• Title/Summary/Keyword: 안면손상

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Recent trend and surgical management for panfacial fracture (범안면골 골절의 최근 경향 및 수술개념)

  • Kim, Jin-Wook
    • The Journal of the Korean dental association
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    • v.54 no.10
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    • pp.811-819
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    • 2016
  • Panfacial fracture is extremely difficult to manage facial injuries but concomitant injuries and severe complications including facial esthetic and functional problems can make it harder. Thorough evaluation and closed co-work with other specialists is needed when reduction and fixation cannot be achieved quickly. Emergency bony support and soft tissue key suture provide the patients with airway integrity, hard and soft tissue vitality. A systemic treatment plan must be made by 3D CT image. This plan include airway management for surgery, sequence of reduction and fixation, approach method, soft tissue resuspension and reconstruction of lost tissue like inferior orbital wall, zygomaic buttress and soft tissue. From known to unknown structures, accurate reduction and fixation will provide proper occlusion, facial projection, width, hight and function. Consideration about facial retaining ligaments must be given to prevent soft tissue sagging.

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Investigation of Factors Contributing to Childhood Soft-Tissue Injuries in the Face (소아의 안면 연부조직 손상에 관한 연구)

  • Sim, Mi-Jung;Sohn, In-A
    • Journal of Digital Convergence
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    • v.11 no.8
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    • pp.219-225
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    • 2013
  • The purpose of this study was to retrospectively investigate the contributing factors in facial soft tissue injuries among children. A record-based analysis was carried out on 126 patients with facial lacerations who visited I hospital in the dept of plastic surgery from April 2010 to May 2011. Through all age group showed a significant difference in incidence rate for male and female.(p<.05). Overall, 49% of injuries occurred outdoors and the most frequent cause of injury was slip-down (42%), followed by being struck (40%). In general, the frequency of injuries peaked summer(30.2%) and increased between 12pm and 4pm. 105 patients (83.3%) arrived at the emergency room within an hour. The forehead(26%) was the most commonly injured area. The depth of soft tissue injuries was mostly subcutaneous(54%), and 1~2cm was the length of injury with the highest incidence(46%). Most children (40%) needed local anesthesia and only 4 children (1.53%) suffered associated fractures. Facial injuries require special attention because of their potential threat in inducing permanent scar or disfigurement. For the safety of children, the preventive measures to reduce facial soft tissue injuries must be improved.

Long-Term Follow-Up after the Sural Nerve Graft on the Injured Temporal Branch of the Facial Nerve: A Case Report (안면신경의 측두지 손상에서 비복 신경을 이용한 지연 신경 이식술 후 장기 추적 예후: 증례보고)

  • Cheon, Jeong-Hyun;Chung, Jae-Ho;Yoon, Eul-Sik;Lee, Byung-Il;Park, Seung-Ha
    • Archives of Hand and Microsurgery
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    • v.23 no.4
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    • pp.306-312
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    • 2018
  • The temporal branch of the facial nerve is particularly vulnerable to traumatic injuries due to its anatomic location, which often causes severe aesthetic and functional loss in the patient. Moreover, a chronic injury with nerve defect is more difficult to treat compared to acute injury, because it usually needs an additional procedure such as a nerve graft surgical procedure. This case shows a male patient who had a divided temporal branch of the facial nerve one month after an injury. We successfully grafted the split sural nerve and showed a good aesthetic, functional recovery for the patient.

High Resolution CT Evaluation of the Middle Ear Injury (중이 손상의 고해상 CT 평가)

  • Yoon, Han-Sik
    • Journal of radiological science and technology
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    • v.27 no.3
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    • pp.13-18
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    • 2004
  • In most patients with facial palsy after temporal bone injury, temporal bone High Resolution CT revealed direct or indirect facial nerve canal involvement, and in complete palsy severe degeneration groups, there were direct findings in most cases. Author believe that meticulous analysis and symptom correlation of the fracture patterns seen in facial canal injury in patients with traumatic facial nerve palsy is helpful for treatment planning and prognosis.

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Use of Electroacupuncture Treatment on Traumatic Facial Nerve Paralysis in a Horse (손상성 안면신경마비를 가진 말에서 전침치료 적용 증례)

  • Jeong, Hyeun Seok;Kim, Nam Soo;Kim, Min-Su
    • Journal of Veterinary Clinics
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    • v.32 no.1
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    • pp.105-107
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    • 2015
  • A 4-year-old Thoroughbred gelding was referred to Chonbuk National University Animal Medical Center with inability to blink and drooping lower lip on the right side after traumatic accident. Through clinical examination, the horse was diagnosed as right-sided facial nerve paralysis. Acupuncture treatment was performed to treat the facial nerve paralysis. The selected acupoints were ST3, ST5, ST7, ST9, SI17, CV24 and Yintang. At the end of the $2^{nd}$ weeks of electroacupuncture treatment, the palpebral reflex was normally recovered. One month after the therapy, symmetry of the face was completely accomplished without the drooping lower lip. This case shows that electroacupuncture should be considered as an effective therapy for the traumatic facial nerve paralysis in horse.

악안면 동통환자의 치료

  • Jeong, Seong-Chang;Kim, Yeong-Gu
    • The Journal of the Korean dental association
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    • v.30 no.12 s.283
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    • pp.876-878
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    • 1992
  • 사회가 복잡다단 하여짐에 따라 스트레스의 증가는 각종 정신신체질환의 발현빈도를 증가시켜 악구강 영역에서도 악관절 동통을 포함한 광범위한 악안면 동통을 유발하고 있다. 악안면 동통 환자의 치료시에는 수술과 같은 비가역적(관혈적) 치료방법을 선택하기에 앞서 환자에 손상이 적고 경제적 부담도 적은 가역적(보존적)치료 방법을 우선 선택하여야겠다. 이에 본 악안면 동통 진료실에 방법 및 그 증례에 대해 소개하고자 한다.

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악안면 동통환자의 치료

  • Jeong, Seong-Chang;Kim, Yeong-Gu
    • The Journal of the Korean dental association
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    • v.30 no.9 s.280
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    • pp.636-637
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    • 1992
  • 사회가 복잡다단 하여짐에 따라 스트레스의 증가는 각종 정신신체질환의 발현빈도를 증가시켜 악구강 영역에서도 악관절 동통을 포함한 광범위한 악안면 동통을 유발하고 있다. 악안면 동통 환자의 치료시에는 수술과 같은 비가역적(관혈적) 치료방법을 선택하기에 앞서 환자에 손상이 적고 경제적 부담도 적은 가역적(보존적)치료 방법을 우선 선택하여야겠다. 이에 본 악안면 동통 진료실에 방법 및 그 증례에 대해 소개하고자 한다.

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악안면 동통환자의 치료

  • Jeong, Seong-Chang;Kim, Yeong-Gu
    • The Journal of the Korean dental association
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    • v.30 no.10 s.281
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    • pp.712-713
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    • 1992
  • 사회가 복잡다단 하여짐에 따라 스트레스의 증가는 각종 정신신체질환의 발현빈도를 증가시켜 악구강 영역에서도 악관절 동통을 포함한 광범위한 악안면 동통을 유발하고 있다. 악안면 동통 환자의 치료시에는 수술과 같은 비가역적(관혈적) 치료방법을 선택하기에 앞서 환자에 손상이 적고 경제적 부담도 적은 가역적(보존적)치료 방법을 우선 선택하여야겠다. 이에 본 악안면 동통 진료실에 방법 및 그 증례에 대해 소개하고자 한다.

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악안면 동통환자의 치료

  • Jeong, Seong-Chang;Kim, Yeong-Gu
    • The Journal of the Korean dental association
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    • v.30 no.11 s.282
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    • pp.788-789
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    • 1992
  • 사회가 복잡다단 하여짐에 따라 스트레스의 증가는 각종 정신신체질환의 발현빈도를 증가시켜 악구강 영역에서도 악관절 동통을 포함한 광범위한 악안면 동통을 유발하고 있다. 악안면 동통 환자의 치료시에는 수술과 같은 비가역적(관혈적) 치료방법을 선택하기에 앞서 환자에 손상이 적고 경제적 부담도 적은 가역적(보존적)치료 방법을 우선 선택하여야겠다. 이에 본 악안면 동통 진료실에 방법 및 그 증례에 대해 소개하고자 한다.

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