• 제목/요약/키워드: Lateral-superior

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상악동 증대술과 관련된 상악동염의 처치: 증례보고 (Sinusitis Managment Associated with Maxillary Sinus Augmentation: Case Report)

  • 홍수련;이용욱;윤경성;최지혜;하주효;김인호;정수진;이현수;양수남
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제32권6호
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    • pp.558-562
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    • 2010
  • Sinusitis has been reported as a complication of sinus lift surgery. Obstruction of the sinus outflow tract by mucosal edema and particulate graft material may result in sinusitis. Two main surgical procedures have been proposed for the treatment of associated infectious complications; inferior meatal antrostomy and functional endoscopic sinus surgery through transnasal approach. We performed superior lateral wall antrostomy through introral approach in patient suffering from the sinusitis after sinus floor augmentation and implant installation. This procedure permitted easier access to the maxillary sinus for treat sinusitis caused by sinus lifting.

습관성 코골이 환자의 측방두부규격방사선사진과 수면다원검사 연구 (Study of Cephalometry and Polysomnogrphy in Habitual Snorers)

  • 정성창
    • Journal of Oral Medicine and Pain
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    • 제23권1호
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    • pp.75-84
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    • 1998
  • The Purpose of this Study was to examine the anatomic differences in the upper airway according to severity of respiratory disturbance index of habitual snorers. Forty-three male habitual snorers, aged 28-68, were examined by polysomnography and divided into 4 groups according to severity determined by polysomnography. Anatomic differences in the upper airway were assessed by lateral cephalograms in upright position, and epidemiological surveys were done by using questionnaires. The obtained results were as follows : 1. All subjects were habitual snorers and 35 patients (81.4%) complained the loudness of snoring as severe as be heard outside of the room. 2. According to the results of polysomnography, the number of the primary snoring patients was 7(16.3%), mild obtrusive sleep apnea 7(16.3%), moderate 7(16.3%), and severe 22(51.2%). 3. The respiratory disturbance index (RDI) of subjects was 39.5$\pm$24.4 and the body mass index(BMI) was 26.2$\pm$2. 4. More inferiorly positioned hyoid bone according to the degree of respiratory disturbace index (RDI) was observed. (p<0.001) 5. The width of superior oropharyngeal airway space was according to the degree of RDI. (p<0.001)

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악관절기능장애환자의 하악과두위에 관한 방사선학적 연구 (A RADIOGRAPHIC STUDY ON THE CONDYLAR POSITION IN TEMPOROMANDIBULAR JOINT DYSFUNCTION PATIENTS)

  • 방세환;김재덕
    • 치과방사선
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    • 제17권1호
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    • pp.223-232
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    • 1987
  • The author obtained the transcranial-oblique lateral radiograms from 78 patients(26 male, 52 female) with temporomandibular dysfunction problem. And then, the author analyzed the dimensional changes of the TMJ space on centric occlusion, horizontal condylar movement and antero-posterior positional relationship of condyle to the articular eminence on 2.54㎝ mouth opening with clicking, TMJ pain and mouth opening limitation repectively, which were the symptoms of the temporomandibular joint pain dysfunction problem, and compared these data with control group. The results were as follows: 1. In centric occlusion, anterior and posterior TMJ space of experimental group was slightly lesser than those of the control group, also superior TMJ space of experimental group was significantly lesser than that of the control group. (p<0.01) 2. In 2.54㎝ mouth opening, the condylar horizontal movement and the antero-posterior positional relationship to the articular eminence were significantly lesser than those of the control group. (p<0.01) 3. Examined experimental group, the degree of condylar horizontal movement of affected ide was lesser than that of the normal side in 2.54㎝ mouth opening.

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Functional Characteristics of Lumbar Spinal Neurons Projecting to Midbrain Area in Rats

  • Park, Sah-Hoon;Kim, Geon
    • The Korean Journal of Physiology
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    • 제28권2호
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    • pp.113-122
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    • 1994
  • The present study was carried out to characterize the functional properties of spinomesencephalic tract (SMT) neurons in the lumbar spinal cord of urethane anesthetized rats. Extracellular single unit recordings were made from neurons antidromically activated by stimulation of the midbrain area, including the deep layers of superior colliculus, periaqueductal gray and midbrain reticular formation. Recording sites were located in laminae I-VII of spinal cord segments of L2-L5. Receptive field properties and responses to calibrated mechanical stimulation were studied in 78 SMT cells. Mean conduction velocity of SMT neurons was $19.1{\pm}1.04\;m/sec$. SMT units were classified according to their response profiles into four groups: wide dynamic range (58%), deep/tap (23%), high threshold (9%) and low threshold (3%). A simple excitatory receptive field was found for most SMT neurons recorded in superficial dorsal horn (SDH). Large complex inhibitory and/or excitatory receptive fields were found for cells in lateral reticulated area which usually showed long after-discharge. Most of SMT cells received inputs from $A{\delta}$ and C afferent fiber types. These results suggest that sensory neurons in the rat SMT may have different functional roles according to their location in the spinal cord in integrating and processing sensory inputs including noxious mechanical stimuli.

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탈단백 우골 (Deproteinized Bovine Bone Mineral)을 이용한 상악동 골이식술: 측면 접근법의 문헌 고찰 (THE LITERATURE REVIEW ON THE SINUS BONE GRAFT USING DEPROTEINIZED BOVINE BONE MINERAL WITH LATERAL APPROACH)

  • 홍순민
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제32권5호
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    • pp.482-487
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    • 2006
  • As the uses of dental implants are prevailing, the need for sinus bone graft is increasing. Deproteinized bovine bone mineral (DBBM) was not mentioned in 1996 Sinus Bone Graft because of the deficit of the available data. Since then, many clinical and laboratory reports support the use of DBBM in the sinus bone graft procedure. In this report, the histological and clinical successes of sinus bone grafting with DBBM is discussed with available literatures. After sinus bone grafts with DBBM, the proportion of new bone formed was similar or superior to natural maxillary posterior alveolar bone after healing period of 6 months to 1 year. It seems that the grafted DBBM is not be either resorbed nor replaced with bone, but this may not disturb the osseointegration of dental implants installed into it. The clinical survival rates of dental implants installed on the sinus grafted with DBBM was similar to those installed on the ungrafted posterior maxillary alveolar ridge or grafted with autogenous bone. So, it can be concluded that DBBM can be used successfully in the sinus bone graft.

고추냉이 품종별 생육 및 Allylisothiocyanate 함량 변이 (Variation of Growth and Allylisothiocyanate contents of Wasabia japonica Matsum. Cultivar)

  • 변학수;허수정;임수정;서정식
    • 한국약용작물학회지
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    • 제10권3호
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    • pp.181-184
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    • 2002
  • 고추냉이 품종의 생육 및 수량성을 검정하기 위하여 대왕(大王) 1호, 달마종, 도근재래(島根在來) 등 3품종을 공시하여 철원에서 물 재배한 결과 시험에 사용된 용수의 수질은 일본의 주산지인 정강(靜岡)와 비슷하였으며, 품종별로는 실생 번식용품종인 달마종은 지상부 및 근경의 관련 형질에서 변이폭이 적었으나 영양 번식용 품종인 도근재래(島根在來)는 변이폭이 컸다. 고추냉이의 부위별 건물율은 품종에 관계없이 근경>분지경>엽>엽병 순서이었고, 근경의 건물율과 allylisothiocyanate 함량은 비례하였다. 고추냉이의 수량과 근경의 신미 성분 함량과의 상관은 없었으며 품종별 allylisothiocyanate 함량은 달마종>도근재래(島根在來)>대왕(大王) 1호 순서이었다.

전차륜 독립휠 구동 및 조향 제어 기반 특수목적용 6WD/6WS 차량의 주행제어 알고리즘 연구 (A Study on Maneuvering Control Algorithm Based on All-wheel Independent Driving and Steering Control for Special Purpose 6WD/6WS Vehicles)

  • 이대옥;여승태
    • 한국군사과학기술학회지
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    • 제16권3호
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    • pp.240-249
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    • 2013
  • This paper discusses the maneuvering control algorithm based on all-wheel independent driving and steering control techniques for special purpose 6WD/WS vehicles. The maneuvering control algorithms considering superior dynamic characteristics of high power in-wheel motors and independent steering system are designed to perform driving, steering, vehicle stability, and fault tolerant control. The maneuvering controller applies sliding and optimal control theories considering optimal torque distribution and friction circle related to the vertical tire force. The fault tolerant control algorithm is applied to obtain the similar maneuverability to that of the non-faulty vehicle. The simulations using the Matlab/Simulink dynamics model and experiments using HIL simulator mounting the real controllers with the designed control algorithms prove the improved performances in terms of vehicle stability and maneuverability.

Nondestructive Estimation of Mechanical Orthogonality of Human Trabecular Bone by Computed Tomography and Spherical Indentation Test

  • Bae Tae Soo;Lee Tae Soo;Choi Kuiwon
    • 대한의용생체공학회:의공학회지
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    • 제26권2호
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    • pp.117-122
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    • 2005
  • The elastic modulus and the apparent density of the trabecular bone were evaluated from spherical indentation tests and Computed Tomography (CT) and their relationship was quantified. The femurs were prepared for trabecular bone analysis. Embedded with respect to their anatomical orientation, the transverse planes of the trabecular bone specimens were scanned at 1㎜ intervals using a CT scanner. The metaphyseal regions of femurs were sectioned with a diamond-blade saw, producing 8㎜ cubes. Using a specially made spherical indentation tester, the cubes were mechanically tested in the anterior-posterior (AP), medial-lateral (ML), and inferior-superior (IS) directions. After determination of modulus from the mechanical testing, the apparent densities of the specimens were measured. The results showed that the IS modulus was significantly greater than both the AP and ML moduli with the AP modulus greater than the ML modulus. This demonstrated that orthogonality was a structural characteristic of the trabecular bone. The power relationship between the modulus and the apparent density was also found to be statistically significant.

경피적 냉동요법을 이용한 척수신경 파괴술 -증례 보고- (Percutaneous Cryo-Rhizotomy -A case report-)

  • 이상철;윤희조;박소영;윤미자;안원식;김성덕
    • The Korean Journal of Pain
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    • 제11권1호
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    • pp.127-129
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    • 1998
  • Intractable chest and abdominal wall pain responds well to root surgery. But it is better to perform this procedure less invasively with less complications. Cryoanalgesia has been developed to relieve several neurogenic pain without causing irrversible nerve damage. Well-selected percutaneous cryoablative procedure could be one of the technique of choice for some chronic pains because it has the advantage of easy application without any remarkable side effect. We did percutaneous cryoneurolysis of the spinal nerve root at the thoracic level to treat one patient with severe cancer pain on the chest wall(T4, 5, and 8 dermatomes) after successful percutaneous radiofrequency T6 and T7 posterior root rhizotomy. This procedure was performed under fluoroscopic guidance. We advanced 2 mm cryoprobe to the posterior, superior aspect of vertebral foramen on lateral view until the patient felt paresthesia. 3 times of 2 minutes freezing was applied to each spinal nerve root. The patient got immediate pain relief without any side effect.

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Comparative study on long-term stability in mandibular sagittal split ramus osteotomy: hydroxyapatite/poly-ʟ-lactide mesh versus titanium miniplate

  • Park, Young-Wook;Kang, Hyun-Sik;Lee, Jang-Ha
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제41권
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    • pp.8.1-8.6
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    • 2019
  • Background: Resorbable devices have recently been adopted in the field of orthognathic surgery with controversies about their postoperative skeletal stability. Hence, we determined the long-term skeletal stability of unsintered hydroxyapatite/poly-ʟ-lactic acid (HA/PLLA) mesh for osteofixation of mandibular sagittal split ramus osteotomy (SSRO), and compared it with that of titanium miniplate. Methods: Patients were divided into resorbable mesh and titanium miniplate fixation groups. A comparative study of the change in the mandibular position was performed with preoperative, 1-day, 6-month, and 2-year postoperative lateral cephalograms. Results: At postoperative 6 months-compared with postoperative 1 day, point B (supra-mentale) was significantly displaced anteriorly in the titanium-fixation group. Moreover, at postoperative 2 years-compared with postoperative 6 months, point B was significantly displaced inferiorly in the titanium-fixation. However, the HA/PLLA mesh-fixation group did not show any significant change with respect to point B postoperatively. Conclusions: The HA/PLLA mesh-fixation group demonstrated superior long-term skeletal stability with respect to the position of mandible, when compared with the titanium-fixation group.