Abstract PDF: We report 2 cases of midface defect reconstructed with latissimus dorsi myocutaneous free flap. In these cases, the main points to cover the defects were as follows: 1. For the contour of zygoma and maxilla, it was well preserved without bone graft which was not used for second stage reconstruction. In first case, for application of artificial eyes and in second case, for operation after full development. 2. For the drainage of paranasal sinuses, we made the nostril with skin graft, and it was well preserved without any complications during follow up. 3. It was sufficient to cover the defect with latissimus dorsi muscle well designed before surgery and thick enough to fill the defect. 4. In second case, the remained defect of palate and maxilla was not covered for the appropriate reconstructions after full development. In conclusions, we experienced two cases of midface defect reconstructed with latissimus dorsi myocutaneous free flap without any complication and with good results.

Clinical Evaluation of Microreplantation in the Digital Amputation.: Tae Hoon Lee, Sang Hyeon Woo, See Ho Choi, Jung Hyun Seul; Yeungnam Univ J Med. 1988;5(1):23-32. Published online June 30, 1988; DOI: https://doi.org/10.12701/yujm.1988.5.1.23

Abstract PDF: Finger injuries are becoming more common with the increasing use of mechanical industrial and household appliances. Among the hand injuries, amputation is the serious disaster to the patient. Recently, application of microsurgical technique to the reattachment of amputated digits has been common clinical procedures. We performed microsurgical replantation to the 75 patients with 102 digits from March in 1986 to February in 1988. The following results were obtained. 1. The most common age distribution was third decade and male to female ratio was about 5:1. 2. The ratio of right to left hand was about 1:1 but the dominant to non-dominant hand was about 2:1. 3. The index finger was most commonly injured and the next was middle finger. 4. The most common type of the injuries was the crushing injury and the most common vector was a kind of pressor. 5. The anesthesia was performed in equal ratio between the general and regional anesthesia. 6. The survival rate of micro-replantation to the injuries of the zone II was 77.8% and zone III was 80%. 7. The functional result after replantation at zone II was better than zone III. 8. Micro-replantation was performed in any case of the type of the injury, the severity of crushing and the ischemic time, and the patients requirement was an important factor.

Use of the Autogenous Calvarial Bone in Craniofacial Bone Graft.: Sang Hyun Woo, Jae Ho Chung, Tae Hoon Lee, See Ho Choi, Jung Hyun Seul; Yeungnam Univ J Med. 1987;4(2):75-81. Published online December 31, 1987; DOI: https://doi.org/10.12701/yujm.1987.4.2.75

Abstract PDF: Bone grafts are an integral and important aspect of craniofacial reconstruction. Rips, tibia, and iliac bone have traditionally used as donor site but each of these has various problems, however using to the calvarial bone as a donor site has several advantage. These are as follows; there are abundance of material, easy to reach the donor site through coronal incision, minimal pain of donor area, less functional inability, shorter hospitalization, no need of immobilization, hidden scar at donor site, no secondary deformity and appropriate curvature obtained properly selected. From March to December 1987, we experienced three cases of autogenous calvarial bone graft such as congenital saddle nose deformity, fibrous dysplasia on the right side frontal bone, and deviated nose. The results were very excellent without any significant complication. The detail technique of autogenous calvarial bone graft and its advantages compared with the traditional methods of bone grafts are discussed.

Surgical Treatment of Pressure Sores.: Yung Sik Jung, Tae Hoon Lee, Jung Hyun Seul, See Ho Choi; Yeungnam Univ J Med. 1985;2(1):31-38. Published online December 31, 1985; DOI: https://doi.org/10.12701/yujm.1985.2.1.31

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