• Title/Summary/Keyword: Over-the-head

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Rolling Method to Preserve Facial Nerve in Parotidectomy (이하선수술시 안면신경의 위치에 따른 신경 보존 술식의 개선방법)

  • Yoo, Young-Sam
    • Korean Journal of Head & Neck Oncology
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    • v.26 no.1
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    • pp.19-23
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    • 2010
  • Objectives : In parotidectomy, facial nerve dissection technique had been evolved for its safety. Surgical landmarks are important and good guides to facial nerve detection. Conventional exposure and release of the nerve requires hemostat for elevation of parotid tissue from nerve and #11 blade for cutting the parotid away from the nerve. Material and Methods : The rolling the parotid tissue over the nerve after dissecting with Metzembaum scissors instead of knife, lessen pulling trauma and nerve cutting by knife. Eleven superficial parotidectomies since June 2009 were done with rolling technique and preliminary report is presented. Results : Total 11 parotidectomies were done using proposed technique with tolerable complications(temporary facial dysfunction in 4 cases). Conclusion : Rolling method using metzembaum scissors could be applied to parotid operation.

The Effect of Soru Massage Therapy on Pain of the Head and Neck of Elderly (소루마사지요법이 노인의 두경부 통증에 미치는 영향)

  • Han, Chae-Yeon;Shin, Ji-Hoon;Lee, Mi-Ja
    • The Journal of the Korea institute of electronic communication sciences
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    • v.8 no.8
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    • pp.1265-1270
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    • 2013
  • This study was aimed to analyse the effect of Soru massage therapy on pain of the head and neck of 46 seniors aged over 65. The therapy was given twice a week for eight weeks and a total of 16 sessions for 30 minutes. The results revealed that the pain average on the head and neck of the male and female subjects was statistically significant. For the test group who had a random test, the average of pain on the head and neck of the subjects was statistically significant. Based on the results, Soru massage therapy showed positive results for pain on the head and neck of elderly persons, which indicates that it can improve their health and quality of living. Therefore, this study is an arbitrary alternative therapy which can be applied for the elderly who have pain on the head and neck caused by muscular tension.

Axillary Approach for Thyroidectomy under Operating Microscope (수술현미경하 액와접근 갑상선 절제술)

  • Choi, Jong-Ouck;Jun, Byung-Sun;Lee, Jang-Woo;Lee, Dong-Jin;Sohn, Hang-Soo
    • Korean Journal of Head & Neck Oncology
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    • v.23 no.1
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    • pp.32-36
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    • 2007
  • Background and Objective:A post-operative hypertrophic scar of the anterior neck is the leading complaint of the patients who underwent conventional thyroid surgery. In order to minimize the post-operative scar of the anterior neck, we performed thyroidectomy via axillary approach using operating microscope and a specialized retractor to determine technical feasibility. Patients and Methods:From January 2005 to December 2006, we performed thyroidectomy via axillary approach under operating microscope(f=400mm, ${\times}2.5$;OPMI $pico^{(R)}$;Zeiss, Germany) for benign unilateral nodule in 25 cases(all female, average age 34.5yrs). Under general anesthesia less than 7cm of skin incision was made in the axilla of ipsilateral side. A subcutaneous tunnel went over the pectoralis major muscle and the clavicle, and then through the sternocleidomastoid muscle and sternothyroid muscle was excised. The area around the thyroid was sufficiently dissected, and then a retractor designed for exposure via axillary approach was placed within the tunnel and under operating microscope thyroidectomy was performed. Results:There were 17 cases of thyroid nodulectomy and 8 cases of subtotal lobectomy. The mean average operative time was 102.64minutes. Postoperative complications included one case of postoperative bleeding, one case of temporary vocal cord paralysis, two cases of delayed wound healing, two cases of paresthesia of shoulder and arm, and two cases of hypertrophic scar of the axilla. Postoperative histopathology includes 17 cases of adenomatous hyperplasia, six cases of cyst, and two cases of follicular adenoma. For all cases hospitalization period was two days. Conclusion:Thyroidectomy via axillary approach under operating microscope has a good cosmetic advantage without a post-operative scar of the anterior neck. The procedure is simple due to direct vision using operating microscope, easy to identify important structures by magnifying them, and therefore surgical time can be reduced.

Spontaneous migration of a congenital intratympanic membrane cholesteatoma

  • Kim, Tae Hoon;Lee, Kyu-Yup;Jung, Da Jung
    • Journal of Yeungnam Medical Science
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    • v.35 no.2
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    • pp.244-247
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    • 2018
  • Congenital intratympanic membrane cholesteatoma (ITMC) is a rare type of congenital cholesteatoma located within the tympanic membrane. This lesion tends to increase in size over time. The development of ITMC can cause several complications such as hearing impairment, dizziness, facial palsy, and intracranial complications, similar to any other cholesteatoma. The treatment of congenital cholesteatoma requires the removal of the lesion through surgery, because disease progression induces bony destruction of the nearby tissue. Most patients presenting with this cholesteatoma type are also treated with primary surgical removal. However, we recently experienced a case of an ITMC that showed a natural transition to an external auditory canal cholesteatoma.

A Case of Malignant Peripheral Nerve Sheath Tumor in Parapharyngeal Space (부인두 공간에서 발생한 악성 말초 신경초 종양 1예)

  • Lee, Hyun Sub;Lee, Chang Hee;Jin, Sung Min;Lee, Sang Hyuk
    • Korean Journal of Otorhinolaryngology-Head and Neck Surgery
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    • v.55 no.3
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    • pp.181-184
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    • 2012
  • The malignant peripheral nerve sheath tumor is an extremely rare soft tissue sarcoma. It is a highly malignant sarcoma, which is locally invasive, frequently leading to multiple recurrences and eventual metastatic spread. The peak incidence of disease is known to occur sporadically between the age of 20s and 50s, and is usually associated with the neurofibromatosis type I. In human body, the trunk and extremities are the most commonly involved sites, with only 8-14% of all lesions appearing in the head and neck region. We present a case of malignant peripheral nerve sheath tumor involving the right parapharynx in a 48-year-old patient who complained of headaches in the right parietal area and of dysphagia that aggravated over a month. After surgery, tumor was finally diagnosed as malignant peripheral nerve sheath tumor by histopathologic examinations. The authors report a case of malignant peripheral nerve sheath tumor in the right parapharynx with a review of the literature.

A Case of Nasofrontal Dermoid Cyst Via Transcollumelar Approach (경비주 접근법으로 안면부 손상없이 제거한 비전두 유피낭종 1예)

  • Lee, Kang Hyun;Lee, Sung Min;Kim, Sang Wook;Park, Ki Joon;Kim, Dong-Kyu
    • Korean Journal of Head & Neck Oncology
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    • v.36 no.1
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    • pp.27-31
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    • 2020
  • The midline nasal dermoid cysts are rare congenital neoplasms, which are diagnosed frequently in childhood. Masses are often noticeable at birth gaining size over time with recurrent infections and usually arise from the nasal cavity or lower 1/3 of the nasal dorsum. CT scan as the primary investigation is helpful to determine accurately the size and extent of the lesion as well as the integrity of adjacent bony structures. MRI scan is recommended to rule out an intracranial extension or sinus tracts. Treatment of choice is the complete surgical excision preserving the cyst wall. Here in, we present an unusual case of nasofrontal dermoid cyst in a 19-year-old boy without radiographic evidence of transcranial extension. In this case, we surgically removed nasofrontal dermoid cyst via transcolumellar approach. We also corrected saddle nose deformity after mass removal. Therefore, in this case, we experienced a successful case in which the nasofrontal dermoid cyst was totally removed without facial scar and deformity.

Development of Thermal Printer Head Controller using Gate Array (Gate Array에 의한 Thermal Printer Head Controller의 개발)

  • Park, C.W.;Choi, G.S.;An, K.H.;Watanabe, T.
    • Proceedings of the KIEE Conference
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    • 1995.07b
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    • pp.919-921
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    • 1995
  • In this paper, development of Thermal Printer Head(TPH) controller by using gate array having high reliability and good performance is proposed. Over the 3000 gates are performed to control print image data signals and relative peripheral hardwares. The proposed gate array has TPH control circuit, print control and step motor drive, and print image data control, decoder output control parts. This TPH controller will be a good application to FAX or label printer and barcode printers.

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Usefulness of the Base Deficit as an Injury-severity Indicator in Multiple-trauma Patients with Head Injuries (두부손상을 동반한 다발성 외상환자에서 중증도 평가지표로서 염기결핍의 유용성)

  • Kim, Bongjoo;Kang, Taekyung;Choi, Seungwoon;Kim, Hyejin;Oh, Sungchan;Cho, Sukjin;Ryu, Seokyong
    • Journal of Trauma and Injury
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    • v.25 no.4
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    • pp.223-229
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    • 2012
  • Purpose: The arterial base deficit and the serum lactate level are widely recognized indicators of injury severity, adequacy of resuscitation and outcome. The purpose of this study is to evaluate the usefulness of the arterial base deficit as an injury-severity indicator in multiple-trauma patients with head injuries. Methods: Data were retrospectively collected from trauma patients over 18 years of age who had been admitted at the emergency center between October 2005 and July 2006. The patients were divided into head-injury and non-head-injury groups. These patients were then sub-divided into minor ($$ISS{\leq_-}15$$)-injury and major ($$ISS{\geq_-}16$$)-injury groups according to their injury severity scores (ISS). We analyzed the differences in the base deficits and the serum lactate levels between the major- and the minor-injury sub-groups in both the head-injury and the non-head-injury groups. Results: In the non-head-injury group, we found statistically significant differences in the arterial base deficit between the major-injury and the minor-injury sub-groups($-6.86{\pm}2.40mmol/L$ vs. $-1.37{\pm}0.73mmol/L$, p=0.010). In the head-injury group, no significant differences were noted between the two sub-groups($-2.50{\pm}1.28mmol/L$ vs. $-1.51{\pm}0.74mmol/L$, p=0.897). Moreover, the differences in arterial base deficit between the major-injury and the minor-injury sub-groups were not significant both for either single-head-trauma or multiple-head-trauma patients (p=0.643 vs. p=0.832). Conclusion: We conclude that neither the arterial base deficit nor the serum lactate level can be used to predict injury severity in multiple-trauma patients with head injuries.

Design and Optimization of Suspension with Optical Flying Head Using Integrated Optimization Frame (통합최적프레임을 사용한 광부상헤드를 탑재한 서스팬션의 최적화)

  • Kim, Ji-Won;Park, Kyoung-Su;Yoon, Sang-Joon;Choi, Dong-Hoon;Park, Young-Pil;Lee, Jong-Soo;Park, No-Cheol
    • Transactions of the Society of Information Storage Systems
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    • v.1 no.2
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    • pp.161-168
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    • 2005
  • This paper optimizes the optical flying head(OFH) suspension using the integrated optimization frame, which automatically integrates the analysis with the optimization and effectively implements the repetitive works between them. The problem formulation for the optimization is suggested to improve the dynamic compliance of OFH and to shift the resonant frequencies caused tracking errors to high frequency domain. Furthermore, the minimization of the effective suspension mass that leads to decrease the so-called 'lift-off' as the disk-head separation acceleration divided by the suspension load is taken into consideration. In particular, this study is carried out the optimal design considering the process of modes tracking through the entire optimization processes. The advanced suspension that reduces the effective mass of the suspension and increases the resonant frequencies of sway and $2^{nd}$ torsion over 10kHz is achieved by using the integrated optimization frame.

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Multi-Objective Short-Term Fixed Head Hydrothermal Scheduling Using Augmented Lagrange Hopfield Network

  • Nguyen, Thang Trung;Vo, Dieu Ngoc
    • Journal of Electrical Engineering and Technology
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    • v.9 no.6
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    • pp.1882-1890
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    • 2014
  • This paper proposes an augmented Lagrange Hopfield network (ALHN) based method for solving multi-objective short term fixed head hydrothermal scheduling problem. The main objective of the problem is to minimize both total power generation cost and emissions of $NO_x$, $SO_2$, and $CO_2$ over a scheduling period of one day while satisfying power balance, hydraulic, and generator operating limits constraints. The ALHN method is a combination of augmented Lagrange relaxation and continuous Hopfield neural network where the augmented Lagrange function is directly used as the energy function of the network. For implementation of the ALHN based method for solving the problem, ALHN is implemented for obtaining non-dominated solutions and fuzzy set theory is applied for obtaining the best compromise solution. The proposed method has been tested on different systems with different analyses and the obtained results have been compared to those from other methods available in the literature. The result comparisons have indicated that the proposed method is very efficient for solving the problem with good optimal solution and fast computational time. Therefore, the proposed ALHN can be a very favorable method for solving the multi-objective short term fixed head hydrothermal scheduling problems.