• Title/Summary/Keyword: lateral asymmetry

Search Result 122, Processing Time 0.025 seconds

The Alar Extension Graft for Retracted Ala (Alar Extension Graft를 이용한 콧방울뒤당김의 교정)

  • Kim, Hyun soo;Roh, Si Gyun
    • Archives of Plastic Surgery
    • /
    • v.36 no.1
    • /
    • pp.66-74
    • /
    • 2009
  • Purpose: The importance of the deformities in alar - columellar complex has been underestimated in Asian ethnic groups for the last decades. Fortunately, with increasing familiarity of the open rhinoplasty techniques, the anatomic details of the nasal tip have been pointed up. Definitely, having an interest and demand for improving the sub - normal relationship between the alar rim and columella are indebted for such growing of knowledge about nasal tip anatomy. However, it is true that any single procedure is not settled as versatile and fully confident modality to correct the retracted notching of the alar rim. With this article, I should like to propose another useful option for treating retracted ala. Methods: The author has tried to correct alar rim retraction by means of: (1) Triangular onlay septal cartilage graft on the lower lateral cartilage with the medial end fixed to the anterior surface of the lateral crus(Alar extension graft), (2) Inserting lateral end of the alar extension graft to the vestibular skin pocket in the form of a finger - in - groove, (3) using the vestibular skin in the form of an advancement flap, and (4) using the soft shield graft to prevent possible visible step - off of the alar margin. Results: The author applied an alar extension graft to 16 patients in order to correct a retracted ala for the last 27 months (August, 2003 - October, 2005). The distances from alar rim to long axis of nostril were improved to be within 2 mm in all of the cases, and also the shape of the alar rim changed to a round form. Nostril asymmetry (6%) in one case, temporary palpable step - off (18%) in three cases, temporary visible step - off (6%) in one case, and temporary paresthesia of the tip (25%) in four cases were observed. Conclusion: The alar extension graft is simple and efficacious. It does not need donor sites other than the operative field, and its results are predictable. In particular, since it may give structural intensity to a weak lower lateral cartilage, it may be preferentially used for the correction of a retracted ala that arises from hypoplastic lower lateral cartilage. Moreover intensified lower lateral cartilage also improves the esthetic shape of lobule.

Study of Apparent Mass and Apparent Eccentric Mass to Vertical Whole-body Vibration by Using Strain-gage Type Six-axis Force Plate (6축 힘측정판을 이용한 수직방향 전신진동에 대한 겉보기질량 및 겉보기편심질량에 대한 고찰)

  • Jeon, Gyeoung-Jin;Kim, Min-Seok;Ahn, Se-Jin;Jeong, Weui-Bong;Yoo, Wan-Suk
    • Transactions of the Korean Society for Noise and Vibration Engineering
    • /
    • v.21 no.10
    • /
    • pp.897-904
    • /
    • 2011
  • When whole-body is exposed to vertical vibration, asymmetry shape of human body affects the response on the translational(fore-aft, lateral, vertical) and rotational(roll, pitch, yaw) motion. While the translational motion has been studied with various titles, it has been rare to study the rotational motion of human body exposed to vertical excitation because of lack of experimental equipment. This study was performed by using a 6-axis force plate installing strain gage type sensors for the rotational response. Sixteen male subjects were exposed to vertical vibration on rigid seat in order to investigate apparent mass of three translational motion and apparent eccentric mass of three rotational motion. Random signal was generated to make excitation vibration which was on an effective frequency range of 3~40 Hz, and magnitude of 0.224 m/$s^2$ r.m.s. The frequency range and magnitude used was selected for the vibration of passenger vehicle on idling condition. As the result, cross-axis apparent masses of fore-and-aft and lateral direction were not significant showing 20 % and 3 % of vertical apparent mass relatively. And apparent eccentric mass of pitch motion was dominant when compared to that of roll and yaw motion, which is reasoned by asymmetry direction of human body sitting on a seat.

Thermal Stability of Nanostructured Synthetic Ferrimagnets under Applied Magnetic Fields in the 45˚ Direction

  • Han, C.W.;Han, J.K.;Lim, S.H.
    • Journal of Magnetics
    • /
    • v.15 no.3
    • /
    • pp.116-122
    • /
    • 2010
  • An accurate analytical equation for the total energy in the framework of the single domain model is used to study the thermal stability of nanostructured synthetic ferrimagnets. Elliptical cells are considered that have lateral dimensions of 160 nm (long axis)$\times$80 nm (short axis) and varying values of thickness asymmetry for the two magnetic layers. The direction of the applied magnetic field, which points to the $45^{\circ}$ direction, is in the opposite direction to the thicker layer magnetization. A significant difference is observed in the applied magnetic field dependencies of the equilibrium magnetic configuration and the magnetic energy barrier when using the simplifying assumption that the self-demagnetizing field is identical in magnitude to the dipole field. At a small thickness asymmetry of 0.2 nm, for example, the magnetic energy barrier is reduced from 68 kT (T=300 K) to 6 kT at the remanent state and a progressive switching behavior changes into a critical behavior, as the simplifying assumption is used. The present results clearly demonstrate the need for an accurate analytical equation for the total energy in predicting the thermal stability of nanostructured synthetic ferrimagnets.

OSTEOCHONDROMA OF THE MANDIBULAR CONDYLE (하악과두에 발생된 골연골증)

  • Jung Gi-Hun;Kim Eun-Kyung
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
    • /
    • v.23 no.2
    • /
    • pp.373-378
    • /
    • 1993
  • Although osteochondroma is not rare in the axial skeleton and long bones, it is very rare in the jaw. It is a benign chondroma within which partial endochondral ossification occurs. There are two types, the central one and the peripheral one. Peripheral type is more common than central one in the jaw, but it is not frequent. Especially it is rare at the mandibular condyle. When it occurred at the mandibular condyle, it is generally located at the lateral portion of the condyle. In that case, facial asymmetry with occlusal change is the characteristic clinical feature. But it is similar to condylar hyperplasia so that misdiagnosis can sometimes occur. The differential point is as follows: Hyperplasia generally appears as a generalized enlargement of the condylar process with a normal cortical thickness, but osteochondroma usually appears as a focal growth or mass. We report a very rare case of peripheral osteochondroma at the mandibular condyle in a 27-year- old male patient who visited DKUDH with a chief complaint of the facial asymmetry.

  • PDF

A TOMOGRAPHIC STUDY OF BONY CHANGES OF TEMPOROMANDIBULAR JOINTS IN MANDIBULAR FRACTURED PATIENTS (하악골 골절환자의 측두하악관절 골 변화에 관한 단층방사선학적 연구)

  • Na Seung Mog;Koh Kwang Joon
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
    • /
    • v.21 no.2
    • /
    • pp.341-351
    • /
    • 1991
  • The purpose of this study was to aid in the evaluation of prognosis of temporomandibular joint after open reduction of fractured mandible. The author studied the bony changes (remodelling) of 116 temporomandibular joints and facial asymmetry in 58 patients. Subjects were divided into 4 Groups according to the follow up periods after open reduction of fractured mandible. The bony changes and facial asymmetry were observed on lateral tomograms and cephalometric posteroanterior skull radiograms. The results were as follows: 1. The bony changes of condyles were observed in 56 cases (38 flattening, 14 osteophyte, 3 erosion, 1 sclerosis). Flattening was observed in 32.8% (Group Ⅰ 27.8%, Group Ⅱ 37.5%, Group Ⅲ 35.7%, Group Ⅳ 32.1%). Osteophyte was observed in 12.1% (Group Ⅰ 11.1%, Group Ⅱ 8.3%, Group Ⅲ 7.1%, Group Ⅳ 21.4%). Erosion and sclerosis were observed in 2.6%, 0.9%, respectively. 2. The bony changes of articular fossa were observed in 18 cases (15.5%). Flattening was observed in 12.1% (Group Ⅰ 2.8%, Group Ⅱ 4.2%, Group Ⅲ 10.7%, Group Ⅳ 17.9%). Sclerosis was observed in 3.4% (Group Ⅰ 5.6%, Group Ⅲ 3.6%, Group Ⅳ 3.6%). 3. The amount of facial asymmetry was 2.81±2.20㎜ (Group Ⅰ 3.06±1.93㎜, Group Ⅱ 2.38±2.44㎜, Group Ⅲ 2.74±1.19㎜, Group Ⅳ 2.93±2.93㎜). There was no significant difference between all groups according to bony changes of temporomandibular joints after open reduction of fractured mandibles (x²-Test, P>0.05).

  • PDF

Classification of Upper Body Somatotypes according to the Age Group : Using 3D-Body Scan Data

  • Na, Hyun-Shin
    • International Journal of Costume and Fashion
    • /
    • v.5 no.1
    • /
    • pp.1-13
    • /
    • 2005
  • Two hundreds of female aged 19 years old and up were recruited to evaluate the postural changes and bilateral variation of asymmetry over age. To find out the differences among the age group, subjects were classified into 5 groups, early young age(19-29), late young age(30-39), early middle age(40-49), late middle age(50-59), and old age(60-). 35 body measurements were taken by the 3-D body scanner which allowed us to take measurements which cannot be measured using traditional methods, including the shape of a cross section, slice area surface are, and volume. Bilateral variations were observed as a function of age; Depth of scapular point level, scapular point to center back, and blade angle. Postural change of anterior cervical angle, upper anterior thoracic angle, upper posterior thoracic angle, posterior cervical angle, and center back/center front ratio were also exhibited. In each measurements, subjects were classified into normal, and abnormal group. Percentiles of abnormal in shoulder line angle, blade angle, neck point $\∼$ acromial point $\∼$ scapular point, posterior cervical angle, and upper posterior thoracic angle were increased over age group. The upper body of lateral view was classified into 3 types of posture based on the previous research; straight, erect(leaning back), and stooped(bent forward). The percentiles of subjects who have straight postures were decreased as a function of age, but those of stooped postures were increased. Subjects who have erect postures did not so. The stooped posture group shows the big cervical fossa angle, anterior cervical angle, posterior cervical angle, upper posterior thoracic angle, and the small upper anterior thoracic angle comparing to the straight and erect posture group. These results could be apply for clothing construction reflecting the changes in back, shoulder, neck, and the bilateral asymmetry according to the target age group.

Three-dimensional soft tissue analysis for the evaluation of facial asymmetry in normal occlusion individuals

  • Hwang, Hyeon-Shik;Yuan, Donghui;Jeong, Kweon-Heui;Uhm, Gi-Soo;Cho, Jin-Hyoung;Yoon, Sook-Ja
    • The korean journal of orthodontics
    • /
    • v.42 no.2
    • /
    • pp.56-63
    • /
    • 2012
  • Objective: To identify the right and left difference of the facial soft tissue landmarks three-dimensionally from the subjects of normal occlusion individuals. Materials and Methods: Cone-beam computed tomography (CT) scans were obtained in 48 normal occlusion adults (24 men, 24 women), and reconstructed into 3-dimensional (3D) models by using a 3D image soft ware. 3D position of 27 soft tissue landmarks, 9 midline and 9 pairs of bilateral landmarks, were identified in 3D coordination system, and their right and left differences were calculated and analyzed. Results: The right and left difference values derived from the study ranged from 0.6 to 4.6 mm indicating a high variability according to the landmarks. In general, the values showed a tendency to increase according to the lower and lateral positioning of the landmarks in the face. Overall differences were determined not only by transverse differences but also by sagittal and vertical differences, indicating that 3D evaluation would be essential in the facial soft tissue analysis. Conclusions: Means and standard deviations of the right and left difference of facial soft tissue landmarks derived from this study can be used as the diagnostic standard values for the evaluation of facial asymmetry.

THE LONG-TERM RESULT OF CONDYLE FRACTURE IN CHILDREN (성장기 아동 하악 과두 골절의 예후에 관한 장기 추적 조사)

  • Choi, Jin-Ho;Ryu, Seung-Hyun;Ryu, Mun-Gwang;Kim, Jae-Woo;Kim, Il-Kyu;Ha, Tae-Jin
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • v.30 no.2
    • /
    • pp.121-130
    • /
    • 2004
  • The purpose of this study was the long-term clinical and radiological evaluation of conservatively treated condylar fractures in children. This study was therefore undertaken to analyze the long-term effects of treating condylar fractures in children with conservative therapy in order to resolve the controversial question of whether complete remodeling occurs in this age or, if not, whether it is more likely to be associated with certain types of fracture or with other factors. This study was based on a series of 11 consecutive children and adolescents, aged between 3 and 15 years, with fractures of the condylar process who had been treated with conservative therapy at the Department of Oral & Maxillofacial surgery, Inha University Hospital, Inchon, Korea. All patients underwent a clinical investigation with special emphasis on Temporomandibular joint function and facial asymmetry. The patients also underwent a radiologic investigation, focusing on fracture remodeling and symmetry of mandible. It consists of panoramic radiograph, PA & lateral cephalogram and 3-D CT. No patient described impaired temporomandibular joint(TMJ) function or pain on the affected side. 2 of 8 (25%) unilateral and 1 bilateral fractures show slight facial asymmetry. Despite apparently excellent recovery of function, there were marked remodeling changes evident on the CT scan. Such changes are not usually evident on panoramic radiograph. Radiologic investigation showed incomplete remodelling(54.5%) and asymmetry of the mandible (27.3%) in some patients. Conservative treatment of condyle fracture in children results in satisfactory long-term outcome of jaw function despite a relative high frequency of radiologically noted aberrations.

Reproducibility of asymmetry measurements of the mandible in three-dimensional CT imaging (전산화단층사진을 이용한 하악골 3차원 영상에서 비대칭진단 계측항목의 재현도에 관한 연구)

  • Kim, Go-Woon;Kim, Jae-Hyung;Lee, Ki-Heon;Bwang, Hyeon-Shik
    • The korean journal of orthodontics
    • /
    • v.38 no.5
    • /
    • pp.314-327
    • /
    • 2008
  • Objective: The purpose of this study was to evaluate the reproducibility of measurements representing asymmetry of the mandible and to identify which landmarks would be more useful in 3-dimensional (3D) CT imaging. Methods: Facial CT images were obtained from forty normal occlusion individuals. Eighteen landmarks were established from the condyle, gonion, and menton areas, and 25 measurements were constructed to represent asymmetry of the mandible; 8 for ramus length, 12 for mandibular body length, 1 for condylar neck length, 2 for frontal ramal inclination, and 2 for lateral ramal inclination. Inter- and intra-examiner reproducibility of the measurements was evaluated. Results: Inter-examiner reproducibility of the measurements proved to be high except for 3 measurements. Intra-examiner reproducibility also proved to be high except for 2 measurements. Inter- and intra-examiner reproducibility of the measurements including Gonion proved to be low. Conclusions: The results of the present study indicate that the landmarks and measurements constructed in 3D CT images can be used for the diagnosis of facial asymmetry.