Skip Navigation
Skip to contents

J Trauma Inj : Journal of Trauma and Injury

OPEN ACCESS
SEARCH
Search

Search

Page Path
HOME > Search
17 "Young Hoon Sul"
Filter
Filter
Article category
Keywords
Publication year
Authors
Case Report
Visual Disturbance Caused by a Nail Gun-Induced Penetrating Brain Injury
Jin Bong Ye, Young Hoon Sul, Se Heon Kim, Jin Young Lee, Jin Suk Lee, Hong Rye Kim, Soo Young Yoon, Jung Hee Choi
J Trauma Inj. 2021;34(3):203-207.   Published online September 30, 2021
DOI: https://doi.org/10.20408/jti.2021.0030
  • 2,363 View
  • 64 Download
AbstractAbstract PDF

Penetrating brain injury caused by a nail gun is an uncommon clinical scenario reported in the literature. A 36-year-old male presented with a nail that had penetrated through the occipital bone. He was alert and neurologically intact except for visual disturbance. Computed tomography (CT) of the brain showed the nail lodged at the occipital lobe and the parietal lobe, with minimal intracerebral hemorrhage. The nail was placed in the occipital lobe close to the superior sagittal sinus. We removed the nail with craniotomy since the entrance of the nail was close to the superior sagittal sinus. There were no newly developed neurological deficits postoperatively. Immediate postoperative CT showed no newly developed lesions. The patient recovered well without any significant complications. Two weeks postoperatively, magnetic resonance imaging showed no remarkable lesions. The visual disturbance was followed up at the outpatient department. To summarize, we report a rare case of penetrating head injury by a nail gun and discuss relevant aspects of the clinical management.

Summary
Original Article
The Influence of Seasons and Weather on the Volume of Trauma Patients: 4 Years of Experience at a Single Regional Trauma Center
Se Heon Kim, Young Hoon Sul, Jin Young Lee, Joong Suck Kim
J Trauma Inj. 2021;34(1):21-30.   Published online March 23, 2021
DOI: https://doi.org/10.20408/jti.2020.0027
  • 3,402 View
  • 95 Download
  • 2 Citations
AbstractAbstract PDF
Purpose

The purpose of this study was to determine the influence of seasons and weather on the volume of trauma patients in central Korea.

Methods

The records of 4,665 patients treated at Chungbuk National Hospital Regional Trauma Center from January 2016 to December 2019 were retrospectively reviewed. Meteorological data including hourly temperature (°C), precipitation (mm), humidity (%), and wind speed (m/s) for each district were collected retrospectively. Statistical analysis was done using the independent <i>t</i>-test, one-way analysis of variance (ANOVA), and linear regression analysis.

Results

Patients’ average age was 53.66 years, with a significant difference between men (49.92 years) and women (60.48 years) (p<0.001). Rolling/slipping down was a prominent cause of injury in winter (28.4%, n=283), with statistical significance (p<0.001). Trauma occurred least frequently in winter (p=0.005). Linear regression analysis revealed an increasing number of patients as the temperature increased (p<0.05), the humidity increased (p<0.001), and the wind speed decreased (p<0.001). Precipitation did not affect patient volume (p=0.562). One-way ANOVA revealed a decreased incidence of trauma when the temperature exceeded 30°C (p<0.001), and when the humidity was more than 75%, compared to 25–50% and 50–75%.

Conclusions

At the regional trauma center of Chungbuk National University Hospital, in central Korea, the number of trauma patients was lowest in winter, and patient volume was affected by temperature, humidity, and wind speed.

Summary

Citations

Citations to this article as recorded by  
  • Climate change and mental health in Korea: A scoping review
    Jiyoung Shin, Juha Baek, Sumi Chae
    Journal of Climate Change Research.2023; 14(6-2): 989.     CrossRef
  • The impact of COVID-19 on trauma patients and orthopedic trauma operations at a single focused training center for trauma in Korea
    Wonseok Choi, Hanju Kim, Whee Sung Son, Seungyeob Sakong, Jun-Min Cho, Nak-Jun Choi, Tae-Wook Noh, Namryeol Kim, Jae-Woo Cho, Jong-Keon Oh
    Journal of Trauma and Injury.2022; 35(3): 195.     CrossRef
Case Reports
Surgically Removed Intrapulmonary Shotgun Pellet without Traumatic Hemopneumothorax
Soo Young Yoon, Young Hoon Sul
J Trauma Inj. 2021;34(1):66-69.   Published online March 23, 2021
DOI: https://doi.org/10.20408/jti.2020.0026
  • 3,067 View
  • 92 Download
AbstractAbstract PDF

When treating firearms injuries, knowledge of the proper management is important because these injuries have high morbidity and mortality. However, due to strict gun safety regulations, surgeons in Asia often have limited experiences with gunshot wound management. Recently, the authors had the experience of removing a bullet that did not cause hemopneumothorax, but remained in the lung parenchyma. Due to the risk of complications that could occur if the bullet was not removed, surgical treatment was eventually performed to remove the bullet. A literature review was needed to determine whether this treatment was appropriate. We concluded that removing the bullet could prevent incidental complications. In this regard, the authors report a case along with a review of the relevant literature to suggest appropriate treatment directions for surgeons who do not have experience with gunshot wounds.

Summary
Cerebral Fat Embolism That Was Initially Negative on DiffusionWeighted Magnetic Resonance Imaging
Seung Je Go, Yun Su Mun, Seung Ho Bang, Yong Han Cha, Young Hoon Sul, Jin Bong Ye, Jae Guk Kim
J Trauma Inj. 2021;34(2):126-129.   Published online March 22, 2021
DOI: https://doi.org/10.20408/jti.2020.0007
  • 3,054 View
  • 76 Download
AbstractAbstract PDF

Fat embolism syndrome is a rare, but serious condition that occurs in patients with fractures of the long bones or who undergo orthopedic surgery. The main clinical features of fat embolism syndrome are an altered mental status, hypoxia, and petechial rash. Cerebral fat embolism is the most severe manifestation of fat embolism syndrome because it can lead to an altered mental status. The diagnosis of cerebral fat embolism is clinical, but brain magnetic resonance image (MRI) is helpful. There is usually an interval until symptoms, such as an altered mental status, develop after trauma. We report a case of cerebral fat embolism in which the patient’s mental status deteriorated several hours after trauma and the initial findings were negative on diffusion-weighted MRI.

Summary
Chronic Traumatic Glass Foreign Body Removal from the Lung through a Direct Parenchymal Incision
Su Young Yoon, Si Wook Kim, Jin Suk Lee, Jin Young Lee, Jin Bong Ye, Se Heon Kim, Young Hoon Sul
J Trauma Inj. 2019;32(4):248-251.   Published online December 30, 2019
DOI: https://doi.org/10.20408/jti.2019.031
  • 3,798 View
  • 56 Download
  • 1 Citations
AbstractAbstract PDF

Traumatic intrapulmonary glass foreign bodies that are missed on an initial examination can migrate and lead to severe complications. Here, we present a rare case of a traumatic intrapulmonary glass foreign body surgically removed by a direct pulmonary incision, which preserved the pulmonary parenchyma and avoided severe complications caused by migration.

Summary

Citations

Citations to this article as recorded by  
  • Thoracoscopic retrieval of an intrapulmonary sewing needle: A case report
    Houssem Messaoudi, Imen Ben Ismail, Wafa Ragmoun, Hatem Lahdhili, Saber Hachicha, Slim Chenik
    Clinical Case Reports.2020; 8(12): 2494.     CrossRef
Experience of Penetrating Gunshot Wound on Head in Korea
Hong Rye Kim, Seung Je Go, Young Hoon Sul, Jin Bong Ye, Jin Young Lee, Jung Hee Choi, Seoung Myoung Choi, Yook Kim, Su Young Yoon
J Trauma Inj. 2018;31(2):82-86.   Published online August 31, 2018
DOI: https://doi.org/10.20408/jti.2018.31.2.82
  • 6,480 View
  • 60 Download
  • 1 Citations
AbstractAbstract PDF

Craniocerebral gunshot injuries (CGIs) are extremely seldom happened in Korea because possession of individual firearm is illegal. So, CGIs are rarely encountered by Korean neurosurgeons or Korean trauma surgeons, though in other developing countries or Unites states of America their cases are indefatigably increasing. Management goal should focus on early aggressive, vigorous resuscitation. The treatments consist of immediate life salvage through correction of coagulopathy, intracranial decompression, prevention of infection and preservation of nervous tissue. There have been few studies involving penetrating CGIs in Korea. Here we present a case of penetrating gunshot wound in Korea. We present a 58-year-old man who was unintentionally shot by his colleague with a shotgun. The patients underwent computed tomography (CT) for assessment of intracranial injury. The bullet passed through the left parietal bone and right lateral ventricle and exited through the posterior auricular right temporal bone. After CT scan, he arrested and the cardiopulmonary resuscitation was conducted immediately. But we were unable to resuscitate him. This case report underscores the importance of the initial clinical exam and CT studies along with adequate resuscitation to make the appropriate management decision. Physicians should be familiar with the various injury patterns and imaging findings which are poor prognostic indicators.

Summary

Citations

Citations to this article as recorded by  
  • Civilian penetrating traumatic brain injury: A 5-year single-center experience
    Omid Yousefi, Pouria Azami, Roham Borazjani, Amin Niakan, Mahnaz Yadollahi, Hosseinali Khalili
    Surgical Neurology International.2023; 14: 28.     CrossRef
The Management of Lupus Thrombocytopenia in Poly Trauma Patient
Jin Bong Ye, Young Hoon Sul, Seung Je Go, Jung Hee Choi, Joong Suck Kim
J Trauma Inj. 2017;30(2):59-62.   Published online June 30, 2017
DOI: https://doi.org/10.20408/jti.2017.30.2.59
  • 2,258 View
  • 14 Download
AbstractAbstract PDF
Lupus thrombocytopenia is a common clinical manifestation in systemic lupus erythematosus (SLE). It may present to clinicians with considerable therapeutic difficulties. We experienced a 40-year-old poly trauma patient with lupus thrombocytopenia who had been treated with immunosuppressive drugs for SLE. She was treated for refractory thrombocytopenia with platelet transfusion, corticosteroid and Intravenous immunoglobulin (IVIG). Fourteen days after admission, her platelet count started to increase, 101×103/ul at 16 days after admission. Trauma patients may carry various underlying diseases and thus trauma surgeons should always be aware and ready for peculiar situations.
Summary
Pelvic Bone Fracture with Preperitoneal Hemorrhage
Joong Suck Kim, Young Hoon Sul, Seung Je Go, Jin Bong Ye, Sang Soon Park, Gwan Woo Ku, Yeong Cheol Kim
J Trauma Inj. 2015;28(4):272-275.   Published online December 31, 2015
DOI: https://doi.org/10.20408/jti.2015.28.4.272
  • 1,737 View
  • 6 Download
AbstractAbstract PDF
Pelvic bone fracture with unstable vital signs is a life-threatening condition demanding proper diagnosis and immediate treatment. Unlike long bones, the pelvic bone is a three dimensional structure with complex holes and grooves for vessels and nerves. Because of this complexity, a pelvic bone fracture can lead to complicated and serious bleeding. We report a case of a fifty-year-old male suffering from a pelvic bone fracture due to a fall. An imaging study showed fractures of both the superior and the inferior ramus of the pubic bone, with contrast extravasation underneath them, resulting in a large preperitoneal hematoma. He was sent for angiography, which revealed a hemorrhage from a branch of the left obturator artery. Embolization was done with a glue and lipiodol mixture. The patient recovered without complication, and was discharged at four weeks after admission.
Summary
Arteriovenous Fistula between Renal Artery and Inferior Vena Cava following Penetrating Abdominal Trauma; A Case Report
Joong Suck Kim, Seung Je Go, Ji Dae Kim, Young Hoon Sul, Jin Bong Ye, Sang Soon Park, Gwan Woo Ku, Yeong Cheol Kim
J Trauma Inj. 2015;28(4):262-265.   Published online December 31, 2015
DOI: https://doi.org/10.20408/jti.2015.28.4.262
  • 1,871 View
  • 6 Download
AbstractAbstract PDF
An arteriovenous fistula (AVF) from the renal artery following a penetrating abdominal trauma is not common. We report the case of a 19-year-old male who presented with a knife stab wound in the right upper quadrant. Due to unstable vital signs and to the protrusion of the mesentery through the stab wound, providing definite evidence of peritoneal violation, an emergent exploratory laparotomy was carried out. There were injuries at the proximal transverse mesocolon and the second portion of the duodenum, with bile leakage. There was also a mild amount of retroperitoneal hematoma near the right kidney, without signs of expansion or pulsation. The mesocolon and the duodenum were repaired. After the operation, abdominal computerized tomography (CT) was performed, which revealed contrast from the right renal artery shunting directly into the vena cava. Transcatheter arterial embolization with a coil and vascular plug was performed, and the fistula was repaired. The patient recovered completely and was discharged without complication. For further and thorough evaluation of an abdominal trauma, especially one involving the retroperitoneum, a CT scan is recommended, when possible, either prior to surgery or after surgery when the patient is stabile. Furthermore, a lateral retroperitoneal hematoma and an AVF after a penetrating trauma may not always require exploration. Sometimes, it may be safely treated non-operatively or with embolization.
Summary
Original Article
Clinical Analysis of TEVAR in Blunt Thoracic Aortic Injury
Gwan Woo Ku, Jin Ho Choi, Min Suk Choi, Sang Soon Park, Young Hoon Sul, Seung Je Go, Jin Bong Ye, Joong Suck Kim, Yeong Cheol Kim, Jung Joo Hwang
J Trauma Inj. 2015;28(4):232-240.   Published online December 31, 2015
DOI: https://doi.org/10.20408/jti.2015.28.4.232
  • 2,422 View
  • 13 Download
AbstractAbstract PDF
PURPOSE
Thoracic aortic injury is a life-threatening injury that has been traditionally treated by using surgical management. Recently, thoracic endovascular aortic repair (TEVAR) has been conducted pervasively as a better alternative treatment method. Therefore, this study will focus on analyzing the outcome of TEVAR in patients suffering from a blunt thoracic aortic injury.
METHODS
Of the blunt thoracic aortic injury patients admitted to Eulji University Hospital, this research focused on the 11 patients who had received TEVAR during the period from January 2008 to April 2014.
RESULTS
Seven of the 11 patients were male. At the time of admission, the mean systolic pressure was 105.64+/-24.60 mm Hg, and the mean heart rate was 103.64+/-20.02 per minute. The median interval from arrival to repair was 7 (4, 47) hours. The mean stay in the ICU was 21.82+/-16.37 hours. In three patients, a chimney graft technique was also performed to save the left subclavian artery. In one patient, a debranching of the aortic arch vessels was performed. In two patients, the left subclavian artery was totally covered. In one patient whose proximal aortic neck length was insufficient, the landing zone was extended by using a prophylactic left subclavian artery to left common carotid artery bypass before TEVAR. There were no operative mortalities, but a patient who was covered of left subclavian artery died from ischemic brain injury. Complications such as migration, endovascular leakage, collapse, infection and thrombus did not occur.
CONCLUSION
Our short-term outcomes of TEVAR for blunt thoracic aorta injury was feasible. Left subclavian artery may be sacrificed if the proximal landing zone is short, but several methods to continue the perfusion should be considered.
Summary
Case Reports
Pericardial Tamponade following Perihepatic Gauze Packing for Blunt Hepatic Injury
Jin Bong Ye, Young Hoon Sul, Seung Je Go, Oh Sang Kwon, Joong Suck Kim, Sang Soon Park, Gwan Woo Ku, Min Koo Lee, Yeong Cheol Kim
J Trauma Inj. 2015;28(3):211-214.   Published online September 30, 2015
DOI: https://doi.org/10.20408/jti.2015.28.3.211
  • 2,009 View
  • 2 Download
AbstractAbstract PDF
The primary and secondary survey was designed to identify all of a patient's injuries and prioritize their management. However 15 to 22.3% of patient with missed injuries had clinically significant missed injuries. To reduce missed injury, special attention should be focused on patients with severe anatomical injury or obtunded. Victims of blunt trauma commonly had multiple system involvement. Some reports indicate that inexperience, breakdown of estalished protocol, clinical error, and restriction of imaging studies may be responsible for presence of missed injury. The best way of reducing clinical significant of missed injuries was repeated clinical assessment. Here we report a case of severe blunt hepatic injury patient and pericardial injury that was missed in primary and secondary survey. After damage control surgery of hepatic injury, she remained hemodynamically unstable. Further investigation found cardiac tamponade during intensive care. This was managed by pericardial window operation through previous abdominal incision and abdominal wound closure was performed.
Summary
Wound Probing in Neck Trauma Patients
Jin Bong Ye, Young Hoon Sul, Yun Su Mun, Seung Je Go, Oh Sang Kwon, Gwan Woo Ku, Min Koo Lee
J Trauma Inj. 2015;28(3):198-201.   Published online September 30, 2015
DOI: https://doi.org/10.20408/jti.2015.28.3.198
  • 1,716 View
  • 5 Download
AbstractAbstract PDF
Neck trauma is a relatively uncommon but can be a life-threatening injury. Several guidelines for neck trauma is established to recommend a proper management such as no clamping of bleeding vessels, no probing of wounds, Trendelenberg position for preventing venous air embolism. Here, we present a regretful case of 49-year-old man with neck trauma presenting undesired bleeding after probing of wound, and then discuss about treatment guildeline for neck trauma with a review.
Summary
Original Article
Correlation between Young and Burgess Classification and Transcatheter Angiographic Embolization in Severe Trauma Patients
Yong Han Cha, Young Hoon Sul, Ha Yong Kim, Won Sik Choy
J Trauma Inj. 2015;28(3):144-148.   Published online September 30, 2015
DOI: https://doi.org/10.20408/jti.2015.28.3.144
  • 1,952 View
  • 6 Download
AbstractAbstract PDF
PURPOSE
Immediate identification of vascular injury requiring embolization in patients with pelvic bone fracture isn't an easy task. There have been many trials finding indicators of embolization for patients with pelvic bone fracture. Although Young and Burgess classification is useful in decision making of treatment, it is reported to have little value as indicator of embolization in major trauma patients. The aim of this study is to find out Young and burgess classification on predicting vessel injury by analzyng pelvic radiograph taken from major trauma patients with pelvic bone fracture.
METHODS
Among major trauma patients with injury severity scores (ISS) higher than 15 who visited our emergency room from January 2011 to June 2014, 200 patients were found with pelvic bone fracture in trauma series and thus pelvic CT angiography was taken. Setting aside patients with exclusion criteria, 153 patients were enrolled in this study for analysis of Young and Burgess classification.
RESULTS
The most common mechanism of injury was lateral compression in both groups. There was no statistical significant difference in Young and Burgess classification (p=0.397). The obturator artery was the most commonly injured artery in both groups. Six patients had more than one site of bleeding.
CONCLUSION
Prediction of transcatheter angiographic embolization using Young and Burgess classification in severe trauma patients is difficult and requires additional studies.
Summary
Case Reports
Isolated Duodenal Injury following Blunt Abdominal Trauma
Young Hoon Sul, Kwang Sik Cheon, Chang Eun Jang, Kyung Ha Lee, Sang Il Lee, In Sang Song
J Trauma Inj. 2015;28(1):47-50.   Published online March 30, 2015
DOI: https://doi.org/10.20408/jti.2015.28.1.47
  • 1,782 View
  • 7 Download
AbstractAbstract PDF
The isolated duodenal injury following blunt abdominal trauma is extremely rare. Because, duodenal injury is usually presented with other intra-abdominal organs injuries such as hepatic injury, pancreatic injury due to the anatomical position. So, We report a case of isolated duodenal injury following blunt abdominal trauma, and the discuss about the related article.
Summary
A Case of Neobladder Rupture Following Blunt Trauma
Young Hoon Sul, Moon Haeng Lee, Sang Il Lee, Kwang Sik Cheon, In Sang Song
J Korean Soc Traumatol. 2012;25(3):101-104.
  • 14,652 View
  • 4 Download
AbstractAbstract PDF
Bladder rupture following blunt trauma is rare, and no neobladder rupture following blunt trauma has yet been reported. We present a case of neobladder rupture following blunt trauma. The patient was a 65-year-old male patient who had been treated for bladder cancer via a radical cystectomy with an orthotopic ileal neobladder four years prior to this admission, and who was admitted to our emergency department due to multiple trauma after a 1.5 m fall. Primary repair was performed for the neobladder rupture.
Summary

J Trauma Inj : Journal of Trauma and Injury