• Title/Summary/Keyword: 측두골

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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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Anatomical observation on the Triple Energizer Meridian Muscle in human (수소양 삼초경근의 해부학적 연구)

  • Park, Kyoung-Sik
    • Korean Journal of Acupuncture
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    • v.24 no.1
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    • pp.65-77
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    • 2007
  • 목 적 : 본 연구(硏究)는 수소양삼초경근(手少陽三焦頸筋)의 이론적(理綸的) 근거(根據)를 해부학적(解剖學的)으로 제공(提供)하고 임상(臨床)에 경근(經筋)의 정확(正確)한 적용(適用)을 위함이다. 방 법 : Cadaver에 경근(經筋)을 표시(表示)하고 각각(各各)의경 경혈부위(經穴部位)에 표식(標識)와 pore 작업을 수행하고 각 경혈부(經穴部)를 피부(皮膚), 근막(筋膜), 그리고 근육(筋肉)의 천층(淺層), 중문층(中問層), 그리고 심층부(深層部)를 순서적(順序的)으로 해부(解剖)하여 근육(筋肉), 신경(神經), 혈관(血管) 등을 관찰(觀察)한다. 결 과 및 결 론 : 수소양삼초경근(手少陽三焦經筋)의 해부학적(解剖學的) 고찰(考察) 결과(結果)는 다음과 같다. 1) 근(筋) 육(肉) : 천층에 근막(TE1), 근막확장대(TE2), 근막과 근간결합(TE3), 근막과 신근지대(TE4), 근막과총지신근건(TE5), 근막및 총지신근과 소지신근간(TE6), 근막과 소지신근(TE7), 총지신근(TE8), 척측수근신근과 소지신근간(TE9), 상완삼두근건(TE10, 11), 상완삼두근(TE12), 삼각근(TE13), 삼각근및 극하근과 극상근간(TE14). 승모근(TE15), 흉쇄유돌근(TE-16, 17, 18), 후이개근(TE19, 22), 상이개근(TE20), 전이개근및 이하선근막(TE21), 안륜근(TE23), 중층에 소지신근건과 총지신근건간(TE4), 측두근막과 측두근(TE2O, 22, 23), 심층에 배측골간근(TE3), 시지신근과 골간막(TE5) 장모지신근(TE6), 시지신근(TE7), 장지신근과 장모지외전근간(TE8, 9), 상완삼두근(TE13), 견갑거근(TE15), 두판상근(TE16), 경상설골근과 하악이복근간(TE17) , 이복근(TE18) .2) 신(神) 경(經) : 천층에 척골신경의 배측지(TE1, 2, 3), 후전완피신경(TE4, 5, 6, 8, 9, 10, 11), 내측전완피신경(TE5, 6, 7, 8, 9, 10, 11), 후상완피신경(TE12, 13), 상외측상완피신경(TE13), 외측쇄골상신경(TE14, 15),대이개신경(TE16, 17, 18, 19), 소후두신경(TE19, 20), 이개측두신경(TE20, 21, 22), 안면신경측두지(TE22, 23), 관골측두신경(TE23), 중층에 견갑상신경(TE15), 견갑배신경(TE15), 경상설골근신경(TE17), 후이개신경(TE18, 19, 20), 안면신경측두지(TE20, 21, 22), 심층에 후골간신경(TE5, 6, 7), 요골신경심지(TE8, 9, 12, 13), 견갑상신경(TE14), 액와신경가지(TE14), 부신경(TE16), 안면신경과 부신경가지(TE17), 설인신경(TE17), 설하신경(TE17), 경신경고리(TE17), 미주신경(TE17), 안면신경 (TE18). 3) 혈(血) 관(管) : 천층에 척측정맥배측지(TE1, 2), 고유수장지동맥배측지(TE1), 배측중수골동맥배측지(TE2), 배측중수골정맥(TE3), 척측피정맥(TE4, 5, 6, 7, 8, 9, 10, 11), 배측정맥궁(TE4), 부요측피정맥(TE6, 8, 9),요측피정맥(TE10, 11), 후견봉정맥가지(TE13, 14), 후이개동 ${\cdot}$ 정맥(TE16, 17, 18, 19, 20), 전이개동 ${\cdot}$ 정맥(TE20), 천측두동 ${\cdot}$ 정맥(TE22, 23), 중층에 후상완회선동맥(TE14), 견갑배동맥(TE15), 견갑상동맥(TE15),천측두동 ${\cdot}$ 정맥(TE21), 관골측두동 ${\cdot}$ 정맥(TE23), 심층에 배측중수골동맥(TE3), 배측수근동맥궁(TE4), 후골간동맥(TE4, 5, 6, 7, 8, 9), 전골간동맥(TE6, 7, 9), 심상완동맥(TE10, 11), 상완동맥측부지(TE10, 11), 중간 측부동맥(TE12), 요측측부동맥(TE12), 심상완동맥가지(TE13), 후상완회선동맥(TE13), 견갑상동맥(TE14), 후두동 ${\cdot}$ 정맥(TE16, 17), 내경정맥(TE17). 결 론 : 1. 수소양삼초경근(手少陽三焦經筋)은 근육(筋肉), 그리고 관련(關聯) 신경(神經), 혈관(血管)으로 구성된다. 2. 본 연구(硏究)는 경근(經筋)에 관한 기존(旣存)의 연구(硏究)와 비교(比較)하여 볼 때에 경근(經筋)의 구성요소(構成要素)에 있어서 약간(若干)의 차이(差異)를 보여준다. 3. 해부학적(解剖學的) 연구결동(硏究結東), 경근(經筋) 근육(筋肉)을 지배(支配)하는 신경(神經)${\cdot}$혈관(血管)의 개념(槪念)과 경근(經筋)을 스쳐 지나가는 신경(神經)${\cdot}$혈관(血管)의 개념(槪念)은 구분(區分)된다.

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RELATIONSHIPS BETWEEN CRANIAL BASE AND FACIAL STRUCTURES IN CHILDREN WITH CLASS I AND III MALOCCLUSIONS AGED FROM 7 TO 12 YEARS : A CEPHALOMETRIC STUDY (I급과 III급 부정교합을 보이는 어린이의 두개저의 성장변화에 관한 연구)

  • Lee, Mi-Sook;Choi, Yeong-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.1
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    • pp.95-105
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    • 2001
  • The present study was designed to compare morphological and structural relationships between basicranial measurements such as MCF angulation (Ar-SE-ptm), saddle angle (N-S-Ba, N-S-Ar) and facial structures including types of malocclusion. Twenty six children with Class III whose longitudinal headfilms were available from 7 to 12-year-old, and also 26 cross-sectional headfilms at each ages of 8, 9, 10 and 11 with Class I were selected for the investigation. Cephalometric measurements such as Ar-SE-ptm, N-S-Ba, N-S-Ar, N-SE-Ar, SNA, SNB, N-S/PM vert, CP/PM vert, $\underline{1}/FH$ plane, and $N-perp/\underline{1}$ were measured. Morphologic relationships and pattern of changes in facial structures in relation to the changes of MCF and saddle angle in both malocclusion types were analysed statistically employing ANOVA, t-test and Pearson correlation. Results suggest that the MCF rather than the saddle angle in children with Class I and III is more closely related with various facial structures and with their changes. It may be, therefore, suggested that the MCF be one of the biologically meaningful measurements in determining structural relationships between cranial base and facial complex including types of malocclusion. In addition, the MCF and its correlated facial structures in children with Class III, interestingly, showed somewhat marked changes between the ages of 9 and 11.

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Osteological Development of the Larvae and Juvenile in Konosirus punctatus (전어(Konosirus punctatus) 자치어 발육단계에 따른 골격발달과정)

  • Ji-Hoon Seo;KwanSeok Kim;Jin Lee;Won-Jun Choi;Sang-Hun Cha;Tae-Sik Yu;Sung-Hun Lee;Kyeong-Ho Han
    • Korean Journal of Ichthyology
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    • v.35 no.2
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    • pp.83-90
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    • 2023
  • Five days after hatching in Konosirus punctatus, the larvae were 5.86~6.21 mm (mean 5.96 mm) in TL and ossified parasphenoid, prefrontal, premaxillary, dentary. Sixteen days after hatching, the larvae were 9.66~10.18 mm (mean 9.96 mm) in TL and ossified prootic, opisthotic, ectopterygoid, and epihyal. Twenty-five days after hatching, the larvae were 11.02~12.64 mm (mean 11.03 mm) in TL and ossified supraclavicle, posttemporal, four actinost. Twenty-eight days after hatching, the larvae were 11.98~12.81 mm (mean 12.34 mm) in TL and ossified frontal, pterotic, epiotic, exoccipital, basioccipital, preorbital, maxillary, hyomadibular, preopercle, opercle, hypohyal. Thirty-six days after hatching, the larvae were 15.26~16.39 mm (mean 16.11 mm) in TL and ossified scapula. 37 days after hatching, the larvae were 15.33~16.87 mm (mean 16.25 mm) in TL and ossified ethmoid, nasal, parietal, supraoccipital, and suborbital. Forty-five days after hatching, the larvae were 20.01~21.83 mm (mean 21.14 mm) in TL, and the shoulder girdle was completed by coracoid formation. Forty-eight days after hatching, the larvae were 22.46~24.03 mm (mean 23.20 mm) in TL and ossified articular and subopercle. When the juvenile reached 27.11~34.09 mm (mean 30.11 mm) in TL (53 days after hatching) completed ossification of the cranium, vertebrae, pelvic girdle, shoulder girdle, caudal bone, and pterygiophore.

Effect of Occlusal Stabilizing Splint for Osteoarthritis of Temporomandibular Joint (측두하악관절의 골관절염에 대한 교합안정장치의 치료효과)

  • Kim, Ji-Hyun;Jeon, Hye-Mi;Ok, Soo-Min;Heo, Jun-Young;Jeong, Jung-Hee;Ahn, Young-Woo;Ko, Myung-Yun
    • Journal of Oral Medicine and Pain
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    • v.37 no.2
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    • pp.113-123
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    • 2012
  • To evaluate the treatment outcome of occlusal stabilizing splint in patients with TMJ osteoarthritis, the 76 subjects were chosen among the patients who presented to the Department of Oral medicine of Pusan National University Hospital, diagnosed as TMJ osteoarthritis by cone beam computed tomography, x-ray and clinical exam, and treated with occlusal stabilizing splint from 2009 to 2011. They were treated with physical therapy and medication before occlusal stabilizing splint delivery and checked monthly after occlusal stabilizing splint delivery. Subjective symptoms and clinical findings were investigated to evaluate and compare the subjects' status at the first visit, splint delivery visit and the last visit. The results were as follows; 1. Pain, noise, LOM and MCO were significantly improved between the first visit and occlusal stabilizing splint delivery visit, and between occlusal stabilizing splint delivery and the last visit. 2. In the acute group, pain and noise were significantly improved between the first visit and occlusal stabilizing splint delivery visit. Pain, LOM and MCO were significantly improved between splint delivery visit and the last visit 3. In the chronic group, pain, noise and LOM were significantly improved between occlusal stabilizing splint delivery visit and the last visit.

Review of osteochondroma: involved in temporomandibular joint (측두하악관절에 발생한 골연골종에 대한 고찰)

  • Lee, Gi-Ho;Song, Young-Gyun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.30 no.1
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    • pp.28-35
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    • 2014
  • Osteochondroma is the most common benign bone tumor. The majority of osteochondromas (85%) present as solitary, nonhereditary lesions. In general, osteochondroma has no symptoms,however, facial asymmetry, malocclusion, crossbite and mouth opening can be occurred in case of temporomandibular joint involved. Radiologic analyses are indispensable element to diagnose osteochondroma and pathogenetic analysis showed that hereditary multiple osteochondromas are caused by mutations in either of two genes: exostosis(multiple)-1 (EXT1), which is located on chromosome 8q24.11 - q24.13 or exostosis(multiple)-2 (EXT2), which is located on chromosome 11p11 - 12. Recently, reduced mRNA of EXT1 was described in nonhereditary osteochondromas. The treatment of choice for osteochondroma is surgical unless the skeleton is still immature. Surgery associated with orthodontic treatment can be a valid approach to minimize facial asymmetry and malocclusion in case of temporomandibular with osteochondroma.

Effect of conservative therapy and Mandibular condylar bone change on Adolescents with osteoarthritis of TMJ (청소년 측두하악관절 골관절염의 보존적 치료효과 및 관절면의 변화 비교)

  • Jeon, Hye-Mi;Kim, Kyung-Hee;Ok, Soo-Min;Heo, Jun-Young;Jeong, Sung-Hee;Ko, Myung-Yun;Ahn, Young-Woo
    • Journal of Oral Medicine and Pain
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    • v.38 no.4
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    • pp.357-366
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    • 2013
  • This study is designed to evaluate the treatment outcome of occlusal stabilizing splint and to assess follow-up study of condylar bony changes using cone beam computed tomography(CBCT) in adolescents patients (12-19 years) with TMJ osteoarthritis(OA). 167 eroded condyles in 149 subjects were chosen among the patients who presented to the Department of Oral Medicine of Pasan National University Hospital, diagnosed as TMJ osteoarthritis by clinical exam, x-ray and CBCT from 2009 to 2012. They were treated conservatively with physical therapy, medication, behavioral therapy and occlusal stabilizing splint therapy. After average 9 months, CBCT was retaken and subjective symptoms and clinical findings were investigated. Condyle bony changes were classified by unchanged, less severe and more severe. The obtained results were as follow: 1. Pain, Noise, LOM(Limitation of motion) and MCO(Maximum comfortable opening) measurement of TMJ OA patients were markedly improved after conservative treatment. 2. In the occlusal stabilizing splint therapy group, Pain and LOM were statistically significant improved than non-occlusal stabilizing splint therapy group. 3. In the acute occlusal stabilizing splint therapy group, Pain and LOM were remarkably improved. 4. In comparison of CBCT1 and CBCT2 images, the transition of bone changes to lesser severe was most commonly in joint with erosive change. 5. In the non-occlusal stabilizing splint therapy group, the transition of condylar bone changes from erosion to more severe was many than occlusal stabilizing splint therapy group.

Osteoma of the External Auditory Canal (외이도에 발생한 골종)

  • 이양선;박윤이
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1983.05a
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    • pp.17.1-17
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    • 1983
  • Osteomas of the external auditory canal are considered clinically to be discrete, pedunculated bone lesions arising along the tympanosquamous suture. They are benign lesions but often are slowly progressive growth in size which eventually resulted in obstruction of the external auditory canal when this occurs the patient will complain of deafness. Exostoses, similar to the osteoma, are broad based elevations of bone usually multiple and bilaterally symmetric, involving the tympanic bone. Recently, the authors have experienced a case of osteoma of the external auditory canal, and so report with some reviews of the literatures.

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A Radiographic Study on the Horizontal Angle of the Mandibular Condyle in Relation to Temporomandibular Disorders (하악과두의 수평각과 측두하악장애와의 연관성에 관한 방사선학적 연구)

  • Park, Sang-Gyun;Suh, Bong-Jik;Kim, Do-Yun
    • Journal of Oral Medicine and Pain
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    • v.24 no.1
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    • pp.25-36
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    • 1999
  • 저자는 이하두정방사선사진 (願下頭頂放射線寫眞, submentovertex radiographs)을 이용하여 하악과두의 수평각과 측두하악장애와의 연관성을 평가하고자 측두하악장애의 병력 및 증상이 없고, 자연치열로 형성된 정상교합을 가진 성인 34명과 전북대학교병원 구강내과에 내원한 측두하악장애환자 38명을 대상으로, 환자군을 임상검사 및 방사선학적 검사를 통해 편측 정복성 관절원판 전방변위 환자군, 양측 정복성 관절원판 전방변위 환자군 및 편측 비정복성 관절원판 전방변위 혹은 골관절염 환자군으로 세분한 후, 좌우측 외이도의 위치를 확인할 수 있도록 소강구 (小鋼球)가 내재된 장치물을 이용하여 채득한 규격화된 이하두정방사선사진상에서 하악과두의 내측극과 외측극을 이은 선과 양측 외이공에 위치한 소강구를 이은 선으로부터 하악과두의 수평각을 측정하였다. 평가 결과 정상군에서의 좌(평균 25.3도), 우(평균 24.8도)측 하악과두의 수평각 (평균 25.0도)은 유의한 차이를 보이지 않았으며 환자군에서는 이환측 하악과두의 수평각 (평균 28.5도)이 비이환측 하악과두 (평균 26.2도)보다 유의성있게 증가된 수치를 보였다 (p<0.05). 또한 환자군 (평균 27.55도)에서의 하악과두의 수평각이 정상군 (평균 25.0도)에서 보다 유의하게 증가된 수치를 보였다 (p<0.05). 임상적으로 세군으로 구분된 환자군의 경우, 각군의 이환측 또는 비이환측, 각 군을 합한 이환측 또는 비이환측의 경우에 있어서도 정상군에서 보다 하악과두 수평각이 유의성있게 증가된 수치를 보였다 (p<0.05). 세가지로 구분된 환자군 각각의 상호 비교에 있어서는 유의성있는 차이를 나타내지 않았다. 그리고 편측으로 이환된 환자군에서의 이환된 수평각 (평균 29.1도)은 비이환측 (평균 26.2도)보다 유의성있게 증가된 수치를 보였으나 (p<0.05), 양측으로 이환된 환자군에서의 좌우측 수평각은 유의한 차이를 보이지 않았다. 이로써 측두하악장애의 진단 차원에서 측두하악장애를 유발하는 여러 요소 중외 하나로 하악과두 수평각에 대한 평가가 고려되어야 할 것으로 사료된다.

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Role of Repeated Education to the Patients with Temporomandibular Disorders (측두하악장애 치료에 있어서 반복적 주의사항 교육의 효과)

  • Ok, Soo-Min;Heo, Jun-Young;Ko, Myung-Yun;Ahn, Yong-Woo;Jeong, Sung-Hee
    • Journal of Oral Medicine and Pain
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    • v.38 no.1
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    • pp.69-76
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    • 2013
  • Aim : The purpose of this study was to investigate the hypothesis that treatment with self-checking behavior management program was valuable in the management of temporomandibular disorders compared with a existing method treatment group. Methods : All participants who are diagnosed with temporomandibular disorders were treated with medication and physical therapy. They came into the clinic at intervals of two weeks, three times. The signs and symptoms were assessed investigating Pain NRS(Numerical Rating Scale), MCO(Maximum comfortable opening), Noise NRS, LOM(Limitation of Mouth opening) NRS at every visit. Experimental group received instructions repeatedly by using self evaluation questionnaire. Control group was educated once at the beginning of treatment. The difference Pain NRS, MCO, Noise NRS, LOM NRS between first and second visits, first and third visits were estimated.. Result :Experimental group showed greater improvement on MCO difference after stopping medication(p=0.001). This improvements were prominent in the male(p=0.001) and the first or second decade of the patients(p=0.004). Conclusion : The present study showed that there was better result when educating repeatedly with using self evaluation questionnaire than educating once at the beginning of the treatment.