• The Korean Journal of Pain
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• v.24 no.3
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• pp.164-168
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• 2011

Obturator nerve block has been commonly used for pain management to prevent involuntary reflex of the adductor thigh muscles. One of several options for this block is chemical neurolysis. Neurolysis is done with chemical agents. Chemical agents used in the neurolysis of the obturator nerve have been alcohol, phenol, and botulinum toxin. In the current case, a patient with spasticity of the adductor thigh muscle due to cervical cord injury had obturator nerve neurolysis done with botulinum toxin type B (BoNT-B). Most of the previous studies have used BoNT-A with only a few reports that have used BoNT-B. BoNT-B has several advantages and disadvantages over BoNT-A. Thus, we report herein a patient who successfully received obturator nerve neurolysis using BoNT-B to treat adductor thigh muscle spasm.

• Journal of Korean Neurosurgical Society
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• v.41 no.1
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• pp.22-26
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• 2007

Objective : Cerebral palsy may induce harmful spastic hip adduction. We report the result of microsurgical selective obturator neurotomy, performed on 12 spastic hip adductions of 6 patients, followed clinically for at least 26 months postoperatively. Methods : Microsurgical selective obturator neurotomies, involving microsurgical resection of the anterior obturator nerve branches were performed on 6 patients from January 2000 through June 2003. All patients presented with the inability to sit and 2 patients complained of persistent, intractable pain. We used intraoperative bipolar stimulation to identify selected motor branches. Results : The procedure was performed bilaterally in all patients. In the 3 patients in whom contractures were present, microsurgical selective obturator neurotomies were accompanied by an additional tenotomy of the adductor muscles. Selective tibial neurotomy was performed on three of six patients who originally presented with a spastic ankle. Postoperatively, all spastic hip adductions were corrected more than 60 degrees in passive abduction-adduction amplitude. However, one patient who did not receive active postoperative physiotherapy demonstrated a decreased passive abduction-adduction amplitude upon follow-up. There were no surgical complications. Conclusion : We think microsurgical selective obturator neurotomy may be an effective procedure in the treatment of localized, harmful spastic hip adduction after failure of well conducted conservative treatment. As muscular contractions are often associated with spasticity of the hip adductors, an adjunctive tenotomy may be an option. Comprehensive postoperative physiotherapy is essential to improve long-term results.

• The Journal of Korean Academy of Prosthodontics
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• v.58 no.4
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• pp.349-355
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• 2020

The use of an obturator prosthesis for patients with maxillary defects is a common treatment method to improve their oral function and achieve esthetic satisfaction. However, due to various difficulties and complexities, conventional methods for fabricating dental obturators continue to pose a challenge for dentists and patients, as well as laboratory technicians. CAD-CAM technologies may make it simple to fabricate maxillofacial prostheses including hollow obturators, which could improve comfort for clinicians by reducing burdensome manipulations. In addition, patients without a specialist in their vicinity will be able to be treated via cooperation between a nearby general practitioner and a distant prosthodontist. The aim of this clinical report is to investigate the possibility of using digitally fabricated maxillofacial prostheses that can be designed in one location, and manufactured in another in clinical situations.

• The Korean Journal of Pain
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• v.19 no.2
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• pp.282-284
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• 2006

Percutaneous radiofrequency thermocoagulation has been applied in patients with various forms of chronic pain, such as facet joint pain, cancer pain and trigeminal neuralgia. A major portion of the hip joint is innervated by the articular branches of the femoral and obturator nerves. Radiofrequency thermocoagulation of the articular branches of the obturator and femoral nerves can be a good alternative treatment for patients with hip joint pain, especially in those where surgery is not applicable. A patient suffering hip joint pain due to metastatic cancer underwent multiple radiofrequency lesioning of the femoral and obturator nerves at $80^{\circ}C$ for 120 seconds, using a Racz-Finch Kit. The patient experienced about a 50% reduction in the pain, without any numbness or other side effects.

• The Journal of Korean Academy of Prosthodontics
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• v.26 no.1
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• pp.207-212
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• 1988

Maxillary defects are a result of necessary cancer surgery, congenital anomaly or trauma. Ideally the patient with the aquired maxillary defect should be provided with an obturator prosthesis that is comfortable, restores adequate speech, deglutition, and mastication, and is acceptable cosmetically. This is a case report of open type hollow obturator delivered in the partial maxillectomy treated patient. The satisfied result obtained as follows: The open type hollow obturator has the advantage of easy fabrication, lightness, easy cleaning and restores adquate speech.

• Journal of Korean Neurosurgical Society
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• v.51 no.3
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• pp.182-186
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• 2012

In conventional percutaneous disc surgery, introducing instruments into disc space starts by inserting a guide needle into the triangular working zone. However, landing the guide needle tip on the annular window is a challenging step in endoscopic discectomy. Surgeons tend to repeat the needling procedure to reach an optimal position on the annular target. Obturator guiding technique is a modification of standard endoscopic lumbar discectomy, in which, obturator is used to access triangular working zone instead of a guide needle. Obturator guiding technique provides more vivid feedback and easy manipulation. This technique decreases the steps of inserting instruments and takes safer route from the peritoneum.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.27 no.1
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• pp.1-7
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• 2003

The optimal design for the shape of MIL-S-46119 ring obturator under the high pressure using parameter stud:』 on the stress analysis considering effects of design variable is presented, and it is compared to experimental results. The trends of parametric study are in good agreement with the experimental results. The more thickness the higher stress. The more taper the higher stress. And maximum stress of circumferential surface is larger than maximum stress of forward surface. The design variable!; are such as thickness, taper, radius of shape of the obturator. In order to optimize the shape of obturation ring, the weight is maximized subject to maximum stress of the obturator within allowable stress. The design constraints are geometric elements of design variables.

• Proceedings of the KSME Conference
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• 2000.04a
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• pp.315-320
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• 2000

The optimal design for the shape of metal ring obturator under the high pressure using parameter study on the stress analysis considering effects of design variable is presented and is compared to experimental results. The design variables are such as thickness, taper, radius of shape of the obturation ring. For optimization of the obturation ring, the weight is maximized subject to maximum stress of the obturator within allowable stress. The design constraints are geometric elements of design variables. The trends of parametric study are in good agreement with the experimental results.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.3 no.1
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• pp.6-12
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• 1989

Methods of voice rehabilitation in laryngectomees include training of esophageal speech, use of electrolarynx and pneumatic speech aid and surgical methods, etc. In this paper, we introduce the experimental model of obturator-type electrolarynx which has several advantages for use such as ease of learning, no disagreeable appearance, and both hands not being occupied. We compared it to normal voice and other voice rehabilitation methods such as esophageal voice, japanese pneumatic speech aid and cervical electrolarynx in intelligibility and sonagraphic evaluation. The results are as follows; 1) Obturator-type electrolarynx exhibited the lowest intelligibility. 2) In sonagraphic evaluation, the spectrogram produced by the obturator-type electrolarynx was the most different from those of normal voice.

• Journal of Dental Rehabilitation and Applied Science
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• v.26 no.1
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• pp.33-38
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• 2010

Maxillectomy is a treatment option for maxillary cancer, which leaves the patient with a palatal defect. It may cause problems with facial deformation, swallowing, mastication, and speech. These functional problems and changes in appearance may result in psychological problems. To control these deficits after maxillectomy, surgical reconstruction or prosthodontic treatment can be chosen as a treatment option. Obturator prosthesis has been used as a preferred method of rehabilitation for most maxillectomy patients. This case is a patient who was classified Aramany classification II hemi-maxillectomy patient with residual teeth from #11-25, whose teeth had substantial labioversion and clinically lengthened from alveolar bone involution, thus making it hard to select proper framework design and resist to the rotational dislodging force of the obturator. Therefore we selected swing-lock attachment design to remain pre-existing crown and bridges and obtain retention and stability of obturator. The swing-lock RPD is economical than the conventional RPD because we can remain pre-existing crown and bridges. And residual teeth which have mobility and poor prognosis can be successfully retained through properly designed swing-lock RPD as it is functioning as a removable splint on the teeth.