• Title/Summary/Keyword: Tongue movement

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Difficult airway management in a patient with a thin mandible

  • Choi, Hong-Seok;Oh, Jong-Shik;Kim, Eun-Jung;Yoon, Ji-Young;Yoon, Ji-Uk;Kim, Cheul-Hong
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.16 no.4
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    • pp.317-320
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    • 2016
  • A 47-year-old woman was referred for surgical treatment of osteomyelitis of the mandible. She had already undergone three previous surgeries. Pre-anesthetic airway evaluation predicted a difficult airway, due to the thin, retro-positioned mandible, tongue, and atrophic changes in the lips and soft tissue. We inserted packing gauzes in the buccal mucosa for easier mask fitting and ventilation. During direct laryngoscopic intubation with a nasotracheal tube (NTT), fracture of a thin mandible can easily occur. Therefore, we used a fiberoptic bronchoscope to insert the NTT. After surgery, we performed a tongue-tie to protect against airway obstruction caused by the backward movement of the tongue during recovery. The patient recovered without any complications. We determined the status of the patient precisely and consequently performed thorough preparations for the surgery, allowing the patient to be anesthetized safely and recover after surgery. Careful assessment of the patient and airway prior to surgery is necessary.

A Clinical Study on the Functional Outcome in Stroke (중풍 환자의 기능 회복에 관한 임상적 고찰)

  • Kwon, Jung-Nam;Kim, Young-Kyun;Cho, Eun-Hee
    • The Journal of Internal Korean Medicine
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    • v.22 no.4
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    • pp.647-657
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    • 2001
  • In the oriental medicine field, researches have been in progress regarding oriental medical factors. I also carried out a clinical study on stroke, from which I discovered meaningful results about important factors that impact on the prognosis of stroke. We studied 132 patients after diagnosis of stroke through a Brain-CT scan and MRI sea, to the oriental internal medicine department at the Hospital affiliated to Oriental Medical College, Dongeui University. All the patients showed meaningful improvement in the examination of their symptoms after four weeks, compared with the first week. Between strokes involving meridian system and strokes involving internal organs, the symptom of paralysis caused by strokes involving meridian system, which patients were in favorable initial condition, had improved significantly and that by strokes involving internal organs had not. The group whose initial bowel movement since the stroke was delayed, whose coating on the tongue was thick or the tongue was dry, whose pulse was tachycardiac, or who had a history of hypertension or diabetics showed a significantly worse symptom after 4 weeks than that of groups in the opposite cases.

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The Study of Faulty Vocal Habits in Patients with Hoarsenes (애성환자에 있어서 잘못된 발성습관에 관한 연구)

  • 안철민;박정은
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.10 no.1
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    • pp.12-16
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    • 1999
  • Background and Objectives : The common cause of voice disorders may be bad habits of phonation. faulty vocal habits might aggravate the voice disorder or make the dysphonia. Authors thought the analysis of faulty vocal habits might help to evaluate the causes and to choose the treatment methods in patients with dysphonia. Authors studied to evaluate which vocal habits were used in patients with dysphonia. Materials and Methods : Patients with dysphonia(N= 32) and person without dysphonia(N=20) were evaluated through pre-evaluation test by otolaryngologist and SLP. All subjects were evaluated accordingly Posture of body, expansion of cervical vein, excessive movements of thyroide prominence, position of tongue, tension of lower lip, tension of jaw, breathing pattern related with phonation. Results : In dysphonia group, we found 23 cases with tension of jaw, 15 cases with expansion of cervical vein, 7 cases with bad position of tongue, 3 cases with excessive movement of thyroid prominence and a lot of cases with bad breathing Pattern on Phonation. In control group, only 3 cases with bad position of tongue, 2 cases with tension of lower lip, 1 case with tension of jaw were found. Conclusions : More faulty vocal habits were found in dysphonia group. Authors thought faulty vocal habits could be the cause of dysphonia and aggravate the dysphonia and the control of vocal habits would be very important in patients with dysphonia.

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A Study on the Inner Area of the Dental Arch (치열궁 내측 평면적에 관한 연구)

  • 정성창
    • Journal of Oral Medicine and Pain
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    • v.5 no.1
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    • pp.5-10
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    • 1980
  • Numerous investigators have pointed out that the force of the tongue against the teeth within the dental arches is normally compensated for by the action of the musculature of the cheeks and lips, and that the tongue at rest occupies a large part of the oral cavity. The purpose of this study was to estimate the maximum areas of the tongue movement by measuring the inner area of the dental arches of both the maxilla and the mandible. This study was based on the study models of 30 children and 128 adults who had clinically good occlusion. There were 15 male and 15 female children whose ages ranged from four years to seven years and 82 male and 46 female adults whose ages ranged from fifteen years to fifty four years. The obtained results were as follows : 1. The mean of the maximum areas within the primary dental arches of both the maxilla and the mandible were $7.06\pm0.8\textrm{cm}^2, 5.49\pm0.77\textrm{cm}^2$ in male children and $6.82\pm0.98\textrm{cm}^2, 5.28\pm0.80\textrm{cm}^2$ in female children respectively. 2. The mean of the maximum areas within the permanent dental arches of both the maxilla and mandible were $17.01\pm2.38\textrm{cm}^2, 13.57\pm1.57\textrm{cm}^2$ in male and $16.75\pm2.08\textrm{cm}^2, 13.36\pm1.01\textrm{cm}^2$ in female respectively.

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Prosthetic rehabilitation of a patient with tongue cancer using palatal augmentation prosthesis and mandibular implant-retained overdenture: A case report (구개 증대 보철물과 임플란트 피개의치를 이용한 설암 환자의 보철수복 증례)

  • Kim, Ye-Jin;Lee, Young-Hoon;Ko, Kyung-Ho;Park, Chan-Jin;Cho, Lee-Ra;Huh, Yoon-Hyuk
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.4
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    • pp.317-322
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    • 2018
  • The tongue, especially its lateral part, is the most common site of oral tumors. Patients who undergo glossectomy for the treatment of tongue cancer may experience difficulty in proper functioning for pronunciation, chewing, swallowing, and oral hygiene maintenance; therefore, a palatal augmentation prosthesis can be used to restore function of the tongue. In this case, an implant overdenture was used in a patient who had residual ridge resorption and obliteration of alveololingual sulcus after undergoing glossectomy for tongue cancer treatment. In addition, a palatal augmentation prosthesis with a metal framework, support, and retention part was fabricated. The palatal vault was reduced, so that even with limited tongue movement, adequate tongue-palate contact could be achieved. After placement of the definitive prostheses, the patient showed improvement in the functions of chewing, swallowing, and pronunciation.

Correlation between Consonants' Place and Vowel Duration in English and Korean (자음의 조음 위치와 인접 모음 길이의 상관성에 관한 연구: 영어와 한국어의 경우)

  • Oh, Eun-Jin
    • Speech Sciences
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    • v.9 no.3
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    • pp.201-210
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    • 2002
  • This paper explores whether there is correlation between consonants' place and duration of adjacent vowels in English and Korean. The results showed that in English the vowels preceding alveolar stops were in general longer than the vowels before bilabial or velar stops. Consonants appeared to have their inherent length due to their place and to exhibit some compensatory effects on the duration of preceding vowels. This effect can be explained in a physiological term that the tongue tip is the organ which might be more agile in articulatory movement than the tongue body for the velars or the lower lip (and the jaw) for the bilabials is and the shorter production time of the alveolars caused the lengthening of the adjacent vowels. However, this physiological account did not hold in the case of Korean, which exhibited less consistent patterns across speakers for the consonants' place and the vowel duration. The segmental duration seemed to be timed quite consistently within a language but the pattern was not universal across languages.

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A Study on the Length and Formant Structures of the Korean Liquid 'ㄹ' Pronounced by Chinese Learners and Koreans (중국인 한국어 학습자와 한국인의 'ㄹ' 발음의 길이와 포먼트에 대한 연구)

  • Fan Liu
    • MALSORI
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    • no.57
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    • pp.43-58
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    • 2006
  • This study aims to investigate whether Chinese learning Korean and Korean native speakers show any difference in length and formant structures of the Korean liquid 'ㄹ' in the environments of v_v and v_# through the acoustic analysis of 10 Chinese learners' and 10 Koreans' utterances. The acoustic analysis of L2KSC DB shows that the length and formant structures of 'ㄹ' produced by Chinese learners are significantly different from the ones by Koreans. I explain these differences by contrasting the liquids and syllable structure constraints of the two languages, Chinese and Korean. In addition, I relate the F1 and F2's values to the tongue's movement when making a constriction, and conclude that Chinese learners pronounce the 'ㄹ' in the v_# environment with the tongue lower and backer than Koreans do.

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Development of Milking Machine for Human with Reference to human Babies' Behavior

  • Kawamura, Takashi;Morichika, Masayuki;Nakazawa, Masaru
    • Proceedings of the Korean Society for Emotion and Sensibility Conference
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    • 2000.04a
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    • pp.203-205
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    • 2000
  • This paper deals with human nursing and milking. We have made clear the principle of milking of human babies that consists of biting force, sucking pressure and movement of tongue. Base on this observation, the tongue mechanism was proposed. Then new type milking machine was developed and helpful milking was realized by controlling it with reference to human babies behavior. The experimental result of milking from nursing bottles and breast of mothers are shown in this paper. According to the result, the machine has almost same ability as babies.

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A Case of Thyroglossal Duct Cyst Presenting as Thyroid Cyst (갑상선 낭종으로 오인된 갑상설관 낭종 1예)

  • Park, Yoon-Ah;Choi, Hong-Shik;Lee, Ja-Hyun
    • Korean Journal of Head & Neck Oncology
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    • v.27 no.2
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    • pp.234-236
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    • 2011
  • Thyroglossal duct cyst is the most common congenital neck mass. It develops from remnants of precursors of thyroid gland left behind during embryologic descent form the foramen cecum at the tongue base into the anterior neck during fetal development. An anterior midline neck mass presenting before the age of twenty and displaying vertical movement with tongue protrusion and swallowing is characteristic of this lesion. In this paper, we report on a case of TGDC without remnant duct that is presenting as thyroid cyst.

Anatomy and physiology of swallowing process (삼킴(연하) 과정에 관련된 해부생리학적 고찰)

  • Lee, Jina
    • The Journal of the Korean dental association
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    • v.56 no.5
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    • pp.278-286
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    • 2018
  • Food intake and swallowing are complicated and intriguing series of movements involving voluntary and involuntary activities of cranial and spinal nerves and muscles. They have two most important functions, that is, food passage from the oral cavity to stomach and airway protection. Tongue, buccinators, and hyoid bone and its muscular attachments are anatomic structures for swallowing of special interests. The swallowing process of liquid is commonly divided into oral preparatory, oral propulsive, pharyngeal, and esophageal stages according to the location of the bolus. The movement of the food in the oral cavity and to the oropharynx differs between eating solid food and drinking liquid.

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