• Title/Summary/Keyword: 구개

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Phonological Process of Children with Cleft Palate (구개파열 아동의 음음변동에 관한 연구)

  • Choi, Jae-Nam;Sung, Soo-Jin;Nam, Do-Hyun;Choi, Hong-Shik
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.16 no.1
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    • pp.49-52
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    • 2005
  • Background and Objectives : Children with cleft palate children may be imparied in articulation and resonance. This study examined the phonological process usage of 3-, 4- and 5- year old children with cleft palate. Materials and Method : Twenty seven children with cleft palat participated 3-, 4- and 5-year old children with cleft palate. The authors performed speech evaluation using picture consonants test for children with cleft palate. Percentage of consonants correct(PCC), mean value of each phoneme depends on articulation site and manner were evaluated. Results : In place of articulation, ommission of velar consonants were the most frequent. In manner of articulation, ommission of nasal consonants were the most frequent. Backing, glottal stop, was the most prominent phonological process children with cleft palate. Conclusion : These results may indicate that articulation disorder with cleft palate. and other articulation disorders differences should be considered in the interpretation of speech evaluations.

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New Record of the Yellowfin Scorpionfish, Scorpaenopsis neglecta (Scorpaeniformes: Scorpaenidae) from the Coastal Waters of Jeju Island, Korea (제주도 연안 해역에서 채집된 양볼락과 쑥감펭속 한국미기록종, Scorpaenopsis neglecta)

  • Kim, Byung-Jik;An, Jung-Hyun
    • Korean Journal of Ichthyology
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    • v.27 no.3
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    • pp.243-248
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    • 2015
  • Based on three scorpionfish specimens (131.8~163.4 mm SL) collected from the coastal waters of Jeju Island, we described Scorpaenopsis neglecta as the first record from Korea. They were characterized by having 12 dorsal fin spines, lacking of palatal teeth and of black pigment between the first and third dorsal fin spines, wider interorbital region than orbital diameter, no median interorbital ridge, uppermost opercular spine with multicusps, and a broad blackish band distally and numerous various sized black spots on inner side of pectoral fin. We proposed a new Korean name, "Ssol-chi-u-reug" for the species.

PLEOMORPHIC ADENOMA OF THE BUCCAL MUCOSA IN A 13-YEAR-OLD BOY (13세 남아에서 협부에 발생한 다형성 선종 치험례)

  • Lee, Jea-Hwy;Bae, Jung-Soo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.13 no.4
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    • pp.450-455
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    • 1991
  • Pleomorphic adenoma is a circumscribed tumor characterized microscopically by its pleomorphic or mixed appearance, and its clearly recognizable tissue intermingled with areas of mucoid, myxoid, or chondroid appearance. Plemorphic adenoma, the most common tumor of the salivary glands, is now generally accepted as epithelial and benign, and therefore an adenoma. Pleomorphic adenoma occurs about 10 times more often in the parotid gland than in the submandibular gland, and is rare in the sublingual gland of the major salivary gland. And it occurs most often in the parotid and lip, but is very rare in the buccal mucosa of the minor salivary gland. The reported age of occurrence for pleomorphic adenoma ranges from 5 to 84 years, with a peak incidence during the third decade. We experienced a case of pleomorphic adenoma which occurring in buccal mucosa of 13-year-old boy. And so both the site of origin and age of occurrence make this case unusual. This lesion was treated with surgical excision. No specific change has seen in 1 year postoperative follow-up.

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Polymorphous Low-grade Adenocarcinoma of the Palate: Case Report (구개부에 발생한 다형성 저등급 선암종: 증례보고)

  • Ryu, Hye-In;Jee, Yu-Jin;Lee, Deok-Won;Kim, Tae-Hee;Hong, Sung-Ok;Ryu, Dong-Mok
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.34 no.1
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    • pp.65-70
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    • 2012
  • Polymorphous low-grade adenocarcinoma (PLGA) is a neoplasm that is regarded as the second most common malignant salivary gland tumor after mucoepidermoid carcinoma. After the diagnosis of PLGA it is important to make a treatment decision and consider the prognosis. A histopathologic examination is necessary for diagnosis. Treatment is primarily surgical excision and long-term follow up is essential to evaluate local recurrences. This report describes 2 cases of PLGA located in the soft palate without any evidence of metastasis. The first case was PLGA with bony infiltration and an irregular margin lesion. The second case was PLGA localized in palatal soft tissue. We present diagnoses, histopathologic features, treatments and prognosis of PLGA.

Tunnelized-facial Artery Myomucosal Island Flap (t-FAMMIF) for Palatomaxillary Reconstruction: A Report of Two Cases (터널화 안면동맥 협부 근점막 도피판을 이용한 구개상악 결손의 재건: 증례보고)

  • Ryu, Da Jung;Jang, Hyo Won;Park, Hye Jeong;Kim, Hyung Jun;Cha, In-Ho;Nam, Woong
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.35 no.2
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    • pp.100-106
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    • 2013
  • There are many challenges for reconstruction after intraoral tumor resection. Especially, palatomaxillary reconstruction has two primary goals: closure of the oronasal communication and re-creation of proper myomucosal function. Prosthodontic treatment using obturator and several surgical procedures are selected depending on the size and site of the defect, the difficulty of operative procedure, operation time and donor site problem. Above all, it is considered that radial forearm free flap is the first choice for palatal reconstruction. Our department introduces a novel method using tunnelized-facial artery myomucosal island flap for palatomaxillary defect reconstruction, which can successfully reduce donor-site morbidity, and duration of surgery and hospitalization.

Measuring and Predicting Success of Uvulopalatopharyngoplasty in Obstructive Sleep Apnea Patients (폐쇄성 수면무호흡증 환자에서 구개수구개인두 성형술의 결과평가 및 예측 변수에 관한 고찰)

  • Park, Young-Hak;Park, So-Young
    • Sleep Medicine and Psychophysiology
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    • v.3 no.1
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    • pp.31-37
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    • 1996
  • Uvulopalatopharyngoplasty(UPPP) is an operation that is frequently performed for the patient of obstructive sleep apnea(OSA). A major problem has been to select those patients who will have a good response to UPPP. We compared preoperative and postoperative polysomnography(PSG) in 20 patients to evaluate the success rate of the operation. Each subject underwent a cephalometric roentgenogram, and fiberoptic nasopharyngoscopy with Mueller maneuver was applied in roentgenogram and fiberoptic nasopharyngoscopy with Mueller maneuver was applied in preop evaluation of patients with OSA. No PSG parameter could accurately predict the changes in sleep after UPPP. There were no significant differences between the responders and the nonresponders concerning the cephalometric analysis, the type of obstruction by Mueller maneuver, and body mass index(BMI). The conclusions of this study are thus that UPPP is an effective treatment for the OSAS with a high success rate, but that there is no single useful parameter predicting the success of the operation.

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The Speech of Cleft Palate Patients using Nasometer, EPG and Computer based Speech Analysis System (비음 측정기, 전기 구개도 및 음성 분석 컴퓨터 시스템을 이용한 구개열 언어 장애의 특성 연구)

  • Shin, Hyo-Geun;Kim, Oh-Whan;Kim, Hyun-Gi
    • Speech Sciences
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    • v.4 no.2
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    • pp.69-89
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    • 1998
  • The aim of this study is to develop an objectively method of speech evaluation for children with cleft palates. To assess velopharyngeal function, Visi-Pitch, Computerized Speech Lab. (CSL), Nasometer and Palatometer were used for this study. Acoustic parameters were measured depending on the diagnostic instruments: Pitch (Hz), sound pressure level (dB), jitter (%) and diadochokinetic rate by Visi-Pitch, VOT and vowels formant ($F_1\;&\;F_2$) by a Spectrography and the degree of hypernasality by Nasometer. In addition, Palatometer was used to find the lingual-palatal patterns of cleft palate. Ten children with cleft palates and fifty normal children participated in the experiment. The results are as follows: (1) Higher nasalance of children with cleft palates showed the resonance disorder. (2) The cleft palate showed palatal misarticulation and lateral misarticulation on the palatogram. (3) Children with cleft palates showed the phonatory and respiratory problems. The duration of sustained vowels in children with cleft palates was shorter than in the control groups. The pitch of children with cleft palates was higher than in the control groups. However, intensity, jitter and diadochokinetic rate of children with cleft palates were lower than in the control group. (4) On the Spectrogram, the VOT of children with cleft palates was longer than control group. $F_1\;&\;F_2$ were lower than in the control group.

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A Comparative study on the palatal mucosa thickness measurements using periodontal probe and pltrasonic device (치주탐침과 초음파기구를 이용한 구개 점막 두께 측정치의 비교연구)

  • Kim, Tae-Woo;Lee, Jae-Kwan;Um, Heung-Sik;Chang, Beom-Seok
    • Journal of Periodontal and Implant Science
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    • v.36 no.4
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    • pp.901-911
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    • 2006
  • Maxillary palatal mucosa is the most frequently used donor site of the soft tissue for periodontal plastic surgery. In our study, thickness of the palatal mucosa between the mesial side of the maxillary first premolars and the distal side of the maxillary first molars was measured with a periodontal probe and an ultrasonic device in 30 young Korean adults. Using the data, the possibility of the clinical application of ultrasonic devices was evaluated. The results of this study were as follow; 1. The thickness of the palatal mucosa of the maxillary premolars is the thickest and that of the mid-palatal portion of the maxillary first molar is the thinnest. 2. The thickness of the palatal mucosal tissue increases from the gingival margin to the mid-palatal suture. 3. The measurements of the periodontal probe and the ultrasonic device revealed the strong positive correlations.

Treatment of Snoring and Sleep Apnea with Botulinum Toxin (보툴리눔 독소를 이용한 코골이 및 수면무호흡 치료)

  • Jang, Jae-Young;Chung, A-Young;Kim, Seong-Taek
    • Journal of Dental Rehabilitation and Applied Science
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    • v.29 no.4
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    • pp.391-398
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    • 2013
  • Botulinum toxin has been used for treating strabismus, blepharospasm, cerebral palsy, cervical dystonia, hyperhydrosis, facial wrinkle and chronic migraine under US Food and Drug administration approval. Also it has been tried spasticity-induced pain, post-herpetic neuralgia, myofascial pain and aphthous ulcer as off-label use. In this study, we reviewed recent studies that suggested effects of botulinum toxin on snoring and sleep apnea.

교정적 치료

  • Yang, Won-Sik
    • The Journal of the Korean dental association
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    • v.20 no.9 s.160
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    • pp.753-758
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    • 1982
  • 선천이상 중에서도 순열과 구개열은 특상한 성질의 것으로서 안모의 변형, 발음장애, 신체타부와의 관계기형, 이비인후과질환을 병발하기 쉽고, 호흡기, 소화기 질환에 이환되기 쉬으며 환자는 정신적, 사회적으로도 매우 불리한 위치에 놓여 있는 신체장애자로, Fogh-Anderson은 순열과 구개열은 열성반성유전(recessive sexlinked heredity)을 한다고 보고했다. 그러나 구개열은 유전적추적이 불가능하기 때문에 그 발생원인으로 물리적원인을 우선적으로 들고있다. 발생기전은 태생 8~12조경의 제2차구개형성기에 어떤 이유로 양측의 구개돌기(palatine process)와 비중격이 분리되있는 채로 있든가, 접근해서도 유합되지 않고 있든가의 조해요인으로 태아의 모태내에 있어서의 자세, 특히 흉부에 의한 하악골압박에 의해 발생하는 소악증(micromandible), 설하수(glossoptosis)를 동반하는 Pierr Robin syndrome, 태생 8~10조경까지의 혀의 만기정유, 지, 제대의 원시구강내로의 미입등을 들수있다. 순열 및 구개열환자의 치료에 있어서 종래에는 전과정이 외과의사에게만 맡겨졌었으나, 구순, 비부의 추형등의 문제, 특징적으로 발생되는 하악의 열성장, 이별궁이 왜형, 발음장애등의 문제점해결을 위하여 필연적으로 이에 관계있는 명기다른 전문분야의 전문의가 시술에 임하게되는 multidiscipline approach로서 종합진단, 장기치료계획의 입안, 전문적 의견의 교환을 통해서 치료시기, 치료순서의 결정으로 성공적인 순열및 구개열의 치료목표를 달성하리라고 생각한다.

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