• Title/Summary/Keyword: Craniofacial

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A National Survey for Korean Orthodontic Residents about a Present Condition in Management and Training Program for Cleft and Craniofacial Patients (구순구개열 및 두개안면기형 환자의 진료 및 교육현황에 관하여 치과교정과 전공의를 대상으로 한 기초설문 조사 결과)

  • Seo, Yu-Jin;Cho, Il-Sik;Baek, Seung-Hak
    • Korean Journal of Cleft Lip And Palate
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    • v.15 no.1
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    • pp.11-20
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    • 2012
  • A national wide survey was conducted to assess a present condition in management of cleft and craniofacial anomaly patients and training program of orthodontic residents in Korea. A questionnaire consisting of four categories and 19 question items was distributed to 131 residents of department of orthodontics of eleven dental university hospitals and nine medical university hospitals. The results were as follows:(1) 77.1% of residents are participating in treatment of cleft and craniofacial anomaly patients.(2) Only 47.3% of residents are willing to treat cleft and craniofacial anomaly patients in their future practice.(3) 64.9% of residents responded that they are currently treating one to ten cleft and craniofacial anomaly patients per resident.(4) Most university hospitals offer training programs focusing on embryopathogenesis, growth, and treatment, but training programs about speech and hearing, genetics, and psychosocial development are inadequate.(5) 37.4% of residents are willing to participate in fellowship program for cleft and craniofacial anomaly after finishing the training. Based on the results of this survey, the residents need motivation regarding treatment of cleft and craniofacial anomaly patients, and the educational programs need to be reinforced and reconstructed so that standardization among hospitals can be achieved.

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Analysis of Characteristics of Craniofacial Hyperhidrosis and Palmar/Plantar Hyperhidrosis by Nasal Endoscopy and Body Composition Test (두한증 및 수족다한증 환자의 비내시경, 체성분 검사를 통한 특성비교분석)

  • Park, Eui-keun;Baek, Hyun-jung;Kim, Kwan-il;Lee, Beom-joon;Jung, Sung-ki;Jung, Hee-jae
    • The Journal of Internal Korean Medicine
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    • v.36 no.3
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    • pp.323-334
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    • 2015
  • Objectives This study was designed to analyze the characteristics of craniofacial hyperhidrosis and palmar/plantar hyperhidrosis by nasal endoscopy and body composition test. Methods The study sample consisted of 20 and 22 patients with craniofacial hyperhidrosis and palmar/plantar hyperhidrosis, respectively, who answered questionnaires and underwent nasal endoscopy and body composition test. The questionnaires estimated the quality of life by Dermatology Life Quality Index score (DLQI), and the degree of obesity was evaluated using body mass index (BMI), percent body fat (PBF), and waist-hip ratio (WHR). The state of nasal cavity was evaluated by color, humidity, and swelling of the mucous membranes, and runny nose. Results BMI, PBF, and WHR were higher in patients with craniofacial hyperhidrosis than in patients with palmar/plantar hyperhidrosis. Rhinitis score was not significantly different between craniofacial hyperhidrosis and palmar/plantar hyperhidrosis. There was a positive correlation between rhinitis score and DLQI. Conclusions The degree of obesity was higher in patients with craniofacial hyperhidrosis than in those with palmar/plantar hyperhidrosis. The state of nasal cavity was not significantly different between craniofacial hyperhidrosis and palmar/plantar hyperhidrosis, but was associated with quality of life of hyperhidrosis patients.

Various craniofacial clefts (다양한 두개안면 파열)

  • Baek Seung-Hak;Lee Jin-Kyung;Kim Na-Young;Kim Tae-Kyung
    • Korean Journal of Cleft Lip And Palate
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    • v.6 no.2
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    • pp.117-130
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    • 2003
  • The prevalence of craniofacial cleft is reported to be 10-34 / 100,000 live birth of human. This case report describes the characteristics of the Tessier classification number 0, 5, 7, and 14 craniofacial cleft patients. Given the rarity and unique nature of the clinical expression of each of the craniofacial clefts, the treatment plans can not be standardized but must be based on the individual assessment of each case.

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Treatment of multiple craniofacial osteomas by endoscopic approach

  • Yoo, Hyokyung;Doh, Gyeonghyeon;Kim, Baek Kyu
    • Archives of Craniofacial Surgery
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    • v.21 no.4
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    • pp.261-263
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    • 2020
  • Osteomas are benign osteogenic neoplasms that usually occur as solitary craniofacial lesions. Multiple osteomas are rare, particularly those that do not occur as part of an associated syndrome. We report a case of a 72-year-old woman who presented with multiple bony protrusions over the forehead and scalp. She denied any diagnosis of syndromes that are known to be associated with osteomas. Surgical excision was performed by endoscopically resecting more than 30 osteomas of the frontal and bilateral parietal bones. Compared with conventional surgical excision through a direct incision, endoscopic-assisted surgery is a simple and effective method for the treatment of multiple craniofacial osteomas and is associated with excellent cosmetic outcomes and no neurovascular complications.

Clinical Application of Three-Dimensional Printing Technology in Craniofacial Plastic Surgery

  • Choi, Jong Woo;Kim, Namkug
    • Archives of Plastic Surgery
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    • v.42 no.3
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    • pp.267-277
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    • 2015
  • Three-dimensional (3D) printing has been particularly widely adopted in medical fields. Application of the 3D printing technique has even been extended to bio-cell printing for 3D tissue/organ development, the creation of scaffolds for tissue engineering, and actual clinical application for various medical parts. Of various medical fields, craniofacial plastic surgery is one of areas that pioneered the use of the 3D printing concept. Rapid prototype technology was introduced in the 1990s to medicine via computer-aided design, computer-aided manufacturing. To investigate the current status of 3D printing technology and its clinical application, a systematic review of the literature was conducted. In addition, the benefits and possibilities of the clinical application of 3D printing in craniofacial surgery are reviewed, based on personal experiences with more than 500 craniofacial cases conducted using 3D printing tactile prototype models.

A LONGITUDINAL ROENTGENO-CEPHALOMETRIC STUDY ON THE CRANIOFACIAL DEPTH AND HEIGHT BY COBEN'S METHOD (Coben법에 의한 한국 아동의 두개안면골의 성장 변화에 관한 누년적 연구)

  • Ahn, Hyo-il;Ryu, Young-Kyu
    • The korean journal of orthodontics
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    • v.15 no.1
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    • pp.23-42
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    • 1985
  • The morphology and growth changes of the Craniofacial Complex are important in orthodontics and cephalometrics for analysis and evaluation of facial bone growth are widely used. The author analyzed the data using lateral cephalometric roentgenogram of 75 Korean male and 50 Korean females age of 6 to 10 with normal occlusion to provide informations-relative rates of facial bone growth of Korean which is to be contributed in Korean standard. The results were as follows: 1. Means, standard deviation and coefficient of variation of Korean children were obtained. 2. The item which showed significent difference between male and female was craniofacial height in absolute dimension. 9. No difference of sex was showed in increment of craniofacial height and depth. 4. Among the craniofacial depth increments, the lower facial depth dimension increased most, midfacial depth dimension increased less, and cranial depth dimension increased the least. 5. The horizontal body of mandible showed rapid growing tendency more than did the ascending ramus.

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Potential role of artificial intelligence in craniofacial surgery

  • Ryu, Jeong Yeop;Chung, Ho Yun;Choi, Kang Young
    • Archives of Craniofacial Surgery
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    • v.22 no.5
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    • pp.223-231
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    • 2021
  • The field of artificial intelligence (AI) is rapidly advancing, and AI models are increasingly applied in the medical field, especially in medical imaging, pathology, natural language processing, and biosignal analysis. On the basis of these advances, telemedicine, which allows people to receive medical services outside of hospitals or clinics, is also developing in many countries. The mechanisms of deep learning used in medical AI include convolutional neural networks, residual neural networks, and generative adversarial networks. Herein, we investigate the possibility of using these AI methods in the field of craniofacial surgery, with potential applications including craniofacial trauma, congenital anomalies, and cosmetic surgery.

Current concepts of craniofacial fibrous dysplasia: pathophysiology and treatment

  • Dong Yeon Kim
    • Archives of Craniofacial Surgery
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    • v.24 no.2
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    • pp.41-51
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    • 2023
  • Fibrous dysplasia is an uncommon genetic disorder in which bone is replaced by immature bone and fibrous tissue, manifesting as slow-growing lesions. Sporadic post-zygotic activating mutations in GNAS gene result in dysregulated GαS-protein signaling and elevation of cyclic adenosine monophosphate in affected tissues. This condition has a broad clinical spectrum, ranging from insignificant solitary lesions to severe disease. The craniofacial area is the most common site of fibrous dysplasia, and nine out of 10 patients with fibrous dysplasia affecting the craniofacial bones present before the age of 5. Surgery is the mainstay of treatment, but the technique varies according to the location and severity of the lesion and associated symptoms. The timing and indications of surgery should be carefully chosen with multidisciplinary consultations and a patient-specific approach.

A STUDY ON CRANIOFACIAL GROWTH ANALYSIS OF KOREAN CHILDREN BY THE FINITE ELEMENT METHOD (한국아동의 악안면성장에 관한 유한요소법적 연구)

  • Tahk, Seon-Gun
    • The korean journal of orthodontics
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    • v.18 no.2
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    • pp.343-366
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    • 1988
  • Craniofacial complex is influenced by numerical skeletal elements. Though the analysis of growth change has been done by various analytical methods, it was dependent on any method of registration and superimposition, based on reference plane and reference point. However, the craniofacial growth is composed of a number of local growth elements. Therefore, it will be necessary to use a clinically useful method for estimating craniofacial skeletal growth independently. The author analysed longitudinal cephalometric roentgenogram of 15 Korean males and 15 Korean females aged from 6 to 12 years by the finite element method and results were as follows : 1. The finite element method for craniofacial skeletal complex and soft tissue made it possible to analyze the independent local growth. 2. Regression equations from the value of each strain will make it possible to predict the craniofacial growth. 3. The growth of anterior cranial base was different from that of other facial bone. 4. The growth of posterior cranial base influenced the growth of upper pharyngeal region, midfacial region, maxilla and posterior region of mandible. 5. The growth of maxillary complex was vertical rather than horizontal. 6. The growth direction of ramus, mandibular body, alveolar bone was various. 7. The relation between hard tissue and soft tissue by finite element method was variant.

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