• Title/Summary/Keyword: Deformities

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Obtaining Maximal Stability with a Septal Extension Technique in East Asian Rhinoplasty

  • Jeong, Jae Yong
    • Archives of Plastic Surgery
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    • v.41 no.1
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    • pp.19-28
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    • 2014
  • Recently, in Korea, the septal extension graft from the septum or rib has become a common method of correcting a small or short nose. The success rate of this method has led to the blind faith that it provides superior tip projection and definition, and to the failure to notice its weaknesses. Even if there is a sufficient amount of cartilage, improper separation or fixation might waste the cartilage, resulting in an inefficient operation. Appropriate resection and effective fixation are essential factors for economical rhinoplasty. The septal extension graft is a remarkable procedure since it can control the nasal tip bidirectionally and three dimensionally. Nevertheless, it has a serious drawback since resection is responsible for septal weakness. Safe resection and firm reconstruction of the framework should be carried out. Operating on the basis of the principle of "safe harvest" and rebuilding the structures is important. Further, it is important to learn several techniques to manage septal weakness, insufficient cartilage quantity, and failure of the rigid frame during the surgery.

A CASE OF PIERRE ROBIN SYNDROME (Pierre Robin 증후군의 일예)

  • Byeun, Ki-Jeong
    • The Journal of the Korean dental association
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    • v.15 no.8
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    • pp.607-610
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    • 1977
  • When micrognathia (Small jaw) and glossoptosis (Falling backward of the tongue) occur in the newborn, there is a grave danger of upper airway obstruction. These deformities are frequently associated with an incomplete cleft of the palate, and the entity has been referred to as the Pierre Robin Syndrome. This is to report a case of Pierre Robin Syndrome of 40 day old Korean male infant, whose birth weight was about 3.6kg, and gestation period was 39 weeks. From birth, dyspnea and feeding difficulty were developed. The authors treated the patient by surgical procedure (glossopexy). The post operative course was uneventful.

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CHANGES IN TEMPORO-MANDIBULAR DISORDERS FOLLOWING THE ORTHOGNATHIC SURGERIES (악교정 골성형술후 약관절 장애의 변화)

  • Kim, Myung-Rae;Sung, Man-Ho;Park, Chang-Whan
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.15 no.3
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    • pp.178-181
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    • 1993
  • Sixty four patients were followed-up for over 6 months following the orthognathic surgeries and were examined for the Temporo-mandibular joint dysfunction. The results are as follows: 1. Of 64 patients, 9(14.1%) had been suffered from TMD preoperatively : 4.7% in the prognathism and 46.2% in the laterognathism. 2. Following the orthognathic surgeries, 7 of 64 patients(10.9%) complained TMD, and 55.6% of the TMD patients resulted in significant improvement. 3. By the type of deformities, laterognathism with TMD could be expected to be improved in 30.8%, while 7.7% in the prognathism. 4. Non-rigid fixation resulted in higher incidence of TMD than the Rigid fixation after the SSRO ; 4 of 15(26.5%) and 2 of 25(8.0%) respectively.

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Salvage rapid maxillary expansion for the relapse of maxillary transverse expansion after Le Fort I with parasagittal osteotomy

  • Lee, Hyun-Woo;Kim, Su-Jung;Kwon, Yong-Dae
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.41 no.2
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    • pp.97-101
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    • 2015
  • Maxillary transverse deficiency is one of the most common deformities among occlusal discrepancies. Typical surgical methods are segmental Le Fort I osteotomy and surgically-assisted rapid maxillary expansion (SARME). This patient underwent a parasagittal split with a Le Fort I osteotomy to correct transverse maxillary deficiency. During follow-up, early transverse relapse occurred and rapid maxillary expansion (RME) application with removal of the fixative plate on the constricted side was able to regain the dimension again. RME application may be appropriate salvage therapy for such a case.

Correction of congenital cleft earlobe with front and back flaps

  • Karaci, Selman;Kose, Rustu
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.43 no.6
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    • pp.423-426
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    • 2017
  • Congenital auricular deformities may be either deformational or malformational. Malformational anomalies present with a skin or cartilage shortage. Two cases with congenital cleft earlobe were presented. A new surgical technique using a two-layered repair with front and back flaps were introduced. She waited to begin wearing earrings until six months after the surgery to prevent possible scar contracture. The patients were followed up for a period ranging from 3 to 14 months. The earlobe volume deficiency was replaced, and acceptable scar maturation was obtained.

Tibial Nerve Block for Cerebral Palsy Patients (뇌성마비 환자의 수술적응 판정을 위한 경골신경 차단)

  • Park, Chong-Min;Kim, Young-Cheol
    • The Korean Journal of Pain
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    • v.9 no.1
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    • pp.232-234
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    • 1996
  • For surgical Treatment of spastic deformities of the foot, selective peripheral neurotomies were introduced. These neurotomies utilize microsurgical techniques and intraoperative electrical stimulation for better identification of the function of the fascicles constituting the nerve. Selectivity is required to supress the excess of spasticity without excessive weakening of motor strength and without producing exaggerated amyotrophy. To achieve this goal, minimum one fourth of the motor fibers must be preserved. Neurotomies may be indicated when spasticity is localized to muscle or muscle groups supplied by a single or a few peripheral nerves that are easily accessible. To help the surgeon decide if neurotomy is appropriate, temporary local anesthetic block of the nerve with bupivacaine can be useful. Such a test can determine if articular limitations result from spasticity, musculotendinous contractures, or articular ankyloses because only spasticity is decreased by the test. In additon, these tests give the patient a chance to appreciate what to expect from the operation.

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Congenital Hallux Valgus - One Case Report - (선천성 무지 외반증)

  • Kang, Ho-Jung;Sohn, Joon-Seok
    • Journal of Korean Foot and Ankle Society
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    • v.1 no.2
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    • pp.126-131
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    • 1997
  • Hallux valgus is a hereditary deformity whose natural history is influenced by intrinsic and extrinsic factors. The deformity is infrequently noticed in newborns and infants because of its trivial nature that does not draw attention. Because in childhood and adolescence this deformity usually does not lead to functional disability, it is seldom treated actively. Opinions differ concerning the causal relationship of these deformities and appropriate treatment. It is clear, however, that the deviated great toe continues to deform, and leads to a chain of anatomical and functional changes. Thus, the advantages of the immediate treatment is obvious, especially in infancy, when the foot is supple. We are reporting one case of congenital hallux valgus with brief review of literature.

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Development and Performance Evaluation of Single screw Polymer Extruder System (단축스크류 고분자압출기 시스템의 개발 및 성능평가)

  • Kim, Jae-Yeol;Jung, Hyo-Hee;Choi, Jin-Ho
    • Tribology and Lubricants
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    • v.25 no.3
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    • pp.182-186
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    • 2009
  • Extruders can be basically divided into bisk and screw type of extruders. Though plastic extruders are often used for its simplicity for water and oil transportation pumps, these days screw extruders are mostly used. Screws are used in many extrusion processes to manufacture complex and complicated shaped parts made of plastics, medicine materials, food, polymer composites, iron and ceramic powders, etc. Also, material correction of deformities is caused by flow and physicochemical reaction phenomenonand material extrusion is processed according to heat transfer. various material comes to hopper because extruder has function by blender and mixing of materials can go well before come out through dice. These change process is so complicated that process condition is decided by trial and error that process condition is underground mainly at extrusion molding process.

CENTRAL TONGUE REDUCTION FOR MACROGLOSSIA Il-Hyuk Chung, Seung-Il (거대설 치료를 위한 혀 중앙부 절제술 : 증례보고)

  • Chung, Il-Hyuk;Song, Seung-Il;Kim, Eun-Seok
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.29 no.3
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    • pp.191-194
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    • 2003
  • Macroglossia can cause dentomusculoskeletal deformities, instability of orthodontic and orthognathic surgical treatment, and create masticatory, speech and airway management problems. To determine whether a reduction glossectomy is necessary, it will important to identify the signs and symptoms of macroglossia. Development of dentoskeletal changes directly related with tongue size, such as an anterior open bite or a Angle Class III malocclusion tendency, would indicate that reduction glossectomy may be beneficial. For reduction glossectomy, several techniques have been reported. However, in most techniques the tip of tongue is removed. So its excision causes the loss of most mobile and sensitive portion of the tongue, and creates ankylosed, globular tongue. To avoid such problems, central tongue reduction technique have been proposed. This article will introduce central tongue reduction for anterior openbite case associated with macroglossia.