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Switching Genioplasty- a New Genioplasty Technique in Order to Resolve Asymmetry of Chin Area: Case Report (이부 비대칭 치료를 위한 새로운 이부 성형술의 소개 - 전환 이부성형술: 증례보고)

  • Seo, Hyun-Soo;Lee, Young-Joo;Byeon, Kwang-Seob;Hong, Soon-Min;Park, Jun-Woo;Hong, Ji-Sook;Park, Yang-Ho
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.33 no.1
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    • pp.55-61
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    • 2011
  • Conventional slinding genioplsty has the risk of mental nerve injury after operation and difficult to correct vertical asymmetry of chin. So, authors propose a new genioplasty to correct asymmetry of chin. Switching genioplasty is a modification method of conventional genioplasty. Between mandibular right and left canine, osteotomy line of triangular shape make until mandibular lower border. In large side, osteotome line of wedge shape is added to reduction. After osteotomy, segment of wedge shape was separated from chin. Distal segment was rotated to reduction side. Because of rotation of distal segment, space is made in opposite side. Seperated segement of wedge shape from large side is switched this space to fill. So, stability of distal segment is achieved. Authors applied to swiching genioplasty the patients who was remained the chin asymmetry after both sagittal split ramus osteotome was done because mandible asymmetry. After operation, patient and operator were satisfied with excellent esthetic results without any other complication. The switching genioplasty is effective surgical technique for chin asymmetry because it has more advantages than conventional sliding genioplasty. First, other donor side does not need for bone graft. Second, the switching genioplasty can reduce infection, bone resroption, dehiscence, capsular contraction after allograft. Third, have little mental nerve damage. Forth, anteroposterior correction is possible. Fifth, operation time is less than other genioplasty for chin asymmetry.

Absorbable Guided Bone Regeneration Membrane Fabricated from Dehydrothermal Treated Porcine Collagen (Dehydrothermal Treatment로 제작한 흡수성 콜라겐 골유도재생술 차단막)

  • Pang, Kang-Mi;Choung, Han-Wool;Kim, Sung-Po;Yang, Eun-Kyung;Kim, Ki-Ho;Kim, Soung-Min;Kim, Myung-Jin;Jahng, Jeong-Won;Lee, Jong-Ho
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.33 no.2
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    • pp.112-119
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    • 2011
  • Purpose: Collagen membranes are used extensively as bioabsorbable barriers in guided bone regeneration. However, collagen has different effects on tissue restoration depending on the type, structure, degree of cross-linking and chemical treatment. The purpose of this study was to evaluate the inflammatory reaction, bone formation, and degradation of dehydrothermal treated porcine type I atelocollagen (CollaGuide$^{(R)}$) compared to of the non-crosslinked porcine type I, III collagen (BioGide$^{(R)}$) and the glutaldehyde cross-linked bovine type I collagen (BioMend$^{(R)}$) in surgically created bone defects in rat mandible. Methods: Bone defect model was based upon 3 mm sized full-thickness transcortical bone defects in the mandibular ramus of Sprague-Dawley rats. The defects were covered bucolingually with CollaGuide$^{(R)}$, BioMend$^{(R)}$, or BioGide$^{(R)}$ (n=12). For control, the defects were not covered by any membrane. Lymphocyte, multinucleated giant cell infiltration, bone formation over the defect area and membrane absorption were evaluated at 4 weeks postimplantation. For comparison of the membrane effect over the bone augmentation, rats received a bone graft plus different covering of membrane. A $3{\times}4$ mm sized block graft was harvested from the mandibular angle and was laid and stabilized with a microscrew on the naturally existing curvature of mandibular inferior border. After 10 weeks postimplantation, same histologic analysis were done. Results: In the defect model at 4 weeks post-implantation, the amount of new bone formed in defects was similar for all types of membrane. Bio-Gide$^{(R)}$ membranes induced significantly greater inflammatory response and membrane resorption than other two membranes; characterized by lymphocytes and multinucleated giant cells. At 10 weeks postoperatively, all membranes were completely resorbed. Conclusion: Dehydrotheramal treated cross-linked collagen was safe and effective in guiding bone regeneration in alveolar ridge defects and bone augmentation in rats, similar to BioGide$^{(R)}$ and BioMend$^{(R)}$, thus, could be clinically useful.

High Loading for Air Pollution in the Byunsan Peninsula of Korea by an Interplay of the Saemangeum Project and Winter Monsoon

  • Ma, Chang-Jin;Kang, Gong-Unn;Kim, Ki-Hyun
    • Asian Journal of Atmospheric Environment
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    • v.6 no.3
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    • pp.234-243
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    • 2012
  • The wintertime high loading for atmospheric pollutants is certainly expected in the Byunsan Peninsula of Korea because of a great-scale reclamation project having construction of 33 km tidal sea dike impounding an area of over 40,000 ha and long-range transport. The goal of this study is to trace the origin of this wintertime burden for ambient particulate matter (hereafter called "PM") in the Byunsan Peninsula of Korea. The size-segregated (i.e., cutoff size from 0.01 ${\mu}m$ to 4.7 ${\mu}m$) PM sampling was conducted at a ground-based site of Byunsan Peninsula located in the west coast of Korean Peninsula during the height of dike constructing. Data archived in this study are the mass concentrations of ionic, elemental, and carbonic components in size-fractioned PM. The elemental mass of individual submicrometer particles was also analyzed. The sum of 5-source (i.e., elemental carbon, organic materials, inorganic secondary pollutants, crustal matter, and sea-salts) concentrations shows the bimodal distribution (major and minor peaks formed around $D_p$, 0.65 ${\mu}m$ and $D_p$, 4.7 ${\mu}m$, respectively) by border with 0.19 ${\mu}m$ of cutoff size. The concentrations of EC in $PM_{1.1-0.01}$ in winter and spring times were 4.62 ${\mu}g\;m^{-3}$ and 3.74 ${\mu}g\;m^{-3}$, respectively. Elemental masses of submicron individual particles are classified into two groups, i.e., the major elements (Cl, Al, Si, S, and P) and the minor trace elements. Cluster analysis differentiated the elements in submicron individual particles into 4-cluster. Among them, three clusters are in agreement with the major (Al, Si, S, and P), minor (Fe, Ca, and K), and trace compositions of coal burning. Meanwhile, Cl classified as an independent cluster has different source profile which was mainly due to the Saemangeum seawall project. Some highly toxic elements (e.g., Cr, Mn, and As (and/or Pb)) were also detected in some part of submicron individual PM. As a consequence, the combination of the Saemangeum project and winter monsoon played a considerable part in the double aggravation of wintertime air pollution in the Byunsan Peninsular.

FUNCTIONAL RECONSTRUCTION OF DENTO-PALATAL AND MAXILLARY DEFECT USING STAGED OPERATION OF PREFABRICATED SCAPULAR FREE FLAP AND DENTAL IMPLANTS (분층피부와 분말골로 이식 전 처리된 유리견갑골근피판과 임플란트 보철을 이용한 경구개와 상악골의 기능적 재건)

  • Lee, Jong-Ho;Kim, Myung-Jin;Park, Jong-Chul;Kim, Yung-Soo;Ahn, Kang-Min;Paeng, Jun-Young;Kim, Sung-Min;Myoung, Hoon;Hwang, Soon-Jung;Seo, Byoung-Moo;Choi, Jin-Young;Choung, Pill-Hoon
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.30 no.4
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    • pp.301-307
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    • 2004
  • The flap considered at first for the reconstruction of large maxillary defect, especially mid-face defect, is scapular free flap, because it provides ample composite tissue which can be designed 3-dimensionally for orbital, facial and oral reconstruction. In case of maxillary defect involving hard palate, however, this flap has some limitations. First, its bulk prevents oral function and physio-anatomic reconstruction of nasal and oral cavity. Second, mobility and thickness of cutaneous paddle covering the alveolar area reduce retention of tissue-supported denture and give rise to peri-implantitis when implant is installed. Third, lateral border of scapula that is to reconstruct maxillary arch and hold implants is straight, not U-shaped maxillary arch form. To overcome these problems, new concept of step prefabrication technique was provided to a 27-year-old male patient who had been suffering from a complete hard palate and maxillary alveolar ridge defect. In the first stage, scapular osteomuscular flap was elevated, tailored to fit the maxillary defect, particulated autologous bone was placed subperiosteally to simulate U-shaped alveolar process, and then wrapped up with split thickness skin graft(STSG, 0.3mm thickness). Two months later, thus prefabricated new flap was elevated and microtransferred to the palato-maxillary defect. After 6 months, 10 implant fixtures were installed along the reconstructed maxillary alveolus, with following final prosthetic rehabilitation. The procedure was very successful and patient is enjoying normal rigid diet and speech.

ODONTOGENIC KERATOCYST OF A FEMALE CHILD, A CASE REPORT (치성각화성낭종 (Odontogenic Keratocyst)환자의 치험례)

  • Lee, Ji-Min;Park, Jae-Hong;Kim, Kwang-Chul;Choi, Sung-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.35 no.4
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    • pp.731-736
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    • 2008
  • Odontogenic keratocyst is classified as a developmental odontogenic cyst and is believed to arise from cell rests of the dental lamina. It accounts for 3% to 11% of all jaw cysts and they occur twice as often in the mandible as in the maxilla. Histologically, the cysts are lined by stratified, keratinizing, squamous epithelium. Daugther cysts or microcysts are often observed microscopically. The recurrence rate has been reported variously, but is known by its high recurrence rate. These lesions are more common in males than in females, occur over a wide age range and are typically diagnosed during the 2nd and 3rd decade. The diagnosis depends on the cyst’s microscopic features and is independent of its location and radiographic appearances. This cyst is a radiolucent lesion that is often multiloculated, has a smooth or scalloped border. The cyst is characteristically located in the body and ramus of the mandible, and often occurs in conjunction with an impacted tooth. This case report describes an odontogenic keratocyst on the lower right molar area of an 8-year-old girl. The cyst was removed under the general anaesthesia, and is being checked regularly for any recurrences.

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Benign Tumor-Like Developmental Salivary Gland Defect (양성 종양과 유사한 형태를 가진 발육성 타액선 골결손)

  • An, Seo-Young;Kim, Yong-Gun;Jung, Jae-Kwang
    • Journal of Dental Rehabilitation and Applied Science
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    • v.28 no.3
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    • pp.301-307
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    • 2012
  • 50-year-old female and 50-year-old male were referred to the department of the oral and maxillofacial surgery of Kyungpook national university dental hospital with asymptomatic lesions on their posterior mandibular body areas. They were discovered incidentally on panoramic radiographs during routine dental examination. Physical examination revealed no remarkable findings. Each panoramic radiograph showed well defined radiolucent lesions without hyperostotic border on their posterior mandibular body area. At first they were diagnosed as benign tumors because they looked like multilocular pattern and one of the patient showed discontinuity of mandibular canal within the lesion. CT scans demonstrated well demarcated and irregular lingual depression filled with fat tissue and they were diagnosed as developmental salivary gland defects. One of the lesion showed no change on follow-up panoramic radiograph after 4 months. Developmental salivary gland defects resembling benign tumor are atypical cases and it is suggested that confirmatory imaging using CT or MRI should be taken.

Healing Effects of Demineralized Freeze - Dried Bone Allograft and Deproteinized Bovine Bone Mineral on Periodontal Fenestration Defect in Rats (탈회 동결 건조골과 탈단백 우골의 백서 치조골 천공결손에 대한 치유 효과)

  • Shin, Joong-Ho;Kwon, Young-Hyuk;Park, Jun-Bong;Herr, Yeek
    • Journal of Periodontal and Implant Science
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    • v.31 no.1
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    • pp.73-91
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    • 2001
  • The present study was performed to compare effects of demineralized freeze-dried bone allograft(DFDBA) with deproteinized bovine bone mineral(DBBM) on periodontal fenestration defect in rats. Twelve adult male rats weighing 500 to 540 grams were used in this study. Periodontal fenestration defects were surgically created with tapered fissure bur(${\Phi}1mm$) at the left side of buccal surface of the mandible. The defect size was from anterior border of the first molar to anterior of the ascending ramus mesiodistally and from just below the alveolar crest to apically 1.5-2mm area apicocoronally with 2mm in depth. Rats were divided into control group, test group I and II. Four defects were assigned to the test group I grafted with DBBM and other 4 defects were assigned to the test group II grafted with DFDBA. The rest of defects were the negative control group. At 10 days and 35 days after surgery, 12 rats were sacrificed through intracardiac perfusion and specimens were obtained prepared with Hematoxylin-Eosin stain for light microscopic evaluation. The results of this study were as follows : 1. In the control group, new bone, osteoid, dense connective tissue were observed in the defects at 10 days. new bone formation was not found but loose connective tissue was formed in the defect and fibrous encapsulation of graft materials was shown in two test groups at 10 days. 2. In all groups, new bone formation was shown in the defect at 35 days. And in the control group, bone formation increased at 35 days than at 10 days. 3. In the test group I and II at 35 days, graft materials were combined with new bone and joined host bone. There was very close contact between new bone, graft materials, and host bone with no gaps. 4. In the test group I and II, new bone formation was similar to that in the control group but not exeeded. In conclusion, in the test group I new bone formation was similar to that in the test group II at 35 days, but there was infiltration of inflammatory cells at 10 days. DFDBA and DBBM were considered as the biocompatible graft materials and effective in the regeneration of new bone.

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Successful Conservative Surgical Treatment of Ameloblastic Fibroma in the Posterior Maxilla : A Case Report (상악 구치부에 발생한 법랑모세포섬유종의 성공적인 보존적 수술 : 증례 보고)

  • Lee, Youngeun;Ahn, Hyojung;Lee, Sooeon;Kim, Euncheol;Choi, Sungchul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.40 no.4
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    • pp.321-327
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    • 2013
  • Ameloblastic fibroma (AF) is a rare odontogenic ectomesenchymal tumor that is frequently seen in the first two decades of life, and occurs in the mandible. The most proper management of AF has been a recent topic of debate because of its recurrence and malignant transformation. This report describes AF in a 4-year-old male, which was a unilocular radiolucency on the maxillary right primary molar area with a scalloped border and corticated margin. The tumor was treated conservatively with enucleation and curettage, and the decision was made to preserve the right primary second molar. A biopsy confirmed it as AF. During the 43 months of follow-up, the patient had no evidence of recurrence or malignant transformation. Moreover, the radiographic examination revealed the generation of tooth germ to be a permanent second premolar. This report shows a case of AF in the posterior maxilla of a 4-year-old boy and discusses the conservative therapeutic approach to this tumor. Therefore, the age of the patients should be an important consideration when choosing conservative or radical surgery in a young AF patient.

Evaluation of Source Identification Method Based on Energy-Weighting Level with Portal Monitoring System Using Plastic Scintillator

  • Lee, Hyun Cheol;Koo, Bon Tack;Choi, Chang Il;Park, Chang Su;Kwon, Jeongwan;Kim, Hong-Suk;Chung, Heejun;Min, Chul Hee
    • Journal of Radiation Protection and Research
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    • v.45 no.3
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    • pp.117-129
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    • 2020
  • Background: Radiation portal monitors (RPMs) involving plastic scintillators installed at the border inspection sites can detect illicit trafficking of radioactive sources in cargo containers within seconds. However, RPMs may generate false alarms because of the naturally occurring radioactive materials. To manage these false alarms, we previously suggested an energy-weighted algorithm that emphasizes the Compton-edge area as an outstanding peak. This study intends to evaluate the identification of radioactive sources using an improved energy-weighted algorithm. Materials and Methods: The algorithm was modified by increasing the energy weighting factor, and different peak combinations of the energy-weighted spectra were tested for source identification. A commercialized RPM system was used to measure the energy-weighted spectra. The RPM comprised two large plastic scintillators with dimensions of 174 × 29 × 7 ㎤ facing each other at a distance of 4.6 m. In addition, the in-house-fabricated signal processing boards were connected to collect the signal converted into a spectrum. Further, the spectra from eight radioactive sources, including special nuclear materials (SNMs), which were set in motion using a linear motion system (LMS) and a cargo truck, were estimated to identify the source identification rate. Results and Discussion: Each energy-weighted spectrum exhibited a specific peak location, although high statistical fluctuation errors could be observed in the spectrum with the increasing source speed. In particular, 137Cs and 60Co in motion were identified completely (100%) at speeds of 5 and 10 km/hr. Further, SNMs, which trigger the RPM alarm, were identified approximately 80% of the time at both the aforementioned speeds. Conclusion: Using the modified energy-weighted algorithm, several characteristics of the energy weighted spectra could be observed when the used sources were in motion and when the geometric efficiency was low. In particular, the discrimination between 60Co and 40K, which triggers false alarms at the primary inspection sites, can be improved using the proposed algorithm.

Histopathological and Histochemical Studies on the Effect of Garlic and Garlic oil to the Rats (마늘 및 마늘 정유투여(精油投與)가 백서(白鼠)(Rat)의 간장(肝臟) 및 신장(腎臟)에 미치는 영향(影響)에 관(關)하여)

  • Ro, Ihl-Hyeob;Lee, Sook-Yun
    • Journal of Nutrition and Health
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    • v.1 no.3_4
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    • pp.201-205
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    • 1968
  • The authors has observed the histopathologically and histochemically on the effect of the garlic and garlic oil to the liver and kidney of rats. In order to confirm the histochemical changes of the metabolism of polysaccarides, the periodic acid Schiff reaction was applied. The 30 albino adult male rats weighing about 150 grames from the National Institute of Health were housed individualy and devide into 3 experimental groups: Group C: stock diet group Group B: stock diet-garlic group Group A: stock diet-garlic oil group Group C was fed with stock diet only through out this experimental period, Group B was fed with stock diet supplemented with garlic homogenator to be 1%, and Group A was fed with stock diet supplemented with the garlic oil to 0.05%. The garlic oil used in this experiments was extracted by author. And all rats was fed during 10 weeks. The histopathological and histochemical results were shown in each figure. According to the all results, the following concIusions were drawn. 1) In the garlic oil administrated groups, congestion of the sinusoid was subsided and the liberation of the Kupffer's cells were observed. 2) In garlic administrated groups, fatty metamorphosis in hepatic cells, and slight liberation of Kupffer's cells in sinusoidal walls were observed. Connective tissue proliferation and collagen bundle were observed. 3) The connective tissue and blood vessel wall in portal area Were reacted intensely with PAS stain. The hepatic cells Were reacted intensely with PAS stain in control group and moderately or slightly in garlic and garlic oil administrated group. 4) There were no significant differences in collecting and Henle's loops in each groups, but narrowing of lumen of the distal tubules were observed in garlic oil administrated group. 5) The basement membrane of the tubules and the connective tissues of the vessel wall in Kideny were reacted intensely with PAS stain in each groups. In control and garlic administrated groups. the brush border of the proximal tubules were reacted intensely with PAS stain, but epithelium of the Heine's loop, proximal, distal and collecting tubules were reacted moderately. In garlic oil administrated-group, there were tendency of decreasing of PAS stain in each tubules.

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