• Title/Summary/Keyword: Antero-posterior

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Surgical Resection of the Aneurysm of the Thoracic Aorta: Report of A Case (흉부대동맥의 동맥류 절제 치험례)

  • 김영태
    • Journal of Chest Surgery
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    • v.6 no.1
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    • pp.51-56
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    • 1973
  • This is one case report of successful resection of the aneurysm of the thoracic aorta, which det-ected by thoractomy unexpectedly, in the Department of Thoracic Surgery, Hanyang University Hospital. The patient was a 34 years old woman and subjective complaints was not related with the aneurysm. Chest film showed a small round hazy shadow in the left margin of the upper posterior mediastinum. A saccular aneurysm located on the descending thoracic aorta, 7cm distal to the left subclavian artery and arouse from the antero-lateral wall of the aorta. Excision of the saccular aneurysm was performed by cross clamping the descending aorta above and below the aneurysm, and then the defect of the aortic wall was closed by aortorrhaphy with continuous suture. Crossclamping time was required 15 minute. Histopathologically, the wall of the aneurysm consisted of all layers of the arterial wall, that is, intima, media and adventitia. Postoperative course was uneventful and aortogram showed good continuity of the blood flow of the entire aorta.

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Three-dimensional cone-beam computed tomography based comparison of condylar position and morphology according to the vertical skeletal pattern

  • Park, In-Young;Kim, Ji-Hyun;Park, Yang-Ho
    • The korean journal of orthodontics
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    • v.45 no.2
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    • pp.66-73
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    • 2015
  • Objective: To compare condylar position and morphology among different vertical skeletal patterns. Methods: Diagnostic cone-beam computed tomography images of 60 adult patients (120 temporomandibular joints) who visited the orthodontic clinic of Hallym University Sacred Heart Hospital were reviewed. The subjects were divided into three equal groups according to the mandibular plane angle: hypodivergent, normodivergent, and hyperdivergent groups. Morphology of the condyle and mandibular fossa and condylar position were compared among the groups. Results: The hypodivergent and hyperdivergent groups showed significant differences in superior joint spaces, antero-posterior condyle width, medio-lateral condyle width, condyle head angle, and condylar shapes. Conclusions: Condylar position and morphology vary according to vertical facial morphology. This relationship should be considered for predicting and establishing a proper treatment plan for temporomandibular diseases during orthodontic treatment.

A Study on Movements of Mandible on the Mandibular Incisor (하악 절치부에서의 하악운동에 관한 연구)

  • 강제호;정성창
    • Journal of Oral Medicine and Pain
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    • v.9 no.1
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    • pp.51-64
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    • 1984
  • In order to obtain the basic data of movements of the mandible for diagnosis and prgnosis determination of the TMJ dysfunction, the author measured the ranges and shapes of movements of the mandibule in the frontal, sagittal and horizontal trajectory with Saphon Visi-Trainer C-Ⅱ(Tokyo Shizaisha Inc.) in 61 men. The subjects who were undergraduate and graduate students of the School of Dentistry, Seoul Nationa University(SNU) had no pain or symptoms of dysfunction of the masticatory system. The obtained results were as follows: 1. The mean for maximal right and left laterotrusion in the frontal trajectory were 11.3 mm and 10.9mm, respectively and didn't differ significantly. Right and left larero-opening at 15mm, 25mm and 35mm mouth opening respectively didn't differ significantly. Area of border movement of the mandible was 770.33㎟. 2. The mean for maximal protrusion in the sagital trajectory was 10.2mm, antero-posterior deviation between ICP and RCP 1.2mm and angel of maximal protrusion and horizontal plane 20.5。. 3. The mean for right and left laterotrusion is 11.1mm &11.2mm,respectively, and didn't diffef significantly.

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The Effect of Toe Spreader on Characteristics of Dynamic Foot Pressure in Children With Spastic Cerebral Palsy (Toe Spreader가 경직성 뇌성마비 아동의 동적 족압 특성에 미치는 영향)

  • Shin, Hwa-Kyung;Tae, Ki-Sik
    • The Journal of Korean Physical Therapy
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    • v.22 no.1
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    • pp.47-51
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    • 2010
  • Purpose: The purpose of this study was to determine whether there are any differences, with and without a toe spreader (TS), in dynamic foot pressure distribution in children with spastic diplegic cerebral palsy. Methods: Dynamic foot pressure recording using the RSscan system were obtained during walking in 12 participants (male=7, female=5) with and without TS. Mean force was measured for four different plantar regions; great toe, forefoot, midfoot, hindfoot. Displacement of center of pressure (COP), velocity of COP displacement and stance time were also measured during gait. Results: TS walking exhibited statistically significant decrease of mean force under great toe and forefoot (p<0.05), compared with a barefoot walking. Also, TS walking exhibited statistically significant increase of antero-posterior displacement of COP (p>0.05). Conclusion: These findings indicate the potential clinical utility of toe spreader to correct dynamic foot pressure during stance phase in children with spastic diplegic cerebral palsy.

Primary xanthoma inferior to the right mandibular third molar and intraoral vertical ramus osteotomy

  • Kim, Min-Ji;Kang, Min-Jun;Kang, Sang-Hoon
    • Imaging Science in Dentistry
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    • v.52 no.2
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    • pp.231-238
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    • 2022
  • Intraosseous xanthoma of the mandible is a rare benign disorder. A 17-year-old male patient presented with a suspected abscess in the right mandibular third molar, detected on a panoramic radiograph. The patient had no history of systemic or lipid-related metabolic diseases and complained of no specific symptoms or pain. A radiographic examination revealed a heterogeneous radiolucency extending from the apical to the distal aspect of the right mandibular third molar tooth germ. The lesion measured 9 × 16 × 24 mm (antero-posterior × mediolateral × supero-inferior) and showed a relatively well-defined, multilocular, foamy appearance with hyperostotic borders spreading to the inferior alveolar nerve canal. After excisional biopsy, a diagnosis of central xanthoma was made. The lesion recurred, and intraoral vertical ramus osteotomy was done near the lesion. For the treatment of xanthoma of the mandible, extensive and delicate surgical treatment under general anesthesia should be considered.

A rare case of bilateral antero-internal shoulder dislocation in a judo player: a case study and review of the literature

  • Fadili, Omar;Laffani, Mohamed;Echoual, Souhail;Chrak, Abdellah;Okouango, Bienvenu Jean Celien;Fadili, Mustapha
    • Clinics in Shoulder and Elbow
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    • v.25 no.1
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    • pp.65-67
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    • 2022
  • Pure anterior bilateral shoulder dislocations are rare clinical features, especially in traumatic forms. They are most often posterior, occurring during an epileptic seizure. Few cases are described in the literature, and the mechanism varies from case to case. We report a specific case of pure bilateral anterior shoulder dislocation in a 29-year-old judo player following an accident during his training and discuss the circumstances, mechanism, treatment, and prognosis.

THE STDUY OF THE RELAPSE OF HARD AND SOFT TISSUE AFTER MAXILLARY PROTRACTION (상악골 전방견인 후 경조직과 연조직의 재발에 관한 연구)

  • Yang, Jun-Ho;Park, Soo-Byung;Son, Woo-Sung
    • The korean journal of orthodontics
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    • v.27 no.3 s.62
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    • pp.373-389
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    • 1997
  • The purpose of this stdudy was to evaluate the effect of maxillary protraction and the relapse of hard and soft tissue after maxillary protraction. For this study 29 patients who were treated with maxillary protractor and labiolingual archwire were selected. Their mean age was 9 years 4 months and mean treatment period was 8.5 months. Lateral cephalograms were taken at pretreatment, immediately after treatment and one to three months after removal of the maxillary protractor. They were traced on skeletodental and soft tissue structures based on Burstone's analysis and analyzed by Quick-Ceph Image Digitizing System(ORTHODONTIC PROCESSING). The mean and standard deviation between pretreatment and posttreatment and between posttreatment and retention period for each cephalometric variable were calculated. Student t-test was used to determine the statistical significance of the changes in each variable. Correlation coefficients between hard tissue and soft tissue were used to determine interrelationship. The results were as follows. 1. After maxillayy protraction, the maxilla and maxillary dentition moved antero-inferiorly, the mandibld and mandibular dentition moved postero-interiorly and palatal plane rotated antero-superiorly by $0.59^{\circ}$. 2. After maxillary protraction, the soft tissue of upper lip moved antero-interiorly with the movement of hard tissue but the antero-posterior position of lower lip was stable in spite of the change of hard tissue. The thickness of upper lip was decreased and that of lower lip was increased after maxillary Protraction. 3. During the retention period, the position of jaws was relatively stable but upper and lower anterior teeth and antero-superiorly rotated palatal plane relapsed to original position. 4. During the retention period, the soft tissue of lips was stable antero-posteriorly and moved mote inferiorly than posttreatment. 5. The correlation coefficients between the postion of upper and lower incisal edge and that position of lips were high, especially in horizontal change.

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Arthroscopic Assessment of Potential Intra-articular Ankle Injury in Treatment of Ankle Fracture (족관절 골절의 치료에 있어 잠재적 관절 내 손상의 관절경적 평가)

  • Kim, Jung-Han;Gwak, Heui-Chul;Lee, Hyeong-Joo
    • Journal of Korean Foot and Ankle Society
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    • v.19 no.4
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    • pp.151-155
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    • 2015
  • Purpose: The purpose of this study was to analyze the frequency and patterns of intra-articular lesions detected during ankle fracture surgery using ankle arthroscopy. Materials and Methods: Thirty patients (31 ankles) who underwent open reduction and internal fixation combined with ankle arthroscopy for acute ankle fracture at Inje University Busan Paik Hospital from June 2011 to September 2013 were evaluated. The ankle fractures were classified according to the AO/OTA (AO Foundation and Orthopaedic Trauma Association) classification and the intraarticular injuries were identified by ankle arthroscopy. Osteochondral lesions of the talus were divided into nine subtypes based on their locations, and the ligament injuries were classified according to avulsion fracture and rupture. Results: Using arthroscopy, abnormality in the distal tibiofibular ligament was found in 21 cases and osteochondral lesions and defects of the talus larger than 5 mm were detected in 26 cases. Among ligament injuries, anterior inferior tibio-fibular ligament injury was found in 14 cases, posterior inferior tibio-fibular ligament injury was found in two cases, deep deltoid ligament injury was found in three cases, and deep transverse tibio-fibular ligament injury was found in five cases. The locations of the osteochondral lesions were on the antero-lateral, antero-medial, centro-medial, centro-central, centro-lateral, and postero-lateral talus in 11, one, two, one, two, and nine cases, respectively. Conclusion: With early diagnosis and treatment arthroscopy performed at the time of intra-articular fracture surgery is expected to result in a good outcome.

RELATIVE POSITION OF MANDIBULAR CONDYLE AND COMPARISON OF REPRODUCIBILITY UTILIZING DIFFERENT CENTRIC RELATION RECORD TAKING METHODS (중심위 교합채득 방법에 따른 하악과두의 상대적 위치와 재현도 비교에 관한 연구)

  • Mun, Heoung-Youp;Hwang, Hyeon-Shik
    • The korean journal of orthodontics
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    • v.24 no.4 s.47
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    • pp.945-956
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    • 1994
  • In the past the jaw and occlusal relationship in centric occlusion were merely considered in case of orthodontic diagnosis and treatment planning. As the fact that functional disturbance of the temporomandibular joint may be caused by occlusal interference was recognized, the importance of functional occlusion and centric relation is emphasized today. Known the importance of centric relation, there are various opinions about definition of centric relation and its taking methods. The purpose of this study was to investigate the relative centric condyle position and to compare the reproducibility of the recordings utilizing different centric relation records obtained by different taking methods. The 15 adults with normal occlusion were participated in this study. Every four centric relation records were taken in each of three methods - leaf gauge, Dawson and myomonitor method. Then the relative centric condyle position, the distance between the condylar position in centric occlusion and the position in centric relation and the reproducibility were studied using SAM 2 articulator and mandibular position indicator. The results were as follows ; 1. The trend of condyle position was different depending on centric relation taking methods. 2. The position of condyle in centric relation by leaf gauge and Dawson methods was superior to that by myomonitor method, and the position by myomonitor method was relatively antero-inferior. 3. The distance between the condylar positions in centric occlusion and the position in centric relation was longest in myomonitor method. 4. The reproducibility had little differences in transverse direction among three methods, while leaf gauge method showed the highest reproducibility and myomonitor method did the lowest reproducibility in antero-posterior and supero-inferior direction.

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Anatomical Morphometric Study of the Cervical Uncinate Process and Surrounding Structures

  • Kim, Sung-Ho;Lee, Jae Hack;Kim, Ji Hoon;Chun, Kwon Soo;Doh, Jae Won;Chang, Jae Chil
    • Journal of Korean Neurosurgical Society
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    • v.52 no.4
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    • pp.300-305
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    • 2012
  • Objective : The purpose of this study is to elucidate the anatomic relationships between the uncinate process and surrounding neurovascular structures to prevent possible complications in anterior cervical surgery. Methods : Twenty-eight formalin-fixed cervical spines were removed from adult cadavers and were studied. The authors investigated the morphometric relationships between the uncinate process, vertebral artery and adjacent nerve roots. Results : The height of the uncinate process was 5.6-7.5 mm and the width was 5.8-8.0 mm. The angle between the posterior tip of the uncinate process and vertebral artery was $32.2-42.4^{\circ}$. The distance from the upper tip of the uncinate process to the vertebral body immediately above was 2.1-3.3 mm, and this distance was narrowest at the fifth cervical vertebrae. The distance from the posterior tip of the uncinate process to the nerve root was 1.3-2.0 mm. The distance from the uncinate process to the vertebral artery was measured at three different points of the uncinate process : upper-posterior tip, lateral wall and the most antero-medial point of the uncinate process, and the distances were 3.6-6.1 mm, 1.7-2.8 mm, and 4.2-5.7 mm, respectively. The distance from the uncinate process tip to the vertebral artery and the angle between the uncinate process tip and vertebral artery were significantly different between the right and left side. Conclusion : These data provide guidelines for anterior cervical surgery, and will aid in reducing neurovascular injury during anterior cervical surgery, especially in anterior microforaminotomy.