• Maxillofacial Plastic and Reconstructive Surgery
• /
• v.22 no.3
• /
• pp.360-363
• /
• 2000

Osteochondroma is a benign tumor that is frequently developed in axial skeleton but rare in TMJ. 61-year old female patient visited local dental clinic with left TMJ crepitus on chewing, trismus and hearing discomforts. She was referred with a tentative diagnosis of TMD. We performed clinical and radiographic examination and could observe large radiopaque lesion at left TMJ. Excisional operation was performed. It was diagnosed finally with a osteochondroma.

• Imaging Science in Dentistry
• /
• v.52 no.4
• /
• pp.421-427
• /
• 2022

McCune-Albright syndrome (MAS) is a rare multisystem disorder characterized by a clinical triad of polyostotic fibrous dysplasia (FD), skin pigmentation, and hyperfunctioning endocrinopathies. A 42-year-old man visited our medical hospital for the treatment of intermittent headaches and was diagnosed with MAS with acromegaly. This patient showed various clinical features of MAS, including pituitary adenoma, polyostotic FD, and hypogonadotropic hypogonadism. The FD lesions showed characteristic radiographic features, such as widespread, sclerotic bony lesions in the cranial bones, mixed radiolucent-radiopaque multilocular lesions in the mandible, and radiolucent lesions in the axial and appendicular skeleton. Over the years, the patient had been hospitalized multiple times due to accidental bony fractures associated with the fragile bony state of FD. This report presents a retrospective description of a case of MAS, with a review of the relevant literature.

• Steel and Composite Structures
• /
• v.28 no.5
• /
• pp.641-653
• /
• 2018

This paper presents experiment and bearing capacity analyses of steel dual-lintel column (SDC) joints in Chinese traditional style buildings. Two SDC interior joints and two SDC exterior joints, which consisted of dual box-section lintels, circular column and square column, were designed and tested under low cyclic loading. The force transferring mechanisms at the panel zone of SDC joints were proposed. And also, the load-strain curves at the panel zone, failure modes, hysteretic loops and skeleton curves of the joints were analyzed. It is shown that the typical failure modes of the joints are shear buckling at bottom panel zone, bending failure at middle panel zone, welds fracturing at the panel zone, and tension failure of base metal in the heat-affected zone of the joints. The ultimate bearing capacity of SDC joints appears to decrease with the increment of axial compression ratio. However, the bearing capacities of exterior joints are lower than those of interior joints at the same axial compression ratio. In order to predict the formulas of the bending capacity at the middle panel zone and the shear capacity at the bottom panel zone, the calculation model and the stress state of the element at the panel zone of SDC joints were studied. As the calculated values showed good agreements with the test results, the proposed formulas can be reliably applied to the analysis and design of SDC joints in Chinese traditional style buildings.

• Advances in concrete construction
• /
• v.8 no.4
• /
• pp.257-267
• /
• 2019

This paper presents the results of cyclic loading tests on new high-strength concrete (HC) short columns. The seismic performance and deformation capacity of three reinforced high-strength concrete filled Polyvinyl Chloride tube (RHC-PVCT) short columns and one reinforced high-strength concrete (RHC), under pseudo-static tests (PSTs) with vertical axial force was evaluated. The main design parameters of the columns in the tests were the axial compression ratio, confinement type, concrete strength, height-diameter ratio of PVCT. The failure modes, hysteretic curves, skeleton curves of short columns were presented and analyzed. Placing PVCT in the RHC column could be remarkably improved the ultimate strength and energy dissipation of columns. However, no fiber element models have been formulated for computing the seismic responses of RHC-PVCT columns with PVT tubes filled with high-strength concrete. Nonlinear finite element method (FEM) was conducted to predict seismic behaviors. Finite element models were verified through a comparison of FEM results with experimental results. A parametric study was then performed using validated FEM models to investigate the effect of several parameters on the mechanical properties of RHC-PVCT short columns. The parameters study indicated that the concrete strength and the ratio of diameter to height affected the seismic performance of RHC-PVCT short column significantly.

• Structural Engineering and Mechanics
• /
• v.76 no.4
• /
• pp.465-477
• /
• 2020

This paper presents an investigation on the dynamic behavior of SRC columns with built-in cross-shaped steels under impact load. Seven 1/2 scaled SRC specimens were subjected to low-speed impact by a gravity drop hammer test system. Three main parameters, including the lateral impact height, the axial compression ratios and the stirrup spacing, were considered in the response analysis of the specimens. The failure mode, deformation, the absorbed energy of columns, as well as impact loads are discussed. The results are mainly characterized by bending-shear failure, meanwhile specimens can maintain an acceptable integrity. More than 33% of the input impact energy is dissipated, which demonstrates its excellent impact resistance. As the impact height increases, the flexural cracks and shear cracks observed on the surface of specimens were denser and wider. The recorded time-history of impact force and mid-span displacement confirmed the three stages of relative movement between the hammer and the column. Additionally, the displacements had a notable delay compared to the rapid changes observed in the measured impact load. The deflection of the mid-span did not exceed 5.90mm while the impact load reached peak value. The impact resistance of the specimen can be improved by proper design for stirrup ratios and increasing the axial load. However, the cracking and spalling of the concrete cover at the impact point was obvious with the increasing in stiffness.

• Maxillofacial Plastic and Reconstructive Surgery
• /
• v.32 no.1
• /
• pp.72-76
• /
• 2010

Osteochondroma is the one of the most benign tumors of the axial skeleton, but is rarely found in the facial bones. Typical facial features of condylar osteochondroma include striking facial asymmetry, malocclusion with openbite on the affected side, and prognathic deviation of the chin and crossbite to the contralateral side. In this case, twenty four year-old female showed facial asymmetry, chin deviation, openbite on the affected side but have no symptoms of pain or dysfunction. Concomitantly she had maxillary occlusal cant and hemimandibular hypertrophy. Panoramic radiograph showed radiopaque mass on right mandibular condyle extended along the lateral pterygoid muscle. Computed tomogram demonstrated enlarged condylar head and bony spur on posteromedial side of condyle and 99Tc bone scintigraphy showed a focal hot image. These findings were correspond with osteochondroma. The lesion was treated with condylectomy and residual facial asymmetry was corrected with 2-jaw orthognathic surgery. Herein, we report a case of osteochondroma of the mandibular condyle and accompanying facial asymmetry.

• The Journal of the Korean bone and joint tumor society
• /
• v.2 no.1
• /
• pp.111-115
• /
• 1996

Benign osteoblastoma, a rare tumor which forms osteoid and woven bone, represents 3% of benign and 1% of all primary bone tumors. It can involve anywhere in the axial skeleton, which is most common in the spine (34%). But the lesion of the calcaneus is extremely rare. The ratio of males to females is 2:1, with 80 percent of the patients being under thirty years of age. Pain is the most common symptom and rarely pathologic fracture. Osteoblastoma is a benign tumor but has a high recurrence rate after intracapsular malignant change. Therefore, choice of surgical procedure is the 'enbloc' resection. Authors have experienced a case of osteoblastoma developed in calcaneus. The treatment was wide resection and triple arthrodesis. We have reported here the case in which osteoblastoma occured in calcaneus of the right foot.

• The Korean Journal of Pain
• /
• v.10 no.1
• /
• pp.117-120
• /
• 1997

Cancer is a devastating disease, and the treatment of related pain is an extremely challenging task. Providing adequate analgesia while avoiding unnecessary drug effects often requires a polypharmacologic approach in cancer pain management. A 36-year old woman with breast cancer metastatic to the axial skeleton and bilateral hip joints was admitted to hemato-oncology service with complaints of intractable abdominal and hip pain. Despite rapidly increasing doses of intravenous morphine up to 350 mg per day; transdermal fentanyl; midazolam; ketorolac; lorazepam; dexamethasone, the patient continued to describe her pain as 10 of 10, refusing all surgical/diagnostic interventions not directly related to pain control. She did, however, consent to lumbar epidural catheter placement. The patient was sedated with titrating doses of propofol to assist with positioning. Even though the procedure was not successful due to significant thoracolumbar scoliosis, the patient admitted feeling better than she has in months during attempted placement. After continuous infusion of propofol was initiated at subhypnotic dose, the patient's analgesic demand was drastically reduced and described her pain as "1 to 3" of "10". Approximately 96 hours after the propofol infusion was started, the patient expired comfortably. There had been no change in her medical regimen during fecal 48 hours. In the case described, propofol was extremely advantageous as an adjuvant in the management of cancer related pain.

• Radiation Oncology Journal
• /
• v.6 no.2
• /
• pp.295-300
• /
• 1988

Chordoma is a malignant tumor arising from the primitive notochord involving the axial skeleton. It usually occurs at sacrococcygeal and besisphenoidal area but only rarely does at other vertebral areas, especially at the thoracic vertebrae. It has a slow growth rate and is locally aggressive with an extremely high rate of local recurrence. Either surgery or radiation alone often fails to cure the disease and the local failure is the main cause of treatment failure and death. Overall 5 year survival rate is less than $10\%$. Useful palliation or occasional cure can be obtained by the combination of surgery and radiotherapy. After incomplete resection, the tumor requires radiation dose of 7,000 cGy or more over 6-7 weeks for local control. Tumor regression is slow in response to irradiation and continuation of the regression for several months after completion of RT is not unusual. We report a case of chordoma of the thoracic vertebra, the site of extreme rarity, which showed good local control after partial resection and radiation therapy. He is well and alive without any evidence of recurrence after 13 months of treatment with near complete tumor regression.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• v.35 no.4
• /
• pp.257-260
• /
• 2009

Osteochondroma is one of the most common benign tumors of the axial skeleton, but is rarely found in the facial bones and extremely rare in mandibular condyle. The clinical signs and symptoms of osteochondroma of mandibular condyle may resemble those seen in patients with temporomandibular joint (TMJ) dysfunction. Condylectomy have been the first choice for treatment of osteochondroma, but it may be with some complicaitons, loss of condylar vertical height, etc. A 57 years old female patient who had an osteochondroma on left mandibular condyle visited to our clinic. We did surgically remove the mass with favorable result, so we present the case with review of literatures.