• Title/Summary/Keyword: Partial cavity

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Articulation Changes after Partial Glossectomy in Patients with Early Tongue Cancer (초기 구강설암 환자에서 부분 설절제술 후 조음변화)

  • Lee, Gil-Joon;Youm, Hye-Youn;Lee, Gang-Gyu;Lee, Eun-Kyoung;Son, Young-Ik
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.21 no.1
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    • pp.42-47
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    • 2010
  • Backgrounds and Objects: Carcinoma of the tongue is the most common cancer of the oral cavity. A primary treatment strategy includes surgery and/or radiotherapy. Resection of the tongue often results in speech dysfunction, which depends on the site and extent of resection, type of reconstruction, and the mobility of remaining tongue. This study aimed to evaluate the characteristics of articulation errors that were resulted from the partial glossectomy without free flap reconstruction. Materials & Method : Articulation evaluations including speech intelligibility and percent of correct consonants (PCC) were performed for 24 patients who underwent partial glossectomy for their T1 or T2 tongue cancer. Mobility of the tongue, size of the resected tongue, and the history of adjuvant radiotherapy were analyzed for their relationship with the results of articulation evaluation. Results: Speech intelligibility score was $6.4{\pm}0.9$ (on 7-point scale) and overall PCC was 96.9%. There were close relationships between the size of resection and limitations in the tongue mobility, especially in "protrusion and elevation (r=-0.687)" and "retroflexion (r=-0.775)". Errors in "alveolar fricatives" and "palatal affricates" were also closely related with the size of resection (r=-0.537 and -0.538, respectively). PCC for "liquid sound" /r/ was 83.2%, which was closely related with the history of radiation therapy. Conclusion : Overall articulatory function was satisfactory in cases of early tongue cancer after partial glossectomy of a limited volume without flap reconstruction. However, the size of resection and the history of radiation therapy were closely related to the limitations in some types of tongue mobility and the resultant articulation errors.

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Analysis of Factors for Satisfying Functional Outcomes in Tongue Reconstruction (설결손의 재건 후 기능적 예측 인자의 분석)

  • Hong, Hyun Joon;Lee, Won Jai;Lew, Dae Hyun;Rah, Dong Kyoon;Tark, Kwan Chul
    • Archives of Plastic Surgery
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    • v.35 no.3
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    • pp.255-260
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    • 2008
  • Purpose: Tongue cancer is the most common malignant tumor of the oral cavity and the ultimate goal in treatment of the cancer is not only complete excision and meticulous closure of the wound, but also, reconstruction of a demensional and functional tongue. Our study focuses on various factors, such as defect size, extent of tumor, age, application of mandibulectomy or radiotherapy, and their influences on postoperative speech and swallowing function. Methods: Our study was based on 59 patients who underwent tongue cancer operation and reconstruction of the tongue. Speech and swallowing were evaluated according to categories documented by Sultan and Teichgraeber. Patients were classified into 3 groups as partial glossectomy, hemiglossectomy and total glossectomy groups for evaluation. The average age of the patients were 51, and the mean follow-up period was 4 years 2 months. Results: The partial glossectomy group showed statistically relevant results for speech articulation and swallowing abilities compared to the total glossectomy group. In cases of defects involving the mouth floor, the group showed decreased results compared to the group without mouth floor involvement. Increased age showed decreased postoperative results with statistical significance, while mandibulectomy and radiotherapy revealed no statistically significant data. Analysis according to TNM staging resulted in decreased functional result with advanced staging without statistical significance. Conclusion: To summarize the factors influencing the functional outcome in tongue reconstruction, younger patients and early stage cancer with minimal surgical extent revealed more satisfying results while mandibulectomy and radiation did not have influence on our analysis. Addition of various influencing factors and studies with longer follow up periods on our patient groups may provide effective data for more satisfying functional outcomes in the future.

Chemotherapeutic Management in a Labrador Retriever with Cutaneous Nonepitheliotropic B-cell Lymphoma

  • Hong, Il-Hwa;Kim, Min-Ju;Song, Joong-Hyun;Hwang, Tae-Sung;Lee, Hee-Chun;Yu, Do-Hyeon;Kang, Byeong-Teck;Jung, Dong-In
    • Journal of Veterinary Clinics
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    • v.35 no.4
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    • pp.150-154
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    • 2018
  • A 9-month-old, castrated, male Labrador Retriever was referred for generalized progressing cutaneous reddish mass lesions with bleeding, scale, crust, and pruritus. On the basis of histopathological findings and the results of immunochemical staining, cutaneous nonepitheliotropic B-cell lymphoma was identified. A cyclophosphamide-doxorubicin-vincristine-prednisolone (CHOP)-based chemotherapy regimen was initiated, and the patient initially showed partial response to vincristine and $\text\tiny{L}$-asparaginase, but the cutaneous lesions progressed gradually. After the first cycle of the CHOP-based protocol, lomustine was administered instead. The cutaneous lesions showed partial response to lomustine, but the treatment did not stop the progression of cutaneous lymphoma. The patient was euthanized due to neurologic signs, including reduced consciousness and seizures, 53 days after initial presentation. The postmortem histopathological examination showed systemic metastasis involving the lymph nodes, skin, kidney, ureter, liver, brain, temporal muscle, diaphragmatic muscle, conjunctiva, and oral cavity.

Fabrication of implant-associated obturator after extraction of abutment teeth: a case report (지대치 발거 후 임플란트 연관 상악 폐색장치 제작 증례보고)

  • Ki-Yeol Jang;Gyeong-Je Lee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.39 no.4
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    • pp.229-236
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    • 2023
  • Maxillary bone defects may follow surgical treatment of benign and malignant tumors, trauma, and infection. Palatal defects often lead to problems with swallowing and pronunciation from the leakage of air into the nasal cavity and sinus. Obturators have been commonly used to solve these problems, but long-term use of the device may cause irritation of the oral mucosa or damage to the abutment teeth. Utilizing implants in the edentulous area for the fabrication of the obturators has gained attention. This case report describes a patient, who had undergone partial resection of the maxilla due to adenocarcinoma, in need of a new obturator after losing abutment teeth after long-term use of the previous obturator. Implants were placed in strategic locations, and an implant-retained maxillary obturator was fabricated, showing satisfactory results in the rehabilitation of multiple aspects, including palatal defect, masticatory function, swallowing, pronunciation, and aesthetics.

Quantitative and qualitative evaluation on the accuracy of three intraoral scanners for human identification in forensic odontology

  • Eun-Jeong Bae;Eun-Jin Woo
    • Anatomy and Cell Biology
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    • v.55 no.1
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    • pp.72-78
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    • 2022
  • The purpose of this study was to analyze the accuracy of intra oral scanner (IOS) to confirm the applicability of IOS for the recording and analysis of tooth morphology in forensics. The less damaged mandible specimen with many teeth remaining was scanned three times using three types of intraoral scanners (CS3600, i500, and Trios3). For quantitative comparisons of the scanned images produced by these intraoral scanners, root mean square (RMS) values were computed using a three-dimensional analysis program and a one-way ANOVA was conducted with Tukey HSD (honestly significant difference) as a post-hoc analysis (α=0.05). The repeatability of the full scan data was highest with the i500 (0.14±0.03 mm), and the post-hoc analysis confirmed significant differences between the CS3600 and the i500 outcomes (P-value=0.003). The repeatability of the partial scan data for the teeth in the mandible was highest with the i500 (0.08±0.02 mm), and the post-hoc analysis confirmed significant differences between the CS3600 and the i500 (P-value=0.016). The precision of the full scan data was highest with the i500 (0.16±0.01 mm) but the differences were not statistically significant (P-value=0.091). Meanwhile, the precision of the partial scan data for the teeth in the mandible was highest with the Trios3 (0.22±0.02 mm), but the differences were not statistically significant (P-value=0.762). Considering that the scanning of other areas of the oral cavity in addition to the teeth is important in forensic odontology, the i500 scanner appears to be the most appropriate intraoral scanner for human identification. However, as the scope of oral scanning is generally limited to teeth in the practice of dentistry, additional discussions of how to apply the IOS in forensic odontology are needed. Ultimately, the results here can contribute to the overall discussion of the forensic applicability dental data produced by intraoral scanners.

Development of Real-Time Internal Quality Evaluation Technique for Korean Red Ginseng using NIR Spectroscopy

  • Son, J.R.;Kim, G.;Kang, S.;Lee, K.J.
    • Agricultural and Biosystems Engineering
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    • v.7 no.1
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    • pp.8-12
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    • 2006
  • This study was conducted to develop a real-time internal quality evaluation technique for Korean red ginseng using NIR spectroscopy while they were moving to be graded. Internal qualities of Korean red ginseng were defined by color, amount of white core and cavity in the red ginseng. To evaluate the internal quality, PLS (Partial Least Square) model was developed. Spectrum saturation can be occurred when most red ginseng has a sound internal quality expressed by higher light transmittance ratio, but that could not found in the ginseng of internal white core under the same light situation. And, if spectrum saturation is obtained, it is hard to identify the exact information of internal quality. In order to evaluate of the internal quality regardless of having internal normal core or white core, an integral time controlled method was used to obtain traditional spectrum. This procedure was applied in real-time process when red ginseng was moving to be graded in the line. Among the 450 samples including 223 internal normal ginsengs and 227 internal white core ginsengs, 315 ginsengs (70%) were used to develop a calibration model and 135 ginsengs were spent to validate the model. The result of quality evaluation by the model was very good showing SEP and bias were 0.3573 and 0.0310, respectively, and the accuracy was 95.6%.

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Sensitivity Analysis of Engine Mount System using FRF-based Substructuring Method (전달함수합성법을 이용한 엔진마운트계의 민감도 해석)

  • Lee, Du-Ho;Hwang, U-Seok;Kim, Chan-Muk
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.25 no.1
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    • pp.153-160
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    • 2001
  • A general procedure for the design sensitivity analysis of structural dynamic problems has been presented in frame of the FRF-based substructuring formulation. For a system response function, the proposed method gives a parametric design sensitivity formula in terms of the partial derivatives of the connection element properties and the transfer matrix of the subsystems. The derived design sensitivity formula is applied to an engine mount system. An interior noise problem in the passenger car is analyzed using the FRF-based substructuring method and the proposed formulation is adopted to study the response variations with respect to the dynamic characteristics of the engine mounts and the bushes. To obtain the FRFs, a finite element model is built for the engine mount structures, and test data is used for the trimmed body including cabin cavity. The comparison of sensitivities derived by the proposed method and the finite difference method shows that the proposed method is efficient and accurate. The proposed sensitivity analysis method indicates effectively the most sensitive location to the interior noise among the engine mounts and the bushes.

Chronic Intestinal Pseudo-Obstruction Caused by Intestinal Adenocarcinoma in a Mixed-Breed Dog

  • Moon, Heesup;Hong, Subin;Kim, Sangyeoun;Park, Sungguon;Kim, Taehwan;Kim, Nahyun;Lee, Jae-Hoon
    • Journal of Veterinary Clinics
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    • v.33 no.4
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    • pp.210-213
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    • 2016
  • A 9-year-old, mixed-breed, castrated male dog presented with a one-week history of severe vomiting. Abdominal radiography showed a dilated small intestine loop. Abdominal ultrasonography showed small-intestine distension up to 5 cm in diameter without mechanical obstruction. During exploratory laparotomy, an aperistaltic ileal segment was resected. There was no narrowed cavity in the resected plane. Histopathologic and immunohistochemical findings confirmed visceral myopathy due to intestinal adenocarcinoma in the ileum and revealed partial destruction of the longitudinal and circular muscles with fibrosis. Chronic intestinal pseudo-obstruction caused by adenocarcinoma was diagnosed after considering the above investigative results.

CLINICAL STUDY ON SUCCESS RATE OF TG OSSEOTITE IMPLANT (TG Osseotite 임플란트의 성공률에 대한 임상적 연구)

  • Oh, Sung-Hwan;Min, Seung-Ki;Chae, Young-Won
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.27 no.1
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    • pp.39-47
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    • 2005
  • The purpose of this study is to review the prognosis of the TG Osseotite implant(3i Co, USA) placed in partial edentulous area of oral cavity and to suspect the possible causes leading to failure. 124 TG Osseotite implants that had been inserted between 2000 - 2002 were followed up for 2 years(avg : 9.5 months) in function. Medical records, and radiographs were evaluated and analyzed by the over all success rate, gender and age factor, general disease, implant fixture length and diameter, implant site, bone density, and various surgical methods. Chi square test was used statistically. Of the 124 TG Osseotite implants, 9 implants(7.3%) were removed in early phase and 3 implants(2.4%) were in late phase. The cumulative survival rate was 90.2%. The failure of the TG Osseotite implant was closely related with the use of bone graft techniques such as sinus elevation or immediate implantation and not with the age, sex, general disease, implant site, bone density of implanted site. The failure of the TG Osseotite implant was well developed when it was the wide type of implant and it was inserted for single tooth replacement. The developement of peri-implantitis was the most important factor in the failure of the TG Osseotite implant.

Flowability and Strength Properties of High Flowing Self-Compacting Concrete Using for Tunnel Lining

  • Choi, Yun-Wang;Choi, Wook;Kim, Byoung-Kwon;Jung, Jea-Gwone
    • International Journal of Concrete Structures and Materials
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    • v.2 no.2
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    • pp.145-152
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    • 2008
  • So far, there has been no study of the concrete to strengthen in the lining of the tunnels, except for the study of the stability of subgrade and the tunnel construction technologies. In the existing concrete work for tunnel lining, lots of problems happen due to the partial compaction and the material segregation after casting concrete. Accordingly, the aim of this study is to improve economic efficiency and secure durability through the improvement of the construction performance and quality of the concrete for the tunnel lining among the civil structures. Therefore, the compactability and strength properties of the High Flowing Self-Compacting Lining Concrete (HSLC) are evaluated to develop the mixing proportion for design construction technology of HSLC that can overcome the inner cavity due to the reduced flowability and unfilled packing, which has been reported as the problem in the existing lining concrete. The result of the evaluation shows that the ternary mix meets the regulations better than the binary mix. Consequently, it has been judged applicable to the cement for tunnel lining.