• Title/Summary/Keyword: Lateral deviation

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Simultaneous Augmentation Rhinoplasty with Bony Reduction in Nasal Bone Fracture (비골골절 시 골절정복과 동시에 시행된 융비술)

  • Lim, Kwang-Ryeol;Kim Song, Jennifer;Kim, Hyung-Do;Hwang, So-Min;Jung, Yong-Hui;Ahn, Sung-Min
    • Archives of Craniofacial Surgery
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    • v.11 no.2
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    • pp.77-84
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    • 2010
  • Purpose: The nasal bones are the most common fracture sites of the facial bones, and a careful reduction may still result in secondary deformities, such as saddle nose, deviated nose, hump nose etc, requiring secondary cosmetic rhinoplasty. Therefore, this study examined the clinical characteristics of nasal bone fractures to propose guidelines for patient selection and surgical procedures to achieve more satisfactory results and to prevent secondary deformities with simultaneous augmentation rhinoplasty and bony reduction. Methods: The study was based on 26 out of 149 nasal bone fracture patients who underwent simultaneous augmentation rhinoplasty with bony reduction between May 2008 and April 2009. Retrospective analysis was performed according to the clinical data, surgical techniques and postoperative results. Results: Of the 26 patients, there were 15 males and 11 females. The incidence according to the Stranc's classification revealed that 62% of patients were injured by a frontal impact and 38% by a lateral impact. Frontal impact plane I (50%) was the most frequent type. At the follow up, 18 (81.2%) out of 22 patients were satisfied with their postoperative outcome, and the remaining 4 patients were fair. No one was dissatisfied. However, 5 cases in 3 patients (23%) had some complications; minimal implant deviation in 2 cases, minor irregularity on the nasal dorsum in 2 cases and palpable implant movement under palpation in 1 case. None of these cases required surgical correction. Conclusion: With the proper guidance, simultaneous augmentation rhinoplasty with bony reduction can prevent secondary deformities and satisfy the cosmetic outcomes.

Clinical Implications of the Premature Loss of the Mandibular Primary Canine (하악 유견치 조기탈락은 무엇을 의미할까?)

  • Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.42 no.1
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    • pp.87-101
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    • 2015
  • The premature loss of the mandibular primary canine is relatively frequent and a sign of the upcoming space problems in the transitional period. This situation is caused by the permanent lateral incisor resorbing the root of the primary canine during its eruption. Bilateral loss of primary canines in a crowded arch leads to the lingual tipping of the permanent incisors, with the consequent reduction in the arch perimeter and increase in overbite. When the loss of a primary canine is unilateral, tipping of the adjacent incisors occurs toward the space, resulting in midline deviation. In these situations, treatment possibilities, such as extraction of the antimeric tooth or placement of a passive lingual arch, can be applied; although there are some controversies concerning this. Most space problems with less than 4 mm can be resolved through preservation of the leeway space using sequential disking of the primary teeth and a passive lingual arch, regaining space or limited arch expansion in the late mixed dentition. In cases with 4~6 mm of space problems, arch expansion (A-P or transverse) can be applied. Space problems with more than 6 mm should be treated through diagnosis and treatment planning. Most of these cases will require extraction of permanent teeth including serial extraction (guidance of eruption).

Diagnostic Imaging of Nasal Lymphoma in a Cat (고양이에서 비강 림프종의 영상 진단 증례)

  • Jung, Joo-Hyun;Seo, Kyoung-Won;Chang, Jin-Hwa;Bae, Il-Hong;Kim, Dae-Yong;Yoon, Hwa-Young;Yoon, Jung-Hee;Choi, Min-Cheol
    • Journal of Veterinary Clinics
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    • v.23 no.3
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    • pp.361-365
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    • 2006
  • A spayed female, 5-year-old, weighing 2.7 kg, domestic short hair cat was referred to Veterinary Medical Teaching Hospital, Seoul National University. The clinical signs of this patient were weight loss, sneezing, respiratory distress, nasal discharge, epistaxis, ocular discharge, left exophthalmos, and left facial edema and deformity. The laboratory tests represented mild leukocytosis. On the skull radiographs, soft tissue density filled nasal cavity with loss of turbinate detail was found. Destructive and lytic changes of the left nasal bone with soft tissue swelling were identified. On the thorax radiographs, there were a tracheobronchial lymph node swelling and a soft tissue round mass in the left caudal lung field. On computed tomographic scan images, asymmetrical destruction of turbinate and nasal septum and increased soft tissue opacity in the nasal cavity were identified. Destruction of the lateral maxillary bone, invasion to the left retrobulbar region, and craniodorsal deviation of the left eye were seen. Also, there was lysis of hard palate and cribriform plate. Invasion to the brain was found. The patient was diagnosed as nasal lymphoma by cytology and histopathology.

WAVEFRONT SENSING TECHNOLOGY FOR ADAPTIVE OPTICAL SYSTEMS

  • Uhma Tae-Kyoung;Rohb Kyung-Wan;Kimb Ji-Yeon;Park Kang-Soo;Lee Jun-Ho;Youn Sung-Kie
    • Proceedings of the KSRS Conference
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    • 2005.10a
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    • pp.628-632
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    • 2005
  • Remote sensing through atmospheric turbulence had been hard works for a long time, because wavefront distortion due to the Earth's atmospheric turbulence deteriorates image quality. But due to the appearance of adaptive optics, it is no longer difficult things. Adaptive optics is the technology to correct random optical wavefront distortions in real time. For past three decades, research on adaptive optics has been performed actively. Currently, most of newly built telescopes have adaptive optical systems. Adaptive optical system is typically composed of three parts, wavefront sensing, wavefront correction and control. In this work, the wavefront sensing technology for adaptive optical system is treated. More specifically, shearing interferometers and Shack-Hartmann wavefront sensors are considered. Both of them are zonal wavefront sensors and measure the slope of a wavefront. . In this study, the shearing interferometer is made up of four right-angle prisms, whose relative sliding motions provide the lateral shearing and phase shifts necessary for wavefront measurement. Further, a special phase-measuring least-squares algorithm is adopted to compensate for the phase-shifting error caused by the variation in the thickness of the index-matching oil between the prisms. Shack-Hartmann wavefront sensors are widely used in adaptive optics for wavefront sensing. It uses an array of identical positive lenslets. And each lenslet acts as a subaperture and produces spot image. Distortion of an input wavefront changes the location of spot image. And the slope of a wavefront is obtained by measuring this relative deviation of spot image. Structures and measuring algorithms of each sensor will be presented. Also, the results of wavefront measurement will be given. Using these wavefront sensing technology, an adaptive optical system will be built in the future.

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Repair of the Cleft Lip using Triangular Cheiloplasty-A Case Report (삼각피판법을 이용한 편측 불완전 구순열 환자의 구순 교정 수술-증례 보고)

  • Song, In-Seok;Hong, Jong-Rak;Choung, Pil-Hoon;Seo, Byoung-Moo
    • Korean Journal of Cleft Lip And Palate
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    • v.10 no.2
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    • pp.67-74
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    • 2007
  • After Tennison introduced a triangular flap method which, for the first time, preserved the Cupid's bow, Randall gave this method a sound mathematical basis. This method is also called as an inferior triangular cheiloplasty which is characterized by making a small triangular flap from the lateral border of cleft destined to be fitted into an incision on the medial side of cleft. He postulated that the height obtained was equal to the sum of the median of the two triangles used in the cheiloplasty. Using this technique, a 22 month-old male patient with incomplete unilateral cleft lip was corrected primarily. The deviation of the columella and flattening of the nostril on the cleft side were minimal. The operation was done under general anesthesia and patient was healed uneventfully. We tried to improve the symmetry and esthetic feature of philtrum, nostril sill, alar-facial groove, preventing the notch formation on the nostril floor, and to reconstruct the muscle sling in the upper part of lip. The shape of Cupid's bow was restored, and the symmetry of columella was regained as a result. In summary, the inferior triangular cheiloplasty is effective to correct the primary unilateral cleft lip, results in the restoration of favorable anatomy and function.

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POSTOPERATIVE POSITIONAL CHANGE OF CONDYLE AFTER BILATERAL SAGITTAL SPLIT RAMUS OSTEOTOMY ASSOCIATED WITH MANDIBULAR ASYMMETRY (하악골 비대칭 환자의 양측성 하악골 시상분할 골절단술 후 하악과두의 위치 변화)

  • Lee, Sung-Keun;Kim, Kyung-Wook;Kim, Chul-Hwan
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.30 no.5
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    • pp.359-367
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    • 2004
  • Purpose: After the surgical correction with sagittal split ramus osteotomy, the position of the mandibular condyle in the glenoid fossa and the proximal segment of the mandible change because of bony gap between proximal and distal segment, especially in case of mandibular setback asymmetrically. In this study, positional changes in the condyle and proximal segment after BSSRO were estimated in the mandibular asymmetry patient by analyzing the in submentovertex view and P-A cephalogram for identification of ideal condylar position during surgery. Patients and Methods: The 20 patients were selected randomly who visit Dankook Dental Hospital for mandibular asymmetry. Bilateral sagittal split ramus osteotomy with rigid fixation was performed and P-A cephalogram and submentovertex view was taken at the time of preoperative, immediate postoperative, 3 month postoperative period. Results: Intercondylar length and transverse condylar angle was increased due to inward rotation of proximal segment and anteromedial rotation of lateral pole of condyle head. The condylar position had a tendency to return to the preoperative state and after 3 months return up to about half of the immediate post-operative changes, and all the results showed more changes in asymmetry patient and deviated part of the mandible. Conclusion: Based on all these results above, surgeon should make efforts to have a precise preoperative analysis and to have a ideal condylar position during rigid fixation after BSSRO.

Evaluation of Reproduced Precipitation by WRF in the Region of CORDEX-East Asia Phase 2 (CORDEX-동아시아 2단계 영역 재현실험을 통한 WRF 강수 모의성능 평가)

  • Ahn, Joong-Bae;Choi, Yeon-Woo;Jo, Sera
    • Atmosphere
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    • v.28 no.1
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    • pp.85-97
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    • 2018
  • This study evaluates the performance of the Weather Research and Forecasting (WRF) model in reproducing the present-day (1981~2005) precipitation over Far East Asia and South Korea. The WRF model is configured with 25-km horizontal resolution within the context of the COordinated Regional climate Downscaling Experiment (CORDEX) - East Asia Phase 2. The initial and lateral boundary forcing for the WRF simulation are derived from European Centre for Medium-Range Weather Forecast Interim reanalysis. According to our results, WRF model shows a reasonable performance to reproduce the features of precipitation, such as seasonal climatology, annual and inter-annual variabilities, seasonal march of monsoon rainfall and extreme precipitation. In spite of such model's ability to simulate major features of precipitation, systematic biases are found in the downscaled simulation in some sub-regions and seasons. In particular, the WRF model systematically tends to overestimate (underestimate) precipitation over Far East Asia (South Korea), and relatively large biases are evident during the summer season. In terms of inter-annual variability, WRF shows an overall smaller (larger) standard deviation in the Far East Asia (South Korea) compared to observation. In addition, WRF overestimates the frequency and amount of weak precipitation, but underestimates those of heavy precipitation. Also, the number of wet days, the precipitation intensity above the 95 percentile, and consecutive wet days (consecutive dry days) are overestimated (underestimated) over eastern (western) part of South Korea. The results of this study can be used as reference data when providing information about projections of fine-scale climate change over East Asia.

An Isolated Complete Rupture of Radial Collateral Ligament of the Fifth Metacarpophalangeal Joint: A Case Report (제 5중수 수지관절에 단독으로 발생한 요측 측부 인대 완전 파열의 치험례)

  • Kim, Cheol Hann;Tark, Min Sung
    • Archives of Plastic Surgery
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    • v.33 no.6
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    • pp.780-783
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    • 2006
  • Purpose: Rupture of a collateral ligament of the metacarpophalangeal joint is rare except in the thumb. The injured digit became flexed and deviated toward ulna side by the hypothenar intrinsic musculature. Incomplete rupture of a collateral ligament of the metacarpophalangeal joint can be often managed by splinting the affected digit in flexion position, however, in the case of complete tears that distraction of the ends of the ruptured collateral ligament is too great to allow repositioning by splinting. Primary repair of the ruptured collateral ligament or reattachment to bone by a pull-out wire, or tendon graft technique appears to be adequate. Methods: We report a case of instability of fifth metacarpophalangeal joint due to complete rupture of radial collateral ligament. This 18-year-old male presented pain in his right outstretched hand after trauma. The diagnosis was obtained by physical examination and simple radiography. Because of persistent instability after the initial conservative treatment, open reduction and repair surgical treatment was required. Results: The fifth metacarpophalangeal joint became free of pain and stable under forced lateral deviation. Postoperative results showed good metacarpophalangeal joint function and stability during 8 months follow-up period. Conclusion: Because of the interposition of the sagittal band between the ruptured ends of radial collateral ligament such as Stener-like lesion of the thumb, surgical repair of metacarpophalangeal joint collateral ligament of the finger was justified in case of complete laxity in full flexion.

Statistical Parameter Estimation to Calculate Collision Probability Between Mokpo Harbor Bridge and Passing Vessels (목포 대교와 통항 선박 사이의 충돌 확률 계산을 위한 통계 변수 추정)

  • Yim, Jeong-Bin;Kim, Dae-Hee
    • Journal of Navigation and Port Research
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    • v.34 no.8
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    • pp.609-614
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    • 2010
  • This paper describes statistical parameter estimation to calculate collision probabilities between Mokpo Harbor Bridge and passing vessels. At first, we obtained AIS (Automatic Identification System) information from passing vessels, then after, analyzed the lateral distributions of vessel tracks and estimated the mean and the standard deviation for the distance away from bridge center, the passing course and the passing speed. The analysis results of track distribution for the distance away and the passing course are shown as normal type, otherwise the speed distribution shown as two kinds of different normal type. In addition, we testified that the usefulness of estimated parameter values through the relative comparison between the track distributions and it's normal probability distributions.

Computational optimisation of a concrete model to simulate membrane action in RC slabs

  • Hossain, Khandaker M.A.;Olufemi, Olubayo O.
    • Computers and Concrete
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    • v.1 no.3
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    • pp.325-354
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    • 2004
  • Slabs in buildings and bridge decks, which are restrained against lateral displacements at the edges, have ultimate strengths far in excess of those predicted by analytical methods based on yield line theory. The increase in strength has been attributed to membrane action, which is due to the in-plane forces developed at the supports. The benefits of compressive membrane action are usually not taken into account in currently available design methods developed based on plastic flow theories assuming concrete to be a rigid-plastic material. By extending the existing knowledge of compressive membrane action, it is possible to design slabs in building and bridge structures economically with less than normal reinforcement. Recent research on building and bridge structures reflects the importance of membrane action in design. This paper describes the finite element modelling of membrane action in reinforced concrete slabs through optimisation of a simple concrete model. Through a series of parametric studies using the simple concrete model in the finite element simulation of eight fully clamped concrete slabs with significant membrane action, a set of fixed numerical model parameter values is identified and computational conditions established, which would guarantee reliable strength prediction of arbitrary slabs. The reliability of the identified values to simulate membrane action (for prediction purposes) is further verified by the direct simulation of 42 other slabs, which gave an average value of 0.9698 for the ratio of experimental to predicted strengths and a standard deviation of 0.117. A 'deflection factor' is also established for the slabs, relating the predicted peak deflection to experimental values, which, (for the same level of fixity at the supports), can be used for accurate displacement determination. The proposed optimised concrete model and finite element procedure can be used as a tool to simulate membrane action in slabs in building and bridge structures having variable support and loading conditions including fire. Other practical applications of the developed finite element procedure and design process are also discussed.