• 제목/요약/키워드: Distal segment

검색결과 187건 처리시간 0.025초

턱교정 수술에서 3차원 입체 모델과 치아 석고모형의 결합을 이용한 하악 근원심 골편간 간섭의 예측 (A PREDICTION OF BONY INTERFERENCE BETWEEN PROXIMAL & DISTAL SEGMENT OF THE MANDIBLE WITH INTEGRATED 3D SOLID MODEL AND DENTAL CAST IN ORTHOGNATHIC SURGERY)

  • 권대근;이상한;김종배;남기영
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제29권3호
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    • pp.163-168
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    • 2003
  • Three-dimensional solid model has not been widely used in surgical prediction of orthognathic surgery because frequent artifacts from occlusal restorations or prosthesis limited the usefulness of simulated surgery involving occlusion. We prepared three-dimensional(3D) solid model from CT data and integrated the 3D solid model with dental cast using a face-bow transfer technique combined with skeletal reference measurement and confirmation with cephalometric radiographs. With this simple and easy method, it was possible to predict bony interference between the proximal and distal segment of the mandible so that we can prevent condylar displacement after sagittal split ramus osteotomy of the mandible with prominent asymmetry. The method error was within 2mm and it seemed to be useful in preoperative planning for maxillofacial surgery with maxillo-mandibular occlusal change.

Three-Dimensional Angiographic Demonstration of Plexiform Fenestrations of the Proximal Anterior Cerebral Artery Associated with a Ruptured Aneurysm

  • Koh, Jun-Seok;Lee, Seung-Hwan;Bang, Jae-Seung;Kim, Gook-Ki
    • Journal of Korean Neurosurgical Society
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    • 제44권5호
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    • pp.338-340
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    • 2008
  • A rare case of ruptured aneurysm associated with multiple $A_1$ fenestrations resembling plexiform network was demonstrated by 3D angiography. A 56-year-old female presented with a ruptured aneurysm in the $A_2$ segment of the left distal anterior cerebral artery associated with the right $A_1$ fenestration. The ruptured aneurysm was occluded with surgical neck clipping via interhemispheric approach without neurological deficit. Plexiform fenestrations of the right distal $A_1$. opposite side to the left ruptured $A_2$ aneurysm, were clearly visible on postoperative 3D angiography. Our case may strongly support the theory described by Paget, namely that a remnant of the plexiform anastomosis between the primitive olfactory artery and $A_1$ segment is the source of such fenestration.

한국 연안의 Paracalanus parvus와 P. indicus의 재기재 (Redescription of Paracalanus parvus and P. indicus (Copepoda: Paracalanidae) recorded in the Korean waters)

  • 강영실
    • 한국수산과학회지
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    • 제29권3호
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    • pp.409-413
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    • 1996
  • 한국 연안에서 Paracalanus parvus로 분류되어졌던 종에 대한 분류학적인 재검토를 하였다. 그 결과 한국연안에서 Paracalanus parvus로 분류되어져 왔던 종은 Paracalanus parvus와 Paracalanus indicus, 2종인 것으로 밝혀졌다. 이 두 종의 형태학적 특징 중 가장 뚜렷한 차이는 제$2\~4$유영지였다. Paracalanuss parvus는 제$2\~4$유영지 외지 세번째 마디절 외연 말단부에 거치가 없으며, 제1기절에는 극침이 있다. P. indicus는 제2, 3유영지의 외지 세번째 마디절 외연 말단부에는 거치가 있으나, 제4유영지에는 없다. 또한, 제1기절에 극침이 있다.

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Copepods (Cyclopoida) Associated with Compound Ascidians (Tunicata) from Korea, with Descriptions of Nine New Species

  • Lee, Jimin;Kim, Il-Hoi
    • Animal Systematics, Evolution and Diversity
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    • 제38권4호
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    • pp.167-198
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    • 2022
  • Ten species of copepods, including nine new species, associated with compound ascidians are recorded from Korean waters. Nine new species can be characterized by their major diagnostic features, as follows: Botryllophilus pentamerus n. sp. by having a five-annulated abdomen; B. paucisetatus n. sp. by the presence of four and three setae on the exopods of right and left leg 1, respectively; Haplostoma quadridens n. sp. by the presence of four lobes on the labrum and one seta plus four spines on the exopods of legs 1-4; H. paucidens n. sp. by the presence of only two spines on the distal segment of the antenna; Enterocola horridus n. sp. by having five setae on the antenna, no seta on the caudal ramus, and two setae on leg 5; E. longicaudatus n. sp. by having long caudal rami which are more than three times as long as wide; Thoracodelphys bisetata n. sp. by the presence of only two setae on the basis of the maxillule; T. cerasta n. sp. by the presence of a large, horn-like process on the distal margin of the basis of leg 2; and Unimeria hirsuta n. sp. by having three setae on the terminal segment of the maxilla. Zygomolgus didemni (Gotto, 1956) previously known only from European waters is reported from Korean waters, with a redescription and illustrations.

시상골 골절단술시 근심골편의 변위를 방지하기위한 lingual fracture technique (LINGUAL FRACTURE TECHNIQUE TO PREVENT THE DISPLACEMENT OF THE PROXIMAL SEGMENT DURING SSRO PROCEDURE)

  • 장헌수;우성도;김종필;안재진
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제16권1호
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    • pp.51-62
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    • 1994
  • The sagittal split osteotomy of the mandibular ramus is a common procedure which has been used in the correction of mandibular deformities for a few decades. Although the technical improvements have increased the reliability and stability of SSRO procedure, the postoperative relapse is imperative and clinically more significant than any other complication. One of the major causes of the relapse is due to the displacement of the proximal segment during SSRO procedure, which is well documented in the literature. Therefore it is important to preserve the original position of the proximal segment during SSRO proced and maxillofacial fixation period. In the case of mandibular asymmetry, if one side of mandible is advanced and the other side of mandible is setback during SSRO procedure, the proximal segment in the advancement site will rotate laterally and the proximal segment in the setback site will rotate medially. For the prevention of the lateral rotation or flaring of the proximal segment in the advancment site. we deliberately fracture the posterior protion of the distal segment in green-stick fashion during SSRO procedure, and there is no need to fix the fractured lingual segment. We fix the two osteotomized bony segments in the buccal cortex area rigidly with adjustable monocortical plates and screws. During SSRO procedure the lingual fracture technique was applied to nine patients with severe mandibular asymmetry who underwent orthognathic surgery in our hospital since march, 1992. These clinical experiencies enable us to find the lingual fracture technique has the following advantages. 1. The proximal segment is displaced minimally. 2. The osteotomized bony segments are contacted intimately. 3. The postoperative relapse and the healing period are decreased.

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이부 비대칭 치료를 위한 새로운 이부 성형술의 소개 - 전환 이부성형술: 증례보고 (Switching Genioplasty- a New Genioplasty Technique in Order to Resolve Asymmetry of Chin Area: Case Report)

  • 서현수;이영주;변광섭;홍순민;박준우;홍지숙;박양호
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제33권1호
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    • pp.55-61
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    • 2011
  • Conventional slinding genioplsty has the risk of mental nerve injury after operation and difficult to correct vertical asymmetry of chin. So, authors propose a new genioplasty to correct asymmetry of chin. Switching genioplasty is a modification method of conventional genioplasty. Between mandibular right and left canine, osteotomy line of triangular shape make until mandibular lower border. In large side, osteotome line of wedge shape is added to reduction. After osteotomy, segment of wedge shape was separated from chin. Distal segment was rotated to reduction side. Because of rotation of distal segment, space is made in opposite side. Seperated segement of wedge shape from large side is switched this space to fill. So, stability of distal segment is achieved. Authors applied to swiching genioplasty the patients who was remained the chin asymmetry after both sagittal split ramus osteotome was done because mandible asymmetry. After operation, patient and operator were satisfied with excellent esthetic results without any other complication. The switching genioplasty is effective surgical technique for chin asymmetry because it has more advantages than conventional sliding genioplasty. First, other donor side does not need for bone graft. Second, the switching genioplasty can reduce infection, bone resroption, dehiscence, capsular contraction after allograft. Third, have little mental nerve damage. Forth, anteroposterior correction is possible. Fifth, operation time is less than other genioplasty for chin asymmetry.

볼링투구동작의 운동역학적 분석(II) (Mechanical Analysis of throw motion in Bowling)

  • 이경일
    • 한국운동역학회지
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    • 제12권1호
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    • pp.173-191
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    • 2002
  • The purpose of this study was defined efficient throw motion pattern to obtain the quantitative data and to achieve successful bowling through kinetic - kinematic variables on the throw motion. Subject of group composed of three groups : Higher bowlers who are two representative bowlers with 200 average points and one pro-bowler. Middle bowlers who are three common persons with 170 average points. Lower bowler who are three common persons with 150 average points. Motion analysis on throw motion in three groups respectively has been made through three-dimension cinematography using DLT method. Two high-speed video camera at operating 180 frame per secondary. One-way ANOVA has been used to define variable relations. Analyzed result and conclusion are the following : The displacement of back of the hand must have wider difference of each right-left displacement to increase the spin of the ball. In high bowlers group, difference between the front-rear position of back of the hand in case of success and that in case of failure in follow throw is 0.17m. That is to say, momentum in case of success come to increase greatly, compared with that in case of failure. To increase the spin of the ball, the potential difference should be narrower in follow through. In case of the high bowlers, the velocity of the front-rear direction of the back of the hand has been the fastest both in release and follow through, compared with those in other groups, which has contributed to increasing the spin force of the ball. The orders in the resultant velocity of the back of the hand has shown the this : the finger tip$\rightarrow$the back of the hand$\rightarrow$wrist.These orders made the proximal segment support the distal segment. The distal segment has provided the condition to accelerate the velocity. In case of failure, the suddenly increased velocity has caused the failure in the follow through. Acutely flexing the angle of the back of the hand has contributed to lifting to increase the spin of the ball.

가토 하치조신경 재건에 있어 정맥이식통로를 이용한 신경재생유도에 관한 실험적 연구 (VEIN GRAFT REPAIR COMPARED WITH NERVE GRAFTING FOR INFERIOR ALVEOLAR NERVE REGENERATION IN RABBITS)

  • 신일;김명진;남일우
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제26권3호
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    • pp.270-278
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    • 2000
  • This study was conducted to compare the vein graft with the nerve graft, and evaluated the availability of the vein graft on the reconstruction of the inferior alveolar nerve defect. The experimental animals were 12 rabbits weighing $1.5{\sim}2.0kg$, divided into 3 groups : sham operation group, vein conduit group and nerve graft group. All nerves were excised and histomorphometric analysis was performed at 2, 4, 6, 12, 16 weeks after operation. The obtained results were as follows. 1. Histologic examination revealed the regenerated nerve fibers within the lumen of the vein graft and nerve graft at 6 weeks after repair. 2. Axon diameter was significantly larger in nerve graft group(p<0.05) than in vein graft group at 6weeks, and larger in nerve graft group than in vein graft group at 16weeks. 3. Axon density was higher in the vein graft group at 16 weeks. 4. The myelin of the regenerated nerve fibers in distal segment of the vein graft group was thick, approaching the proximal segment at 16weeks. This means remyelination in distal segment in the vein graft group. These results suggested that autogenous vein graft may be used as an alternative to autogenous nerve graft.

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심각한 외측 회전을 동반한 전완 기형의 외과적 교정 치료 2 증례 (Surgical Correction of an Antebrachial Deformity with Severe External Rotation in Two Dogs)

  • 윤헌영;노미영;정순욱
    • 한국임상수의학회지
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    • 제28권3호
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    • pp.328-331
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    • 2011
  • 간헐적 전지 파행을 보이는 두 마리 개가 내원하였다. 신체 검사에서 약 $90^{\circ}$ 외측 회전을 동반한 전완 기형을 두 마리 모두에서 확인 하였다. 일반 방사선 사진에서 척골 원위부 아탈구, 요골 앞쪽 휨 현상, 짧아진 요골 척골, 및 앞발의 외측 회전을 확인하였다. 외측 회전을 동반한 전완 기형의 교정을 위해 척골 원위부 골절제와 요골 원위부 쐐기형 절골술 및 요골 원위부 내측 회전을 실시 하였다. 관절 부조화를 예방하기 위해 척골 근위부 절골술을 첫 번째 개에서 실시 하였다. 수술 후 정기 검진은 수의사의 신체 검사를 통해 실시 되었으며 두 마리 모두에서 수술과 관련한 합병 증상 및 파행이 없음을 확인하였다.

손가락끝 손상의 치료 시 인조손톱의 유용성 (The Usefulness of the Artificial Nail for Treatment of Fingertip Injuries)

  • 최환준;권준성;탁민성
    • Archives of Plastic Surgery
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    • 제37권6호
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    • pp.788-794
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    • 2010
  • Purpose: The fingertip is the most commonly injured part of the hand and its injury frequently results in avulsion or crushing of a segment of the nail bed and fracture of the distal phalangeal bone. Restoration of a flat and smooth nail bed is essential for regrowth of a normal nail, which is important not only for cosmetic reasons but also for tactile capability of the fingertip. It is also anatomical reduction of the distal phalanx to promote patient's cosmetics and prevent nail bed deformity. Absence or no replacement of the nail plate results in obliterated proximal skin fold. When the avulsed nail plate cannot be returned to its anatomic position or when it is absent, we use a synthetic material for splinting the nail bed and alternative reductional method for distal phalangeal bone fracture, especially, instead of hardwares. Methods: From January of 2006 to June of 2009, a total of ten patients and fourteen fingers with crushing or avulsion injuries of the fingertip underwent using the artificial nails for finger splint. We shaped artificial nails into the appropriate sizes for use as fingernail plates. We placed them under the proximal skin fold and sutured to the fold proximally and to the lateral and medial edges of the nail bed or to the distal fingertip. Our splints were as hard as K-wire and other fixation methods and more similar to anatomic nail plates. Artificial nails were kept in place for at least 3 weeks. Results: No artificial nail related complication was noted in any of the ten cases. No other nail fold or nail bed complications were observed, except for minor distal nail deformity because of trauma. Conclusion: In conclusion, in order to secure the nail bed after injury and reduce the distal phalangeal bone fracture, preparing a nail bed splint from a artificial commercial nail is a cheap and effective method, especially, for crushed or avulsion injuries of the fingertip.