• 제목/요약/키워드: Lip

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하구순 편평상피암의 절제후 재건 치험례 (Reconstruction of the Lower Lip Following the Wide Excision of Squamous Cell Carcinoma)

  • 류봉수
    • 대한두경부종양학회지
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    • 제12권1호
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    • pp.52-57
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    • 1996
  • Since the upper lip does not receive direct actinic radiation, only 5% of lip tumors develop in the upper lip, while the lower lip is the site of the remainder. Among the lower lip cancer, squamous cell carcinoma is the most common tumor, especially the vermillion border of lower lip is the most common site. The aims of reconstruction of the lip are both aesthetic effect and functional restoration and the ideal procedure must produce a aesthetically normal, not-tao-tight lip and a good sensation and muscle tone of the lip. We have a satisfactory reconstruction of a subtotal loss of lower lip after squamous cell carcinoma extirpation using Gillies fan flap and the case is presented with reviewing a many published reports.

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DEVELOPMENT OF LIP TREATMENT ON THE BASIS OF DESQUAMATION MECHANISM

  • Hikima, Rie;Igarashi, Shigeru;Ikeda, Naoko;Matsumoto, Masayuki;Hanyama, Atsushi;Egawa, Yuichiro;Horikoshi, Toshio;Hayashi, Shoji
    • 대한화장품학회:학술대회논문집
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    • 대한화장품학회 2003년도 IFSCC Conference Proceeding Book I
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    • pp.98-141
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    • 2003
  • Lip chapping is a serious cosmetics problem, though remedies other than moisturizing have not been proposed. We investigated changes in the surface configurations of lip corneocytes and increased CD activity and improved chapping severity. Our results suggest that lip chapping can be activities of desquamation-regulating proteinases associated with lip chapping. Using scanning electron microscopy, villus-like projections were observed on the inner surfaces of most corneocytes from normal lips, whereas those with flatter surface were predominant in chapped lips. Further, cell surface area increased with the severity of lip chapping. Cathepsin D (CD)-like and chymotrypsin-like proteinase, which are also present in skin as desquamation-regulating proteinases, were detected in lip corneocytes, though only CD activity was found to decrease in severely chapped lips. Hydration was also lower in areas of lip chapping. Sequential topical application of apricot extract essence characterized as similar to senile xerosis rather than dry skin such as winter xerosis, as it shows a delayed transition of corneocytes through the stratum corneum, and the reduced CD activity may be one of the mechanisms that is further decreased by low hydration. We propose that an enhancement of both CD activity and lip moisture may be effective to improve lip chapping.

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Upper lip tie wrapping into the hard palate and anterior premaxilla causing alveolar hypoplasia

  • Heo, Woong;Ahn, Hee Chang
    • 대한두개안면성형외과학회지
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    • 제19권1호
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    • pp.48-50
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    • 2018
  • Bony anomaly caused by lip tie is not many reported yet. There was a case of upper lip tie wrapping into the anterior premaxilla. We represent a case of severe upper lip tie of limited lip motion, upper lips curling inside, and alveolar hypoplasia. Male patient was born on June 3, 2016. He had a deep philtral sulcus, low vermilion border and deep cupid's bow of upper lip due to tension of short, stout and very tight frenulum. His upper lip motion was severely restricted in particular lip eversion. There was anterior alveolar hypoplasia with deep sulcus in anterior maxilla. Resection of frenulum cord with Z-plasty was performed at anterior premaxilla and upper lip sulcus. Frenulum was tightly attached to gingiva through gum and into hard palate. Width of frenulum cord was about 1 cm, and length was about 3 cm. He gained upper lip contour including cupid's bow and normal vermilion border after the surgery. This case is severe upper lip tie showing the premaxillary hypoplasia, abnormal lip motion and contour for child. Although there is mild limitation of feeding with upper lip tie child, early detection and treatment are needed to correct bony growth.

Acinetobacter schindleri DYL129 유래의 3개 lipases와 chaperone의 발현과 정제 (Expression and Purification of Three Lipases (LipAD1, LipAD2, and LipAD3) and a Lipase Chaperone (LipBD) from Acinetobacter schindleri DYL129)

  • 김선희;이용석;정해린;편효민;유주순;최용락
    • 생명과학회지
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    • 제29권4호
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    • pp.492-498
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    • 2019
  • 기존 연구를 통하여 토양에서 분리한 Acinetobacter schindleri DYL129로부터 3개의 lipase 유전자(lipAD1, lipAD2와 lipAD3)들과 1개의 chaperone (lipBD) 유전자를 보고하였다. 본 연구에서는 각 유전자들의 발현을 위해서 pET32a(+)와 pGEX-6P-1 벡터에 클로닝하여 각각을 pETLAD1-3와 pETLBD 또는 pGEXLAD1-3와 pGEXLB로 명명하였으며, 단백질의 발현량은 pET 시스템을 사용할 때 1.5 배 정도 향상됨을 확인하였다. LipAD1과 LipAD2는 inclusion body 형태로 발현이 되었으며, LipAD3과 LipBD는 soluble type으로도 발현되었다. Inclusion body 형태의 LipAD1과 LipAD2는 고농도의 우레아를 처리하여 refolding 시켰다. LipAD1은 C4와 C2를, LipAD2는 C2와 C14를 그리고 lipAD3은 C2, C4와 C14를 기질로 잘 이용하는 것을 확인하였다. 그리고 모든 효소들은 $50^{\circ}C$에서 최적 활성을 나타내었다.

순열 및 구개열 환자의 외과적 치료방법에 관한 임상적 연구 (CLINICAL STUDY OF SURGICAL TREATMENTS ON CLEFT LIP AND CLEFT PALATE)

  • 신병철;이동근;성길현
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제18권4호
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    • pp.529-545
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    • 1996
  • In order to find the distribution, causes and treatments of cleft lip and/or palate, I analyzed 113 patients of cleft lip and/or palate who were treated in the Department of Oral and Maxillofacial Surgery, School of Dentistry, Wonkwang University, Iksan, Chunbuk, KOREA from September 1984 to August 1995. The obtained results were as follows. 1. In total 113 patients of cleft lip and/or palate, male patients were 63 cases (56%) and female patients were 50 cases (44%). 2. In distribution of cleft lip and/or palate, cleft lip patients were 30 cases (27%), cleft palate patient were 23 cases (20%) and cleft lip and palate patients were 60 cases (53%). 3. Unilateral cleft lip patients (78 cases: 87%) were larger than bilateral cleft lip. In unilateral cleft lip patients, lip side cleft lip patients (45 cases: 50%) were larger than right side cleft lip patients (33 cases: 37%). 4. Possible causes of cleft lip and/or palate were related with familial tendency, drug intoxication, malnutrition, old maternal age, stress and hypoxia during 4-8 weeks of pregnancy period. 5. The favorite treated method of cleft lip was Millard rotation-advancement method. Probably the most popular operated period was 3 months. 6. The useful operating technique of cleft palate was Wardill V-Y flap method. The most popular period has been 18 to 24 months. 7. In 11 patients with velopharyngeal insufficiency, hypernasality decreased by superior based pharyngeal flap pharyngoplasty. 8. Cleft alveolus was treated with autogenous and allogeneic bone graft. The most appropriate operation period was 9 to 11 years.

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Long-Term Evaluation of the Lip and Nose in Bilateral Complete Cleft Lip Patients following Lip Adhesion and Secondary Nose Correction

  • Kim, Ryuck Seong;Seo, Hyung Joon;Park, Min Suk;Bae, Yong Chan
    • Archives of Plastic Surgery
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    • 제49권4호
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    • pp.510-516
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    • 2022
  • Background Surgical correction of bilateral cleft lip deformities remains one of the most challenging areas in facial plastic surgery. Many surgical techniques and conservative devices have been offered for the early management of bilateral cleft lip in infants. The purpose of this study was to evaluate the effect of lip adhesion on the lip and nose of patients with bilateral cleft lip. Methods A retrospective review of 13 patients with bilateral cleft lip was performed and compared with age-matched noncleft children. Patients underwent lip adhesion at a mean age of 2.8 months, and cheiloplasty at 6.6 months of age using a modification the Mulliken method. Secondary rhinoplasty was performed at the age of 6 in 13 patients. The surgical results were analyzed using photographic records obtained at the age of 1 and 7 years. Twelve length measurements and one angle measurement were obtained. Results All measurements were not statistically different from those of the noncleft age-matched control group at the age of 1. At 7 years of age, upper lip height and vermilion mucosal height were shorter (p < 0.05) than in the control group. Nasal tip protrusion and the nasolabial angle were greater (p < 0.05) than in the control group. Conclusion Lip adhesion followed by secondary rhinoplasty resulted in an acceptable lip and nasal appearance. Although nasoalveolar molding is now widely used, lip adhesion can be an appropriate alternative if an orthodontist is not available due to geographical or economic constraints.

일측구순열변형에서 이갑개연골이식술을 이용한 상구순 함몰의 교정 (Correction of Upper Lip Depression Using Conchal Cartilage Graft in Unilateral Cleft Lip Deformity)

  • 한기환;윤상호;여현정;김준형;손대구
    • Archives of Plastic Surgery
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    • 제38권4호
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    • pp.383-390
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    • 2011
  • Purpose: To correct the upper lip depression after the correction of unilateral cleft lip, autologous grafts such as bone, dermal, fascial grafts and fat injections or alloplastic implants are used. Transplanted bones, dermis and fascia have a tendency to be absorbed and have donor morbidity. Fat injections are absorbed inconsistently and alloplastic implants have problems such as foreign body reactions, protrusions and infections. Authors corrected the upper lip depression using conchal cartilage graft in unilateral cleft lip deformity and the results was analysed with photos. Methods: 26-unilateral cleft lip and 2-microform cleft lip cases, totally 28 cases were performed. Their mean age was 21.89 years. The male and female cases were 12 and 16, respectively. Under anesthesia (general: 18 cases and local: 10 cases), cavum conchae (n=8), cymba conchae (n=16) and whole conchae (n=4) were harvested. Transversely cut the margin of the obtained cartilage, we cut out the most bent portion and put a partial-thickness incision on concave surface in cases of excessive convexity. Then, we performed the onlay graft of the conchal cartilage via scar revision site in unilateral cleft lip and via the reconstruction site of the cupid bow in microform cleft lip. The augmentation of the upper lip was evaluated with photos. Adapting the baseline connecting between the both cheilions as a horizontal standard line, we measured the highest point among the tangents between the upper lip and nose (point a), the lowest point (point c), the middle point between a and c (point b) and the vertical line from the alare (point d) to the horizontal standard line. To assess the postoperative symmetry, we compared cleft side upper lip contour index (%) A,B,C,D=(a,b,c,d)-ch ${\times}$ 100/(ch-ch) and non-cleft side upper lip contour index (%) A',B',C',D'= (a',b',c',d')-ch ${\times}$ 100 / (ch-ch).h) Results: After the surgery, no complication was found except in one case which double layers graft performed in the cleft lip deformity, the lateral portion was protruded. The upper lip contour index, the difference of A and A' were-0.83%, and thus the mild depression was persisted. Difference of B and B', C and C', D and D' were 0.83%, 1.07%, 0.90%. There were statistically significant difference, and thus the depression of upper lip were improved generally. Conclusion: Authors performed the onlay graft of the conchal cartilage in unilateral cleft lip deformity and found that the depression of the upper lip was well corrected except the uppermost part when photogrammetrically analyzed.

A Study on the Production and Clinical Evaluation of Natural Lip Balm Using Chamaecyparis Obtusa and Lithospermum Erythrorhizon

  • Lee, Sunkyoung
    • 패션비즈니스
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    • 제18권3호
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    • pp.29-44
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    • 2014
  • As there is a growing interest in natural ingredients, they are actively being studied to improve damaged skin However, the lip cosmetics are still being inadequately studied on the exposure of lips to several stimuli and easy flow of chemical on the lips into the body. This study was conducted to make a clinical evaluation on the real effect of lip balm on lips, by extracting oil from Chamaecyparis obtusa and Lithospermum erythrorhizon that are known to play a positive role on skin. The following three natural lip balms were produced: lip balm made with Chamaecyparis obtusa(LBWCO), lip balm made with both Chamaecyparis obtusa and Lithospermum erythrorhizon(LBWCOLE), lip balm made without Chamaecyparis obtusa or Lithospermum erythrorhizon(LBWICOLE). The quality of LBWCO or LBWCOLE was evaluated to be higher than that of LBWICOLE. LBWCO and LBWCOLE had the highest satisfaction and purchase intention, respectively. As stated above, Chamaecyparis obtusa and Lithospermum erythrorhizon could be the ingredients of lip balm, and they were effective in improving damaged lips. Consequently, this study will provide opportunities to explore excellent ingredients to be used in natural lip balm. Also, studying lip cosmetics using only the natural ingredients will provide opportunities to expand positive images of ingredients for producing lip cosmetics.

아래 입술 점막 전체 결손의 재건을 위한 양측 볼점막 자리 옮김 피판술 (Both buccal mucosa transposition flap for reconstruction of lower lip near-total mucosal defect)

  • 박보영;강소라;김양우
    • Archives of Plastic Surgery
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    • 제36권1호
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    • pp.109-112
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    • 2009
  • Purpose: Squamous cell carcinoma(SCC) of the lower lip is the most common malignant tumor comprising 90% of all lip SCC. The typical picture of SCC of the lower lip is of an ulcerated lesion with raised margins. Surgery is the treatment of choice for SCC of lower lip. Depending on the location and size of the tumor, different types of flaps are used. We used new method - 'both buccal mucosa transposition flap' for the reconstruction of the near total mucosal defect of the lower lip. Methods: This 67 - year - old men presented with the crusted $1cm{\times}1cm$ sized ulceration of the lower lip that was arised 30 years ago. There were no size and color change, except the bleeding and ulceration. At first, We diagnosed the SCC through the incisinal biopsy. Then We performed the wide excision of the tumor and reconstruction of the lower lip. After the excision of the whole tumor, the defect was measured at $8cm{\times}3.5cm$. We designed the buccal mucosa transposition flap taking care to avoid the parotid duct. The flap was made in a triangular shape for the reconstruction of defected lower lip. The donor site defect can be sutured primarily. Results: A patient in this study had no postoperative complications such as necrosis, dehiscence, infection of the flap or donor site. Reconstructed lower lip is relatively close to that of the natural lip; More satisfactory aesthetic and functional results can be obtained by using this technique rather than other techniques. Conclusion: 'Both buccal mucosa transposition flap' is reliable method for the reconstruction of the large lower lip mucosal defect. The operation is simple and performed in one stage, with no postoperative complications. This technique can offer consistently good functional and esthetic outcomes after reconstruction of lower lip mucosal defect.

프로폴리스 추출물이 함유된 립밤과 LED 기기를 적용한 입술 임상 연구 (Clinical study of lip balm containing propolis extract and lip applying LED device)

  • 문지선
    • 융합정보논문지
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    • 제12권5호
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    • pp.225-236
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    • 2022
  • 본 연구의 목적은 프로폴리스 추출물이 함유된 립밤 제품과 LED 기기를 적용한 입술 임상 연구를 하여 임상정보과 양적자료로 도움이되고자 한다. 본 연구의 참여자는 서울·경기 소재 만 19~50세 여성을 대상으로 시험제품 선정 후 입술의 LED 기기와 립 크림의 입술 탄력, 입술 보습, 입술 각질 개선 및 12시간 입술 보습 지속 효과를 알아보기 위하여 제품 사용 전, 사용 직후, 사용 6시간 후, 사용 12시간 후 사용 2주 후에 사용 시험항목을 측정 후 제품의 안전성, 유효성, 기호도 설문조사를 분석하고자 한다. 일련의 연구절차를 통하여 도출된 결과는 다음과 같다. 1회 또는 2주 사용으로 입술 탄력, 입술 보습, 입술 각질 개선 및 12시간 입술 보습 지속력에 도움을 주는 것으로 나타났다.