• 제목/요약/키워드: Frontal area

검색결과 321건 처리시간 0.026초

전두동 골절 환자에서 머리덮개뼈의 바깥판을 한판으로 이용한 즉시 전두동 재건술 1례 (A Case Report of an Immediate Frontal Sinus Reconstruction Using an Outer Table Calvarial Bone Graft in an En Bloc Manner)

  • 김종도;김정태;김연환
    • 대한두개안면성형외과학회지
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    • 제12권1호
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    • pp.33-36
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    • 2011
  • Background: In a frontal sinus reconstruction, the literature primarily recommends a surgical approach for definite treatment with the exception of for anterior wall fractures with no dislocation. Many studies have assessed a range of methods for the reduction of frontal sinus fractures. This paper presents a case, in whom the anterior wall of the frontal sinus was reconstructed using an outer table calvarial bone graft in an en bloc manner. Patient and methods: A 36-year-old male visited the emergency room with a heavy injury to the forehead. He was diagnosed with fractures of the anterior and posterior wall of the frontal sinus. The neurosurgeon removed the fractured area and repaired the meninges. Afterwards, cranialization was performed and the opening of the nasofrontal duct was obstructed. After fixing the removed bone to its original location, all fragments of fractured anterior wall were purged out and the anterior wall reconstructed using an en bloc calvarial bone graft. Results: In the post-operative 8 months period, there were no complications, the round contour of the forehead was expressed well and the patient was satisfied with the result. Conclusion: There are many methods for reconstructing the anterior wall of the frontal sinus. On the other hand, in cases of large fracture sites with many fractured bone fragments, en bloc harvesting of the outer table calvarial bone could be a better choice than making use of only plates and screws because this method shows a good results in terms of aesthetics with a low complication rate.

개의 경막외 혈종의 자기공명영상학적 진단 (MAGNETIC RESONANCE IMAGING APPEARANCE OF EPIDURAL HEMATOMA IN DOG)

  • 최치봉;김휘율;김수관;배춘식
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제27권5호
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    • pp.488-491
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    • 2005
  • A 3-year-old female, 5kg, Shih-tzu developed an acute onset of depression, disorientation, hypersalivation, nystagmus after falling down 2 meter height place. In plain skull radiography, there was fracture line in the frontal and parietal bones and next day magnetic resonance imaging examination was performed. Magnetic resonance imaging of the brain was performed with 3.0 Tesla unit. Under general anesthesia, the dog was placed in prone with its head positioned in a birdcage coil. Transverse, sagittal and coronal fast spin echo images of the brain were obtained with the following pulse sequences: T1 weighted images (TR = 560 ms and TE = 18.6 ms) and T2 weighted images (TR = 3500 ms and TE = 80 ms). Magnetic resonance imaging showed epidural hematoma in the left frontal area resulting in compression of the adjacent brain parenchyma. Left lateral ventricle was compressed secondarily and the longitudinal fissure shifted to the right, representing mass effect. The lesion was iso-to slightly hyperintense on T1 weighted image and iso-slightly hypointense signal on T2 weighted image. At necropsy, there was a skull fracture and epidural hematoma in the left frontal area. Magnetic resonance imaging of epidural hematoma is reviewed.

Facial 'Phi' Mask를 사용한 골격성 부정교합 환자의 안모 분석 (Facial Analysis of Patients with Skeletal Malocclusion Using a Facial 'Phi' Mask)

  • 김홍석;허영민;홍종락;김창수;팽준영
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제34권1호
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    • pp.26-33
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    • 2012
  • Purpose: The golden ratio has been used for a long time to objectify and quantify 'beauty'. Dr. Marqurardt claims that the golden ratio can be applied in the maxillofacial field as well. The purpose of this study was to evaluate the diagnostic significance of using a facial 'phi' mask for analyzing Korean faces with characteristics of Class I, II, and III malocclusion. Methods: We studied twenty five Korean celebrities' frontal facial photos (10 males, 15 females) and 90 malocclusion patients' frontal facial photos (30 patients in each malocclusion classification: Class I, Class II, and Class III). Patients who received orthodontic treatment at Samsung Medical Center were selected for this study. After superimposition of the selected facial photo and facial 'phi' mask using Adobe Photoshop CS3, the ratio of the entire facial area, mid facial area, lower facial area and horizontal and vertical lengths were measured. Results: The facial ratio in photos of Korean faces showed larger vertical and horizontal ratios than the facial 'phi' mask with golden ratio, regardless of skeletal malocclusion (entire face: 115%, lower face: 125% larger than the mask). The results of the frontal photos of Class I, II, and III malocclusion patients using facial 'phi' mask showed that the vertical length and frontal face area was more significantly influenced by the area of the lower face than the midface. This means that the lower face has larger proportions in the facial areas. Conclusion: The ratio of facial 'phi' mask is matched with the ideal facial appearance that the contemporary Korean general public is seeking. Thus, the facial 'phi' mask may be a convenient tool for esthetic analysis of Korean faces. Reducing the area of the lower face is esthetically more desirable for almost all Korean people when planning orthognathic surgery.

한국 남$\cdot$서해 및 동중국해 북부해역에 출현하는 수온전선 (A Study on the Temperature fronts observed in the South-West Sea of Korea and the Northern Area of the East China Sea)

  • 양영진;김상현;노홍길
    • 한국수산과학회지
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    • 제31권5호
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    • pp.695-706
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    • 1998
  • 한국 남$\cdot$서해 및 동중국해 북부 해역에 나타나는 표층수온 전선의 위치, 형태, 시기별 변동상황, 전선형성기구 등을 규명하기 위하여 1991년부터 1996년까지 국립수산진흥원에서 NOAA 화상자료로부터 구한 표면수온분포도와 제주도청 어업지도선 등을 이용하여 월별로 관측한 제주해협 해양관측자료를 이용하여 분석 정리한 결과를 요약하면 다음과 같다. 1. 한국 남$\cdot$서해 및 동중국해 북부 해역에 형성되는 연안형 및 외해형 전선대 양상은 여러 가지 Pattern으로 구분되어 진다. 즉, 1월부터 4월까지 한국 남$\cdot$서 연안역에 나타나는 "L" 자형의 연안형 전선대와 제주도 남서쪽 해역에 북서에서 남동방향으로 길게 형성되는 빗금형 ($\setminus$)의 외해형 전선대가 제주도 서쪽 해역에서 서로 마주치지 않아 "L" 자의 "-"를 비스듬히 세운 형상의 동계형 (ㄴ) 전선대가 형성된다. 그리고 6월부터 8월까지 한국 남$\cdot$서해 연안역에만 전선이 나타나는 "L" 자형의 하계형전선대, 5월과 9월, 10원에 나타나는 한국 남$\cdot$서해의 "L" 자형 연안역 전선대와 제주도 남서해역의 외해형전선대가 제주도 주변에서 서로 마주쳐 "Y" 자가 왼편으로 누운 것과 같은 삼거리 모양의 춘$\cdot$추계형 ($\succ$) 전선대가 형성된다. 또 11월과 12월에 나타나는 한국 남해연안역의 직선형의 연안형 전선대와 제주도 남서해역의 외해형 전선대가 제주도 서쪽에서 마주쳐 "$\angle$" 모양으로 되는 늦가을형으로 대별된다. 2. 전선의 단기변동 경향은 수일 이내에는 그 위치가 크게 이동하지 않고, 또 한국 남해 연안역 전선대보다 제주도 남서해역 전선의 위치 변화가 크다. 한국 남해연안역에는 주년 연안형 전선대가 출현하며 이 전선대는 대체로 동계에 연안역에 가장 접근하고 춘$\cdot$추계에 가장 남쪽으로 이동하는 남북 이동을 하며, 제주도 남서해역 외해형 전선대는 대마난류 분포범위의 계절변화와 같이 동계에는 가장 서쪽에, 춘 추계에는 가장 동쪽에 형성되는 동서방향 이동이 있고 한국 남서해역 연안형 전선대도 주년 나타나지만 3월, 4월, 11월에 가장 약화된다. 3. 제주해협에는 추자도에서 여서도 또는 청산도를 잇는 선 부근에 주년 표층수온 전선이 형성되고, 또 11월$\~$1월을 제외한 시기에 제주도 연안에는 하계에 환(Ring-shaped)의 조석전선이 나타나며 특히 5월과 10월에는 제주도 동쪽과 남쪽에 제주도 연안수와 대마난류수간에 전선이 형성되어 한국 남해의 연안형 전선대와 제주도 남서해역의 외해형 전선대를 연결하고 있다.

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뇌손상으로 인한 하악운동의 변화 (A Case Report on Abnormal Jaw Movements Associated with Brain Injury)

  • 장성용;김선희;최재갑
    • Journal of Oral Medicine and Pain
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    • 제23권4호
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    • pp.447-455
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    • 1998
  • A 42-year old male patient was referred to the Department of Oral Medicine, Kyungpook National University Hospital due to the chief complaint of limite mouth opening. Three years ago, the patient was diagnosed as an infarction of both cerefellar hemispheres, acute obstructive hydrocephalus and acute epidural hematoma of frontal lobe at the department of neurosurgery.Both of the infarcted cerevellar hemispheres and the epidural hematoma of frontal lobe were removed with suboccipital and frontal craniectomu. After the brain surgery jaw opening range was decreased progressively and ultimately mouth opening became almost impossible. Spasmodic and rhythmic contractions of the masseter muscles occurred intermittently during daytime as well as sleeping. Food intake was available only through Levin -tube. Actibe jaw opening exercise was prescribed with the aids of tongue blades. A moist hot pack and indomethacin phonophesis were also applied 20 minutes three times a day to decrease discomfort muscle activities. After a month of treatments, the opening range was increased to 5mm at the premolar area and oral food intake was possibel. The L-tube was removed and the patient was discharged.

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다발성 부분층 절개술을 이용한 늑연골 조각을 통한 이개재건 (Baseblock Sculpturing Using the Scoring Technique for the Reconstruction of Ear)

  • 이윤호;김현석
    • Archives of Plastic Surgery
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    • 제32권1호
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    • pp.60-66
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    • 2005
  • Total auricular reconstruction with autogenous tissue remains one of the greatest technical challenges for reconstructive plastic surgeons because of the ear's complex morphology with delicately convoluted cartilages and very thin skin. In a successfully created ear, a natural three-dimensional illusion visualized from the patient's profile, frontal, and posterior views is crucial. Accordingly ear framework should have adequate lateral aspect as well as suitable frontal aspect even before being lifted to this purpose. For this goal, rib cartilage should be harvested from three-dimensionally adequate area. It is the most essential point in framework fabrication that the baseblock should have semi-cup curvature via multiple parallel cuts made on its medial surface. Between January 1999 and May 2003, we performed 29 cases of total ear reconstruction with autogenous rib cartilage graft using this scoring technique and obtained satisfactory results, which showed more natural appearance visualized from the patient's profile, frontal, and posterior views.

차상위계층 가정 아동의 발달에 대한 보고 -대전지역을 중심으로- (A Study on the Development of the Near Poor Families' Children - Focused on Dae-jeon area -)

  • 송지현;김은진
    • 대한한의학회지
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    • 제40권1호
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    • pp.78-85
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    • 2019
  • Objectives: The purpose of this study is to evaluate the development of the near poor Families' Children via learning disability indices, frontal executive function. Methods: Seventeen children (10 boys, 7 girls, 6.6-11.9 years) from the near poor Families' were enrolled in this study. Children were evaluated for a learning disability and frontal executive function. Results: In Learning disability indices, 3 children showed low scores in subscales and 2 children showed low scores in learning quotient. In Frontal executive function, 3 children showed low scores in CCTT (Children's Color Trails Test) and 11children showed low scores in STROOP (Stroop Color and Word Test). Conclusions: Intensive management, educational programs, and additional neuropsychological tests will be needed in children with low learning scores.

하악운동 회전량과 과로의 형태에 관한 연구 (A Study on the Amount of Mandibular Rotation and Pattern of Condylar Path)

  • Kyung-Soo Han;You-Me Lee
    • Journal of Oral Medicine and Pain
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    • 제21권2호
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    • pp.369-382
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    • 1996
  • The author performed this study to investige the relationship between condylar movements recorded with Pantronicⓡ and mandibular rotational torque movements with BioEGNⓡ. For this study 56 patients with Temporomandibular disorders(TMD) and 30 dental students without any masticatory signs and symptoms were selected as patients group and control group, respectively. The items recorded with Pantronicⓡ(Denar Corp., USA) were immediate side-shift, progressive side-shift, angle of orbiting path, protrusive path and PRI. BioEGNⓡ(Bioelectric gnathography, Bioresearch Inc., USA) were used to measure the amounts of mandibular rotational torque movements in frontal and horizontal plane, and the distance of mandibular translation at incisal area. Amount of mandibular rotational torque movement depicted between the condyles was automatically analysed by angle and difference in frontal and horizontal plane. The obtained data were processed with SAS program and the conclusion of this study were as follows : 1. Mean values of items between patients group and control group in Pantronic measurements were not significantly different except in left protrusive path and in Pantronic Reproducibility Index(PRI). There were no significant difference of condylar paths by preferred chewing side and affected side between the two groups. 2. The amount of mandibular rotational torque movements were differed in frontal angle and difference on protrusion, and in frontal and in horizontal difference on left excursion between the two groups. But the amounts of translatory movements were actually same on all eccentric movements. 3. The amount of mandibular rotational torque movements with splint mere almost not changed from those without splint, with the exception of in horizontal measurements on protrusion. 4. The correlations of items between in Pantronic measurements and in BioEGN measurements wert not consistently, significant, however, generally the ISS related significantly with horizontal torque movement positively, and with frontal torque movement negatively on the contrary, the PSS showed positive correlation with frontal torque movement, and negative correlation with horizontal torque movement.

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장력 감김으로 부착된 가로방향 휜-미니채널의 공기측 열전달 특성 (Air Side Heat Transfer Charactieristics of Tension Wound Transverse Fin with Minichannel)

  • 김종수;임용빈
    • Journal of Advanced Marine Engineering and Technology
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    • 제29권6호
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    • pp.701-706
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    • 2005
  • Pipes, tubes. and tubular sections with external transverse high fins have been used extensively for heating cooling, and degumidifying air and other gases. This work was performed to investigate an air side heat transfer charactieristics of minichannel with tension wound transverse fin. This estimate was confirmed conversion heat capacity the air side surface area enlargement and heat transfer charactieristics performed available inlet tube side hot water mass flux or outlet tube side air frontal air velocity. The most suitable tension wound transverse finned minichannel was measured extremely low in air side pressure drop and fin effectiveness $3.3\~4.4$. The pressure drop $0.9\~2.8Pa$ was ranged frontal air velocity $0.5\~1.2m/s$. It is also appeared that heat transfer in air side could be better conversion heat area which has been increased $330\%$ of heat capacity compared with the bare tube.

악안면부 총상 환자의 전산화단층사진상의 연구 (COMPUTED TOMOGRAPHIC STUDY OF MAXILLOFACIAL GUNSHOT INJURIES)

  • 박인우
    • 치과방사선
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    • 제26권2호
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    • pp.65-73
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    • 1996
  • The purpose of this study was to evaluate the clinical and computed tomographic features of 7 cases of maxillofacial gunshot injuries in the suicidal patients visited the emergency room, Capital Armed Forces General Hospital. The obtained results were as follows : 1. The gunshot wounds were directed from submental area to dorsum of nose(3 cases), frontal area(1 case), orbit(1 case), infraorbital area (1 case), and lateral to nasal wing(l case). The shape of inlet in gunshot wounds were round (diameter: l-3cm) and that of outlet were oval shape(size : inlet

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