• Title/Summary/Keyword: Facial diagnosis

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Ossifying fibroma in the maxilla and orbital floor: report of an uncommon case

  • Macedo, Diogo de Vasconcelos;Ferreira, Gabriely;Vieira, Eduardo Hochuli;Monnazzi, Marcelo Silva
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.46 no.3
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    • pp.204-207
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    • 2020
  • Benign fibro-osseous lesions occur when normal bone is replaced by cellular fibrous connective tissue and mineralized structures. One rare type of these lesions is the ossifying fibroma (OF). The aim of this study is to report an unusual case of OF in a 57-year-old female. Physical examination showed facial asymmetry without any tenderness, fluctuation, ocular pain, or ophthalmoplegia. Imaging exams revealed a solid mass involving the left maxilla and orbital floor. Surgical resection was performed without any complications or sequelae, and the histopathological results confirmed OF. Although recurrence is rare in this condition, the patient remains under follow-up.

A CASE REPORT OF EAGLE'S SYNDROME WITH TMJ INTERNAL DERANGEMENT (악관절내장증을 동반한 Eagle's Syndrome)

  • Park, Kwang-Ho;Kim, Hyung-Gon;Yoon, Jung-Ho;Jeong, Sang-Hoon;Park, Jung-Hyun;Kim, Ki-Jeong
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.16 no.4
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    • pp.458-463
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    • 1994
  • A thirty two year-old male was referred with a chief complaint of mouth opening limitation, and maxillofacial pain including left TMJ area. The patient had been treated in a private clinic with medications and conservative treatments, without any improvements in symptoms. MRI findings showed a limitations in condylar head movements, and signs of disc adhesion without the Positional change. Panoramic views showed elongation of stylohyoid process. Brain C-T was taken due to the patient's complaint of headache, facial pain, and paresthesia of tongue, and the result showed no abnormalities. The first surgery included meniscoplasty and the removal of disc adhesion of left TMJ under the preliminary diagnosis of internal derangement with adhesion, and the patient displayed marked improvements in opening movements despite of persistent hemiparesthesia of left facial areas and tongue, and mild dysphasia. Therefore, the second surgery was carried out with the preliminary diagnosis of Eagle's Syndrome, and a resolution of neurologic symptoms was obtained. The final diagnosis of this case was Eagle's Syndrome with internal derangement, and the difficulties in diagnosis and treatment might be due to the existence of two separate diseases with similar symptoms.

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Study on Analysis of Nose Shape from the viewpoint of Inspection Diagnosis (망진(望診)에서 비(鼻) 형태(形態)의 중요성 연구)

  • Chang, Jun-Young;Kim, Kyoung-Shin;Kang, Jung-Soo;Kim, Byoung-Soo
    • Journal of Haehwa Medicine
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    • v.20 no.1
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    • pp.51-63
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    • 2011
  • There are two methods in inspection diagnosis(望診), the viewing shape(觀形) and the inspecting color(察色). Acquiring proper analysis from viewing shape(觀形) requires several standards of shape that can be compared with. We can identify major defects and flaws of the shape from comparing it with the standards that is defined as very normal shape. Also, It can eventually provide us interpretation of health related meanings of the objective shapes. Those standards need symmetrical and proportional details. In this research, I put some physiognomy and inspection diagnosis related documents, and standards for restorative plastic surgery together to suggest standards on viewing shape diagnosis of nose which is one of the most important spot in facial inspection. It is expected to improve delicacy of Oriental medine's inspection diagnosis, as the result of the comparison between plastic surgery and inspection diagnosis.

Anthropometric Facial Characteristics of Adult Tae-eumin of Northern and Southern Lineage in the Korean Peninsula

  • Kim, Eun-Hee;Cho, Yong-Jin;Jung, Yee-Hong;Seo, Young-Kwang;Kim, Sun-Hyung;Lee, Soo-Kyung;Koh, Byung-Hee;Kim, Dal-Rae
    • The Journal of Korean Medicine
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    • v.30 no.6
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    • pp.86-95
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    • 2009
  • Objectives: This study aimed to examine the difference of external appearance measurements in subjects of different regional lineages as subgroups within the Tae-eumin Sasang grouping. Methods: We chose 51 Tae-eumin subjects diagnosed by Korean Sasang constitutional medical doctors aided by voice analysis. The subjects were divided into two groups, the northern and southern lineages, by an expert on facial characteristics of the two lineages. We took pictures of their frontal and lateral views by Martin's method, measured projected length of face with the Facial Feature Measurement Program, and analyzed anthropometric facial differences between the northern and southern types. Results: Results show differences between the northern and southern types. First, the northern type of face has bigger measurements than the southern type on the frontal face. Second, the northern type of face has higher measurements of "height", which means distance from pupil to a specific measurement point, than the southern type on the frontal face. Third, on the frontal face, the northern and southern types have differences with respect to eyebrow, point of sellion, and eye. Fourth, on the side face, the northern and southern types have differences in lip, mandible and ear. Conclusions: We found our anthropometric facial measurements of the northern and southern lineages to be in accordance with previous literature. Knowledge of the differences between the northern and southern lineages can be a hint in constitutional diagnosis when differentiation is clinically confusing.

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A Study of the Factors Related with Postoperative Neurologic Complications after Parotid Gland Surgery (이하선 종양 수술 후 신경계 합병증 발생에 관여하는 인자들에 대한 연구)

  • Choi Nak-Seon;Yoon Jung-Han;JaeGal Young-Jong;Cho Jae-Sik
    • Korean Journal of Head & Neck Oncology
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    • v.15 no.2
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    • pp.200-204
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    • 1999
  • Objectives: Injuries of neurologic structures during parotid surgery are sometimes unavoidable even in benign tumors. Since the major postoperative neurologic complications such as facial nerve palsy and Frey's syndrome give a serious and heavy burden to both patients and surgeons, it is very important to know detailed information concerning risk factors, the incidence of complication, possibility of recovery, and the term before complete recovery. Materials and Methods: This report was based on 95 patients with parotid gland tumor who had been treated and followed up over 1 year at department of surgery and otolaryngology, chonnam university hospital. Results: 1) Among total 95 cases, the facial nerve palsy developed in 18 cases(l8.9%) and Frey's syndrome in 6 cases(6,3%). 2) The incidence of facial nerve palsy increased in cases with large tumor size, and in those operated with bipolar method. However, we didn't find out relationships between the incidence of facial palsy, localization, and histologic type. 3) The incidence of Frey's syndrome showed an increasing tendency in the cases with large tumor size, benign nature, and in those underwent superficial lobectomy with posterior approach, without a statistical significance. Conclusions: Risk of facial nerve palsy, especially a transient form, seems to be related to tumor size and bipolar coagulation method. Although Frey's syndrome tends to develop easily in the cases treated with superficial lobectomy under the diagnosis of benign tumor, a futhermore study is suggested to obtain a statistical significance.

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The Effect of Seosiokyongsan fermented soap on facial pores (서시옥용산 발효비누가 얼굴모공에 미치는 영향)

  • CHoi, Sang Rak;Kim, Jeong Ja;Koo, Jin Suk
    • The Korea Journal of Herbology
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    • v.34 no.2
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    • pp.33-39
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    • 2019
  • Objectives : The pores are the openings of sebaceous glands or apocrine glands. They are enlarged by various factors such as sex, age, genetic influence, sebum secretion, acne and so on. When the pores are visually recognizable, they become aesthetically problematic. There are various methods of treating pores, but we have tried to develop a method to reduce pore size by using daily cleanser. Methods : Facial skin examination was performed on 104 students of A university. Among them, 10 persons with large pore size were selected. We surveyed 72 students to determine their subjective skin condition, lifestyle, and washing habits etc. We made herbal fermented soaps using Seosiokyongsan and distributed them to experiment participants. We let them wash their face in the morning and evening for 6 weeks using herbal fermented soap. Prior to the experiment, their skin condition was checked and assessed using A-ONE Smart One-Click Automatic Facial Diagnosis System three times at 3-week intervals. After the experiment, the changes of skin were measured and analyzed through facial analysis test. Results : In our experiment, the early 20s, 9.6% of the students had slightly larger pores. For students with large pores, there was a high likelihood of side effects from using facial products. Using the fermented soap made of Seosiokyongsan, the average size of the pores and the number of large-sized pores were significantly reduced. Conclusion : Seosiokyongsan fermented soap can effectively reduce especially the large size of pores.

Study on Diagnosis by Facial Shapes and Signs as a Disease-Prediction Data for a Construction of the Ante-disease Pattern Diagno-Therapeutic System - Focusing on Gallbladder's versus Bladder's Body and Masculine versus Feminine Shape - (미병학(未病學) 체계구축을 위한 질병예측자(疾病豫側子)로서의 형상진단연구 - 담방광체(膽膀胱體)와 남녀형상(男女形象)을 중심으로 -)

  • Kim, Jong-Wan;Kim, Kyung-Chul;Lee, Yang-Tae;Lee, In-Seon;Kim, Kyu-Kon;Chi, Gyoo-Yang
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.23 no.3
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    • pp.540-547
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    • 2009
  • There needs disease-predictable signs in order to enable preventive diagnosis and therapy. Then traditional Chinese medicine applies various medical diagnostic equipments used in western medicine to diagnosing sub-healthy state. But such data are not originated from inherent oriental medicine, and not obtained easily in ordinary clinical practice. This paper is to provide synopsis of the ante-disease diagno-therapeutics partly and to show predictable data based on the facial shapes and signs, especially of gall bladder's versus bladder's body and masculine versus feminine shape. Ante-disease means not only the complete healthy state, but also the state unseen any symptoms in macrographically in the course of outbreak of disease. It contains two stages, first one is the former state of disease and second one is untransmitted state of disease. The patterns of ante-disease consist of latent disease, pre-disease, transmission type like senescent syndrome, abnormal reactive syndrome(變證), syndrome of transmission and transmutation. The classification with gall bladder and bladder type manifests the differences of shape, color and size of each organ in comparison of the universal and standard figures of the human being. On the other hand, the classification with masculine and feminine shape contrasts the innate sexual difference and the shape, characteristics originated from in itself. These two classification theories have their own pathologic types and syndrome types with each disease so that disease-predictable data can be constructed based on such a relationship. In addition, this diagnostic method by facial shapes and signs is able to be applied to whole stages from prenatal to present state of disease even if the cause and inducement are not clear. Ante-disease diagno-theraputic system by Gall Bladder's versus Bladder's Body and Masculine versus Feminine Shape is getting more important in the chronic and internal disease in comparison of the acute and traumatic disease. So this study is able to make up for the limit of diagnosis on ante-disease in the field of oriental medicine clinic.

Contemporary Diagnosis and Orthodontic Treatment in Orthognathic Surgery (임상가를 위한 특집 3 - 악교정 수술환자의 진단과 교정치료)

  • Baik, Hyoung-Seon
    • The Journal of the Korean dental association
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    • v.50 no.2
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    • pp.72-82
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    • 2012
  • Recently in treatment planning for orthognathic surgery, 3-dimensional analysis using CBCT can give more detailed information that cannot be achieved with 2-dimensional cephalograms. Also, laser Scanning and 3D camera can show 3-dimensional information on soft tissue changes as well as hard tissue changes in orthognathic surgery patients. In other words, soft tissue changes in lateral facial area as well as mid facial area can be quantitatively calculated. To bring out the best results from orthognathic surgery, close interaction between orthodontist and oral surgeon is needed and well treated pre-surgical orthodontics can simplify orthognathic surgical plan that also results in good long-term stability. In surgery-first cases, more thoughtful diagnosis and pre-operative preparation will be needed to prevent complicated problems.

Treatment of the Mycobacterium chelonae Infection after Fat Injection

  • Kim, Seok-Kwun;Choi, Ji-An;Kim, Myung-Hoon;Kim, Min-Su;Lee, Keun-Cheol
    • Archives of Plastic Surgery
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    • v.42 no.1
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    • pp.68-72
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    • 2015
  • For recent years, use of autologous fat injection has increased significantly in facial contouring surgery. Along with such increase in use, complications like atypical mycoplasma infection have been also on the increasing trend. The authors report two cases of Mycobacterium chelonae infection that occurred after autologous fat injection. Patients were treated as infection that resistant to common antibiotics and results were negative to routine culture and Gram staining. Acid-fast bacillus stain, polymerase chain reaction (PCR) test and mycobacterial cultures were conducted for diagnosis under suspicion of atypical mycoplasma infection. Then, combination antibiotics therapy, surgical treatment, and steroid injection were performed for treatment. Both patients were diagnosed with Mycobacterium chelonae in PCR test. They were positive to mycobacterial cultures. Combination antibiotics therapy was repeated to improvement of symptom. However, they could not be free from side effects such as deformation in facial contour, scar and pigmentation even after full recovery. When chronic wound infections after autologous fat injection, we must suspect atypical or mycobacterial infection and conduct examinations for a early diagnosis and proper antibiotic therapy that is effective to the nontuberculous mycobacteria.

Two case studies of Ramsay Hunt syndrome (Ramsay Hunt syndrome 환자에 대한 證例報告)

  • Kwon, Kang;Park, Young-Hwan
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.14 no.2
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    • pp.183-193
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    • 2001
  • Background: Ramsay Hunt syndrome is a disease that cause faical palsy, ear pain, ear vesicle, tinnitus, hardness of hearing by geniculate ganglion herpes. Ramsay Hunt syndrome could be taken two sides view of herpes zoster and facial palsy. In traditional oriental medicine Ramsay Hunt syndrome could be diagnosed as heat and dryness syndromes. Object: These studies are clinical observations about two Ramsay Hunt syndrome patient cases that is recovered under the treatment by herbal-acupuncture therapy and moxibustion. Methods: For treatment in acute state, acupuncture therapy was used and in convalescent stage, herbal acupuncture therapy and moxibustion therapy were used. For diagnosis system, House-Brackmann system, Yanagihara's system used as diagnosis scales. Result&Conclusion: The results as follows. 1. Generally, to treat Ramsay Hunt syndrome, it is knwon that from invasion of virus to period of first effect a short term bring about good result, but in these two cases, though a long term. considerable effect was braught out. 2. In treating two cases, herbal acupuncture therapys what are called CF, JSD were used. satisfactory results was produced.

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