• 제목/요약/키워드: Orbital area

검색결과 129건 처리시간 0.025초

Silicone Implant 삽입 후에 발생한 안와내 거대 낭종 (Large Intraorbital Cyst after Silicone Implant Insertion: A Case Report)

  • 하상욱;이혜경;유원민;탁관철
    • Archives of Plastic Surgery
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    • 제33권5호
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    • pp.659-662
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    • 2006
  • Purpose: Alloplastic implants, such as methylmethacrylate, Teflon, silicone, Supramid are commonly used to cover the floor defect and to prevent reherniation of the displaced orbital tissue in orbital floor fracture. Silicone implant has been used for reconstruction of orbital wall defects because of pliability, advantage of carving and chemically inert nature. However, silicone implant also has complications including infection, extrusion, pain, dystopia and tissue reaction. Cyst formation around the silicone implant is a very rare complication. According to many reports, cysts around alloplastic implant in an orbital area are mostly hemorrhagic cysts consisted of blood breakdown product with fibrous capsule cell in histologic examination. Methods: The authors report atypical case and successful treatment of intraorbital hemorrhagic cyst around silicone implant of a 37-year-old male patient. Results: Preoperative symptoms of diplopia, exophthalmos, proptosis, vertical dystopia and ectropion of lower eyelid were resolved after surgical removal of implants with surrounding capsule. Conclusion: Clinical suspicion of plastic surgeon is important in diagnosis of intraorbital cyst of patients who have history of silicone implantation and computed tomography is the standard tool of diagnosis. During the operation, caution must be taken on delivering the whole capsule of intraorbital cyst along with silicone implant to prevent recurrence of the cyst.

Infraorbital nerve transpositioning into orbital floor: a modified technique to minimize nerve injury following zygomaticomaxillary complex fractures

  • Kotrashetti, Sharadindu Mahadevappa;Kale, Tejraj Pundalik;Bhandage, Supriya;Kumar, Anuj
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제41권2호
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    • pp.74-77
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    • 2015
  • Objectives: Transpositioning of the inferior alveolar nerve to prevent injury in lower jaw has been advocated for orthognathic, pre-prosthetic and for implant placement procedures. However, the concept of infra-orbital nerve repositioning in cases of mid-face fractures remains unexplored. The infraorbital nerve may be involved in trauma to the zygomatic complex which often results in sensory disturbance of the area innervated by it. Ten patients with infraorbital nerve entrapment were treated in similar way at our maxillofacial surgery centre. Materials and Methods: In this article we are reporting three cases of zygomatico-maxillary complex fracture in which intra-operative repositioning of infra-orbital nerve into the orbital floor was done. This was done to release the nerve from fractured segments and to reduce the postoperative neural complications, to gain better access to fracture site and ease in plate fixation. This procedure also decompresses the nerve which releases it off the soft tissue entrapment caused due to trauma and the organized clot at the fractured site. Results: There was no evidence of sensory disturbance during their three month follow-up in any of the patient. Conclusion: Infraorbital nerve transposition is very effective in preventing paresthesia in patients which fracture line involving the infraorbital nerve.

Utilizing Advanced Pad Conditioning and Pad Motion in WCMP

  • Kim, Sang-Yong;Chung, Hun-Sang;Park, Min-Woo;Kim, Chang-Il;Chang, Eui-Goo
    • 한국전기전자재료학회:학술대회논문집
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    • 한국전기전자재료학회 2001년도 추계학술대회 논문집
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    • pp.171-175
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    • 2001
  • Chemical mechanical polishing(CMP) process has been widely used to planarize dielectrics and metal, which can apply to employed in integrated circuits for sub-micron technology. Despite the increased use of CMP process, it is difficult to accomplish the global planarization of free-defects in inter level dielectrics and metal. Especially, defects like (micro-scratch) lead to severe circuit failure, and affects yield. Current conditioning method - bladder type, orbital pad motion - usually provides unsuitable pad profile during ex-situ conditioning near the end of pad life. Since much of the pad wear occurs by the mechanism of bladder tripe conditioning and its orbital motion without rotation, we need to implement new ex-situ conditioner which can prevent abnormal regional force on pad caused by bladder-type and also need to rotate the pad during conditioning. Another important study of ADPC is related to the orbital scratch of which source is assumed as diamond grit dropped from the strip during ex-situ conditioning. Scratch from diamond grit damaged wafer severely so usual1y scraped. Figure 1 shows the typical shape of scratch damaged from diamond. We suspected that intensive forces to the edge area of bladder type stripper accelerated the drop of Diamond grit during conditioning, so new designed Flat stripper was introduced.

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경피두개직류자극 적용 시 비활성 전극의 위치가 뇌졸중 환자의 인지반응에 미치는 영향 (Effect of Applying tDCS by Inactive Electrode Placement to Cognitive Response on Stroke Patients)

  • 황기경;이정우
    • 대한임상전기생리학회지
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    • 제11권1호
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    • pp.31-38
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    • 2013
  • Purpose : This study was to identify the effect of cognitive reaction following inactive electrode placement when applying anodal transcranial direct current stimulation over the primary motor cortex. Methods : For this study a total of 28 stroke patients participated. Before applying transcranial direct current stimulation, cognitive reaction was measured (P300 of event related potential, cognitive reaction time), and subjects were randomly assigned to two group. Transcranial direct current stimulation was applied to the scalp with an intensity of $0.04mA/cm^2$ for 15 minutes. All subjects were given an anode transcranial direct current stimulation over the primary motor area and inactive electrodes over the deltoid muscle (group I) and supra-orbital area (group II). Cognitive reactions were measured after applying transcranial direct current stimulation. Results : For this study a total of 28 stroke patients participated. Before applying transcranial direct current stimulation, cognitive reaction was measured (P300 of event related potential, cognitive reaction time), and subjects were randomly assigned to two group. Transcranial direct current stimulation was applied to the scalp with an intensity of $0.04mA/cm^2$ for 15 minutes. All subjects were given an anode transcranial direct current stimulation over the primary motor area and inactive electrodes over the deltoid muscle (group I) and supra-orbital area (group II). Cognitive reactions were measured after applying transcranial direct current stimulation. Conclusion : Thus transcranial direct current stimulation on the primary motor area may help cognitive reaction regardless of inactive electrode placement.

운동 표상과 관련된 뇌 메커니즘을 알아보기 위한 VR 시스템 개발 및 이를 이용한 fMRI 연구: 예비 실험 (Development of motor representation brain mechanism VR system using IMRI study: A Pilot Study)

  • 이원호;구정훈;조상우;이형래;한기완;박진식;김재진;김인영;김선일
    • 한국HCI학회:학술대회논문집
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    • 한국HCI학회 2008년도 학술대회 1부
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    • pp.728-732
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    • 2008
  • 본 연구는 운동 표상에 관한 뇌 메커니즘의 이해를 위해 fMRI를 이용한 측정 시스템을 개발하였다. 개발된 시스템의 검증을 위해 예비 실험을 시행하였다. fMRI task는 visual feedback을 제공하는 task와 차단하는 task 두 가지의 task로 구성되었다. 실험 결과 visual feedback이 제공되었을 때는 left superior orbital gyrus, bilateral precentral gyrus, left superior occipital gyrus, left supplementary motor area, right thalamus, right postcentral gyrus 그리고 right superior parietal lobule 같은 영역들이 활성화 되었다. Visual feedback이 차단되었을 때는 left precuneus, right middle temporal gyrus, bilateral supplementary motor area, right anterior cingulate cortex, left Inferior temporal gyrus, left insula lobe, right superior parietal lobule, bilateral postcentral gyrus 그리고 left precentral gyrus 같은 영역들이 활성화 되었다. 개발된 시스템을 통해서 visual feedback이 차단되었을 경우 운동 표상에 관한 뇌 메커니즘을 알아 볼 수 있었다.

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Measurement of Orbit using Standardized Processing of CT Scan

  • Kim, Yong Oock
    • Journal of International Society for Simulation Surgery
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    • 제1권1호
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    • pp.7-12
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    • 2014
  • Purpose Surgical correction of various occular problems which do not have visual problem in plastic surgical area is to normalize the appearance of the face by restoring the normal position of orbit and eyeball. With development of surgical technique, the orbit can be restored exactly in trauma patient and can be moved totally in hypertelorism, as an example of congenital disease. All these surgeries are based on the hypothesis that the position of oclular glove moves in the plane in a quantitatively predictable reationship to osseous orbit movement. However, no studies have critically evaluated between the change of periorbital soft tissue and the outcome of the surgical correction, because there is no method of objective, quantitave evaluation of the periorbital soft tissue. Method Author suggest the methodology for quantitative assessment of ocular and periocular fat changes using the manipulation of digital images of computed tomographic scan. Results The method was allowed to evaluate inter-dacryon distance, inter-centroid distance, movement of the medial orbital wall, movement of the lateral orbital wall, alteration of thickness of the lateral periorbital fat as indicator of movement of the orbital wall and orbit in the patient with congenital periorbital anomaly and postoperative periorbital surgery. The goal of surgical correction of various occular problems which do not have visual problem in plastic surgical area is to normalize the appearance of the face by restoring the normal position of orbit and eyeball. With development of surgical technique, the orbit can be restored exactly in trauma patient and can be moved totally in hypertelorism, as an example of congenital disease. All these sugeries are based on the hypothesis that the position of oclular glove moves in the plane in a quantitatively predictable relationship to osseous orbit movement. However, no studies have critically evaluated between the change of periorbital soft tissue and the outcome of the surgical correction, because there is no method of objective, quantitave evaluation of the periorbital soft tissue. In this report, author suggest the methodology for quantitative assessment of ocular and periocular fat changes using the manipulation of digital images of computed tomographic scan. Conclusion The method suggested is objective and accurate method in measurement of the orbital contents. It takes time and is not easy to do, however, this kind of measurement for fine structures will be more easily available in near future.

광범위한 안와파열골절에서 Titanium Mesh Plate와 Porous Polyethylene (Medpor®) 동시 사용의 유용성 (Treatment of Blow-out Fractures Using Both Titanium Mesh Plate and Porous Polyethylene (Medpor®))

  • 구자혜;원창훈;동은상;윤을식
    • 대한두개안면성형외과학회지
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    • 제11권2호
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    • pp.85-90
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    • 2010
  • Purpose: The goals of a blow-out fracture reconstruction are to restore the osseous continuity, provide support for the orbital contents and prevent functional and anatomic defects. Over the past several years, a range of autogenous and synthetic implants have been used extensively in orbital reconstructions. None of these implants have any absolute indications or contraindications in certain clinical settings. However, in extensive blow-out fractures, it is difficult to restore support of the orbital contents, which can cause more complications, such as enophthalmos. This study examined the clinical outcomes of extensive or comminuted blow-out fractures that were reconstructed by the simultaneous use of a titanium mesh plate and $Medpor^{(R)}$. Methods: Eighty six patients with extensive orbital fractures, who were admitted between March 1999 and February 2007, were reviewed retrospectively. The patients' chart and CT were inspected for review. Twenty three patients were operated on with both a titanium mesh plate (Matrix MIDFACE pre-formed orbital plate, Synthes, USA) and $Medpor^{(R)}$ (Porex, GA, USA). The patients underwent pre-operative CT scans to evaluate the fracture site and measure the area of the fracture. A transconjunctival approach was used, and titanium mesh plates were inserted subperiosteally with screw fixation. $Medpor^{(R)}$ was inserted above the titanium mesh plate. The patients were evaluated post-operatively for enophthalmos, diplopia, sensory disturbances and eyeball movement for a period of at least 6 months. Results: No implant-related complications were encountered during the follow-up period. Enophthalmos occurred in 1 patient, 1 patient had permanent sensory disturbance, and 3 patients complained of ocular pain and fatigue, which recovered without treatment. Although there were no significance differences between groups, the use of 2 implants had fewer complications. Therefore, it can be an alternative method for treating blow out fractures. Conclusion: The use of both a titanium mesh plate and $Medpor^{(R)}$ simultaneously may be a safe and acceptable technique in the reconstruction of extensive blow-out fractures.

개의 진균성 전두동염 (Fungal frontal sinusitis in a dog)

  • 장광호;권영삼;강원모;장환수;송창현;최동학;김대영;이근우;오태호;장인호
    • 대한수의학회지
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    • 제40권3호
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    • pp.627-633
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    • 2000
  • 9.3kg의 6년령인 수컷 바셋하운드가 1년 이상 진행된 양측성 전두부위로부터 심한 점액화농성 분비물의 병력을 나타내었다. 내원당시 환축의 신체상태와 식욕은 불량하였다. 전두골위 피부에 형성된 누공으로부터 농성 삼출물이 양측성으로 분비되었다. 삼출물 시료를 배양하여 진균을 분리하였다. 방사선 검사에서는 전두동의 경계가 불분명하고 두꺼운 점액성막으로 덮여 있었으며 전두동의 혼탁도가 미만성으로 증가되어 있었다. 최종적으로 만성 진균성 전두동염으로 진단하였다. 전두동의 외과적 제거후 국소와 전신성 항진균요법으로 Chlorhexidine과 Ketoconazole을 적용하였다. 환축은 점진적으로 건강과 식욕을 회복하였다.

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초소형위성 자세제어를 통한 우주물체 충돌회피 효용성 분석 (Analysis of the Effectiveness of Space Object Collision Avoidance through Nano-Satellite Attitude Maneuver)

  • 성재동;정옥철;정유연;송새한
    • 우주기술과 응용
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    • 제4권1호
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    • pp.62-73
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    • 2024
  • 본 연구에서는 추력기가 없는 저궤도 초소형위성의 자세변경을 통한 궤도변경 방식이 충돌회피기동에 얼마나 효과적인지 분석하였다. 연구 결과, 단면적의 변화는 위성의 진행방향에 영향을 주며, 단면적 변화비율과 임무고도에 따라 기동전 궤도의 변화량이 달라졌다. 특히, 임무고도가 낮은 위성에서 짧은 시간 동안의 자세변경으로 충돌위험을 현저히 감소시킬 수 있음을 확인하였다. 본 연구를 통해 추력기가 없는 초소형위성 운영에 있어 자세기동을 통한 단면적의 변화방식이 충분히 활용가능한 방안으로 판단되며, 뉴스페이스 시대의 위성 운영 안전성 향상에 기여할 것으로 기대된다.

Depth Dose According to Depth during Cone Beam Computed Tomography Acquisition and Dose Assessment in the Orbital Area Using a Three-Dimensional Printer

  • Min Ho Choi;Dong Yeon Lee;Yeong Rok Kang;Hyo Jin Kim
    • Journal of Radiation Protection and Research
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    • 제49권2호
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    • pp.68-77
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    • 2024
  • Background: Cone beam computed tomography (CBCT) is essential for correcting and verifying patient position before radiation therapy. However, it poses additional radiation exposure during CBCT scans. Therefore, this study aimed to evaluate radiological safety for the human body through dose assessment for CBCT. Materials and Methods: For CBCT dose assessment, the depth dose was evaluated using a cheese phantom, and the dose in the orbital area was evaluated using a human body phantom self-fabricated with a three-dimensional printer. Results and Discussion: The evaluation of radiation doses revealed maximum doses of 14.14 mGy and minimum doses of 6.12 mGy for pelvic imaging conditions. For chest imaging conditions, the maximum doses were 4.82 mGy, and the minimum doses were 2.35 mGy. Head imaging conditions showed maximum doses of 1.46 mGy and minimum doses of 0.39 mGy. The eyeball doses using a human body phantom model averaged at 2.11 mGy on the left and 2.19 mGy on the right. The depth dose ranged between 0.39 mGy and 14.14 mGy, depending on the change in depth for each imaging mode, and the average dose in the orbit area using a human body phantom was 2.15 mGy. Conclusion: Based on the experimental results, CBCT did not significantly affect the radiation dose. However, it is important to maintain a minimal radiation dose to optimize radiation protection following the as low as reasonable achievable principle.