• Title/Summary/Keyword: 설골

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Laryngeal Measurement on Neck CT (경부 전산화단층촬영상에서 후두계측)

  • 유영채;오재식
    • Korean Journal of Bronchoesophagology
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    • v.2 no.1
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    • pp.71-81
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    • 1996
  • The normal larynx locates to the front of the neck symmetrically and the thyroid notch lies in the center of the neck, but practically the larynx is not symmetric in all people. From a clinical point of views, there are vague cases to decide whether a disordered laryngeal structure is within normal variations or a pathologic condition. The purpose of this study is to investigate the anatomy of the laryngeal framework in normal population. Authors investigate various measures of normal laryngeal framework, such as symmetry and length of the larynx, levels of the hyoid bone and vocal cord and angle of thyroid cartilage by using calipers and protractor on 45 cases of neck CT. The results are summerized as follows. 1. The laryngeal framework was asymmetric to a greater or lesser extent in most cases with directional preponderance to the right side. The degree of asymmetry did not differ among different age groups and between seres. 2. The level of the hyoid bone ranged from C2-C3 vertebrae to C5-C6 intervertebral space with most frequent level of C5. 3. The level of the vocal cord ranged from 01 vertebra to C6-C7 intervertebral space with most frequent level of C5. 4. The angle of thyroid cartilage ranged from 58 degree to 100 degree with average of 81.5 and mean angle between both thyroid alae were 77.24 degree in male and 87.88 degree in female.

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THE SIZE OF UPPER AIRWAY OF THE SNORER IN UPRIGHT AND SUPINE POSITION (Snorer의 앙와위와 직립위에서의 상기도 크기)

  • Kim, Jong-Chul;Cho, Hong-Kyu;Lee, Gye-Hyeong
    • The korean journal of orthodontics
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    • v.26 no.1 s.54
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    • pp.43-52
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    • 1996
  • The purpose of this study was to compare and evaluate the upper airway structure between the snorers and asymptomatic control subjects depending on the positional change. Lateral cephalograms in the upright and supine position were taken in 25 female snorers and 20 female asymptomatic control subjects. The length and the area of the soft palate, tongue and airway were measured and evaluated statistically. The results obtained were as follows : 1. The snorers showed longer and higher tongue, narrower and longer airway, inferiorly positioned hyoid bone, longer and broader soft palate and narrower hypopharynx than the control subjects both in the upright and supine position. In addition, the snorers showed broader tongue area and narrower oropharynx area than the control subjects in supine position. 2. Depending on the positional change from upright to supine position, the controls and the snorers showed decreased airway length and superior positioned the hyoid bone. In addition, the snorers showed decreased tongue length and height, airway length and thickness and oropharynx area, but increased tongue area and soft palate area.

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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 RARE CASE OF DEFORMITY OF HYOID BONE (설골기형의 일예)

  • Choi, Wook-Hwan;Han, Jang-Sool;Cho, Han-Joon;Han, Tae-Hee
    • The Journal of the Korean dental association
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    • v.9 no.3
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    • pp.115-116
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    • 1971
  • Authors observed a rare case of deformity of hyoid bone among one hundred hyoid bones in Korean. The results are as follow; 1. The size of right greater cornua was shorter than that of the normality of greater cornua. 2. The thickness of right greater cornua was thicker than that of the left greater cornua.

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A Case of Mutational Falsetto with Marked Contraction of Suprahyoid Muscles Treated with Botulinum Toxin (설골상근의 과도수축을 동반한 변성발성장애환자에 대한 보툴리눔 독소 주입 치료 1례)

  • 최홍식;정유삼;김원석;표화영;이경아
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.8 no.1
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    • pp.65-68
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    • 1997
  • The mutational falsetto is failure to change from the higher pitched voice of preadolescence to the lower pitched voice of adolescence and adulthood. The one of characteristic findings is contraction of suprahyoid muscles. The large majority of young men with inappropriately high voice have excellent voice therapy prognosis. We have experienced one case of mutational falsetto treated with botulinum toxin injection on suprahyoid muscles. His suprahyoid muscles are contracted markedly simultaneously with each phonation. fundamental frequency$(F_0)$ of his vowel phonation was 332Hz. Extensive voice therapy including manual compression of thyroid notch was ineffective. Forty units of Botox$^{\circledR}$ was injected under the EMG-guidance(20U bilaterally). At seven days post-injection, his voice changed lower than before and at 40 days after procedure, his $F_0$ was 126Hz.

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A Study on the Effect of the Craniocervical Posture on Hyoid Bone Movement with Sitting Posture in Wheelchair (휠체어에 앉은 자세에서 두경부 자세가 설골 움직임에 미치는 효과에 관한 연구)

  • Cha, Su Min;Kim, Hee Soo
    • Journal of the Ergonomics Society of Korea
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    • v.29 no.3
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    • pp.331-336
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    • 2010
  • The purpose of this study was to identify the effect of the craniocervical posture on swallowing and hyoid bone movement with sitting posture in wheelchair, and to provide basic data for developing a treatment program for dysphagia. A total of sixty healthy adults without a history of dysphagia who were guardians or care assistants of inpatients at Hospital K underwent video fluoroscopy performed by physiatrists from April to July 2009. The results of the fluoroscopy were analyzed based on the measurement of hyoid bone movements. The hyoid bone movement(horizontal, vertical, and diagonal) was significantly high in the neutral craniocervical, chin-tuck, and sixty degrees extension postures, in descending order(p<.05). It was found that the neutral craniocervical posture is the most effective posture for hyoid bone movement with sitting posture in wheelchair.

A Case of Chondrosarcoma Originating from the Hyoid Bone (설골에 발생한 연골육종 1례)

  • 윤상필;김상철;장진순;박시영
    • Korean Journal of Bronchoesophagology
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    • v.4 no.2
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    • pp.249-253
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    • 1998
  • Chondrosarcoma of bone commonly involve the pelvis, femur and shoulder girdle but the hyoid bone is a rare site for primary chondrosarcoma with approximately 10 cases having been reported in the literature. Radiologically it was well marginated and radiolucent mass with medullary bone destruction and central calcification. Wide surgical excision with or without radiotherapy is genera31y regarded as the treatment of choice for chondrosarcoma. Histopathology of chondrosarcoma was classified to clear cell chondrosarcoma, mucinous chondrosarcoma, dedifferentiated chondrosarcoma, and mesenchymal chondrosarcoma. We report a case of chondrosarcoma that originated from the right greater cornu of the hyoid bone, which underwent excision of the tumor with hemihyoidectomy and postoperative radiotherapy was performed.

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Laryngeal trauma with thyroid cartilage and hyoid bone frachture (갑상연골과 설골 골절을 동반한 후두외상 1례)

  • Kang, Sun-Mook;Choe, Hwan;Jung, Kwang-Yoon;Baek, Seung-Kuk
    • Korean Journal of Bronchoesophagology
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    • v.13 no.1
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    • pp.51-54
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    • 2007
  • Laryngeal trauma is an uncommon injury but can be life-threatening event. So, early diagnosis is important for appropriate surgical management and better outcome. Because there have been some controversies about Initial airway management, appropriate diagnostic evaluation, operative indication and timing, operative technique, it is difficult to make a common management pathway in laryngeal trauma. A case of laryngeal trauma with thyroid cartilage and hyoid bone fracture is presented with a brief review of literature.

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A ROENTGENOEPHALOMETRIC STUDY OF HYOID BONE POSITION ON CENTRIC AND REST POSITION IN MALOCCLUSION (부정교합자의 중심교합위와 하악안정위시 설골위치에 관한 두부 X선학적 연구)

  • Lee, Jun-Gyu;Nam, Dong-Seok;Yang, Won-Sik;Seo, Jeong-Hun
    • The Journal of the Korean dental association
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    • v.13 no.10
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    • pp.941-946
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    • 1975
  • 치과교정학 분야에 있어서 부정교합자의 다양한 하악골 위치변화에 따른 Hyoid bone 위치변화에 대한 연구는 부족한 감이 있어, 저자등은 Hellman의 치령ⅢA 이후의 부정교합을 가진 남ㆍ녀 97명을 Angle씨 각급 부정교합의 분류에 의해 중심교합위와 안정위시의 두부 X선 사진을 가각 탐득하고 Hyoid bone의 위치변화를 측정하여 다름과 같이 결과를 얻었다. 1. 중심교합위에서의 Cranial base에 대한 Hyoid bone 위치변화에서는 Angle씨 ClassⅢ에서 남ㆍ녀 모두 물징적으로 전방에 위치하며, Mandibular plane에 대한 Hyoid bone위치변화에서는 각급 부정교합사이에 특기할 차이가 없다. 2. 안정위에서의 Hyoid bone위치는 중심교합위에서의 위치와 비슷한 분포를 나타내고 있다. 3. 중심교합위에서는 안정위로싀 위치변화에서 각급 부정교합 똑같이 후ㆍ하방 이동을 나타내고 있다.

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A CEPHALOMETRIC STUDY ON THE POSITION OF THE HYOID BONE IN CLEFT LIP AND PALATE INDIVIDUALS (순구개열자의 설골 위치에 관한 두부방사선 계측학적 연구)

  • Cho, Il Je;Rhee, Byung Tae
    • The korean journal of orthodontics
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    • v.20 no.1
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    • pp.197-207
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    • 1990
  • This comparative study was undertaken to investigate the position of the hyoid bone in unilateral cleft lip and palate individuals. The materials for this study consisted of 35 subjects with surgically repaired unilateral cleft lip and palate (25 males, 10 females) and 40 subjects with normal facial morphology (20 males, 20 females). Cephalometric measurements of unilateral cleft and palate individuals were compared with those of non-cleft individuals. The conclusions of this study were obtained as follows: 1. To the anterior cranial base, the hyoid bone in unilateral cleft lip and palate individuals was located downward as compared with non-cleft individuals. 2. To the mandible, the hyoid bone in unilateral cleft lip and palate individuals was located backward as compared with non-cleft individuals. 3. The distance between the dorsum of the tongue and the inferior border of the hard palate in unilateral cleft lip and palate individuals was longer than that in non-cleft individuals. 4. Unilateral cleft lip and palate individuals showed no significant difference in the distance between the hyoid bone and the dorum of the tongue as compared with non-cleft individuals.

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