• Title/Summary/Keyword: lips

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Surgical correction of cleft lip lower-lip deformity: a report of three cases

  • Ci Young, Kim;Sung-Ho, Ha;Jin-Young, Choi
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.48 no.6
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    • pp.390-396
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    • 2022
  • Cleft lip lower-lip deformity is a secondary deformity in patients who underwent primary cheiloplasty of the upper lip, characterized by an enlarged and anteriorly rotated lower lip. In these cases, soft-tissue imbalances remain even after skeletal correction with orthognathic surgery, and additional soft tissue treatment is required for lip harmony and esthetic facial balance in CLP (cleft lip palate) patients. This study describes three cases of transverse myomucosal excision of the lower lip for correction of cleft lip lower-lip deformity to restore facial esthetic balance. Each patient underwent orthognathic surgery, rhinoplasty, or upper lip revision cheiloplasty according to condition. Postoperatively, volume of the lower lip decreased and lip harmony was improved in all three patients. The surgeon should fully understand the anatomical structure around the lips and be able to evaluate overall harmony of the soft tissue. When a lower lip deformity is present, careful surgical planning and execution are important for each patient.

A Study on the Actual Wearing Status of Health Masks - Focusing on College Students in Their 20s - (보건용 마스크의 착용실태에 관한 연구 - 20대 대학생을 중심으로 - )

  • Hayoung Song;Kyong-Hwa Yi
    • Journal of Fashion Business
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    • v.27 no.2
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    • pp.52-69
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    • 2023
  • Based on five types of health KF masks currently being commercialized, this study analyzed results of a survey of 316 male and female college students with experience in wearing health masks in Seoul metropolitan area. By identifying problems and improvement requirements according to current status of wearing health masks, results of this study could be used as basic data for designing ergonomic health mask with improved ease of wearing and satisfaction for human safety protection in the future. SPSS 26.0 statistical program was used for all data analyses, including post-hoc test, χ2 test for cross-analysis, frequency analysis, independent samples t-test, ANOVA, and Duncan test. Considering that masks are worn for more than 8 hours a day on average, it is necessary to design masks considering materials, sizes of mask ear straps, elasticity and thickness of straps. The design should minimize contact with lips and cheeks with improved fit and comfort, blocking performance, and aesthetics. According to this survey, nearly 50% of respondents said they were willing to wear masks even after the end of COVID-19. Thus, it is necessary to perform research and improve masks to have excellent colors, designs, shapes, fit, and functions suitable for both pandemic and post-pandemic era when wearing masks is common.

Real-time Lip Region Detection for Lipreadingin Mobile Device (모바일 장치에서의 립리딩을 위한 실시간 입술 영역 검출)

  • Kim, Young-Un;Kang, Sun-Kyung;Jung, Sung-Tae
    • Journal of the Korea Society of Computer and Information
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    • v.14 no.4
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    • pp.39-46
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    • 2009
  • Many lip region detection methods have been developed in PC environment. But the existing methods are difficult to run on real-time in resource limited mobile devices. To solve the problem, this paper proposes a real-time lip region detection method for lipreading in Mobile device. It detects face region by using adaptive face color information. After that, it detects lip region by using geometrical relation between eyes and lips. The proposed method is implemented in a smart phone with Intel PXA 270 embedded processor and 386MB memory. Experimental results show that the proposed method runs at the speed 9.5 frame/see and the correct detection rate was 98.8% for 574 images.

Lesch-Nyhan Syndrome in Two Brothers: Dental Approach to Prevent Injuries Caused by Self-mutilative Behaviors

  • Gahui Jeong;Myeongkwan Jih;Hyewon Shin;Nanyoung Lee
    • Journal of Korean Dental Science
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    • v.16 no.2
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    • pp.204-210
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    • 2023
  • Lesch-Nyhan syndrome is a rare X-linked recessive disorder characterized by a deficiency of the enzyme hypoxanthine-guanine phosphoribosyl transferase, which is important in the metabolism of purines. Prevalence of Lesch-Nyhan syndrome is 1:100,000 to 1:380,000 live births, and Lesch-Nyhan syndrome mainly affects males. It is characterized by neurologic dysfunction, uric acid overproduction, and cognitive and behavioral disturbances. The self-mutilation is the most distinctive symptom in Lesch-Nyhan syndrome, appearing about 1 year of age. It is expressed as persistent bites in the oral mucosa, tongue, lips, and fingers, which leads to the total or partial destruction of the affected tissues. Several medical and dental management methods might be performed in Lesch-Nyhan syndrome patients. Dental approaches to prevent injuries caused by self-mutilation include treatments with oral appliances such as mouth guards or lip bumpers, extraction, and orthognathic surgery. This report described two brothers with Lesch-Nyhan syndrome, who injured themselves on oral tissues. The methods of tooth reduction and extraction were performed to prevent injuries caused by self-mutilation.

The neutral zone approach for restoration of patient with severe mandibular ridge resorption: A case report (하악 치조제가 심하게 흡수된 환자에서 중립대 인상을 통한 총의치 수복 증례)

  • Cheol Namgung
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.32 no.1
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    • pp.8-15
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    • 2023
  • In case with severely atrophied mandibular ridges, it may be difficult to achieve adequate retention and stability of dentures through the normal functional impression process of complete dentures. In these patients, an approach using the neutral zone raising technique may be an effective alternative. The neutral zone is defined as the area where the pressure of the tongue towards the outside of the mouth and the pressure of the cheek and lips towards the inside are balanced during the normal oral function of the muscular-nervous system. Complete dentures made through neutral zone impression not only improve retention and stability, but also provide adequate tongue space in the posterior teeth area. Additionally, food residues are reduced in the area around artificial teeth, and aesthetics are improved through appropriate facial support.

An unusual exophytic pleomorphic adenoma on the upper lip skin without mucosa involvement: a case report

  • Sae Hwi Ki;Do Hyuk Chung;Jin Myung Yoon
    • Archives of Craniofacial Surgery
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    • v.25 no.4
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    • pp.201-204
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    • 2024
  • Pleomorphic adenoma is a benign tumor that can occur in the salivary glands, most commonly in the parotid gland. While it primarily occurs in the major salivary glands, it can sometimes be found in the minor salivary glands. Within the minor salivary glands, it most often originates in the hard palate and soft palate, and less frequently in the upper lips. Due to its location in the minor salivary glands, most pleomorphic adenoma involve and protrude on the mucosa. A 61-year-old man presented with 1.5 cm exophytic mass on the skin of his upper lip. This mass was exophytic on the skin and did not involve or protrude into the inner lip mucosa. The mass was entirely excised, and a subsequent permanent biopsy diagnosed it as a pleomorphic adenoma. In such situations, it can be challenging to suspect pleomorphic adenoma during a physical examination, leading to potential diagnostic confusion. It might also be mistaken for an inclusion cyst or another type of mass, making it tempting to treat without verifying the pathological results.

The Changes of Bone and Soft Tissue after Maxillary Anterior Segmental Osteotomy and Advancement Genioplasty (상악전방분절절골술과 턱끝전진술 후 안면골격과 연부조직의 변화)

  • Kim, Jin Woo;Shin, Han Kyung;Jung, Jae Hak;Kim, Young Hwan;Sun, Hook;Yoon, Chang Shin;Yun, Sung Ho
    • Archives of Plastic Surgery
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    • v.34 no.5
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    • pp.635-640
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    • 2007
  • Purpose: Mid and lower facial convexity is more common in Oriental people than in Caucasian. Bimaxillary dentoalveolar protrusion is characterized by procumbent teeth, protruding lips, acute nasolabial angle, gummy smile, receding chin, facial convexity. Especially, pure maxillary dentoalveolar protrusion is less frequent than bimaxillary dentoalveolar protrusion. Therefore, it is important to make an accurate decision for the operation throughout the history taking, cephalogram, dental cast to arrive at accurate diagnosis and surgical plan. Methods: From December 2002 to June 2004, ten patients with maxillary dentoalveolar protrusion and microgenia were corrected by maxillary anterior segmental osteotomy and advancement genioplasty. 10 patients were analyzed by preoperative and postoperative clinical photography, posteroanterior and lateral cephalograms. Results: No major complications were occurred throughout the follow-up period except one of the over-recessed, otherwise most of the patients were satisfied with the result. Conclusion: We could correct the occulusal relationship with teeth and improve lower facial profile, asthetically and functionally, by maxillary anterior segmental osteotomy and advancement genioplasty.

Study on the Relationship Between 12Meridians Flow and Facial Expressions by Emotion (감정에 따른 얼굴 표정변화와 12경락(經絡) 흐름의 상관성 연구)

  • Park, Yu-Jin;Moon, Ju-Ho;Choi, Su-Jin;Shin, Seon-Mi;Kim, Ki-Tae;Ko, Heung
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.26 no.2
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    • pp.253-258
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    • 2012
  • Facial expression was an important communication methods. In oriental medicine, according to the emotion the face has changed shape and difference occurs in physiology and pathology. To verify such a theory, we studied the correlation between emotional facial expressions and meridian and collateral flow. The facial region divided by meridian, outer brow was Gallbladder meridian, inner brow was Bladder meridian, medial canthus was Bladder meridian, lateral canthus was Gallbladder meridian, upper eyelid was Bladder meridian, lower eyelid was Stomach meridian, central cheeks was Stomach meridian, lateral cheeks was Small intestine meridian, upper and lower lips, lip corner, chin were Small and Large intestine meridian. Meridian and collateral associated with happiness was six. This proves happiness is a high importance on facial expression. Meridian and collateral associated with anger was five. Meridian and Collateral associated with fear and sadness was four. This shows fear and sadness are a low importance on facial expression than different emotion. Based on yang meridian which originally descending flow in the body, the ratio of anterograde and retrograde were happiness 3:4, angry 2:5, sadness 5:3, fear 4:1. Based on face of the meridian flow, the ratio of anterograde and retrograde were happiness 5:2, angry 3:4, sadness 3:5, fear 4:1. We found out that practical meridian and collateral flow change by emotion does not correspond to the expected meridian and collateral flow change by emotion.

The Information a Dental Technician Needs for Esthetic Prosthesis (심미 보철을 위해 기공사가 필요로 하는 정보들)

  • Park, Hyung Rang
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.7 no.1
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    • pp.64-70
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    • 1998
  • Recently as the interest on Esthetic Dental Prosthesis is arising, the domains of Esthetic Dentistry is being widely investigated. Esthetic Dental Prosthesis is influenced greatly by the shape, color, tooth arrangement of the teeth and the facial features(including the lips). So the degree to which these characters harmonize will be the professional esthetical standard while the satisfaction of the patient will be another esthetical measure. The reason for this is that each and every one of us has a different standard of what is considered beautiful. Of course it doesn't mean that every standard is correct. Then what does Esthetical Prosthesis mean and what should the standard be? This must be defined as a prosthesis that satisfies the basic requirements - margin, contour, occlusion, and at the same time it should restore the shape, color, and tooth arrangement which the client(patient) would love to have. As Esthetic Prosthesis contains its subjective meaning a great deal, it shouldn't be simply distinguished between the beauty of the teeth itself or ugliness. Also in some case, it needs surgical treatment to make it harmonious in the whole aspect so that one may keep the feeling of satisfaction and security. Then what is the shape, color, tooth arrangement that each individual wants? There is an indefinite variety. For example, considering arrangement both regular and irregular is considered beautiful by each different individual. Regular arrangement may be the standard of beauty for some, while irregular arrangement may be thought of as natural looking and beautiful. That is why there must be enough communication with the patient and an agreement be made at the clinic before a diagnostic plan and actual surgery. The treatment plan as mentioned above must be sent to the dental laboratory. In this research, by using case studies, I am going to the importance and appropriateness of the data and information for the dental technician's esthetic prosthesis.

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THE MANAGEMENT OF TONGUE BITE IN A PATIENT OF CEREBRAL PALSY AFTER DENTAL TREATMENT UNDER GENERAL ANESTHESIA -CASE REPORTT- (뇌성마비환자의 전신마취 하 치과치료 후 혀 깨물기 손상 관리)

  • Shin, Teo-Jeon;Seo, Kwang-Suk;Kim, Hyun-Jeong;Park, Sung-Soo;Kim, Hye-Jeong;Yang, So-Young
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.6 no.2
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    • pp.116-119
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    • 2010
  • Trauma to the lips and tongue can occur by accidental self-biting after dental treatment. After local anesthesia, it is likely that the patient may feel painless even in biting the tongue. In case of young children and disabled patients, the dentists should be careful not to bite the tongue. In this report, we present a case of deep lingual laceration due to biting the tongue in the course of dental treatment under general anesthesia. A 33 year-old male was transferred to our hospital to treat tongue laceration. Before 2 hour on arrival, he had received dental care under general anesthesia at a dental hospital for the disabled because of cooperation difficulty and cerebral palsy. During recovery from general anesthesia, he tried to bite his own tongue involuntary. The doctors and nurses tried to prevent the patient from being injured. Despite these efforts, massive bleeding occurred from the injured sites of the tongue. Because we could not communicate with him, we decided to evaluate the extent of the injury and treat the injured sites under general anesthesia. The laceration wound was sutured for nearly 1 hr general anesthesia. During recovery we inserted mouth prop into the oral cavity to prevent further injuries from tongue biting. After full recovery from general anesthesia he didn't try to bite his tongue. After 4 hour admission, he was discharged without other complications.

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