• 제목/요약/키워드: Septum

검색결과 508건 처리시간 0.022초

비골 골절 치료시 일차적 비중격 성형술 (Primary Septoplasty In The Treatment of Nasal Bone Fractures)

  • 유연식;윤을식;이병일;동은상
    • Archives of Plastic Surgery
    • /
    • 제36권1호
    • /
    • pp.61-65
    • /
    • 2009
  • Purpose: Most nasal bone fractures involve the septum; either or both of the ethmoidal perpendicular plate(EPP) and quadrangular cartilage(QC). Unlocked tension from the underlying quadrangular cartilage and poorly reducted bony septum are obstacles to the successful reduction of nasal bone. So we compared the preliminary outcome of septoplasty as a primary treatment with the untreated septum in nasal bone fractures. Methods: We performed a retrospective study of 215 patients underwent reduction of nasal fracture between January 2002 and February 2008. We graded patients into four groups according to the amount of deviation and direction of force by CT. Our indication for septoplasty and combined procedures was the deviation of EPP or QC over 50% from the midline. We interviewed part of the patients by telephone regarding the subjective esthetic and functional outcomes. Results: Forty five of 215 patients (21 percent) underwent septoplasty and combined procedures (cartilage graft, etc) after the informed consent. Patients who underwent septoplasty significantly satisfied with the outcome of esthetic appearance and nasal patency compared with patients who underwent simple closed reduction despite of having septal deviation over 50 percent from the midline. (p < 0.05) Conclusion: Septal surgery and esthetic consideration shoud be made even in simple nasal reductions. And if CT scans reveal severe deviation of septum, septoplasty should be considered as a primary treatment.

개심술에서 냉각 심정지액 주입에 따른 심근온도의 변화 (Changes of Myocardial Temperature Following Infusion of Cold Cardioplegic Solution in Open Heart Surgery)

  • 임승우
    • Journal of Chest Surgery
    • /
    • 제24권4호
    • /
    • pp.345-351
    • /
    • 1991
  • The myocardial temperature was monitored in 19 patients of open heart surgery using the Shiley myocardial temperature probe in Department of Thoracic and Cardiovascular Surgery, Yeungnam University Hospital. The myocardial temperature were measured time-wise: initial and 15 minutes following the infusion of the cardioplegic solution into the aortic root and upon reinfusion, which is 30 minutes apart from the initial. The measurements were made in the anterior wall of the right ventricle, the posterior wall of the left ventricle and the interventricular septum. Immediately after initial infusion, the temperature of the right ventricle[10.7 $\pm$4.3oC] was the lowest and that of the left ventricle[12.9$\pm$3.9 oC] the highest in the mean values among all 19 patients. However, no significant differences were noted among the different regions. At 15 minutes after infusion, the lowest temperature was in the right ventricle[17.5$\pm$5.1 oC], followed by interventricular septum[17.9$\pm$2.9 oC], and left ventricle[21.4$\pm$2.5 oC]. At 30 minutes after infusion, the lowest temperature was measured in the interventricular septum[13.6$\pm$2.7 oC ], followed by right ventricle[13.8$\pm$4.0 oC] and left ventricle[14.5$\pm$4.5 oC ]. Evaluating changes of myocardial temperature according to postinfusion time, the temperature at 15 minutes after infusion showed significant increase as compared with that immediately after the infusion in all three regions[p<0.05] and the temperature at 30 minutes after infusion showed significant decrease as compared with that at 15 minutes after the infusion in the left ventricle and the interventricular septum[p<0.05]. The left ventricle was rewarmed most rapidly and its temperature the highest in the mean values, Accordingly, the maintenance of optimal hypothermia of the left ventricle indicated a very careful factor in myocardial protection.

  • PDF

Bone changes in the mandibular incisors after orthodontic correction of dental crowding without extraction: A cone-beam computed tomographic evaluation

  • Valerio, Claudia Scigliano;Cardoso, Claudia Assuncao e Alves;Arauujo, Eustaquio Afonso;Zenobio, Elton Goncalves;Manzi, Flavio Ricardo
    • Imaging Science in Dentistry
    • /
    • 제51권2호
    • /
    • pp.155-165
    • /
    • 2021
  • Purpose: This study aimed to evaluate changes of the alveolar bone and interdental bone septum of the mandibular incisors through cone-beam computed tomography (CBCT) after orthodontic treatment of mandibular dental crowding without dental extraction. Materials and Methods: The sample consisted of 64 CBCT images(32 pre-treatment and 32 post-treatment) from 32 adult patients with class I malocclusion and an average age of 23.0±3.9 years. The width and height of the alveolar bone and interdental septum, the distance between the cementoenamel junction (CEJ) and the facial and lingual bone crests, and the inclination of the mandibular incisors were measured. Results: The distance between the CEJ and the marginal bone crest on the facial side increased significantly (P<0.05). An increased distance between the CEJ and the bone crest on the facial and lingual sides showed a correlation with the irregularity index (P<0.05); however, no significant association was observed with increasing mandibular incisor inclination (P>0.05). The change in the distance between the CEJ and the marginal bone crest on the facial side was correlated significantly with bone septum height(P<0.05). Conclusion: Bone dehiscence developed during the treatment of crowding without extraction only on the incisors' facial side. Increasing proclination of the mandibular incisor was not correlated with bone dehiscence. The degree of dental crowding assessed through the irregularity index was associated with the risk of developing bone dehiscence. The interdental septum reflected facial marginal bone loss in the mandibular incisors.

Do closed reduction and fracture patterns of the nasal bone affect nasal septum deviation?

  • Choi, Jun Ho;Oh, Hyun Myung;Hwang, Jae Ha;Kim, Kwang Seog;Lee, Sam Yong
    • 대한두개안면성형외과학회지
    • /
    • 제23권3호
    • /
    • pp.119-124
    • /
    • 2022
  • Background: Many severe nasal bone fractures present with septal fractures, causing postoperative septal deviation and negatively affecting the patients' quality of life. However, when a septal fracture is absent, it is difficult to predict whether surgical correction can help minimize nasal septal deviation postoperatively. This study determined whether performing closed reduction on even mildly displaced nasal bone fracture could deter the outcome of septal deviation. Methods: We retrospectively reviewed the data of 116 patients aged 21-72 years who presented at the outpatient clinic and emergency room with fractures of nasal bones only without any involvement of the septum from January 2014 to December 2020. Patients were classified into three fracture type groups: A (unilateral), B (bilateral), and C (comminuted with depression). The degree of septal deviation was calculated by measuring the angle between the apex of the most prominent point and the crista galli in the coronal view on computed tomography images. The difference between the angles of the initial septal deviation and that of the follow-up was calculated and expressed as delta (Δ). Results: Closed reduction tended to decrease the postoperative septal deviation in all fracture types, but the values were significantly meaningful only in type A and B fractures. In the surgical group, with type A as the baseline, type B showed a significantly larger Δ value, but type C was not significantly different, although type C showed a smaller Δ value. In the conservative group, with type A as the baseline, the other fracture types presented significantly lower Δ values. Conclusion: For all fracture types, closed reduction significantly decreased the extent to which the nasal septum likely deviated. Therefore, when a patient is reluctant to undergo closed reduction, physicians should address the possible outcomes and prognosis of untreated nasal bone fractures.

간결하고 효과적인 X-band 위성 통신용 계단형 셉텀 편파기의 설계방법 (Simple and Efficient Design Method of Stepped Septum Polarizer for X-band Satellite Communication)

  • 김지흥;이재욱;이택경;조춘식
    • 한국항행학회논문지
    • /
    • 제16권6호
    • /
    • pp.893-899
    • /
    • 2012
  • 본 논문에서는 기존의 방법과 비교하여 간결한 X-band 위성 통신용 셉텀 편파기의 설계방법을 제안한다. 제안된 방법은 기존의 셉텀 편파기 설계 방법들과 비교하여 설계과정에서 소요되는 시간적인 측면과 설계방법의 복잡성 측면에서 개선된 방법이다. 더욱이 도파관형 셉텀 편파기의 해석 및 설계를 위해 등가모델링 방법을 상용 EM 소프트웨어를 이용한 전파상수(${\beta}$) 및 도파관 임피던스 계산과 전송선로 이론을 적용하였다. 마지막으로 시뮬레이션과 실제측정 결과를 통해, 위성 통신용 적합성을 확인하였다.

온전한 심실중격을 가진 폐동맥판막무형성증, 동맥관개존, 심방중격결손의 수술치험 1례 (Absent Pulmonary Valve with Intact Ventricular Septum, PDA. ASD)

  • 유지훈;박계현;이영탁;박표원;전태국
    • Journal of Chest Surgery
    • /
    • 제35권8호
    • /
    • pp.590-593
    • /
    • 2002
  • 온전한 심실중격을 가진 폐동맥판막무형성증(absent pulmonary valve syndrome with intact ventricular septum, APVS with IVS)은 매우 드문 선천성 심장 질환이다. 신생아의 경우 확장된 폐동맥에 의한 기도폐쇄와 이로 인한 심한 호흡곤란증으로 높은 사망률을 유발한다. 이에 대한 해결책으로 여러 약물치료 및 여러 고식적 수술, 폐동맥 판막 삽입, 폐동맥 축소술(reductive angioplasty of pulmonary artery) 등이 사용되었다. 본원에서는 동맥관 결찰술, 폐동맥 축소술, 폐동맥 판막 재건술(pulmonary valve reconstruction) 및 심방중격결손 봉합술을 시행하여 좋은 결과를 얻었다.

비중격에 발생한 신경섬유종의 내시경적 비내 수술 치험 1예 (A Neurofibroma arising from nasal septum)

  • 홍지원;이준호;박동진;김명구
    • 대한기관식도과학회지
    • /
    • 제14권1호
    • /
    • pp.46-49
    • /
    • 2008
  • Neurofibroma is a neurogenic tumor arising from schwann cells or peripheral tissues of nerve sheaths. Neurofibroma rarely occurs as a solitary lesion but mostly occurs as part of neurofibromatosis and reports of neurofibromas developed in the nasal cavity or paranasal sinus are very rare. We report on a case of neurofibroma of the nasal cavity treated by endoscopic surgery. Preoperative computed tomography(CT), and punch biopsy suggested that the tumor was benign neurogenic tumor cofined to right nasal cavity. The tumor was removed with endoscopic surgery completely, and confirmed as neurofibroma by histological and immunohistochemical examination. We discuss the clinical and pathological characters of neurofibroma arising in the nasal septum.

  • PDF

Methamphetamine 투여가 흰쥐 뇌 부위별 dopamine, serotonin량에 미치는 영향 (The Effect of Methamphetamine on the Regional Levels of Dopamine and Serotonin in the Rat Brain)

  • 노일협;정희선
    • 약학회지
    • /
    • 제34권5호
    • /
    • pp.311-322
    • /
    • 1990
  • This study primarily attempted to investigate the effects of methamphetamine on stereotyped behavior. Furthermore, an extensive experiment was conducted to examine the cortex methamphetamine concentration and levels of dopamine, serotonin, and their metabolites in striatum, septum and hypothalamus. Following treatment with 10 mg/kg methamphetamine, stereotyped behavior was observed in 10 minutes. Consequently female rats displayed more intense and longer lasting activity than the male. The concentration of cortex methamphetamine was even higher in female than male. The administration of methamphetamine increased the rate of dopamine turnover-i.e. lower dopamine, higher homovanillic acid in the striatum, septum. The highest rate was found in the striatum. Methamphetamine decreased the levels of serotonin, and its metabolite of 5-indoleacetic acid in the striatum, septum. An intensity in behavioral response was accompanied by an increase in dopamine turnover, a decrease in serotonergic transmission. The reduction of 3,4-dihydroxyphenylacetic acid-i.e. the metabolite of dopamine was due not to the inhibition of monoamine oxidase but to the induction of monoamine oxidase but to the induction of catechol-O-methyltransferase. The phenomenon of biogenic amines by methamphetamine concurred upon the concentration of methamphetamine in the brain. This process preceded stereotyped behavior. After single injection of 10 mg/kg methamphetamine, the levels of biogenic amines recovered within 6 hours.

  • PDF

폐동맥 폐쇄증 (Pulmonary atresia)의 외과적 치료 -2예 보고- (Surgical treatment of pulmonary atresia -2 cases-)

  • 강경훈
    • Journal of Chest Surgery
    • /
    • 제19권3호
    • /
    • pp.464-469
    • /
    • 1986
  • Pulmonary atresia with intact ventricular septum, and with VSD were uncommon congenital anomalies with high mortality in the neonatal period. Those survivals depend on an adequate interatrial communication or interventricular communication and pulmonary flow via large aortopulmonary collateral including PDA. Recently we experienced surgical correction of 2 cases pulmonary atresia with intact ventricular septum and with VSD. On case 1, 10-years old male patient was confirmed as pulmonary valvular membranous atresia with intact ventricular septum combined with large functioning PFO and mild tricuspid incompetence. So we performed total correction under the E.C.C, that was PDA ligation, RVOT reconstruction with monocusp valved outflow patch [16mm], repair of tricuspid insufficiency and closure of PFO. Post-operative hemodynamic result was good and there was no event during hospital course. On case 2, 16-years old female patient was diagnosed as pulmonary atresia with VSD and PDA. MPA was absent, remained fibrous cord like remnant and type of VSD was subaortic defect [3cm by 3cm in the size]. PDA was located at the usual site. Under the E.C.C. VSD patch closure through the right ventriculotomy, anastomosis between the right ventricular outflow tract and the pulmonary bifurcated site with the extra-cardiac Hancock valved conduit [22cm] and PDA ligation were performed.

  • PDF

New Record of Two Derbesia Species (Chlorophyta) in Korea

  • An, Jae Woo;Kang, Pil Joon;Nam, Ki Wan
    • 환경생물
    • /
    • 제36권2호
    • /
    • pp.150-155
    • /
    • 2018
  • Two siphonous green algae were collected from the eastern coast of Korea. These species share the typical features of Derbesia sporophytes, such as erect and prostrate siphonous filaments and the presence of basal septum in lateral branches. One is characterized by the combined features of a relatively small tufted sporophytic thalli arising from a rhizoidal base, subdichotomously branched filaments with a basal septum and one pyrenoid per subspherical to lenticular chloroplast. The other shows a larger sporophytic thallus, sparsely subdichotomously branched filaments with a basal septum and one pyrenoid per spherical chloroplast. In a phylogenetic tree based on rbcL sequence, the two above-mentioned Korean algae nest in the same clades as Derbesia minima and D. indica, respectively. The genetic distance between the sequences within the clades was 0.5-0.8%, which is considered to be included in the intra-specific range for the genus. These two siphonous Korean algae are identified as D. minima and D. indica, respectively, based on the morphological and molecular analyses. These species are newly recorded in the Korean marine algal flora herein.