• Title/Summary/Keyword: 입술의 위치

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Technical Review of How to Determine the Exact Location of Needle Tip During Office-Based Injection Augmentation of the Vocal Folds Via Cricothyroid Approach (외래에서 시행하는 경윤상갑상막 접근 성대주입술 중 주입 위치를 정확하게 파악하는 방법에 관한 기술적 고찰)

  • Park, Sung Joon;Kwon, Tack-Kyun
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.29 no.2
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    • pp.70-75
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    • 2018
  • The office-based, un-sedated vocal fold injection laryngoplasty has re-emerged in the past decade as an appealing alternative to microsuspension laryngoscopic procedure which is conducted under general anesthesia. The trend toward vocal fold injection laryngoplasty in an in-office setting was possible due to technological evolution for visualization and new injection materials. However, invisibility of the injection needle has been the main shortcomings of cricothyroid approach. The purpose of this review is to provide an up-to-date review of office-based, trans-cricothyroid membrane approach injection laryngoplasty technique under local anesthesia and efforts made to increase the preciseness of amount and location of the injected materials in the management of glottic insufficiency. A review of variable efforts undertaken to maximize the result of cricothyroid approach by technically increasing accuracy of the location of needle tip was done. With the proper patient selection and utilization of the new technologies, office-based and un-sedated vocal fold injection laryngoplasty via cricothyroid approach can be redeem as a main-stay in the management of glottic insufficiency, such as vocal fold paralysis, vocal fold paresis, vocal fold atrophy and vocal fold scar.

재발성 흡인성 폐렴을 동반한 편측성대마비 환자의 제I형 갑상연골 성형술 1례

  • 남정권;남순열
    • Proceedings of the KSLP Conference
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    • 1996.11a
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    • pp.85-85
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    • 1996
  • 편측성대마비에 대한 치료방법으로 외측에 위치한 성대를 수술적으로 교정하려는 시도는 최근 활발하게 진행되어 Teflon 등을 이용한 성대내 이물주입술, 제Ⅰ형 갑상연골 성형술 및 피열연골 내전술등의 시술들이 시행되어 왔다. 저자들은 최근 후두와 종양으로 개두술을 시행받은 후 발생한 재발성 흡인성 폐렴 및 애성을 주소로 내원한 49세 남자환자를 원인 미상의 우측 편측성 성대마비로 진단하고 제Ⅰ형 갑상연골 성형술을 시행한 후 흡인성 폐렴 및 애성 등의 증상의 현저한 호전을 관찰할 수 있었으며, 술전 Maximal comfortable phonation time(MPT)이 6.24초에서 술후 17초로 증가하는 등 좋은 결과를 얻은 1례를 치험 하였기에 보고하는 바이다.

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Face Detection and Region Refinement using a CNN Model (CNN 모델을 이용한 얼굴 추출 및 보정 기법)

  • Cho Il-Gook;Kim Ho-Joon
    • Proceedings of the Korean Information Science Society Conference
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    • 2006.06b
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    • pp.313-315
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    • 2006
  • 본 연구에서는 실내에서 입력받은 영상의 조명과 크기 변화 등에 강인한 얼굴 검출 기법을 소개한다. 제안된 얼굴 검출 기법은 후보 영역 선정 과정과 얼굴패턴 검출 과정, 얼굴 영역 보정 과정으로 이루어진다. 후보 영역 선정 과정에서는 조명보정과 색상 필터, 움직임 필터를 이용하여 얼굴패턴의 후보 영역을 선정한다. 얼굴패턴 검출 과정에서는 CNN을 이용하여 특징을 추출하고, WFMM 신경망을 이용하여 얼굴 패턴을 검증한다. 얼굴 영역 보정 과정은 형태학적 연산 등의 영상 처리를 이용하여 눈 영역과 입술 영역의 위치를 판별한 후 최종적인 얼굴 영역을 결정한다.

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Effects of Oral Parafunction on the Stiffness and Elasticity in the Muscles of the Mastication and Facial Expression (구강악습관이 저작근 및 안면표정근의 경직도 및 탄성도에 미치는 영향)

  • Kim, Seung-Ki;Kim, Mee-Eun;Kim, Ki-Suk
    • Journal of Oral Medicine and Pain
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    • v.33 no.1
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    • pp.85-95
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    • 2008
  • The purpose of this study was to evaluate the effects of oral habits on the muscles of mastication and facial expression by means of two parameters: muscle stiffness and elasticity. 10 healthy, fully-dentate male subjects in their twenties were selected for this study; all had normal Class I occlusal relationships. Muscle stiffness and elasticity were measured with a tactile sensor(Venustron, Axiom Co., JAPAN) while subjects were asked to relax and perform various parafunctional activities such unilateral clenching(biting the bite force recorder with a force of 50kg on each subject's preferred side), jaw thrusting and lip bracing. The following muscles were examined: temporalis anterior(Ta), masseter(Mm), frontalis(Fr), inferior orbicularis oculi(OOci), zygomaticus major(Zm), superior and inferior orbularis oris(OOrs and OOri) and mentalis(Mn). Paired t-test, Correlation Coefficients, ANOVA and Multiple Comparison t-tests were used for statistical analysis. Unilateral clenching was highly correlated with bilateral stiffness and elasticity of all the muscles tested. Mm was affected by all three oral habits; Ta was affected by unilateral clenching(p<0.05); Zm was affected by unilateral clenching and OOrs, OOri and Mn were most affected by lip bracing(p<0.05). This study indicates that not only the masticatory muscles but also the muscles of facial expression, mainly circumoral muscles, can be significantly influenced by parafunctional activities such as unilateral clenching and lip bracing.

Comparison of Success Rates after Silicone Tube Intubation with or without Lacrimal Endoscopy for Epiphora (눈물흘림 환자에서 눈물길미세내시경의 사용 여부에 따른 실리콘관삽입술의 성공률 비교)

  • Choi, Min Gyu;Lee, Jeong Kyu
    • Journal of The Korean Ophthalmological Society
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    • v.59 no.11
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    • pp.1001-1008
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    • 2018
  • Purpose: To compare the success rates between silicone tube intubation using a lacrimal endoscope and using a conventional nasal endoscope alone in adult patients suffering from epiphora. Methods: We conducted a retrospective chart review of 80 eyes of 55 patients who underwent silicone tube intubation from January 2014 to June 2017. Patients were preoperatively diagnosed with syringing and dacryocystography. The silicone tube was removed 3 months after surgery and success rates were evaluated at 4 and 12 months. Success rates were analyzed by dividing the patients into two groups, according to lacrimal endoscope use. Results: A lacrimal endoscope was used in 40 eyes. In the group using a lacrimal endoscope, preoperative diagnoses were partial obstruction in 26 eyes and complete obstruction in 14 eyes. In the group without lacrimal endoscope use, preoperative diagnoses were partial obstruction in 35 eyes and complete obstruction in 5 eyes (p = 0.018). The success rates at 4 and 12 months after surgery in the two groups (with and without lacrimal endoscope use) were 87.5% and 80.0% and 72.0% and 62.1% (p = 0.546 and p = 0.565), respectively. The success rates of patients with partial obstruction in the two groups were 92.3% and 82.9% at 4 months and 71.4% and 69.2% at 12 months (p = 0.448 and p = 1.000), respectively. The success rates of patients with complete obstruction in the two groups were 78.6% and 60.0% at 4 months and 72.7% and 33.3% at 12 months (p = 0.570 and p = 0.505), respectively. Site differences, the degree of obstruction, and lacrimal endoscope use had a significant impact on the success rate at 4 and 12 months (p = 0.001 and p = 0.022, respectively). Conclusions: Although silicone tube intubation using a lacrimal endoscope cannot guarantee a significant success rate, it is possible to observe the anatomical structure of the nasolacrimal pathway in real time, such that the appropriate diagnosis and treatment can be performed simultaneously. Because patients diagnosed as having a complete obstruction had a good success rate, we can extend indication of silicone tube intubation as a less invasive approach.

Synopsis of the Stargazer Fish, Family Uranoscopidae (Perciformes) from Korea (한국산 통구멍과(농어목) 어류의 분류)

  • 이충렬;주동수
    • The Korean Journal of Zoology
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    • v.38 no.3
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    • pp.364-374
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    • 1995
  • The taxonomic revision of the family Uranoscopidae from Korea was made on the basis of the speciemens collected in the coasts of the Korea from 1986 to 1994. The key to the species and genera for classification of the famiiy Uranoscopidae was provided with synonym and their distributions. The stagazer fishes from Korea are composed of 6 species in 3 genera: Uranoscopus Japonicus, U. bicinctus, U. chinensis, U. tosae, Gnathagnus eolngatus and Ichthyscopus lebeck sannio. The Korean stagazer fishes were widely distributed in the West and South Sea of Korea, but only Ichthyscopus lebeck sannio distributed in the around sea of Cheju Island.

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A Case of 17q22 with Interstitial Deletion (염색체 17q22 염색체내 결손으로 진단된 1례)

  • Kang, So-Yeon;Lee, Beom-Hee;Kim, Gu-Hwan;Choi, Jin-Ho;Yoo, Han-Wook
    • Journal of Genetic Medicine
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    • v.8 no.1
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    • pp.58-61
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    • 2011
  • Cases of interstitial deletions of the long arm of chromosome 17 are very rare, with only nine cases ever reported worldwide. We describe a 12-year-old boy with profound developmental delay, microcephaly, facial dysmorphism, contracture of the large joints and bilateral hearing loss. A chromosomal study using a peripheral blood sampled revealed 46,XY,del(17)(q22q23). To our knowledge, he is the first case of interstitial deletion of the long arm of chromosome 17 ever reported in Korea.

Functional Anatomy of the Olfactory Organ in the Torrent Catfish, Liobagrus somjinensis(Siluriformes, Amblycipitidae) (섬진자가사리 Liobagrus somjienesis(Siluriformes, Adrianichthyidae) 후각기관의 기능 해부학적 구조)

  • Kim, Hyun Tae;Park, Jong Young
    • Korean Journal of Ichthyology
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    • v.30 no.1
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    • pp.65-68
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    • 2018
  • The anatomical study of the olfactory organ in Liobagrus somjinensis, being related to the habitat environment and ecological habit, was carried out using a stereomicroscopy and digital camera. The paired olfactory organs are situated at the dorsal part of the snout, and consisted of two opening (anterior and posterior nostrils) and the olfactory chamber. The tubular anterior nostril is located between the tip of upper lip and the nasal barbel. The posterior nostril flat to the surface is adjacent entirely to the basement of the nasal barbel. The olfactory chamber has a rosette structure with 22~24 lamellae of linguiform, arranged transversely and radially from the medium raphe. These results may prove that L. somjinensis is dependent on olfaction, related to the hiding, the feeding and the nocturnal lifestyle in rapids.

A Roentgenographic Study on the Extraction Index in Korean Adolescent (발치지수(Extraction Index) 기준에 관한 두부 방사선학적 연구)

  • Shin, Soo-Jung;Chang, Young-Il
    • The korean journal of orthodontics
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    • v.26 no.4
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    • pp.349-358
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    • 1996
  • To extract or not to extract permanent teeth for the correction of malocclusion has been a great debate in the history of orthodontics, and there is a variety of analytic methods and criteria to aid in the diagnosis. Extraction formulas that has been presented are many analytic methods that depend on arch length discrepancy, dental prominence, and skeletal pattern of the each patients. Of these analysis, the most important diagnostic factor is patient's skeletal pattern. Because the behavior of the dentition is closely dependent upon the skeletal pattern of each patient, dentition must be arranged within that person's skeletal frame. EI(Extraction Index) is composed of CF, interincisal angle, and lip position. CF is made of ODI and APDI that differentiate vertical and horizontal component of the skeletal pattern. So, EI not only represents patient's skeletal pattern, but also takes facial appearance into consideration. This study was undertaken to investigate EI and related cephalometric variables on the cephalogram of Korean adolescents which consisted of 153 persons with normal occlusion, harmonious skeleton and pleasing face. The following conclusions were obtained. 1. The mean value of the ODI is $73.5^{\circ}$, APDI $82.5^{\circ}$, CF $156.3^{\circ}$ 2. The mean value of the interincisal angle is $123.6^{\circ}$ 3. The mean distance of upper lip to E-line is 0.0mm, lower lip to E-line is 1.4mm. 4. The mean value of the EI is $153.8^{\circ}$.

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Presurgical Nasoalverolar Molding in Fraternal Twins with Bilateral Cleft Lip and/or Palate: A Case Report (양측성 구순/구개열을 가진 이란성 쌍둥이를 대상으로 한 술전 비치조정형술: 증례보고)

  • Kim, Jinsun;Kim, Youngjin;Nam, Soonhyeun;Kim, Hyunjung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.41 no.1
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    • pp.72-79
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    • 2014
  • Cleft lip and palate(CLP) is one of the most common craniofacial deformities that requires systemic management involving a multidisciplinary team approach. Although there has been great improvement in the field of cleft surgery, surgical approach alone cannot resolve the various problems in treating cleft lip and palate. Hence the need for presurgical treatment was appreciated and especially, the concept of presurgical nasoalveolar molding was applied to treat unilateral and bilateral cleft lip and palate patients. Presurgical nasoalveolar molding(PNAM) of unilateral cleft mainly aims to recover nasal symmetry while the objectives of pre-surgical nasoalveolar molding in the bilateral cleft are to elongate the columella, to erect the tip of nose, and to reposition the forward displaced premaxillary region. This report covers the case of fraternal twins diagnosed with bilateral cleft. Retraction of the premaxillary region and nasoalveolar molding were conducted for 70 days until cheiloplasty, using elastic bands and nasoalveolar molding appliances. After cheiloplasty, there had been improvements in the length of columella and the position of forward-displaced premaxilla for both patients compared to their initial states. The esthetics was also satisfactory for both the surgery and the parents. In order to maximize the efficacy of the appliance, three components should be in balance; patients' adaptation to the appliance, parents' cooperation and proper selection and careful adjustment of the appliance by the dentist.