• Clinics in Shoulder and Elbow
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• 제7권1호
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• pp.46-50
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• 2004

The snapping scapula is a relatively uncommon phenomenon occuring as a consequence of some anomalous conditioin existing between the thoracic wall and the undersurface of the scapula. It may present in several ways like crepitus, pain during scapular movement and limitation of scapular motion. The causes of snapping scapula are changes in the intervening soft tissues, the muscles, or the bursae between the scapula and the chest wall; and changes in the congruence between the anterior scapular surface and the underlying chest wall. The congenital elbow fusion or humeroradioulnar synostosis is an extremely rare inheritable disorder that previously described just a few reports. Recently we experienced a case of snapping scapular with congenital bilateral elbow fusion treated by arthroscopic scapulothoracic bursectomy and consequent open superomedial scapulectomy. We would describe the clinical feature of a snapping scapula and result of treatment with literature review.

• 대한구순구개열학회지
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• 제4권1호
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• pp.45-53
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• 2001

악골유합증은 두경부의 매우 드문 선천적 기형으로, 상악과 하악간의 골성 유합이 그 특징이다. 저자들은 좌측 상악, 하악 및 관골궁의 골성 유합을 보이는 1 예를 경험하였고, 골성 유합의 분리를 위한 수술을 시행하였으며, 이후 장기 예후 관찰기간중 개구제한의 점차적인 재발을 관찰하였기에 이에 보고하는 바이다.

• 한국수의병리학회:학술대회논문집
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• 한국수의병리학회 2002년도 추계학술대회초록집
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• pp.138-138
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• 2002

A 10-day old male calf exhibited multiple congenital anomalies of the urinary and gastrointestinal tracts, including renal fusion (horseshoe kidney), ureteral fusion, rectovesicular fistula, and atresia ani. The single kidney was fused at the caudal poles. The left kidney and cranial half of right kidney were shrunken, while the remaining lobules were hypertrophic. Ureters were fused cranially and bifurcated caudally. The terminal rectum was narrowed and connected with the bladder. The anus was imperforate. The cause of these anomalies could not be determined. This is the first report of this constellation of congenital anomalies in a calf.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제38권3호
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• pp.171-176
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• 2012

Congenital syngnathia refers to the fusion of bony tissues, a rare disorder with only 41 cases reported in the international literature from 1936 to 2009. The occurrence of syngnathia without any other associated systemic disease or congenital anomaly is extremely rare. This report presents a case of congenital syngnathia with unilateral maxillomandibular bony adhesion without any other oral or maxillofacial anomaly. No recommended protocol for surgery exists due to the rarity of the disorder. There is a very low survival rate for the few patients who have forgone surgical management. This case describes a 74-year-old female patient who was suffering from limitation of mouth opening and was subsequently diagnosed with congenital syngnathia. The surgical staff performed separation surgery and reconstructed the malformed oral vestibule and cheek using the radial forearm free flap operation.

• 대한정형외과스포츠의학회:학술대회논문집
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• 대한정형외과스포츠의학회 2003년도 제13차 학술대회
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• pp.6-6
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• 2003

• 대한소아치과학회지
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• 제30권2호
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• pp.210-216
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• 2003

이중치는 쌍생치와 융합을 포함한다. 선천적인 결손치는 치아가 하나이상 없는 상태를 의미한다. 이 연구의 목적은 익산시 유치원 어린이에서의 이중치와 선천적 결손치의 유병율을 조사하는 것이다. 조사 인원은 569명의 남아와 462명의 여아로 1,031명의 어린이를 대상으로 하였으며 연령은 17개월에서 84개월의 연령이내였다. 이중치는 다양한 진단학적 치료적 문제를 가진다. 쌍생치는 하나의 치배가 두개의 치관을 형성하는 것으로 정의되며 임상적으로 동일한 두 개의 치관이 나뉘어져 거울상(mirror image)으로 보이게 된다. 융합치는 두 개의 치배가 합쳐져서 형성된 것으로 물리적인 힘이나 압력이 두 개의 정상적으로 분리된 치배를 접촉시켜 발생하는 것으로 알려져 있다. 융합은 두개의 정상치아 사이에서 나타나거나 혹은 정상치아와 과잉치 사이에서 나타나는데 후자의 경우 쌍생치와 구별하기 힘들다. 1,031명중 23명(11명의 남아, 12명의 여아)이 이중치를 보이고 17명(8명 남아, 9명 여아)은 선천적 결손치를 보였다. 이중치의 유병율은 2.2%였다. 선천적 결손치의 유병율은 1.6%였다. 피검자중 1명은 이중치와 결손치를 가지고 있었다. 유치열기의 이중치와 선천적 결손치에서 모두 남녀간에 통계학적으로 유의한 차이가 없었다(p>0.05).

• Journal of Plant Biology
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• 제38권3호
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• pp.297-303
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• 1995

Four species of Symphyocladia growing along the coast of Korea were investigated in taxonomic point of view. Characters available for identification of the species were; difference in gross morphology, degree of cortication in vegetative axis, presence or absence of vegetative trichoblasts, and developmental pattern of stichidia. Vegetative structure and reproductive organs in developmental anatomy were similar among species. Branching pattern and occurrence of vegetative trichoblasts adopted for systematic criteria between Pterosiphonieae and Polysiphonieae, and between Symphyocladia and Pterosiphonia were no more confidential. The degree of congenital fusion of laterals with the parent axes was considered as only main character to distinguish Symphyocladia from Pterosiphonia.

• Journal of Dental Anesthesia and Pain Medicine
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• 제19권5호
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• pp.307-312
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• 2019

Klippel-Feil syndrome is characterized by congenital fusion of two or more cervical vertebrae, a low hair line at the back of the head, restricted neck mobility, and other congenital anomalies. We report a 16-year-old young man with Klippel-Feil syndrome, Sprengel deformity of the right scapula, thoracic kyphoscoliosis, and mandibular prognathism with an anterior open bite. He was treated with orthodontic treatment and maxillofacial surgery. An anticipated difficult airway due to a short neck with restricted neck movements and extrinsic restrictive lung disease due to severe thoracic kyphoscoliosis increased his anesthesia risk. Due to his deviated nasal septum and contralateral inferior turbinate hypertrophy, we chose awake fiber optic orotracheal intubation followed by submental intubation. Considering the cervical vertebral fusion, he was carefully positioned during surgery to avoid potential spinal injury. He recovered well and his postoperative course was uneventful.

• Archives of Plastic Surgery
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• 제38권1호
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• pp.73-76
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• 2011

Purpose: Congenital midline upper lip sinus is a rare lesion. There are two postulates that can account for the formation of the upper lip sinus based on two major theories of the development of the face: the fusion theory and the merging theory. However, congenital midline lower lip sinus is very rarely reported and described. We report a case of a congenital midline sinus of the lower lip in a 6-year-old female. Methods: A 6-year-old girl presented with a nipple like swelling on the midline lower lip. Physical examination revealed about $5{\times}5$ mm protruding round mass with a just small opening that was non-tender to palpation. The mass was not associated with any skin changes. It umbilicated at the apex and contains a fistulous tract, discharging clear fluid. Only, simple radiologic finding shows bony spur on the lower one third of mandibular symphsis. Results: A small transverse ellipse is made around the opening and elevated mass with sharpe dissection. The tract is excised using the probe and dye as the guide. The tract was extended to periosteum of the lower one third of the mandible. The tract and involved periosteum were excised en bloc, and removed protrusion of the mandibular bone using diamond burr. Microscopic examination of the resected sinus revealed the fistulous tract itself, consisting of fibrous connective tissue covered with cornified stratified squamous epithelium, was observed in the center of the sample. In 6 months follow-up, This patient had a good result was obtained by the method of fistulectomy alone. Conclusion: Midline cranoifacial fistulas represent rare lesions resulting from abnormal fusion of embryologic structures. Our case report describes the excision of a congenital midline sinus of the lower lip in a 6-year-old female. This case represents the first report of a lower lip sinus presenting in a girl as a mass in the skin of the chin with extension to the midline of the mandible. However, the etiology of this rare congenital sinus remains obscure.

• Journal of Korean Neurosurgical Society
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• 제46권6호
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• pp.522-527
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• 2009

Objective : Atlantal arch defects are rare. Few cadaveric and imaging studies have been reported on the variations of such anomalies. Our goal in this study was to examine the incidence and review the clinical implications of this anomaly. Methods : A retrospective review of 1,153 neck or cervical spine computed tomography (CT) scans was performed to identify patients with atlantal arch defects. Neck CT scans were performed in 650 patients and cervical spine CT scans were performed in 503 patients. Posterior arch defects of the atlas were grouped in accordance with the classification of Currarino et al. In patients exhibiting this anomaly, special attention was given to defining associated anomalies and neurological findings. Results : Atlantal arch defects were found in 11 (11/1153, 0.95%) of the 1,153 patients. The type A posterior arch defect was found in nine patients and the type B posterior arch defect was found in two patients. No type C, D, or E defects were observed. One patient with a type A posterior arch defect had an anterior atlantal-arch midline cleft (1/1153, 0.087%). Associated cervical spine anomalies observed included one $C_{6-7}$ fusion and two atlantal assimilations. None of the reviewed patients had neurological deficits because of atlantal arch anomalies. Conclusion : Most congenital anomalies of the atlantal arch are found incidentally during investigation of neck mass, neck pain, radiculopathy, and after trauma.