• Title/Summary/Keyword: Low arch

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Clinical predictors of potentially impacted canines in low-risk patients: A retrospective study in mixed dentition

  • Sergio Estelita Barros;Bianca Heck;Kelly Chiqueto;Eduardo Ferreira
    • The korean journal of orthodontics
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    • v.53 no.2
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    • pp.106-115
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    • 2023
  • Objective: To evaluate the null hypothesis that there is no difference in a set of clinical predictors of potentially impacted canines between low-risk patients with and without displaced canines. Methods: The normal canine position group consisted of 30 patients with 60 normally erupting canines ranked in sector I (age, 9.30 ± 0.94 years). The displaced canine group comprised 30 patients with 41 potentially impacted canines ranked in sectors II to IV (age, 9.46 ± 0.78 years). Maxillary lateral incisor crown angulation, inclination, rotation, width, height, and shape, as well as palatal depth, arch length, width, and perimeter composed a set of clinical predictors, which were evaluated on digital dental casts. Statistical analyses consisted of group comparisons and variable correlations (p < 0.05). Results: There was a significant association between sex and mesially displaced canines. Unilateral canine displacement was more prevalent than bilateral displacement. The crown of the maxillary lateral incisors was significantly angulated more mesially and rotated mesiolabially in low-risk patients with displaced canines, who also had a shallower palate and shorter anterior dental arch length. Lateral incisor crown angulation and rotation, as well as palatal depth and arch length, were significantly correlated with the canine displacement severity. Conclusions: The null hypothesis was rejected. Maxillary lateral incisor angulation inconsistent with the "ugly duckling" stage as well as a shallow palate and short arch length are clinical predictors that can significantly contribute to the early screening of ectopic canines in low-risk patients.

One-Stage Repair of an Interrupted Aortic Arch with an Aortopulmonary Window in a Premature Neonate

  • Bobos, Dimitrios;Kanakis, Meletios A.;Koulouri, Sofia;Giannopoulos, Nicholas M.
    • Journal of Chest Surgery
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    • v.48 no.6
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    • pp.411-414
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    • 2015
  • Interrupted aortic arch with an aortopulmonary window is a rare congenital entity that is associated with high morbidity and mortality, especially in premature low-birth-weight infants, and the proper timing of surgical correction remains a matter of debate. We present the case of a premature infant weighing 1.6 kg who successfully underwent one stage surgical repair to treat interrupted aortic arch with an aortopulmonary window. The therapeutic management of this patient is described below, and a review of the literature is presented.

Arterial Switch Operation in Complex Congenital Heart Diseaes (Application, procedure analysis,risk assessment,and results) (복잡 심기형에서의 동맥 전환술에 대한 연구)

  • 김용진
    • Journal of Chest Surgery
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    • v.28 no.3
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    • pp.237-246
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    • 1995
  • Between March 1989 and December 1994, one-stage repair was performed for correction of the intracardiac malformations associated with aortic coarctation in 34 patients or interrupted aortic arch in 8 patients via median sternotomy. There were 26 male and 16 female patients, and their body weight ranged from 1.8 to 8 kg [mean weight, 4.0 1.4 kg . The age at the operation ranged from 7 days to 18 months [mean age, 3.1 $\pm$ 3.8 months . The repair of aortic coarctation or interrupted aortic arch was performed using extended end-to-end anastomosis in most of the patients [86%, 36/42 , and six patients underwent ductal tissue excision and patch aortoplasty. Intracardiac defects were corrected concomitantly through the right atrium unless the anatomy dictated otherwise. Obstructive outlet septum was resected whenever necessary. There were seven early deaths [16.8 % , and three late deaths with a mean follow-up period of 25 months [range from 1 to 65 months . Three patients were reoperated upon residual subaortic stenosis, stenosis at the RPA origin, and subacute bacterial endocarditis respectively. None showed any significant residual or anastomotic stenosis postoperatively. One stage repair of the aortic coarctation and interrupted aortic arch associated with intracardiac defect leaves no native coarctation shelf tissue or residual hypoplasia in the repaired segment, has low incidence of recurrent or residual stenosis, minimizes reoperation and incisions, and manages arch hypoplasia easily. We concluded that surgical results of one-stage repair for the intracardiac malformation associated with aortic coarctation or interrupted aortic arch are reasonable.

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A Case of Left Recurrent Inferior Laryngeal Nerve with Right Sided Aortic Arch (우측 대동맥활이 동반된 좌측 반회하후두신경 1예)

  • Kim, Kyoung Hun;Kim, Nam Young;Lee, Guk Haeng;Choi, Ik Joon
    • Korean Journal of Head & Neck Oncology
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    • v.33 no.1
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    • pp.57-59
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    • 2017
  • A non-recurrent laryngeal nerve on the left side is a rare anomaly which is reported in 0.04% and it is associated with abnormal developments of the aortic arch during embryogenesis. Although the possibility is extremely low, it is important to consider the possible existence of a non-recurrent laryngeal nerve to prevent a nerve injury during thyroidectomy. We experienced a 42 year-old male with left thyroid papillary cancer who had right side aortic arch and aberrant left subclavian artery. Even though we found that this patient had a recurrent laryngeal nerve, we present this case of the right aortic arch with an aberrant left subclavian artery variation with a brief review of literature.

Is the Arch Index Meaningful

  • Lung, Chi-Wen;Yang, Sai-Wei;Hsieh, Lin-Fen
    • Korean Journal of Applied Biomechanics
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    • v.19 no.2
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    • pp.187-196
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    • 2009
  • The foot type is classified into normal, high or low arch according to either foot print or medial longitudinal arch (MLA) height. Plantar fasciitis, heel pain, Achilles tendinitis, stress fracture, metatarsalgia, knee pain, shin splint pain, and etc are common foot disorders and associate to the foot type. The purpose of this study was to evaluate several suggested bony inclination used to classified the abnormal foot and if the arch index (AI) was correlated with foot morphology. Lateral view and dorso-plantar view of radiographic images and flatbed scanner measurements obtained from 57 college students were analyzed. Results showed that AI measured in this study was higher than Caucasian Americans and European, but similar with African. The ethnic origin could influent the AI distribution. The AI provided a simple quantitative means of assessing the structure of lateral and medial longitudinal arches. The correlation coefficients of true bone height with AI could be further improved by normalized foot width rather than foot length. AI also demonstrated as a good indicator of inclination between calcaneus-fifth metatarsal (CalM5) and calcaneus-first metatarsal (CalX), it is a good means to classify the foot type.

Evaluation of dimension stability according to UV-C ultrasonic cleaning of full arch artificial teeth made with DLP printer for photopolymerization (광중합용 DLP 프린터로 제작한 전악 인공치아의 UV-C 초음파 세척에 따른 체적 안정성 평가)

  • Kim, Dong-Yeon;Lee, Gwang-Young
    • Journal of Technologic Dentistry
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    • v.43 no.3
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    • pp.84-92
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    • 2021
  • Purpose: The purpose of this study was to compare the dimension safety evaluation between a general ultrasonic cleaner and an ultrasonic cleaner equipped with UV-C (ultraviolet-C). Methods: An edentulous model was prepared. A denture base and an occlusal rim were fabricated, and scanning was performed. After scanning, a denture base and full arch artificial teeth were designed. The full arch artificial teeth were printed using a three-dimensional printer (n=10). The residual resin was washed with alcohol and then scanned (reference data). The printed specimens were classified and cleaned using a general ultrasonic cleaner (GU group) and an ultrasonic cleaner equipped with UV-C (UC group). After each washing, a rescan was performed (scan data). Reference data and scan data were superimposed using overlapping software. Data were statistically analyzed using the Mann-Whitney test (α=0.05). Results: In the deviation values of full arch artificial teeth, the GU group showed a high deviation of 18.02 ㎛ and the UC group showed a low deviation of 15.02 ㎛. The two groups demonstrated a statistically significant difference (p<0.05). Conclusion: Full arch artificial teeth prepared using photopolymerized resin were deformed according to the temperature of water generated in the ultrasonic cleaner. It is judged that there is no deformation according to the UV-C ultrasonic cleaner.

Effects of Elastic Taping and Non-elastic Taping on Static Balance Control Ability, Dynamic Balance Control Ability, and Navicular bone Drop in Young Adults

  • Lim, Jong-Gun;Lee, Hyun-Woo;Lee, Dongyeop;Hong, Ji-Heon;Yu, Jae-Ho;Kim, Jin-Seop;Kim, Seong-Gil
    • Journal of the Korean Society of Physical Medicine
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    • v.17 no.2
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    • pp.1-10
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    • 2022
  • PURPOSE: This study examined the effects of the low dye taping technique on the static and dynamic balancing ability and navicular bone drop when the low dye taping technique was divided into elastic and non-elastic taping. METHODS: The subjects of the study were 31 volunteers without musculoskeletal disorders. The length (L) and anterior (A), posteromedial, and posterolateral values of the arch in the NO (normal eyes open), NC (normal eyes closed), PO (pillow with eyes open), and PC (pillow with close eyes closed) states were evaluated when barefoot and when Kinesio tape and non-elastic tape were applied. The measurements were analyzed using repeated ANOVA and an independent t-test. Post hoc tests were performed using a Fisher's LSD. RESULTS: A significant difference was found in the arch L and A values using a foot scanner (p < .05). In addition, there was a significant difference in dynamic balance in the three directions (p < .05), and no difference was found in the case of static balance. As a result, non-elastic tape application helps improve the dynamic balance ability and arch of the foot. CONCLUSION: The non-elastic tape technique is helpful for the foot arch function, and there is no difference in the static balance ability between Kinesio tape and non-elastic tape. Nevertheless, non-elastic tape is more helpful for the dynamic balance ability than Kinesio taping.

One-stage total Correction for Complex Aortic Coarctation and Interrupted Aortic Arch (복잡 대동맥 교약증 또는 대동맥 차단증의 일차적 완전교정술에 대한 연구)

  • Kim, Yong-Jin;Jeon, Tae-Guk;No, Jun-Ryang
    • Journal of Chest Surgery
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    • v.28 no.7
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    • pp.658-665
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    • 1995
  • Between March 1989 and December 1994, one-stage repair was performed for correction of the intracardiac malformations associated with aortic coarctation in 34 patients or interrupted aortic arch in 8 patients via median sternotomy. There were 26 male and 16 female patients, and their body weight ranged from 1.8 to 8kg[mean weight, 4.0$\pm$l.4kg . The age at the operation ranged from 7 days to 18 months [mean age, 3.1$\pm$3.8 months . The repair of aortic coarctation or interrupted aortic arch was performed using extended end-to-end anastomosis in most of the patients[86%, 36/42 , and six patients underwent ductal tissue excision and patch aortoplasty. Intracardiac defects were corrected concomitantly through the right atrium unless the anatomy dictated otherwise. Obstructive outlet septurn was resected whenever necessary. There were seven early deaths[16.8% , and three late deaths with a mean follow-up period of 25 months [range from 1 to 65 months . Three patients were reoperated upon residual subaortic stenosis,stenosis at the RPA origin, and subacute bacterial endocarditis respectively. None showed any significant residual or anastomotic stenosis postoperatively. One stage repair of the aortic coarctation and interrupted aortic arch associated with intracardiac defect leaves no native coarctation shelf tissue or residual hypoplasia in the repaired segment, has low incidence of recurrent or residual stenosis, minimizes reoperation and incisions, and manages arch hypoplasia easily.We conclude that surgical results of one-stage repair for the intracardiac malformation associated with aortic coarctation or interrupted aortic arch are resonable.

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An Analysis of Dynamic Critical Loads for Low Parabolic Arches with Different End Conditions (지지조건을 고려한 낮은 포물선 아치의 동적 임계하중의 해석)

  • 박승범
    • Magazine of the Korean Society of Agricultural Engineers
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    • v.28 no.2
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    • pp.87-92
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    • 1986
  • The differential equation, which can determine the dynamic critical loads for low parabcoic arches, is derived in this study. The dynamic critical loads of the parabolic arches subjected to a concentrated step load are nummerically analyzed for the changes of load positions. In cases of arches with different end conditions (both hinged, fixed hinged, both fixed), the effect of end conditions and that of the rises are investigated in detail. The summary of the results are the following: 1)The snapthrough does not occur when the rise of arch is very low, and the bifurcation appears clearly as the rise of arch increases. 2)The regions in which the dynamic critical loads are not defined for the both ends fixed are broader than that for the both ends hinged. 3)For all case, the load positions of minimum dynamic critical loads exsit at the near position from the end hinged. Thus, the results obtained in present study show that the magnitude of dynamic critical loads, the load positions of minimum dynamic critical loads and the regions in which the dynamic critical loads are not defined depend on end conditions of arches.

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The Short Term Results of the Total Aortic Arch Replacement with Arch First Technique (궁부문합 선행법에 의한 대동맥 전궁치환술의 단기 임상 성적)

  • 우종수;김시호;방정희;이길수;최필조;조광조
    • Journal of Chest Surgery
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    • v.37 no.11
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    • pp.903-910
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    • 2004
  • Background: The total aortic arch replacement is one of the most difficult operations with high mortality rate. But the arch first technique with subclavian arterial perfusion has been reported to be a safe methods for arch replacement. Material and Method: Between Feb 2003 and July 2004, 18 patients, 10 men and 8 women, underwent total aortic arch replacement with arch first technique. Their mean age was $59.3\pm12.9$ years. The patietns received 11 acute aortic dissections, 3 chronic aortic dissectiong aneurysms, and 4 ruptured aortic arch aneurysms. Result The mean admission period was $20.2\pm7.4$ days. There was one early mortality case which died of low cardiac output syndrome and another late mortality case which died of cerebral hemorrhage. The others were discharged without any sequelae and they were followed up for an average period of $180\pm156.3$ days. Conclusion: The total aortic arch replacement with arch first technique and subclavian arterial perfusion is a good method that will reduce the surgical mortality and the possibility of secondary late reoperation from the remnant distal aortic problems.