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TREATMENT OF OKC ON RAMUS OF MANDIBLE BY SAGITTAL SPLITTING TECHNIQUE (하악 상행지부에 발생한 치성각화낭의 시상 분할 골절단술을 이용한 치험례)

  • Song, Hyun-Woo;Ryu, Dong-Mok;Kim, Yeo-Gab;Lee, Baek-Soo;Kwon, Young-Dae;Choi, Byung-Jun;Kim, Young-Ran;Yim, Jin-Hyuk;Lee, Jung-Gyo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.31 no.5
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    • pp.408-413
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    • 2009
  • Odontogenic keratocyst (OKC) is a epithelial developmental cyst which were first described by Phillipsen in 1956. The frequency of OKC has been reported to vary from 3% to 11% of odontogenic cysts. The most characteristic clinical aspect of OKC is the high frequency of recurrence. The mechanism of recurrence is thought to be related to residues of cyst epithelium and an intrinsic growth potential following excision. And since the lining of the OKC is thin and friable, removal of the cyst in one piece may sometimes be difficult. Complete removal of the cyst lining without leaving behind remnants attached to the soft tissue or bone is necessary to avoid recurrence. Therapeutic approaches vary in different studies from marsupialization and enucleation, which may be combined with adjuvant therapy such as cryotherapy or Carnoy's solution, to marginal or radical resection. The recurrent rate varies from approximately 20% to 62%. And OKC in the angle-ramus region of the mandible had a higher tendency to recur, because of the difficulty in accessing and removing OKC from the ramus. By employing a sagittal splitting of the mandible a good surgical access was provided and cyst could be removed completely. We present an illustrative case of a small, lobulated OKC that involved ramus on mandible, and a review of the contemporary literature.

A study on the morphological changes of lower incisor and symphysis during surgical-orthodontic treatment in skeletal class III malocclusion (악교정 수술을 받은 골격성 III급 부정교합자의 치료전후 하악전치부 치조골 형태변화에 대한 연구)

  • Ahn, Hyung-Soo;Kim, Seong-Sik;Son, Woo-Sung
    • The korean journal of orthodontics
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    • v.32 no.5 s.94
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    • pp.361-373
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    • 2002
  • The purpose of this study was to evaluate the morphological changes of olveolar bone and mandibular symphysis of lower incisor by presurgical orthodontic treatment and orthognathic surgery in skeletal class III malocclusion. The sample consisted of 30 adult class III malocclusion patients who have received bilateral sagittal split mandibular osteotomy. Lateral cephalograms were taken before treatment, after presurgical orthodontic treatment and 3 months after orthognathic surgery. Skeletal and symphyseal measurements were compared and the relationships between them were analysed. The results were as follow : 1. The labial and lingual alveolar bone height in presurgical and postsurgical group were decreased than that of pretreatment group. 2. The vertical measurements of the craniofacial skeleton showed reverse correlationship with anteroposterior width of basal alveolar bone, but IMPA showed correlatiionship (p<0.01) 3. The craniofacial skeleton and the change of symphyseal measurements(symphyseal length, symphyseal width) showed no correlationship. 4. The labial alveolar bone height showed correlationship with lingual alveolar bone height(p<0.001), and negative correlationship with lingual alveolar crestal width(p<0.01). Labial and lingual alveolar crestal width has negative correlationship (p<0.05). Mandibular symphyseal length and width has positive correlationship(p<0.01). 5. IMPA, LISA showed negative correlationship with labiolingual alveolar bone height and lingual alveolar width and positive correlationship with labial alveolar base bone width.

AVAILABILITY OF AUTOLOGOUS TRANSFUSION IN BILATERAL SAGITTAL SPLIT RAMUS OSTEOTOMY FOR MANDIBULAR PROGNATHISM (하악전돌증 환자의 하악지 시상분할 골절단술에서 자가수혈의 유용성)

  • Han, Sang-Jeong;Zang, Ju-Min;Oh, Han-Seok;Lee, Hae-Kyung;Lee, Jeong-Nyeo;Lee, Su-Woon;Park, Sang-Jun;Kim, Woo-Hyung
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.33 no.5
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    • pp.524-529
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    • 2007
  • Objective: Autologous transfusion is frequently used with orthognathic surgery. The necessity of autologous transfusion has begun to question alone in bilateral sagittal split ramus osteotomy. The aim of this study was to evaluate the availability of autologous transfusion. Methods: The chart reviews of sixty patients who had undergone bilateral sagittal ramus osteotomy were done. The subjects were divided into two groups: In experimental group, 30 patients who autodonated 320ml in the preoperative 3 weeks actually received a transfusion in the postoperative 6 hours were included. In control group, 30 patients who underwent the same operation without preoperative donation and any other transfusion were included. Hemoglobin, hematocrit, and changes of these values in both groups were evaluated. Results: 1. From postoperative 3 hours to postoperative 1 day, the increases of hemoglobin(0.8g/dL in experimental group, 0.2g/dL in control group) and hematocrit(0.3% in experimental group, 0.6% in control group) were not statistically significant between both groups. 2. From postoperative 1 day to postoperative 1 week, the increase of hemoglobin(0.6g/dL in experimental group, 0.3g/dL in control group) was not statistically significant between both groups. But the increase of hematocrit(2.5% in experimental group, 1.0% in control group) was statistically significant between both groups over the same period(hematocrit p=0.043). 3. On postoperative 1 week, the values of hemoglobin(12.3% in both groups) and hematocrit(35.6% in experimental group, 36.8% in control group) were not statistically significant between both groups. Conclusion: The autologous transfusion in surgery of just a little blood loss was not effective. The most results show that there is little availability of autologous transfusion according to changes of hemoglobin and hematocrit in bilateral sagittal split ramus osteotomy.

THE SINGLE PHOTON EMISSION COMPUTED TOMOGRAPHY FINDINGS IN DEVELOPMENTAL LANGUAGE DISORDERS (발달성언어장애아(發達性言語障碍兒)의 단일광자방출전산화단층촬영(單一光子防出電算化斷層撮影) 소견(所見)에 관한 연구)

  • Park, Jin-Seng;Cho, Soo-Churl;Lee, Myung-Chul
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.3 no.1
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    • pp.46-55
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    • 1992
  • The pathophysiology of developmental language disorder is a highly controversial matter. In order to investigate the neural mechanisms involved in developmental language disorders, the authors studied three dimensional regional cerebral blood flow(rCBF) using Tc-99mH-MPAO in 42 children with developmental language disorders. The results are summarized as follows : 1) 61.9% (26/42) of this series revealed decreased perfusion in SPECT. 2) Regions of hypoperfusion were seen in cerebral cortex(47.6%, 20/42), thalamus(33.3%, 14/42), basal ganglia(11.9%, 5/42) and cerebellum(7.1%, 3/42). This study suggests that developmental language disorder could be due to specific functional impairment of the local brain regions which could not detected by conventional investigations such as brain CT or EEG.

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A Study of Root Canals Morphology in Primary Molars using Computerized Tomography (CT를 이용한 유구치 근관 형태에 관한 평가)

  • Sim, Dohee;Mah, Yonjoo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.46 no.4
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    • pp.400-408
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    • 2019
  • The purpose of this study is to identify the most common canal type in primary molars and the correlation between their roots and canals. A comprehensive understanding of root canal morphology will lead to more successful root canal treatment. Computed Tomography (CT) images from 114 children (81 boys, 33 girls) aged 3 - 7 years were obtained. The locations and numbers of roots and canals were evaluated, and the relationship between root and canal parameters was determined. The most commonly observed canal morphology in primary maxillary molars were mesio-buccal, disto-buccal and palatal canal. Primary mandibular molars most frequently contain mesio-buccal, mesio-lingual, disto-buccal and distolingual canal. All the roots of the primary maxillary molars except for the mesio-buccal root, each had 1 canal while there were 2 canals observed in each root of primary mandibular molars. Without exception, all mesial roots in primary mandibular 2nd molars had 2 canals. In case when either the palatal root in a primary maxillary molar or the distal root in a primary mandibular molar was separated into 2 roots, each root seemed to have its own canal. Even though the disto-buccal and palatal roots were fused into 1 root in primary maxillary molars, this fused root had tendency to have 2 separate canals. Primary mandibular molars showed similar canal morphologies between left and right molars in the same patient, while the primary maxillary molars did not.

Flow Effects on Tailored RF Gradient Echo (TRFGE) Magnetic Resonance Imaging : In-flow and In-Plane Flow Effect (Tailored RF 경자사계방향 (TRFGE} 자기공명영상(MRI)에서 유체에 의한 영상신호 변화 : 유체유입효과와 영상면내를 흐르는 유체의 효과에 대하여)

  • Mun, Chi-Ung;Kim, Sang-Tae;No, Yong-Man;Im, Tae-Hwan;Jo, Jang-Hui
    • Journal of Biomedical Engineering Research
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    • v.18 no.3
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    • pp.243-251
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    • 1997
  • In this paper, we have reported two interesting flow effects arising in the TRFGE sequence using water flow phantom. First, we have shown that the TRFGE sequence is indeed not affected by "in-flow" effect from the unsaturated spins flowing into the imaging slice. Second, the enhancement of "in-plane flow" signal in the readout gradient direction was observed when the TRFGE sequence was used without flow compensation. These two results have many interesting applications in MR imaging other than fMRI. Results obtained were also compared with the results obtained by the conventional gradient echo(CGE) imaging. Experiments were performed at 4.7T MRI/S animal system (Biospec, BRUKER, Switzerland). A cylindrical phantom was made using acryl and a vinyl tube was inserted at the center(Fig. 1). The whole cylinder was filled with water doped with $MnCl_2$ and the center tube was filled with saline which flows in parallel to the main magnetic field along the tube. Tailored RF pulse was designed to have quadratic ($z^2$) phase distribution in slice direction(z). Imaging parameters were TR/TE = 55~85/10msec, flip angle = $30^{\circ}$, slice thickness = 2mm, matrix size = 256${\times}$256, and FOV= 10cm. In-flow effect : Axial images were obtained with and without flow using the CGE and TRFGE sequences, respectively. The flow direction was perpendicular to the image slice. In-plane flow : Sagittal images were obtained with and without flow using the TRGE sequence. The readout gradient was applied in parallel to the flow direction. We have observed that the "in-flow" effect did not affect the TRFGE image, while "in-plane flow" running along the readout gradient direction enhanced the signal in the TRFGE sequence when flow compensation gradient scheme was not used.

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Acromion Morphology in Coronal and Sagittal Plane; Correlation with Rotator Cuff Syndrome (관상면과 시상면에서의 견봉 형태와 회전근개 파열의 연관성)

  • Jo, Chris H.;Kim, Jung-Taek;Yoon, Kang-Sup;Lee, Ji-Ho;Kang, Seung-Baek;Lee, Jae-Hyup;Han, Hyuk-Soo;Rhee, Seung-Whan
    • Clinics in Shoulder and Elbow
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    • v.12 no.2
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    • pp.126-136
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    • 2009
  • Purpose: We evaluated the correlation of the anatomic parameters of the acromion those represent on the magnetic resonance image (MRI) of impingement syndrome. Materials and Methods: From June, 2004 to December, 2005, 71 cases were surgically proven to be impingement syndrome, and the anterior acromial hooking angle, the lateral acromial hooking angle (AAHA and LAHA) and the acromial hooking index (AHI: the sum of the AAHA and LAHA) were compared to 16 control cases. At the same period, 55 cases were surgically proven to be partial or full thickness rotator cuff tear, and age, gender and twelve anatomic parameters, including the acromial type, the acromial angle, the anterior covering, the acromial slope, the AAHA, the lateral acromial angle, the acromial torsional angle, the lateral acromial angulation, the LAHA, the lateral covering, the acromiohumeral distance and the AHI were assessed. Results: The AAHA and AHI were increased as impingement syndrome proceeded. The acromial type and acromial angle, and the AAHA, LAHA and AHI showed significant differences between the controls and the rotator cuff tear patients on univariant analysis. On multivariant analysis, gender was most strongly correlated with rotator cuff tear. Age, AAHA and the acromial angle showed similar correlation, respectively. Conclusion: The coronal acromial shape is correlated with rotator cuff tear, and it is important to correct the lateral acromial shape when performing acromioplasty.

An Analytical Review on the Inelastic Region of Column Strength Curve Associated with Residual Stress of Steel Member under Axial Force (강 압축 부재의 잔류응력에 따른 기둥강도곡선의 비탄성영역에 대한 해석적 고찰)

  • See, Sang-Kwang
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.22 no.2
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    • pp.161-168
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    • 2018
  • This study is the analytical review on the inelastic region of CRC column strength curve. The inelastic region of CRC column strength curve is based on the Bleich theory and the maximum residual stress of $0.5{\sigma}_y$. This is somewhat conservative by considering the fact that the maximum residual stress of $0.3{\sigma}_y$ is well known. This study proposes column strength curve for nonlinear behavior of hot rolled structural steel members under axial force and tangent modulus Et, with the maximum residual stress of $0.3{\sigma}_y$ and compares them with those of CRC. The stress of the inelastic column under axial compression exceeds proportional limits and reaches yielding point before applied load render the column bent. The column strength curve that depends on gradually yielding state of section needs to be reviewed. In this study, it is derived that the critical load formular according to material yielding with the maximum residual stress of $0.5{\sigma}_y$ and compared with CRC column design curve.

Differences in Male and Female Spinopelvic Alignments in Middle School and High Schools Students of Gyeongnam Areas in Korea : a Three Dimensional Analysis Using Rasterstereography (경남 일부지역 중-고교생의 성별에 따른 시상면상 척추-골반 정렬의 특성 비교 연구 : Rasterstereography를 이용한 3차원 영상 분석)

  • Kim, Seong-Yeol
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.2
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    • pp.962-969
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    • 2014
  • This study investigated the patterns and correlations of spinopelvic alignments in in middle school and high schools students of Gyeongnam areas in Korea using rasterstereography. Sixty-one subjects were recruited from May to October 2013, the average age of subjects was $16.40{\pm}2.20$ years. In the present results, PSIS ratio was statistically different between the sexes(male $21.15{\pm}2.40$%, female $23.41{\pm}3.28$%)(p<.01) and lordotic angle was statistically different between the sexes(male $33.44{\pm}8.46^{\circ}$, female $38.96{\pm}8.11^{\circ}$)(p<.001), but other parameters were not statistically different between the sexes. However, we verified that lordotic angle was significant correlation separately with pelvic tilt(r=.348), kyphotic angle(r=.609). Surface rotation was significant correlation separately with kyphotic angle(r=-.278), lordotic angle(r=-.256), trunk inclination(r=.493). These finding could be used as basic data research to confirm normal pattern of spinopelvic alignment and balance in health adolescents, and might help understand adolescents with structure problem in spine and pelvis.

Impact of Market, Institution and Technology on the Location of FDI: The Case Study of Korean Samsung CDMA FDI in China (한국 대중국 해외직접투자에 대한 시장, 제도 및 기술의 입지효과 - 한국 삼성 CDMA 대중국 해외직접투자 사례연구 -)

  • Sung-Cheol Lee;Sung-Hoon Jung
    • Journal of the Korean Geographical Society
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    • v.39 no.2
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    • pp.241-255
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    • 2004
  • The main aim of this article is to identify the fundamental reason for changes in the geography of Korean foreign direct investment (FDI) in China. More specifically, the article argues that changes in the industrial sectors and the location of FDI resulted from the transition of strategies for Korean FDI in China since the late 1990s is not based on ownership specific advantages, internalization advantages and locational advantages (OIL), but on changes in site where both the needs of Korea and China are articulated, i.e. the strategy for business integration, centering on market, institution and technology. In other words, changes in the location of Korean FDI in China have been the result of changes in the Chinese market structure, institutional changes in Chinese inward FDI incentives and regulations and the accumulation of Korean technology capability since 2000. In addition, by investigating production networks in China, this article attempts to identify the relationships between changes in Korean FDI location and changes in market, institution and technology. Therefore, the empirical evidence provided by the case study of CDMA (code division multiple access) mobile communications FDI since 2000 in China is used to identify the impact of market, institution and technology on the location of Korean FDI in China.