• Title/Summary/Keyword: IAN

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Inferior alveolar nerve cutting; legal liability versus desired patient outcomes

  • Kim, Soung Min;Lee, Jong Ho
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.43 no.5
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    • pp.318-323
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    • 2017
  • Objectives: Mandibular angle reduction or reduction genioplasty is a routine well-known facial contouring surgery that reduces the width of the lower face resulting in an oval shaped face. During the intraoral resection of the mandibular angle or chin using an oscillating saw, unexpected peripheral nerve damage including inferior alveolar nerve (IAN) damage could occur. This study analyzed cases of damaged IANs during facial contouring surgery, and asked what the basic standard of care in these medical litigation-involved cases should be. Materials and Methods: We retrospectively reviewed a total of 28 patients with IAN damage after mandibular contouring from August 2008 to July 2015. Most of the patients did not have an antipathy to medical staff because they wanted their faces to be ovoid shaped. We summarized three representative cases according to each patient's perceptions and different operation procedures under the approvement by the Institutional Review Board of Seoul National University. Results: Most of the patients did not want to receive any further operations not due to fear of an operation but because of the changes in their facial appearance. Thus, their fear may be due to a desire for a better perfect outcome, and to avoid unsolicited patient complaints related litigation. Conclusion: This article analyzed representative IAN cutting cases that occurred during mandibular contouring esthetic surgery and evaluated a questionnaire on the standard of care for the desired patient outcomes and the specialized surgeon's position with respect to legal liability.

Distribution of riparian vegetation in Ian Stream (이안천의 식생분포)

  • Kim, Ho-Joon;Lee, Hye-Keun;Choi, Kwang-Soon
    • Proceedings of the Korea Water Resources Association Conference
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    • 2005.05b
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    • pp.1274-1279
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    • 2005
  • The complex vegetation and plant species distributions within riparian corridors influence plant species diversity patterns at both local and regional scales and further reflect both natural and anthropogenic disturbances. Because of these characteristics, riparian zones are often the ecosystem level component that are most sensitive to changes of the surrounding environment; they provide early indications of environmental change and can be viewed as the important source in the watershed. The objectives of this study were two concepts: first, document the composition and dominance of plant communities of riparian areas in the stream, second, compare species composition and temporal diversity between stations in riparian areas of the Ian Stream. The flora was composed to total 158 kinds of the vascular plants as 49 family, 54 genera, 145 species, 12 varieties, 1 forma When the naturalized plant were applied to the recent classification system 280 kinds, the naturalization rate was $10.8\% higher than that of mean value($10.3\%$) of the Korean mountain district. Furthermore, urbanization index (UI) was $6.1\%$. The dominant vegetation communities were distributed in the habitats of three compartments from upstream to downstream. The vegetations were included Phragmites japonica, Salix gracilistyla, S. hulteni and Robinia pseudo-acacia in the riparian area, and Persicaria sieboldii, Stellaria alsine var. undulata, Draba nemorosa var. hebecarpa, Capsella bursa-pastoris, Lepidium apetalum, Bidens frondosa, Trigonotis peduncularis and Hemistepta lyrata in the sandbank or the riparian area, and Equisetum arvense, Humulus japonicus, Persicaria perfoliata, Trifolium repens, Artemisia princeps var. orientalis, Lactuca indica var. laciniata, Avena fatua, Agropyron yesoense, Oenothera odorata, Viola mandshurica, Rumex crispus in banksides, respectively.

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A computed tomography-based analysis of the structure of the mandible according to age and sex

  • Jung, Soyeon;Yun, Hyunjong;Chung, Chul Hoon;Kim, Kuylhee;Chang, Yongjoon
    • Archives of Craniofacial Surgery
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    • v.23 no.3
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    • pp.103-110
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    • 2022
  • Background: The primary objectives of mandibular surgery are to achieve optimal occlusion, low sensory disturbance, and adequate fixation with early movement. In-depth knowledge of the mandibular structure is required to achieve these goals. This study used computed tomography (CT) to evaluate the mandibular cortical thickness and cancellous space according to age and sex. Methods: We enrolled 230 consecutive patients, aged 20 to 50 years, who underwent CT scanning. The cortex and cancellous space centered around the inferior alveolar nerve (IAN) canal were measured at two specific locations: the lingula and second molar region. Statistical analysis of differences according to increasing age and sex was performed. Results: The t-test revealed that the cancellous space and cortical thickness differed significantly with respect to the threshold of 35 years of age. Both cortical thickness and cancellous space in the molar region were negatively correlated with age. Meanwhile, both cortical thickness and cancellous space in the lingula region showed a positive correlation with age. With respect to sex, significant differences in the cancellous space at the molar region and the cortical thickness at the lingula were observed. However, no further statistically significant differences were observed in other variables with respect to sex. The sum of each measurement on the mandibular body reflected the safe distance from the surface of the outer cortex to the IAN canal. The safe distances also showed statistically significant differences between those above and below 35 years of age. Conclusion: Knowledge of the anatomical structure of the mandible and of changes in bone structure is crucial to ensure optimal surgical outcomes and avoid damage to the IAN. CT examination is useful to identify changes in the bone structure, and these should be taken into account in the planning of surgery for older patients.

The Selfish Gene and Love in Ian McEwan's Enduring Love (이언 매큐언의 『인듀어링 러브』에 나타난 이기적 유전자와 사랑)

  • Woo, Jung Min
    • Journal of English Language & Literature
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    • v.55 no.4
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    • pp.661-692
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    • 2009
  • From the Darwinian perspective, all the human behaviors and thoughts are operated by "the selfish gene," the term coined by Richard Dawkins, which has long been evolving to survive by utilizing the limited quality and quantity of resources. And an organism which fails to regenerate by creating its "replicator" is doomed to extinction, for gene combinations which help an organism to survive and reproduce tend to also improve the gene's own chances of being passed on through generations. Dawkins also coins the term "meme" for a unit of human cultural evolution analogous to the gene, suggesting that such selfish replication may also be the principle for human culture. Ian McEwan is not only a controversial but more importantly influential writer in the 21st century academic world. His 1997 book Enduring Love is not exceptional in that it draws both literary and scientific attention. Intentionally set up with the dynamic conflict between the two cultures, namely art and science, the book explores the way in which the state of the modern minds is misinterpreted and estranged by each other. In this novel, the three main protagonists, Joe, Clarissa, and Jed, each representing the very important three elements of human civilization-cognition/science, emotion/art, and faith/religion-meet an unexpected peril of life. The author of the novel employs the narrative of evolutionary science-in particular the narratives of gene and meme-to provoke the question of the two cultures famously addressed by Snow in the mid 20th century and the further discussions followed by the later Darwinian scholars such as Richard Dawkins. In this paper I aim to illustrate the way in which the author develops the idea of gene science and literature and how he proceeds to provide a sophisticated bridge between the two cultures and induce a kind of consilience by the recurrent name of love in the story of Enduring Love.

Cone-beam Computed Tomography Measurement of the Position of the Inferior Alveolar Nerve Canal in Mandibular Prognathism

  • Yun, Sung-Hun;Park, Ji-Young;Ko, Young-Kyung;Park, Je-Uk;Pyo, Sung-Woon
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.35 no.1
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    • pp.26-30
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    • 2009
  • Background and Objectives: To determine the anatomic position of the inferior alveolar nerve (IAN) canal in patients with mandibular prognathism using the cone-beam CT (CBCT). Materials and Methods: Fifty rami from 25 patients were evaluated. The images were taken by i-CAT and reconstructed 3-dimensionally using the Simplant 11 program. The linear distances between the IAN canal to the buccal cortex (a, $a^{\dag}$ and $a^{\ddag}$), from the IAN canal to the alveolar crest (b and $b^{\dag}$) and the anterior margin ($b^{\ddag}$) and finally the buccal cortical thickness (c, $c^{\dag}$ and $c^{\ddag}$) were measured at three reference planes (VP, OP and HP). Results: On the left side, the average distance of a, b and c were 7.12, 15.96 and 3.60 mm on the VP plane, respectively. On the OP, the distance of $a^{\dag}$, $b^{\dag}$ and $c^{\dag}$ was 6.11, 8.83 and 2.63 mm. For the HP, the distance of $a^{\ddag}$, $b^{\ddag}$ and $c^{\ddag}$ was 4.84, 10.11 and 2.30 mm. On the right side, the distance of a, b and c, on the VP, was 7.10, 16.13 and 3.42 mm, respectively. On the OP, the distance of $a^{\dag}$, $b^{\dag}$ and $c^{\dag}$ was 4.77, 8.75 and 2.68 mm. On the HP, the distance of $a^{\dag}$, $b^{\dag}$ and $c^{\ddag}$ was 4.55, 9.84 and 2.38 mm. Regarding the difference between genders, the distance in male's was longer than female's on the VP (p=0.019), and was thicker in males than females on the HP (p=0.002). Conclusion: The CBCT data provided accurate information about the location and course of the IAN.

Implications of the 'Sontanda' Phenomenon of Scientists for Science Education: Focusing on Ian Hacking's Creation of Phenomena (과학자의 '손탄다' 현상이 과학교육에 주는 함의 -이언 해킹의 현상의 창조를 중심으로-)

  • Choi, Jinhyeon;Jeon, Sang-Hak
    • Journal of The Korean Association For Science Education
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    • v.42 no.2
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    • pp.253-264
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    • 2022
  • The purpose of this study is to examine the practice of scientists from the perspective of Ian Hacking's 'creation of phenomena'. Scientific phenomena, according to Hacking, are regular and do not exist in nature without the intervention of scientists or experimental tools. This study tries to derive scientific educational meaning by analyzing the thoughts and episodes of the 'Sontanda (inter-individual variability)' phenomenon experienced by four life scientists. The Sontanda phenomenon is a common term used by scientists to describe phenomena in which findings do not appear consistently even when studies are carried out using the same experimental procedure and materials. The following four educational implications were discovered as a result of the research. First, we confirmed the importance of embodied knowledge, or non-verbal knowledge, which solves issues by making appropriate judgments and reactions at all times, rather than simply becoming accustomed to the experimental method. This argues that propositional knowledge and non-verbal knowledge should be handled equally in order to provide students with a practical scientific inquiry. Second, we tried to reconsider the picture of the experiment. The phenomenon revealed in the interviews of scientists is rare, and it takes a long time to stabilize the phenomenon. On the other hand, the image of school experiments is always positive and consistent, necessitating a shift in perspective. Third, the precise meaning of scientific practice could be confirmed. This study confirms that scientists use their knowledge effectively in line with the circumstances, and we examined strategies to apply scientific practice to school instruction based on this. Finally, by provoking uncertainty, the Sontanda phenomena may give students with an opportunity to engage in meaningful scientific involvement. By breaking away from the cookbook experiment, this study expects school experimental education to help in efforts to experience scientific practice.

Sensory change after implant surgery: related factors for recovery

  • Jung, Joon-Ho;Ko, Ji-Hoon;Ku, Jeong-Kui;Kim, Jae-Young;Huh, Jong-Ki
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.48 no.5
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    • pp.297-302
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    • 2022
  • Objectives: This retrospective study aimed to analyze data on nerve damage in patients who complained of sensory changes after dental implant surgery, the clinical results according to proximity of the implant fixture to the inferior alveolar nerve (IAN) canal, and the factors affecting recovery of sensation. Materials and Methods: The electronic medical records of 64 patients who had experienced sensory change after implant surgery were reviewed. Patients were classified by sex, age, implant installation sites, recovery rate and the distance between the implant fixture and IAN canal on computed tomography (CT). The distance was classified into Group I (D>2 mm), Group II (2 mm≥D>0 mm), and Group III (D≤0 mm). Results: The 64 patients were included and the mean age was 57.3±7.3 years. Among the 36 patients who visited our clinic more than two times, 21 patients (58.3%) reported improvement in sensation, 13 patients (36.1%) had no change in sensation, and 2 patients (5.6%) reported worsening sensation. In Group II, symptom improvement was achieved in all patients regardless of the removal of the implant fixture. In Group III, 8 patients (40.0%) had reported symptom improvement with removal of the implant fixture, and 2 patients (33.3%) of recovered patients showed improvement without removal. Removal of the implant fixture in Group III did not result in any significant difference in recovery (P=0.337), although there was a higher possibility of improvement in sensation in removal cases. Conclusion: Clinicians first should consider removing the fixture when it directly invades the IAN canal. However, in cases of sensory change after dental implant surgery where the drill or implant fixture did not invade the IAN canal, other indirect factors such as flap elevation and damage due to anesthesia should be considered as causes of sensory change. Removal of the implant should be considered with caution in these situations.