• Title/Summary/Keyword: 소골

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A Clinical Study of Hearing Disturbance and Middle Ear Pathology in Chronic Otitis Media (만성중이염의 교실내 병변과 청력에 관한 임상적 연구)

  • 박동석;전재기
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1979.05a
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    • pp.4.4-5
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    • 1979
  • The degree of hearing impairment of chronic otitis media will indicate the nature and severity of middle ear pathology especially condition of ossicular chain, size of ear drum perforation and location of granulation tissue in the middle ear cavity. The subjects were 189 ears of tympanoplasty for chronic otitis media and divided into four groups as follows: Normal ossicular chain with only ear drum perforation (group I), normal ossicular chain with granulation tissue only around the ossicles regardless of any other region (group II), ossicular ankylosis or fixation of handle of malleus to promontory with or without granulation tissue around the ossicle (group III) and ossicular interruption by partial or complete destruction(groupf IV). The results were concluded as follows: 1) The average hearing threshold of chronic otitis media was 44.6 dB and hearing threshold was closely related to the condition of ossicular chain. Hearing threshold became greater in order of normal ossicular chain, ankylosis and interruption. 2) The average hearing threshold of ossicular interrupted group was 49.1 dB and it was greater in the cases of total destruction than that of partial destruction. 3) The hearing loss in the cases of normal ossicular chain with only tympanic membrane perforation was within 45 dB and this level was presumed to represent normal ossicular function. The degree of hearing loss was in proportion to the size of ear drum perforation and when over 45 dB, other middle ear pathology was suggested. 4) In the cases of small ear drum perforation with normal ossicular function, the hearing threshold was within 30 dB. 5) In the type of audiogram, flat type was 30.2% and ascending type 35.4%. Descending type was more frequent in the cases of normal ossicular mobility with granulation tissue around the ossicle and flat type was observed frequently in the cases of ossicular ankylosis. 6) Carhart's notch was seen in 14 cases (7.4%) and observed mainly in ossicular ankylosis. 7) There was no relation between hearing threshold and histopathological type of granulation tissue in chronic otitis media. However the degree of hearing impairment was related to the location of granulation tissue in the middle ear cavity. 8) Authors recognized the granulation tissue compensated the function of interrupted ossicular chain.

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Meniscal Ossicle in the Knee - Case Report - (슬관절의 반월상연골내 소골 - 증례 보고 -)

  • Kwon, Sai-Won;Choi, Hyung-Suk;Cho, Sang-Ik;Yoo, Jae-Eung;Park, Jong-Seok
    • Journal of the Korean Arthroscopy Society
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    • v.13 no.3
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    • pp.268-271
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    • 2009
  • Meniscal ossicle in the knee is very rare disease and is important to distinguish with loose body. We experienced a case of meniscal ossicle that had knee joint pain and clicking on standing up and met with a good result with arthroscopic meniscectomy. Therefore, we report this case with a review of relevant literature.

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Utilization of Waste Bone Powders as Adhesive Fillers for Plywood (합판용 접착제의 충전제로서 폐기 골분의 이용)

  • Ko, Jae Ho;Roh, JeongKwan
    • Journal of the Korean Wood Science and Technology
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    • v.43 no.4
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    • pp.528-537
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    • 2015
  • To reuse the waste bone from restaurants or butcher houses, the possibility of using waste bone powder after cooking as a filler for wood adhesives used in manufacturing plywood was investigated. Radiata pine (Pinus radiata D. Don) plywoods were manufactured by using commonly used wood adhesives such as urea-melamine formaldehyde (UMF) resin, urea-formaldehyde (UF) resin, and phenol-formaldehyde (PF) resin and the prepared fillers from cattle bone powder, pig bone powder, and seashell powder. Plywood fabricated by using cattle bone powder, pig bone powder, and seashell powder showed weaker performance in dry and wet glue-joint shear strength and wood failure than those of the plywood with wheat flour. The result showed that it was hard to use only bone powder for the replacement of wheat flour. However, the filler mixed with wheat flour and bone powders showed equivalent dry bonding strength and better water resistance than the wheat flour, indicating that bone powders mixed with wheat flour might be used for the manufacture of plywood. When bone powders were mixed with wheat flour as adhesive fillers the shell powder showed the lowest bonding properties and there was no big difference between the cattle bone powder and the pig bone powder.

Hearing Improvement by Ossicular Reconstruction (이소골 재형에 의한 청력 증진술)

  • 김인술;천경두;조순곤;박재균;강현녕;김주일
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1979.05a
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    • pp.3.3-4
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    • 1979
  • Since 1968, we have performed intact canal wall tympanoplasty with mastoidectomy and reported its methods and results on several occasions. We also reported ossicular reconstruction for hearing improvement after intact canal wall tympanoplasty with mastoidectomy. Many problems were noticed, so several variable operation methods were performed. This paper deals with the following: A checked up of hearing progress after ossicular reconstruction with a 93 cases out of a total 153 cases who had undergone this operation. This covered a period of January, 1973 to February, 1979 in our Department of Otolaryngology.

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DFMT Electromagentic Transducer for Implantable Middle Ear Hearing Aid (이식형 인공중이 시스템을 위한 차동 플로팅매스형 전자 튜랜스듀서)

  • 송병섭;박재훈;윤영호;배상곤;채승표;김명남;이상흔;이건일;조진호
    • Journal of Biomedical Engineering Research
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    • v.20 no.5
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    • pp.625-632
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    • 1999
  • 이식형 인공중이에 사용되는 전자트랜스듀서는 압전형 트랜스듀서에 비해 음향특성은 좋으나 부피가 크고 효율이 낮으며 수술시 정밀한 코일-자석 간격 조정이 필요하며, 최근 제안된 FMT 트랜스듀서는 외부 자장의 변화에 민감하다는 문제점이 지적되고 있다. 본 논문에서는 코일-자석 간격조정이 필요 없고 외부자장에 영향을 받지 않는 차동 플로팅메스형 전자 트랜스듀서를 제안하였다. 제안된 방식은 2개의 소형 자석을 같은 극끼리 접합함으로써 외부자장에 대해 영향을 받지 않고 효율이 높은 등의 장점을 가진다. 제안된 트랜스듀서의 진동력 및 효율에 관한 정량적인 해석을 하였으며 기존의 트랜스듀서와 비교분석을 행하였다. 그리고 공급전류에 대해 발생되는 진동력의 크기를 계산함으로서 실제 이식형 인공중이의 제작에 필요한 객관적인 설계데이타를 제시하였다. 한편, 시험 제작된 트랜스듀서의 해석결과 제안한 트랜스듀서는 기존의 FMT 트랜스듀서보다도 효율이 1.5배 정도의 향상됨을 보였으며 무부하시험 및 사체의 이소골 진동실험을 통하여 적절한 진동을 효과적으로 이소골에 전달할 수 있음을 보였다.

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Finite Element Analysis of Sound Transfer Characteristics for Middle Ear (유한요소 모델을 이용한 중이의 소리전달 특성 해석)

  • Gal, Young-Min;Baek, Moo-Jin;Lee, Doo-Ho
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.35 no.12
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    • pp.1563-1571
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    • 2011
  • In this study, we developed a finite element model of the human middle ear has been developed to calculate itsfor sound transfer characteristics calculation. We usedThe geometric data forof ossicles, obtained byfrom micro-CT scanning, was used in order to develop the middle- ear FE model. A right- side temporal bone of a Korean cadaver was used for the micro-CT scanning. The developed FE model includes three ossicles, the tympanic membrane, ligaments, and muscles. We calculated theA sound transfer function from the tympanic membrane to the stapes footplate was calculated. The sound transfer function calculated vias of the FE model shows good agreement with measured responses over the 10- kHz frequency band. To measureidentify the sensitivityies of the middle- ear function due to material property variation, we studied several parameters studies have been fulfilled using the middle ear FE model. TAs a result the stiffness property of the incudostapedial joint had the greatest influence onwas the most influential to the middle- ear sound transfer function among the parameters.

A Clinical Study for Postoperative Audiogram in Tympanoplasty (술후 청력상에 대한 임상적 고찰)

  • 이성은;오혜경;이경재;박인용;김영명;권영화;서옥기
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1981.05a
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    • pp.37.1-37
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    • 1981
  • Even through the methods of improving hearing are widely practiced in Korea, with its 30 years of history, there are many different opinions regarding the selection of surgical technique and the materials to be used in tympanoplasty. Also there are varying standards of postoperative evaluations. Therefore, we have done research to evaluate hearing improvement which in one of the objective of the middle ear surgery. The research was conducted for one year, January to December 1980. This research compared the level of hearing improvement after tympanoplasty, according to materials used in tympanoplasty and collumelization. Following are the data we have obtained; 1) Total number of cases we have reviewed were 306. Out of this, 35% of the cases were tympanoplasty type 1, 12.7% of the cases were collumelization with mastoidectomy, and 11.9% of the cases received collumelization without mastoidectomy. 2) We have conducted audiometry on 41.1% of the tympanoplasty type 1, 64.1% of the collumelization with mastoidectomy, and 45.7% of the collumelization without mastoidectomy. 3) We have observed above 11 dB hearing improvement in 70% of the tympanoplasty type 1, 36% of the collumelization with mastoidectomy, and 44% of the collumelization without mastoidectomy. 4) Over 11 dB decrease of air-bone gap in 61% of the tympanoplasty type 1,32% of the collumelization with mastoidectomy, and 63% of the collumelization without mastoidectomy. 5) If we look at the hearing improvement according to the materials used in the tympanoplasty, there was above 11 dB improvement of the air conduction in 63% with cartilage and 54% with fascia. In air-bone gap, 56% with cartilage and 52% with fascia. 6) If we look at the hearing improvement according to the materials used in the collumelization, there was above 11 dB improvement in 50% with cartilage, 14% with homograft, 55% with autograft. In air-bone gap, 56%, 21%, and 55% respectively.

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CLINICOSTATISTICAL ANALYSIS OF SURGICAL FINDINGS IN CHRONIC OTITIS MEDIA (만성 중이염의 수술시 소견에 대한 임상통계적 관찰)

  • 최덕주;전병훈;민원식;함태영
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1987.05a
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    • pp.6-6
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    • 1987
  • 만성중이염은 현재 그 빈도가 줄어드는 추세에 있으나 아직도 이과 영역에서 큰 비중을 차지하는 질환이다. 또한 청력개선, 정상구조의 보존, 병변 제거의 목적을 위하여 대부분 수술적 요법이 필요하게 된다. 이에 저자들은 본 병원에서 시행한 만성 중이염 451예, 남자 238예, 여자 213예. 진주종성 중이염 170예, 비진주종성 중이염 273예에 대한 수술시 소견에 대한 임상 통계적 관찰을 한 바, 다음과 같은 결과를 얻었다. 1) 관찰대상을 술식별로 분류하면 진주종성 중이염과 비진주종성 중이염의 비가 $\circled1$ Myningoplasty ; 19.1% : 0%, $\circled2$ Tympanoplasty without mastoidectomy ; 34.5% : 14.4%, $\circled3$ Tympanoplasty with mastoidectomy ; 3.0% :12.1% 이었다. 2) 고막천공부위는, 진주종성 중이염과 비진주종성 중이염의 비가 변연부천공이 10.1% : 5.5%, 상고실천공이 38.8% : 1.4%, 중심부천증이 12.9% : 47.3%, 전천공이 32.5% : 39.6%, 고막유착이 5.6% : 6.2% 을 보였다. 3) 이소골의 상태는 진주종성중이염과 비진주종성 중이염의 비가, 모든 이소골의 손실은 26.6% : 4.3%, 모든 이소골이 정상에 가까운 예는 16.6% : 69.3%, 가장 병변이 심했던 침골 이상은 76.9% : 24.8% 를 보였다. 4) 중이강 점막소견은 진주종성 중이염과 비진주종성 중이염의 비가, 정상에 가까운 예가 16.7% : 47.0%, 병적 소견을 보인 예가 83.3% : 53.0% 이었다. 5) 진주종성 중이염과, 비진주종성 중이염에서의 안면신경관노출은 2.2% : 0.3%, 뇌막노출은 9.5% : 2.9%, 횡정맥동노출은 5.0% : 1.1%, 미로누공은 1.7% : 0% 이었다.lant, engineering service business can be said "The Software of Total Industry." Engineering service is what is called a higher business which offers specialized engineering know-how and experience. Engineering service compaines offer Its specialized knowledge and experience to government, industry and commerce. Whether the task is to modernize plant equipment, to design a building or to manage construction, an engineering company will develop and implement the most appropriate and cost effective solution. Clients use the engineering service of firm knowing that the engineer′s professional judgement is not influenced or biased by other commercial affiliations. While benefiting from the diverse experience that professional engineers can apply to a specific problem, government and industry also reduce the need for permanent in-house engineering staff. Engineering firms may be specialized or multi-disciplinary.도말표본에서와 같이 제 14 일 이전에는 호중구가, 그 이후에는 단핵구가 주종을 이루었다.>18.9dB

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Development of Implant Devices for the Hearing Impaired and Their Clinical Applications (청각장애인을 위한 인공이식기 개발 및 임상응용 (I))

  • Park, S.H.;Shin, J.I.;Park, H.G.;Kim, H.N.;Lee, H.K.;Kim, C.S.;Chang, S.O.;Lim, D.H.;Oh, S.H.;Jung, W.H.;Byun, S.W.;Lee, K.H.;Choi, K.A.
    • Proceedings of the KOSOMBE Conference
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    • v.1997 no.05
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    • pp.203-206
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    • 1997
  • 본 연구는 G7 의료공학기술개발사업의 1차년도 연구결과이다. 본 연구의 최종목표는 청각계통중 내이의 손상에 의한 감각성 난청환자에게 소리를 인식할 수 있게 하는 한국형 인공와우의 개발, 전 음성 난청환자의 음성인식 효율을 높일 수 있는 한국형 인공이소골의 개발 그리고 인공와우 시술환자에게 적합한 재활용 프로그램을 개발하는데 있다. 이를 위하여 지난 1차년도에는 코클리어의 전기생리학적 현상을 규명하고, 이식전극시스템과 그 주변장치를 설계, 평가하였다. 그리고 한국인의 성인사체의 16귀를 측정하여 한국인 체형에 적합한 인공이소골의 설계기준을 확립하였다. 또한, 인공와우 시술 후 청력회복에 필요한 한국형 재활프로그램의 개발을 위하여 인공와우의 coding strategy에 따른 언어분별력 조사, 유소아의 어음특성분석등을 행하였다. 이 연구결과를 토대로 차기년도에는 상용화에 근접한 프로토타잎의 제품개발과 임상실험이 진행되리라 생각된다.

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