• 제목/요약/키워드: 타석

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이하선 타석증 병발로 오인된 교근 내 혈관종 1예 (Intramuscular Sinusoidal Hemangioma of the Masseter Muscle with Organizing Thrombus Preoperatively Mimicking Coincidental Parotid Sialolithiasis)

  • 서영욱;신승호;서자영;변형권
    • 대한두경부종양학회지
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    • 제33권1호
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    • pp.79-83
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    • 2017
  • Hemangioma is the most common benign tumor in neonatal and infant stage. In the head and neck region, the lesion mostly occurs in the masseter, trapezoidal or sternocleidomastoid muscle. Due to its rarity and non-specific symptoms, it is difficult to diagnose precisely. Intramuscular hemangioma can be misdiagnosed as sialolithiasis of the parotid gland. There are several treatment options for hemangiomas such as sclerotherapy, radiotherapy, embolization, and surgery. Of all these, definitive surgical resection is considered most effective in preventing future recurrence. Here we report a case of intramuscular hemangioma that was detected in the patient's right masseter muscle which was initially misdiagnosed as parotid sialolithiasis and was consequently managed with surgical resection.

전산화 단층촬영술을 이용한 악하선 타석증의 진단 (A DIAGNOSIS OF SUBMANDIBULAR SIALOLITHIASIS WITH COMPUTED TOMOGRAPHY)

  • 구치균;최형준;이종갑;이제호
    • 대한소아치과학회지
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    • 제25권3호
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    • pp.545-548
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    • 1998
  • Sialolithiasis is the formation of calcareous concretions within ductal system of a major or minor salivary gland. They are formed by deposition of calcium salts around a central nidus which may consist of desquamated epithelial cells, bacteria, foreign bodies, or products of bacterial decomposition. An 11-year-old boy complained of pain during meals and intermittent mild swelling in the right submandibular region. Although it was not detected in true occlusal radiograph, panoramic radiograph showed a round radiopaque mass 3mm in diameter. Computed tomography(CT) was taken for locating the stone and 3-dimensional reconstruction was performed. Under general anesthesia, sialoadenectomy was done through extraoral approach. Diagnosis of submandibular sialolithiasis using high-resolution CT with reconstructions was helpful for surgical decisions, namely radical removal of the submandibular gland and its duct.

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설하선에 발생한 다발성 타석증 : 증례보고 (MULTIPLE SIALOLITHIASIS IN SUBLINGUAL GLAND ; REPORT OF A CASE)

  • 최진호;김일규;오성섭;오남식;윤승환
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제21권2호
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    • pp.205-208
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    • 1999
  • Sialolithiasis is relatively common disease of the salivary gland in the field of Oral & Maxillofacial surgery. Obstruction of salivary secretion by a sialolith can result in swelling and pain, as well as infection of the gland. The swelling is usually correlated to meals, when salivary secretion is enhanced. Sialolithiasis occurs mainly in the submandibular gland(92%) and to a lesser degree in the parotid gland(6%). The sublingual gland and the minor salivary gland are rarely affected(2%). This is a report of rare case, the authors have experienced, within the left sublingual gland and the minor salivary glands. It is multiple sialolithiasis(about 22 silaoliths) in the sublingual and the minor salivary glands which has very low incidence of sialolithiasis. The pathosis were removed using transoral sialolithotomy with sublingual sialadenectomy.

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타석에 대한 방사선학적 연구 (A RADIOLOGIC STUDY OF SALIVARY STONES)

  • 조효석;안형규
    • 치과방사선
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    • 제16권1호
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    • pp.93-102
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    • 1986
  • The author examined fifty cases of sialolithiasis diagnosed in the Dept. of Oral Radiology in SNUH by conventional radiography and sialography, and analyzed patient's age, sex, location, radio density, numbers, shapes, and relation with ducts and parenchymas. 1. The results of this study were as follows: 1. The average age of patients was 38.6 years in submandibular sialolithiasis, and 39.2 years in parotid sialolithiasis. 2. There was slightly higher incidence in males (58.0%) than in females (42.0%). 3. Salivary stones were found to be much more in the submandibular gland and duct (82.0%) than in the parotid gland and duct (18.0%). 4. Of 62 submandibular salivary stones, 33 (53.2%) occurred in the main duct, 25 (40.3%) occurred in the hilum, and 4 (6.5%) occurred in the parenchyma. Of 18 parotid salivary stones, 9(50.0%) occurred in the main duct, 5(27.8%) occurred in the parenchyma, and 4(22.2%) occurred in the hilum. 5. Of the submandibular salivary stones, the number of radiopaque type was 45 (75.8%), and the number of radiolucent type was 17 (24.2%). Of the parotid salivary stones, the number of radiopaque type was 12 (66.7%), and the number of radiolucent type was 6(33.3%). 6. The single type was 30 cases (73.2%) in submandibular gland, 6 cases (66.7%) in parotid gland, and the multiple type was 11 cases (26.8%) in submandibular gland, and 3 cases (33.3%) in parotid gland. 7. Round shape was 35 cases (43.8%), ovoid shape was 22 cases (27.5%), irregular shape was 17 cases (21.3%), and cylindrical shape was 6 cases (7.5%).

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DEA를 이용한 야구 국가대표단의 타자 선발에 관한 연구 (Selecting the Batters of National Baseball Squad using Data Envelopment Analysis)

  • 석영기
    • 한국산학기술학회논문지
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    • 제15권1호
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    • pp.165-172
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    • 2014
  • 본 논문의 주된 관심은 좋은 기록을 보유하고 있는 선수들로 국가대표단을 구성하면 세계대회에서 좋은 성적을 올릴 수 있는가이다. 2010년 광조우 아시안게임에서 우승한 야구 국가대표단 선수들의 경기력을 한국프로야구선수들과 함께 평가해보고, 그 중에서 기량이 뛰어난 선수들로 대표단을 구성하였는지 분석해 보고자 한다. 본 연구를 위해 사용된 DEA모형은 DMU의 재량권이 제한된 BCC 모형(BCC model with non-discretionary)이다. 분석을 위한 투입변수는 타석수와 도루시행횟수이며, 산출변수는 공격공헌도, 도루성공률 및 득점이다. 분석대상이 된 97명의 선수 중에서 22명의 선수가 효율적인 것으로, 75명의 선수가 비효율적인 것으로 측정되었다. 그리고 12명의 대표선수 중에서 8명의 선수가 효율적인 것으로 분류되었다. 이는 2010년 광조우 아시안게임에서의 야구대표팀이 이전 세계대회에서의 경험을 교훈으로 삼아 최강의 전력을 발휘할 수 있는 선수들로 구성되었음을 보여주고 있다.

구강 내 접근법에 의한 심부 악하선 타석제거술 (Transoral removal of proximal submandibular stone: report of 5 cases and review of the literature)

  • 임경민;이승준;길태준;최은주;김형준;차인호;남웅
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제36권6호
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    • pp.548-552
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    • 2010
  • The submandibular gland is the second largest major salivary gland, which secretes 40% of the total daily saliva. Owing to its anatomic characteristics as well as the high viscosity and basicity of the saliva, sialolithiasis is found most commonly in the submandibular gland. Sialolithiasis that cannot be treated by conservative treatment is conventionally removed by an excision of the submandibular gland. Generally, an excision of the submandibular gland is performed via an extra-oral approach but the disadvantages of this treatment include a risk of injuring the facial nerve and scar formation. Case reports have revealed an even less invasive intraoral surgical technique for the removal of sialolith that does not affect the submandibular gland function. The functional recovery of the gland, complications and recurrence rates after surgery with this conservative intraoral procedure were all successful. We report 5 patients from the department of Oral and Maxillofacial Surgery at Dental Hospital, Yonsei University, who had undergone a resection of the sialolith though the intraoral approach with successful results.

구강내 접근을 이용한 악하선 타석의 제거 (Removal of Submandibular Stones via Intraoral approach)

  • 이성부;이종철;최승호;김상윤;남순열
    • 대한기관식도과학회지
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    • 제14권1호
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    • pp.23-28
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    • 2008
  • Background and Objectives : Traditionally, the excision of submandibular gland (SMG) has been commonly used for treatment of calculi in the proximal duct or gland parenchyma. Over the last 10 years several new minimally invasive techniques including lithotripsy, sialendoscope were introduced in the treatment of sialolithiasis. But these have some limitation on large, infected calculi. The aim of this study is to assess the intraoral treatment of submadibular stones. Subjects and Method : The records of one hundred and seventy-three patients who underwent intraoral removal of submadibular sialolithiasis between June 1, 1989 and July 31, 2006 were retrospectively reviewed. Results : Stone location was distal to the edge of the mylohyoid muscle in 127 patients and proximal to gland in 48 patients (mean size of sialoliths, 7.1mm [range 3.0-25mm]). The complete removal of stones was observed in 170 (97.1%) patients regardless of size and location. Recurrence of lithiasis was found in 8 patients (then treated with intraoral removal in 5 patientsand resection of SMG (submandibular glands) in 3 patients). Acalculous sialadenitis in 9 patients (5.1%) and cyst formation in 2 patients (1.1%) was found. But no evidence of postoperative complications including hemorrhage, fistula, damage to lingual nerve were found. Conclusion : The intraoral removal of submandibular stone is useful in preservation of submandiblar function and effective in palpable stones regardless of location, size.

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악하선관에 발생한 거대 타석증의 치험 2례 (A Giant Sialolith in a Wharton's Duct: Report of Two Cases)

  • 나혜정;윤규호;정정권;배정호;김해린;조규홍;신재명;백지선
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제32권4호
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    • pp.363-367
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    • 2010
  • Sialolithiasis is the most commom disease of salivary gland. The main symptoms are pain and swelling of the involved gland during eating. It can occur at any age but patients in their third to fifth decade present most cases. Males are more frequently affected than females. Most sialoliths are located within the duct system of the submandibular gland. Submandibular sialoliths close to the hilum of the gland tend to become large and ovoid shape, whereas sialoliths in the duct tend to be elongated. Commonly, sialoliths measure from 1 mm to less than 10 mm, and larger than 15 mm are considered rare. In one case we have removed a giant sialolith which was located in a wharton's duct and in the other case we have removed multiple sialolith including a giant sialolith which were also located in a Wharton's duct. We report these 2 cases with literature reviews.

잔존 봉합사에 의해 발생한 점액종 (MUCOCELE CAUSED BY UNREMORED SUTURE SILK : A CASE REPORT)

  • 서원건;최병재;최형준;이제호
    • 대한소아치과학회지
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    • 제26권4호
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    • pp.664-668
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    • 1999
  • 점액종이란 소타액선 분비관의 폐쇄 또는 파열로 인한 타액의 저류로 나타나는 종창에 대한 임상적인 용어이다. 점액종은 조직학적으로 삼출형과 잔류낭종형으로 분류되며, 삼출형은 외상등으로 소타액선 분비관이 파열된 후 점액이 조직내로 유출되어 조직간격에 고여있는 상태이기 때문에 상피 피복을 볼 수 없고 낭종벽은 육아조직으로 둘러싸여있다. 그리고 잔류낭종형은 소타액선 분비관이 작은 타석에 의해 폐쇄되거나 분비관 주위 반흔조직의 협착으로 발생하며 낭종강은 원주상피 또는 위중층 편평상피로 피개되어 있다. 본 증례는 3년전 하순의 열창 치료를 위해 봉합된 후 발사되지 않는 silk 봉합사에 의해 발생한 점액종의 치험례로, 발사되지 않은 봉합사가 하순 소타액선의 분비관을 관통하여 파열시켜서 점액이 결체조직으로 유출되어 점액종이 발생하였다.

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한국프로야구에서 타자력 지수 제안 (Alternative hitting ability index for KBO)

  • 홍종선;김재영;신동식
    • Journal of the Korean Data and Information Science Society
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    • 제27권3호
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    • pp.677-687
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    • 2016
  • 야구 타자의 능력을 측정하는 많은 세이버메트릭스 통계량들 중에서 WAR은 미국프로야구에서 가장 많이 사용하는 통계량이다. 그러나 한국프로야구 자료에는 수비에 관련된 변수에 포함된 야구장 요인, 포지션조정 그리고 리그 조정 통계량들이 존재하지 않으므로 WAR을 한국프로야구에 적용하는 데에는 문제가 있다. 본 연구에서는 타자의 능력을 측정하는 대안적인 세이버메트릭스 통계량을 제안하여 미국프로야구 뿐만 아니라 한국프로야구에서도 동시에 사용할 수 있도록 한다. 본 연구에서 제안한 타자력 지수 모형은 한국프로야구와 미국프로야구 타자들에 대한 다섯 종류의 통계량을 사용하여 개발한다. 우선 2015년도 최소 규정 타석을 만족한 미국프로야구 타자들의 자료를 바탕으로 타자력 지수 모형을 개발한다. 미국프로야구 타자들의 WAR과 비교하면서 본 연구에서 제안한 타자력 지수의 능력의 타당성을 검토한다. 다음으로 이 모형을 2015년도 한국프로야구 자료에 적용하여 한국형 타자력 지수를 제안한다. 한국프로야구 타자력 지수를 서로 다른 팀별, 나이별, 포지션별로 통계적으로 분석하고, 타자력 지수와 그들의 연봉과의 선형관계성을 토론한다. 연봉에 관한 회귀모형의 신뢰영역을 바탕으로 연봉책정의 적절함에 따라 46명의 타자를 세 그룹으로 할당하고, 세 그룹에 속한 연봉을 다양한 인자에 대하여 통계적으로 탐색한다.