• Title/Summary/Keyword: Soft-tissue procedure

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DESIGN & DELIVERY OF SPACE MAINTAINERS WHEN PREMATURE EXTRACTION OF PRIMARY MOLAR UNDER GENERAL ANESTHESIA : A CASE REPORT (전신마취하에서 유치 조기발거시 간격유지장치의 설계 및 장착에 대한 증례보고)

  • Kang, Dug-Il;Jung, Moon-Young;Lee, Sang-Ho;Lee, Chang-Seop
    • Journal of the korean academy of Pediatric Dentistry
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    • v.24 no.3
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    • pp.704-709
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    • 1997
  • Space maintainers needs following extraction of primary molars, due to severe dental caries under general anesthesia. Delivery of conventional space maintainers has three of the disadvantages of the method, there being a impression taking and time consuming due to laboratory procedure, and delivery problem due to relaxed tongue. For this problem improved, modified space maintainer is prefabricated before procedure, and adjust, delivery in operation room, favorable results were obtained. The following results were obtained. 1. Delivery time is very reduced than conventional space maintainers. 2. After space maintainer delivery, follow check-up, without impingement of soft tissue, distortion of wire. After space maintainer delivery, continuous research is required so that space maintainer delivery is applied to usual dental treatment, and it is necessary of long term research.

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Ankle Arthrodesis Using an Anterior T Plate in treating the Charcot joint of Ankle in a diabetic patient - A Case Report - (당뇨환자의 불안정 족관절에 있어서의 전방 T자형 금속판을 이용한 족관절 고정술)

  • Hwang, Kuhn-Sung;Sung, Il-Hoon;Cho, Soo-Hyun
    • Journal of Korean Foot and Ankle Society
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    • v.5 no.1
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    • pp.23-27
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    • 2001
  • It has been known that the ankle arthrodesis is a common surgical procedure for treating the ankle arthrosis and deformity that do not respond to the non-operative treatment. To date, various surgical techniques for the ankle arthrodesis have been reported. Clinical and biomechanical trials have shown that the rigid internal fixation leads the increased rate of the union. The ankle arthrodesis may be complicated with the nonunion, delayed union, malunion, and infection. In cases of the Charcot joint of the ankle in diabetic patients, however, arthrodesis could reduce the disadvantage of the nonoperative treatment, such as the loss of the reduction, progressive collapse, multiple ulcerations and infection. The object of this case report is to report our experience of a successful ankle arthrodesis using an anterior T plate in treating the unstable ankle of a diabetic patient, associated with the ankle fracture and the neuropathy. The surgical approach of this technique is simple so that it would allow less soft tissue injury, and this procedure would be regarded as one alternative to provide the rigid internal fixation in the ankle arthrodesis.

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Secondary Adjuvant Operation after Free Flap for Functional and Aesthetic Purposes (유리 피판술 후 기능적, 미용적 목적을 위한 2차 보완수술)

  • Ahn, Hee-Chang;Yang, Eun-Zin;Kim, Chang-Yeon
    • Archives of Reconstructive Microsurgery
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    • v.19 no.2
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    • pp.101-107
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    • 2010
  • Purpose: The free flap has been widely used as one stage reconstructive procedure the skin and soft tissue defect. The secondary adjuvant operations are often needed for better results as functional and aesthetic compartment. Therefore, we focus on the secondary adjuvant surgeries for better outcome after free flaps. Methods: One hundred ninety six consecutive patients underwent free flaps between January, 2002 and February 2009. The cases constituted ninety two male patients and one hundred four female patients. For the patients who got free flap operation, we investigated secondary adjuvant operations what type of procedures was applied according to the reconstructed sites. All clinical data were based on the patient's medical records. Results: Of one hundred ninety six patients in whom free flap was performed, a total of eighty two patients(41.8%) received the secondary adjuvant operation. Because of many patients got multiple secondary adjuvant operations, the number of the secondary adjuvant operation become one hundred fifty five cases. The most common used procedure is a liposuction, and the second one is a lipoinjection. Conclusion: As the secondary adjuvant operation like a liposuction, lipoinjection, etc., satisfaction for operative result was increased in the aspects of function and aesthetics. So the secondary adjuvant operation in free flap surgeries contributed in raising the patient's quality of life.

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Percutaneous Vertebroplasty in Treatment of Osteoporotic Vertebral Body Fractures : Early Result (골다공증성 추체골절에 대한 경피적 척추성형술 : 초기성적)

  • You, Young Sang;Shin, Jae Hack;Kim, Il-Man
    • Journal of Korean Neurosurgical Society
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    • v.30 no.2
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    • pp.163-167
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    • 2001
  • Objective : Percutaneous vertebroplasty has recently been introduced as an interesting therapeutic alternative for the treatment of thoracolumbar vertebral body fractures in elderly persons with osteoporosis. The authors present the early results of this method. Method and Material : From July 1999 to April 2000, percutaneous transpedicular technique was used in 20 patients (2 men and 18 women) whose mean age was 67.5 years old(range 59-79) with painful vertebral compression(22) and burst(2) fractures. The interval between fracture and vertebroplasty ranged 1 day to 4 months. The procedure involved percutaneous puncture of the injured vertebra via transpedicular approach under fluoroscopic guidance, followed by injection of polymethylmetacrylate(PMMA) into the vertebral body through a disposable 11-guage Jamshidi needle. Result : The most common cause of fracture was slip down and the most frequent injured level was the twelfth thoracic spine. The procedure was technically successful bilaterally in 18 patients(9 thoracic and 15 lumbar spines) with an average injection amount of 7.7ml PMMA in each level. Seventeen(94.4%) patients reported significant pain relief immediately after treatment. Two leaks of PMMA were detected with postoperative CT in spinal epidural space and extravertebral soft tissue without clinical symptoms. Conclusion : Although this study represents the early results, percutaneous vertebroplasty seems to be valuable tool in the treatment of painful osteoporotic vertebral body fractures in elderly, providing acute pain relief and early mobilization.

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Clinical Application of Dynamic Impression Method Using Coe-Comfort$^{(R)}$ in Edentulous Patients (무치악 환자에서 Coe-comfort$^{(R)}$를 이용한 동적 인상 채득의 임상적 활용)

  • Keum, Eun-Cheol;Song, Young-Gyun;Lim, Jong-Hwa;Shin, Soo-Yeon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.27 no.1
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    • pp.117-123
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    • 2011
  • Impression taking procedure is very important for support, retention and stability of denture, and it affects the success of denture in completely edentulous patients. Various materials and methods have been used for impression taking in complete denture, while dynamic impression method is more physiological and functional method than the others. We had satisfying results with fabrication and relining of dentures after taking impression in the most physiological condition with recovery of deformed soft tissue by dynamic impression method using Coe-comfort$^{(R)}$ (GC America, IL, USA), tissue conditioner, in edentulous patients in this case report.

A METHOD TO APPROACH THE MAXILLARY SINUS USING AN OSTEOPERIOSTEAL FLAP (골골막판을 이용한 상악동 접근방법)

  • Choi, Byung-Ho;Choi, Su-Won
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.17 no.2
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    • pp.191-194
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    • 1995
  • We describe here a method of approaching the maxillary sinus using an osteoperiosteal flap. Like the Caldwell-Luc procedure, the method allows an easy access to the sinus and an adequate visualization. But in addition, it appears to have the advantages of preventing the ingrowth of soft tissue through the osseous defect into the sinus by replacing the bone trap door while promoting healing and retarding infection by preserving the blood supply to the door.

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Devices for reducing Pain during local anesthesia (국소마취시 통증을 줄이기 위한 기기들)

  • Park, Wonse
    • The Journal of the Korean dental association
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    • v.56 no.1
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    • pp.58-65
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    • 2018
  • Dental local anesthesia is important procedure for the elimination of pain during dental treatment. However, the pain during local anesthesia is one of the main source of fear to the patients. The cause of pain during dental local anesthesia includes soft tissue damage during penetration of the oral mucosa, pressure from the spread of the anesthetic solution, temperature of anesthetic solution, low pH of anesthetic solution, and the characteristics of the drug. Several concepts and devices introduced to date to reduce the pain during local anesthesia for dental treatment. In this report, devices that can reduce the pain during local anesthesia will be discussed.

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A combined approach to non-carious cervical lesions associated with gingival recession

  • Yang, SungEun;Lee, HyeJin;Jin, Sung-Ho
    • Restorative Dentistry and Endodontics
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    • v.41 no.3
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    • pp.218-224
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    • 2016
  • Non-carious cervical lesions (NCCLs) with gingival recession require specific consideration on both aspects of hard and soft tissue lesion. In the restorative aspect, careful finishing and polishing of the restorations prior to mucogingival surgery is the critical factor contributing to success. Regarding surgery, assessment of the configuration of the lesion and the choice of surgical technique are important factors. The precise diagnosis and the choice of the proper treatment procedure should be made on the basis of both restorative and surgical considerations to ensure the successful treatment of NCCLs.

Two Stage Procedure with a Temporary Antibiotic-impregnated Cement Spacer of Infected Hallux Interphalangeal Joint (A Case Report) (항생제 혼합 시멘트 충전물을 이용한 감염된 족무지 지관절의 2단계 치료(1예 보고))

  • Chae, Soo-Uk;Kim, Yeung-Jin;Song, Ha-Heon;Kim, Jong-Yun
    • Journal of Korean Foot and Ankle Society
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    • v.16 no.2
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    • pp.135-139
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    • 2012
  • The interphalangeal joint (IPJ) of the hallux has received little attention compared with the first metatarsophalangeal joint. But, the hallucal IPJ has several disorders such intra-articular fractures, dorsal dislocation, alignment disorder, and inflammatory or degenerative arthritis. Among these disorders septic arthritis of the IPJ of the hallux is rare. We report a case of sepsis of the hallucal IPJ and adjacent underlying osteomyelitis without neuropathic problem and was performed through infected soft tissue and osseous debridement, temporary antibiotic-impregnated cement spacer, and delayed intercalary allogenic fibular bone graft with K-wire fixation.

Operative Treatment of Hallux Valgus (무지 외반증의 수술적 치료)

  • Lee, Jung-Woo;Ahn, Jae Hoon;Kim, Man-Soo;Kim, Seung-Chan
    • Journal of Korean Foot and Ankle Society
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    • v.18 no.2
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    • pp.48-55
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    • 2014
  • Hallux valgus, or a 'bunion', is a deformity characterized by lateral deviation of the big toe. Surgery is indicated when conservative treatments have failed to result in improvement of symptoms. Operative techniques include simple bunionectomy, distal soft tissue procedure, phalangeal osteotomy, metatarsal osteotomy (distal, shaft, or proximal), arthrodesis (metatarsophalangeal or tarsometatarsal), or resection arthroplasty. Good results are expected when the selection of operative technique is based on the correct treatment principle.