• The korean journal of orthodontics
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• v.11 no.2
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• pp.85-100
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• 1981

Serial lateral cephalometric radiographs of 40 Korean children(25 males, 15 females) ranging in age from 6 to 13 years were studied by means of computer morphometrics and statistical analysis. As a result of this study, the following conclusions can be made: 1. In both sexes, the mean growth patterns of the face were very stable and the growth directions of the face were more prominent both forward and down-ward away from the cranial base(S-N). 2. In the mandible, the rotation and the 'wave-like' manner of migration were observed. 3. The size of the lateral faces in males was larger than females at 6 and 13 years of age, and the forms of the lateral faces in males were slightly more squares than females at 13 years of age. 4. The sex differences and practical means in the growth increments and growth rates during 7 years of the growth period were as follows: (1) In the total face, there was a significant sex difference in the growth increments(males $26.21cm^2$, females $23.24cm^2$) and growth rates(males $42.02\%$, females $39.28\%$). (2) In the facial surface 1, there was a significant sex difference in the growth increments(males $21.30cm^2$, females $19.19cm^2$) but there was no significant sex difference in the growth rates(males $41.35\%$, females $39.10\%$). (3) In the anterior total facial height(N-Ne), there was no significant sex difference in the growth increments(males 18.23mm, females 17.45mm) and the growth rates(males $18.44\%$, females $18.19\%$). (4) In the posterior total facial height(S-Go), there was a significant sex difference in the growth increments(males 14.61mm, females 12.98mm) but there was no significant sex difference in the growth rates(males $23.78\%$, females $22.25\%$). 5. The percentages of anterior upper facial height to anterior total facial height in both sexes were very stable in spite of the age increase. 6. The percentage of total facial height to standing height was reduced by the age increase, and the reduced rate of anterior total facial height(males $13.26\%$, females $13.75\%$) was larger than the posterior total facial height(males $9.95\%$, females $11.70\%$). 7. The correlations of lateral facial surfaces to the standing height and the weight were higher in males than females, but the level of correlation in males was in the moderate range.

• The korean journal of orthodontics
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• v.28 no.4 s.69
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• pp.499-515
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• 1998

The purpose of this study was to examine the associations of head posture the position of the tongue or the hyoid bone to craniofacial structure. Cephalograms taken in Natural head position(NHP) of 90 dental students (50 in male, 40 in female, 20 to 30 years in age) were traced and measured using the extracranial true horizontal and vertical lines. The obtained results were as follows; 1. There was no sex difference in head posture, but the hyoid bone was placed anteroinferiorly in male more than in female and anteroinferior inclination of the hyoid bone showed greatly in male. 2. The more inclined was the cervical column, the less prognathic was the face in natural head posture, and the larger cervical curvature, the more vertical pattern of the face. 3. The less small showed craniocervical angulation, the more anteriorly placed was the hyoid bone to the cranial base, and there was no significantly association between craniocervical angulation and the vertical position of the hyoid bone. 4. The more prognathic was the mandible, the more anteriorly placed was the hyoid bone, and there was slightly association between the craniofacial morphology and the vertical position of the hyoid bone.

• The korean journal of orthodontics
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• v.25 no.5 s.52
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• pp.557-566
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• 1995

Postpubertal craniofacial growth changes were assessed from serial lateral cephalograms taken at which subjects were 16 and 18 years of age. The sample consisted of 19 male and 14 female subjects with no previous orthodontic treatment who had normal occlusion. The craniofacial growth changes of these samples during this study period might be summarized as follows 1. Significant increase in mean maxillary and mandibular length, cranial base length, posterior md anterior facial height were observed at the age period studied in male(P<0.05), however, in female significant increase was observed only mandibular length(Ar-Gn, Ar-Go) and anterior and posterior facial height(P<0.05). 2. Total growth increment of all measumenats were below 1mm in female, but in male, total mandibular(Ar-Gn) growth increment was 2.0mm and those of mandibular tody length, ram length, posterior facial height, and anteior facial height were 1 to 1.54mm and the others were below 1mm 3. A closing, forward rotation of the mandible occured with a significant decrease in mandibular plane angle of $0.61^{\circ}$ in male(P<0.01). 4. Summarized the findings, even though statistically significant growth changes in some dimensions of female were observed, the amount of growth change were very small, however, in male the growth changes of some dimensions associated with mandible were significant and considerable amount.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.26 no.3
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• pp.229-237
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• 2000

According to the functional matrix theory, Delaire proposes that individual occlusal plane was determined by variable effects of teeth, maxilla, mandible, cranium, cranial base and soft tissue matrix including the orofacial musculature. and that there is the ideal occlusal plane determined by the most proper spatial position of maxilla and mandible, functionally and esthetically. This study was designed to find out the relation between Delaire's ideal occlusal plane and muscle activity of masticatory muscles in individuals who have normal maxillo-mandibular relationships. Lateral cephalometric radiographs were taken and his/her individual occlusal plane and ideal occlusal plane were analyzed with Delaire's architectural and structural craniofacial analytic method. For evaluation of muscle activities of masticatory muscles, electromyography of anterior temporal muscle, superficial masseter muscle, and anterior belly of digastric muscle was recorded in fifty Korean normal Angle class I occlusion individuals. According to the average value of ideal occlusal plane, fifty normal Angle class I occlusion individuals were classified into three groups: Ideal occlusal plane group(I group), hyperrotation group(I+ group) and hyporotation group(I- group). The result of this study was as follows: 1. The results of Delaire's architectural and structural craniofacial analysis of lateral cephalography of the fifty Korean normal Angle class I occlusion individuals are that twelve persons(24%) have consistent or parallel with ideal occlusal plane and the average of angular difference was $1.22^{\circ}{\pm}3.69^{\circ}$. 2. There is no significant difference in muscle activities of masticatory muscles during resting(p<0.05), but significant increases of muscle activity of ipsilateral anterior temporal and masseter muscle, contralateral anterior belly of digastric muscle during unilateral chewing and of anterior temporal and masseter muscle during bilateral clenching(p<0.05). 3. To find out the effect of the angular difference between Delaire's ideal occlusal plane and real occlusal plane to muscle activity, muscle activities of masticatory muscles were compared with three groups in each other; I group, I+ group and I- group. The results were no significant differences during resting, unilateral chewing and bilateral clenching.(p>0.05) 4. Although there is no significant differences of masticatory muscle activities among the three groups, the fact that increasing tendency of masseter muscle activity of ideal occlusal plane group(I+) than those of any other groups(I+ and I-) during bilateral clenching was noted. There is only the implication that occlusal plane makes some effects on masticatory muscle activities, espacially that of masseter muscle during bilateral clenching. In conclusion, the hypothesis that occlusal plane is one of the factors which affect the muscle activities of masticatory muscles and that anyone whose occlusal plane consistent with Delaire's ideal occlusal plane has an extraordinary functional advantage in masticatory muscle function cannot be proven with electromyography methods.

• Journal of the korean academy of Pediatric Dentistry
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• v.45 no.2
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• pp.257-264
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• 2018

Osteopetrosis is characterized by impaired osteoclast function and increased bone density. Infantile osteopetrosis is a severe form of the disease and has characteristics such as diffusely sclerotic skeleton, pancytopenia, cranial nerve entrapment, infection susceptibility, and abnormal craniofacial appearance. Patients with infantile osteopetrosis often experience developmental delay, and may have a short life span. A 14-month-old girl with osteopetrosis presented to the department of pediatric dentistry. Incipient caries on deciduous incisors were observed. The patient revisited 4 years of age. Besides medical problems, oral complications such as growth retardation, narrow upper arch, crowding, dental caries, and abnormal tooth development were observed. After consultation with her pediatrician, dental treatments were performed on the deciduous molars under sedation after a prophylactic antibiotic injection. At a periodic follow-up, multiple deciduous teeth were treated and extracted, and oralrehabilitation with a removable partial denture was initiated. Patient with osteopetrosis are highly susceptible to infection because of their compromised immune system and problems associated with wound healing that lead to osteomyelitis or sepsis development. Active participation in dental care for sugar intake management and proper oral hygiene are obligatory.

• Tuberculosis and Respiratory Diseases
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• v.47 no.2
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• pp.247-254
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• 1999

Respiratory failure is the most serious manifestation and usual cause of death in acute organophosphate poisoning, and is common in acute cholinergic crisis. But the respiratory failure may appear suddenly in a patient who is recovering from the cholinergic crisis, even while receiving conventional therapy. These are case report of 37 years old male and 24 years old female with intermediate syndrome in organophosphate poisoning. The two patients ingested organophosphate(fenthion and mixture of DDVP with chlorpyrifos respectively) incidentally and in a sucide attempt respectively. After apparent recovery from the cholinergic crisis with a conventional therapy but before the expected onset of delayed polyneuropathy, the respiratory failure appeared suddenly with a muscular weakness, affecting predominantly the proximal limb muscles, neck flexors, territories of several motor cranial nerves. The two patients needed mechanical ventilatory support and recovery from the intermediate syndrome was complete in both patients, although one subsequently developed hypoxic encephalopathy. The clinical manifestation and electrophysiologic study support the clinical diagnosis of intermediate syndrome. The syndrome carries a risk of death. because of respiratory paralysis, if not recognized early and treated adequatedly. Prompt endotrachial intubation and mechanical ventilatory support is the cornerstone of treatment of the intermediate syndrome. Therefore, all patient should be observed in a hospital for up to 5 days after poisoning.

• Archives of Craniofacial Surgery
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• v.10 no.1
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• pp.49-54
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• 2009

Purpose: Inevitably, Maxillary structural defect follows maxillary cancer extirpation. Maxillary reconstruction is over every surgeon's head. Every physician tried to overcome limited donor site of craniofacial defect. We considered to suggest optimal method of inferior orbital wall defect in functional point as well as esthetic point. Methods: We performed wide excision of maxilla and vascularized partial thickness calvarial bone flap to reconstruct the defect from cancer extirpation in three cases. We select ipsilateral superficial temporal artery, vein and outer cortex of parietal bone flap as donor. And we applied bone flap as inferior orbital wall structure. The bony surface was wrapped with fascia to prevent direct contact between orbital contents and rough bony flap surface. Computed tomography image was checked during follolw up period. Results: We can observe these patients for over two years. In all three cases, We can get fair inferior orbital wall structure. Even though they got radiation therapy, there was no limitation of extraocular movements, no diplopia. no enophthalmos. Also there was minimal donor site morbidity. Conclusion: We suggest vascularized calvarial bone flap is practically excellent strategy for inferior orbital wall reconstruction.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.17 no.4
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• pp.447-455
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• 1995

Cavernous sinus thrombosis is one of the major complications of abscesses of the maxillofacial region. The initial symptoms of CST are usually pain in the eye and tenderness to pressure. this is associated with high fluctuating fever, chills, rapid pulse, and sweating. Venous obstruction subsequently causes edema of the eyelids, lacrimation, proptosis, chemosis and retinal hemorrhages. Blindness is sometimes an accompaniment of cavernous sinus thrombosis when the infection also involves the orbit. There is also cranial nerve involvement (oculomotor, troclear, abducence) and ophthalmoplegia, diminished or absent corneal reflex, ptosis, and dilation of the pupil occur. The terminal stages bring signs of advanced toxemia and meningitis. Infections of the face can cause a septic thrombosis of the cavernous sinus. Furunculosis and infected hair follicles in the nose are frequent causes. Extractions of maxillary anterior teeth in the presence of acute infection and especially curettage of the sockets under such circumstances can cause this condition. The infection is usually staphylococcal. The inflection may spread directly through the pterygoid plexus of veins and the pterygomaxillary space and then ascend into the sinus or it may spread directly from the pterygopalatine space to the orbit. This is possible because of the absence of valves in the angular, facial, and ophthalmic veins. The treatment is empirical antibiotic therapy followed by specific anbibiotic therapy based on blood or pus culture. The inflection usually involves one side, however, it may easily spread to the opposite side through the circulus sinus. Unless it is treated early, the prognosis is poor even in this doses. Occasionally the antibiotics will not adequately resolve the septic thrombus, and death ensues. the use of anticoagulants to prevent venous thrombosis has been recommended, but the efficacy of such therapy has not been substantiated. Surgical access through eye enucleation has been suggested. We report a case which demonstrates cavernous sinus thrombosis by the infection after the functional neck dissection and the intraoral reconstruction with auriculomastoid fascio-cutaneous island flap.

• The korean journal of orthodontics
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• v.30 no.3 s.80
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• pp.297-306
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• 2000

Lateral cephalometric X-ray films in maximal intercuspation and maximal opening of 68 children were taken and analyzed to examine the pattern of condylar movement and to study the relationship between opening movement and morphologic factors of craniofacial skeleton. The results were as follows : 1. The mean value of maximal opening capacity was 47.1mm, condylar moving distance was 18.1mm, horizontal condyle movement was 17.5mm, vertical condyle movement was 3.8mm and condylar moving angle was $13.1^{\circ}$. 2. The maximal opening capacity had positive relationship with the length of anterior cranial base, mandible and maxillary complex and with posterior facial height and had negative relationship with articular angle, sagittal jaw relationship. 3. Vertical condyle movement and condylar moving angle had positive relationship with articular angle and had negative relationship with gonial angle. 4. Horizontal condyle movement and condylar moving distance had positive relationship with the length of maxillary complex.

• The korean journal of orthodontics
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• v.25 no.4
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• pp.425-432
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• 1995

The purposee of this study is to investigate the correlation between the horizontal and vertical discrepancy of facial bones and the horizontal and vertical position of glenoid fossa. For this study, the cephalograms were taken to the adults over 18 of age(96 men and 108women). The cephalograms were divided into three groups according to the ANB angle(below 0.5 degree, 0.5 to 4.0 degree and above 38 degree), and they were divided into three groups according to the SN-MP angle(below 30 degree, 30 to 38 degree and above 38 degree). The following conclusions were obtained : 1. In the horizontal discrepancy of facial bone(ANB), the horiontal position of glenoid fossa(X) was anterior position as the order of Class II, Class I, Cias III. 2. The horizontal position of glenoid fossa(X) showed the significant correlation with ANB and SNB, but not with SNA. 3. In the vertical discrepancy of facial bone(SN-MP), thee less anglee was the greater vertical position of glenoid fossa (X) and was followed by the medium and high angle in order. 4. The vertical position of glenoid fossa(Y) showed thhat the SN-FH was the most significant correlation, and it was followed as the order of SN-FH, SN-MP and SN-OP angle. 5. There was the samllest length of anterior cranial base in the Class III malocclusion.