• Journal of Trauma and Injury
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• 제26권4호
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• pp.297-299
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• 2013

Traumatic asphyxia, also called 'Perthes syndrome', is characterized by subconjunctival hemorrhage, cervicofacialpetechiae and cyanosis resulting from venous hypertension caused by an abrupt, severe, compressive force to the thoracoabdominal region. A 37-year-old male patient who was transferred to the emergency room due to chest trauma by overturning of a forkcrane. His head, neck, and shoulders showed severe ecchymosis, and his upper chest was cyanotic. There was bilateral subconjunctival hemorrhage and bilateral ear bleeding without tympanic rupture. Perthes syndrome is a rare condition and we treated a patient with typical and atypical symptoms; thus we report this case of Perthes syndrome.

• The Korean Journal of Pain
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• 제12권1호
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• pp.140-143
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• 1999

Ramsay-Hunt syndrome is a related but more serious disorder caused by herpes zoster viral infection of the geniculate ganglion. It is characterized by unilateral painful vesicular rash of the uvula, palate, auricle, ear canal, and postauricular area, but it can extend into the facial tissues as well. Paralysis of the facial nerve is often seen, and there can be disequilibrium and hearing problems also. We experienced continuous cervical epidural block (CCEB) with intermittent stellate ganglion block is effective in Ramsay-Hunt syndrome. CCEB should be considered to the treatment of choice in Ramsay-Hunt syndrome.

• Journal of Periodontal and Implant Science
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• 제40권2호
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• pp.86-89
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• 2010

Purpose: Osteotome sinus floor elevation (OSFE) is an often-used technique of great utility in certain implant patients with resorbed posterior maxilla. Recently benign paroxysmal positional vertigo (BPPV) has been reported as an early postoperative complication following OSFE. Although OSFE-induced BPPV commonly resolves itself within a month without treatment, this complication can be a cause of trouble between the implant surgeon and patient. This report presents a case of BPPV following OSFE. Methods: A 27-year-old man without any significant medical problems and missing his maxillary right first molar, was scheduled for OSFE and simultaneous implant placement. Results: The patient suffered dizziness accompanied by nausea immediately after implant placement using OSFE. Following referral to the ear nose throat clinic, "right posterior canal BPPV" was diagnosed. Despite anti vertigo medication and a single episode of the Epley maneuver, the condition did not improve completely. The Epley maneuver was then applied 7 and 8 days later and the symptoms of BPPV disappeared. One year later, the patient remained symptom-free. Conclusions: Before sinus elevation with an osteotome, implant surgeons should screen out patients with a history of vertigo, to diminish the possibility of BPPV. Operators should be aware of BPPV symptoms. As the symptoms may be very incapacitating, immediate referral to an otorhinolaryngologist is recommended.

• 전기전자학회논문지
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• 제14권4호
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• pp.291-296
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• 2010

본 논문에서는 카메라 등에 의한 영상정보에서 주행로의 환경에 의한 주행체의 전후 및 좌우로 기울어지는 자세 변화를 감지하는 방법을 제시한다. 주행체의 자세가 어떤 방향으로 기울게 되면 그에 따라 영상정보의 피사체 위치가 상하 또는 좌우로 기울어져 변화한다. 이는 사람이 평형기관 외에 시각에 의하여 자세 변화를 감지하고 그에 따라 반응하는 것과 같은 원리이다. 본 논문에서 제시한 방법은 카메라를 통하여 얻은 영상에서 영상정보뿐 아니라 부수적으로 자세변화 감지동작도 수행할 수 있음을 제시하였고 그 내용을 실험을 통하여 확인하였다.

• 임상이비인후과
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• 제29권2호
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• pp.240-244
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• 2018

Granulomatosis with polyangiitis (GPA) and Immunoglobulin (Ig) $G_4$-related disease ($IgG_4$-RD) are rare diseases and early diagnosis and proper management are imperative to prevent multi-organ damage. The authors present a case of a 60 years old woman who had facial paralysis and hearing loss. Lt intact canal wall tympanomastoidectomy, Lt facial nerve decompression and ossiculoplasty with partial ossicular replacement prosthesis (PORP) was done. During operation, middle ear tissue was biopsied and GPA with $IgG_4$-RD was diagnosed. After methyl prednisolone (MPD) pulse therapy and azathioprine therapy, the severity of paralysis was improved. We present this case because common otologic symptoms like facial palsy and hearing loss could be initial symptoms of rare systemic disease.

• 대한수의학회지
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• 제26권1호
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• pp.1-9
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• 1986

This study was carried out to investigate the branch and distribution of Nervus facialis of the Korean native goat. The observation was made by dissection of embalmed cadavers of ten Korean native goats. The results were as follows; 1. N. facialis arose from the ventrolateral surface of the medulla oblongata. 2. In the facial canal, N. facialis gave off N. petrosus major, N. stapedius and Chorda tympani. 1) N. petrosus major arose from Ganglion geniculi, passed through the pterygoid canal and terminated in Ganglion pterygopalatinum. 2) Chorda tympani joined N. lingualis at the lateral surface of the internal pterygoid muscle. 3. At the exit of the stylomastoid foramen, N. facialis gave off N. caudalis auricularis, Ramus auricularis internus, Ramus stylohyoideus and Ramus digastricus. 1) N. caudalis auricularis arose by two branches in 6 cases and by a single branch in 4 cases. N. caudalis auricularis gave off branches to the caudoauricuIar muscles and the internal surface of the conchal cavity. 2) Ramus auricularis internus arose by a single branch except in 2 cases in which it arose in common with N. caudalis auricularis. It penetrated the caudolateral surface of the tragus and distributed in the skin of the scapha. 3) Ramus stylohyoideus and Ramus digastricus arose separately from N. facialis. 4. In the deep surface of the parotid gland, N. facialis divided into N. auriculopalpebralis, Ramus buccalis dorsalis and Ramus buccalis ventralis. In 6 cases, N. facialis gave off Ramus buccalis ventralis and then divided into N. auriculopalpebralis and Ramus buccalis dorsalis. In 3 cases, N. facialis trifurcated into Ramus buccalis ventralis, Ramus buccalis dorsalis and N. auriculopalpebralis. In one case, N. facialis gave off N. auriculopalpebralis and then divided into Ramus buccalis dorsalis and Ramus buccalis ventralis. 1) Ramus buccalis ventralis ran along the ventral border of the masseter muscle and distributed to the buccinator and depressor labii inferioris muscles. Ramus buccalis ventralis communicated with a branch of Ramus buccalis dorsalis and N. buccalis. In 2 cases, it also communicated with N. mylohyoideus. 2) Ramus buccalis dorsalis communicated with Ramus transverses faciei, N. buccalis, N. infraorbitalis and a branch of Ramus buccalis ventralis. Ramus buccalis dorsalis distributed to the orbicularis oris, caninus, depressor labii inferioris, levator labii superioris, buccinator, malaris, nasolabialis and zygomaticus muscles. 3) N. auriculopalpebralis gave off Rami auriculares rostrales, which supplied the zygomaticoauricularis muscle, the frontoscutularis muscle and the skin of the base of the ear. N. auriculopalpebralis then continued as Ramus zygomaticus, which innervated the frontal muscle, the lateral surface of the base of the horn, the orbicularis oculi muscle and the adjacent skin of the orbit. N. auriculopalpebralis communicated with Nn. auriculares rostrales and Ramus zygomaticotemporalis. In 7 cases, it also communicated with N. infratrochlearis.

• The Korean Journal of Pain
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• 제5권2호
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• pp.263-268
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• 1992

Ramsay Hunt 증후군으로 확진된 환자 2예를 경험하였다. 첫 예인 경우 안면신경마비가 발생하던 날 바로 방문하여 대상포진에 대한 치료와 환측 성상신경절 차단 15회, TENS, 안면운동 훈련 반복 등으로 발병 후 3주만에 완전 치유 되었으며, 두번째 환자는 발병 후 7주일 후에 방문하여 대상포진에 대한 치료는 생략하고 안면신경마비에 대한 치료라고 사료되는 환측 성상신경절 차단 50회, TENS 수백회, 안면운동 훈련 반복시행하였으나 부분적인 회복을 하였을 뿐이다. 그러므로 Ramsay Hunt 증후군의 치료도 다른 여러 질환과 마찬가지로 조기에 치료하면 회복이 빠르고 거의 완전하며, 늦어질수록 예후가 좋지 않다는 것을 경험하였다. 두 예 모두에서 대상포진 후 신경통으로의 이행은 없었다.

• International Journal of Precision Engineering and Manufacturing
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• 제7권2호
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• pp.41-45
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• 2006

This paper deals with human spatial cognition using visual and auditory stimulation. More specially, this investigation is to observe the relationship between the head and the eye motor system for the localization of visual target direction in space and to try to describe what is the role of right-side versus left-side pinna. In the experiment of visual stimulation, nineteen red LEDs (Luminescent Diodes, Brightness: $210\;cd/^2$) arrayed in the horizontal plane of the surrounding panel are used. Here the LEDs are located 10 degrees apart from each other. Physiological parameters such as EOG (Electro-Oculography), head movement, and their synergic control are measured by BIOPAC system and 3SPACE FASTRAK. In the experiment of auditory stimulation, one side of the pinna function was distorted intentionally by inserting a short tube in the ear canal. The localization error caused by right and left side pinna distortion was investigated as well. Since a laser pointer showed much less error (0.5%) in localizing target position than FASTRAK (30%) that has been generally used, a laser pointer was used for the pointing task. It was found that harmonic components were not essential for auditory target localization. However, non-harmonic nearby frequency components was found to be more important in localizing the target direction of sound. We have found that the right pinna carries out one of the most important functions in localizing target direction and pure tone with only one frequency component is confusing to be localized. It was also found that the latency time is shorter in self moved tracking (SMT) than eye alone tracking (EAT) and eye hand tracking (EHT). These results can be used in further study on the characterization of human spatial cognition.

• 한국음향학회지
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• 제20권6호
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• pp.94-103
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• 2001

수치해석 방법을 이용하여 실험으로 구한 머리전달함수 (Head Related Transfer Function: HRTF)를 컴퓨터 시뮬레이션으로 대치하고, 청취자의 머리 주변에서의 음장을 가시화하는 방법에 대해 다룬다. 본 논문에서는 경계요소법 (Boundary Element Method)과 무한요소법 (Infinite-Finite Element Method)의 두 가지 방법을 이용한다. 지금까지는 더미헤드 (Dummy-Head)등을 이용한 실험으로 머리전달함수를 구하였는데 이 실험에는 상당한 시간과 장비가 필요하다. 3차원 레이저스캐너를 이용하여 KEMAR 더미헤드의 형상을 측정하고 이것을 여러 다른 요소 수를 가지는 경계요소모델 및 무한요소모델로 변환하여 머리전달함수를 계산하고 모델의 요소 크기와 적용 가능한 주파수 대역과의 관계에 대해 분석한다. 측정을 통해 구한 머리전달함수와 비교하여 모델을 검증하고 음향학의 상반원리를 적용하여 머리전달함수의 데이터베이스를 구한다. 또한 몇 가지 가상음향 시스템에 대한 음장해석을 통해 주파수 및 시간영역에서의 음장을 가시화한다.

• 융합신호처리학회논문지
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• 제13권1호
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• pp.1-5
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• 2012

본 연구에서는 청취자가 3차원 공간에서 자유로이 움직일 수 있는 음장 재생 시스템을 개발하였다. 시스템은 방음실($4.7m(W){\times}2.8m(D){\times}3.0m(H)$)에 설치하였으며 개인용 컴퓨터, 음의 제시장치 그리고 3차원 초음파 센서로 구성하였다. 본 시스템에서는 실내 전체를 감지하는 3차원 초음파 센서로부터 청취자의 위치 정보 및 자세각 정보를 얻어, 컴퓨터에서 나오는 음신호에 머리전달함수(HRTFs)를 삽입하여 음의 제시 장치로부터 출력하도록 설정하였다. 실험에 사용한 머리전달함수는 청취자의 머리 정변에서 1.5m 떨어진 지점에서 각각 측정하였다. 그리고 시스템의 성능을 평가하기 위해 가상 음원의 위치를 랜덤으로 변화시키고, 청취자에게는 자유로운 이동을 허락한 상태에서 음원의 위치를 찾는 실험을 수행하였다. 그 결과, 3차원 공간에 있어서 제시된 음원의 위치에서 청취자가 추정한 위치까지의 거리 오차는 약 30cm 이내로 나타났다.