• Title/Summary/Keyword: the hyoid bone

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The Inaccuracy of Surface Landmarks for the Anterior Approach to the Cervical Spine in Southern Chinese Patients

  • Ko, Tin Sui;Tse, Michael Siu Hei;Wong, Kam Kwong;Wong, Wing Cheung
    • Asian Spine Journal
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    • v.12 no.6
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    • pp.1123-1126
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    • 2018
  • Study Design: Observational study. Purpose: To assess the correlational accuracy between the traditional anatomic landmarks of the neck and their corresponding vertebral levels in Southern Chinese patients. Overview of Literature: Recent studies have demonstrated discrepancies between traditional anatomic landmarks of the neck and their corresponding cervical vertebra. Methods: The center of the body of the hyoid bone, the upper limit of the lamina of the thyroid cartilage, and the lower limit of the cricoid cartilage were selected as representative surface landmarks for this investigation. The corresponding vertebral levels in 78 patients were assessed using computed tomography. Results: In both male and female patients, almost none of the anatomical landmarks demonstrated greater than 50% correlation with any vertebral level. The most commonly corresponding vertebra of the hyoid bone, the lamina of the thyroid cartilage, and the cricoid cartilage were the C4 (47.5%), C5 (35.9%), and C7 (42.3%), respectively, which were all different from the classic descriptions in textbooks. The vertebral levels corresponding with the thyroid and cricoid cartilage were significantly different between genders. Conclusions: The surface landmarks of the neck were not accurate enough to be used as the sole determinant of vertebral levels or incision sites. Intra-operative fluoroscopy is necessary to accurately locate each of the cervical vertebral levels.

Detection of Simulative Foreign Body Using three Dimensional Reconstruction Technique, Introduction and Application (삼차원 재건 기술을 이용한 모의 이물 탐색)

  • Yoo, Young Sam;Kim, Dong Won
    • Korean Journal of Bronchoesophagology
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    • v.17 no.1
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    • pp.40-45
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    • 2011
  • Background and Objectives Detailed information about the impacted esophageal foreign body is essential for safe extraction. Three dimensional reconstruction technique was applied to know shape, size and location of the simulative foreign bodies of stone, hyoid bone and endotracheal tube. Materials and Methods Submandibular gland stone, hyoid bone and endotracheal tube were used to simulate impacted foreign bodies. Axial CT, multi-planar reconstruction, volume of interest and virtual camera of Rapidia software were used to get information about the simulative foreign bodies from CT data. Shape and size were compared with the real materials. Exact locations were measured in appropriate modes of Rapidia. Results Shapes of the simulative foreign bodies matched well with the real materials. Size and location could be measured in various modes with some variable results. Conclusion 3D technique can be applied to get information about the simulative foreign bodies. This technique could be applied to the impacted esophageal foreign body.

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Flow Characteristics in a Human Airway model for Oral Cancer Surgery by PIV Experiment and Numerical Simulation (PIV 측정 및 수치해석을 이용한 구강암 수술에 따른 기도 형상 내 유동 특성)

  • Hong, Hyeonji;An, Se Hyeon;Seo, Heerim;Song, Jae Min;Yeom, Eunseop
    • Journal of the Korean Society of Visualization
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    • v.19 no.3
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    • pp.115-122
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    • 2021
  • Oral cancer surgery typically consists of resection of lesion, neck dissection and reconstruction, and it has an impact on the position of hyoid bone. Therefore, morphological change of airway can occur since the geometric parameter of airway is correlated with the hyoid bone. Airflow is affected by geometry of the airway. In this study, flow characteristics were compared between pre- and post-surgery models by both particle image velocimetry (PIV) and numerical simulation. 3D model of upper airway was reconstructed based on CT data. Velocity is accelerated by the reduced channel area, and vortex and recirculation region are observed in pre- and post-surgery models. For the post-surgery model, high pressure distribution is developed by significantly decreased hydraulic diameter, and the longitudinal flow stream is also interrupted.

Airway size in malocclusions with hyperdivergent skeletal pattern (개방교합성 골격헝태를 갖는 부정교합자의 기도크기)

  • Kwak, So-Yeong;Kim, Hyo-Young;Jeon, Young-MI;Kim, Jong-Ghee
    • The korean journal of orthodontics
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    • v.33 no.4 s.99
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    • pp.293-305
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    • 2003
  • The pharynx have significant locations and functions because it forms a part of the unit in which respiration and deglutition are carried out. Because of the closed relationship between the pharynx and the dentofacial and craniofacial structure, many studies are carried out on this subjects. The purpose of this study were to compare the airway size including pharynx, soft palate, tongue and hyoid bone between normal and hyperdivergent skeletal pattern and to evaluate the change of those size in different age. The sample of this study were consisted of 51 subjects in normal group, 52 subjects in hyperdivergent group. Each was divided into two subgroups by age , child group(9-l2yr old) and adult group(18yr old over). The lateral cephalometric radiographs were taken and the distance, angle and ratio of the facial skeleton, pharynx, soft palate, tongue and hyoid bone were measured and evaluated statistically. The result obtained were summarized as follows : 1 SN-Mn angle, FMA, and Pal-Mn angle were significantly larger in child group than adult group, but the lower anterior facial height(LAFH) and facial height ratio(FHR) were significantly smaller in child group than adult group. Occlu-Mn angle was significantly steep in hyperdivergent group than normal, but not significantly different between child group and adult group. 2. Hyperdivergent group and child group had the stronger correlation between SN-Mn angle, FMA, Pal-Mn angle, LAFH and FHR and airway size than normal group and adult group. Hyperdivevgent child group had significant negative correlation between SN-Mn angle, FMA, Pal-Mn angle and sagittal skeletal dimension of nasopharynx and sagittal depth of nasopharyngeal lumen. Significant positive correlation were seen between LAFH and vertical measurement of airway. 3. There was no difference of the linear measurement of airway size between hyperdivergent group and normal group. 4. Adult group had smaller posterior pharyngeal wall, target nasopharyngeal depth longer nasopharyngeal height and longer pharyngeal length than child group. 5. The sagittal measurement of hyoid bone had no difference between child group and adult group. But adult group had larger vertical measurement of hyoid bone than child group.

A study on the perimandibular tissues before and after orthodontic treatment with orthognathic surgery in mandandibular prognathic patients (하악골 전돌자의 악교정 수술을 동반한 교정치료 전후 하악골 주위조직의 변화에 관한 연구)

  • Yang, Byung-Ho;Cha, Kyung-Suk
    • The korean journal of orthodontics
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    • v.30 no.2 s.79
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    • pp.261-272
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    • 2000
  • Severe skeletal anteroposterior and vertical discrepancy is difficult to obtain satisfactory result by only orthodontic treatment, and much anteroposterior movement and treatment stability require orthodontic treatment with orthognathic surgery. The treatment goal of mandibular prognathic patients is to promote the function of stomatognathic system including mastication and phonetics, to improve the esthetics of facial profile and to maintain stability. Positional changes of hyoid bone, pharynx and tongue were seen with mandibular movement after orthognathic surgery. This study was performed to observe the changes of perimandibular tissues of orthodontic patients with skeletal mandibular prognathism who treated with orthodontic treatment, and the changes of hyoid bone, pharyx and tongue by relapse or recurrance after before and after orthognathic surgery and retention. The 22 patients who had mandibular prognathism were selected. They treated with orthodontic treatment with sagittal split ramus osteotomy as orthognathic surgery. And lateral cephalometric radiographs were taken 3 times : pre-surgery (T1), immediate post-surgery (T2) and 2 years alter retention (T3). The results were as follows : 1. The hyoid bone returned back after clockwise rotation to maxilla and occlusal plane during retention (P<0.01). 2. The hyoid bone moved posterior-inferiorly by mandibular surgery and returned back anterior-superior after retention. (P<0.01) 3. The changes of pharyngeal depth showed a little decrease at upper area in post- surgery, but it was not a significant difference generally through before, after and retention. 4. In relating to tongue base, the angle of tongue base was decreased and the dorsal area of tongue base moved to inferior-posterior direction and to superior direction again after retention (P<0.01). 5. Related to the thickness of upper and lower lip, the thickness of upper lip decreased after surgery, and the soft tissues below lower lip increased after surgery and decreased after retention.

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OBSERVATIONS ON EMBRYONAL DEVELOPMENT OF HUMAN LARYNX (사람 배아의 후두발달에 관한 형태학적 관찰)

  • Choi, Gun
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1991.06a
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    • pp.13-13
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    • 1991
  • 후두는 호흡기가 시작되는 부위로 후두의 태생학적 연구는 타장기에서와 같이 정상 후두의 해부학적 이해, 후두 기형의 병인의 이해 및 치료에 기초 자료가 된다. 그러나 사람 배아의 후두 발생에 관한 연구는 재료확보가 용이하지 않고 해부학적 난이성으로 매우 드물다. 이에 저자는 사람 배아의 후두 발달을 연구하고자 배령이 확인된 20례의 배아(배령 4 주에서 8 주 까지)의 연속절편에서 광학현미경하에 후두 발달의 형태학적 관찰을 시행하여 다음과 같은 결과를 얻었다. 1. 배령 4 주에 median pharyngeal groove, laryngotracheal sulcus 와 tracheoesophageal septum 이 관찰되었다. 2. 배령 5 주에 hypopharyngeal eminence, epithelial lamina of larynx와 arytenoid swelling이 관찰되었다. 3. 배령 6 주에 hyoid condensation과 tracheoesophagealfistula가 관찰되었다. 4. 배령 7 주에 epiglottis 가 확인되었고 hyoid bone, thyroid lamina 와 cricoid cartilage 의 condensation 및 muscular condensation 이 관찰되었다. 5. 배령 8 주에 laryngeal cartilage의 chondrification과 ventricle이 관찰되었으며, vestibulotracheal canal과 pharyngotracheal canal 의 교통은 관찰되지 않았다.

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Osteological Development of the Larvae and Juvenile of Luciogobius grandis (Pisces: Gobiidae)

  • Yun, Seong-Min;Park, Jae-Min;Han, Kyeong-Ho
    • Development and Reproduction
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    • v.24 no.2
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    • pp.125-133
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    • 2020
  • This study is intended to be used as the basic material for the taxonomic research by observing the stages of skeletal development of Luciogobius grandis larvae compared to the skeletal development patterns of the same fish family of Gobiidae. 3 days after hatching (DAH), the preflexion larvae was 4.01±0.11 mm (n=5) in average total length (TL) and the frontal began to ossify in the skull. 17 DAH, the advanced postflexion larvae was 5.37±0.05 mm (n=5) in average TL the supraoccipital and epiotic were ossified in the cranial bone. 36 DAH, the juvenile was 12.2±0.20 mm (n=5) in average TL and the urohyal was ossified in the hyoid arch. In addition to one hypural bone being ossified, the first, second, third and fourth were combined and were made three bone fragments and then, the bone ossification of all skeletons was completed.

Laryngeal height and voice characteristics in children with autism spectrum disorders (자폐스펙트럼장애 아동의 후두 높이 및 음성 특성)

  • Lee, Jung-Hun;Kim, Go-Woon;Kim, Seong-Tae
    • Phonetics and Speech Sciences
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    • v.13 no.2
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    • pp.91-101
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    • 2021
  • The purpose of this study was to investigate laryngeal characteristics in children with autism spectrum disorders (ASD). A total of 50 children participated, including eight children aged 2 to 4 years old diagnosed with ASD and 42 normal controls at the same age. All children recorded X-ray images of the midsagittal plane of the cervical spine and larynx, and compared the laryngeal positions of ASD and control. In addition, samples of children with vowel prolongation were collected and analyzed for acoustic parameters. X-rays showed that the height of the hyoid bone in the normal group was the lowest at 3 years of age, and ascended at 4 years of age. Nevertheless, the distance from the external acoustic meatus to the hyoid bone was longest at age 4. 4-year-olds with explosive language development showed laryngeal height elevation and anteriorization. In contrast, the hyoid height of the ASD group of all ages was lower than that of the control group, and there was no difference in the hyoid position between the ages. As a result of acoustic evaluation, PFR, vFo, and vAm were significantly higher ASD than control. Low laryngeal height of ASD children may be associated with delayed language development. PFR, vFo, and vAm seem to be voice markers showing the difference between normal and ASD children.

Measurement of Various Dimensions of the Larynx in Korea Adult (한국인 성인의 후두계측에 관한 연구)

  • 박승훈;박성남;김미자;윤희병;정대현;장혁순;전승하;강주원
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1982.05a
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    • pp.9.1-9
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    • 1982
  • The authors have measured various dimensions of the larynx of twenty adult cadavers. (male; 13, female; 7) The result were as follows, 1) Transverse diameter between the greater horns of the hyoid bone; M.52.58mm, F.43.07mm. 2) Transverse diameter between the lesser horns of the hyoid bone; M.36.20mm, F.30.20mm. 3) Transverse diameter of the thyroid cartilage; M.50.58mm, F.42.58mm. 4) Transverse diameter of the cricoid cartlage; M.30.14mm, F.26.94mm. 5) Distance from the lower margin of the hyoid bone to the thyroid notch; M.12.83mm, F.10.92mm. 6) Distance from the lower margin of the thyroid cartilage to the lower margin of the cricoid cartilage; M.16.40mm, F.10.26mm. 7) Distance from the upper margin of the thyroid cartilage to the lower margin of the cricoid cartilage; M.34.65mm, F.34.61mm. 8) Anteroposterior diameter of the cricoid cartilage; M.25.32mm, F.20.01mm. 9) Transverse diameter of the epiglottis; M.29.32mm, F.22.08mm. 10) Vertical diameter of the epiglottis; M.35.90mm, F.27.90mm. 11) Transverse diameter between the cuneiform tubercles; M.17.69mm, F.13.52mm. 12) Length of the vocal fold; M.11.61mm, F.10.40mm. 13) Transvers diameter of the vocal fold; M.18.62mm, F.18.27mm. 14) Distance from the upper margin of the epiglottis to the vocal fold; M.42.45mm, F.34.52mm. 15) Anteroposterior length of the vocal fold; M.19.25mm, F.10.70mm.

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A CEPHALOMETRIC STUDY ON THE AIRWAY SIZE ACCORDING TO THE TYPES OF THE MALOCCLUSION (부정교합 유형에 따른 기도의 크기)

  • Lee, Yong-Seung;Kim, Jong-Chul
    • The korean journal of orthodontics
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    • v.25 no.1 s.48
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    • pp.19-29
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    • 1995
  • This study was performed to compare the size of soft palate, tongue and airway according to the types of the malocclusion and evaluate the correlation between the size of soft palate, tongue, airway and dentofacial skeleton respectively. The sample of this study was 98 malocclusion female patients between the ages 12 and 17 years. The lateral cephalometric radiographs were taken and the distance, angle, ratio and area of the dentofacial skeleton, soft palate, tongue and airway were measured and evaluated statistically. The results obtained were as follows: 1. There was significant difference in SNB, ANB, facial angle, facial convexity, A-B plane angel, Y axis to FH, SN-MP, Wits appraisal, ODI and APDI according to the types of malocclusion. 2. The hyoid bone was more posteriorly positioned in Class II malocclusion group than other two groups and superio-inferior position of the hyoid bone was not different according to the malocclusion types. 3. The nasopharyngeal area of Class II and Class III malocclusion group was smaller than that of Class I malocclusion group, and the pharyngeal area of Class II malocclusion group was smaller than that of Class I and Class III maocclusion group. There was no difference of the area of the soft palate, tongue, oropharynx and hypopharynx according to malocclusion types. 4. The ramal height and mandibular body length(Go-Me) showed positive correlation with the area of tongue, nasopharynx, oropharynx, and pharynx. SNA did not correlated with the area of tongue and airway but SNB showed positive correlation with the area of hypopharynx and pharynx. The anterior, posterior facial height, upper and lower central incisor position to facial plane showed positive correlation with tongue area.

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