• 제목/요약/키워드: Lips

검색결과 454건 처리시간 0.023초

Non-Melanocytic Skin Cancers of the Head and Neck: A Clinical Study in Jeju Province

  • Kang, Jae Kyoung;Yun, Byung Min;Song, Jung-Kook;Shin, Myoung Soo
    • Archives of Plastic Surgery
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    • 제44권4호
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    • pp.313-318
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    • 2017
  • Background Jeju Island is geographically and socioeconomically distinct from the mainland of South Korea. Thus, the presentation and management of non-melanocytic skin cancers (NMSC) of the head and neck may differ from those in other regions of the country. We compared the clinical characteristics and treatment modalities of NMSC on Jeju Island with the findings of similar regional studies. Methods Patient data, including age, sex, diagnosis, tumor site, treatment, and recurrence, were obtained from the medical and pathology records of patients diagnosed with NMSC between January 2010 and June 2015. Results In total, 190 patients (57 men) with a mean age of 75 years (range, 42-97) were assessed. Overall, 203 NMSCs were diagnosed, including 123 basal cell carcinomas and 80 squamous cell carcinomas. The tumor sites included the nose, cheeks, periorbital area, and lips (n=55, 54, 25, and 20, respectively). We identified 92 T1-stage and 60 T2-stage tumors, and 120 cases were treated with wide surgical resection and 17 cases were treated with radiation therapy at the medical center. Of the 120 cases treated surgically, 69 required reconstructive surgery using a local skin flap, 22 required full-thickness skin grafting, and 12 underwent primary closure. Basal and squamous cell carcinomas recurred in 2 and 1 cases, respectively. Conclusions Compared to the reports from other regions, the average patient age was 10 years higher, with a marked female preponderance. While the proportion of squamous cell carcinoma was higher than in other regions, the tumor distribution and surgical management profiles were similar.

Angiotensin-Converting Enzyme Inhibitor(ACE Inhibitor)에 의해 유발된 안면부 맥관부종(angioedema) 치험례 (A Case of Angioedema Induced by Angiotensin-Converting Enzyme Inhibitor)

  • 하유군;정기용;백종우;김동우;박종형;전찬용;최유경
    • 대한한방내과학회지
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    • 제28권2호
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    • pp.399-407
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    • 2007
  • Angioedema is a localized transient swelling of sudden onset that can occur in the face, lips, tongue, hand, feet, respiratory system and gastrointestinal system. Angioedema is classified as allergy, hereditary, idiopathic or induced by medication as like aspirin, nonsteroidal anti-inflammatory agents, opiates, antibiotics, and angiotensin-converting enzyme. Angiotensin-converting enzyme inhibitors are widely prescribed for hypertension and heart failure. This drug is commonly associated with angioedema which may be potentially life threatening. We experienced a case of angioedema induced by ACE inhibitor (angiotensin-converting enzyme inhibitor) in a 74-year-old patient who took ACE inhibitor to control hypertension during hospitalization. We thought the angioedema in the face had relation to myenzhong (面腫, mienjong) in oriental medicine. Weiling-tang (Wiryung-tang) was effective for angioedema in the face. As a result the symptoms disappeared rapidly. After 6 days, the patient's symptoms had notably improved.

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Holstein 송아지의 두얼굴증(Diprosopia) 1례 (A case of diprosopia of Holstein calf)

  • 김종섭;조규현;이종환;곽수동;최민철;손동수;이동원
    • 대한수의학회지
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    • 제40권1호
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    • pp.27-34
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    • 2000
  • A 20-day-old female Diprosopia in Holstein calf was observsd macroscopically and radiographically. Anterior head duplication(Diprosopia) was observed and all structures caudal to it were normal. She had two muzzles, three eyes, two ears and two tongues. The tongues were joined at their base just posterior and had one hyoid bone. Schistognathia and cleft lips were also observed in the lower jaws. She had an oral cavity, single epiglottis and a laryngeal cavity communicated with one trachea. The cerebral hemispheres were duplicated and fused together in the caudal region. The olfactory and optic nerves were duplicated. The incisive, nasal, pterygoid, parietal, ethmoid bones and vomer were duplicated, respectively. The skull of Diprosopia was shared by an occipital bone. The mandibules, palatines and sphenoid bones were duplicated incompletely. Three orbits and two fontanelles were observed. The medial lacrimal bones and maxillae were duplicated incompletely and fused with each other, respectively. Cleft palates were observed. Medial mandibular mass which was fused together and was duplicated incompletely at the part of its cranial, was shown synchondrosis with the left mandible, but not with the right.

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한국어 모음에서 연령증가에 따른 제2음형대의 변화양상 ($F_2$ Formant Frequency Characteristics of the Aging Male and Female Speakers)

  • 김찬우;차흥억;장일환;김선태;오승철;석윤식;이영숙
    • 대한후두음성언어의학회지
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    • 제10권2호
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    • pp.119-123
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    • 1999
  • Background and Objectives : Conditions such as muscle atrophy, stretching of strap muscles, and continued craniofacial growth factors have been cited as contributing to the changes observed in the vocal tract structure and function in elderly speakers. The purpose of the present study is to compare F$_1$ and F$_2$ frequency levels in elderly and young adult male and female speakers producing a series of vowels ranging from high-front to low-back placement. Material and Methods : The subjects were two groups of young adults(10 males, 10 females, mean age 21 years old range 19-24 years) and two groups of elderly speakers(10 males, 10 females, mean age 67 years : range 60-84 years). Each subject participated in speech pathologist to be a speaker of unimpared standard Korean. The headphone was positioned 2 cm from the speakers lips. Each speaker sustained the five vowels for 5 s. Formant frequency measures were obtained from an analysis of linear predictive coding in CSL model 4300B(Kay co). Results : Repeated measure AVOVA procedures were completed on the $F_1$ and $F_2$ data for the male and female speakers. $F_2$ formant frequency levels were proven to be significantly lower fir elderly speakers. Conclusions : We presume $F_2$ vocal cavity(from the point of tongue constriction to lip) lengthening in elderly speakers. The research designed to observe dynamic speech production more directly will be needed.

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악안면 연조직에 관한 X선학적 연구 (ORENTGENOGRAPHIC STUDIES ON THE SOFT TISSUE PROFILE)

  • 박태원
    • 치과방사선
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    • 제1권1호
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    • pp.29-37
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    • 1971
  • Modern orthodontics implies not only occlusal excellence, but also the positioning of teeth to produce optimal facial harmony for the individual patients. Several methods have been used in the study of facial height, width and depth were made from living subjects. These methods, however, complicate to control the subjects, therefore many investigators have used profile cephalometric technics. Practically, cephalometric technics were used m orthodontic treatment, maxillo-facial surgery and anthropometric studies. Author was studied to investigate the normal standards of soft tissue profile in Korean adolescences. The subjects consisted of 53 males and 54 females from 17 to 22 years of age and with normal occlusion and acceptable profile. Aluminum filter was designed to obtain both hard and soft tissue structures on a single film. Eight profile landmarks were plotted and drawn on the tracings of all cephalograms and eighteen depth, height and angles were measured from each landmarks of the cephalograms. The following conclusIOns were obtained from this studies; 1. Total facial convexity was 170. 75 in males and females samples and lower facial and: labiomandibular convexity were each of 141.44, 171.05. 2. Maxillary and mandibular sulcus angulations were 137.61, 129.52 and upper and lower lip inclinations were each of 123.26 and 49.56 in male and females. 3. Soft tissue depth of several points were as follows; Subnasale 18.74㎜ in males and 16.65㎜ in females Pogonion 13.40㎜ in males and 13.07㎜ in females upper lip 14.06㎜ in males and 11.91㎜ in females . lower lip 15.46㎜, 13.63㎜ in males and females 4. The protrusion of nose were 16.28㎜ in males and 15.56㎜ in females 5. The vertical length of upper and lower lips were 25.67㎜, 52.96㎜ and the lip posture was indicated 93.43 per cent (closed state) in centric occlusions.

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파킨슨 병을 가진 환자의 상악 마그네틱 피개의치 및 하악 임플란트 피개의치 수복 증례 (Overdentures of the patient with Parkinson's disease: A case report)

  • 민병귀;신은정;방몽숙;양홍서;박상원;윤귀덕;임현필
    • 대한치과보철학회지
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    • 제53권4호
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    • pp.352-358
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    • 2015
  • 파킨슨 병을 가지고 있는 환자의 총의치는 혀와 입술의 불수의적 운동으로 인해 유지와 안정이 좋지 않은 경우가 많다. 또한 제한된 수의 운동으로 인해 피개의치의 장착에 어려움이 어려울 수 있다. 본 증례는 파킨슨병을 가진 상, 하악 부분 무치악 환자에서 상악에서는 잔존치근을 이용한 magnetic attachment와 하악에서는 2개의 임플란트를 이용한 $Locator^{(R)}$ attachment를 통해 유지와 안정을 증진시킨 피개의치 수복증례로서, 기능적으로 개선된 보철물을 제작했기에 보고하는 바이다.

무치악 환자 에서 Neutral Zone 방법을 적용한 임상 증례 (Treatment of Edentulous Patient with Neutral Zone Technique : A Clinical Case)

  • 김용식;이병욱
    • 구강회복응용과학지
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    • 제17권2호
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    • pp.107-112
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    • 2001
  • The prosthodontic treatment of severely resorbed edentulous patients has been one of the frustrating areas due to extensive loss of tissues. The integrated neuromuscular balance among tongue, lip, and cheek is compromised. The retention, stability, and support are the three major factors to influence the clinical outcome. Fish described a denture as having three surface, with each surface playing an independent and important role in the over all fit, stability, and comfort of the denture. He recommended that the polished surface should be a series of inclines so that pressure from muscular activity will retain dentures. Within the denture space there is an area that has been termed the neutral zone. The neutral zone is that area in the mouth where, during function, the forces of the tongue pressing outward are neutralized by the forces of the cheeks and lips pressing inward. According to Jacobson and Krol, neuromuscular control interacts to provide retention and the relationship of polished surface of denture base to the surrounding muscular structure of orofacial capsule facilitates the stability and retention. This neutral zone concept has been demonstrated with various modification by a number of authors. The theory used to develop the denture base contours is based on the belief that the muscle should functionally mold not only the border but the entire polished surface. Lott and Walsh reported the clinical success on complete mandibular dentures with application of neutral zone concept. A number of studies demonstrated that denture stability and retention are more dependent on correct position of the teeth and correct contour of external surfaces of the denture in a severely resorbed alveolar ridge. This article presents a prosthodontic approach to treatment of a edentulous patient using neutral zone technique to improve the retention and stability of the prosthesis.

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Facial profile parameters and their relative influence on bilabial prominence and the perceptions of facial profile attractiveness: A novel approach

  • Denize, Erin Stewart;McDonald, Fraser;Sherriff, Martyn;Naini, Farhad B.
    • 대한치과교정학회지
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    • 제44권4호
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    • pp.184-194
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    • 2014
  • Objective: To evaluate the relative importance of bilabial prominence in relation to other facial profile parameters in a normal population. Methods: Profile stimulus images of 38 individuals (28 female and 10 male; ages 19-25 years) were shown to an unrelated group of first-year students (n = 42; ages 18-24 years). The images were individually viewed on a 17-inch monitor. The observers received standardized instructions before viewing. A six-question questionnaire was completed using a Likert-type scale. The responses were analyzed by ordered logistic regression to identify associations between profile characteristics and observer preferences. The Bayesian Information Criterion was used to select variables that explained observer preferences most accurately. Results: Nasal, bilabial, and chin prominences; the nasofrontal angle; and lip curls had the greatest effect on overall profile attractiveness perceptions. The lip-chin-throat angle and upper lip curl had the greatest effect on forehead prominence perceptions. The bilabial prominence, nasolabial angle (particularly the lower component), and mentolabial angle had the greatest effect on nasal prominence perceptions. The bilabial prominence, nasolabial angle, chin prominence, and submental length had the greatest effect on lip prominence perceptions. The bilabial prominence, nasolabial angle, mentolabial angle, and submental length had the greatest effect on chin prominence perceptions. Conclusions: More prominent lips, within normal limits, may be considered more attractive in the profile view. Profile parameters have a greater influence on their neighboring aesthetic units but indirectly influence related profile parameters, endorsing the importance of achieving an aesthetic balance between relative prominences of all aesthetic units of the facial profile.

선박 환경에서 Gabor 여파기를 적용한 입술 읽기 성능향상 (Improvement of Lipreading Performance Using Gabor Filter for Ship Environment)

  • 신도성;이성로;권장우
    • 한국통신학회논문지
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    • 제35권7C호
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    • pp.598-603
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    • 2010
  • 이 논문에서는 해양 선박 안의 잡음 환경에서 현저하게 떨어지는 음성 인식률을 높이기 위해 기존 음성인식 시스템에 화자의 입술의 움직임 변화를 입력정보로 이용하려는 입술 읽기에 대해서 연구하였다. 제안한 방법은 획득한 입력 영상에 Gabor 여파기를 이용하여 전처리과정의 성능을 향상 시켜 인식률을 높였다. 실험은 기본 시스템의 조명의 변화가 발생하는 선박 안의 환경에서 시간에 따라 입술 영상을 획득하여 수행하였으며, 인식 성능비교를 위해서 획득한 입력 영상을 이산여현파변환을 수행한 뒤 얻은 입술 관심영역에 대해 Gabor 여파기를 이용하여 얻어진 영상에 입술 접기를 수행하여 인식하는 방법과 입술 접기를 수행한 영상에 대해 인식을 수행하는 방법으로 실험하였다. 제안한 방법을 적용한 선박환경에서 실험 결과는 관심영역 영상에 Gabor 필터링을 이용하였을 때 기본 시스템에 견주어 매개변수가 거의 줄어들지 않았으며 그 인식률은 44%이었다. 한편, 입술 접기를 수행한 영상을 Gabor 여파하여 조명의 영향에 의한 성분을 제거한 바, 인식률이 11%쯤 높아진 55.8%를 나타내었다.

페리칸에서 분리한 Contracaecum rudolphii (Nematoda: Anisakidae)의 형태학적 연구 (Morphological Study of Contracaecum rudolphii (Nematoda: Anisakidae) from White Pelican)

  • 김현철;김남수;손화영;권보근;허진;조정곤;박배근
    • 한국임상수의학회지
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    • 제27권1호
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    • pp.11-16
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    • 2010
  • 대전동물원에 탄자니아로부터 페리칸이 수입되었고 5일 후에 한 마리가 폐사 하였다. 선위에서 다수의 기생충을 분리하였으며 다음과 같은 특징을 가지고 있었다. 3개의 입술이 존재하였고 입술에는 치상돌기가 존재하지 않았으며 입술 사이에는 순간돌기가 잘 발달되어 있었다. 순간돌기는 삼각형으로 분기되어 있지 않았다. 수컷은 다수의 전항문 유두 (69-79)가 아복면에 배열되어 있었다. 부총배설강 유두는 대형의 1쌍과 5개가 존재하였다. 이러한 형태학적 특징을 기초로 페리칸에서 분리한 기생충을 Contracaecum rudolphii로 분류하였다.