• 제목/요약/키워드: Post removal

검색결과 452건 처리시간 0.024초

Analysis of Neurosensory Dysfunction after Dental Implant Surgery

  • Choi, Young-Chan;Cho, Eunae S.;Merrill, Robert L.;Kim, Seong Taek;Ahn, Hyung Joon
    • Journal of Oral Medicine and Pain
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    • 제39권4호
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    • pp.133-139
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    • 2014
  • Purpose: There have been reports regarding the various factors associated with the level of discomfort and recovery from neurosensory symptoms in patients with trigeminal nerve injury. However, the contributing factors remain uncertain and poorly understood. The purpose of this paper was to investigate the possible association between various factors expected to affect neurosensory discomfort and recovery in patients with mandibular nerve injury after dental implant surgery. Methods: Eighty-nine post-dental implant surgery patients with mandibular nerve injury were enrolled in this retrospective analysis. A medical records review of the patients was done to determine if the patients' improvement was related to pain intensity, the length of time between the injury and removal of the implant or the depth of penetration of the implant into the mandibular canal as determined by cone-beam computed tomography. Results: There was no significant linear relationship between pain intensity and symptomatic improvement (p=0.319). There was no significant linear relationship between the level of mandibular canal penetration and either pain intensity (p=0.588) or symptomatic improvement (p=0.760). There was a statistically significant linear relationship between length of time before the injury was treated, both with pain intensity (p=0.004), and symptomatic improvement (p=0.024). Conclusions: Our findings indicate that the length of time between nerve injury and initiation of conservative treatment is more closely related to the pain intensity and symptomatic improvement than other factors, including the level of mandibular canal invasion. Additionally, increased pain intensity and decreased symptomatic improvement can be expected over time, because of this linear trend. Therefore, although direct injury to the nerve is the most important factor contributing to a neurosensory disturbances, early neurosensory assessment and initiation of conservative treatment should be done to optimize recovery.

사랑니 발치환자에서 불안에 관한 연구 (THE ANXIETY IN PATIENTS UNDERGOING THIRD MOLAR EXTRACTION)

  • 오한석;한상정;장주민;이해경;심주철;김우형
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제33권4호
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    • pp.375-380
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    • 2007
  • The purpose of this study is to understand anxiety in patients undergoing third molar extraction and care patients of third molar extraction. The subjects in the study were Sixty-three patients who visited the department of dentistry at Pusan Paik Hospital from May 2006 to September 2006 and who underwent third molar extraction. Patients' anxiety(state anxiety and trait anxiety) to use Spielberger's state-trait anxiety inventory(STAI) were measured. They were asked to fill out STAI question paper immediately before third molar extraction(pre-extraction) and on the day after the extraction(post-extraction). And visual analog scale(VAS) to measure patient's postoperative pain on the day after extraction(postextraction day) was used. Then Differences in anxiety before and after extraction, between men and women, between the first and second extraction, with impacted versus non impacted third molar extraction, between extraction time and anxiety, and between postoperative pain and anxiety were evaluated. The anxiety status of patients undergoing third molar extraction could be quantitatively evaluated using the STAI-KYZ. There were significant difference before and after third molar extraction. Especially women and patients of more severe postoperative pain was more anxious. We need to alleviate patient's anxiety(especially women) and to control postoperative pain throughout the tooth removal process.

생검펀치를 이용한 점액낭종의 절제 (EXCISIONAL BIOPSY OF MUCOCELE USING BIOPSY PUNCH)

  • 홍은혜;최병재;이제호;최형준;손흥규;김성오
    • 대한소아치과학회지
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    • 제34권2호
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    • pp.349-353
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    • 2007
  • 점액낭종은 소타액선 분비관의 폐쇄나 파열로 타액이 저류되어 발생하는 연조직 부종이고, 비교적 높은 빈도로 발생하는 구강내 가성 낭종으로 스스로 파열되어 치유되기도 하지만 대개는 만성적으로 진행되어 몇 주에서 몇 달간 지속되기 때문에 치료가 필요하다. 점액 낭종의 발생시, 주변에 이환된 소타액선을 포함하여 제거하는 완전절제술 외에 재발율을 낮추기 위한 스테로이드의 국소적 주입, 냉동동결요법(cryotherapy), 미세조대술(micromarsupialization) 등의 여러 가지 치료방법이 제시되고 있다. 완전절제술의 한 방법으로 생검펀치(biopsy punch)를 이용할 수 있는데, 조작이 간편하고 출혈이 적으며 술 후 처치가 거의 필요 없다는 장점이 있다. 이 증례는 점액낭종이 있고 행동 조절이 힘든 소아에서 생검펀치를 사용하여 점액낭종을 완전히 제거한 경우로, 양호한 결과를 얻었다.

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Dynamic Stereo PIV에 의한 델타형 날개에서의 3차원 와류 유동에 관한 연구 (Three Dimensional Vortex Behavior of LEX Delta Wing by Dynamic Stereo PIV)

  • 이현;김미영;최장운;최민선;이영호
    • 한국가시화정보학회:학술대회논문집
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    • 한국가시화정보학회 2003년도 추계학술대회 논문집
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    • pp.39-42
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    • 2003
  • Leading edge extension(LEX) in a highly swept shape applied to a delta wing features the modern air-fighters. The LEX vortices generated upon the upper surface of the wing at high angle of attack enhance the lift force of the delta wing by way of increased negative suction pressure over the surfaces. The present 3-D stereo PIV includes the Identification of 2-D cross-correlation equation, stereo matching of 2-D velocity vectors of two cameras, accurate calculation of 3-D velocity vectors by homogeneous coordinate system, removal of error vectors by a statistical method followed by a continuity equation criterion and so on. A delta wing model with or without LEX was immersed in a circulating water channel. Two high-resolution, high-speed digital cameras$(1280pixel\times1024pixel)$ were used to allow the time-resolved animation work. The present dynamic stereo PIV represents the complicated vortex behavior, especially, in terms of time-dependent characteristics of the vortices at given measuring sections. Quantities such as three velocity vector components, vorticity and other flow information can be easily visualized via the 3D time-resolved post-processing to make the easy understanding of the LEX effect or vortex emerging and collapse which are important phenomena occurring in the field of delta wing aerodynamics.

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전완원위부 변형에 대한 혈관부착 성장판 이식술 (Long-Term Result of the Epiphyseal Transplantation in Distal Forearm)

  • 정덕환;한정수;유명철;한수홍
    • Archives of Reconstructive Microsurgery
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    • 제4권1호
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    • pp.16-22
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    • 1995
  • We analyzed 11 children who underwent epiphyseal transplantation to the forearm for manage growing deformity ranged from 2 years 6 months to years(average 5 years 10 months) follow-up period. Etiologies of the functional impairment of the eleven were five traumatic, three congenital and three tumorous conditions. Lesions of epiphysis were distal radius in eight patients and distal ulna in three patients. Operation was performed with removal of non-functioning or deformed epiphysis followed by transplantation of free vascularized proximal fibular epiphysis with microvascular anastomesis. Evaluation was performed radiologically and functionally. The 9(81.8%) patients showed growth of transplanted epiphysis by radiological examination during follow up. At the last follow up, average growth rate was 0.86cm per year excepts 2 cases of no growth. Active wrist motion near normal to contralateral joint was achieved in 7 patients. In other 2 patients, active joint motion was improved but weaker than contralateral joint. Complications on donor site were two transient peroneal nerve palsy which have been resolved after 2 and 5 months post operation and one valgus ankle deformity. The ankle deformity was corrected with $Langenski\"{o}ld$ operation of the dital tibiofibular fusion. At recipient site, there was one superficial infection and it was easily controlled by systemic antibiotics. Many subsequent reports have described successful nonvascularized epiphyseal transplante, but overall results have been inconsistent and unsatisfactory. Other experimental and clinical studies in the transfer of vascularized epiphyses has encourage its clinical application. We also could gel successful growth in several cases with free vascularized epiphyseal transplantation.

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대면적 Fecralloy 코팅층의 표면 거침도 극대화를 위한 정전분무 및 열처리 공정 연구 (Electrospray and Thermal Treatment Process for Enhancing Surface Roughness of Fecralloy Coating Layer on a Large Sized Substrate)

  • 이혜문;구혜영;양상선;박다희;정수호;윤중열
    • 한국분말재료학회지
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    • 제24권1호
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    • pp.46-52
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    • 2017
  • Fecralloy coating layer with large surface area is suitable for use as a filter media for efficient removal of hot gaseous pollutants exhausted from combustion processes. For uniform preparation of a Fecralloy coating layer with large surface area and strong adhesion to substrate, electrospray coating and thermal treatment processes are experimentally optimized in this study. A nano-colloidal solution with 0.05 wt% Fecralloy nanoparticles is successfully prepared. Optimized electrospraying conditions are experimentally discovered to prepare a uniform coating layer of Fecralloy nano-colloidal solution on a substrate. Drying the electrospray coated Fecralloy nano-colloidal solution layer at $120^{\circ}C$ and subsequent heating at $600^{\circ}C$ are the best post-treatment for enhancing the adhesion force and surface roughness of the Fecralloy coating layer on a substrate. An electrospray coating system, consisting of several multi-groove nozzles, is also experimentally confirmed as a reasonable device for uniform coating of Fecralloy nano-colloid on a large area substrate.

보리의 등숙기에 있어서 엽신과 망의 역할 (Role of Awns and Leaves during Grain Filling Period in Barley)

  • 류용환;이창덕
    • 한국작물학회지
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    • 제39권3호
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    • pp.216-222
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    • 1994
  • 제망 및 적엽에 의한 망과 엽위별 엽신의 생산효율을 검토하고자 특성이 상이한 올보리, 강보리 및 수원18호를 공시하여 시험을 수행하였던 바 그 결과를 요약하면 다음과 같다. 1. 천립중, 및 등숙률에 대한 망과 엽신의 역할은 품종간 차이가 인정되어 올보리와 강보리는 적엽보다 제망의 영향이 켰으나 수원18호는 엽의 역할이 더 컸다. 2. 엽신의 엽록소 및 질소함량도 품종간 차이가 있어 올보리에서 가장 높았으며 지속기간도 길었고 엽위별로는 상위엽일수록 높았다. 3. 엽위별 엽신의 질소함량보다 엽록소 함량의 차이가 더 컸으며 등숙이 진전됨에 따라 엽록소 함량의 일실속도가 질소 함량보다 빠르게 진행 되었다. 4. 동화기관별 종실중에 대한 기여도는 간과 엽초에서 79.2∼81.4%로 품종간 뚜렷한 차이가 없었으나 망은 올보리와 강보리가 11.6∼13.8%, 수원18호는 5.4%, 엽신은 각각 4.8∼8.1%, 15.4%로 망과 엽신에서는 품종간 차이가 인정되었다.

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성인의 턱관절장애 자각증상에 영향을 미치는 요인 (Factors affecting subjective symptoms of temporomandibular joint disorders in adults)

  • 김수경;김소라;김현경;박지수;이유진;조민서;정은서
    • 한국치위생학회지
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    • 제17권4호
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    • pp.601-611
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    • 2017
  • Objectives: The purpose of this study is to identify the perceived symptoms of oral and temporomandibular joint disorders in adults and to analyze the factors affecting subjective symptoms of temporomandibular joint disorders. Methods: 249 adults over 20 years old who had subjective symptoms of temporomandibular joint disorders were surveyed and analyzed. Independent t-test and ANOVA test were used to examine the relationship between oral habits and temporomandibular joint disorder according to general characteristics. $Scheff{\acute{e}}$ test was used for post-hoc analysis. Multiple regression analysis was conducted to examine the factors affecting oral habits and temporomandibular joint disorder. Results: First, the factors affecting oral and habitual behaviors were married (p<0.05) and monthly income between 1 million~1.9 million won (p<0.001), higher temporomandibular joint disorder (p<0.01) And the degree of habit was increased. Second, the factors affecting temporomandibular joint disorder were increased in occupation (p<0.05) and the degree of oral habit (p<0.01). Conclusions: In conclusion, it was confirmed that oral habit influences temporomandibular joint disorder. Especially, it is suggested that prevention and promotion of temporomandibular joint disorder are needed to recognize the removal of oral habits.

슬개-대퇴관절의 수술적 치료 - 관절경적 치료를 중심으로 - (Surgical Treatment of Patello-Femoral Joint Lesions - Arthroscopic treatment -)

  • 최종혁
    • 대한정형외과스포츠의학회지
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    • 제4권2호
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    • pp.79-85
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    • 2005
  • 슬개-대퇴 관절의 증상은 다양한 원인에 의해 발생될 수 있다. 대부분의 환자는 만성적인 불편감을 호소하며, 특징적인 급성통증의 양상을 보이는 경우도 매우 드물다. 따라서 우선적으로 보존적 치료가 시행되어야 하며, 이에 대한 반응이 없을 경우 수술적 치료를 시행해야 한다. 수술 방법의 결정은 환자의 연령, 활동도, 술 후 재활 능력 등을 고려하여 선택되어야 한다. 수술적 치료시 정확한 진단이 선행되어야 하며, 수술 시 그 원인적 요소를 제거 혹은 교정해야 한다. 관절경적 치료는 수술에 따른 이환율을 줄이고, 조기 재활의 장점이 있어 유용한 방법이다. 슬개골 관절면의 평가 및 치료를 위해서는 상내방 혹은 상외방 도달법도 효과적이다. 수술 시 정상적인 조직의 제거는 술 후 슬관절의 문제를 야기할 수 있으므로 병적인 변화가 없을 경우 보존해 주어야 한다. 관절경적 치료가 힘들거나 혹은 치료 효과가 없다고 판단될 경우 개방성 방법에 의한 수술도 반드시 고려해야 한다.

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$^{67}Ga$ 신티그램을 이용한 술후잔여종양의 평가 1. 혈중 $^{67}Ga$은 수술창상에 재분포하는가? (Evaluation of Post-Operative Residual Tumors Using $^{67}Ga$ Scintigram 1. Is the Blood Gallium Redistributed into the Surgical Wound?)

  • 문태용;설창호;김용기;왕수건;한국상;최창호
    • 대한핵의학회지
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    • 제26권2호
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    • pp.355-359
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    • 1992
  • The $^{67}Ga$ has somewhat long physical and biological half livies with 78 hours and 600 hours respectively, so we can get $^{67}Ga-scan$ images for 3 or more days after once injection of $^{67}Ga$. Furthermore $^{67}Ga$ scan would be useful to search some residual tumors after surgical removal of the tumors trapped with $^{67}Ga$. However $^{67}Ga$ bound with plasma proteins would be delayed in plasma clearance as approximately 10% of the dose remains in the plasma at 24 hours. If the remained $^{67}Ga$ in the plasma is redistributed into the surgical wound, we wouldn't evaluate the degree of the tumor remained after surgery. So the authors examined the amounts of the remained blood $^{67}Ga$ and the redistribution of the blood $^{67}Ga$ into the artificial wound with S or more centimeters in the diameter at the neck and chest of the rabbits. The results were as follows; 1) The $^{67}Ga$ remained in the plasma were 12%, 5.7%, 4.2% at 24, 48 and 72 hours after $^{67}Ga$ injection respectively. 2) The blood $^{67}Ga$ were redistributed into the artificial wound with 5.9% at 48 hours and 6.9% at 72 hours after $^{67}Ga$ injection.

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