• Journal of Korean Neurosurgical Society
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• v.51 no.1
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• pp.59-61
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• 2012

Although the mechanism of hemifacial spasm (HFS) is not yet well established, vascular compression of the facial nerve root exit zone and hyperexcitability of the facial nucleus have been suggested. We report a case of HFS in the setting of coinciding intracranial hemorrhage (ICH) of the pons and proximal ligation of the contralateral vertebral artery (VA) for the treatment of a fusiform aneurysm of the distal VA and discuss the possible etiologies of HFS in this patient. A 51-year-old male with an ICH of the pons was admitted to our hospital. Neuroimaging studies revealed an incidental fusiform aneurysm of the right VA distal to the origin of the posterior inferior cerebellar artery. Eight months after proximal ligation of the VA the patient presented with intermittent spasm of the left side of his face. Pre- and post-ligation magnetic resonance angiography revealed an enlarged diameter of the VA. The spasm completely disappeared after microvascular decompression.

• Journal of Acupuncture Research
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• v.20 no.1
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• pp.218-227
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• 2003

Objective : Hemifacial spasm is painless uncommon disorder characterized by involuntary paroxysmal movement of one side of face, In this study, the effect of Dong-Si acupuncture therapy for three patients with hemifacial spasm were evaluated. Methods : We have treated them with acupuncture treatment of Dong-Si acupuncture points(Cheuk-Samni and Cheuk-ha-Samni) and evaluated the effect by Scott's scale, For the first two weeks, it was dine once a day, and after two weeks, the other day. Results : Before therapy, the grades of spasm intensity classified by Scott's description in three cases were 3. And after Dong-Si acupuncture therapy, the grade of one case was 0, and two cases were 1. Conclusion : The Dong-Si acupuncture therapy for hemifacial spasm was effective and will be attempted to the patients with it.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.37
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• pp.29.1-29.7
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• 2015

Facial asymmetry is found in patients with or without cosmetic facial alterations. Some patients have facial asymmetry that manifests underlying skeletal problems, while others have only limited soft-tissue facial asymmetry. Orthognathic surgery brings about a dermatic change, as soft tissue covers underlying bones. Limited soft-tissue asymmetry, meanwhile, is difficult to correct. The treatment modalities for the creation or restoration of an esthetically pleasing appearance were autogenous fat grafts, cartilage graft, and silicon injections. A young female patient had right-side facial asymmetry. The clinical assessment involved visual inspection of the face and palpation to differentiate soft tissue and bone. Although the extra-oral examination found facial asymmetry with skin atrophy, the radiographic findings revealed no mandibular atrophy or deviation. She was diagnosed as localized scleroderma with muscle spasm. In conclusion, facial asymmetry patients with skeletal asymmetry can be esthetically satisfied by orthognathic surgery; however, facial atrophy patients with skin or subdermal tissue contraction need treatment by cosmetic dermatological surgery and orthodontic correction.

• Proceedings of the KSME Conference
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• 2001.06a
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• pp.764-769
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• 2001

Brake-induced vibrations of a vehicle such as brake judder are determined by the excitation of brake torque variations and by their transfer to the driver's contact points via suspension, body and steering system. The formation of brake torque variation is mainly determined by static and dynamic disk thickness variations. The vibration transfer from the excitation by brake torque variation to the perception by the driver depends on the kinematic and dynamic behaviour of the components in the transfer path. Optimization of the judder performance can be achieved either by minimizing the excitation or by reduction of the judder sensitivity of the vehicle. In this paper, the optimization process of a front rotor is suggested to reduce brake judder considering the cooling performance of the rotor, the judder sensitivity of the vehicle and durability of the rotor.

• The Korean Journal of Pain
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• v.9 no.1
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• pp.89-93
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• 1996

Hemifacial spasm commonly occurs in muscles about the eye, but may also involve or spread to the entire side of the face. One hundred and seventy eight patients with hemifacial spasm visited our Neuro-Pain clinic from January 1992 to April 1996. There were 121 female and 57 male patients, a 2.1:1 ratio respectively. Largest percentages of patients were in the 50 year old range. Among them, 96 patients were treated by facial nerve block or O'Brien block. In most cases, induced facial palsy disappeared within one or two months. Among the 96 patients who received nerve block, 46 patients received a second block within 5 to 24 months. The average interval from first and second nerve block was 11.5 months. After nerve block, all patients were free from spasm for 1 to 21 months. We conclude that facial nerve block is a satisfactory and reliable method for the treatment of facial spasm.

• Proceedings of the KSRS Conference
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• 2008.03a
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• pp.20-24
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• 2008

차량에 부착된 CCD 카메라를 이용하여 취득된 도로 주변의 영상에 존재하는 사람의 얼굴을 추출하여 제거하는 처리를 할 경우, 사생활 침해의 문제 없이 사용자들에게 원하는 지역의 도로영상의 제공이 가능해진다. 이 실험의 목적은 차량에서 취득된 도로 주변의 칼라 영상에서 사람의 얼굴을 자동으로 추출하는 기술을 개발하는데에 있다. 도로 주변의 CCD영상에서의 얼굴 추출을 위해, HSI(색상, 채도, 명도) 칼라 모델과 YCrCb 칼라 모델을 사용하여 이들 모델에 임계값을 적용하여 피부색을 검출하였으며, 두 개의 모델을 사용한 결과 효과적인 피부색의 검출이 가능함을 확인할 수 있었다. 검출된 피부색 영역을 연결성과 밝기 차이를 이용하여 클러스터링을 실행하고 이렇게 나뉘어진 각각의 구역들에 구역의 면적, 구역내 존재하는 화소의 개수, 구역의 가로와 세로 비율 그리고 타원조건을 적용하여 얼굴 후보 구역을 결정하였다. 그리고 최종적으로 남겨진 구역을 이진화 하고, 이진화 된 영상 중 검은 부분이 5% 이상일 때 이들을 눈, 코, 입 등으로 간주하여 최종적인 얼굴로 결정하였다. 실험 결과 추출되지 않은 얼굴과 잘못 추출된 구역이 발생했으나, 얼굴에 해당하는 임계값등의 조건을 약화시킬 경우 대부분의 얼굴의 추출이 가능할 것으로 여겨지며, 추출된 구역을 흐리게 처리할 경우 오인식된 부분에 대한 사용자의 거부감도 줄일 수 있을 것 으로 예상된다.

• Archives of Plastic Surgery
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• v.32 no.1
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• pp.37-42
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• 2005

The human nose is located in the center of the face and it's cosmetic importance is high. The contour of the nasal dorsum and side walls play a major role in the shaping of the nose, and even a slight distortion may results in significant variance of the human facies. However, in the case of patients with wide nasal bone, augmention rhinoplasty can make nasal planes look wide, resulting in bulbous appearing noses or lateral borders of the nasal implant may be visible after the surgery making the final cosmetic results unsatisfactory. To solve such problems, from march, 1999 to march, 2004, the authors have performed augmention rhinoplasty in 36 patients. The cause of operations were as follows: flat nose 20, hump nose 5, deviated nose 4, secondary rhinoplasty 7. Paramedian osteotomy was performed at a distance that was the same as the width of the implant from the midline(5 mm + 5 mm). To prevent it from connecting to the roof at the lateral osteotomy line, intentional green stick fracture of the roof was performed. Agumentation rhinoplasty was done with either Silicone or Gortex and ear cartilage as a supplement. The follow up period was 2 weeks to 13 months with an average of 5.5 months. There were no infections and postoperative bleeding. As a result, the nose was augmented higher and narrower than before which we and the patient both found highly satisfactory.

• Archives of Plastic Surgery
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• v.40 no.5
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• pp.570-574
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• 2013

Background The elliptical excision is the standard method of removing benign skin lesions, such as congenital melanocytic nevi. This technique allows for primary closure, with little to no dog-ear deformity, but may sacrifice normal tissue adjacent to the lesion, resulting in scars which are unnecessarily long. This study was designed to compare the predicted results of elliptical excision with those resulting from our excision technique. Methods Eighty-two patients with congenital melanocytic nevus on the face were prospectively studied. Each lesion was examined and an optimal ellipse was designed and marked on the skin. After an incision on one side of the nevus margin, subcutaneous undermining was performed in the appropriate direction. The skin flap was pulled up and approximated along several vectors to minimize the occurrence of dog-ear deformity. Results Overall, the final wound length was 21.1% shorter than that achieved by elliptical excision. Only 8.5% of the patients required dog-ear repair. There was no significant distortion of critical facial structures. All of the scars were deemed aesthetically acceptable based on their Patient and Observer Scar Assessment Scale scores. Conclusions When compared to elliptical excision, our technique appears to minimize dogear deformity and decrease the final wound length. This technique should be considered an alternative method for excision of facial nevi.

• The Korean Journal of Pain
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• v.1 no.1
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• pp.91-97
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• 1988

Herein is a review of eigthy six surgical cases from March to August, 1986 which recieved tetracaine hydrochloride spinal anesthesia. In an attempt to relieve postoperative pain, 0.5 mg morphine sulfate was administrated into the lumbar subarachnoid space. Pruritus, a side effect of intraspinal morphine, was explored in detail. The results were as follows : 1) The incidence of pruritus was 67.4%, 65.5% in man and 71.0% in woman. 2) The time of onset of pruritus was between 30 and 120 minutes with an average of 79.1 minutes. 3) Pruritus primary occurred on the face(87.9%), especially on the nasal, perinasal and periocular areas. Other sites included the scalp, neck, chest, abdomen, shoulder, hip, thigh, flank, and whole body. 4) The severity of pruritus was classified as mild and moderate, but 4 cases(6.9%) were regarded as severe and were treated with naloxone. 5) The duration of pruritus was from 15 minutes to 19 hours with an average of 4.7 hours. 6) There was no significant difference in the prevention of pruritus between the group recieving diphenhydramine and the one which received normal saline.

• Journal of Biosystems Engineering
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• v.14 no.4
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• pp.221-228
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• 1989

A data acquisition system was designed to measure the forces on a rolling coulter in three coordinated directions, angular velocity of the coulter and travel speed of a soil bin. The data acquisition system consisted of a dynamometer, speed transducers, a signal conditioner, an inter-face board, an Aim-65 microcomputer and a digital data recorder. Strain gages were attached on the surface of the dynamometer and connected to form three Wheatstone bridges, which measure the draft force, the vertical force and the side force on the coulter. An interaction among three dimensional forces was found during the calibration. A matrix procedure was used to correct the forces for this interaction. Rotary shaft encoders were mounted on the coulter and on the soil bin drive to measure the angular velocity of the coulter and the travel speed of the soil bin. The angular velocity and the travel speed were computed by counting the number of pulse signals from the rotary shaft encoders every 0.2 second. The digital signals from the rotary shaft encoders were connected to counters and the analog signals from the dynamometer, after passing through the signal conditioner, were connected to the A/D converter. The microcomputer programs, written in assembly language, were developed to read signals from the transducers, convert them to actual unit, display them upon request and record them on a sigital tape every 0.2 second.