• Title/Summary/Keyword: facial muscle

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A clinical study on facial paralysis. (口眼와斜에 대한 臨床的 考察)

  • An, Su-Gi;Hwang, Choong-Yeon
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.4 no.1
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    • pp.89-98
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    • 1991
  • Clinical study on the 114 facial paralysis patients, visited Won Kwang University Oriental Medical Hospital in Kwang ju from July 1990 to Jun 1991, was carried out. The results obtained are as follows. 1. Prevalence was almost same in both sexes and high in the age of 3 and 4 decades but distributed in an age group. 2. Majority of the patients were nomotensive, which meant blood pressure did not affect the incidence. 3. The incidence distributed in every occupations but high in housewife as 37 cases ($32\%$) and decreased gradually in office employee, labor worker, student and merchant in order. 4. Overwork, wind and cold, emotional stress, and numerous implicated agents were etiological factor. 5. The paralysis mostly occured in summer and winter as 40($35\%$) and 37 cases($32\%$) respectively, 18($16\%$) and 19cases($17\%$) were recorded respectively in spring and autumn. 6. The majority of patients showed only facial muscle paralysis without other complications, whose cure rate was $60\%$ (47 cases). The patients with auditory impairment or taste loss was less common and cure rate was low. 7. The number of the patients with migraine or mastoid pain was 81($71\%$), which was more than 33 patients($29\%$) with such pain. The cure rate was high in the patients without migraine than with migraine as a raito of 64 to $46\%$. 8. Most of duration from attack to admission were in a week as 86 cases($75\%$) and the patients with duration over 4 weeks 11 cases($10\%$). The cure rate of the patients in a week, was 54 cases($60\%$) and the patients over 4 weeks was none($0\%$), which meant shorter the duration was, the beter the result was. 9. Response on electro acupuncture on initiating therapy showed good in 39 cases($34\%$) the majority group, moderate in 37 cases, exellent in 29 cases and poor in 5 cases. 10. The results of treatment were as follows : asymptomatic in 58 cases($51\%$), improved n 40cases($35\%$), effective in 10 cases($9\%$) and ineffective in 6 cases($5\%$). 11. Cure rate according to the response on electro acupuncture showed $72\%$ in exellent group, $59\%$ in good group, $27\%$ in moderate groop, and $0\%$ in poor group. These show the better the response on the electro-acupuncture is, the higher the cure rate is, which will be able to indicate the prognosis of facial paralysis.

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Full mouth rehabilitation with implant fixed prostheses using POP bow system and 3D printing gothic arch tracer in a patient with unilateral facial nerve palsy (편측성 안면 신경마비 환자에서 3D printing gothic arch tracer와 POP bow system을 이용한 전악 임플란트 고정성 보철 수복)

  • Seong-Yun Jeong;Chang-Mo Jeong;Mi-Jung Yoon;Jung-Bo Huh;So-Hyoun Lee
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.3
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    • pp.201-214
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    • 2024
  • In patients with unstable mandibular movements who are accompanied by involuntary facial muscle movements and asymmetrical changes in the facial features, many difficulties exist in determining the vertical dimension of occlusion, recording centric relation, and transferring information about the occlusal plane. In this case, for a patient with unilateral facial nerve palsy who was edentulous for a long period of time, a CAD-CAM provisional prosthesis was fabricated using a 3D printing customized gothic arch tracer and a prefabricated occlusal plane recorder, the POP bow system, to achieve a stable interarch relationship. Afterwards, a full mouth implant fixed prosthesis was fabricated by delivering an appropriate vertical dimension of occlusion, a reproducible centric relation, and a correct three-dimensional occlusal plane, and continuous maintenance was performed to restore functional and aesthetic oral health to the patient.

UNILATERAL MASSETER MUSCLE HYPERTROPHY REPORT OF CASES (편측성 교근증대증 치험 이예)

  • Lee, Choong-Kook;Lee, Joong-Ik;Kang, Hee-Nam;Shin, Hee-Kun
    • The Journal of the Korean dental association
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    • v.15 no.3
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    • pp.205-208
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    • 1977
  • The etiology of masseteric hypertrophy is obscure. When the hypertrophy occurs unilaterally it's appearance is more striking because of the resultant facial asymmetry. Two soldiers were admitted with the complaint of a lump on their jaws. The authors obtained good results on the esthetic & functional aspect in two cases of unilateral masseteric hypertrophy with the Adam's method. The etiology was thought to be the combination of unilateral masticatory and jaw clenching habits when emotionally disturbed or under nervous tension in army services.

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Minimum Presurgical Orthodontic Treatment with Two Jaw Surgery Combined with Anterior Segmental Osteotmy in Skeletal Class II Malocclusion: A Case Report

  • Chae, Jong-Moon;Paeng, Jun-Young
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.35 no.5
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    • pp.316-324
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    • 2013
  • This case report describes the treatment of a 23-year-old woman who had lip protrusion with gummy smile and mentalis muscle strain. Orthognathic surgery was performed in conjunction with orthodontics. Minimum dental decompensation was performed with presurgical orthodontics followed by an anterior segmental osteotomy for the majority of dental decompensation. Counterclockwise rotation of the maxillomandibular complex was applied by LeFort I osteotomy, and bilateral sagittal split ramus osteotomies with anterior segmental osteotomy to achieve overall facial balance. The active treatment period was 15 months. Stable occlusion and skeletal relationship were observed after a 10-month follow-up period.

Surgery First Approach in Orthognathic Surgery : Indication and limitation (임상가를 위한 특집 4 - 턱교정수술에서 선수술접근 :적응증과 한계)

  • Hwang, Dae-Seok
    • The Journal of the Korean dental association
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    • v.50 no.11
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    • pp.682-688
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    • 2012
  • Surgery first approach in orthognathic surgery is to proceed the orthognathic surgery without preoperative orthodontic treatment. This approach has many advantages, which include a shorter total treatment period, a high level of patient satisfaction due to immediate post-surgical facial improvement, easy postoperative orthodontic treatment due to early normalization of skeletal muscle, and the rapid tooth movement reflecting the regional accelerated phenomenon. However instability due to transient occlusal interference after surgery make worse of long-term skeletal stability. Especially increasing of vertical occlusion caused by interference of interbicupid and molar happen postsurgical skeletal change. Until now, there is no common consensus about treatment protocol of surgery first approach in orthognathic surgery. The purpose of this paper is to introduce our treatment protocol of the surgery first approach and to evaluate indication and limitation with case analysis.

Model ins based on Muscle Model for Three-Dimensional Facial Expression Animalion (3차원 얼굴 표정 애니메이션을 위한 근육모델 기반의 모델링)

  • 이혜진;정현숙;이일병
    • Proceedings of the Korean Information Science Society Conference
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    • 2002.04a
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    • pp.742-744
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    • 2002
  • 얼굴 애니메이션은 개인을 쉽게 구분하고 의사소통을 효율적으로 할 수 있는 보조도구로써 최근 연구가 활발하다. 본 논문에서는 얼굴 표정생성을 위해서 실제얼굴의 피부조직 얼굴 근육 등 해부학적 구조에 기반한 근육 기반 모델 방법을 사용하여 현실감 있고 자연스러운 얼굴 애니메이션이 이루어지도록 한다. 또한 부드러운 얼굴모델을 구현하기 위하여 폴리곤 메쉬를 분할하고 얼굴 표정에 중요한 영향을 미치는 얼굴근육을 추가하여 다양하고 자연스러운 표정을 연출하는 방법을 제시하고자 한다. 제안된 방법을 water〔3〕의 모델에 적용해 봄으로서 더 실감 있는 얼굴 애니메이션에 접근할 수 있는 결과를 얻을 수 있었다. 이 결과는 화상회의나 가상현실, 원격교육, 영화 등 많은 분야에서 활용될 수 있다.

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A Case of Hyper IgE Syndrome with Severe Ulcer and Granuloma at the Site of BCG Inoculation (비씨지 접종부위에 심한 궤양과 육아종을 보인 고면역글로불린 E 증후군 1례)

  • Rho, Jeong A;Rho, Young Il;Moon, Kyung Rye;Park, Young Bong;Yang, Eun Seok
    • Pediatric Infection and Vaccine
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    • v.10 no.1
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    • pp.127-131
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    • 2003
  • Hyperimmunoglobulin E syndrome(HIES) is a primary immunodeficiency characterized by severe recurrent soft-tissue infections, pneumonias, pruritic dermatitis and markedly elevated serum IgE levels. Pneumatocele and empyema develop as result of recurrent pneumonias. It is inherited in an autosomal dominant fashion, with variable expressivity. We experienced the case of a 10 month old girl with hyper IgE syndrome. Patient was admitted for local ulceration and muscle soreness at the site of BCG inoculation. The diagnosis of hyper IgE syndrome was made because she had a coarse facial appearance, pruritic dermatitis, pneumatocele and markedly elevated serum IgE level with a past history of frequent skin abscess and pneumonia.

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유머와 슬픔을 유발하는 시청각동영상 자극에 의한 아동의 자율신경계(ANS) 및 안면근육반응(facialEMG)

  • Lee Yeong-Chang;Kim Myeong-Hwan;Jang Eun-Hye;Eom Jin-Seop;Jeong Sun-Cheol;Son Jin-Hun
    • Proceedings of the Korean Institute of Intelligent Systems Conference
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    • 2006.05a
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    • pp.355-358
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    • 2006
  • 본 연구에서는 아동이 유머와 슬픔을 느낄 때 나타나는 자율신경계 및 안면근육반응의 차이를 밝히고자 하였다. 11-13세의 아동 47명(남: 23명, 여: 24명)에게 각 정서를 유발하는 동영상 자극을 2분 동안 제시하고, 이때의 심리반응과 생리반응(SKT, EDA, ECG, EMG)을 측정하였다. 각 정서는 적합하고 효과적으로 유발되었고, 자율신경계반응에서는 유머가 슬픔보다 피부 전도수준, 피부전도반응, 피부전도반응의 수, 심박률분산에서 유의하게 큰 반응을 보였다. 반면 피부온도는 유머에 비하여 슬픔에서 크게 증가하였다. 안면근육반응 결과, 유머가 Orbicularis oris muscle에서 슬픔보다 더 큰 근육활동의 증가를 나타내었다. 결론적으로 아동은 유머와 슬픔에서 서로 다른 자율신경계와 안면근육의 반응을 보였다.

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A case of partial trisomy 3p syndrome with rare clinical manifestations

  • Han, Dong-Hoon;Chang, Ji-Young;Lee, Woo-In;Bae, Chong-Woo
    • Clinical and Experimental Pediatrics
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    • v.55 no.3
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    • pp.107-110
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    • 2012
  • Partial trisomy 3p results from either unbalanced translocation or $de$ $novo$ duplication. Common clinical features consist of dysmorphic facial features, congenital heart defects, psychomotor and mental retardation, abnormal muscle tone, and hypoplastic genitalia. In this paper, we report a case of partial trisomy 3p with rare clinical manifestations. A full-term, female newborn was transferred to our clinic. She had cleft lip-plate, dysgenesis of the corpus callosum, patent ductus arteriosus, pulmonary hypertension, and severe right-sided hydronephrosis, associated with ureteropelvic junction obstruction. Cytogenetic investigation revealed partial trisomy 3p; 46,XX,der(4)t(3;4)(p21.1;p16). The karyotype of her father showed a balanced translocation, t(3;4)(p21.1;p16). Therefore, the size of duplication can be an important factor.

Reconstruction of Lower Face with Submental Artery Perforator Flap

  • Song, Jung-Kook;Kang, Jae Kyoung;Shinn, Myoung Soo;Yun, Byung Min
    • Archives of Reconstructive Microsurgery
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    • v.23 no.1
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    • pp.40-43
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    • 2014
  • A submental artery perforator flap was applied to the defect site after surgical excision of basal cell carcinoma on the right lower face. Three points were beneficial: it was perfect for assuring the safe margin of the mandibular branch of the facial nerve as well as intact platysma muscle, functionally; harvesting the flap was much easier than that of submental artery flap, surgically; and the color and contour were well matched aesthetically.