• Title/Summary/Keyword: Cranial base

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A COMPARATIVE STUDY OF CRANIOFACIAL MORPHOLOGY OF CLEFT LIP CHILDREN WITH OR WITHOUT PALATE (순ㆍ구개열 환자와 정상 소아의 두개안면 형태에 관한 비교 연구)

  • Cho Su-Beum;Kim Young-Ju;Koh Kwang-Joon
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.25 no.2
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    • pp.459-470
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    • 1995
  • The purpose of this study was to determine whether any difference existed in craniofacial morphology between cleft children and normal subjects. Thirty three measurements of the various regions of cranium and face were obtained from lateral cephalometric radiograms in 40 cleft children(27 males, 13 females) and 40 normal subjects(23 males, 17 females) in our dental hospital from Jan. 1988 to Dec. 1995.The measurements were compared with those in control subjects who had no history of craniofacial abnormalities. The obtained results were as follows: 1. In the cranium, the cleft children had singificantly shorter posterior cranial base length(S-Ba) and total antero-posterior cranial base length(N-Ba) (P<0.05). 2. In the upper face, the cleft children had significantly shorter upper anterior facial height(N-ANS) and upper posterior facial height(Ptm'-SNL) (P<0.05). 3. In the lower face, the cleft children had significantly shorter antero-posterior mandibular length(Pog-Ar) and antero-posterior mandibular body length(Pog-Go) (P<0.05). 4. In the facial profile, the cleft children had significantly shorter total facial height(N-Me} and posterior facial height(S-Go) (P<0.05).

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Diagnosis of Persistent Right Aortic Arch with an Aberrant Left Subclavian Artery using CT in a Poodle Dog

  • Ryu, Chan-Young;Lee, Sang-Gwan;Lee, Kija
    • Journal of Veterinary Clinics
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    • v.35 no.1
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    • pp.26-29
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    • 2018
  • A 6-month-old, female poodle presented with a three-month history of persistent regurgitation immediately after eating. On physical examination, the patient was emaciated and dehydrated. Thoracic radiography showed ventral displacement of the trachea and increased radiopacity in the mediastinum, cranial to the heart base. A severely dilated esophagus was identified cranial to the heart on esophagram. Computed tomography (CT) revealed the esophagus was filled with gas, fluid and a little of contrast and dilated from caudo-cervical to cranio-thoracic part. The esophageal diameter was markedly decreased at the heart base. In addition, the trachea was displaced to the left-ventral side of the right aortic trunk and an aberrant left subclavian artery originating from the aorta was identified. There was no evidence of abdominal vascular anomaly. Based on diagnostic imaging, persistent right aortic arch (PRAA) with an aberrant left subclavian artery was diagnosed. The patient did not undergo surgery and died at 15 days after diagnosis. This report describes imaging diagnosis, including CT and radiography in a weaned dog with regurgitation due to esophageal obstruction by PRAA. When PRAA is suspected and conventional radiography or contrast study is insufficient for diagnosis, CT may be helpful for diagnosing PRAA.

Right-to-Left Displacement of an Airgun Lead Bullet after Transorbital Entry into the Skull Complicated by Posttraumatic Epilepsy : A Case Report

  • Chao-bin Wang;Hui Wang;Jun-shuang Zhao;Ze-jun Wu;Hao-dong Liu;Chao-jia Wang;An-rong Li;Dawei Wang;Juntao Hu
    • Journal of Korean Neurosurgical Society
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    • v.66 no.5
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    • pp.598-604
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    • 2023
  • Penetrating head injury is a serious open cranial injury. In civilians, it is often caused by non-missile, low velocity flying objects that penetrate the skull through a weak cranial structure, forming intracranial foreign bodies. The intracranial foreign body can be displaced due to its special quality, shape, and location. In this paper, we report a rare case of right-to-left displacement of an airgun lead bullet after transorbital entry into the skull complicated by posttraumatic epilepsy, as a reminder to colleagues that intracranial metal foreign bodies maybe displaced intraoperatively. In addition, we have found that the presence of intracranial metallic foreign bodies may be a factor for the posttraumatic epilepsy, and their timely removal appears to be beneficial for epilepsy control.

A LONGITUDINAL ROENTGENO-CEPHALOMETRIC STUDY ON THE CEPHALO-FACIO-DENTAL RELATIONSHIPS OF NORMAL KOREAN CHILDREN AGED FROM 6 TO 11 YEARS BY SASSOUNI'S ANALYSIS (Sassouni분석법에 의한 한국 아동의 두개, 안모, 치아의 상호관계 변화에 관한 누년적 연구)

  • Ryu, Young Kyu
    • The korean journal of orthodontics
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    • v.17 no.2
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    • pp.165-183
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    • 1987
  • The purpose of this study is to investigate the cephalo-facio-dental relationships in the craniofacial complex and their changes with age, and to use them for diagnostic and treatment purposes in the orthodontics The author studied on the changes of the cephalo-facio-dental relationships, using serial lateral cephalometric roentgenograms of 46 boys and 47 girls aged from 6 to 11 years of normal Korean children Following results were obtained 1 Means and Standard deviation of Korean children were obtained. 2 In the evaluation of the craniofacial vertical proportions, lower anterior face was larger than the upper, and upper posterior face was larger than the lower at all ages 3 The growth change was more prominent in the anterior craniofacial vertical proportion than in the posterior, and growth increment in the upper anterior facial height dimension was larger than m the lower anterior. 4 In the evaluation of the craniofacial horizontal proportion, ANS, Pog, Go and 6 were all situated posterior to their reference ares, and point B was always situated anterior to the arc passing by point A. 5. Anteroposterior growth change was the most prominent in the mandible, and there was no significant difference between the horizontal growth increment in the cranial base and that in the maxilla 6 Growth increment in the horizontal direction was larger in the mandibular apical base than in the maxillary apical base 7 The upper central incisor and the upper first molar were gradually anterior positioned against their reference ares with age increase 8 The length of mandibular corpus was larger than that of cranial base from the seven years old, and the difference was increased as the age increased 9 With age, there was slight difference in the angular relationships formed by craniofacial reference planes and axial inclinations of upper and lower permanent teeth.

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Huge Size Intracranial Plasmacytoma Treated with Surgery and Fractionated Stereotactic Radiotherapy

  • Choi, Woo-Jin;Yee, Gi-Taek;Choi, Chan-Young;Whang, Choong-Jin
    • Journal of Korean Neurosurgical Society
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    • v.40 no.2
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    • pp.110-113
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    • 2006
  • Surgery and radiotherapy are mainly used for plasma cell neoplasm which constitutes about $1{\sim}2%$ of human malignancy. The authors carried out Fractionated Stereotactic Radiotherapy[FSRT] on the residual tumor after the subtotal removal of Intracranial plasmacytoma. A huge mass lesion was observed on MRI [magnetic resonance image] in the left anterior and middle cranial fossa of a 63-year-old man with left exophthalmus which lasted for a month, and was suspected as a meningioma with strong contrast enhancement. Extramedullary plasmacytoma was diagnosed on histopathological examination. After the surgery, FSRT was also carried out on the residual tumor which invaded the skull base. One-year follow up after FSRT showed contrast enhancement only in the left sphenoid bone on MRI, which indicated significant decrease in the size of the tumor without any abnormal neurologic deficits. We treated intracranial plasmacytoma which invaded left anterior and middle cranial fossa and surrounded cavernous sinus without cranial nerve deficit through subtotal tumor removal and FSRT.

Medpor Craniotomy Gap Wedge Designed to Fill Small Bone Defects along Cranial Bone Flap

  • Goh, Duck-Ho;Kim, Gyoung-Ju;Park, Jae-Chan
    • Journal of Korean Neurosurgical Society
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    • v.46 no.3
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    • pp.195-198
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    • 2009
  • Objective : Medpor porous polyethylene was used to reconstruct small bone defects (gaps and burr holes) along a craniotomy bone flap. The feasibility and cosmetic results were evaluated. Methods : Medpor Craniotomy Gap Wedges, V and T, were designed. The V implant is a 10 cm-long wedge strip, the cross section of which is an isosceles triangle with a 4 mm-long base, making it suitable for gaps less than 4 mm after trimming. Meanwhile, the Medpor T wedge includes a 10 mm-wide thin plate on the top surface of the Medpor V Wedge, making it suitable for gaps wider than 4 mm and burr holes. Sixty-eight pterional craniotomies and 39 superciliary approaches were performed using the implants, and the operative results were evaluated with respect to the cosmetic results and pain or tenderness related to the cranial flap. Results : The small bone defects were eliminated with less than 10 minutes additional operative time. In a physical examination, there were no considerable cosmetic problems regarding to the cranial bone defects, such as a linear depression or dimple in the forehead, anterior temporal hollow, preauricular depression, and parietal burr hole defect. Plus, no patient suffered from any infectious complications. Conclusion : The Medpor Craniotomy Gap Wedge is technically easy to work with for reconstructing small bone defects, such as the bone gaps and burr holes created by a craniotomy, and produces excellent cosmetic results.

Semi-Longitudinal Study on Growth Development of Children Aged 6 to 16 (한국인 정상아동 6세~16세의 악안면 성장에 관한 준종단적 연구)

  • Jeong, Mi;Hwang, Chung-Ju
    • The korean journal of orthodontics
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    • v.29 no.1 s.72
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    • pp.51-72
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    • 1999
  • In orthodontic field, it is very important to understand the normal growth. Such an understanding can be derived from observation of normal growth in various samples from childhood to adulthood, and this builds a foundation from which growth abnormality or variation can be defined. Thus, a broad data collection of normal children, as well as basic study reviewing such data become necessary. The relationship between the mean values of cephalometric measurements in Growth and Development was studied among the groups(boys and girls) of Korean chidren from the ages 6-years to 16-years. 220 boys 170 girls were chosen as subjects : Cephalometric X-ray were taken for 3 years and hard tissue analysis on McNamara and Ricketts Analysis which was divided into measurements of 5 parts(Cranial base, Cranial base and Maxilla & Mandible, Maxilla and Mandible, Mandible, Dental measurements). The relationship of craniofacial growth was studied. The following conclusions were obtained: 1. There were statistically significant differences in anterior cranial base between the two sexes of 14 and 15-year grouips. 2. In comparison of growth amounts among different age groups, statistically singnificant difference in Posterior facial height exhisted among $10\~11,\;12\~13\;and\;14\~15$ year-old interval groups. This pattern increased with aging. 3. Na perpendicular to A showed earlier growth peak in females(11-12years) than males(12-13years). When horizontal measurements of point A and Pogonion are compared, mandibular growth appeared to be greater. 4. Maximum growth peak of cranial base and mandible was earlier in females (11-12years) than males(13-14 years). 5. Upper central incisor flared out with aging, and there were increases in lower incisor to A-Pg, and lower incisor inclination There was significant difference between the two sexes in 10-year-old group.

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A ROENTGENOCEPHALOMETRIC STUDY ON MANDIBULAR PROGNATHISM (하악(下顎) 전돌증(前突症)에 관(關)한 방사선(放射線) 두부계측학적(頭部計測學的) 연구(硏究))

  • Lee, Ki Soo
    • The korean journal of orthodontics
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    • v.9 no.1
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    • pp.85-98
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    • 1979
  • This investigation was designed to compare the craniofacial and dental morphology of class III malocclusion with that of normal occlusin in children, and to determine the incidence of various class III craniofacial skeletal patterns. The material selected for this study consisted in standard lateral cephalograms of eighty two Korean children, forty one boys and forty one girls, aged 10 through 12 years, having class III malocclusion, and forty two Korean children, twenty boys and twenty two girls, with normal occlusion in the same age. Using the tracings of the standard lateral cephalograms, various angular and linear measurements were recorded, tabulated and statistically analyzed, and then the class III craniofacial skeletal morphology was divided into various patterns by the degree of SNA and SNB, which respectively were below, within or beyond the normal range of those of normal occlusion. The following characteristics of the craniofacial and dental morphology of class III malocclusion were observed. 1. The cranial base length of class III malocclusion was smaller than that of normal occlusion, and the small saddle angle was a characteristic figure of class III malocclucion. 2. Maxillary length of class III malocclusion was smaller than that of normal occlusion, and point A was retropositioned relative to cranial base but not PNS in class III malocclusion. Maxillary base inclination was not significantly different between the two, but occlusal plane to palatal plane was small in class III malocciusion. 3. The mandibular body length shown no difference between the two, but the mandibular body positioned anteriorly relative to cranial base in class III malocclusion. Ramus height, gonial angle, and mandibular effective length were large in class III malocclusion. Mandibular plane angle and joint angle had no difference between the two, and occlusal plane to mandibular plane angle was large in class III malocclusion. 4. Maxillary incisor inclination was not significantly different between class III malocclusion and normal occlusion, but mandibular incisors positioned and inclined lingually and consequently interincisal angle was large in class III malocclusion. 5. Class III malocclusion was divided into six categories of craniofacial skeletal pattern. The most common class III pattern was found to be one in which the maxilla was within the normal range of prognathism while the mandible extended beyond this range. The pattern in which the maxilla was below the normal range of prognathism while the mandible was within this range was approximately one fifth of the class III sample.

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A ROENTGENOCEPHALOMETRIC STUDY ON THE CRANIONFACIAL DEPTH AND HEIGHT BY COBEN'S METHOD (Coben법에 의한 한국성인 정상교합자의 두부방사선 계측학적 연구)

  • Yoo, Nam Soon
    • The korean journal of orthodontics
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    • v.6 no.1
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    • pp.39-46
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    • 1976
  • This study was undertaken to establish the cephalometric standards, using lateral cephalometric roentgenograms of 48 male and 53 female Korean adults with normal occlusion and acceptable profile. By Cohen's method, measurement of depth was taken parallel to the FH plane and expressed as a percentage of the cranial base depth (BA-N). And vertical height was measured along the line perpendicular to the FH plane and expressed as a percentage of the anterior face height (N-M). The following conclusions were obtained: 1) Means and standard deviations of craniofacial proportions of Korean adults were tabulated. 2) Cranial babe depth of male was greater than that of female. 3) The proportionate depth of the middle face was greater in female than in male. 4) The proportionate total anterior face height was greater in male than in female. And it was greater in Korean than in the white.

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CROUZON'S DISEASE: A Case Report (Crouzon's disease 의 증례)

  • Son, Heung-Kyu;Kim, Soon-Joo;Choi, Byung-Jai;Lee, Myoung-Sook
    • Journal of the korean academy of Pediatric Dentistry
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    • v.11 no.1
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    • pp.249-254
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    • 1984
  • This is a case report of Crouzon's disease as a kind of craniofacial dysostosis by premature closure of unilateral coronal suture, showed plagiocephalic skull. 5-year-old boy was visited for the treatment of dental caries and oral examination. Physical examination showed hypertelorism, internal strabismus, and saddle nose. Intraoral radiographs showed congenital missing of upper right and left deciduous and permanent lateral incisors. Cephalometric analysis showed shortening the posterior cranial base length, clockwise growth pattern and class III and open bite tendency. Posterior-anterior and submentovertex view showed multiple radiolucencies-digital impression on inner surface of cranial vault. Maxillo-facial and neuro-surgical treatment was required to improvement of facial esthetics and optic complications. Continuous examination was needed to the growth and development.

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