• Title/Summary/Keyword: Anatomical site

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Reconstruction of Vegetation During $9^{th}$ Century in Southern Korea: Anatomical and Dendrochronological Analysis of Waterlogged Woods Excavated at Cheonghea-jin Fort

  • Han, Sang-Hyo;Park, Won-Kyu;Kim, Yo-Jung;Jung, Suk-Bae
    • The Korean Journal of Quaternary Research
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    • v.17 no.2
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    • pp.117-122
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    • 2003
  • This study is conducted to examine the woods that were excavated at Jangdo Island. The Jangdo site is located in a small island some 180 meters away from the main island of Wando, Jeollanam-do in southern Korea. This site is known as Cheong-Hea Jin fort for the marine King Jang Bogo during the early 9$^{th}$ century. Total of 101 specimens were collected in three groups; small-size piles, log fences (Mok-check) and logs from a well. The species of the group of piles consisted of Quercus spp. (43%), Pinus densiflora (29%), Pinus koraiensis (5%), Alnus japonica (3%), Fraxinus spp. (3%), Styrax obassia (3%), Juglans spp. (2%), Zelkova serrata (2%), Platycarya strobilacea (2%), Celtis spp. (2%), Torreya nucifera (2%), Quercus myrsinaefolia (2%), and Cinnamomum spp. (2%). The species of Mok-check and logs from the well were identified as all Pinus densiflora. The species composition indicated that the climate around A. D. 9th-10th century in southern Korea was similar to the present.. The wooden fences were also examined for tree-ring analysis. The ages of woods were 50∼60 years. We made two site chronologies. The chronologies indicated that southeastern and southwestern fences were repaired frequently. The results could not give the absolute dates due to lack of reference chronologies in this period.

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Oblique Axis Hypothenar Free Flaps: Tips for Harvesting Larger Flaps with Minimal Donor Site Morbidity

  • Sang Ho Oh;Jae In Chung
    • Archives of Plastic Surgery
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    • v.50 no.3
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    • pp.279-287
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    • 2023
  • Background Hypothenar free flaps (HTFFs) have been widely used for reconstructing palmar defects. Although previous anatomical and clinical studies of HTFF have been conducted, this technique still has some limitations. In this study, we describe some tips for large flap design that allows for easy harvesting of HTFFs with minimal donor site morbidity. Methods A total of 14 HTFF for hand defect reconstruction were recorded. The oblique flap was designed in the proximal HT area following relaxed skin tension line along the axis between fourth web space and 10 mm ulnar side of pisiform. A flap pedicle includes one or two perforators with ulnar digital artery and HT branch of basilic vein. In addition, innervated HTFF can be harvested with a branch of ulnar digital nerve. Electronic medical records were reviewed to obtain data on patients' information, operative details, and follow-up period. In addition, surgical outcome score was obtained from the patient, up to 10 points, at the last follow-up. Results Mean harvest time was 46 minutes, and two perforators were included in 10 cases. The mean flap area was 10.84 cm2. There were no problems such as donor site depression, scar contracture, keloids, wound dehiscence, numbness or neuroma pain at donor sites, and hypersensitivity or cold intolerance at flap site, either functionally or aesthetically. Conclusion Palmar defect reconstruction is challenging for hand surgeons. However, large HTFF can be harvested without complications using the oblique axis HTFF technique. We believe our surgical tips increase utility of HTFF for palmar defect reconstruction.

Pharmaceutical Devices for Oral Cavity-based Local and Systemic Drug Delivery

  • Yun, Gyi-Ae;Choi, Sung-Up;Park, Ki-Hwan;Rhee, Yun-Seok;Lee, Beom-Jin;Lee, Jae-Hwi
    • Journal of Pharmaceutical Investigation
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    • v.40 no.spc
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    • pp.113-118
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    • 2010
  • Pharmaceutical technology has primarily focused on the development of the best dosage forms depending on the route of administration. The design of dosage forms is greatly influenced by the route of administration. Due to a variety of advantages such as avoidance of first-pass effect, abundant blood supply and easy access to the absorption site, the oral cavity has frequently been selected as a site for drug delivery. Since the oral cavity is relatively unique from the anatomical and physiological viewpoint, one should always consider these conditions when designing the drug delivery systems for the oral cavity. In this regard, the current review paper was prepared to summarize the essential features of the drug delivery systems utilized in the oral cavity, along with the introduction of various dosage forms developed to date.

Compressive Neuropathy in Upper Extremity (상지의 압박 신경병증)

  • Park, Jong Woong
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.2 no.2
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    • pp.99-106
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    • 2009
  • Compressive neuropathy in the upper extremity can be clinically diagnosed by careful history taking, physical examination of the involved nerve. Electrodiagnosis for the suspected nerve informs severity of compression of the involved nerve and indicates specific site of the lesion. In the early stage of the disease, non-operative treatment generally cures the symptom, however, if the conservative treatment fails, confirmation of the exact site of the lesion should be preceded before the operation. Recently, ultrasonography, as a supportive tool for the diagnosis of compressive neuropathy has increasing popularity for its ability to find space occupying lesion, anatomical change of the nerve, and the pathologic change in the nerve itself. For the successful treatment of the compressive neuropathy, these various diagnostic tools have to be introduced in the orthopaedic clinic.

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COMPREHENSIVE TREATMENT OF OBSTRUCTIVE SLEEP APNEA - THE ROLE OF DEPARTMENT OF DENTISTRY IN SLEEP CLINIC (폐쇄성 수면 무호흡증에 대한 포괄적 치료 - 수면 클리닉에서 치과의 역할)

  • Kwon, Tae-Geon;Cho, Yong-Won;Ahn, Byung-Hoon;Hwang, Sang-Hee;Nam, Ki-Young
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.30 no.2
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    • pp.150-156
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    • 2004
  • The etiology of the obstructive sleep apnea includes the various factors such as anatomical abnormality in upper airway, craniofacial structure, obesity and personal habit. To establish reasonable treatment plan, multi-department approach is should be emphasized because the treatment modality is depend on the result of analysis for degree & site of obstruction and various behavioral factors. In Sleep Clinic in Keimyung University Medical Center, the standard of care for sleep apnea patient was established according to the Standard of practice committee of Americal Sleep Disorders Association. After one year experience of comprehensive approach for sleep apnea we could achieve following recommendation for the treatment. 1) The multi-department examination and diagnosis could prevent unnessesary treatment because the treatment plan could be established under comprehensive discussion. 2) Determination of the site of obstruction is important for treatment planning. However, no single determinant could be found. We expect multi-department approach can reduce the mistake in detection of obstruction. 3) Further evaluation of treatmet outcome should be succeeded to establish Korean standard of care for sleep apnea treatment.

Back Pain of Muscular Origin (근긴장성 요통의 치료에 대한 새로운 소견)

  • Choi, Joong-Rieb
    • The Korean Journal of Pain
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    • v.6 no.1
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    • pp.83-95
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    • 1993
  • In out-patient clinic, it seems to be common that most back pain arise from muscular origins rather than from skeletal origins. Most physicians have wished to diagnose lower back pain from the radiologic findings only. From clinical experiences and anatomical studies, I have gotten a different opinion from common sense about backaches. If I met a patient who had lower back pain around the posterior superior iliac crest(P.S.I.C.) area, I would had to search a trigger point in the erector spinae muscles at the level of thoraco-lumber junction rather than at the level of the painful site. It is why that sensory innervation over the posterior superior iliac crest area is the posterior primary branch of T12 spinal nerve running down through the erector spinae muscles. Pain on the iliac crest area is supposedly due to hyperirritability of the sensory nerve distributing to this area. Hyperirritability of the posterior primary branch of $T_{12}$ spinal nerve may be due to the spasm of the longissimus thoracis muscle in the erector spinae muscles at the level of the thoraco-lumbar junction. So finally, I would like to insist that spasmolytic treatment on the muscle at the level of the thoraco-lumbar junction would be better for pain relief around P.S.I.C. than treatment at the painful site only.

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A retrospective study of mandibular fractures in children

  • Mukhopadhyay, Santanu
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.44 no.6
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    • pp.269-274
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    • 2018
  • Objectives: The incidence and patterns of mandibular fractures vary by country and population age. This retrospective study evaluated the etiologies and patterns of mandibular fractures in children. Materials and Methods: The clinical records of 89 children (45 males and 44 females) aged 0 to 12 years who presented with mandibular fractures from July 2012 to June 2016 were retrospectively reviewed. The sex, patient age, site of fracture, etiology of trauma, and monthly variations of the fractures were recorded. Descriptive statistics, the z-test and chi-square test were used for statistical analysis and the P-value was set at <0.05. Results: Eighty-nine children (male-to-female ratio 1.02:1) sustained 131 mandibular fractures. Within the study sample, the 6 to 9 year age group most frequently experienced fractures (47.3%). Falls and road traffic accidents (RTA) were the two most common etiological factors that accounted for 44.9% and 24.7% of cases. The condylar fracture was the most common anatomical location (38.9%) followed by the angle (20.6%), parasymphysis (18.3%), body (15.3%), and symphysis (5.3%). A single fracture (51.7%) was more common than multiple fractures (48.3%). The month-wise distribution of mandibular fractures was fairly constant. Conclusion: The condylar region was the most common anatomic site for fractures; in addition, a fall and RTA were the major etiological factors for mandibular fractures. A single fracture was observed in 51.7% of patients while multiple fracture lines accounted for 48.3% of cases.

Airway Stenting in Tracheobronchial Diseases : Silastic stenting (기도질환에서 실리콘 기도스텐트 치료)

  • Kim, Ho-Joong
    • Korean Journal of Bronchoesophagology
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    • v.10 no.2
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    • pp.5-8
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    • 2004
  • Stenosing airway disease is classified as intraluminal obstruction, extrinsic compression, and malacia by the anatomical site of the lesion. Stenting therapy is indicated for symptomatic relief of life-threatening dyspnea caused by the last two types. Airway stents are made with metal mesh and/or silicone rubber, and currently more than 20 kinds of stent are available. Among many kinds of silicone stent, the Dumon stent is mostly widely used for benign and malignant airway stenoses, but general anesthesia and rigid bronchoscopy are needed for insertion. It can be removed when the stenosing airway disease subsides completely. In many clinical studies, most patients $(85-90\%)$ improved immediately after stenting, and procedure-related mortality was low $(<3\%)$ in experienced centers. Stent displacement, mucus impaction, and granulation tissue formation are potential complications. Stenting is one of many effective therapeutic modalities for stenosing central airway disease. Careful patient selection, experiences, and continuous development of new technology will bring better results.

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Application and anatomical considerations of skeletal temporary anchorage devices (TADs) in contemporary orthodontics (임상가를 위한 특집 1 - 최신 교정치료에서의 Skeletal Temporary Anchorage Devices (TADs)의 적용과 해부학적 고려사항)

  • Han, Seong Ho;Shin, Hyerin;Park, Young-Seok
    • The Journal of the Korean dental association
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    • v.52 no.9
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    • pp.532-540
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    • 2014
  • In contemporary orthodontic treatment skeletal temporary anchorage devices (TADs) are routinely used as an anchorage reinforcement to provide improved anchorage control with reduced requirement for patient's compliance. For past few decades, various types of TADs have been explored and their clinical application has been expanded. Therefore, the purpose of this article is to present three major types of orthodontic skeletal anchorage devices and discuss their rationale, clinical procedure, insertion site, and potential complications as well as their management.

An anatomic study of depressor anguli oris muscle and the mentalis muscle in the lower face (임상가를 위한 특집 2 - 아래얼굴부위 근육의 해부학)

  • Hur, Mi-Sun;Lee, Kyu-Seok;Kim, Hee-Jin
    • The Journal of the Korean dental association
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    • v.50 no.10
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    • pp.620-623
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    • 2012
  • The use of botulinum toxin type A in the lower face has increasingly popular. And treatment of the depressor anguli oris muscle(DAO) and the mentalis muscle(MT), particularly in combination with filler substances, produces a remarkable improvement in the lower aged face. The aim of this study was to demonstrate the topographical anatomy of the DAO, MT, and their related structures, thereby providing critical information for determining the safest and most effective site for BTX-A injections. The most effective injection sites of DAO and MT were suggested based on the new anatomical knowledge of the lower face.