• 제목/요약/키워드: chin

검색결과 3,651건 처리시간 0.026초

절골 턱끝성형술에 있어 3가지 축에 따른 회전적 관계의 활용 (Three Rotational Variables in Osseous Genioplasty)

  • 이현태;김용하;김태곤;이준호
    • Archives of Plastic Surgery
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    • 제38권3호
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    • pp.279-286
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    • 2011
  • Purpose: Chin is located in a prominent position, and is important to balance and harmony of the face. Genioplasty is widely performed with patients' high satisfaction, yet being relatively simple procedure. Recently in analysis of dentofacial trait, three rotational variables of yaw, pith, and roll are considered with three translational variables (forward/backward, up/down, right/left). And we could correct chin deformity effectively by applying the three rotational variables with three translational variables in genioplasty. Methods: Twenty-eight patients who have chin deformity underwent osseous genioplasty. Preoperative photography, facial three dimensional computed tomography, and cephalography were taken while chin deformities were accessed. The chin deformity was classified into four categories; macrogenia, microgenia, asymmetric chin deformity, and combined chin deformity groups. According to the nature of chin deformities and the patients' desire, preoperative plans were formulated, in consideration of three rotational variables and translational variables. Through intraoral approach, anterior mandible was exposed in the subperiosteal plane between the mental foramens and beneath the mental foramens. In the anterior mandible, vertical and horizontal grid lines with 5 mm intervals were marked to confirm the spatial location of osteomized bone segment after osteotomy. Chin repositioning was done in consideration of axial rotation and planar translation. Results: Most of the patients had achieved satisfactory results with few complications. By considering the three rotational variables, it was possible to make the chin repositioning effectively. One of the patients complained about insufficient chin correction. In other case, persistent sensory impairment around chin was observed. Conclusion: In conclusion, it is worthwhile to apply preoperative analysis and operative procedures in consideration of a three rotational variables with three translational variables in genioplasty.

이부기형을 동반한 부교교합에서의 이부골성형술의 응용 (Application of genioplasty in malocclusion with chin deformity)

  • 장영일;서정훈;남동석;이하진
    • 대한치과교정학회지
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    • 제26권3호
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    • pp.241-246
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    • 1996
  • 턱은 인간의 성격을 나타내는 요소의 하나로 적절하게 돌출된 턱은 심미적인 안모를 위해 대단히 중요하다. 이부골성형술은 턱의 형태재형성을 목적으로 하며 이를 통해 교정치료 목적의 하나인 안모의 심미성 향상에 기여할 수 있다. 이부골성형술은 수직, 수평적으로 턱의 크기를 확대시키는 축조이부골성형술과 축소시키는 축소이부골성형술로 나눌수 있으며 그활용하는 예는 다음과 같다. 1. 후퇴된 턱의 전진 2. 전방 돌출된 턱의 후퇴 3. 수직고경의 조절 4. 비대칭의 개선

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Computer-assisted horizontal translational osseous genioplasty: a simple method to correct chin deviation

  • Keyhan, Seied Omid;Azari, Abbas;Yousefi, Parisa;Cheshmi, Behzad;Fallahi, Hamid Reza;Valipour, Mohammad Amin
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제42권
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    • pp.36.1-36.5
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    • 2020
  • Background: Different genioplasty techniques are applied for the adjustment of chin area deformities such as chin deviation. Results: Thirty patients with simple facial asymmetry due to chin deviation underwent computer-assisted horizontal translational osseous genioplasty. In this technique, a surgical guide was used to cut a bone strip from the side where the chin should be transferred to; then, the same bone strip was used for the filling of the gap that was formed on the opposite side. Conclusion: According to the experience gained from this study, the authors believe that computer-assisted horizontal translational osseous genioplasty is a simple and reliable technique for patients with facial asymmetry due to chin deviation.

진간식풍탕(鎭肝熄風湯)이 가토(家兎)의 혈압(血壓) 및 혈청(血淸) Total Cholesterol에 미치는 영향(影響) (Effect of Chin Gan Sik Pung Tang on Blood Pressure and induced Hypercholesteremic Rabbit)

  • 김희준;임재훈
    • 대한한방내과학회지
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    • 제11권1호
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    • pp.109-120
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    • 1990
  • In order to investigate the therapeutic effects on blood pressure and hyper cholesteremia, aqueous extract of Chin Gan Sik Pung Tang were studied. The result of the total cholesterol contents in serum and blood pressure of each group were as follows, 1. The aqueous extract of Chin Gan Sik Pung Tang inhibited increased Total cholesterol in serum of rabbits administrated with cholesterol rich diet. 2. Blood pressure manifested gradual response by the fall of 4, 3, 9.2, 19.9 percent in proportion to the administration of 10, 30, 100 mg/kg of Chin Gan Sik pung Tang, respectively 3. Administration of Chin Gan Sik Pung Tang to the rabbit pretreated with Vagotomy, Atropine and Regitine did not show any significant difference in the blood pressure, compare with that of the control group. 4. Administration of Chin Gan Sik Pung Tang to the rabbit pretreated with propranolol show significant difference in the blood pressure, compare with that of the control group. From the above results, it is suggested that Chin Gam Sik Pung Tang has the action on adrenergic ${\beta}-receptor$ and can he used therapeutic effect on the hypertension, and inhibit the increase of Total Cholesterol contents in serum.

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이부골성형으로 전방이동된 하악이부의 골개조성 변화 (REMODELLING CHANGES OF THE CHIN ADVANCED BY GENIOPLASTY)

  • 한세우;김명래;김재화;배종고
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제27권1호
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    • pp.48-54
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    • 2005
  • This is to evaluate the postoperative cephalometric changes of the chin advanced by the genioplasty. Thirty-eight patients who underwent advancement genioplasties at Ewha Womans University Mokdong Hospital between January of 2001 and February of 2003. They were followed up for at least 12 months with lateral cephalographs. The remodelling changes of the horizontal linear measurement between the Pogonion and Perpendicular line to FH plane were measured and analysed by Independent sample tests. The chin advancement resulted in $1.3{\pm}0.3mm$ resorption (28.2% of advancement) after 6 months, but in $1.4{\pm}0.2mm$ after 1 year. If the chin was advanced less than 3 mm, remodelling followed by $1.2{\pm}0.2mm$ reduction, but $1.3{\pm}0.3mm$ reduction followed after chin advanced over 4 mm. There were no significant differences in the amount of bone resorption by the gender, number of genial cut-steps and acompanied osteotomies.

턱 당김 운동이 무릎 굽힘폄의 근 수행력에 미치는 영향 (The Effect of Muscle performance on knee flexion / extension by chin in exercise)

  • 이규리;김도형;김근조
    • 대한물리치료과학회지
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    • 제24권1호
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    • pp.69-78
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    • 2017
  • Background: The purpose of the present study is to report the effect of muscle performance on knee flexion and extension by chin in exercise. Methods: This study was Participated in 10 healthy subjects. For conducting the chin-in exercise, subjects are lay down with supine position. Using the rounded towel, subjects was performed contraction of longus colli and longus capatis muscle by push the towel. Chin-in exercise was conducted 3 times a day, 4 times a week for 4 weeks. By using the Biodex system4, We measured absolute muscle strength, relative muscle strength, total exercise quantity and average rate of production in knee flexion and extension. The data was analyzed by the repeated-measure ANOVA for comparing before, after exercise 2 weeks, after exercise 4 weeks changes of factors. Results: After chin-in exercise, there was significant difference of before, after 2 weeks and 4weeks results in absolute muscle strength, relative muscle strength, total exercise quantity, average rate of production, agonist/antagonist ratio(p<.05). Conclusion: As a results of this study, chin-in exercise may help to improve muscle ability of knee joint activation and knee joint action performance.

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Three-dimensional computed tomography evaluation of craniofacial characteristics according to lateral deviation of chin

  • CHOI, Hyo-Won;KIM, Bola;KIM, Jae-Young;HUH, Jong-Ki;PARK, Kwang-Ho
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제41권
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    • pp.57.1-57.8
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    • 2019
  • Background: The relationship between the lateral deviation of chin and the upper and middle facial third asymmetry is still controversial. The purpose of this study is to evaluate the correlation of upper and middle facial third asymmetry with lateral deviation of chin using 3-dimensional computed tomography. The study was conducted on patients who underwent orthognathic surgery from January 2016 to August 2017. A total of 40 patients were included in this retrospective study. A spiral scanner was used to obtain the 3-dimensional computed tomography scans. The landmarks were assigned on the reconstructed 3-dimensional images, and their locations were verified on the axial, midsagittal, and coronal slices. The Pearson correlation analysis was performed to evaluate the correlation between chin deviation and difference between the measurements of distances in paired craniofacial structures. Statistical analysis was performed at a significance level of 5%. Results: In mandible, the degree of chin deviation was correlated with the mandibular length and mandibular body length. Mandibular length and mandibular body length are shorter on the deviated-chin side compared to that on the non-deviated side (mandibular length, r = -0.897, p value < 0.001; mandibular body length, r = -0.318, p value = 0.045). In the upper and middle facial thirds, the degree of chin deviation was correlated with the vertical asymmetry of the glenoid fossa and zygonion. Glenoid fossa and zygonion are superior on the deviated-chin side than on the non-deviated side (glenoid fossa, r = 0.317, p value = 0.046; zygonion, r = 0.357, p value = 0.024). Conclusion: Lateral deviation of chin is correlated with upper and middle facial third asymmetry as well as lower facial third asymmetry. As a result, treatment planning in patients with chin deviation should involve a careful evaluation of the asymmetry of the upper and middle facial thirds to ensure complete patient satisfaction.

하악이부와 두개안면골격의 상관성에 관한 측모두부방사선 계측학적 연구 (A CEPHALOMETRIC STUDY ON CORRELATION BETWEEN MANDIBULAR SYMPHYSIS AND CRANIOFACIAL SKELETON)

  • 노상호;이기수;박영국
    • 대한치과교정학회지
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    • 제27권1호
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    • pp.119-127
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    • 1997
  • 안모의 수직적 부조화에 부합되는 하악이부 형태에 관하여 보고되어 왔다. 이연구는 하악이부의 형태적 변이와 두개안면골격의 수직적 변이사이에 상관성을 관찰하기 위하여 시행되었다. 성인 남녀 부정 교합자 212명의 측모두부 방사선사진에서 이부의 후경과 고경을 계측하고 이부비를 산출한 후, 이부비 평균 -1 표준편차에 포함되는 즉모군(low symphysis군)과 이부비 평균 +1 표준편차에 포함되는 측모군(high symphysis군)으로 분류하고, 이들의 측모두부방사선사진을 계측하고 비교 분석하여 다음의 결론을 얻었다. 1. 이부비가 크면 hyperdivergent face 이고, 이부비가 작으면 hypodivergent face 가 되는 경향을 보였다. 2. 이부비가 크면 하악각도 컷으며, 이들사이의 상관성은 높았다. 3. 이부비와 수직안면 고경사이에 중등도의 상관성이 있었으며, 특히 이부 후경과 전안면고경사이 및 이부 고경과 후 안면 고경사이에도 중등도의 상관성이 있었다. 4. 이부의 형태적 변이와 설골의 위치사이에는 상관성이 없었다.

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Dual Plane Augmentation Genioplasty Using Gore-Tex Chin Implants

  • Kim, Byung Jun;Lim, Jong Woo;Park, Ji Hoon;Lee, Yoon Ho
    • 대한두개안면성형외과학회지
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    • 제15권2호
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    • pp.82-88
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    • 2014
  • Background: The chin shape and position is important in determining the general shape of the face, and augmentation genioplasty is performed alone or in combination with other aesthetic procedures. However, augmentation genioplasty using osteotomy is an invasive and complex procedure with the potential to damage mentalis muscle and mental nerve, to affect chin growth, and prolonged recovery. Our aim was to present our experience with a modified augmentation genioplasty procedure for hypoplastic chins using a Gore-Tex implant. Methods: Two vertical slit incisions were made at the canine level to create a supra-periosteal pocket between the incisions, preserving the periosteum and mentalis muscle. Minimal sub-periosteal dissection was performed lateral to the incisions along the mandibular border. The both wings of implant were inserted under the periosteum to achieve a stable dual plane implantation. Results: In total, 47 patients underwent dual plane chin augmentation using a Gore- Tex implant between January 2008 and May 2013. The mean age at operation was 25.77 years (range, 15-55 years). There were 3 cases of infection; one patient was treated with antibiotics, the others underwent implant removal. Additionally, two patients complained of postoperative parasthesia that spontaneously improved without any additional treatment. Most patients were satisfied with the postoperative outcomes, and no chin growth problems were observed among the younger patients. Conclusion: Dual plane Gore-Tex chin augmentation is a minimally-invasive operation that is simple and safe. All implants yielded satisfactory results with no significant complications such as mental nerve injury, lower lip incompetence, or chin growth limitation.