• Title/Summary/Keyword: 봉합형태

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연구개 근육조직에 대한 해부학적 문헌적 고찰

  • 이종호;전세일;명훈;황순정;서병무;최진영;정필훈;김명진
    • Korean Journal of Cleft Lip And Palate
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    • v.5 no.1
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    • pp.11-20
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    • 2002
  • 정상 연구개의 근육조직에 대한 여러가지 해부학적 연구가 있어 왔지만, 구개열의 근육조직에 대한 연구는 이보다 훨씬 적었다. 또한 정상 연구개 근육조직의 형태를 잘 이해하는 것이 연구개 기능회복에 절대 필요할 것으로 사료되며 이에, 우리는 2개의 사체에서 채취한 정상상악골 및 연구개를 포함한 조직에서 연구개부위의 박리를 시행하여 근부착에 대한 해부학적 관찰을 시행하였다. 구개열환자에 있어서 연구개 근육들은 전후방적인 방향성을 가지고 있으며, 경구개 뼈의 후방 가장자리에 직접 근부착을 한다는 점에서 정상과 달랐다. 구개열 수술에 있어서 이러한 비정상적인 근부착을 박리하여 횡적방향으로 재구성하여 정중부에서 봉합하는 것이 정상적 연구개 sphincter를 만들고 연구개를 후방으로 후퇴시켜 정상적 연구개 해부구조를 재구성할 수 있는 방법이다.

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A terminology for the taxonomy of Weevil larvae (Coleoptera : Curculionoidea)

  • Lee, Chan-Young;Morimoto, Katsura
    • Journal of Forest and Environmental Science
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    • v.6 no.1
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    • pp.29-44
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    • 1989
  • 바구미 상과(上科) 갑충(甲蟲)은 세계적(世界的)으로 6만종(萬種)의 기록(記錄)이 있는 동물계(動物界) 최대(最大)의 분류군(分類群)으로서 특히 바구미과(科), 소나무좀과(科)는 임목(林木)의 천공성(穿孔性) 해충(害蟲)으로서 중요시(重要時)되고 있다. 이들 유충(幼蟲)의 연구(硏究)는 계통분류학상(系統分類學上) 중요(重要)할 뿐만 아니라 해충(害蟲)을 유충(幼蟲)으로서 동정(同定)한다는 응용면(應用面)으로도 임업적(林業的)인 차원(次元)에서 대단히 필요(必要)함에 본(本) 논문(論文)에서는 바구미상과(上科) 유충(幼蟲)의 형태(形態)를 상세(詳細)히 관찰 비교연구(比較硏究)에 Key가 되는 형질(形質)에 관하여 조사(調査)하였다. 1. 두부(頭部) : 단안(單眼), 촉각(觸角), 상진(上唇), 하진(下唇), 두순(頭楯), 대시 소시수, 자모(刺毛), 감각공(感覺孔), 전두봉합선상인두(前頭縫合線上咽頭), 상인두대(上咽頭帶) 2. 흉부(胸部) 복부(腹部) : 전배판(前背板), 후배판(後背板), 기문(氣門), 상측판측판(上側板側板), 지부(肢部), 흉부(胸部)와 제(第)1복절(腹節)의 추(皺)와 근육(筋肉)의 관계(關係), 자모(刺毛)

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Motion recognition hand rehabilitation game contents using Leap Motion (Leap Motion을 활용한 모션인식 수부 재활 게임 콘텐츠)

  • Jeon, Hee-Won;Sung, Nak-Jun;Hong, Min
    • Proceedings of the Korea Information Processing Society Conference
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    • 2019.05a
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    • pp.676-677
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    • 2019
  • 수부 봉합 수술 환자, 뇌졸중과 중풍으로 인한 수부 마비 환자, 깁스 후 수부 근육 수축 환자 등 수부 재활 치료가 필요한 환자의 수는 계속해서 증가하고 있지만 그에 비해 재활 치료사의 수는 현저히 부족하다. 또한 수부 재활에 대한 예산 부족으로 환자들의 경제적 부담이 증가하고 있다. 이를 해결하고자 본 논문에서는 모션인식 수부 재활 콘텐츠를 리듬 게임의 형태로 구현하였다. 추후 이 콘텐츠를 통해 수부 재활 치료가 필요한 사람들이 비교적 저렴한 가격으로 지속적인 자가 재활 치료를 진행할 수 있을 것으로 기대된다.

3D analysis of soft tissue around implant after flap folding suture (Flap folding suture를 활용한 판막의 고정에 따른 임플란트 주변 연조직 3차원 부피 변화 관찰)

  • Jung, Sae-Young;Kang, Dae-Young;Shin, Hyun-Seung;Park, Jung-Chul
    • Journal of Dental Rehabilitation and Applied Science
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    • v.37 no.3
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    • pp.130-137
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    • 2021
  • Purpose: The various suture techniques can be utilized in order to maximize the keratinized tissue healing around dental implants. The aim of this study is to compare the soft tissue healing pattern between two different suture techniques after implant placement. Materials and Methods: 15 patients with 18 implants were enrolled in this study. Simple implant placement without any additional bone graft was performed. Two different suture techniques were used to tug in the mobilized flap near the healing abutment after paramarginal flap design. Digital intraoral scan was performed at baseline, post-operation, stitch out, and 3 months after operation. The scan data were aligned using multiple points such as cusp, fossa of adjacent teeth, and/or healing abutment. After subtracting scan data at baseline with other time-point results, closed space indicating volume increment of peri-implant mucosa was selected. The volume of the close space was measured in mm3. The volume between two suture techniques at three time-points was compared using nonparametric rank-based analysis. Results: Healing was uneventful in both groups. Both suture technique groups showed increased soft tissue volume immediately after surgery. The amount of volume increment significantly decreased after 3 months (P < 0.001). Flap folding suture group showed higher median of volume increment than interrupted suture group after 3 months without any statistical significance (P > 0.05). Conclusion: After paramarginal flap reflection, the raised flaps stabilized by flap folding suture showed relatively higher volume maintenance after 3-month healing period. However, further studies are warranted.

Generation of a transgenic mouse model to study cranial suture development; Apert syndrome (두개봉합 발육 연구를 위한 형질변환 쥐의 개발 : 어퍼트 신드롬)

  • Lee, Kee-Joon;Ratisoontorn, Chootima;Baik, Hyoung-Seon;Park, Young-Chel;Park, Kwang-Kyun;Nah, Hyun-Duck
    • The korean journal of orthodontics
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    • v.33 no.6 s.101
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    • pp.485-497
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    • 2003
  • The form and function of the craniofacial structure critically depend on genetic information. With recent advances in the molecular technology, genes that are important for normal growth and morphogenesis of the craniofacial skeleton are being rapidly uncovered, shaping up modem craniofacial biology. One of them is fibroblast growth factor receptor 2 (FGFR2). Specific point mutations in the. FGFR2 gene have been linked to Apert syndrome, which is characterized by premature closure of cranial sutures and craniofacial anomalies as well as limb deformities. To study pathogenic mechanisms underlying craniosynostosis phenotype of Apert syndrome, we used a transgenic approach; an FGFR2 minigene construct containing an Apert mutation (a point mutation that substitute proline at the position 253 to arginine; P253R) was introduced into fertilized mouse germ cells by DNA microinjection. The injected cells were then allowed to develop into transgenic mice. We used a bone-specific promoter (a DNA fragment from the type I collagen gene) to confine the expression of mutant FGFR2 gene to the bone tissue, and asked whether expression of mutant FGFR2 in bone is sufficient to cause the craniosynostosis phenotype in mice. Initial characterization of these mice shows prematurely closed cranial sutures with facial deformities expected from Apert patients. We also demonstrate that the transgene produces mutant FGFR2 protein with increased functional activities. Having this useful mouse model, we now can ask questions regarding the role of FGFR2 in normal and abnormal development of cranial bones and sutures.

Stimulation of bone formation by direct electrical current in an orthopedically expanded suture in the rat (백서의 악정형적으로 확장된 봉합부에서 직류 전류 자극의 골형성 촉진에 관한 연구)

  • Uysal, Tancan;Amasyali, Mihri;Olmez, Huseyin;Karslioglu, Yildirim;Gunhan, Omer
    • The korean journal of orthodontics
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    • v.40 no.2
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    • pp.106-114
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    • 2010
  • Objective: The aim of this experimental study was to evaluate the effects of direct electrical current stimulation (DECS) on bone regeneration in response to an expansion of the inter-premaxillary suture in the rat. Methods: Sixteen 50 - 60 days old Wistar male rats were separated into two equal groups (control and experimental). Both groups were subjected to expansion, and 30-gram of force was applied to the maxillary incisors with helical-spring. In the experimental group, two metallic-screws were placed at lateral parts of the maxillary segments. Electrodes were connected to the screws. The device was activated with current adjustment to measure $10{\mu}A$ continuously and the current was monitored daily during the expansion and early-retention phase. Bone regeneration in the sutural area was histomorphometrically evaluated including new-bone area (${\mu}m^2$), bone perimeter (${\mu}m$), feret's diameter (${\mu}m$) and newly formed bone (%) parameters. Kruskal-Wallis rank and Mann-Whitney U tests were used for statistical evaluation at p < 0.05 level. Results: Statistical analysis showed significant differences between groups for all investigated histomorphometric parameters. New bone area (p = 0.002), bone perimeter (p = 0.004), feret's diameter (p = 0.002) and newly formed bone percentage (p = 0.002) measurements were significantly higher in the experimental group than the control group. Bone histomorphometric measurements revealed that bone architecture in the DECS group was improved. Conclusions: The application of DECS to an orthopedically expanded inter-premaxillary suture area during the early retention phase stimulated the formation of new bone.

The Method of Inserting Operation of T-type Cannula into the Proximal Duodenum of Cattle (소의 십이지장 캐뉼라 시술법)

  • Nho, Whan-Gook;Lee, Jang-Hyung
    • Journal of Practical Agriculture & Fisheries Research
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    • v.6 no.1
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    • pp.136-142
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    • 2004
  • The method of insertion of T-type cannula into the proximal duodenum of cattle was established for the feed digestibility test. Five cattle were anesthetized with rumpun and 2% lidocaine. The incision(15 ~ 20 cm) through the abdominal wall exposing the peritoneal cavity was made. The identified duodenum was extracted through the abdominal incision. The cannula was inserted into the incised duodenal wall. Cannula barrel was extracted between the 10th and 11th rib. All of operated cattle were healthy and cannula remained completely functional until 20 months after a proximal duodenal cannulation.

CLEIDOCRANIAL DYSPLASIA : REPORT OF A CASE (쇄골두개 이형성증 환자에 관한 증례보고)

  • Lee, Yeon-Ho;Yoo, Seung-Hoon;Kim, Jong-Soo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.32 no.4
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    • pp.703-708
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    • 2005
  • Cleidocranial Dysplasia(CCD) is a congenital disorder of skeletal and dental anomaly with an autosomal dominant mode of inheritance. CCD Shows a generalized defect in intramembranous bones, such as the skull, clavicles, and endochondral bones, such as the long bones and the remainder of the skeleton. The specific clinical feature of CCD is an aplasia & hypoplasia of one or both clavicles, frontal & parietal bone bossing, incomplete fontanels and sutures closure of cranial bone. Generally, relative mandibular prognathism is seen, because maxillar is underdeveloped. Dental anomalies of CCD are prolonged primary teeth, delayed eruption of the permanent teeth and multiple supernumerary teeth. Almost patients of CCD can not recognize their dental abnormality until the permanent teeth eruption was begining. So it is difficult to decide the proper timing of the treatment of patients of CCD. Pedodontists should understand the development of the dentition in CCD patient and start the treatment of CCD patient in proper time.

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APERT SYNDROME : A CASE REPORT (Apert syndrome 환자의 제증상에 관한 증례보고)

  • Song, Soo-Bok;Kim, Jung-Wook;Kim, Chong-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.29 no.1
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    • pp.44-50
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    • 2002
  • Apert syndrome is a kind of congenital-acrocephalosyndactyly syndrome which was first reported by Apert in 1906 and characterized by its acrocephaly and syndactyly. Clinical characteristic features are cone-shaped skull morphology due to early fusion of coronal suture, fusion of fingers of hands and toes of feet. It is an autosomal dominant-heritable syndrome. Due to hypo-development of midface region, Apert syndrome patients have a tendency to have ocular proptosis, hypertelorism, maxillary deficiency. High palate and soft palate cleft are common findings in these patients. In general, mandibular growth pattern is normal, but relative maxillary deficiency exaggerates mandibular forward position, so relative mandibular prognathism is inevitable. Narrow maxillary and mandibular dental arch worsen teeth alignment and crowding. Skeletal malocclusion and open bite are also common. This is a case report of a Korean 3 year 1 month male Apert syndrome child referred by department of plastic surgeon for the possibility of orthodontic treatment. General features of Apert syndrome, patient's medical history, radiographic evaluation, clinical examination, orthodontic and surgical treatment planning are discussed in this report.

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Clinical Study on the Dental Abnomalities of Number and Morphology in Cleft Alveolus Patients (치조열 환자에서 치아의 선천결손과 형태이상에 관한 연구)

  • Seo, Min-Gyo;Leem, Dae-Ho;Ko, Seung-O;Shin, Hyo-Keun
    • Korean Journal of Cleft Lip And Palate
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    • v.13 no.1
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    • pp.1-10
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    • 2010
  • 구순구개열은 선천성 악안면 기형중에서 발생률이 가장 높은 질환이며 특히 동양인에게 높은 빈도로 발생된다. 그리고 순구개열에서는 파열부 조직의 선천적 상실과 파열부 봉합 수술 후 형성된 반흔에 의한 상악골의 열성장과 상악궁의 협착, 코의 형태 이상, 등과 함께 치아의 수, 크기와 형태 및 맹출 이상도 높은 빈도로 동반된다. 선천성 치아 발육 이상이 구순열 또는 구개열 가진 환자에게서 종종 보고되고 있다. 이런 치아 이상은 과잉치, 결손치, 크기, 형태, 맹출시기, 법랑질 광화 등의 많은 특징을 포함한다. 이번 연구의 목적은 다음과 같다. 1. 구순열 또는 구개열을 가진 환자의 선천성 치아 결손 발병률을 결정하여 정상인과 비교하는 것이다. 2. 상하악에서 파열이 있는 부위와 없는 부위의 제2소구치 결손가능성을 비교 하는 것이다. 구강악안면외과에서 구순구개열로 진단한 환자 중 2005년 1월~2009년 8월까지 전북대학교 구강악안면외과에서 치조열부위 자가골이식수술을 받은 32명의 환자로 초진시의 교정 chart, 구강악안면외과 chart, x-ray(파노라마, 치근단사진, 교합사진(상악), 석고 모델, 구강내 외 임상사진을 사용하여 순구개열군 별로 매복치, 과잉치, 결손치, 왜소치의 유무와 위치를 조사하여 다음과 같은 결론을 얻었다. 1. 결손치는 비교적 높은 발생빈도(53.1%)를 보였으며, 치아별 발생빈도는 상악 측절치와 상악 제2소구치, 하악 제2소구치 순이었다. 구순구개열군이 구순치조열군에 비해 발생률이 높게 나타났다. 그리고 구순구개열군 내에서 양측성이 편측성에 비해 결손치의 발생률이 높게 나타났다. 2. 왜소치는 71.6%에서 발견되었으며, 치아별 발생빈도는 상악측절치에서 가장 많았다. 구순치조열군이 구순구개열군에 비해 발생률이 높게 나타났다. 3. 치조열을 가진 환자에 있어 상/하악간 제2소구치의 선천적 결손에 유의한 차이가 있었다. 4. 구순구개열이 인접한 상악측절치의 발생중인 미성숙 조직에 영향을 미치며 파열부위와 좀 더 떨어져 있는 상악 제2소구치에도 일정한 영향을 미침을 이번 연구를 통해 다시 확인할 수 있었다.

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