• 제목/요약/키워드: Bone exposure

검색결과 382건 처리시간 0.028초

MICRONUCLEI INDUCTION BY REPEATED INHALATION EXPOSURE TO THE 1,1-DICHLORO-1-FLUOROETHANE BUT NOT BY THE SINGLE PERITONEAL INJECTION

  • Maeng, Seung-Hee;Chung, Hai-Won;Kim, Hyun-Young;Lim, Cheol-Hong;Lee, Jong-Yoon;Chung, Yong-Hyun;Lee, Yong-Mook;Chung, Ho-Keun;Yu, Il-Je
    • 한국독성학회:학술대회논문집
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    • 한국독성학회 2001년도 International Symposium on Dietary and Medicinal Antimutgens and Anticarcinogens
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    • pp.179-179
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    • 2001
  • To investigate the genotoxic effect of 1, 1-dichloro-1-fluoroethane which was widely used as a cleaning solvent at the electronic part industry, the micronucleus frequencies were recorded by examining polychromatic erythrocytes in bone marrows of single i.p. injected mice at high doses and of the repeatedly inhaled rats for 13 weeks at relatively low concentrations.(omitted)

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Perforator Based Tibialis Anterior Segmental Muscle Island Flap in Lower Extremity Reconstruction

  • Byun, Il Hwan;Kwon, Soon Sung;Chung, Seum;Baek, Woo Yeol
    • Archives of Reconstructive Microsurgery
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    • 제25권2호
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    • pp.69-71
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    • 2016
  • Reconstruction of the lower extremities is difficult due to a lack of skin laxity and muscular tissues. Here, we present a case of lower extremity reconstruction via the anterior tibial artery perforator based segmental muscle island flap. Our patient was a 75-year-old male with a chronic ulcerative wound on the right lower leg from an old car accident. A $5.0{\times}0.5cm$ size ulcerative wound with tibial bone exposure was noted. We planned to reconstruct the lower extremity defect with a free flap, but the vessel status was severely compromised intraoperatively. Thus, we found the anterior tibial artery perforator using Doppler ultrasound, elevated the tibialis anterior muscle segment flap, and transposed it to cover the defect successfully. The flap presented with a nice contour and the skin graft covering the flap survived completely. There were no complications of the surgical site at three months follow-up and no gait morbidity. This is a meaningful case applying the concept of segmental muscle flap based on a perforator that had advantages including proper bulkiness, vascularization, and preservation of function, which were well applied, leading to great success.

뼈 재생을위한 폴리카프로락톤 필름에 대한 마이크로 캐스팅 및 플라즈마 에칭 (Effect of Micro Casting and Plasma-etching on Polycaprolactone Film for Bone)

  • 이재윤;양지훈;김근형
    • 한국표면공학회:학술대회논문집
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    • 한국표면공학회 2018년도 춘계학술대회 논문집
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    • pp.24-24
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    • 2018
  • One of the challenges in tissue engineering is the design of optimal biomedical scaffolds, which can be governed by topographical surface characteristics, such as size, shape, and direction. Of these properties, we focus on the effects of nano - to micro - sized hierarchical surface. To fabricate the hierarchical surface structure on poly(${\varepsilon}$-caprolactone) (PCL) film, we employed a nano/micro-casting technique (NCT) and modified plasma process. The micro size topography of PCL film was controlled by sizes of the micro structures on lotus leaf. Also, the nano-size topography and hydrophilicity of PCL film were controlled by modified plasma process. After the plasma treatment, the hydrophobic property of the PCL film was significantly changed into hydrophilic property, and the nano-sized structure was well developed, as increasing the plasma exposure time and applied power. The surface properties of the modified PCL film were investigated in terms of initial cell morphology, attachment, and proliferation using osteoblast-like-cells (MG63). In particular, initial cell attachment, proliferation and osteogenic differentiation in the hierarchical structure were enhanced dramatically compared to those of the smooth surface.

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과잉치를 동반한 상악 중절치 전위와 상악 견치 매복에서 자가이식에 의한 치험례 (AUTOTRANSPLANTATION OF TRANSPOSITIONED MAXILLARY CENTRAL INCISOR WITH MESIODENS AND IMPACTED MAXILLARY CANINE : A CASE REPORT)

  • 남동우;김현정;남순현;김영진
    • 대한소아치과학회지
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    • 제24권4호
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    • pp.727-733
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    • 1997
  • Autotransplantation is a procedure which transplants teeth from the original position to other positions in the same individual. It is classified surgical reposition by intraalveolar autotransplantation and transalveolar autotransplantation. The prognosis for successful autotransplantation is dependent on a number of factors such as root development, surgical technique, patient's age, endodontic treatment, time and type of splinting, preservation of periodontal ligament and storage medium. The most important factor is preservation of periodontal ligament. The cause of the failure of transplantation include damage of the transplant during removal from deep palatal malposition, poor regeneration of the bone around the transplant and chronic periodontal infection. In case I, Impacted maxillary canine for which surgical exposure and orthodontic treatment was impossisle was transplanted. After 2 weeks, It showed periapical radiolucency and external root resorption. So, endodontic treatment was done. One year later, permanent filling was done with gutta percha. In case II, Transpositioned maxillary central incisor was transplanted after extraction of impacted mesiodens. Pulp vitality was maintained during 5 months without other clinical symptons.

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Case Series: Successful Resuscitation of Severe Facial Injuries Caused by a Chainsaw

  • Choi, Han Joo
    • Journal of Trauma and Injury
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    • 제32권3호
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    • pp.168-171
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    • 2019
  • The treatment outcome remains poor of severe facial injuries because of the high risk of compromised airway or massive bleeding. We experienced two successful treatment cases of severe facial injury by the chainsaw. A 52-year-male had his face injured by the chainsaw during his work. He was transferred to the Level I trauma center using the Doctor-Helicopter. During his flight, bleeding control was tried and the information was given to the trauma surgeons before his arrival. His consciousness was alert and the vital signs were stable. The crushing wound, mandible open fracture, deep laceration of tongue, lip, neck and arterial bleeding were noted around his mandible. Nasotracheal intubation was performed under the bronchoscope-guided. Emergency operation (open reduction & internal fixation, primary repair with neurorrhaphy) was performed. At 30 hospital days, he was discharged with facial palsy on left mandibular area. A 30-year-male had his face injured by the chainsaw. He was transferred to our Level I trauma center from the local hospital. The deep-mutiple lacerations on right upper eyelid and forehead with the bony exposure were noted. The vital signs were stable and emergency operation was performed. He was discharged at 20 hospital days. Bone loss or tissue loss were not devastating than we expected even though the injury was occurred by the chainsaw. Aggressive treatment including airway manipulation or bleeding control and maximal opportunity of therapy are absolutely needed.

Complications of olecranon osteotomy in the treatment of distal humerus fracture

  • Spierings, Kimberley E;Schoolmeesters, Bram J;Doornberg, Job N;Eygendaal, Denise;van den Bekerom, Michel PJ
    • Clinics in Shoulder and Elbow
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    • 제25권2호
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    • pp.163-169
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    • 2022
  • Distal humerus fractures (DHFs) are challenging to treat due to the locally complex osseous and soft tissue anatomy. Adequate exposure of the articular surface of the distal humerus is crucial when performing an anatomical reconstruction of the elbow. Even though "triceps-on" approaches are gaining popularity, one of the most commonly used surgical treatments for DHF is olecranon osteotomy. The incidence of complications related to this approach is unclear. This review was performed to assess the type and frequency of complications that occur with the olecranon osteotomy approach in the treatment of DHF. A literature search was conducted in the PubMed/Medline, Embase, and Cochrane Library digital databases up to February 2020. Only English articles describing complications of olecranon osteotomy in the treatment of DHF were included. Data on patient and surgical characteristics and complications were extracted. Statistical analysis was performed using SPSS. A total of 41 articles describing 1,700 osteotomies were included, and a total of 447 complications were reported. Of these 447 complications, wound infections occurred in 4.2% of osteotomies, of which 1.4% were deep infections and 2.8% were superficial. Problems related with union occurred in 3.7% of osteotomies, 2% of which represented non-union and 1.7% delayed union. The high risk of complications in olecranon osteotomy must be considered in the decision to perform this procedure in the treatment of DHF.

Pyogenic granuloma of the hard palate leading to alveolar cleft: a case report

  • Woo Jin Song;Hyun Beom Choi;Min Sung Tak
    • 대한두개안면성형외과학회지
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    • 제25권3호
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    • pp.150-154
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    • 2024
  • This case report describes a rare occurrence of pyogenic granuloma (PG) in the hard palate deviating from its typical gingival location that led to the formation of an alveolar cleft. The aggressive growth pattern of the lesion, with atypical progression from a pedunculated nodule to an alveolar cleft, raised concern. The diagnosis was based on magnetic resonance imaging and computed tomography findings, which revealed a tadpole-shaped lesion originating from the midline hard palate. The differential diagnosis included a minor salivary gland tumor. Surgical excision was performed under general anesthesia and resulted in a mucosal defect without nasolabial fistula formation or bone exposure. The palatal defect was packed with oxidized regenerated cellulose and closed with Vicryl Rapide sutures, both of which contributed to the patient's successful outcomes. Our comprehensive approach, extending across the stages of surgical planning, execution, and postoperative care, demonstrated the advantages of a multidisciplinary strategy for the accurate diagnosis and effective treatment of palatal PGs. This report makes a meaningful contribution to the existing literature on common oral lesions by emphasizing the importance of a broad differential diagnosis and a systematic approach to oral pathologies. It also raises clinical awareness of PGs with atypical presentations and the diagnostic challenge that they pose.

브로일러 병아리의 등 피부에 자외선 조사후 중족골 무기물 함량의 경시적 변화 (Time Cource Variation of Metatarsus Mineral Content after UV Exposure to Dorsal Skin of Broiler Chicks)

  • 장윤환;강훈석;김강수;원지웅
    • 한국가금학회지
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    • 제19권1호
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    • pp.35-45
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    • 1992
  • 본 연구는 312nm의 자외선 조사시 상이한 조사선양이 병아리의 중족골내 회분 및 인 함량에 미치는 영향을 구명코자 실시되었다. Hubbard 계통 1일령 broiler 병아리에 비타민 D-결핍사료를 3주간 급여한 후 털을 뽑은 등에 0.32, 0.65 또는 0.98 J$\textrm{cm}^2$의 자외선을 조사하였다. 0~5일이 경과된 뒤, 병아리의 중족골을 채취하여 부착물 제거, 탈지, 건조, 회분한 다음 탈지건조골중의 회분함량을 측정하였으며 회분을 6N-HCl로 용해하여 P 함량을 조사하였다. 0.32 J/$\textrm{cm}^2$의 자외선 조사 직후 중족골 통분함량은 42%이었으나 1일 후에 46%로 증가되었으며 3일 후에는 40%로 감소되었다. 0.65 J/$\textrm{cm}^2$ 조사시에는 2일 후에 최고치 46%를 보였다. 0.98 J/$\textrm{cm}^2$ 조사시에는 중족골 회분함량이 1일 후 및 2일 후에 동일한 47%의 수준을 보였다. 3 자외선 선양 중 0.98 J/$\textrm{cm}^2$가 가장 많은 중족골 회분을 증가시켰다. 다음 탈지건조골중 P 함량을 보면 0.32 J/$\textrm{cm}^2$ 조사시 3일 후에 증가된 함량 19.4%를 나타내었고, 0.65 J/$\textrm{cm}^2$조사시에도 3일 후에 최고치 18.1%를 보였으며, 0.98 J/$\textrm{cm}^2$ 조사시에는 2일 후에 정점 20.0%를 나타내었다. 3선양중 0.98 J/$\textrm{cm}^2$가 가장 많은 P 함량을 증가시켰으며 또 가장 신속히 자외선 조사의 효과를 나타내었다.

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청신경 초종 수술에서 골미로를 통한 접근법의 유용성 (The Clinical Usefulness of Translabyrinthine Approach for Removal of the Vestibular Schwannomas)

  • 김종현;조태구;박관;박익성;남도현;이정일;조양선;홍성화;홍승철;신형진;어환
    • Journal of Korean Neurosurgical Society
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    • 제30권6호
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    • pp.755-760
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    • 2001
  • Objective : To determine the feasibility of translabyrinthine approach in the vestibular schwannoma patients, the authors reviewed eighteen consecutive cases, focusing at their functional outcome and operative complications. Materials and Method : To evaluate the functional outcome, we reviewed preoperative radiological findings such as size of tumors and location of jugular bulb as well as the preoperative neurological status including audiometric analysis and cranial nerve function in 18 patients, diagnosed as vestibular schwannoma. Also the surgical outcome was evaluated according to the functional preservation of facial nerve and incidence of the surgical complication as well as the extent of surgical resection. Results : The age of patients ranged from 21 to 62 years, with a mean of 50 years. Of 18 patients operated in our center by the translabyrinthine approach, wide exposure with total removal of the mass was possible in 16 cases (88.8%). The facial nerve was anatomically preserved in 88.8%. At six-month follow-up, facial nerve function was good(Grade I-II) in 15 patients(83%) and acceptable(I-IV) in all patients. Although the jugular bulb was highly placed is five patients, gross total resection was possible without facial nerve injury in all patients by the translabyrinthine approach. One patient experienced CSF leakage after surgery, but there was no patient with disabling deficit. Conclusion : Use of the translabyrinthine approach for removal of vestibular schwannomas resulted in good anatomical and functional preservation of the facial nerve, with minimal incidence of morbidity and no mortality. In cases of high jugular bulb impacted into mastoid bone, total removal was possible by displacing the jugular bulb with Surgicel cellulose and placement of bone wax.

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치아회분(齒牙灰粉)과 도재(陶材) 복합(複合) 매식체(埋植體)에 관(關)한 광학현미경(光學顯微鏡) 급(及) 주사전자현미경적(走査電子顯微鏡的) 연구(硏究) (A Light and Scanning Electron Microscopic Study on the Implant of Tooth Ash-Porcelain Mixture)

  • 조영학
    • 대한치과보철학회지
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    • 제22권1호
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    • pp.33-50
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    • 1984
  • The purpose of this study was to investigate whether the ashed tooth powder is utilized as an alternative material of the implant to recovery the bony defect. For this purpose its biocompatibility was evaluated comparing to the synthetic calcium phosphate compounds, such as Syntograft and Calcitite, as well as the vacuum firing porcelain (Ceramco Inc.) which is anticipated to use as a matrix to aid sintering. Bony defects to exposure the bone marrow, $3{\times}5$ mm in size, were created in the right and left tibias of fifteen rabbits, and then the ashed tooth powder at $950^{\circ}C$, the porcelain powder, Syhtograft and Calcitite were inserted in the defects of twelve rabbits of the experimental group and the blood clot only was filled in the defects of three rabbits of the control group. The experimental and control rabbits were sacrificed at 1st, 2nd 3rd week after implantation and the histologic examination was performed. The ashed tooth powder in order to make the needed form of the implant was molded using the cylindrical mold 1 cm high, 1 cm in diameter under the pressure of $1000kg/cm^2$ and the ashed tooth powder was sintered at $1100^{\circ}C$ for 1 hour and the mixture of the porcelain powder and the ashed tooth powder at the weight ratio of 7:3, 6:4, 5:5, 4:6 were molded in the same manner and were sintered at $925^{\circ}C$. From this sintered material, square shaped implants were prepared in the dimension of $2{\times}4{\times}6mm$. The prepared implants were surgically placed in the subperiosteum of lateral surfaces of the right and left mandibular bodies. The dogs were sacrificed at 4 weeks, and then the specimens were examined using the light and scanning electron microscopes. The results of this study were obtained as follows: 1. Any inflammatory response was not noted after implanting of the ashed tooth powder, Syntograft, Calcitite and the porcelain powder during the whole experimental period after implantation. 2. Induction of the new bone formation was significantly shown in the ashed tooth powder, Syntograft and Calcitite. 3. The more the porcelain powder was contained in the implants, the more the porosity was and the bigger the pore size was under the scanning electron microscope. And there was ingrowing of the fibrous connective and the osteoid tissue. 4. The osteoid tissues were found to be directly fused to the implant of the ashed tooth powder, and the mixture implant of the porcelain powder and the ashed tooth powder at the weight ratio of 4:6 under the light and scanning electron microscopes.

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