• Title/Summary/Keyword: 턱 밑

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Two Cases of Epidermal Cyst in Submental Area (턱 밑에 발생한 표피낭종 2예)

  • Park, Kyoung Ho;Park, Joong Hyun;Park, Anna;Yoo, Young Sam;Kim, Hyun Joung
    • Korean Journal of Head & Neck Oncology
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    • v.30 no.2
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    • pp.87-89
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    • 2014
  • Epidermal cysts in mouth floor are rare. There could be confusions in diagnosis due to location and low incidence. For diagnosis, imaging study and cytology are necessary. The treatment of choice is complete excision intraorally or externally and the recurrence is rare. Some authors prefer sclerotherapy, but the follow up is necessary for malignant change. We report two cases of epidermoid cyst in submental area excised externally with literature review.

A MODIFICATION OF THE MICHELET TECHNIQUE FOR SLIDING HORIZONTAL OSTEOTOMY;A CASE REPORT (MICHELET 테크닉의 변형을 이용한 이부성형술의 치험례)

  • Lee, Jin-Gew;Davis, Isaac E.;Swift, James Q.
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.16 no.2
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    • pp.145-151
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    • 1994
  • 앞 턱 부위가 짧고 후방으로 위치해 있을 때 턱의 높이를 증가시키고 전방으로 돌출시키는 축조 이부성형술의 방법으로는, 매식체 삽입술, 골 절단술, 골 절제술 또는 이들을 동시에 시행하는 혼합술등이 행해져 왔다. 그러나 매식체 삽입술에서는 감염 또는 매식체의 유동성 등의 합병증의 발병이 빈발하고 매식체의 밑 부위에 골이 흡수된다든지 연조직의 변화를 예측하기 어렵다든지 하는 복잡한 문제점들이 종종 보고되고 있다. 따라서 매식체를 이용하지 않는 골 절단술이나 골 절제술만을 이용한 다양한 방법의 이부성형술이 많이 시행되고 있다. 하악골이 전후방 관계로 발육부전인 환자에게 양측 하악지 시상분할술을 시행하여 전방 이동시킨 후 앞 턱의 위치를 좀더 개선하기 위하여 $Michel{\'{e}}t$ 테크닉의 변형법을 이용한 이부성형술을 추가로 시행하였다. 이 방법의 이부성형술은 턱의 수직적, 수평적 길이를 증가시키기 위하여 하악결합면 부위에 장부와 장붓구멍 모양을 한 골 절단술을 시행하고 광범위한 연조직경을 보존하여 골편으로의 혈류 차단을 최소화하였으며 나사를 이용한 견고한 고정을 용이하게 하였다. 이 술식은 턱을 수직적으로 증가시킬 때 두 골편 사이의 공간에 골 이식을 시행할 필요가 없으며, 금속판을 이용하지 않아도 정확한 위치에 골편을 고정하기가 용이하고, 또한 고정용 나사가 향후 골형성 부위에 위치하게 된다는 장점을 경험하게 되어 이에 한 증례를 보고하는 바이다.

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Helathcare System for Flexion and Extension of Cervical Spine (목뼈의 굽힘과 폄을 위한 Healthcare System)

  • Shin, Seong-Yoon;Lee, Hyun-Chang
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2018.07a
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    • pp.171-172
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    • 2018
  • 목뼈는 척주 중에서 두개골과 등뼈(흉추) 사이의 부분으로 목 부분을 형성하는 뼈 구조물이다. 위치는 머리뼈(두개골) 밑에서부터 갈비뼈가 붙는 등뼈(흉추)의 윗부분까지를 이른다. 본 논문에서는 목을 구부려 턱이 가슴에 닿도록 하는 굽힘과, 목을 들어 천장을 보는 것처럼 자세를 취하는 폄에 대하여 각을 측정한다. 굽힘의 각도는 $45{\sim}50^{\circ}$가 기본이며 최대의 가동 범위는 $80{\sim}90^{\circ}$이다. 폄의 각도 또한 $40^{\circ}{\sim}50^{\circ}$가 기본이며 정상은 $70^{\circ}$로 제한된다. 굽힘과 폄의 각도가 기본에 못 미치거나 통증을 유발할 때에는 능동과 수동 돌림의 치료법으로 치료하도록 한다.

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A case of submandibular pyogranuloma caused by Trueperella pyogenes in the slaughtered dairy cows (도축 젖소에서 Trueperella pyogenes 감염에 의한 턱 밑 화농육아종 증례보고)

  • Jung, Ji-Youl;Jeong, Jae-Hun;Kim, Ha-Young;O, Sang-Ik;Ryu, Dae Yeol;Yoon, Hyoung Lok;So, ByungJae;Yoon, Soon-Seek
    • Korean Journal of Veterinary Service
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    • v.39 no.1
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    • pp.65-68
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    • 2016
  • Multiple enlarged submandibular nodules were discovered during a routine antimortem examination at slaughter in 3 dairy cows of 20-month-old. Grossly, submandibular nodules were firm, reddish, and oval in shape. On cut surface, multiple yellowish abscesses in the parenchyma were observed. Histopathologically, the nodules were characterized by severe diffuse pyogranulomatous inflammation and chronic fibrosis with multiple eosinophilic clubs of Splendore-Hoeppli material containing central bacterial colonies. Trueperella pyogenes was isolated from the lesions. This case was diagnosed as submandibular pyogranuloma caused by Trueperella pyogenes in slaughtered dairy cows in Korea.

Improvement Effect of Salicornia herbacea L. Diet on the Acne Skin (여드름 피부에 미치는 함초 식이의 피부 개선 효과)

  • Lim, Mi-Ra;Kang, Sang-Mo
    • Journal of the East Asian Society of Dietary Life
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    • v.19 no.5
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    • pp.750-760
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    • 2009
  • In this study, the various effects of Salicornia herbacea, including antioxidative function, antibiotic, and anti-inflammatory effect, and the effect of sebiparous reduction due to intervention of the DHT hormone were investigated using. The result of this study Based on this analysis, the serum total cholesterol, triglyceride, and WBC were found to be significantly decreased and SOD, Ca, K, and Zn were shown to be significantly increased significantly in the group that received the SH pill group after trial fora 12 week trials. Testosterone and DHT were increased in the SH pill group, but it was not statistically significant. In the case of the skin condition measurements, the number of blackhead pores, skin oiliness, keratin and, MIC were significantly decreased, and the pH was decreased to normal pH in the SH pill group. Therefore, it was confirmed that overall skin condition was improved due to Salicornia herbacea diet. The results of this research result can contribute so demonstrate the potential of actively using that the Salicornia herbacea can be actively developed as a health supplement, and a medication.

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Combined Therapy with Carboplatin and Meloxicam for Oral Squamous Cell Carcinoma in a Dog (구강 편평 세포암 이환견에서 Carboplatin과 Meloxicam의 병용투여 증례)

  • Jang, Hwan-Soo;Kim, Jun-Il;Kim, Jae-Hoon;Jang, Kwang-Ho
    • Journal of Veterinary Clinics
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    • v.28 no.3
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    • pp.314-317
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    • 2011
  • A 16-year-old, spayed female, Maltese dog weighing 4.3 kg was presented with a 2-week history of yellowish nose-and oral-discharge, anorexia and lethargy. In physical examination, indefinite ulcerative mass about $3{\times}3$ cm in size in the left sublingual region, severe gingivoperiodontitis, halitosis, moderate dental calculus, fever and swelling of mandible soft tissue were noted. In radiographic view, periodontitis and bone lysis findings on the left rostral part of maxilla and mandible were observed. In complete blood count and blood chemistry test, thrombocytosis, increased levels of serum $NH_3$, AST and ALP were obtained. Urinalysis revealed hematuria and proteinuria. In histological examination, squamous cell carcinoma was diagnosed. No surgery was performed, but combined treatment with carboplatin and piroxicam was initiated. Five days after initiation of medication, because of insistent vomiting, piroxicam was substituted to meloxicam. Although the therapeutic efficacy of meloxicam could not be known; administration of meloxicam might be less potential to gastrointestinal side-effects than piroxicam. The dog totally received 3 times of carboplatin infusion. Five days after third infusion of carboplatin, the dog was hospitalized with severe lethargy, vomiting and bloody diarrhea. In examination, severe renal failure signs were noted, and the dog was euthanized.

Investigation of Fastening Performance of Subminiature Serrated Bolt (초소형 쎄레이션 볼트의 체결성능 분석)

  • Jang, Myung Guen;Jeong, Jin Hwan;Jang, Yeon Hui;Kim, Hee Cheol;Kim, Jong-Bong
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.41 no.4
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    • pp.257-262
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    • 2017
  • As the size of electric products such as mobile phones and smart watches decrease, the bolts used to assemble these products should also be miniaturized. A miniature-sized bolt has to provide sufficient joining torque and anti-releasing torque to keep the components together. We studied a serrated bolt as a candidate for a miniature-sized fastener to increase the anti-releasing torque. In a serrated bolt, a serrated shape is formed on the bottom surface of the bolt head to create an obstacle to releasing. In this study, finite element analyses for the joining and releasing of bolts were carried out, and the anti-releasing performance was predicted. Based on the results of analyses using various numbers of serrations and fastening depths, the effects of the number of serrations and fastening depth on the anti-releasing performance were investigated.

Increased Regulatory T cells in Thyroid Adenocarcinoma in a Mixed Breed Dog (갑상샘 암종을 가진 개에서 조절 T 세포의 증가)

  • Kim, Jun-Hwan;Hong, Yeon-Jung;Kim, Bumseok;Kim, Yunhye;Park, Jin-Ho;Chung, Tae-Ho;Park, Chul
    • Journal of Veterinary Clinics
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    • v.30 no.6
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    • pp.482-485
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    • 2013
  • This case report describes the increment of regulatory T cells in thyroid carcinoma of a mixed breed dog compared with normal dogs. A mixed breed dog was referred for a submandibular mass and hyperthermia. Right cervical mass was detected during the physical examination and radiography identified right cervical mass suspected thyroid gland. Accurate location and size of mass was confirmed using computed tomography and 3D reconstructed images. After confirmation of mass, surgical resection was performed and evaluation of regulatory T cells in blood of this patient was performed using flow cytometric assay. The percentage of regulatory T cells was 38.28% of all CD4 (+)/CD25 (+) T cells. This result was higher than median percentage of regulatory T cells of healthy 8 beagles ($7.66{\pm}1.65%$ (p<0.01) of all CD4 (+)/CD25 (+) T cells). And masses were confirmed as giant cell thyroid carcinoma based on histopathologic examination. After surgical resection of cervical mass was performed, the owner didn't want chemotherapy. Seven days later, cervical mass came out again. And CBC showed severe leukocytosis (WBC $47.6{\times}10^3/{\mu}L$) and non-regenerative anemia (PCV 21%). Suspected pulmonic metastasis regions became more severe. Finally the dog died of severe anemia and respiratory disorder.

Syncope and pneumomediastinum during the maxillary sinus elevation with an air-syringe: a case report (주사기를 이용한 상악동 거상술 시 발생한 실신 및 종격동기종에 관한 증례보고)

  • Kim, Su Wan;Lee, Jonggeun;Song, Ji-Young
    • Journal of Dental Rehabilitation and Applied Science
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    • v.37 no.3
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    • pp.171-176
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    • 2021
  • Pneumomediastinum is a very rare and potentially catastrophic complication of dental procedures. Its common causes are tooth extraction, endodontic treatment, and subgingival curettage using handpieces and high-pressure air/water syringes. We present a case of massive pneumomediastinum with subcutaneous emphysema in a 61-year-old female who underwent bone grafting into the maxilla for pretreatment of dental implantation using a syringe. The patient suffered from abrupt severe odynophagia and loss of consciousness. The patient transferred to emergency department and images work-up revealed a pneumomediastinum and subcutaneous emphysema on the entire face and neck. We performed conservative treatments including prophylactic antibiotics, oxygen inhalation, and fasting meals, and then discharge after 7 days uneventfully. The patient's syncope might be resulting from hypotension and pain shock induced by pneumomediastinum with a sudden chest compression. The pneumomediastinum could be resulting from concurrent perforation and massive air infiltration into the maxillary sinus during bone grafting. We suggest that pneumomediastinum needs prompt diagnosis and management because of the risk of airway obstruction when a patient present syncope in the dental room.