• Title/Summary/Keyword: nail size

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Surgical Treatment for Subungual Exostosis in the foot (족부에 발생한 조갑하 외골증에 대한 수술적 치료)

  • Lee, Kee-Haeng;Kim, Hyoung-Min;Moon, Chan-Woong;Lee, Bum-Seong;Kim, Youn-Soo
    • The Journal of the Korean bone and joint tumor society
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    • v.10 no.2
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    • pp.107-112
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    • 2004
  • Purpose: We described our experience with subungual exostosis in the foot for which we used different surgical technique according as location and size of lesion and revealed excellent results. Materials and Methods: We experienced 12 cases of subungual exostosis that were treated surgically and followed them more than one year between October 1995 and July 2003. There were nine females and three males. The average age of patients at surgery was 13.4 years. Duration of symptoms was 20.3 months on average. The lesion involved the hallux in nine cases; eight dorsomedial and one dorsolateral aspect of distal phalangeal bone. It involved the second, the third, and the fifth toe in one each; all central aspect of dorsum of distal phalanx. We used surgical technique that involves approaching the exostosis under the nail to preserve nail coverage for lesion in the hallux. The nails were extracted totally but preserved nail bed as much as possible in other toes. Results were based on appearance of the regenerated nail and presence of recurrence. Excellent results were those in which the nail appeared nearly normal and there was no clinical or radiographic evidence of recurrence. Good results were associated with a minor nail deformity such as ridging, and no evidence of recurrence. Fair results had obvious nail deformity or a minimal asymptomatic recurrence that was discernable only on radiograph. Poor results were associated with a clinically evident symptomatic recurrence. Results: When the lesion involved hallux, there were six excellent and two good results, and one poor result. All cases that involved other toes revealed good results. Conclusion: We suggest that different surgical technique might be applied according as location and size of the lesion to achieve satisfactory results for subungual exostosis in the foot.

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Reinforcement Bulb Body Pull-out Resistance Force Behavior Characteristics according to Ground Conditions (지반조건에 따른 보강구근체 인발저항력 거동 특성)

  • An, JunYoung;Shim, JeongHoon;Jeong, JiSu;Lee, SeungHo
    • The Journal of Engineering Geology
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    • v.27 no.1
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    • pp.41-49
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    • 2017
  • In this study, we tried to confirm the influence range in the ground due to Bulbed, Reinforcement change and ground conditions change through numerical analysis. By checking the increase width of the reinforcement effect accompanying the increase of Bulbed, grasping the trend accompanying the change of the ground conditions and deciding soil nail Reinforcement and Bulbed, so that economical construction will be carried out It can be judged that it can be utilized as basic material. In this paper, we analyzed the Displacement due to positional load of reinforcement by utilizing MIDAS GTS NX which is a universal numerical analysis program. In addition, it is necessary to ensure the diameter star economy of Bulbed size and Reinforcement by comparing / analyzing whether the Bulbed relaxation region of Reinforcement represents arbitrary characteristics in the ground in Sandy soil, Weathered granite soil ground due to soil nail pullout load Numerical analysis was conducted to select criteria that can be done.

Treatment of Shepherd's Crook Deformity with Huckstep's nail in Fibrous Dysplasia - A Case Report - (섬유성 골이형성증에서 Huckstep 정을 이용한 Shepherd's Crook 변형의 치료 - 증례 보고 -)

  • Whang, Kuhn-Sung;Kim, Tae-Seung;Kim, Byoung-Hoon;Lee, Jong-Min
    • The Journal of the Korean bone and joint tumor society
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    • v.8 no.1
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    • pp.27-31
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    • 2002
  • Clinical symptoms of fibrous dysplasia in proximal femur include pain, limping, and leglength discrepancy. Occasionally varus deformity, which may range from mild coxa vara to a marked shepherd's crook deformity was developed. Surgical intervention generally is considered advisable in the presence of persistent pain unresponsive to conservative treatment or significant or progressive deformity. Depending on the lesion size, lesion site, and deformity, several treatment methods have been used. This is a report on one case of bilateral shepherd's crook deformity in fibrous dysplasia, which was treated with corrective osteotomy by Huckstep nail.

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Correction of Recurrent Ingrowing Toenail Using Partial Matricectomy and Paronychial Advancement Flap (부분기질절제술과 발톱주위전진피판을 이용한 재발성 내증식발톱의 교정)

  • Kim, Eui Sik;Kim, Sung Nam;Noh, Bok Kyun;Hwang, Jae Ha;Kim, Kwang Seog;Lee, Sam Yong
    • Archives of Plastic Surgery
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    • v.33 no.3
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    • pp.347-352
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    • 2006
  • Ingrowing toenail has been treated conventionally by various surgical treatment modlities. However, none of these procedures are perfect to achieve esthetic results with low cost, recurrence, and complication rates. Although mild cases can be treated conservatively, in severe recurrent cases, surgical treatment is preferred. The purpose of this study is to evaluate the effectiveness and safety of using partial matricectomy and paronychial advancement flap for correction of recurrent ingrowing toenail. Eight patients suffering from recurrent ingrowing toenail were operated using partial matricectomy and paronychial advancement flap in our department from August 2004 to August 2005. The number of recurrent episodes ranged from 2 to 5. With digital nerve block, the excision area was marked on nailplate and inflammed lateral nail fold. The horizontally designed paronychial flap considering defect size was effective for wide exposure of the neighboring germinal matrix, which is later to be completely excised or cauterized because remnant germinal matrix made postoperative spicule formation. The nailplate on the affected side was removed about 3-5 mm width longitudinally, being cautious not to damage the proximal dorsal nail fold. The same width of the sterile matrix including germinal matrix was excised longitudinally with inflammed granulation tissue and partial lateral nail fold on the affected side. The subcutaneously elevated paronychial flap was advanced to cover the defect and was anatomically sutured with 5-0 nylon sutures. We evaluated our procedure's effectiveness by examining some factors such as cosmetic results, recurrence, spicule formation, postoperative pain and duration of return to normal activities. In eight patients, no complication was observed such as recurrence, severe pain and spicule formation except for 1 case of infection. Postoperative discomfort was minimal. Average duration of return to normal activities was 12 days. Cosmetically the results were acceptable in all patients. The partial matricectomy and paronychial advancement flap for correction of recurrent ingrowing toenail were found to be technically simple, efficient procedure with a relative low recurrence rate and better cosmetic results.

Comparison of apical sealing ability of continuous wave of obturation technique using EndoTwinn and System B (EndoTwinn과 System B continuous wave of obturation units를 이용한 근단부 근관충전 효율비교)

  • Shin, Hyun-Ju;Park, Jeong-Kil;Hur, Bock;Kim, Hyeon-Cheol
    • Restorative Dentistry and Endodontics
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    • v.32 no.6
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    • pp.522-529
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    • 2007
  • The purpose of this study was to compare the apical leakage of the root canal filled with the System B and the EndoTwinn(the combined application of heat and ultrasonic vibration). Sixty extracted premolars with straight root were cleaned and shaped to size 35. Group SB was obturated using System B and Group ET was filled with EndoTwinn. A size 35 of 0.06 tapered gutta-percha and Adseal were used and the plugger which could be introduced to 4 mm short of working length was selected in the obturation procedure. As the positive control, Group PC was not filled. In Group SB, ET and PC, all external surfaces of each tooth were coated with nail varnish leaving only 1 mm area around the apical foramen. In the negative control of Group NSB and Group NET, all of external tooth surface including apical foramen was coated with the nail varnish. The specimens were immersed in methylene blue dye solution for 2 days. Then the specimens were sectioned at each 1 mm from apex to 5 mm level. The final score of one specimen was given by summing up of the points at all levels. The dye leakage of Group ET was significantly less than that observed in Group SB (p < 0.05). And the frequency of gutta-percha pulling out from root canal when the plugger was removed was more often with the System B than with EndoTwinn but there was no significant difference.

The Effect of Internal Nail-holes on the Bending Strength of Particle Board (못접합에 의한 내부천공이 삭편판(PB)의 휨강도에 미치는 영향)

  • So, Won-Tek
    • Journal of the Korea Furniture Society
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    • v.19 no.3
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    • pp.211-218
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    • 2008
  • This experiment was carried out to investigate the effect of internal holes on the bending strength of PB. The diameters of holes are 0mm to 13mm. The locations of holes are 1/8 to 4/5 point horizontally from sample end and are 1/5 to 4/5 vertically from sample surface, the numbers of holes are 1 to 4 pcs. In the size of internal holes, the bending strengths of PB were decreased significantly with the increase of diameter of holes, and the relationship between diameters(D) of holes and bending strength (${\sigma}_b$) of PB was ${\sigma}_b=-11D+168.8$ ($r^2=-0.99^{**}$). The effects of hole-locations and hole-numbers on the bending strengths of PB were large. and so they should be considered as major factors for the jointing design of PB.

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A Study on Appearances of Desensitized Phenomenon in Chest Roentgenography (흉부X선사진(胸部X線寫眞)에 나타나는 감감현상(減感現象)에 관(關)한 연구(硏究))

  • Kyong, Kwang-Hyon;Huh, Joon
    • Journal of radiological science and technology
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    • v.2 no.1
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    • pp.23-29
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    • 1979
  • Roentgenographic film has to be handled with greatest care during removal from the packing, loading of the cassettes and loading of the hanger. In the case of prior to or after exposed film is handled with mechanical pressure in darkroom, the most common phenomena are desensitization or sensitization on roentgenographic film. In order to observe these defect occurring on, it, the author studied on change of the densities where the mechanical pressure reached to the roentgenographic film. 1. The optimal minimum and maximum densities in routine chest x-ray film are from 0.25 to 1.47 2. The dependence of the desensitization occurring on film upon the bent degree of film is in the portion to bent degree over $10^{\circ}$ 3. Appearances of the desensitization on film by the curved degree of film is inverse proportion to it's degree below intervals of 3cm. 4. The more unexposed film is bent with nail tip and is pressured with palm, the more desensitization it was appeared upon film size and pressure weight. 5. The most serious area of desensitization produced by many types of mechanical pressure is in the portion of lung apex and outside lung fields. 6. The tendency of desensitization due to mechanical pressure on unexposed film is more serious than sensitization on exposed film in the view of radiologic diagnosis.

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Extraction and Size Measurement of Nail Field for Personality Analysis (성격 분석을 위한 손톱 영역 추출 및 크기 측정)

  • Kim, Bong-Hyun;Seo, Kyoung-Won;Ka, Min-Kyoung;Lee, Se-Hwan;Cho, Dong-Uk
    • Proceedings of the Korea Information Processing Society Conference
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    • 2010.04a
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    • pp.490-493
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    • 2010
  • 오늘날 사회생활을 하는데 있어 대인관계는 원만한 조직의 운영에 필수적인 요소가 되고 있다. 그러나, 상대방의 성격을 잘 알지 못하거나 잘못 파악하여 실수하는 경우가 종종 일어난다. 이러한 문제를 해결하기 위해 본 논문에서는 영상공학적 기술을 이용하여 손톱 모양 및 크기에 따라 개인마다 보유하고 있는 성격의 특징을 연구하였다. 이를 위해 입력 영상에서 이진화 작업을 통해 1차 영상을 수집하고 필터링 및 스캐닝 작업을 통해 최종적으로 손톱의 영역을 추출하고 크기를 측정하는 방법을 사용하였다. 이를 기반으로 결과 영상 및 손톱의 수치값을 측정하고 손톱의 크기를 비교, 분석하였다. 결과적으로 실험값을 통해 손톱의 형태 및 크기를 비교, 분석하였으며 손톱의 크기에 따른 개인의 성격에 대해 분석하였다.

Diagnostic value of two modes of cone-beam computed tomography in evaluation of simulated external root resorption: an in vitro study

  • Dalili, Zahra;Taramsari, Mehran;Mehr, Seyed Zoheir Mousavi;Salamat, Fatemeh
    • Imaging Science in Dentistry
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    • v.42 no.1
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    • pp.19-24
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    • 2012
  • Purpose : Field of view and voxel resolution of cone beam computed tomography (CBCT) might affect the diagnostic capability. This study was performed to compare between the standard and HiRes zoom modes in the diagnosis of external root resorption (ERR) using CBCT. Materials and Methods : Sixty three small cavities (0.25 mm depth and 0.5 mm diameter) were simulated on the buccal, lingual, and proximal surfaces at three different levels of 16 roots of teeth. After covering the root with nail varnish, the roots were inserted in the sockets and the model was placed in a water-containing lacuna. CBCT scans were taken in both standard and HiRes zoom modes using NewTom VG (QR srl Company, Verona, Italy). Then, an observer assessed the images to determine the presence or absence of the cavities. This process was repeated by increasing the size and depth of cavities to 0.5 mm depth and 1 mm diameter. Data were analyzed by McNemar test. The sensitivity, specificity, positive predictive value, negative predictive value, and likelihood ratio in evaluation of the simulated cavities were calculated. Results : There was a significant difference between the two imaging modes in diagnosing the shallow cavities (p=0.02).The sensitivity of the standard zoom in detecting the shallow cavities was lower than that of the HiRes zoom. The likelihood ratio of the HiRes zoom was higher in the diagnosis of both cavity types. Conclusion : This study suggested that a smaller voxel size in the HiRes zoom mode of CBCT is preferred for diagnosis of ERR.

COMPARISON OF APICAL SEALING EFFICACIES USING DIFFERENT PLUGGING DEPTH IN CONTINUOUS WAVE OF OBTURATION TECHNIQUE (Continuous wave of obturation technique에서 플러거의 다양한 적용 깊이에 따른 근단부 폐쇄효율 비교)

  • Lee, Sang-Jin;Park, Jeong-Kil;Hur, Bock;Kim, Hyeon-Cheol
    • Restorative Dentistry and Endodontics
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    • v.32 no.6
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    • pp.491-497
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    • 2007
  • The purpose of this study was to compare apical sealing ability of continuous wave canal filling technique according to various heat source plugging depths. Eighty one extracted human premolars with straight root were cleaned and shaped to size 35 using .06 taper rotary NiTi file. After cleansing and shaping, the teeth were divided into 5 groups following the heat source probing depths from the apex; 3, 4, 5, 6 and 7 mm. All specimens were filled using E&Q plus with #35/.06 tapered gutta-percha cone. The positive control teeth were not filled. All teeth were coated with nail varnish except the apical 1 mm around the apical foramen. Negative control teeth were completely sealed include the apical foramen. All specimens were immersed in 1% methylene blue solution for 72 hours. Then the specimens were sectioned horizontally at 1, 2 and 3 mm from the root apex. Each sectioned surface was photographed using a digital camera attached to the stereomicroscope at $12.5{\times}2.5$ fold magnification. All points at 1, 2 and 3 mm were summed as final score of one specimen. Statistical analysis of the collected data was performed. Under the condition of this study. there was no significant difference between the heat source plugging depths of 3, 4, 5, 6 and 7 mm in apical sealing ability. All of apical heat source plugging depth from 3 to 7 mm including Buchanan's protocol -from 5 to 7 mm- seems to be acceptable in clinical application.