• Title/Summary/Keyword: Upper Face

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A Case of Measles Pneumonia Complicated by Subcutaneous Emphysema and Pneumomediastinum in an 18-year-old Patient (피하기종과 종격기종을 동반한 홍역성 폐렴 1예)

  • Park, Jae-Hyeong;Lee, Yun-Jung;Kang, Ho-Hyung;Kim, Sun-Jong;Koh, Y.S.;Lim, C.M.
    • Tuberculosis and Respiratory Diseases
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    • v.51 no.3
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    • pp.275-280
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    • 2001
  • Background : A 18 year-old man presented with dyspnea and a swelling of the neck. On physical examination, maculopapular rashes were noted on the face and the whole body and crepitus was noted at the thorax and upper arms. His chest X -ray showed bilateral interstitial infiltrates of the lung, pneumomediastinum and subcutaneous emphysema. On serologic examination, measles IgM was positive. Under the diagnosis of measles pneumonia, the patient was treated with oral ribavirin, which resulted in a complete resolution of the pneumomediastinum, subcutaneous emphysema, pneumonic infiltrate, and subjective symptoms of dyspnea and swelling of the neck in 7 days. Here we report this case with a brief review of the relevant literature.

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THE SOFT TISSUE CHANGES OF THE NASOLABIAL REGION AFTER MAXILLARY LE FORT I ADVANCEMENT OSTEOTOMY (상악골 Le Fort I 전진 골절단술후 비부의 연조직 변화)

  • Park, Gwang-Bum;Yeo, Hwan-Ho;Kim, Su-Gwan
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.21 no.3
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    • pp.284-287
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    • 1999
  • The nose, a striking features of the human face, is regarded by many clinicians as the keystone of facial esthetics. Clinically, as the treatment of a dentofacial deformity, the soft tissue changes that occurred normally with movement of the skeletal bases. Changes of the soft tissue in the maxillary orthognathic surgery are widening of alar base, elevated nasal tip and flattening of upper lip. In addition, soft tissue change is difficult to predict, it has considerable variability in the response of soft tissue. We reviewed patients who received Le Fort I advancement osteotomy in our department and analysed preoperative and postoperative alar base width, nasal height in clinical measurement and cephalometry and patient's satisfaction of postoperative nasal appearance.

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Cavernous sinus thrombosis following dental extraction: a rare case report and forgotten entity

  • Aggarwal, Karun;Rastogi, Sanjay;Joshi, Atul;Kumar, Ashish;Chaurasia, Archana;Prakash, Rajat
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.43 no.5
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    • pp.351-355
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    • 2017
  • Prior to the advent of efficacious antimicrobial agents, the mortality rate from cavernous sinus thrombosis (CST) was effectively 100%. There have been very few reports of CST associated with tooth extraction. A 40-year-old female presented to the emergency room with swelling over the right side of the face and history of extraction in the upper right region by an unregistered dental practitioner. The patient presented with diplopia, periorbital ecchymosis, and chemosis of the right eye. A computed tomography scan revealed venous dilatation of the right superior ophthalmic vein. The patient was immediately treated with incision and drainage, intravenous antibiotics, and heparin (low molecular weight). Unfortunately, the patient died two days after surgery due to complications from the disease. CST is a rare disease with a high mortality rate. Therefore, dental health education in rural areas, legal action against unregistered dental practitioners, early diagnosis, and aggressive antibiotic treatment can prevent future mortality resulting from CST.

Development of 3 - Dimensional Ultrasonic Wind Direction Anemometer Measurement Technique Using Time Division Method (시분할 방식을 이용한 3차원 초음파 풍향풍속계 측정기술 개발)

  • Lee, Woo-Jin;Choi, Jae-Young;Kim, Kyung-Won;Yim, Jae-Hong
    • Journal of Sensor Science and Technology
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    • v.26 no.1
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    • pp.66-72
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    • 2017
  • The three dimensional ultrasonic anemometer was constructed to reduce the disadvantages of the two-dimensional anemometer and to be free from the use environment. Three pairs of transmitting and receiving ultrasonic sensors were designed to face each other at an angle of $45^{\circ}$ to the upper and lower surfaces at intervals of $120^{\circ}$. 200 kHz ultrasonic sensor Oscillation, transmission and reception, level detection, power supply circuit were designed and U, V, W wind speed vector components were obtained by measuring the time of first received ultrasonic pulse by transmitting pulse ultrasound. It is implemented as firmware in ARM Coretex-M3 processor so that horizontal and vertical wind direction and wind speed can be converted into digital signal by vector calculation. In this study, The three-dimensional ultrasonic anemometer can complement the disadvantages of the two-dimensional anemometer (mechanical and ultrasonic), and it is expected to gradually replace the two-dimensional anemometer due to its high utilization rate by collecting additional information such as vertical wind.

Pilomatricoma of the Subauricular Region: Report of Case (하이개부에 발생한 모기질종)

  • Yoo, Dae-Hyun;Choi, Moon-Ki;Oh, Seung-Hwan;Kwon, Dae-Keun;Jun, In-Chul;Son, Do-Kyoung;Park, Sung-Won
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.32 no.6
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    • pp.582-587
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    • 2010
  • Pilomatricoma or calcifying epithelioma is a benign tumor of hair follicle origin. Pilomatricoma presents a slowly enlarged and asymptomatic mass that located dermal or subdermal area. It showed mostly on face and upper limb and head and neck represents 50% of all case. And it developed almostly in the first 2 decade of life. Histologically, encapsulated mass composed of solid small basophilic cells and eosinophilic ghost cells. Surgical excision is the treatment choice and rarely recurs. The purpose of this article is to represent of pilomatricoma on subauricular region that treated with mass excision and local transpositional flap. Althrough the presurgical diagnosis of pilomatricoma may be difficult, clinicians must keep in mind the differential of head and neck masses that located subdermal layers.

Frontal augmentation as an adjunct to orthognathic or facial contouring surgery

  • Park, Young-Wook
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.38
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    • pp.37.1-37.5
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    • 2016
  • Background: The dimensions and shape of the forehead determine the esthetics of the upper third of the face. Korean young people consider a broad and smooth, rounded forehead more attractive. As a result, frontal augmentation becomes more popular in patients with dentofacial deformities. Various surgical procedures and materials have been used in frontal augmentation surgery, with associated advantages and disadvantages. Silicone is a good candidate for frontal augmentation. The author presents two cases of esthetic frontal augmentation with a prefabricated silicone implant in female patients with dentofacial deformities. Case presentation: In case 1, a 24-year-old female patient underwent frontal augmentation surgery with simultaneous maxillomandibular and zygomatic osteotomies to correct facial asymmetry. A silicone implant was fabricated preoperatively using a positive template stone mold of her forehead. In case 2, a 23-year-old female patient underwent total facial contouring surgery including frontal augmentation for improved facial esthetics. A computed tomography (CT)-guided rapid prototype (RP) model was used to make the silicone implants. The operative procedure was safe and simple, and the silicone implants were reliable for a larger degree of frontal augmentation. Six months later, both patients had recovered from the surgery and were satisfied with their frontal shape and projection. Conclusions: Frontal augmentation with silicone implants can be an effective adjuvant strategy to improve facial esthetics in patients with a flat and narrow forehead who undergo orthognathic reconstruction or total facial contouring surgery.

Lymphangioma of the Head and Neck: Report of 4 Cases (두경부 림프관종의 증례보고)

  • Jeong Yeon-Hwa;Cho Bong-Hae;Nah Kyung-Soo
    • Imaging Science in Dentistry
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    • v.30 no.1
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    • pp.87-91
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    • 2000
  • Lymphangiomas are uncommon benign congenital tumors. Most occur in the head and neck and most lesions present by the age of 2 years. We present our experience with four patients who have lymphangiomas of the head and neck with tongue involvement. First case is a 7-year-old male who has the cystic lymphangioma of left submandibular area. Second a 22-year-old female has a lesion involving the border of right tongue. Third case is the lymphangioma which occurs in the right upper lip of a 6-year old male. The last patient is a 28-year old male who fell down and whose right face was swollen up. He had undergone an operation and been treated with steroid before. The characteristic appearances of imaging methods were described and all lesions best depicted on T2-weighted images. Our experience indicates that MRI is useful in the diagnosis and treatment planning of lymphangioma.

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Assessment of Tunnel Displacement with Weak Zone Orientation using 3-D Numerical Analysis (3차원 수치해석을 이용한 연약대 방향에 따른 터널 거동 특성 평가)

  • Yim, Sung-Bin;Jeong, Hae-Geun;Seo, Yong-Seok
    • The Journal of Engineering Geology
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    • v.19 no.1
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    • pp.43-50
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    • 2009
  • A 3-D numerical analysis was carried out to observe potential effects of orientation of inherent weak zones to tunnel behaviors and stress distributions during tunnel excavation. Weak zones used for the analysis were placed at the upper 1D part from crown, on the crown and on the center of face, using orientations derived from the 6th RMR parameter for assessment of joint orientation effect on tunnel. Mechanical properties of rock mass were derived through a in-situ displacement measurement-based back analysis. Finally, a classification chart for crown settlement with five ranks based on orientation and location of weak zones is suggested.

Characteristics of Micro-Machining Using Two-Dimensional Tool Vibration

  • Ahn, Jung-Hwan;Lim, Han-Seok;Son, Seong-Min
    • International Journal of Precision Engineering and Manufacturing
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    • v.2 no.3
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    • pp.41-46
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    • 2001
  • This paper discusses the feasibility of improving micro-machining accuracy by using two-dimensional(2-D) vibration cutting. Vibration cutting is generated by two piezo actuators arranged orthogonally : one is actuated by a sine curve voltage input, and the other is actuated by a phase-shifted sine curve voltage. A tool attached to the vibrator oscillates in a 2-D elliptical motion, depending on the frequencies, amplitudes, and the phase shifts of two input signals and the workpiece feedrate. Along the elliptical tool locus, cutting is done in the lower part, and non-cutting is done in the upper part. By this way a unique feature of 2-D vibration cutting, that is, air lubrication between a tool and chips, is caused. Another unique feature of 2-D vibration cutting was experimentally verified, that is, some negative thrust force occurs as the direction of chip movement on a tool rake face is reversed. Those features not only help chips flow smoothly and continuously but also reduce cutting force, which results in a higher quality machined surface. Through tool path simulations and experiments under several micro-machining conditions, the 2-D vibration cutting, compared to conventional cutting, was found to result in a great decrease in the cutting force, a much smoother surface, and much less burr.

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Paraquat Poisoning by Skin Absorption (파라콰트에 의한 피부 손상의 임상적 고찰)

  • Yang Jong Oh;Gil Hyo Wook;Lee Eun Young;Hong Sae Yong
    • Journal of The Korean Society of Clinical Toxicology
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    • v.2 no.2
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    • pp.101-105
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    • 2004
  • Purpose: Paraquat is the most commonly used herbicide in Korea. Exposure to paraquat through the skin has resulted in local irritation or inflammation of varying degree, sometimes severe. The purpose of this study was to review the patients with paraquat poisoning by skin absorption. Methods: We analysed retrospectively the clinical and laboratory findings of 45 patients with paraquat poisoning after dermal exposure, who were admitted to Soonchunhyang University Cheonan Hospital from January 1999 to December 2003. Results: Among 870 cases of paraquat poisoning, 45 cases were exposed to paraquat through the skin. The peak incidence was the fifth decade($40\%$). The clinical symptoms were pain, pruritus, nausea, and vomiting. The major skin lesions were generalized vesicobullae and necrotic erosion in face, scrotum, trunk, upper and lower extremities and etc. All patients were survived after skin contact or inhalation of paraquat. Conclusion: This study illustrates the extreme toxicity of paraquat and demonstrates that lethal quantities of paraquat may be absorbed if repeated exposure to it. Stricter precautions, including the mandatory use of protective clothing, should be recommended whenever this material is used.

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