• 제목/요약/키워드: Facial Index

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Spindle cell myoepithelioma of the parotid gland

  • Oh, Suk Joon;Moon, Dukju
    • 대한두개안면성형외과학회지
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    • 제20권5호
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    • pp.336-340
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    • 2019
  • Myoepithelioma was recognized as a histological distinct entity by the World Health Organization (WHO) in 1991. Myoepithelial cells are believed to be of ectodermal origin. In salivary glands, the myoepithelial cells that surround the intercalated ducts are spindled, which is in contrast to the large stellate ones that envelop the acini. Myoepithelioma is a benign salivary gland tumor that consists entirely of myoepithelial cells. A 53-year-old man presented with a 1-year history of a painless mass originating from the right parotid gland. The mass grew rapidly reaching a size of approximately 6 cm. The patient had no facial paralysis. The authors performed right parotidectomy. Immunohistochemistry study of this tumor showed that it was positive for vimentin, positive for S-100, focally positive for pancytokeratin, and focally positive for p63 and that it had a Ki-67 labeling index (below 10%). Additionally, the tumor was negative for epithelial membrane antigen, negative for actin, negative for desmin, negative for CD34 and negative for anaplastic lymphoma kinase. The authors present a case of benign spindle cell myoepithelioma of the parotid gland in a 53-year-old man diagnosed after immunohistochemistry study, describing its importance, along with a brief review of the literature.

구강내 외과적 창상 치유에서 0.2% hyaluronic acid gel의 유효성에 대한 이중 맹검 연구 (APPLICATION OF 0.2% HYALURONIC ACID GEL IN ORAL SURGICAL WOUND : A RANDOMIZED DOUBLE-BLIND STUDY)

  • 김재윤;이진용;배광학;이종호
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제34권2호
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    • pp.157-165
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    • 2008
  • The aim of this study was to evaluate the efficacy of a topical 0.2% hyaluronic acid (HA) preparation in the management of wound after removal of arch bar for facial bone fracture and a suture site after orthognatic, oral cancer or oral surgery. Forty patients participated in a randomized, placebo controlled, double-blind trial to evaluate the efficacy of the topical HA and preparation. HA topically applied to the wound after removal of arch bar or stitch out, 3 times a day for 4 weeks. Evaluation is performed once a week for 4 weeks. For subjective evaluation, relative pain reduction in visual analog scale (VAS) and existence of heat sensation was accessed. For objective evaluation, gross evaluation, papilla index, existence of wound dehiscence, redness and swelling was checked. The same evaluation was performed in each arch bar group and suture group. For whole subject, 0.2% HA group resulted higher reduction than placebo group in pain of site in first week with significancy. Same findings were seen other weeks but there was no significancy. 0.2% HA group had better result than placebo in objective evaluation (papilla index, wound dehiscence, redness and swelling), but in gross evaluation placebo had better result than 0.2% HA group with no significancy. Subject was divided into suture group and arch bar group. Same aspect was seen, but only suture group had significancy not arch bar group in pain reduction score. 0.2% HA group resulted higher reduction than placebo group in pain of site in first week with significancy, especially in suture group. It reveals topical application of HA in wound especially suture site reduced pain in early stage. And 0.2% HA group had better result than placebo in papilla index, redness and swelling with no statistical significancy. In conclusion, HA has effect of pain reduction and healing promotion in the mucosal wound after oral surgery.

교합력, 교근과 두개안면골 형태의 관계 : 두부규격방사선사진과 초음파진단영상 분석 (A STUDY OF RELATIONSHIP BETWEEN BITE FORCE, MASSETER MUSCLE AND CRANIOFACIAL MORPHOLOGY : CEPHALOMETRIC & ULTRASONOGRAPHIC ANALYSIS)

  • 이미숙;최영철;최성철;김광철
    • 대한소아치과학회지
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    • 제35권3호
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    • pp.399-417
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    • 2008
  • 교합력과 교근의 두께 및 면적 그리고 두개안면골 형태간의 연관성을 평가하고자 하였다. 성인 141명의 교합력 측정, 측방 및 후전방 두부규격방사선사진 그리고 교근 표층의 초음파진단영상을 촬영한 후, 이들 간의 관계를 통계분석으로 비교, 평가하였다. 교합력과 두개안면골의 형태간에는 남녀 모두 유의한 상관관계가 있으며, 교합력과 교근 간에는 남녀 모두 유의한 상관관계가 없었다. 그러나 교근은 남자의 두개안면골 형태에서 유의한 상관관계를 보였고, 특히 교근의 두께 및 면적이 증가할수록 상악너비가 유의하게 감소하게 나타났다. 이는 남자의 교합력은 심층 교근과 관계가 크고, 여자의 교합력은 표층 교근과 관계가 큰 것이 원인으로 판단된다.

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음주.흡연습관이 피부건강 화장습관에 미치는 영향 (Effect of Drinking and Smoking on Skin Health and Make-up)

  • 이선희;최가;나영순
    • 한국생활과학회지
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    • 제13권2호
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    • pp.263-269
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    • 2004
  • This study was conducted with the aim of providing the basic data for an informative and educational program designed to give a guideline how to keep and care the skin healthy and proper. Female freshmen, enrolled in colleges in Jeonbuk provincial area, were surveyed about their status of health and way of skin care and make-up. The results of research were summarized as follows: First, 268 students(65.4%) were 19 years old or younger. Among the respondents, 219 persons(54.4%) lived in small or medium cities and 271(66.1%) showed less than 20 of body mass index($kg/m^{2}$). Second, there were statistically significant correlations between dwelling place, drinking habit(p<0.05), and subjective health status(p<0.05) with health, skin care and make-up habit. Third, drinking, subjective health status appeared to be significant variables affecting facial skin(p<0.05) and health status(p<0.01), respectively. Forth, smoking and regular meal seemed to affect the length of make-up(p<.05) and smoking esd strongly connected with the extent of make-up. The way of thinking about cosmetics were affected by the habits of drinking(p<0.05) and smoking(p<0.01), respectively. Drinking habit was the significant variable of health affecting on the belief in the effect of cosmetics. Fifth, skin health was negatively correlated with drinking and smoking habits and positively with subjective health status, BMI($kg/m^{2}$) and frequency of make-up. Sixth, healthier state of facial skin appeared to be happened with statistical significance(p<0.01) in rural areas than in urban areas and with a person of higher than 20 of BMI($kg/m^{2}$) than of less than 20 from the regression analysis. It has been estimated that there were meaningful correlations between the status of health and make-up among female freshmen. Accordingly, the concept of health reinforcement can be adopted to skin care and skin maintenance, so various and comprehensive approaching methods were required to improve and reinforce the skin management and cosmetic culture.

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시상분할골절단술(矢狀分割骨切斷術)에 의(依)한 악교정술(顎矯正術)의 통계학적(統計學的) 연구(硏究) (A STATISTIC STUDY ON THE ORTHOGNATHIC SURGERY VIA SAGITTAL SPLIT RAMAL OSTEOTOMY)

  • 이현상;진우정;이준례;신효근;김오환
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제19권2호
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    • pp.117-129
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    • 1997
  • Recently, combined with social complexity, increment of medical demand and supply and the change of esthetic category, admission and operation of the patients of facial deformity have been changed with annual change. This study was conducted in the concept of helping the overall character of orthognathic surgery in future understood and being an important index in the establishment of better treatment course, through the patient, on whom was operated orthognathic surgery via sagittal split ramal osteotomy in our Dept. of Oral & Maxillofacial Surgery, Chonbuk National University Hospital from 1991. 1. 1 to 1995. 12. 31. The results were obtained as follows. 1. The ratio of male to female was 1 : 1.33 and the ages between 16 and 25 year was 73.6%, and the mean age was 20.4 years. 2. The ratio of setback amount between 6 to 15mm was 84.6% and the advancement amount between 1 to 10mm was 89% and the mean amount of movement was 9.0mm in setback, and 3.6mm in advancement. 3. After removal of maxillomandibular fixation(MMF), the distinction of sex was not statistically significant in ROM. 4. The ROM following methods of fixation was statistically significant in 3rd(P<0.05), 8th, and 12th week(each P<0.01), with faster rehabilitation in rigid fixation which had shorter MMF period. 5. The rehabilitation of ROM following the operation methods was statistically significant in 1st(P<0.05), 2nd, 3rd, 4th, 6th, 8th, and 12th week(each P<0.01) with faster rehabilitation in the case of SSRO than Lefort I / SSRO (Two jaw surgery). 6. The rehabilitation of ROM following directions of mandibular movement did not manifest a statistically significant difference in both setback and advancement.

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사상체질과 만성폐쇄성호흡기질환의 상관성 (Correlation of Sasang Constitution and Chronic Obstructive Pulmonary Disease)

  • 정운기;유준상;고상백;박종구
    • 사상체질의학회지
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    • 제22권3호
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    • pp.98-109
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    • 2010
  • 1. Objectives: This study is to investigate the association of Sasang Constitution and chronic obstructive pulmonary disease(COPD). 2. Methods: One thousand five hundred forty five persons, more than 40 years old, participated in the community based cohort in Wonju City and Pyeongchang City of South Korea from October 29th in 2007 to February 26th in 2008. The diagnosis of COPD was confirmed by spirometry and based on the diagnostic criteria developed by GOLD (Global Initiative for Chronic Obstructive Lung Disease) standard. Relating items like height, weight, BMI(Body Mass Index), martial status, income, drinking, smoking and education were checked using questionnaires and Sasang Constitution was diagnosed by a specialist using PSSC(Phonetic System for Sasang Constitution), facial photos and check-up lists. 3. Results: There were 88 persons(5.7%) who had mild COPD. Old age(more than 60's) and male were significant risk factors of COPD. But smoking, drinking and Sasang Constitution were not risk factors of COPD. But there were many Soeumin who had mild COPD in terms of Sasang Constitution irrespective of sex. 4. Conclusions: Low BMI(<23kg/m2) and low income also were significant risk factors. And Sasang Constitution might be the variable to manage COPD patients, but more researches are needed.

Dentofacial transverse development in Koreans according to skeletal maturation: A cross-sectional study

  • Hwang, Soonshin;Noh, Yoonjeong;Choi, Yoon Jeong;Chung, Chooryung;Lee, Hye Sun;Kim, Kyung-Ho
    • 대한치과교정학회지
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    • 제48권1호
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    • pp.39-47
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    • 2018
  • Objective: The aim of this study was to establish the normative data of dentofacial transverse dimensions according to the skeletal maturation stage in Korean adolescents with good occlusion, assess gender differences and determine correlations between transverse variables. Methods: A total of 577 Korean subjects between ages 7 to 19 years and exhibiting skeletal Class I occlusion were categorized by skeletal maturation index (SMI) of Fishman using hand-wrist radiographs. Dentofacial transverse dimensions were assessed using posteroanterior cephalograms. Independent two-sample t-tests were used to analyze differences between genders. Pearson correlation coefficient was used to determine the correlation between transverse measurements. Results: Dentofacial transverse norms relevant to skeletal maturation stages were established. The average maxillomandibular width difference and ratio at growth completion was 22.16 mm and 77.01% for males; 23.70 mm and 74.06% for females, respectively. Males had greater facial, maxillary and mandibular widths compared to females at every SMI stage. The maxillary and mandibular intermolar widths showed the strongest correlation for both sexes (r = 0.826 for males, r = 0.725 for females). Conclusions: Dentofacial transverse norms of Korean adolescents were established according to developmental stage. All dentofacial widths were greater in males at growth completion. Maxillary and mandibular intermolar widths were strongly correlated. This study may serve as a guideline for the assessment of dentofacial transverse growth according to skeletal maturation stage in Korean adolescents with good occlusion.

An epidemiological study on the prevalence of temporomandibular disorder and associated history and problems in Nepalese subjects

  • Rokaya, Dinesh;Suttagul, Kanokwan;Joshi, Shraddha;Bhattarai, Bishwa Prakash;Shah, Pravin Kumar;Dixit, Shantanu
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제18권1호
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    • pp.27-33
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    • 2018
  • Background: Temporomandibular disorder (TMD) represents a subgroup of painful orofacial disorders involving pain in the temporomandibular joint (TMJ) region, fatigue of the cranio-cervico-facial muscles (especially masticatory muscles), limitation of mandible movement, and the presence of a clicking sound in the TMJ. TMD is associated with multiple factors and systemic diseases. This study aimed to assess the prevalence of TMD in Nepalese subjects for the first time. Methods: A total of 500 medical and dental students (127 men and 373 women) participated in this study from May 2016 to September 2016. The Fonseca questionnaire was used as a tool to evaluate the prevalence of TMD, and Fonseca's Anamnestic Index (FAI) was used to classify the severity of TMD. Results: The majority of the participants with TMD had a history of head trauma, psychological stress, and dental treatment or dental problems. The prevalence of TMD in Nepalese students was mild to moderate. Conclusions: The prevalence of TMD in Nepalese subjects was mild to moderate. The majority of the study subjects had eyesight problems, history of head trauma, psychological stress, and drinking alcohol and had received dental treatments.

소아에서 결핵성 중이염 1례 (A Case of Tuberculous Otitis Media in Children)

  • 김은아;함세창;김영균;박용원;강윤경
    • Pediatric Infection and Vaccine
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    • 제9권1호
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    • pp.110-116
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    • 2002
  • 결핵성 중이염은 매우 드문 질환이나 최근 결핵의 유병률이 증가하는 추세이므로 장기간의 항생제 치료에도 반응하지 않는 만성 중이염의 경우 결핵성 중이염의 가능성을 염두에 두어 감별진단 하여야 한다. 이런 관심은 조기 진단과 이에 따른 적절한 치료를 하게 되어 고막 파열, 청력 소실 및 안면신경마비와 같은 중한 합병증을 줄일 수 있을 것이다.

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A Pilot Study to Evaluate the Efficacy and Safety of Treatment with Botulinum Toxin in Patients with Recalcitrant and Persistent Erythematotelangiectatic Rosacea

  • Park, Kui Young;Kwon, Hyun Jung;Kim, Jae Min;Jeong, Guk Jin;Kim, Beom Joon;Seo, Seong Jun;Kim, Myeong Nam
    • Annals of dermatology
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    • 제30권6호
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    • pp.688-693
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    • 2018
  • Background: There are few pharmacologic options to reduce erythema and flushing in patients with recalcitrant erythematotelangiectatic rosacea (ETR). We previously reported two cases of refractory flushing and erythema of rosacea that were successfully treated with intradermal botulinum toxin injection, and additional research is needed to prove the efficacy and safety of this treatment. Objective: To report the efficacy and safety of botulinum toxin injection as an aid in persistent erythema of rosacea patients. Methods: A total of 20 Korean patients with recalcitrant ETR were enrolled to receive treatment by injection of botulinum toxin. Patients received one treatment of intradermal botulinum toxin injection and were assessed 1, 2, 4, and 8 weeks after treatment. The severity of erythema and telangiectasia was investigated by a non-treating physician, and the Erythema Index (EI) was assessed by mexameter at each visit. Patient satisfaction and any adverse events were also assessed at each visit. Results: 17 patients completed all follow-up visits and were included in the analysis. Intradermal injection of botulinum toxin significantly reduced erythema severity and EI in ETR patients. Patients reported a satisfaction score of $2.94{\pm}0.56$ at 8 weeks after treatment. Except for three patients who discontinued the study early due to inconvenience of facial muscle paralysis, 17 patients participating in the final analysis did not report side effects except injection pain at the time of the procedure. Conclusion: Intradermal injection of botulinum toxin can be used as an effective and relatively safe adjuvant agent for recalcitrant and persistent erythema of ETR patients.