• Title/Summary/Keyword: 안면부(顔面部)

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Development of Facial Palsy Grading System with Three Dimensional Image Processing (3차원 영상처리를 이용한 안면마비 평가시스템 개발)

  • Jang, M.;Shin, S.H.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.9 no.2
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    • pp.129-135
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    • 2015
  • The objective grading system for the facial palsy is needed. In this study, the facial palsy grading system was developed with combination of three dimensional image processing and Nottingham scale. The developed system is composed of 4 parts; measurement part, image processing part, computational part, facial palsy evaluation & display part. Two web cam were used to get images. The 8 marker on face were recognized at image processing part. The absolute three dimensional positions of markers were calculated at computational part. Finally, Nottingham scale was calculated and displayed at facial palsy evaluation & display part. The effects of measurement method and position of subject on Nottingham scale were tested. The markers were measured with 2-dimension and 3-dimension. The subject was look at the camera with $0^{\circ}$ and $11^{\circ}$ rotation. The change of Scale was large in the case of $11^{\circ}$ rotation with 2-dimension measurement. So, the developed system with 3-dimension measurement is robust to the orientation change of subject. The developed system showed the robustness of grading error originated from subject posture.

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Comparative Analysis of T2 Sympaticotomy to T1 Sympathectomy in Treatment of Craniofacial Hyperhidrosis (안면부다한증에서의 T1 Sympathectomy와 T2 Sympathicotomy의 비교)

  • 윤용한;이두연;김해균;홍윤주
    • Journal of Chest Surgery
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    • v.31 no.11
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    • pp.1089-1093
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    • 1998
  • Background: In 1992, we first developed the technique for video-assisted thoracoscopic sympathectomy to treat palmar hyperhidrosis. It was soon proven to be a simple and effective therapy for essential hyperhidrosis. Clinically, patients suffereing from distressing hyperhidrosis in their heads and faces were observed. Materials and methods: From March 1997 to March 1998, the vidio-assisted thoracoscopic sympathectomy and sympathicotomy were performed in 60 patients suffering from craniofacial hyperhidrosis in the Department of Thoracic and Cardiovascular Surgery in the Respiratory Center of Yongdong Severance Hospital Seoul, Korea. Thirty-nine patients underwent a conventional sympathectomy(T1 sympathectomy group), and twenty-one patients underwent division of the sympathetic nerve trunk above the T2 sympathetic ganglion(T2 sympathicotomy). The median follow up was 9 months. Results: All of the treated patients obtained satisfactory alleviation of craniofacial hyperhidrosis. No recurrence was observed in group T1 sympathectomy whereas one occurred in sympathicotomy. The global rate of compensatory sweating was about the same in both groups ; 76.9% in T1 sympathectomy and 76.2% in T2 sympathicotomy. The rate of embarrassing and disabling compensatory sweating was 38.5% in T1 sympathectomy and 38.1% in T2 sympathicotomy with no significant in the statistic analysis(p> 0.05). No transient Horner's syndrome was observed in group T2 sympathicotomy whereas seven occurred in T1 sympathectomy with improvement in follow-up. Only an overnight hospital stay was required in both group. Conclusions: The video-assist thoracoscopic sympathicotomy is minimally invasive and effective. Video-assisted thoracoscopic T2 sympathicotomy has proven to be effective method and less complicated in treating patients with distressing craniofacial hyperhidrosis and consistent in obtaining the same results as T1 sympathectomy.

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TRAUMATIC SUBCUTANEOUS EMPHYSEMA AND PNEUMOMEDIASTINUM AFTER FACIAL INJURY (안면부 손상후 발생한 외상성 피하기종과 기종격)

  • Kim, Woo-Hyun;Lee, Young-Kwon;An, Chang-Young;Kim, Tae-Hoon;Lee, Yong-Oh
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.16 no.2
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    • pp.202-207
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    • 1994
  • Subcutaneous emphysema on the head, neck, and pneumomediastinum are, abnomal but well-documented, presence of air in the subcutaneous tissue and mediastinum, and can be diagnosed by palpation of the soft tissues, lateral or crosstable cervical radiograph and upright chest radiograph. The common clinical features of cervical emphysema and pneumomediastinum were facial and cervical swelling, presence of crepitation on palpation of the soft tissue, and retrosternal pain. Subcutaneous emphysema may arise from use of high-speed air turbine drills, facial trauma, trachea bronchial tear, endotracheal intubation, mechanical ventilation, chest injury, tracheostomy, following Lefort I osteotomy, and spontaneously. Symptoms of subcutaneous emphysema and pneumomediastium are generally self-limiting and eventually subside with conservative therapy. As we report a case of traumatic subcutaneous emphysema and pneumomediastinum after facial injury with clinical presentation and treatment consideration.

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MICRONEUROSURGICAL RECONSTRUCTION OF THE ORAL AND MAXILLOFACIAL REGION USING THE SURAL NERVE;HISTOLOGIC STUDY (비복신경을 이용한 구강 및 악안면 영역의 신경재건;해부학적 특성에 관한 연구)

  • Kim, Myung-Jin;Kim, Byeong-Rin
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.13 no.1
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    • pp.30-36
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    • 1991
  • Various nerves from many areas of body can be used as a donor of autogenous nerve graft in the microneurosurgical repair of the oral and maxillofacial region. In the grafting procedure of nerve repair, the best results will be achieved with a maximum approximation of fascicular surface at both the porximal and the distal stumps. Therefore, appropriate selection of donor nerve will bring out the best results. The sural nerve has been used as one of the most popular donor nerve in the microneurosurgical repair of the oral and maxillofacial region. The authors examined the fascicular characteristics of the human sural nerve microscopically and compare this results with our previous report of the greater auricular nerve and that of the inferior alveolar nerve.

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Level of perception of changed lip protrusion and asymmetry of the lower facial height (하안면부에서 입술의 돌출 정도와 안면 비대칭의 인지도에 관한 연구)

  • Kim, Kyu-Sun;Kim, Young-Jin;Lee, Keun-Hye;Kook, Yoon-Ah;Kim, Young-Ho
    • The korean journal of orthodontics
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    • v.36 no.6
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    • pp.434-441
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    • 2006
  • Objective: While one of the most prevailing motivations for seeking orthodontic treatment is to achieve good facial esthetics, understanding the level of a person's perception to the changes that have occurred on the face after orthodontic treatment is critical to the process of orthodontic diagnosis and treatment planning. Methods: 40 students attending art school participated in determining the level of their perception of changed lip position and facial asymmetry. Computer-graphic frontal face and facial profile photographs with balanced proportions were used to evaluate the level of a participant's perception of the changes in facia! asymmetry and in lip position. Results: Change of lip position over 2 mm and over a 3 mm change of facial asymmetry was perceived significantly. Conclusion: The results indicated that at least a 2 mm change of lip position was needed to be perceived after orthodontic treatment. The level of perception of the change in facial asymmetry was lower than that of the change in lip position. Information about facial changes given prior to the evaluation enhanced the level of perception.

Pectoralis Major Myocutaneous Island Flaps for Reconstruction of Facial Defects (대흉근 근피판으로 큰 안면결손을 치료한 경험)

  • Song Joong-Won;Lee Dong-Hoon;Kang Jin-Sung
    • Korean Journal of Head & Neck Oncology
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    • v.2 no.1
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    • pp.49-59
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    • 1986
  • The surgical reconstruction of major defects of the head and neck such as those following accidental injuries or resection of tumors has been facilitated and advanced by the development of myocutaneous flaps which provide both muscle bulk and skin coverage. Of the many available myocutaneous flaps, the pectoralis major myocutaneous flap has many advantages such as abundant tissue with an excellent vascularity, anatomic proximity, long arc of rotation, reliability and versatility, so it is used most frequently in head and neck reconstruction. It is the purpose of this paper to present our experiences with two cases of pectoralis major myocutaneous island flaps used in reconstruction of major defects of face; one is after resection of very large basal cell carcinoma of the left oral commissure and the other is after resection of a huge fibrous mass and destructed facial bones caused by chronic osteomyelitis.

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