• 대한치과보철학회지
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• 제59권2호
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• pp.220-227
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• 2021

본 환자는 혈관기형으로 인한 구순과 혀, 전정 등 연조직의 비대와 팽윤감, 심한 하악골 흡수로 인해 일반적인 총의치를 사용할 수 없었다. 최선의 치료 방법은 임플란트 피개의치이나 경제적 제약 때문에 선택할 수 없었다. 하악 총의치로 수복을 하기 어려운 증례에서 음압을 형성하는 BPS 흡착식 원리를 응용한 폐구인상법과 고딕아치 묘기법을 이용한 중심위 악간관계기록 및 비해부학적치아를 이용한 단일평면교합법으로 총의치를 제작하여 그 결과가 양호하였다. 치료 전 환자와의 충분한 대화를 통해 요구사항을 확인함으로써 환자가 원하는 심미성을 보유하면서 기능적으로 양호한 총의치 제작이 가능하였다.

• 구강회복응용과학지
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• 제34권2호
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• pp.127-136
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• 2018

치조골 흡수가 심한 무치악 환자에서는 지지의 부족으로 유지, 안정 등의 요인을 갖추기 어렵다. 이에 추가적인 유지와 안정의 획득을 위한 노력으로 중립대의 이용 또는 단일평면교합 형성이 있다. 단일평면교합은 수평력의 제거 등 장점이 있어 오랜기간 이용되었다. 그리고 여기에 저작 효율과 심미성을 개선시키기 위해 설측교두교합이 제시되었다. 하지만 안정성 면에서는 단일평면교합과 설측교두교합 사이에 여전히 논란이 있다. 본 증례는 하악 치조골의 과도한 흡수에 의해 편평한 치조제를 보이는 두 환자로, piezography를 이용하여 기능 인상을 채득하고 단일평면교합과 설측교두교합의 의치를 각각 제작함으로써 환자에게 의치를 비교 선택할 수 있도록 하여 환자의 만족도를 높였기에 이를 보고하는 바이다.

• Journal of Korean Neurosurgical Society
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• 제38권3호
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• pp.190-195
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• 2005

Objective : This study is performed to evaluate the procedural complications, aneurysm occlusion rate, and mid-term outcome of endovascular treatments in intracranial aneurysms. Methods : We retrospectively investigated 135 patients with 161 cerebral aneurysms who were treated by endovascular means at our institute from March 1999 to December 2004. We statistically analyzed overall outcome, occlusion rate, and occurrence of complications according to the location, size, rupture history, and neck size of aneurysms. Results : Forty-nine patients [36.3%] had experienced acute intracranial or extracranial complications related to the procedure. Among these, there were 13cases of perforation of the aneurysm, 9 of local vasospasm, 8 of thromboembolism, 4 of coil migration, 3 of occlusion of parent vessels due to coil protrusion, and 1 of seizure. Extracranial complications occurred in 14cases including alopecia [9cases], femoral artery thrombosis [2cases], acute renal failure [2cases], and hypovolemic shock [1case]. One hundred twenty-six aneurysms [78.3%] had complete occlusion of the aneurysm and 35 [21.7%] incomplete occlusion at 6months angiographic follow-up. Postembolization clinical follow-up ranged from 1 to 60months [mean, 14.2months]. Seven of the 161 aneurysms underwent additional embolization and 2 incomplete embolized aneurysms required subsequent surgery. Conclusion : The procedural complications and incomplete occlusion rates are substantial. Therefore, endovascular treatment needs close and continued neurosurgical and neuroradiological concerns for the therapy of intracranial aneurysms.

• 대한치과의사협회지
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• 제50권1호
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• pp.13-21
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• 2012

In an edentulous situation, the dentist must make several determinations when constructing artificial teeth. These include vertical and horizontal relationships of mandible with respect to the maxilla, occlusal form and position, vertical dimension, occlusal relationships during both centric closure and eccentric excursive movements. Artificial teeth are attached to a movable base resting on movable and displaceable living tissue subject to damage. They act as a unit; therefore, they must be arranged to function as a unit. Bilateral balanced occlusion is that stability of the denture is attained when bilateral contacts ex ist throughout all dynamic and static states of the denture during function. Lateral excursion in a balanced scheme implies simultaneous working side and nonworking side contact, while occlusal contacts are maintained on both anterior and posterior teeth as the mandible moves anteriorly into protrusion.

• Journal of Korean Neurosurgical Society
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• 제42권6호
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• pp.478-480
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• 2007

Unruptured non-traumatic dissecting aneurysm in the M4 segment of the middle cerebral artery (MCA) accompanied by complete occlusion of the ipsilateral internal cerebral artery (ICA) has never been reported. A 41-year-old man presented with an infarction manifesting as left-sided weakness and dysarthria. Magnetic resonance angiography revealed a subacute stage infarction in the right MCA territory and complete occlusion of the right ICA. Angiography demonstrated aneurysmal dilatation of the M4 segment of the right MCA. Surgery was performed to prevent hemorrhage from the aneurysm. The aneurysm was proximally clipped guided by Navigation-CT angiography and flow to the distal MCA was restored by superficial temporal artery-middle cerebral artery (STA-MCA) anastornosis. We report this rare case with literature review.

• Journal of Chest Surgery
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• 제25권2호
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• pp.200-204
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• 1992

A 63 year old male had suffered from hypertension and angina pectoris for 4 years, On physical examination, blood pressure was 150/110 mmHg with medication of antihypertensive drugs. Aortogram showed the stenosis of the left renal artery, the complete occlusion of the right renal artery, and atherosclerotic change of abdominal aorta. Blood urea nitrogen was 25 mg/dl, serum creatinine was 1.2 mg/dl, and renin activity in peripheral blood was 8.7 ng /ml /hour, The stenosis of left renal artery and the complete occlusion of right renal artery should have produced the renovascular hypertension Bilateral aorto-renal bypasses with saphenous grafts were done for treatment of ren-ovascular hypertension Postoperatively, blood pressure was normalized with only small dosage of antihypertensive drugs.

• 구강회복응용과학지
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• 제34권3호
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• pp.232-238
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• 2018

가동성 조직은 총의치의 안정성을 감소시키므로, 최종의치의 제작 전에 조직의 상태를 개선시킨 후 적합하게 수정된 인상 방법을 사용하여야 하며, 적절한 중심위를 채득해야 한다. 본 증례는 상악의 가동성 조직과 하악 치조제의 심한 흡수를 보이는 67세의 무치악 여자 환자로, 고딕 아치 기록을 이용하여 치료용 의치를 제작한 뒤 조직조정을 시행하였다. 최종의치는 window opening 인상채득법과 고딕 아치 기록, 그리고 설측 교두 교합을 이용하여 제작하였고, 심미적 및 기능적으로 만족스러운 결과를 얻었기에 이를 보고하는 바이다.

• 구강회복응용과학지
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• 제17권2호
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• pp.113-123
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• 2001

The success of complete denture prosthesis is to satisfy three basic requirements for the edentulous patient : maximum comfort, efficiency, and esthetic appearance. This can be achieved only if the dentures are both stable and retentive. When the residual alveolar ridge has resorbed significantly, stability and retention are more dependent on the correct position of the teeth and external surfaces of the denture. The stability and retention of the denture can be improved by locating the denture in the neutral zone and reproducing exact mandibular border movement for balanced occlusion. The neutral zone philosophy is based upon the concept that there exists a specific area where the musculature function will not unseat the denture in the mouth. In here, forces generated by the tongue are neutralized by the forces generated by the lips and cheeks. One of the simplest methods for recording border movements in three dimensions is to make stereographic record of condylar movement. Stereographs are made in the mouth during mandibular movement with intraoral clutches and central bearing point, and used in dictating the condylar movement on the articulator later by generating the condylar paths in doughy acrylic resin. Its procedure is simpler and more convenient than that of Pantograph. In this clinical report, we introduce the concept of neutral zone and stereograph in complete denture fabrication.

• Journal of Korean Neurosurgical Society
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• 제30권12호
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• pp.1406-1416
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• 2001

Objective : The goal of this study was to evaluate the effect of Gamma Knife radiosurgery(GKS) on cerebral arteriovenous malformation(AVM) and the factors associated with complete occlusion. Patients and Methods : A total of 369 radiosurgical procedures for 336 patients with cerebral AVMs were performed between December 1988 and June 2001. Three hundreds and twenty-four cases of 293 patients who were treated with GKS procedures from May 1992 to December 2000 were analyzed. Various clinical and radiologic parameters were evaluated. Results : The total obliteration rate for the cases with satisfactory radiological follow-up(more than 2 years) after GKS was 79.3%. In multivariate analysis, maximal diameter, angiographic form of AVM nidus, and number of draining veins significantly influenced the result of radiosurgery. In addition, marginal radiation dose, Spetzler-Martin grade, and flow pattern of AVM nidi also partly influenced the radiosurgical outcome. Conclusion : GKS on cerebral AVM is considered as an effective treatment modality. The risk of hemorrhage seems to decrease within the latency interval between GKS and complete occlusion of nidus. Along with the size, topography, or radiosurgical parameters of AVMs, it is necessary to consider the angioarchitectural and hemodynamic aspects to select proper candidates for radiosurgery.

• 구강회복응용과학지
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• 제25권4호
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• pp.431-436
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• 2009

심한 치조골 흡수를 동반한 III급 악골 관계 환자의 총의치 제작의 경우 안정적이고 지속적인 교합을 제공하는 치료계획을 세워야 한다. 불리한 치관 대 치근 비와 임상적 동요도가 관찰되는 하악 잔존치를 고정하여 사용함으로써 환자의 불편감을 줄이고 시간적, 경제적으로 효율적인 치료를 제공할 수 있다. 본 증례에서는 상악 편악 무치악 환자의 기능적인 하악 운동과 조화로운 총의치 균형 교합을 이루기 위해 T-Scan System을 이용하였다.