• Archives of Plastic Surgery
• /
• 제34권1호
• /
• pp.18-23
• /
• 2007

Purpose: Anthropometry can be divided into two methods, direct anthropometry and indirect anthropometry. The most ideal and accurate method is a direct anthropometry. However, it is difficult to measure in the case of children because of poor cooperation, and it lacks re-productivity. Cast model has advantages of three dimensional featuring, inexpensive and easy fabrication. This study is conducted to find out an accuracy of indirect anthropometry on cast model by comparing it with direct anthropometry. Methods: Total 48 cleft lip nasal deformity patients (unilateral, 40; bilateral, 8) were included in this study. Cast models were made before surgery under general anesthesia with alginate impression material and model plaster. Eleven linear measurements among 7 landmarks were taken as direct anthropometry before surgery with Castroviejo spreading caliper. At the same time, indirect anthropometry on cast model was done at the same linear distances as well. Results: Of the total 11 linear measurements, both ala lengths, both columella lengths, nose width, projective distance between facial insertion points of the ala, projective distance between the alar base points, right nostril floor width, and columella width were statistically correlated between indirect anthropometry on cast model and direct anthropometry. However, the nasal tip protrusion and the left nostril floor width were not statistically correlated. Conclusion: Accuracy of indirect anthropometry on cast model can be influenced by cast model fabrication techniques and correct identification of landmarks. Nasal tip protrusion could be reduced by compression of the nasal tip in the process of cast model fabrication and nostril floor width can be varied by muscle relaxation of anesthetics and incorrect identification of subalare in cleft lip nasal deformity. If sufficient care is taken to make cast model and to define landmarks exactly, indirect anthropometry on cast model can be a reliable method as direct anthropometry.

• Archives of Plastic Surgery
• /
• 제34권2호
• /
• pp.181-185
• /
• 2007

Purpose: Cleft lip and/or palate is the most common congenital facial anomaly whose incidence is about 1 in 500~1000 live births. As this anomaly may be associated with the serious chromosomal anomalies or the multiple organ abnormalities resulting in the fetal loss or perinatal maternal morbidity and mortality, careful prenatal counseling with early and accurate detection is important. Although conventional prenatal ultrasound(US) examination in midterm pregnancy has been applied for screening of cleft lip, there are definite limitations in the diagnosis of accompanying cleft palate or alveolar cleft. We applied high-resolution 3D US along the serial axial, coronal and sagittal plane so that we could diagnose the cleft palate and/or alveolar cleft in fetuses with cleft lip. Methods: From May 2005 to September 2005, 20 fetuses with cleft lip were examined with prenatal 3D US. Average maternal age was 28.8 years old(24-35 years old), and average gestational age was 24.8 weeks(17.6 to 34.2 weeks). Consecutive axial, coronal and sagittal multislice view were obtained via prenatal 3D US examination and diagnosis of cleft palate and/or alveolar cleft in cleft lip fetuses was followed. Results: With noninvasive and safe prenatal 3D US examination, 17 of 20 cleft lip fetuses were demonstrated to have cleft palate and/or alveolar cleft. Prenatal counseling according to the result was made. Conclusion: Existing prenatal US examination is suitable for screening the cleft lip fetuses but has limitation in identifying the related existence of cleft palate and/ or alveolar cleft. Authors verify the presence of cleft palate and/or alveolar cleft acquiring the successive multislice axial, coronal, and sagittal view with prenatal 3D US examination. Therefore, prenatal 3D US examination could be regarded as a noninvasive and secure screening modality in fetuses with cleft lip for confirming whether cleft palate and/or alveolar cleft is accompanied.

• Archives of Plastic Surgery
• /
• 제38권4호
• /
• pp.376-382
• /
• 2011

Purpose: In patients with unilateral cleft lip and nose deformity, alar retraction is commonly seen on the non-cleft side after cleft side is corrected. Spacer graft was used to drag down the inferior border of the alar cartilage of the non-cleft side so as to match the cleft side. By performing spacer graft and septal extension graft together, symmetry and cosmetic improvements were achieved. Methods: Seven unilateral cleft lip and nose deformity patients underwent surgery for alar retraction correction. The median age was 24 years (ranged from 15 to 34 years), and the median follow-up period was 7.4 months (ranged from 6 to 12 months). The perpendicular length from the longitudinal axis of the nostril to the alar rim, the nasolabial angle and the ala-labial angle were measured in the lateral view photo. The longest perpendicular length from the cephalic border of the alar rim to the parallel line of the alar base was measured in the frontal view photo. Results: Improvement in alar retraction was seen after the surgery. There were no specific complications during the follow-up and the symmetry of both nostrils was satisfactory. No increase in the nasolabial angle or exposure of the nostrils was seen after the tip projection via tip plasty. Conclusion: The fundamental factor in correcting alar retraction with secondary cleft lip and nose deformity is repositioning the alar rim with spacer graft, which seems to be more physiologic than other methods. The method combining spacer graft with septal extension graft will bring symmetry as well as more cosmetic improvement in correction of alar retraction with secondary cleft lip and nose deformity.

• Archives of Plastic Surgery
• /
• 제37권4호
• /
• pp.400-408
• /
• 2010

Purpose: Complete septal extension grafts have been widely used in rhinoplasty for effective projection of the short retruded columella in Asian patients. Autologous septal cartilages and porous high-density polyethylene sheets are frequently used as septal extension grafts. This study was conducted to compare the postoperative results of porous polyethylene sheets and septal cartilages used for correction of unilateral cleft lip nasal deformities by using photogrammetric analysis. Methods: This study investigated a total of 49 patients with cleft lip nasal deformities who underwent corrective surgery, and were followed up for at least 6 months. Septal cartilages were used in 39 patients, and porous polyethylene sheets were used in 10 patients. In all patients, through the open rhinoplasty, complete septal extension grafts were sutured to the caudal margin of the septal cartilage, and the alar cartilage was sutured with suspension. The cleft side alar cartilage was overcorrected by approximately 3 - 5 mm. Postoperative outcomes were evaluated by using photogrammetric analysis. Five indices and 4 angles were measured on their photographs taken before and after the surgery. In patients with unilateral cleft lip nasal deformities, symmetry was also evaluated by means of columellar length index. Results: The postoperative values obtained in photogrammetric analysis showed improvements in comparison with the preoperative ones. The polyethylene group produced more improved outcomes than the septal cartilage group but also resulted in more complications at the same time. Conclusion: The results of this study indicates that complete septal extension grafts are efficient for the correction of unilateral cleft lip nasal deformities. However, since postoperative complications occur more frequently in the polyethylene group than in the septal cartilage group, caution is advised in using porous high-density polyethylene sheets in patients with cleft lip nasal deformities.

• Archives of Plastic Surgery
• /
• 제37권4호
• /
• pp.427-432
• /
• 2010

Purpose: The purpose of this study is to estimate muscle defect by ultrasonography in the patients with secondary deformities of the lip. We investigated the association between the muscle defect in the repaired cleft lip and the philtral appearance not only at resting state but also maximal puckering. Methods: From December 2006 to November 2007, 52 children were evaluated after primary or secondary cheiloplasty. Digital photographs were taken both from the front and both three quarter views in repose and at maximal pucker. Video clips were also taken in repose and at maximal pucker. A panel of four, scored the philtral ridge and dimple seen on these photographs and videos by using two visual analog scales. Eminence of the philtral ridge was scored by a 5 point grading scale, from "conspicuous groove" to "normal philtral ridge" and the philtral dimple was scored by 3 point grading scale, from "no dimple" to "prominent dimple". Ultrasound images of the upper lip were made using a linear array transducer at the resting position of the lip and evaluated by a single radiologist. Results: The philtral ridge eminence scored $2.79{\pm}0.54$ and $1.40{\pm}0.53$ at resting and maximal pucker, correlating with "flat" and "conspicous groove". The philtral dimpling scored $1.44{\pm}0.53$ and $2.27{\pm}0.66$ at resting and maximal pucker, correlating with "no dimple" and "slight dimple". Ultrasound imaging showed the average muscle dehiscence to be $3.78{\pm}2.14$ mm at resting position. Correlation between the muscle defect in ultrasound imaging and philtral ridge eminence at rest was statistically significant (p<0.050), but was not significant (p=0.756) at maximal pucker using Spearman's rank correlation. Correlation between the muscle defect in ultrasound imaging and philtral dimpling was not statistically significant both at rest (p=0.920) and at maximal pucker (p=0.815) using Spearman's rank correlation. Conclusion: Quantitative assessment of the muscle defect using ultrasonography correlates with the static philtral appearance, but does not correlate with the dynamic appearance. Also, the size of the muscle defect does not show any correlation with the philtral dimpling. Our findings reveal that ultrasound imaging partially reflect static appearance of philtrum but cannot reflect dynamic appearance and suggest the need for further research to evaluate dynamic appearance.

• Parasites, Hosts and Diseases
• /
• 제25권1호
• /
• pp.51-58
• /
• 1987

극구흡충의 하나인 Echinochasmus iaponicus의 표퍼 미세구조를 관찰하기 위하여 이 연구를 실시하였다. 참붕어(Pseuderasbora larva)의 두부로부터 분리, 수집한 피낭유충을 Sprague-Dawley계 흰쥐에 경구 감염시킨 후 5일, 7일 및 14일에 성충을 회수하여 고정, 건조 및 순금표면처리 과정을 거친 다음 ISI-Korea의 CL-6 및 DS-130 주사전자현미경으로 관찰하였다. 그 결과는 다음과 같다. 1. E. japonicus의 충체는 작고 통통한 표주박 모양으로 전단이 뾰족하고 후단은 등근모양이었다. 충체의 전체표면은 가로로 불연속적인 주름이 져 있었고, 자갈모양의 원형질 돌기로 덮혀 있었다. 2. 두관에는 24개의 두극이 원형질 주머니에 박혀서 일렬로 배열하였으나, 이중 양끝에서 두번 째, 네번 째의 두극은 밖으로 더 벌어져 있었다. 또한 이 배열은 두관의 등쪽 정증선에서 끊어져 있었다. 구흡반은 근육성이었고 구순에는 많은 수의 감각유두가 존재하였다. 구흡반과 복흡반 사이에는 생식공이 개구하고 있고, 동심원 모양의 복흡반은 복측으로 약간 튀어나와 있었으며 15∼17개의 II형 감각유두가 일열로 래열되어 있었다. 3. 상모양의 피극은 충체표퍼의 복측 앞쪽측면과 배측 전반부에 밀집되어 있었고, 구흡반에서 복흡반에 이르는 복측 정중면과 배측 후반부에는 분포하지 않았다. 4. 감각유두는 type I , type II 두 종류만 관찰되었으며 type I은 복측 전반부에 주로 많이 분포하였고 type II는 구흡반과 복흡반의 구술에만 주로 분포하였다. 이상의 결과로 E. japnicus의 표퍼 미세구조가 다른 극구흡충과 비교했을 때 몇 가지 특징적인 것을 나타냄을 알 수 있었고, 이 특징들이 다른 극구흡충류의 표피 미세구조 및 분류학적 연구에 지표로 사용될 수 있을 것으로 생각된다.

• 원예과학기술지
• /
• 제34권3호
• /
• pp.355-362
• /
• 2016

본 연구는 고추 논 비가림재배 시 비가림형태가 생육 및 수량에 미치는 영향을 구명코자 수행하였다. 시험품종은 '금마루' 이었다. 비가림형태는 노지(대조구), 간이비가림(2줄재배, 2R), 간이비가림(4줄재배, 4R), 하우스(House) 등 4처리를 하였다. 초장은 House 처리에서 가장 우수하였으며, 엽장과 엽폭은 비가림형태간에 차이가 없었다. 생과중과 건과중은 House > 4R > 2R > 대조구순으로 많았다. ASTA 값은 처리간에 일정한 경향을 나타내지 않았다. 역병, 흰가루병, 세균성점무늬병은 전혀 발생하지 않았고, 탄저병은 노지에서만 발생하였다. 응애, 총체벌레, 담배가루이는 모든 처리에서 발생하지 않았다. 진딧물, 담배나방, 바이러스는 모든 처리에서 동일한 수준으로 발생하였다. 본 연구에서 얻어진 결과는 고추 비가림재배는 건고추 수량 및 상품성 증대뿐만 아니라 병해충의 발생 감소시킬 것으로 기대된다.

• Journal of Ginseng Research
• /
• 제29권1호
• /
• pp.27-36
• /
• 2005

본 연구는 인삼이나 서양삼이 상열감이나 코피 같은 전신증상에 미치는 영향을 임상적으로 비교 연구한 것이다. 복용군을 다섯 군(위약군, 한국 양평산 홍삼 6년근 복용군, 한국 금산산 백삼 6년근 복용군, 중국 요녕산 서양삼 4년근, 미국 뉴욕산 서양삼 6년근 복용군)으로 나누어 이중 맹검 임상시험을 하였다. 한국인과 중국인을 대상으로 인삼과 서양삼 복용 후 전신증상에 미치는 영향을 비교한 결과 부작용은 한국인에서 유의하게 나타난 것은 없었으나 중국인에서 구순건조가 위약군에서, 가슴 답답함(흉민)이 위약군과 4년근 서양삼군에서 유의하게 많았다. 개선효과는 한국인에서 유의하게 나타난 것은 없었으나 중국인에서 가슴 답답함(흉민)이 4년근 서양삼군과 6년근 서양삼군에서 유의하게 개선되었다 본 연구 결과는 현재 인삼과 서양삼에 대한 인식이 아마도 한의학에서 본 초학의 기미의 개념을 상업적인 의도를 가지고 왜곡시킨 것임을 시사한다고 하겠다.

• 한국재난정보학회 논문집
• /
• 제17권4호
• /
• pp.667-673
• /
• 2021

연구목적: 본 연구는 2015년부터 5년 동안 부산광역시의 기온과 시기에 따른 119구조대의 벌집 제거 출동 경향을 분석하고자 하였다. 연구방법: 2015년 1월부터 2019년 12월까지 부산의 11개 소방서 출동 건수를 확인하고 구조 및 구급 활동의 원자료를 수집하였다. 5년간 부산광역시소방재난본부 산하 소방서의 벌집 제거 출동 건수를 파악하고, 그 결과를 바탕으로 온도와 월별, 행정구역별 벌집 제거 출동을 빈도와 백분율로 분석하였다. 연구결과: 월 평균기온이 20℃ 이상부터 출동 빈도가 증가하기 시작하여, 23℃ 이상 29℃ 미만에서 출동 빈도가 가장 높은 것으로 나타났고 월별 출동 건수 중 2017년 7,900건이 가장 높은 것으로 관찰되었다. 특히 벌집 제거 출동 시기가 해가 지날수록 빨라지는 것을 알 수 있었다. 부산광역시 행정구역별로 출동 건수를 비교한 결과, 기장군이 가장 많았으며, 해운대구, 금정구, 남구순으로 출동 빈도가 높은 것으로 나타났다. 결론: 기온 변화에 따른 벌집 제거 출동이 점차 빨라지고 있는 것을 확인할 수 있었고, 본 연구의 결과가 차후 도시 내 말벌 연구에 활용될 수 있을 것으로 여겨진다.

• 디지털융복합연구
• /
• 제19권2호
• /
• pp.315-322
• /
• 2021

본 연구는 전신질환 노인을 대상으로 구강근기능과 구강환경을 조사하고 노인 구강건강 증진안을 제언하고자 하였다. 2019년 4-6월 동안 65세 이상 전신질환 노인 64명을 대상으로 구강근력, 구강건강관련 삶의 질, 구강세균에 대해 조사하고, PASW Statistics ver 18.0을 이용하여 분석하였다. 전신질환 유병은 1개 43.8%, 2개 40.6%, 기능치아수는 18.6개였다. 나이는 기능치아수(r=-.384, p<.01), 혀근력(r=-.104, p<.001)과 부적 상관관계가 있었고, 혀근력과 구순근력은(r=.279, p<.05)과 정적 상관관계가 있었으며, 연령과 총세균수는(r=-.336, p<.01) 부적 상관관계, 기능치아수와 총세균수는(r=.551, p<.001) 정적 상관관계 그리고 전신질환 수와 총세균수는(r=.327, p<.01) 정적 상관관계로 나타났다. 노인 전신질환자의 구강근기능과 구강환경의 문제점을 토대로 노인 구강건강 증진안을 제언하는데 의미가 있었고 초고령 시대를 앞두고 있는 지금 구강건강 관련 삶의 질을 증진시키기 위한 실제적인 정책안이 요구되었다.