- Delayed Posttraumatic Spinal Epidural Hematoma: Importance of Early Surgical Treatment for Neurologic Deficits
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Deok Heon Lee, Tak Hyuk Oh, Jong Chul Lee, Kyoung Hoon Lim
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J Trauma Inj. 2016;29(4):176-179. Published online December 31, 2016
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DOI: https://doi.org/10.20408/jti.2016.29.4.176
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- Delayed posttraumatic spinal epidural hematoma is an extremely rare disease, and it remains a challenge for surgical teams of trauma centers. Magnetic resonance imaging is an essential tool for early diagnosis, and emergent evacuation of the hematoma is the best choice of treatment. We report the case of a 33-year old man with posttraumatic epidural hematoma in the thoracic spine (T10 and T11 levels), who developed an abrupt-onset paraplegia 5 days after the trauma.
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- Video-Assisted Thoracoscopic Ligation of the Thoracic Duct in a Patient with Traumatic Chylothorax
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Deok Heon Lee, Joon Yong Cho, Tak Hyuk Oh
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J Trauma Inj. 2016;29(3):89-92. Published online September 30, 2016
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DOI: https://doi.org/10.20408/jti.2016.29.3.89
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- Non-surgical traumatic chylothorax following blunt chest trauma is rare, with only a few cases having been reported. In general, conservative treatment measures are recommended as initial management of traumatic chylothorax; these include closed thoracostomy, dietary restriction, and parenteral nutrition. There are few reports of surgery for traumatic chylothorax. We report our experience with thoracic duct ligation using video-assisted thoracoscopic surgery in a patient with chylothorax following blunt chest injury with associated fractures of the thoracic spine.
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- Vacuum-assisted Closure Therapy for Treating Patients with Severe Subcutaneous Emphysema
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Tak Hyuk Oh, Sang Cjeol Lee, Deok Heon Lee, Joon Yong Cho
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J Trauma Inj. 2015;28(4):276-279. Published online December 31, 2015
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DOI: https://doi.org/10.20408/jti.2015.28.4.276
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- 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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- Penetrating Injury to the Left Ventricle from a Fractured Rib Following Blunt Chest Trauma
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Tak Hyuk Oh, Sang Cjeol Lee, Deok Heon Lee, Joon Yong Cho
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J Trauma Inj. 2014;27(4):192-195.
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- The perforation of a cardiac chamber by a fractured rib after blunt trauma is a rare event. Here, we report the case of patient who was referred for multiple rib fractures after a fall from a height. The patient was found to have a penetrating cardiac injury which was detected on a computed tomography chest scan. Computed tomography is a useful screening tool for victims of blunt chest trauma. Once cardiac perforation has been confirmed or is highly suspected, it is important to preserve the patient's vital signs until reaching the operating room by minimally manuplating the chest wall and permitting hypotension, which also prevents exsanguinating hemorrhage. For the same reasons, early cardiac tamponade may also improve the patient's survival.
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