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

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Head and neck reconstruction using free flaps: a 30-year medical record review

  • Suh, Joong Min;Chung, Chul Hoon;Chang, Yong Joon
    • Archives of Craniofacial Surgery
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    • v.22 no.1
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    • pp.38-44
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    • 2021
  • Background: The free flap surgical method is useful for the reconstruction of head and neck defects. This study retrospectively analyzed the results of head and neck reconstructions using various types of free flaps over the past 30 years. Methods: Between 1989 and 2018, a total of 866 free flap procedures were performed on 859 patients with head and neck defects, including 7 double free flaps. The causes of vascular crisis and salvage rate were analyzed, and the total flap survival rate calculated among these patients. Additionally, the survival and complication rates for each flap type were compared. Results: The 866 cases included 557 radial forearm flaps, 200 anterolateral thigh flaps, 39 fibular osteocutaneous flaps, and 70 of various other flaps. The incidence of the vascular crisis was 5.1%; its most common cause was venous thrombosis (52.3%). Salvage surgery was successful in 52.3% of patients, and the total flap survival rate was 97.6%. The success rate of the radial forearm flap was higher than of the anterolateral flap (p< 0.01), and the primary sites of malignancy were the tongue, tonsils, and hypopharynx, respectively. Conclusion: The free flap technique is the most reliable method for head and neck reconstruction; however, the radial forearm free flap showed the highest success rate (98.9%). In patients with malignancy, flap failure was more common in the anterolateral thigh (5.5%) and fibular (5.1%) flaps.

Surface Failure Phenomenon Due to Head/Disk Contact (헤드/디스크의 접촉으로 인한 표면파손 현상)

  • Chung, Koo-Hyun;Moon, Jae-Taek;Lee, Jung-Kyu;Kim, Dae-Eun
    • Proceedings of the KSME Conference
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    • 2001.06c
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    • pp.322-326
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    • 2001
  • Hard disk drive(HDD) consists of a head/slider system which flies over the magnetic disk at an extremely low height. As the density of HDD increases the flying height of the head needs to be decreased. This increases the chance for contact between the slider and the disk. This paper addresses some key issues related to surface failure characteristics of HDD. It is shown that flying behavior of the slider during contact-start-stop cycle can be analyzed based on different regimes of air film lubrication, experimental methods for identifying the underlying mechanisms and improving the reliability of HDD are discussed.

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Efficacy of Forward Head Posture Treatment on Neck Function and Quality of Life

  • Kim, Hyun-Joong;Lee, Eunsang
    • Physical Therapy Rehabilitation Science
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    • v.10 no.3
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    • pp.337-342
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    • 2021
  • Objective: Forward head posture can caused by deformation of structures and soft tissues around the neck, which has an uncomfortable effect on daily life as well as functional disorders of the neck. However, studies related to direct forward head posture, neck function, and quality of life have not yet been conducted. Therefore, the purpose of this study is to investigate the effect of improving the forward head posture on the function of the neck and to examine the change in the quality of life. Design: A randomized controlled trial Methods: The participants were 41 adults (22.17±2.67 years) recruited and redivided randomly into two group (Biofeedback, BFG vs. Control). The Biofeedback group was proceeded according to the over load principle through 4 steps. (n=21). The control (n=20) was not applied after TENS padding was applied and 20 minute. This study was conducted three times a week for a total of four weeks. Results: Forward head posture for showed significant improvement in the results in the craneocervical angle (p<0.05, 95% CI: 0.130, 2.858). In neck disability index more significant improvement in BFG than group (p<0.05, 95% CI: 14.346, 17.825), and BFG showed significant increased in the results in the Quality of life (p<0.05, 95% CI: 0.392, 9.549) Conclusions: This study suggected that forward head posture treatment and effective for neck function and quality of life

Effect of Isolation by Albumin Density Gradients on Head's Size of Bovine Sperm (Albumin density gradient 방법에 의한 고활력 우정자 분리시의 정자두부크기의 비교관찰)

  • Kim, Myung-Cheol;Jo, Chung-Ho;Chung, Soon-O
    • Clinical and Experimental Reproductive Medicine
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    • v.11 no.2
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    • pp.69-76
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    • 1984
  • In order to obtain high proportion of Y sperm the semen was laid over 6%,10% and 20% bovine serum albumin. Separated sperm were stained with quinacrine mustard in order to see F - body which could be seen in human Y sperm. But we could'nt find F-body in the bull sperm. So sperm were compared with size of sperm head. As a result of observation separated sperm was small in size of length and width of sperm head as compared with control sperm. So it was found that the proportion of Y sperm showed a marked increase in separated layer. Then the higher albumin density was, the higher the proportion of Y sperm which had smaller head and faster motility was. But the higher albumin density was, the lower the recovery rate of sperm was. So it was hard to separate Y sperm in oligospermia.

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Near-Infrared Light Propagation in an Adult Head Model with Refractive Index Mismatch

  • Kim, Seung-Hwan;Lee, Jae-Hoon
    • ETRI Journal
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    • v.27 no.4
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    • pp.377-384
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    • 2005
  • We investigate near-infrared light (NIR) propagation in a model of an adult head using an extensive Monte Carlo (MC) simulation. The adult head model is a four-layered slab which consists of a surface layer, a cerebrospinal fluid layer, a gray-matter layer, and a white-matter layer. We study the effects of a refractive index mismatch on the model, calculating the intensity of detected light, mean flight time, and partial mean flight time of each layer for various refractive indices of the cerebrospinal fluid layer as functions of source-detector spacing. The Monte Carlo simulation shows that the refractive index mismatch presents very rich results including rapidly decaying intensity of detected light and a peak and cross-over in the partial mean flight time with source-detector spacing. We also investigate spatial sensitivity profiles at various source-detector spacings, discussing the index mismatch effect on the model.

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Fabrication of wide-head T-gate with 0.2 ${\mu}{\textrm}{m}$ gate length using E-beam lithography for MIMIC applications. (전자선 묘화를 이용한 0.2 ${\mu}{\textrm}{m}$의 게이트 길이를 갖는 MIMIC용 Wide-Head T-gate 제작)

  • 전병철;박덕수;신재완;양성환;박현창;이진구
    • Proceedings of the IEEK Conference
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    • 1999.11a
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    • pp.187-190
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    • 1999
  • We have developed fabrication processes that form a wide-head T-gate with a 0.2 ${\mu}{\textrm}{m}$ gate length using the combination of thickness of each PMMA layer, line doses and development times for applications in millimeter- and micro-waves monolithic integrated circuits. The three-layer resist structure (PMMA/P(MMA-MAA)/PMMA = 1800 $\AA$/5800 A/1900$\AA$), 4nC/cm and over development were used for fabrication of a wide-head T-gate by the conventional double E-beam exposure technology. The experimented results show that the cross sectional area of T-gate fabricated by the proposed method is easily enlarged without additional processes.

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A Case of Mucosa-Associated Lymphoid Tissue Lymphoma (MALT Lymphoma) in Hypopharynx: A Case Report (하인두에 발생한 점막 연관성 림프조직 림프종 1예: 증례 보고)

  • Min-Ju Kang;Youn-Sun Park;Ju-Eun Lee;Hyun-Bum Kim
    • Korean Journal of Head & Neck Oncology
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    • v.39 no.1
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    • pp.33-36
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    • 2023
  • Malignant lymphoma rarely occurs in the larynx and hypopharynx. Few cases of malignant lymphoma in the larynx were reported in Korea. However, malignant lymphoma in the hypopharynx had been not reported in Korea. A 68-year-old woman came to the outpatient clinic with a foreign body sensation in her throat. A round, smooth margin, bright pink-colored mass was confirmed by the laryngoscopy. The patient took neck computer tomography. A small bulging of mucosa was observed, but there was no peripheral infiltration or abnormally enlarged lymph nodes. We did excision using CO2 LASER. She was finally diagnosed with mucosa-associated lymphoid tissue lymphoma (MALT lymphoma). After diagnosis, several image studies confirmed that there was no metastatic lesion. She got only radiotherapy after that and kept a complete response state for over 2 years.

Analysis of Risk Factors Related to the Recurrence of well Differentiated Thyroid Carcinoma (고분화성 갑상선 암종의 재발과 관련된 위험인자 분석)

  • Lee, Sang-Joon;Chung, Phil-Sang;Kim, Young-Saeng;Yun, Kyung-Sub
    • Korean Journal of Head & Neck Oncology
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    • v.23 no.2
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    • pp.138-141
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    • 2007
  • Objectives : Well differentiated thyroid carcinoma(WDTC) has relatively good prognosis. But recurrence is associated with increased morbidity and mortality, and always results in reoperation. So it is important to evaluate the risk factors relative to the recurrence. The aim of this study is to evaluate the risk factors of recurrence. Materials and Method : Two hundred seventeen patients who had undergone thyroidectomy and proved as WDTC from January 1999 to December 2004 was included in the study. We reviewed patient-related and tumorrelated factors respectively and analyzed the correlation with tumor recurrence. Results : Fourteen patients from two hundreds seventeen had recurred. Recurrence rate was 6.5%, and average interval of recurrence was 28 month. Male, age over 45, multiple mass, and advanced TMN stage patient group show higher recurrence rate, but no statistical significance. However, the recurrence rate of lymph node metastasis, tumor size>1.5cm, and extracapsular invasion group were statistically high. Conclusion : Lymph node metastasis, tumor size and extracapsular invasion are significant risk factors related to the recurrence of WDTC.

Late side effects of radiation treatment for head and neck cancer

  • Brook, Itzhak
    • Radiation Oncology Journal
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    • v.38 no.2
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    • pp.84-92
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    • 2020
  • Patients undergoing radiation therapy for head and neck cancer (HNC) experience significant early and long-term side effects. The likelihood and severity of complications depends on a number of factors, including the total dose of radiation delivered, over what time it was delivered and what parts of the head and neck received radiation. Late side effects include: permanent loss of saliva; osteoradionecrosis; radiation recall myositis, pharyngoesophageal stenosis; dental caries; oral cavity necrosis; fibrosis; impaired wound healing; skin changes and skin cancer; lymphedema; hypothyroidism, hyperparathyroidism, lightheadedness, dizziness and headaches; secondary cancer; and eye, ear, neurological and neck structures damage. Patients who undergo radiotherapy for nasopharyngeal carcinoma tend to suffer from chronic sinusitis. These side effects present difficult challenges to the patients and their caregivers and require life-long strategies to alleviate their deleterious effect on basic life functions and on the quality of life. This review presents these side effects and their management.

A Case of a Huge Lateral Neck Mass as the Initial Presentation of Thyroid Carcinoma (거대한 단발성 측경부 종물로 나타난 전이성 갑상선암 1례)

  • Sohn Jin-Ho;Park Jae-Yul;Kim Kwang-Hoon;Sung Nak-Kwan
    • Korean Journal of Head & Neck Oncology
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    • v.15 no.1
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    • pp.89-91
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    • 1999
  • We experienced a case of the papillary thyroid carcinoma seen as a huge solid lateral neck mass. The mass grew very slowly over the period of 30years up to 10cm in diameter while relatively well sparing the surrounding tissues. Physical examinations, CT scan, and fine needle aspiration cytology did not reveal any strong suggestions for evidence of malignancy. But it was pathologically diagnosed as metastatic thyroid carcinoma by excisional biopsy. We emphasize that for a large solitary neck mass which persists for several decades, head and neck surgeons should always keep in mind the possibility of metastasis from the malignancy of thyroid gland.

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