• Title/Summary/Keyword: Spine appearance

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Review of cranioplasty after decompressive craniectomy

  • Cho, Yong Jun;Kang, Suk Hyung
    • Korean Journal of Neurotrauma
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    • v.13 no.1
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    • pp.9-14
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    • 2017
  • Cranioplasty is an in evitable operation conducted after decompressive craniectomy (DC). The primary goals of cranioplasty after DC are to protect the brain, achieve a natural appearance and prevent sinking skin flap syndrome (or syndrome of the trephined). Furthermore, restoring patients' functional outcome and supplementing external defects helps patients improve their self-esteem. Although early cranioplasty is preferred in recent year, optimal timing for cranioplasty remains a controversial topic. Autologous bone flaps are the most ideal substitute for cranioplasty. Complications associated with cranioplasty are also variable, however, post-surgical infection is most common. Many new materials and techniques for cranioplasty are introduced. Cost-benefit analysis of these new materials and techniques can result in different outcomes from different healthcare systems.

Egg Development and Early Life History of the Korean Endemic Sand Spine Loach, Cobitis nalbanti (Pisces: Cobitidae) (한국고유종 점줄종개 Cobitis nalbanti의 난발생 및 초기생활사)

  • Ko, Myeong-Hun;Bang, In-Chul
    • Korean Journal of Ichthyology
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    • v.31 no.1
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    • pp.30-38
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    • 2019
  • Egg development and early life history of the Korean endemic sand spine loach, Cobitis nalbanti, were investigated in the present study. Adult fish were sampled using spoon nets at the Yeongsan River in Seongam-ri, Bukha-myeon, Jangseong-gun, Jeollanam-do, Korea, June 2011. Eggs were obtained after injecting Ovarprim into females. Eggs were then artificially fertilized using the dry method in the laboratory. Mature eggs were transparent and slightly adhesive with light yellowish coloring, measured $0.99{\pm}0.03mm$ ($mean{\pm}SD$) in diameter. And number of spawned eggs were $1,527{\pm}410$ per individual. Hatching (50%) of the embryo occurred 52 hours after fertilization a water temperature of $25^{\circ}C$, and the average newly hatched larvae size was about $4.2{\pm}0.22mm$ in total length. At fifth day after hatching, the larval total length reached $6.0{\pm}0.34mm$ on average and their yolk sac had been completely absorbed. At fifteen day after hatching, larva entered the juvenile stage and reached $10.8{\pm}0.45mm$ in total length. At 100th day after hatching, the formation of Gambetta's zone of four dotted line was complete and juveniles were similar in general appearance to adults, and they averaged $41.1{\pm}2.95mm$ in total length.

First Record of the Carangid Fish, Seriola rivoliana from Korea (한국산 전갱이과 어류 1미기록종)

  • Kim, Young-Seop;Kim, Yong-Uk;Ahn, Geon
    • Korean Journal of Ichthyology
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    • v.9 no.2
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    • pp.244-247
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    • 1997
  • A specimen of carangid fish, Seriola rivoliana Valenciennes belonging to the family Carangidae was collected for the first time in Pusan, Korea. It was similar to Seriola dumerili (Risso) by appearance, but differed in some morphological characters having the deeper body, the higher lobes of the second dorsal and anal fins, becoming straight line below 23-24th ray of second dorsal fin, the configuration of the first haemal spine. A new Korean name "Nat Jaetbang-eo" is proposed for this species.

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Facial Flap Repositioning in Posttraumatic Facial Asymmetry

  • Byun, Il Hwan;Byun, Dahn;Baek, Woo Yeol
    • Archives of Craniofacial Surgery
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    • v.17 no.4
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    • pp.240-243
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    • 2016
  • Perfect facial and body symmetry is an important aesthetic concept which is very difficult, if not impossible, to achieve. Yet, facial asymmetries are commonly encountered by plastic and reconstructive surgeons. Here, we present a case of posttraumatic facial asymmetry successfully treated with a unique concept of facial flap repositioning. A 25-year-old male patient visited our department with severe posttraumatic facial asymmetry. There was deviated nasal bone and implant to the right, and the actual facial appearance asymmetry was much more severe compared to the computed tomography, generally shifted to the right. After corrective rhinoplasty, we approached through intraoral incision, and much adhesion from previous surgeries was noted. We meticulously elevated the facial flap of both sides, mainly involving the cheeks. The elevated facial flap was shifted to the left, and after finding the appropriate location, we sutured the middle portion of the flap to the periosteum of anterior nasal spine for fixation. We successfully freed the deviated facial tissues and repositioned it to improve symmetry in a single stage operation. We conclude that facial flap repositioning is an effective technique for patients with multiple operation history, and such method can successfully apply to other body parts with decreased tissue laxity.

Bibrachial Amyotrophy Associated with Epidural Cerebrospinal Fluid Leakage: A Case Report (경막외 뇌척수액 누출과 연관된 양측 상지 근위축증: 증례보고)

  • Rho, Hyunwoo;Jeong, Jiseon;Sung, Duk Hyun
    • Journal of Electrodiagnosis and Neuromuscular Diseases
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    • v.20 no.2
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    • pp.112-118
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    • 2018
  • We describe a case of a 71-year-old male patient who experienced progressive bilateral proximal upper limb weakness and atrophy without sensory symptoms and signs over 5 years. Electromyography demonstrated denervation potentials and neuropathic motor unit action potentials on C5-C7 myotome muscles bilaterally. Cervical spine magnetic resonance imaging revealed engorged anterior epidural venous plexus, T2 hyperintensity localized to grey matter ("snake-eye" appearance) at C2-C6 vertebral level, and ventral epidural fluid collection from C6 to T8 vertebral level. This case indicates that bibrachial amyotrophy associated with epidural fluid leak should be suspected in patients presenting with progressive bilateral upper limb weakness and atrophy without sensory involvement.

Egg Development and Early Life History of the Korean Spine Loach, Cobitis tetralineata (Pisces:Cobitidae) (한국고유종 줄종개 Cobitis tetralineata의 난발생 및 초기생활사)

  • Ko, Myeong-Hun;Won, Yong-Jin
    • Korean Journal of Ichthyology
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    • v.27 no.2
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    • pp.95-103
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    • 2015
  • Egg development and early life history of the Korean spine loach, Cobitis tetralineata, were investigated in the present study. Adult fish were sampled using spoon nets at the Seomjin River in Jeongsan-ri, Bokheong-myeon, Sunchang-gun, Jeollanbuk-do, Korea, July 2013. Eggs were obtained after injecting Ovarprim into females. Eggs were then artificially fertilized using the Dry method in the laboratory. Mature eggs were slightly adhesive and transparent with grey coloring, and measured $1.04{\pm}0.03mm$ ($mean{\pm}SD$) in diameter. Hatching of the embryo occurred approximately 56 hours after fertilization at $25^{\circ}C$ of water temperature, and the average size of newly hatched larvae was about $4.6{\pm}0.11mm$ in total length. At fifth day after hatching, the larval full length reached $6.8{\pm}0.28mm$ on average and their yolk sac had been completely absorbed. At 17th day after hatching, larva entered the juvenile stage and reached $9.8{\pm}0.50mm$ in total length. At 100th day after hatching, the formation of Gambetta's zone of four line was complete and juveniles were similar in general appearance to adults, and they averaged $34.7{\pm}5.77mm$ in total length.

A FRONTAL CEPHALOMETRIC STUDY ON THE REFERENCE LINES TO ASSESS THE CRANIOMAXILLOFACIAL ASYMMETRY (안면 비대칭의 평가를 위한 기준에 관한 정모 두부 방사선 계측학적 연구)

  • Paek, Sun-Ho;Ahn, Byoung-Keun;Kim, Sun-Hae;Sohn, Hong Bum;Han, Ho Jin;Kang, Soo-Man
    • The korean journal of orthodontics
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    • v.23 no.1 s.40
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    • pp.1-15
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    • 1993
  • This study was undertaken to investigate the midline having the least difference between the right and left structures among the lines that had been used in the study of the craniomaxillofacial asymmetry. The sample of this study consisted of twenty six Korean girls(average 18.9 years old) having normal facial appearance and occlusion. On the frontal cephalometric films of the sample, we divided the whole craniomaxillofacial area into four portions, i.e., cranial, upper facial, lower facial, and dental portion. So, we have found the midlines having the least difference in the whole craniomaxillofacial area itself, and in the each divided four portions, furtherly in the other portions from aimed portion. The findings were as follow: 1. In the whole craniomaxillofacial area, the connecting line between crista galli and anterior nasal spine and the perpendicular bisecting line between right and left foramen rotundums were suitable for the midline. 2. In the cranial portion, established all six lines were suitable for midlines. In the other portions, the perpendicular bisection line between both condylion, the line passing the contact point between right and left mandibular central insisiors among the perpendicular lines between right and left mandibular central incisial tips were suitable midlines fer evaluating the asymmetry of cranial portion. 3. In the upper facial portion, the perpendicular bisecting line between right and left zygions was the most suitable midline. In the other portions, the line between the crista galli and the most superior point of the odontoid process, the perpendicular bisecting line between right and left gonions, the perpendicular bisecting line between right and left condylions, and perpendicular bisecting line between right and left foramens rotundum were suitable midlines for evaluating the asymmetry of the upper facial portion 4. In the dental portion, the perpendicular bisecting lines between right and left buccal cusps of both maxillary first molars and between right and left mandibular first molars were suitable midlines. In the other portions, the perpendicular bisecting line between right and left landmarks crossing the lesser wing of the sphenoid bone and orbit, the perpendicular bisecting line between right and left mental foramens, and the connecting line between crista galli and prosthion were suitable midlines for evaluating the asymmetry of dental portion. 5. In the lower facial portion, the perpendicular bisecting lines between right and left condylions and between right and left gonions were suitable midlines. In the other portions, the line between the crista galli and anterior nasal spine, the perpendicular bisecting line between right and left foramen rotundums, and the perpendicular bisecting lines between right and left buccal cusps of both mandibular first molars and between right and left maxillary first molars were suitable midlines for evaluating the asymmetry of the lower facial portion.

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Morphological Changes of the Embryo and First Zoea Larvae of Snow Crab, Chionoecetes opilio (O. Fabricius) (대게 Chionoecetes opilio (O. Fabricius)의 난발생 및 부화 유생의 형태)

  • 임영수;이복규;이종관;허성범
    • Journal of Aquaculture
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    • v.11 no.3
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    • pp.337-344
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    • 1998
  • This paper documented mophological changes of embryonic development and first zoea larvae of snow crab, Chinoecetes opilio. Female crabs were sampled by the Danish seine fishery at the depth about 200m in Sep. 1997 in the eastern coast of Korea. Female with newly berried eggs was reared at the water temperature of 5$^{\circ}C$ till the time of hatching. The results obtained are as follwos. Embryonic development : According to morphogenesis of fertilized eggs, the developemental process of the embryo was classified into the following seven stages : First stage (cleavage and blastula stage, 24 days) Second stage (gastrula stage, 72 days) Third stage (nauplius stage, 22 days) Fourth stage (metanauplius stage, 57days) Fifth stage (stage of a pigmentary deposit in the compound eye, 30 days) sixth stage (chromatophore appearance stage in maxillipede, 56 days) Seventh stage (hatching stage, 36 days) Larvae hatched as prezoeas and they molted to first zoea in about an hour. The first zoea is 4.6 to 5.1mm in length, 3.2~3.6mm in width. The abdomen consists of five segments and a bifurcate telson.

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THE CEPHALOMETRIC ANALYSIS OF THE SOFT TISSUE CHANGES AT THE MIDDLE FACE IN THE SKELETAL CLASS III PATIENTS WITH THE ORTHOGNATHIC 2-JAW SURGERY (골격성 제3급 부정교합자의 양악 수술 후 중안면부 연조직 변화에 관한 두부 계측 방사선학적 연구)

  • Ahn, Je-Young;Kim, Ji-Yong;Joo, Bum-Ki;Kim, Min-Chul;Huh, Jong-Ki;Kim, Hyung-Gon;Park, Kwang-Ho
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.28 no.1
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    • pp.21-26
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    • 2006
  • Considering the skeletal class III malocclusion that complains of mandibular prognathism, there have been some studies of the mandibular change for comparing the changes of pre operative with post operative state. Nowadays it is common to do the orthognathic 2-jaw surgery for the correction of the maxillary deficiency, the post operative stability and the esthetics. We compare and analyze the changes of soft tissue around the nose and the lip with the changes in the direction and the amount of maxilla. Patients who were diagnosed as maxillofacial deformity and received orthognathic surgery of both jaws at Yongdong Severance hospital from 2001 through 2003 were included in this study. Their lateral cephalograms were analyzed, and the post operative change of hard tissue and soft tissue were studied. Upon analyzing the preoperative cephalograms and 6 month post operative cephalograms, there were significant in the vertical change of Labialis superius(Ls) and Stomion(Stm) in soft tissue in relation to the vertical change of skeletal landmarks (Anterior Nasal Spine, Subspinale, Prosthion, Incision Superious). In addition, there were no significance in horizontal movement of the skeletal landmarks among groups. In terms of hard tissue landmarks, group 3(maxillary posterior impaction and advancement surgery group) showed significantly greater change in the vertical movement of Anterior Nasal Spine(ANS), Subspinale(A), Prosthion(Pr), and Incision Superious(Is) compared with other groups. In terms of soft tissue change, group 3 showed more significant change in the vertical movement of Ls and Stm. This study calculated the changes of the skeletal and soft tissue landmarks in order to act as a guide in planning and performing the surgery and as a reference in predicting the postoperative change of facial appearance.

Bone Mineral Density in Premenopausal Amenorrheic Women with Hypogonadism (폐경전 무월경 여성에 있어서 골밀도 측정에 관한 연구)

  • Park, Ki-Hyun;Lee, Byung-Seok;Lee, Bo-Yon;Cho, Dong-Jae;Song, Chan-Ho
    • Clinical and Experimental Reproductive Medicine
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    • v.19 no.1
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    • pp.49-56
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    • 1992
  • Bone mineral density was measured to assess whether the patients with premonopausal hypogonadism, comprised of 19 patients with hypogonadotropic hypogonadism(HH), 55 with premature ovarian failure(POF), 23 with hyperprolactinemia(HPLN), and 8 with Sheehan's syndrome. All aged from 20 to 39, were associated with some decrease in regional bone mass compared with that of 63 normal-associated with some decrease in regional bone mass compared with that of 63 normal-cycling control women matched with age and sex. Measurement of bone mineral density was carried out using Dual photon absorptiometry at four sites; femur neck, ward's triangle, trochanter and spine(L2-L4). Bone mineral density at all four sites were significantly decreased in patients with HH(p<0.01), POF(p<0.01). In hyperprolactinemic patients, the decrease in bone mass was significant at femur neck and Ward's triangle(p<0.05). The patients with POF were noted to be associated with significant bone loss when their duration of amenorrhea exceeded one year. In this study, the degree of loss of bone mass and the affected sites seemed to be different depending on the various types of hypogonadism and POF was noted have caused the appearance of loss of bone mass earlier than other thpes of hypogondism we experienced.

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