• 제목/요약/키워드: Deformities

검색결과 520건 처리시간 0.028초

3차원 입체영상 CT의 구강외과 영역에서의 활용 (THREE-DIMENSIONAL COMPUTED TOMOGRAPHY FOR EVALUATION AND PLANNING OF ORAL AND MAXILLOFACIAL SURGERY ; REPORT OF CASES)

  • 김진;노홍섭
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제19권4호
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    • pp.343-350
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    • 1997
  • Diagnosis of maxillofacial lesions is very difficult. Recent developments in computed tomography enable the production of three dimnesional images of complex anatomical structures from a series of conventional computed tomographic sections. Methods of three-dimensional analysis of computed tomographic images have recently been described. Mostly, reports have concentrated on applications relative to congenital deformities. In this report, one method of three dimensional reformatting is reviwes. Images formed by this method have solid surface appearance and can be color enhanced and manipulated to isolate anatomic structures of interest. The program allows tissue densitis, volumes, and distances. This report emphasizes maxillofacial applications other than those previously reported in the surgical and radiological literature.

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Tracking-Pin과 Fluoroscopic G-arm 이미지를 이용한 경골근위부절골술 지원시스템 개발 (Development of Computer-Aided Surgery System for High Tibial Osteotomy Using Tracking-Pin and Fluoroscopic G-arm Images)

  • 구본열;김철웅;이순혁;배지훈;박철우;김재정
    • 한국CDE학회논문집
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    • 제16권5호
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    • pp.331-343
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    • 2011
  • High tibial osteotomy (HTO) is a widely accepted treatment for unicompartmental osteoarthritis of the knee and other lower extremity deformities, particularly for young and active patients. However, it is generally recognized as a technically demanding procedure. Thus the limitations of conventional surgical methods have been reported. Currently, the use of computer-aided surgery (CAS) system for successful surgery was increased. However it has been reported many problems such as expensive equipment, infection or fracture caused by inserting half-pin and delaying surgery. Therefore we propose a novel method which can be tracked by using tracking-pin inserted in arbitrary locations of the femur and tibia, and fluoroscopic images obtained from G-arm of antero-posterior and lateral-medial.

투명 장치의 열가소성 재료의 올바른 이해 (Physical properties of thermoplastic material for clear aligners)

  • 차정열
    • 대한치과의사협회지
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    • 제54권7호
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    • pp.542-550
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    • 2016
  • Recent technological advance have greatly expanded the application of invisible orthodontic treatment using clear thermoplastic materials. However, the final outcomes using clear aligner system do not achieve the level of final goal frequently, which results in case refinement, midcourse correction, or fixed orthodontic treatment. Therefore, mechanical properties of thermoplastic materials should be considered to improve the quality of outcomes. The purposes of this special article were to evaluate the force and stress depending on the materials, deflection and thickness of thermoplastic materials and to evaluate the mechanical properties of thermoplastic materials after repeated loading. Thickness and amount of deflection rather than products and materials showed the largest effect on force and stress. In all products, at least 159 gf of force was required for more than 1.0 mm deflection or when materials with 1.0 mm thickness were deflected. Orthodontic forces delivered by thermoplastic materials depend on the materials, thickness, amount of activation, and intra-oral condition. Proper thickness of thermoplastic materials and deflection level of tooth movement should be decided for the efficient and physiologic tooth movement.

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Contouring of zygomatic soft tissue using bilateral free groin flaps in a Treacher Collins syndrome patient

  • Heo, Jae-Woo;Jin, Ung Sik
    • 대한두개안면성형외과학회지
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    • 제19권2호
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    • pp.131-134
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    • 2018
  • Treacher Collins syndrome is a congenital disorder that is characterized with a wide range of cranio-facial deformities. Zygomatic hypoplasia or aplasia is one of the key features, and surgical reconstruction of the consequent depression on the zygomatic area is deemed necessary by many patients. Various surgical options are available-injectables, alloplastic materials, autologous grafting, and autogenous tissue transfer. It depends on each patient which technique to use. Here, we present a clinical case, in which bilateral free groin flaps were adopted in attempt to resolve the remnant aesthetic deformity associated with zygomatic depression, despite a series of previous surgical efforts, in a 25-year-old Treacher Collins syndrome male patient.

Application of 3D Simulation Surgery to Orthognathic Surgery of Hemimandibular Hypoplasia

  • Park, Jin Hoo;Jung, Young-Soo;Kwon, Sun-Mo;Lim, Jae-Seok;Jung, Hwi-Dong
    • Journal of International Society for Simulation Surgery
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    • 제3권2호
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    • pp.69-73
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    • 2016
  • Traditionally 2D cephalometric analysis has been used for diagnosis and treatment of maxillofacial deformities. However, 2D has some limitations in diagnosis and treatment planning especially facial asymmetry cases. The most weakness of 2D is overlapping and unpredictability. Today 3D treatment tools are used by many maxillofacial surgeons. 3D treatment tools can show ungarbled facial anatomy and do virtual surgery. The aim of this report is to present usefulness of using 3D analysis and virtual orthognathic surgery for severe facial asymmetry patients.

케이블과 도르래를 이용한 변위증폭형 감쇠시스템의 실험적 성능평가 (Experimental Performance Evaluation of Displacement Amplification Damping Systems Using Cables and Pulleys)

  • 오진탁;정인용;류재호
    • 한국지진공학회논문집
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    • 제24권3호
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    • pp.149-156
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    • 2020
  • The vibration control device such as the damper can be used to reinforce the seismic performance of structures. The damper is activated by the deformation of structures during earthquake; however, the deformation of structures is extremely small, causing difficulty in using the damper. Therefore, there is a need for a method capable of amplifying small deformities and transmitting them to the damper. The purpose of this paper is to develop and evaluate a displacement amplification seismic system using cable-pulley. The appropriate cable was selected through a cable tensile performance test and the results of the frame experiment were compared with theoretical displacement amplification ratio values. As a result, it may be said that the proposed system using cable-pulley is useful for displacement amplification.

Molecular genetics of congenital central hypoventilation syndrome and Haddad syndrome

  • Lee, Jae-Ho;Kim, Dae-Kwang
    • Journal of Genetic Medicine
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    • 제11권1호
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    • pp.11-15
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    • 2014
  • Congenital central hypoventilation syndrome (CCHS) is a disorder of the autonomic nervous system characterized by a decreased response to hypercarbia. CCHS is frequently associated with congenital megacolon; the combination is called Haddad syndrome. CCHS is associated with dysfunction in respiratory features of the autonomic nervous system and with other disorders, including facial deformities, cardiovascular symptoms, and tumors. Patients with CCHS frequently have a mutation in the homeobox protein 2b (PHOX2B) gene. Most mutations involve heterozygous expansion of alanine repeats (GCN). Interestingly, a higher polyalanine repeat number is associated with a more severe clinical phenotype. To clarify the role of PHOX2B in disease pathogenesis, we introduce and review the clinical and molecular features of CCHS and Haddad syndrome.

A Rare Case of Double Trisomy Mosaicism: 47,XXX/47,XX,+8

  • Lee, Jae Hee;Kim, Heung Sik;Ha, Jung Sook
    • Journal of Genetic Medicine
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    • 제10권2호
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    • pp.117-119
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    • 2013
  • Double trisomy mosaicism of two different cell lines is extremely rare, particularly those that involve constitutional trisomy 8. We report a case of 47,XXX/47,XX,+8 in a 12-year-old female presenting with several skeletal anomalies. She exhibited distinct phenotypic features such as tall stature, deviation of the left middle finger, webbing of both thumbs and flexion deformities of the both third and fifth distal intermediate phalanges. A mild impulse-control disorder was observed, without mental retardation. Chromosomal and fluorescence in situ hybridization analysis demonstrated double trisomy mosaicism both on lymphocytes and buccal epithelial cells.

A Novel Insertion in Exon 23 of the TCOF1 Gene in a Newborn Infant with Treacher Collins Syndrome

  • Yang, Ji Hyeon;Cha, Hyo Hyun;Yoon, Hye Sun
    • Journal of Genetic Medicine
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    • 제10권2호
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    • pp.109-112
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    • 2013
  • Treacher Collins syndrome (TCS) is the most common and well known mandibulofacial dysostosis with characteristic clinical features including downward slanting of palpebral fissures, coloboma of the lower eyelid, hypoplastic zygomatic arches, micrognathia, macrostomia, microtia, and other deformities of the ears. TCS is caused by mutations in at least 3 genes involved in pre-rRNA transcription: TCOF1, POLR1D and POLR1C. We experienced a 1-day-old female infant with characteristic clinical features of TCS. A novel, heterozygotic mutation within the TCOF1 gene (c.3874_3875insG, p.Ala1292Glyfs*30) was identified to cause a premature stop codon.

King-Moe Type V 형태의 척추측만증 유한 요소 모델에서 최적화 기법을 적용한 교정 방법 (Correction of King-Moe Type V Scoliosis with Optimization Method in a FE Model)

  • 김영은;손창규;박경열;정지호;최형연
    • 한국정밀공학회:학술대회논문집
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    • 한국정밀공학회 2003년도 춘계학술대회 논문집
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    • pp.701-704
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    • 2003
  • Scoliosis is a complex musculoskeletal dieses requiring 3-D treatment with surgical instrumentation. Conventional corrective surgery for scoliosis was done based on empirical knowledge without information of the optimum position and operative procedure. Frequently, post operative change of rib hump increase and shoulder level imbalance caused serious problems in the view of cosmetics. To investigate the effect of correction surgery, a reconstructed 3-D finite element model for King-Moe type V was developed. Vertebrae, clavicle and other bony element were represented using rigid bodies. Kinematic joints and nonlinear bar elements used to represent the intervertebral disc and ligaments according to reported experimental data. With this model, optimization technique was also applied in order to define the optimal magnitudes of correction. The optimization procedure corrected the scoliotic deformities by reducing the objective function by more than 94%. with an associated reduction of the scoliotic descriptors mainly on the frontal thoracic curve.

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