• Title/Summary/Keyword: Soft Tissues

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Influence of soft tissue and bone thickness on the dimensional change of peri-implant soft tissues;A clinical follow-up study (연조직 및 골 두께가 임플란트 주위 연조직 형태에 끼치는 영향에 관한 임상추적연구)

  • Chang, Moon-Taek
    • Journal of Periodontal and Implant Science
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    • v.35 no.1
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    • pp.187-197
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    • 2005
  • The aim of this study was to investigate the influence of peri-implant soft tissue and bone thickness on the early dimensional change of peri-implant soft tissue. Seventy-seven non-submerged implants of 39 patients which had been loaded more than 6 months were selected for the study. Following clinical parameters were measured; bucco-lingual bone width of the alveolar bone for implant placement before implant surgery; distance between implant shoulder and the first bone/implant contact at the surgery; presence of plaque, probing depth, bleeding on probing, width of keratinized mucosa, mucosa thickness, distance between implant shoulder and peri-implant mucosa, crown margin location at follow-up examination. The results showed that distance between implant shoulder and peri-implant mucosa (DIM) was correlated with probing depth and width of keratinized mucosa (p < 0.05). In addition, mucosa thickness was also correlated with probing depth (p<0.05). However, the bone width of alveolar bone and soft tissue thickness were not found to be correlated with DIM. It is important to understand the meaning of peri-implant tissue dimension in relation to dimensional changes of peri-implant soft tissue which designates appearance of implant-supported restorations. Future study is needed to elucidate the significance of the buccal bone thickness and soft tissue thickness with respect to the change of peri-implant soft tissue margin with the use of an instrument capable of measuring buccal bone thickness directly.

Heavy Metal Concentrations in the Mollusc Gastropod, Cipangopaludina chinensis malleata from Upo Wetland Reflect the Level of Heavy Metals in the Sediments

  • Kim, Heung-Tae;Kim, Jae-Geun
    • Journal of Ecology and Environment
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    • v.29 no.5
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    • pp.453-460
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    • 2006
  • Upo wetland is the largest inland wetland in Korea as Ramsar Convention Area. The purposes of the study were to investigate the levels of heavy metals (Cd, Cr, Cu, Ni, Pb and Zn) in the sediment and Cipangopaludina chinensis malleata from three sites of the wetland and to assess the potential of the gastropod as a bioindicator for heavy metal levels. The gastropods were dissected into shell and soft tissue without the digestive and excretive organs. The levels of Cd, Cu and Pb were below the guideline of Soil Environment Conservation Act and the heavy metals except Cr were slightly different among the sites. Cd was higher in Upo site ($0.32{\mu}g/g$) than Sajipo site ($0.28{\mu}g/g$). Cu and Zn showed the highest value in Sajipo as $43.5{\mu}g/g\;and\;39.8{\mu}g/g$, respectively while the concentrations of Pb and Zn were the highest in Upstream as $58.8{\mu}g/g\;and\;138{\mu}g/g$, respectively. In the soft tissues and shells of the gastropod, the overall common trend in the concentrations of the heavy metals was revealed with the following order: Zn > Cu > Cr > Ni > Pb > Cd and Ni > Zn > Cr > Cu > Pb > Cd, respectively. Although the soft tissues exhibited higher concentrations of the heavy metals except Ni than the shell in the gastropod, the levels of Cd and Pb in the gastropod were generally below the restrictive values set up by Korea Food & Drug Administration. From Duncan's Multiple Range Test (DMRT) results, the concentrations of Pb and Zn in the sediments among the sites were reflected on the soft tissue (Pb) and the shell (Pb and Zn) of the gastropod in the same order. The lower value of coefficient of variation (CV) in Pb concentration of the shell than in that of the soft tissue supports the usefulness of the shell as a bioindicator for Pb pollution. Although the CV value in the shell was a little higher than in the soft tissue, DMRT results and the stability of incorporated Zn into the shell support the use of the shell of the gastropod as a potential bioindicator for long-term contamination of Zn.

Measurement of Surface Strain on Soft Biological Tissues Using Irregular Grid Pattern (불규칙적인 격자망을 이용한 생체 연조직의 곡면변형률 측정)

  • Lee, Jun Sik;Kim, Ki Hong;Kim, Hyung Jong
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.37 no.8
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    • pp.1051-1057
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    • 2013
  • In this study, an automatic surface-strain measurement system called "ASIAS-bio" has been developed. This system can be used even in cases in which it is very difficult to apply a regular grid pattern necessary for measuring surface-strain, such as curved or uneven surfaces; surfaces damaged by corrosion or contamination; or soft materials such as rubber, foam, and biological tissues. This system works independently of the measurement conditions including the material and its surface condition, grid pattern and size, grid marking method, and degree of deformation. A comparison between the strain distributions of the sheet metal parts measured by using this system and those obtained by a commercial system showed that this system was sufficiently reliable. In addition, the deformation of the swine joint capsule and human knee skin was measured by using this system to demonstrate its usefulness.

Radiation Treatment for Malignant Small Cell Tumor of the Thoracopulmonary Region (Primitive Pluripotent Histogenesis and Differential Diagnosis - A Case Report and Review of Literatures -) (흉폐부에서 발생한 악성소세포 종양의 방사선치료)

  • Oh, Won-Young;Yang, Jin-Yeong;Whang, In-Soon
    • Radiation Oncology Journal
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    • v.9 no.1
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    • pp.117-122
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    • 1991
  • Malignant small round cell tumor (SRCT) of the thoracopulmonary region appears to originate in the soft tissues of the chest wall or the peripheral lung. A differential diagnosis of poorly differentiated small round cell tumors which include Ewing's sarcoma of bone and soft tissue, embryonal rhabdomyosarcoma, Askin tumor, neuroblastoma, peripheral neuroectodermal tumor, small cell osteogenic sarcoma and Iymphoma are often difficult by light microscopy alone. In recent, by the extensive studies electron microscopic examination, histochemical study, immune-chemical study, cytogenetics and gene analysis, these tumors may be derived from the primitive and pluripotential cells, differentiating into mesenchymal, epithelial and neural features in variable proportions. Treatment for SRCT of thoracopulmonary region is not determined because of massive involvement of the lung, pleura or soft tissues of the chest wall resulted in a dismal outcome despite aggressive surgery, irradiation and chemotherapy.

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Muscle Free Flap Transplantation in Chronic Osteomyelitis of the Lower Extremities (하지의 만성 골수염에 시행된 근 유리 판 이식술)

  • Lee, Jun-Mo;Song, Kwang-Hun;Park, Jong-Hyuk
    • Archives of Reconstructive Microsurgery
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    • v.18 no.2
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    • pp.49-54
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    • 2009
  • Purpose: To evaluate the result of muscle free flap transplantation in chronic osteomyelitis of the tibia and calcaneus occurred from open fractures and exposed bones and internal fixatives. Materials and Methods: The free muscle flap were transferred in the tibia and calcaneus and followed up average 7.3 years at the department of orthopedic surgery from March 1997 to September 2009. Six patients were male and 1 case female averaged 50.3 years of age. Two latissimus dorsi myocutaneous free flaps were transplanted to the exposed 2/3 of the tibia with soft tissue defect, one rectus abdominis muscle free flap to the mid 1/3 of the tibia and four gracilis muscle free flaps to the distal 1/3 of the tibia and calcaneus. Results: At average 7.2 years follow-up, all of the 7 cases obtained solid bone union in the X-ray and kept sound soft tissues without pus discharges. The overall result of bone union, healed soft tissues defect and normal knee and ankle joint range of motion were excellent. Conclusion: The free muscle flap transferred to the chronic osteomyelitis of the tibia and calcaneus showed excellent results in bone union and eradication of the pus forming bacteria by its abundant blood flow.

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Long-term stability of dentoalveolar, skeletal, and soft tissue changes after non-extraction treatment with a self-ligating system

  • Basciftci, Faruk Ayhan;Akin, Mehmet;Ileri, Zehra;Bayram, Sinem
    • The korean journal of orthodontics
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    • v.44 no.3
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    • pp.119-127
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    • 2014
  • Objective: To evaluate the long-term effects of self-ligating brackets (SLBs) on transverse dimensions of arches and skeletal and soft tissues and to quantitatively evaluate the treatment outcome after non-extraction treatment with SLBs. Methods: The sample consisted of 24 (18 female and six male) subjects, with a mean age of $14.23{\pm}2.19$ years, who received treatment with the Damon$^{(R)}$3 appliances. Complete records including cephalometric radiographs and plaster models were obtained before treatment (T1), immediately after treatment (T2), six months after treatment (T3), and two years (T4) after treatment. Digital study models were generated. Twenty lateral cephalometric, six frontal cephalometric, and eight dental cast measurements were examined. The Peer Assessment Rating index was used to measure the treatment outcome. The Wilcoxon test was applied for statistical analysis of the changes. Results: There were significant increases in all transverse dental cast measurements with active treatment. There was some significant relapse in the long term, particularly in maxillary width (p < 0.05). Statistically significant increases were found in nasal (p < 0.001), maxillary base, upper molar, lower intercanine, and antigonial (p < 0.05) widths in T1-T2. Lower incisors were proclined and protruded in T1-T2. Conclusions: SLBs correct crowding by mechanisms involving incisor proclination and protrusion and expansion of the dental arches, without induction of clinically significant changes in hard and soft tissues of the face.

Wave Generation and Its Effect on Lesion Detection in Sonoelastography: Theory and Simulation Study (음향 탄성영상법에서 연조직 내 파동 발생과 병변 검출의 특성: 이론 및 시뮬레이션 연구)

  • 박정만;권성재;정목근
    • The Journal of the Acoustical Society of Korea
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    • v.24 no.5
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    • pp.282-293
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    • 2005
  • Sonoelastography is an ultrasound-based technique that visualizes the elastic properties of soft tissues by measuring the tissue motion generated by an externally applied vibration. In this paper. the characteristics of wave generation in soft tissues due to an acoustic vibrator are studied. The effects of modal patterns on the detectability of lesions such as tumors in senoelastography are also investigated These are accomplished by analyzing the vibration patterns calculated using theoretical equations and finite element methods in halt space, infinite plate. and finite-sized tissue. A finite-width source generates shear waves with large amplitude Propagating in specific directions. and the generation characteristics depend both on the width and frequency of the vibrator. as well as the distance from it. It is shown in a finite-sized tissue that the lesion detection in displacement images is quit dependent on the modal patterns inside tissue. In contrast it Is also found that the lesion detectability in strain images is less dependent on the modal Patterns and is much better than that in displacement images.

Salvage of Failed Digital Replantation Using Necrotizing Phalangeal Bone and Flap Coverage (수지 재접합 실패시 허혈 상태의 수지골과 피판술을 이용한 구제술)

  • Kwon, Boo-Kyung;Chung, Duke-Whan;Lee, Jae-Hoon
    • Archives of Reconstructive Microsurgery
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    • v.16 no.2
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    • pp.86-92
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    • 2007
  • Failure of reattachment of finger is inevitable in replantation surgery and that failure rate is about 10 % are reported in many authors. Management of the failed finger replantation is challenge to microsurgeons. We report 7 cases of thumb reconstruction after failure of replantation. The reconstructive surgery composed with early debridement of soft tissue that are under gangrenous processing, extract the phalangeal bone without any soft tissues. Osteosynthesis of the extracted phalangeal bone with host phalangeal bone. The exposed bony portion covered with vascularized flaps such as reverse radial forearm pedicled flap, free radial forearm flap and neurovascular island finger flap. This procedure underwent within a week after vascular insufficiency developed. All of the flaps are survived, bone union achieved within 3 months. The function and external appearance of the reconstructed thumb were encouraging; pinch power was average 1.2 pounds. Early removal of necrotizing soft tissue followed by covering none vascular phalangeal bone which extracted from the dead phalanx with vascularized flap is one of the useful alterative solutions in failed replantation surgery in hand.

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Aesthetic soft tissue management in facial trauma (안면 외상에서 연부조직 치료에 있어 미용적 재건)

  • Chung, Kyu Jin;Kim, Tae Gon;Lee, Jin Ho
    • Journal of the Korean Medical Association
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    • v.61 no.12
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    • pp.715-723
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    • 2018
  • Facial soft tissue injury due to trauma is common. Severe damage of soft tissue causes functional and cosmetic problems. In the initial evaluation of patients with facial trauma, airway maintenance and respiratory maintenance are the most important. The principles of treatment include adequate irrigation and debridement, primary closure, or secondary wound healing. Postoperative care such as taping, silicone gel sheeting, and sun screening is important to prevent scarring. The scalp and forehead are abundant in blood and can cause severe bleeding. The eyelid is very thin and has a multi-layered structure, requiring accurate suturing and reconstruction of the layers. It is advisable to determine the presence of hematoma in the ear and treat it. When the cheek area is damaged, it is necessary to identify and treat the damage of the parotid gland and the facial nerve branch. The lips should be sewn with the white roll of lip and vermillion.

A proposal of soft tissue landmarks for craniofacial analysis using three-dimensional laser scan imaging (3차원 레이저 스캔을 이용한 안면 연조직 분석을 위한 계측점의 제안)

  • Baik, Hyoung-Seon;Lee, Hwa-Jin;Jeon, Jai-Min
    • The korean journal of orthodontics
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    • v.36 no.1 s.114
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    • pp.1-13
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    • 2006
  • Three-dimensional (3-D) laser scans can provide a 3-D image of the face and it is efficient in examining specific structures of the craniofacial soft tissues. Due to the increasing concerns with the soft tissues and expansion of the treatment range, a need for 3-D soft tissue analysis has become urgent. Therefore, the purpose of this study was to evaluate the scanning error of the Vivid 900 (Minolta, Tokyo, Japan) 3-D laser scanner and Rapidform program (Inus Technology Inc., Seoul, Korea) and to evaluate the mean error and the magnification percentage of the image obtained from 3-D laser scans. In addition, soft tissue landmarks that are easy to designate and reproduce in 3-D images of normal, Class II and Class III malocclusion patients were obtained. The conclusions are as follows; scanning errors of the Vivid 900 3-D laser scanner using a manikin were 0.16 mm in the X axis, 0.15 mm in the Y axis, and 0.15 mm in the Z axis. In the comparison of actual measurements from the manikin and the 3-D image obtained from the Rapidform program, the mean error was 0.37 mm and the magnification was 0.66%. Except for the right soft tissue gonion from the 3-D image, errors of all soft tissue landmarks were within 2.0 mm. Glabella, soft tissue nasion, endocanthion, exocanthion, pronasale, subnasale, nasal alare, upper lip point, cheilion, lower lip point, soft tissue B point, soft tissue pogonion, soft tissue menton and preaurale had especially small errors. Therefore, the Rapidform program can be considered a clinically efficient tool to produce and measure 3-D images. The soft tissue landmarks proposed above are mostly anatomically important points which are also easily reproducible. These landmarks can be beneficial in 3-D diagnosis and analysis.