• 제목/요약/키워드: Neck Bone

검색결과 612건 처리시간 0.032초

안면골 섬유 이형성증이 악성 섬유성 조직구증으로 악성화된 환자의 치험례 (Malignant Transformation of Fibrous Dysplasia: A Case Report of Malignant Fibrous Histiocytoma of Facial Bone)

  • 이상준;임소영;오갑성;방사익;현원석;문구현
    • Archives of Plastic Surgery
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    • 제34권3호
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    • pp.403-405
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    • 2007
  • Purpose: Malignant degeneration of fibrous dysplasia is an uncommon recognized complication of this disease. Especially, degeneration of fibrous dysplasia to malignant fibrous histiocytoma(MFH) in facial bone is rare and the publications had been limited. The purpose of this report is to share our experience. Methods: A 46-year-old patient with facial fibrous dysplasia visited our clinic for recent facial tingling and swelling. Malignant degeneration of fibrous dysplasia was suspected. Results: Total excision of the mass and adjacent facial bone was performed. Defect was immediately reconstructed with bone graft and bone cement. At a month follow up, metastasis was detected at ipsilateral parotid gland. Superficial parotidectomy and neck dissection was performed. The patient is currently taking chemotherapy. Conclusion: Because of the uncommon presentation of this entity, clinical course of treatment was dependent on other histological types of malignant degeneration. We report this case to share our experience.

The association of potassium intake with bone mineral density and the prevalence of osteoporosis among older Korean adults

  • Ha, Jinwoo;Kim, Seong-Ah;Lim, Kyungjoon;Shin, Sangah
    • Nutrition Research and Practice
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    • 제14권1호
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    • pp.55-61
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    • 2020
  • BACKGROUND/OBJECTIVES: Osteoporosis is characterized by low bone mass and results in vulnerability to fracture. Calcium and vitamin D are known to play an important role in bone health. Recently, potassium has been identified as another important factor in skeletal health. We examined the link between potassium intake and bone health among the Korean older adult population. SUBJECTS/METHODS: This retrospective, cross-sectional study included 8,732 men and postmenopausal women over 50 years old who completed the Korean National Health and Nutrition Survey (KNHANES) between 2008 and 2011. Potassium consumption was evaluated using a 24-hour recall method. Bone mineral density (BMD) was measured at three sites (total hip, femur neck, and lumbar spine) by dual-energy X-ray absorptiometry (DEXA). Multinomial logistic regression was used to examine the link between potassium intake and prevalence of osteoporosis and osteopenia, after controlling for potential confounding variables. RESULTS: The BMD of the total femur and Ward's triangle were significantly different according to the potassium intake among men (P = 0.031 and P = 0.010, respectively). Women in the top tertile for potassium intake showed higher BMD than those in the bottom tertile at all measurement sites (all P < 0.05). Daily potassium intake was significantly related to a decreased risk of osteoporosis at the lumbar spine in postmenopausal women (odds ratios: 0.68, 95% confidence interval: 0.48-0.96, P trend = 0.031). However, the dietary potassium level was not related to the risk of osteoporosis in men. CONCLUSION: Current findings indicate that higher dietary potassium levels have a favorable effect on bone health and preventing osteoporosis in older Korean women.

고등학생들의 컴퓨터 작업환경, 휴식과 근골격계 자각증상에 대한 연구 (The Study on Computer Workstation, Rest and Musculoskeletal Symptoms in High School Students)

  • 윤태형;차태현;황상희
    • 한국산학기술학회논문지
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    • 제13권7호
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    • pp.3037-3047
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    • 2012
  • 본 연구는 일부 지역의 고등학생들을 대상으로 휴식, 컴퓨터 작업 환경과 근골격계 증상과 위험비을 알아보기 위한 조사연구이다. K지역의 고등학생들을 대상으로 자기기입식 설문지를 배부하여 최종 685부를 최종회수하여 자료분석을 하였다. 본 연구결과 컴퓨터 사용시 통증부위는 허리, 어깨, 목의 통증을 가장 많이 호소하였다. 통증부위별 통증유무에 따른 작업자세 및 환경평가점수의 차이는 통증이 없는 사람이 통증이 있는 사람에 비해 유의하게 높았다. 통증부위와 작업환경과 음의 상관이 보인 것은 책상(어깨), 의자(목, 어깨, 허리, 무릎, 발목/발), 모니터(어깨, 허리), 키보드(목, 어깨, 엉덩이/허벅지, 발목/발) 등의 결과가 나타났다. 작업환경과 근골격계 자각증상의 위험비(odds ratio)는 목은 모니터, 무릎과 발목/발은 의자의 환경이 좋을수록 통증이 완화되는 것으로 나타났다. 따라서, 컴퓨터 작업환경과 근골격계 증상이 관련성이 있으며 컴퓨터 사용이 증가함에 따라 컴퓨터 작업환경을 개선해줌으로써 근골격계 증상을 완화시킬 수 있는 예방프로그램이 필요하다.

젊은 성인과 폐경 여성간의 악골 골밀도에 관한 비교 연구 (COMPARISON OF JAW BONE DENSITY IN YOUNG ADULTS AND POSTMENOPAUSAL WOMEN)

  • 김태성;이동근;이병도;정선관
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제23권2호
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    • pp.107-114
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    • 2001
  • Objectives : To compare jaw bone density of young adults (control group) and post-menopausal women(experimental group) in periapical and panoramic film. Materials and Methods : The bone mineral density values of lumbar and femur were measured by dual-energy X-ray absorptiometry(DEXA) and T scores of lumbar were obtained. T scores were classified into 3 group (T<-2.5, $-2.5{\leqq}T<-1$, $-1{\leqq}T$). Radiographic densities of alveolar bones were measured from interdental bones of premolar, molar areas in the maxilla and mandible and expressed into copper step wedge thickness by Scion $Image^{(R)}$ program. We considered these values of step wedge thickness as bone density of alveolar bone. Panorama mandibular index(PMI) was calculated by the method that the height of the inferior cortex of the mandible was divided by the height from the lower border of the mandible to the superior edge of the mental foramen. Bone density of alveolar bone and PMI were analysed statistically. Results : There were significant differences in bone mineral density of lumbar and femoral neck between control and experimental groups. There were also significant differences in bone density of premolar and molar area of jaw between control and experimental groups by MANOVA test. When considered lumbar T variables, there was only difference in interdental bone density of maxillary molar area between control and experimental group, but there was interaction. Interdental bone density of experimental group was appeared higher in $-1{\leqq}T$ group and lower in T<-2.5 group than control group. There was significant difference in PMI between control and experimental groups, but there was also inter action, thus, PMI of experimental group was appeared higher in $-1{\leqq}T$ group and lower in T<-2.5 group than control group. Conclusion : There were significant differences of alveolar density and cortical bone thickness between young men and post-menopausal women in periapical and panoramic film. These differences were dependent on lumbar T.

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두 종의 external hex implant의 변연골 흡수에 관한 연구 : 예비연구 (preliminary study) (Radiographic evaluation of marginal bone resorption around two types of external hex implants : preliminary study)

  • 이지은;허성주;곽재영;김성균;한종현
    • 대한치과보철학회지
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    • 제46권2호
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    • pp.169-174
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    • 2008
  • 목적: 치과 임플랜트 주위의 변연골 변화는 임플랜트의 기능적인 유지 뿐만 아니라 심미적 성공을 위해서도 중요하다. 변연골의 유지를 위한 임플랜트 디자인이 연구되고 있다. 이번 예비 연구는 두 종류의 external hex implant 시스템에서 임플랜트의 상부 미세 나사산이 변연골 변화량에 미치는 영향을 평가하고자 한다. 재료 및 방법: 총 24명의 환자를 대상으로 $Br{{\aa}}nemark$ 임플랜트 식립군 (1군, 거친 표면 임플랜트, 20개)과 원플란트 임플랜트 식립군 (2군, 미세나사산을 가진 거친 표면 임플랜트, 20개)으로 분류하였다. 기준 시점 (임플랜트 부하)과 부하를 가한 1년 뒤 임상적, 방사선학적 검사를 시행하였다. UTHSCSA Image Tool을 이용하여 임플랜트-보철 경계부로부터 변연골 높이 변화량으로 계측하였다. 계측치는 SAS 프로그램을 이용하여 three-level ANCOVA로 통계처리 하였다. 결과: 기준 시점과 비교하여 1년 기능 후, 두 그룹 간의 변연골 소실 변화량에 있어서 통계학적으로 유의한 차이가 있었다 (P<0.05). 1군의 평균 변연골 높이 변화량은 $0.83{\pm}0.31mm$, 2군에 있어서는 $0.44{\pm}0.36mm$ 이었다. 미세나사산을 가진 거친 표면 임플랜트가 미세나 사산을 가지지 않은 거친 표면 임플랜트 보다 더 적은 변연골 소실 변화량을 보였다. 결론: 미세나사산을 가진 거친 표면 임플랜트가 기능적 부하 후 변연골 높이를 유지하는데 있어 더 유리한 디자인으로 보인다.

하악골에 발생한 근섬유종: 증례 보고 (Myofibroma of the mandible: A case report)

  • 김진수;김성은;김재덕
    • Imaging Science in Dentistry
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    • 제36권4호
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    • pp.211-215
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    • 2006
  • Myofibroma is a rare benign soft tissue tumor that in all ages usually occurs in the head and neck region, and at subcutaneous tissue, but rarely has bone origin within bone. Intraosseous lesions are more often found in childhood. Although intraosseous lesions are relatively common in mandible. Reports for mandible, reports on radiographic findings of myofibroma occurred on the mandible are uncommon. We describe the radiographic appearance on the conventional radiographs and CT of myofibroma of the mandible in a 9-year-old boy. This benign lesion closely resembles to odontogenic cyst or tumor on image.

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악골에 발생된 방사선골괴사 (Osteoradionecrosis of the jaws)

  • 안현숙;고광준
    • Imaging Science in Dentistry
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    • 제31권1호
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    • pp.57-65
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    • 2001
  • Osteoradionecrosis is one of the most serious complication after heavy irradiation of bone and most particularly following treatment of cancers within the head and neck. The irradiated bone has the decreased vascularity and is easily infected. As a result, the spread of infection may cause a nonhealing wound that is very difficult to be treated. A comprehensive prophylactic dental care as well as proper blocking of the radiation field before radiotherapy must be considered to reduce the risk of osteoradionecrosis. We present three cases of osteoradionecrosis which developed after extraction of teeth in irradiated patients.

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Atypical viscous fracture of human femurs

  • Yosibash, Zohar;Mayo, Romina Plitman;Milgrom, Charles
    • Advances in biomechanics and applications
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    • 제1권2호
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    • pp.77-83
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    • 2014
  • Creep phenomenon at the scale of bone tissue (small specimens) is known to be present and demonstrated for low strains. Here creep is demonstrated on a pair of fresh-frozen human femurs at the organ level at high strains. Under a constant displacement applied on femur's head, surface strains at the upper neck location increase with time until fracture, that occurs within 7-13 seconds. The monotonic increase in strains provides evidence on damage accumulation in the interior (probably damage to the trabeculae) prior to final fracture, a fact that hints on probable damage of the trabecular bone that occurs prior to the catastrophic fracture of the cortical surface layer.

Expression of Bone Morphogenetic Protein-2 and Histological Differentiation of Oral Squamous Cell Carcinomas

  • Hamasni, Fatme Mouchref;El Hajj, Fady
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권12호
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    • pp.5243-5245
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    • 2016
  • Background and Objective : Bone morphogenic protein-2 (BMP-2) plays an essential role in mesenchymal cell differentiation into osteoblasts، through many intracellular pathways which may also be active in tumors. Invasive oral squamous cell carcinomas account for more than 90% of head and neck malignancies in many cancer registries. They are classified into three types according to epithelial cell differentiation. The present study aimed to identify any relation between BMP-2 expression and tumor histology. Materials and methods: BMP-2 expression was compared immunohistochemically among 30 cases (19 male and 11 female, mean age 48 years) of oral squamous cell carcinoma, Division was into 3 groups (each containing 10 cases) according to the histological grade. Results: No significant correlation between BMP-2 expression and histological grade was observed. Changes in localization and cytoplasmic staining were also not apparent. Conclusion: From the results of this study BMP-2 does not appear to have any application as a prognostic marker for oral squamous cell carcinomas.