• 제목/요약/키워드: Eyelid

검색결과 300건 처리시간 0.022초

허약(虛弱)을 주소(主訴)로 내원한 환아(患兒)의 임상적 특징과 진단법(診斷法)에 관한 연구 -안색(顔色)과 설진(舌診)을 중심으로- (Clinical study for inspection of face color and tongue state on Weak Children)

  • 유선애;이승연
    • 대한한방소아과학회지
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    • 제16권2호
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    • pp.23-37
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    • 2002
  • We have plenty of study of adults diseases, but not much has been said about children. 79 children who had visited in the weak children of Dongeui Oriental Medical Hospital from March, 2002 to October, 2002, were the respondents of the Weak Child Questionnaire. The results obtained were as follows: 1. Their symptoms have been observed with sequences of respiratory diseases, Digestive diseases, Psycho-neurological diseases. 2. Distribution of sex and ages : male 38 cases, female 41 cases. $0{\sim}6$ years 60 cases, $7{\sim}12$ years 17 cases, $13{\sim}18$ years 2 cases. 3. The texture of complexion was resulted in face color and the region of the face : whitish-2/ cases. yellowish-27 cases, darkish-22 cases, blue-2 cases, flushed face-l case. Sangeun(山根)-blue : 59 cases, a lower eyelid- dark or light brown : 54 cases. the rests of color on face region didn't mean. 4. The texture of tongue was ended in tongue state : tongue form-not plump not haggard patten(57 cases), a pricky patten(12), a map patten(7), a fissured patten(3). tongue color- pink (57 cases), red(16), light white(6). coating color- thin white(61 cases), thin yellow(l0), lack(6), deep and white(2). tongue coating substance-thin(72 cases), moisten(5), dry(1), deep(1).

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Rapid Development of Brain Abscess Caused by Streptococcus Pyogenes Following Penetrating Skull Injury via the Ethomoidal Sinus and Lamina Cribrosa

  • Gulsen, Salih;Aydin, Gerilmez;Comert, Serhat;Altinors, Nur
    • Journal of Korean Neurosurgical Society
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    • 제48권1호
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    • pp.73-78
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    • 2010
  • Objective : Streptococcus pyogenes is a beta-hemolytic bacterium that belongs to Lancefield serogroup A, also known as group A streptococci (GAS). There have been five reported case in terms of PubMed-based search but no reported case of brain abscess caused by Streptococcus pyogenes as a result of penetrating skull injury. We present a patient who suffered from penetrating skull injury that resulted in a brain abscess caused by Streptococcus pyogenes. Methods : The patient was a 12-year-old boy who fell down from his bicycle while cycling and ran into a tree. A wooden stick penetrated his skin below the right lower eyelid and advanced to the cranium. He lost consciousness on the fifth day of the incident and his body temperature was measured as $40^{\circ}C$. While being admitted to our hospital, a cranial computed tomography revealed a frontal cystic mass with a perilesional hypodense zone of edema. There was no capsule formation around the lesion after intravenous contrast injection. Paranasal CT showed a bone defect located between the ethmoidal sinus and lamina cribrosa. Results : Bifrontal craniotomy was performed. The abscess located at the left frontal lobe was drained and the bone defect was repaired. Conclusion : Any penetrating lesion showing a connection between the lamina cribrosa and ethmoidal sinus may result in brain abscess caused by Streptococcus pyogenes. These patients should be treated urgently to repair the defect and drain the abscess with appropriate antibiotic therapy started due to the fulminant course of the brain abscess caused by this microorganism.

피하 조직에 발생한 나무 이물의 초음파 진단 (Ultrasonographic Diagnosis of Subcutaneous Wooden Foreign Body)

  • 최지혜;계서연;김성수;김혜진;장재영;최희연;윤정희
    • 한국임상수의학회지
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    • 제28권1호
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    • pp.163-172
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    • 2011
  • Subcutaneous foreign body causes recurrent problems such as chronic soft tissue swelling and discharge. Wooden foreign body is one of the most common foreign bodies found in subcutaneous region including face, interdigit, and thoracic or abdominal area. This report demonstrated three dogs with wooden foreign body located in subcutaneous region of thoracic wall, abdominal wall and upper eyelid, respectively. Three dogs showed prominent soft tissue swelling adjacent the foreign body. A sinus or drainage tract was developed in two of these dogs. Ultrasonography revealed that hyperechoic linear structure accompanied acoustic shadow in all dogs, and which was diagnosed as a subcutaneous foreign body. Anechoic or hyperechoic fluid and hypoechoic tissue circumscribed the foreign body. A subcutaneous foreign body in case 3 was removed by clamp under ultrasound-guide with sedation. Sinography was performed in case 1 and clarified that the wooden foreign body did not perforate the thoracic wall and there was no direct communication into thoracic cavity. Ultrasonography and sinography can be used to identify the subcutaneous foreign body and evaluate the inflammatory reaction and relationship between foreign body and adjacent structures.

한국재래산양 안구의 동맥분포에 관한 해부학적 연구 (Anatomical Studies on Arterial Supplies of Eyeball of the Korean Native Goat)

  • 이흥식;김대중
    • 대한수의학회지
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    • 제26권1호
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    • pp.11-17
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    • 1986
  • The arterial supply to the eyeball of the Korean native goat has been described. Observations were made by dissection of ten Korean native goats fixed in embalming fluid and injected with neoprene latex. The results were as follows. 1. The eyeball and accessory ocular organ of the Korean native goat received its blood supply chiefly from the A. ophthalmica externa and partly from the branches of A. temporalis superficialis and A. malaris. 2. A. ophthalmica externa formed Rete mirabile ophthalmicum after giving off Ramus muscularis and A. lacrimalis, and continued to A. supraorbitalis. 1) A. lacrimalis was given off between Mm. rectus lateralis and dorsalis, and supplied lacrimal gland. 2) Rete mirabile ophthalmicum gave off A. ciliares posteriores longae and Rami musculares. A. ciliates posteriores longae gave off A. ciliates posteriores medialis and lateralis, Ramus anastomoticus cum A. ophthalmica interna, A. centralis retinae, Aa. ciliares posteriores breves and Aa. episcaeralis. Rami musculares supplied to M. rectus dorsalis, M. obliquus dorsalis, M. retractor bulbi, M. levator palpebrae superioris and M. rectus medialis, and continued Aa. ciliares anteriores after giving off A. episclerales and A. conjunetivales. 3) A. supraorbitalis supplied to M. rectus dorsalis. M. obliquus dorsalis and conjuntiva, and passed into supraorbital foramen. 3. A. malaris gave off A. palpebrae tertiae, A. palpebralis inferior medialis and A. palpebralis superior medialis, which supplied to third eyelid, medial aspect of the eyelids and conjunctiva. 4. A. temporalis superficialis gave off A. palpebralis inferior lateralis and A. palpebralis superior lateralis, which supplied to lateral aspect of the eyelids, M. orbicularis oculi and M. frontoscutularis.

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Frankfort horizontal plane is an appropriate three-dimensinal reference in the evaluation of clinical and skeletal cant

  • Oh, Suseok;Ahn, Jaemyung;Nam, Ki-Uk;Paeng, Jun-Young;Hong, Jongrak
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제39권2호
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    • pp.71-76
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    • 2013
  • Objectives: In three-dimensional computed tomography (3D-CT), the cant is evaluated by measuring the distance between the reference plane (or line) and the tooth. The purpose of this study was to determine the horizontal skeletal reference plane that showed the greatest correlation with clinical evaluation. Materials and Methods: The subjects were 15 patients who closed their eyes during the CT image taking process. The menton points of all patients deviated by more than 3 mm. In the first evaluation, clinical cant was measured. The distance from the inner canthus to the ipsilateral canine tip and the distance from the eyelid to the ipsilateral first molar were obtained. The distance between the left and right sides was also measured. In the second evaluation, skeletal cant was measured. Six reference planes and one line were used for the evaluation of occlusal cant: 1) FH plane R: Or.R - Or.L - Po.R; 2) FH plane L: Or.R - Or.L - Po.L; 3) F. Ovale plane R: Rt.F.Ovale - Lt.F.Ovale - Or.R; 4) F. Ovale plane L: Rt.F.Ovale - Lt.F.Ovale - Or.L; 5) FZS plane R: Rt.FZS - Lt.FZS - Po.R; 6) FZS plane R: Rt.FZS - Lt.FZS - Po.L, and; 7) FZS line: Rt.FZS - Lt.FZS. Results: The clinical and skeletal cants were compared using linear regression analysis. The FH plane R, FH plane L, and FZS line showed the highest correlation (P<0.05). Conclusion: The FH plane R and FH plane L are the most appropriate horizontal reference plane in evaluation of occlusal cant on 3D-CT.

Transconjuctival Incision with Lateral Paracanthal Extension for Corrective Osteotomy of Malunioned Zygoma

  • Chung, Jae-Ho;You, Hi-Jin;Hwang, Na-Hyun;Kim, Deok-Woo;Yoon, Eul-Sik
    • 대한두개안면성형외과학회지
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    • 제17권3호
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    • pp.119-127
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    • 2016
  • Background: Conventional correction of malunioned zygoma requires complete regional exposure through a bicoronal flap combined with a lower eyelid incision and an upper buccal sulcus incision. However, there are many potential complications following bicoronal incisions, such as infection, hematoma, alopecia, scarring and nerve injury. We have adopted a zygomaticofrontal suture osteotomy technique using transconjunctival incision with lateral paracanthal extension. We performed a retrospective review of clinical cases underwent correction of malunioned zygoma with the approach to evaluate outcomes following this method. Methods: Between June 2009 and September 2015, corrective osteotomies were performed in 14 patients with malunioned zygoma by a single surgeon. All 14 patients received both upper gingivobuccal and transconjunctival incisions with lateral paracanthal extension. The mean interval from injury to operation was 16 months (range, 12 months to 4 years), and the mean follow-up was 1 year (range, 4 months to 3 years). Results: Our surgical approach technique allowed excellent access to the infraorbital rim, orbital floor, zygomaticofrontal suture and anterior surface of the maxilla. Of the 14 patients, only 1 patient suffered a complication-oral wound dehiscence. Among the 6 patients who received infraorbital nerve decompression, numbness was gradually relieved in 4 patients. Two patients continued to experience persistent numbness. Conclusion: Transconjunctival incision with lateral paracanthal extension combined with upper gingivobuccal sulcus incision offers excellent exposure of the zygoma-orbit complex, and could be a valid alternative to the bicoronal approach for osteotomy of malunioned zygoma.

Repairing Facial Soft Tissue Defects by Swelling Anesthesia after Tumor Resection with Narrow Pedicle Flaps

  • Huang, Chun-Hui;Qian, Han-Gen;Zhao, Xiao-Yu;Shen, Guo-Liang;Lin, Wei;Qi, Qiang
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권15호
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    • pp.6761-6763
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    • 2015
  • Aims: To investigate the role of swelling anesthesia in repairing facial soft tissue defects after tumor resection and temporal superficial artery frontal branch of narrow pedicle flap. Materials and Methods: From January 2008 to June 2008, 16 patients from Department of Ophthalmology with eye or eyelid tumors after eyeball removal of eye and part resection of surrounding soft tissue, undergoing postoperative swelling anesthesia with superficial temporal artery flap repair to prevent facial soft tissue defect formation and bone exposure, were recruited. Results: In all 16 patients facial soft tissue defect repair had good effects, with limited bleeding, and short operation times. Seven days after surgery, all flaps were in good repair. On postoperative follow-up after 3 months, flaps showed a similar appearance as with facial tissue. Conclusions: Swelling anesthesia for superficial temporoparietal artery frontal branch of narrow pedicle flap to repair soft tissue defect after facial tumor resection is feasible, and is linked with good analgesic effects, high postoperative survival of skin flaps, and good cosmetic effects.

안각동맥의 해부학적 고찰과 임상적 적용 (The Vascular System of the Angular Artery: Anatomical Study and Clinical Application)

  • 우종설;김다앎;오상하;김동운
    • Archives of Plastic Surgery
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    • 제35권6호
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    • pp.669-674
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    • 2008
  • Purpose: Although there are many ways to perform midface reconstruction, several difficulties exist for selecting the appropriate method, because of its anatomical and functional complexities, donor site morbidities, and poor aesthetic results. Various flaps based on the angular artery can overcome these limitations of the traditional reconstruction methods. The purpose of this study is to suggest an alternative reconstructive method for the midface using various flaps based on the angular artery. Methods: We investigated the relationship between the angular artery and its surrounding structures through cadaveric studies and then applied the findings clinically. As a result, we were able to perform reconstruction with a retroangular flap for defects of the lower half of the nose and the lower eyelid. In addition, defects of the upper half of the nose and the medial canthal area were reconstructed by using island composite glabellar flap. Results: The angular artery was reliable as a pedicle, whether it was used antegrade or retrograde. All the wounds were successfully closed, with the exception of minor complications such as partial skin necrosis and flap bulkiness. The aesthetic outcomes for the donor and recipient sites were satisfactory. Conclusion: The angular artery has diverse relationships with its surrounding structures according to its course of travel, and if a surgeon has a precise understanding of its anatomical location, we believe that retroangular flap and island composite glabellar flap may improve the treatment of midface defects.

국부잡음에 강인한 웨이블릿 기반의 홍채 인식 기법 (Robust iris recognition for local noise based on wavelet transforms)

  • 박종근;이철희
    • 대한전자공학회논문지SP
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    • 제42권2호
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    • pp.121-130
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    • 2005
  • 본 논문에서는 웨이블릿 변환을 이용하여 흥채의 특징을 추출하는 기법에 대해 제안한다. 웨이블릿 변환은 수행 속도가 빠르며 신호의 에너지를 저주파 대역으로 잘 모아주는 우수한 국소화 특징을 갖고 있으며, 특히 저주파 대역을 효율적인 특징 벡터로 사용한 수 있다. 한편 인식에 사용하고자 하는 흥채 영역에 눈꺼풀, 눈썹, 반사광, 안경의 흠집 등으로 인한 잡음이 포함될 수 있다. 이러한 잡음은 그 자체로도 홍채 패턴을 크게 변형시키며, 웨이블릿, 가보 등의 필터 기반 특징 추출 알고리즘은 잡음을 전체 영역으로 확산시킨다. 즉 잡음은 흥채 인식 시스템의 성능을 저하시킨다. 이를 막기 위해 본 논문에서는 홍채 템플릿을 여러 개의 영역으로 분할하여 각 영역에 대해 웨이블릿 변환을 수행함으로써 잡음의 영향을 제한된 영역에 국한시킨다. 실험에서 웨이블릿 방법이 기존의 Gabor 변환을 이용한 특징 추출 방법과 비교하여 특징 추출 속도는 더 빠르면서 대등한 성능을 보여주는 것을 확인할 수 있으며 영역 분할로 인해 성능 개선이 되었다.

Comparison of Rectal and Infrared Thermometry for Obtaining Body Temperature of Gnotobiotic Piglets in Conventional Portable Germ Free Facility

  • Chung, Tae-Ho;Jung, Woo-Sung;Nam, Eui-Hwa;Kim, Ji-Hyun;Park, Seol-Hee;Hwang, Cheol-Yong
    • Asian-Australasian Journal of Animal Sciences
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    • 제23권10호
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    • pp.1364-1368
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    • 2010
  • Gnotobiotic piglets (n = 10) were hand-reared in conventional germ-free facilities. Piglet body temperatures were measured with rectal and non-contact infrared thermometry (NIFT) on the lower eyelid, auricular center and margin, parietal regions, axilla, central abdomen and dorsum, and the perianal region. Body temperature measurements at central abdomen, cranial dorsum, and perianal regions had NIFT values which had a significant linear relationship (p<0.0001) with rectal thermometry. The predicted equations of between-subject formulas were calculated as follows: rectal temperature, 28.07489+0.30372${\times}$central abdominal surface temperature; rectal temperature, 34.02799+0.15197${\times}$central dorsum surface temperature; and rectal temperature, 33.87937+0.15676${\times}$perianal temperature. These results suggested that NIFT could serve as a valid alternative to rectal thermometry in a portable germ-free facility without disturbing experimental animals. The development of a NIFT body temperature evaluation that does not require animal restraint is clinically advantageous, particularly in gnotobiotic piglets, and would be significantly less stressful for experimental procedures in germ-free facilities.