• Title/Summary/Keyword: 두개저

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A Cephalometric Study of Lateral Morphologic Features in Adult Cleft Lip and Palate Patients (구순 구개열 환자의 성장후 측모형태에 관한 두부계측방사선학적 연구)

  • Chang, Ic-Jun;Sohn, Woo-Ill;Song, Jae-Chul;Chin, Byung-Rho
    • Journal of Yeungnam Medical Science
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    • v.18 no.1
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    • pp.112-122
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    • 2001
  • Background: Cleft lip and palate deformity have unknown patterns of maxillofacial growth and development. The maxillofacial growth can be affected either by congenital or environmental factors such as infection and trauma. Surgical repair of cleft lip and palate may interfere the subsequent growth and development of maxillofacial region. The purpose of this study is to evaluate the characteristics of maxillofacial growth patterns in adult cleft lip and palate patients. Materials and Methods: The material for this study consisted of 17 adult male patients with cleft lip and palate. Cephalometric tracing and measurements were done by one investigator. The relationship between 17 cleft lip and palate patients and Korean norms were evaluated statistically. Results: There were statistically differences in Na. perpendicular to point A, SNA angle, effective maxillary length, maxillofacial differencial. Wit's appraisal and upper incisor to point A(p < 0.01). Pogonion to Na. perpendicular also statistically differed(p < 0.05). Other measurements didn't statistically differ. Conclusion: It was evident that in adult cleft lip and palate patients, maxilla was retruded and short. Careful cleft lip and palate repair and treatment are recommended for facilitating normal growth of maxilla.

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THE LONGITUDINAL GROWTH CHANGES OF CRANIOFACIAL STRUCTURE IN KOREAN ADULT (DURING THE AGE OF 24 TO 31) (성인 두개안면골의 성장변화(24세에서 31세까지))

  • Sohn, Dong-Seok;Park, Hyo-Sang;Bae, Sung-Min;Sung, Jae-Hyun
    • The korean journal of orthodontics
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    • v.27 no.6 s.65
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    • pp.917-927
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    • 1997
  • Recently, according to the Increase of adult patient, it is neccessory to understand the growth changes of adult after cessation of active pubertal growth in clinical orthodontics. The purpose of this study was to investigate the growth changes of craniofacial structure after active growth period(adult) in order to use as reference in clinical orthodontics. Authors followed the 40 sample(male 25, female 15) from 24 to 31 years of age. By analysing the serial cephalograms, authors could get the following findings. $\cdot$ The mandible rotated clockwise in female, but not in male, and no incremental growth change in both genders. $\cdot$ The anterior facial height and lower anterior facial height were increased in both genders, the increase of lower anterior facial height exceed the posterior facial height increase in female. $\cdot$ The cranial base was stable throughout observation period. $\cdot$ The upper incisors uprighted slightly in female. $\cdot$ There were great the individual variation in the growth change of craniofacial structure in adult.

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A LONGITUDINAL CEPHALOMETRIC STUDY OF THE CRANIOFACIAL GROWTH CHANCES OF KOREAN AGED FROM 16.5 TO 18.5 YEARS (한국인 두개안면골 성장변화 (16.5세에서 18.5세까지))

  • Sung, Jae-Hyun
    • The korean journal of orthodontics
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    • v.25 no.5 s.52
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    • pp.557-566
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    • 1995
  • Postpubertal craniofacial growth changes were assessed from serial lateral cephalograms taken at which subjects were 16 and 18 years of age. The sample consisted of 19 male and 14 female subjects with no previous orthodontic treatment who had normal occlusion. The craniofacial growth changes of these samples during this study period might be summarized as follows 1. Significant increase in mean maxillary and mandibular length, cranial base length, posterior md anterior facial height were observed at the age period studied in male(P<0.05), however, in female significant increase was observed only mandibular length(Ar-Gn, Ar-Go) and anterior and posterior facial height(P<0.05). 2. Total growth increment of all measumenats were below 1mm in female, but in male, total mandibular(Ar-Gn) growth increment was 2.0mm and those of mandibular tody length, ram length, posterior facial height, and anteior facial height were 1 to 1.54mm and the others were below 1mm 3. A closing, forward rotation of the mandible occured with a significant decrease in mandibular plane angle of $0.61^{\circ}$ in male(P<0.01). 4. Summarized the findings, even though statistically significant growth changes in some dimensions of female were observed, the amount of growth change were very small, however, in male the growth changes of some dimensions associated with mandible were significant and considerable amount.

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이중주파수 부유형 탐침법을 이용한 플라즈마 진단 연구

  • Park, Il-Seo;Bang, Jin-Yeong;Kim, Yeong-Cheol;Kim, Yu-Sin;Kim, Dong-Hwan;Jeong, Jin-Uk
    • Proceedings of the Korean Vacuum Society Conference
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    • 2012.02a
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    • pp.525-525
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    • 2012
  • 플라즈마 밀도와 전자온도는 반도체 및 디스플레이 공정결과에 결정적인 역할을 하므로 그에 대한 진단법 연구는 필수적이다. 하지만 대부분의 연구는 공정플라즈마와 같이 프로브 팁이 증착된 환경에서는 진단이 힘든 실정이다. 이러한 한계를 극복하기 위해서 부유전위 근처에서 고조파 진단법(floating harmonic method)에 대한 연구가 제시되었다[1]. 저밀도 플라즈마에서는 제 2 고조파의 측정이 어렵기 때문에 전자온도를 정확히 측정하기 힘들 수가 있다. 따라서 이에 대안으로 본 논문에서는 부유 고조파 진단법을 기반으로 하여 진폭과 주파수를 다르게 한 두개의 소신호 정현파 전압신호를 동시에 인가하여 플라즈마 변수를 진단하는 방법을 개발하였다. 본 방법을 이용하여 유도결합 아르곤 플라즈마에서 RF전력과 압력변화에 따라 플라즈마 변수진단을 진행하였고, 기존의 고조파 진단법의 결과와 일치하는 경향을 보이는 것을 확인하였다. 이 방법은 측정된 전류의 고조파 성분을 이용하지 않고 기본주파수를 가지는 전류의 크기 비율을 사용하여 전자온도 값을 구하기 때문에 저밀도 플라즈마에서 정밀한 진단이 가능할 것으로 예상된다.

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THE CORRELATION BETWEEN CRANIAL BASE SIZE, SHAPE AND HEAD POSTURE, AND THE POSITION OF MAXILLO-FACIAL STRUCTURES (두개저의 크기, 형태 및 두부자세와 악안면구조의 위치적 상관관계)

  • Hong, Yong-Seok;Yoon, Young-Jooh;Kim, Kwang-Won
    • The korean journal of orthodontics
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    • v.27 no.5 s.64
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    • pp.743-760
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    • 1997
  • This study was done to evaluate the correlations between the size, the form of the cranial base, head posture and the horizontal and vertical position of craniofacial structures. For this purpose, 100 cephalometric radiographs were taken from the sample composed of 51 male and 49 female, 12 measurement criteria and 37 reference points were established and digitized, then calculation was performed for the values of measurement variables and the horizontal and vertical position of reference points. The correlations be4ween them were analyzed statistically and mean facial diagrams were constructed and compared with the selected groups which were composed of 10 Samples each as large and small group from the measurement value. The following results were obtained: 1. The angles n-s-ba and n-s-ar as variables for the ion of cranial base correlated highly to the horizontal and vertical position of reference points in the cervical column with statistical significance($0.1\%$ level). 2. The angles n-s-ba and n-s-ar as variables for the form of cranial base correlated to the horizontal position of the reference points in the facial structure with statistical significance($1\%$ level), but not to the vertical position of them($5\%$ level). 3. The length n-s, s-ba, and n-ar as variables for the size of cranial base were correlated th the position of craniofacial structures in various ways, but in general, highly correlated to the horizontal and vertical position of midfacial structures around the teeth and alveolar area. 4. the angle NSL/CVT and NSL/OPT as postural variables tot the inclination of cranial base and cervical column were correlated to the horizontal position of the craniofacial structures with statistical significance($1\%$ level), but not to the vortical position of them($5\%$ level). 5. The angle OPT/HOR and CVT/HOR as postural variables lot the inclination of cranial base and true horizontal line were not correlated to the horizontal and vertical position of the craniofacial structures with statistical significance($5\%$ level). 6. The correlation between the measurement variables and horizontal and vortical positions of the reference poits in soft tissue were shown as similar to the related hard tissue points.

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The Detection of Intracranial Calcification by MR : Experimental Model (실험적 모델을 이용한 자기공명영상에서 석회화의 인지)

  • 박승진
    • Progress in Medical Physics
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    • v.5 no.1
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    • pp.3-12
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    • 1994
  • Purporse : It is known that detection of calcification by MRI is difficulty in intracranial calcified lesions, but author tried to evaluate the signal intensity image of calcification by MR with experimental model. Subjects & Methods : Author analyzed and compared with values of calcium carbonate and hydroxyapatite phantoms by each concentration (10, 20, 30, 40, 50%) and size(1-10mm), measured ROI attenuating from CT and MRI(TlWI & T2WI). Results : The high concentration of calcium carbonate is, the lower the signal intensity of calcium carbonate phantom is both T1 & T2WI. For concentration of Hydroxyapatite of up to 30% by weight the signal intensity on standard T1 weighted images increased but subsequently decreased. Hyperintensity does not preclude calcification as a cause of the signal alteration-an observation that all radiologists interpreting MR images need to be aware of. Conclusion: The signal intensity of intracranial calcification is various on MR imaging in concerning with components, concentration, & size of calcification, and especially high signal intensity of intracranial calcification noted differencial diagnosis.

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CROUZON SYNDROME : CASE REPORT (Crouzon 증후군 환자의 증례보고)

  • Lee, Su-Jin;Kim, Young-Jae;Jang, Ki-Taek;Lee, Sang-Hoon;Kim, Chong-Chul;Hahn, Se-Hyun;Kim, Jung-Wook
    • Journal of the korean academy of Pediatric Dentistry
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    • v.36 no.1
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    • pp.133-138
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    • 2009
  • Crouzon syndrome is a rare disease, first decribed by Crouzon in 1912. This syndrome is cuased by mutations in the FGFR2 gene, which is mapped to chromosome locus 10q25-10q26. The condition occurs in about 1 of every 25,000 birth and is inherited as an autosomal dominant trait. We experienced a case of Crouzon's disease in a 9-year-old-female child. Physical examination revealed craniosynostosis, hypertelorism, exophthalmos, hypoplastic maxilla and a relative mandibular prognathism. The purpose of this study is to report the dental and medical characteristics of the patient and review the literatures of Crouzon syndrome.

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Responses and Toxicities of Risk-adapted Chemotherapy in Pediatric Intracranial Germ Cell Tumors (소아 두개 내 생식 세포종에서 위험군에 따른 화학요법의 치료 반응 및 독성)

  • You, Dong Kil;Lee, Soo Hyun;Yoo, Keon Hee;Sung, Ki Woong;Lim, Do Hoon;Shin, Hyung Jin;Koo, Hong Hoe
    • Clinical and Experimental Pediatrics
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    • v.48 no.2
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    • pp.186-190
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    • 2005
  • Purpose : The purpose of this study was to evaluate the responses and toxicities of risk-adapted chemotherapy in pediatric intracranial germ cell tumors(IC-GCT). Methods : Fourteen patients who were diagnosed as IC-GCT from October 2002 to December 2003 received chemotherapy as an initial treatment modality. The low risk(LR) group was defined as follows : Pure germinoma and normal AFP level. Beta-hCG level 50 mIU/mL or less. The others belonged to the high risk(HR) group. Chemotherapy was composed of cisplatin, cyclophosphamide, etoposide and vincristine. Double doses of cisplatin and cyclophosphamide was used in HR patients. Results : Pathologic confirmation was done in all but one. Median age at diagnosis was 11.6 yr (1.2-18.7 yr), and nine patients belonged to the HR group. Tumor markers were normalized after chemotherapy in all patients whose tumor markers had been elevated. Four LR patients(80 percent) and seven HR patients(77.8 percent) showed complete response(CR) at the end of chemotherapy. An additional two of the three patients with partial response(PR) achieved CR after radiation therapy (RT), and the remaining one relapsed before RT. Four LR and all HR patients experienced infectious episodes that required hospitalization. Four of the nine HR patients(44.4 percent) suffered from tinnitus, three of whom developed sensorineural hearing loss. All but one are surviving, event-free, with a median follow-up of 13.9 mo(8.1-22.3 mo). Conclusion : Risk-adapted cisplatin-based chemotherapy was effective even in HR patients, but regimen modification seems to be necessary to avoid an unacceptably high toxicity rate.

Microvascular Reconstruction of the Cranial Base Defects (두개저 결손의 미세수술적 재건술)

  • Minn, Kyung-Won;Kim, In-Chul;Lee, Min-Goo
    • Archives of Reconstructive Microsurgery
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    • v.8 no.1
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    • pp.71-76
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    • 1999
  • Until recently, the cranial base tumors were deemed unresectable due to the inability to diagnose the extent of the involvement accurately and to approach and excise the tumor safely. With refinements in CT and NMR scanning and development of craniofacial techniques, reconstruction becomes absolutely crucial in allowing successful resection of these tumors. Resection of these tumors may sometimes result in massive and complex extirpation defects that are not amendable to local tissue closure. In such cases, the free tissue transfer was a useful alternative because it can provide large amount of well-vascularized tissues and reliable separation of intracranial space from bacterial flora of the upper airway. The microvascular free tissue transfer was used in 9 patients at our center to reconstruct the cranial base defects. Of these, 8 were free rectus muscle flaps, and 1 was free latissimua dorsi muscle flap. There were 1 case of partial flap loss and 1 case of postoperative wound infection. The large, complex defects were successfully reconstructed by one stage operation and the functional and aesthetic results were satisfactory with acceptable complication rates.

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Submental Intubation for Maxillofacial Surgery -A Case Report - (구강악안면수술을 위한 악하 기관 삽관 -증례보고-)

  • Kim, Soung-Min;Kwon, Kwang-Jun
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.4 no.2 s.7
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    • pp.96-99
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    • 2004
  • 구강저를 통한 기관내 삽관은 1986년 Altemir에 의해 처음 소개된 바 있는데 그 후 1993년 Hoenig와 Braun 및 같은 해 Stoll 등에 의해서나, 또는 1996년 Prochno 등에 의해 계속 변형된 방법으로 문헌에서 기술되어 왔다. 이 방법은 치과 영역 특히 구강악안면외과의 외상수술시 이상적인 교합을 얻기 위해 임시 상하악간 고정(intermaxillary fixation)을 할 수 있고 중안모 골절(midface fracture)의 회복을 위한 비관 삽관의 불편함을 피할 수 있는 유리한 점이 있으며, 또한, 정복 및 고정술이 필요한 비골 골절(nasal bone fracture)에서나 두개기저골 골절(skull base fracture)에서 여러 감염 등 합병증을 피하기 위해 추천될 수 있다. 또한, 목 부위에 비심미적인 반흔을 만들게 되며 여러 합병증을 초래할 수 있는 기관절개술(tracheostomy)보다 유용할 수 있다. 본 증례보고에서는 교통사고로 두개기저부 골절을 동반한 심한 중안모 골절 환자에서 적용시킨 경우를 알아보고, 아울러 이러한 악하부 삽관의 장, 단점 및 시술 과정 등에 대해 고찰해보고자 한다.

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