• 제목/요약/키워드: Spine appearance

검색결과 32건 처리시간 0.022초

Review of cranioplasty after decompressive craniectomy

  • Cho, Yong Jun;Kang, Suk Hyung
    • Korean Journal of Neurotrauma
    • /
    • 제13권1호
    • /
    • pp.9-14
    • /
    • 2017
  • Cranioplasty is an in evitable operation conducted after decompressive craniectomy (DC). The primary goals of cranioplasty after DC are to protect the brain, achieve a natural appearance and prevent sinking skin flap syndrome (or syndrome of the trephined). Furthermore, restoring patients' functional outcome and supplementing external defects helps patients improve their self-esteem. Although early cranioplasty is preferred in recent year, optimal timing for cranioplasty remains a controversial topic. Autologous bone flaps are the most ideal substitute for cranioplasty. Complications associated with cranioplasty are also variable, however, post-surgical infection is most common. Many new materials and techniques for cranioplasty are introduced. Cost-benefit analysis of these new materials and techniques can result in different outcomes from different healthcare systems.

한국고유종 점줄종개 Cobitis nalbanti의 난발생 및 초기생활사 (Egg Development and Early Life History of the Korean Endemic Sand Spine Loach, Cobitis nalbanti (Pisces: Cobitidae))

  • 고명훈;방인철
    • 한국어류학회지
    • /
    • 제31권1호
    • /
    • pp.30-38
    • /
    • 2019
  • 한국고유종 점줄종개 Cobitis nalbanti의 난발생 및 초기생활사를 조사하였다. 성어는 2011년 6월 영산강 상류인 전남 장성군 북하면 성암리에서 족대를 이용하여 채집하였다. 채집된 성숙한 친어는 복강에 Ovaprim을 주사하고, 12시간 경과 후 복부압박법으로 채란하고 건식법으로 인공수정시켰다. 산란된 성숙란은 약한 점착성을 띤 밝은 황색의 분리침성난으로 난경은 $0.99{\pm}0.03mm$이고 산란수는 $1,527{\pm}410$개였다. 수온 $25^{\circ}C$에서 수정 후 52시간 후에 50%가 부화하였으며, 크기는 전장 $4.2{\pm}0.22mm$였다. 부화 5일 후에 전장 $6.0{\pm}0.34mm$로 난황이 모두 흡수되어 후기자어로 이행하였으며, 15일 후에는 전장 $10.8{\pm}0.45mm$로 지느러미 기조가 모두 정수로 되어 치어기로 이행하였다. 부화 후 100일 후에는 전장 $41.1{\pm}2.95mm$로 4개의 점줄로 이루어진 Gambetta's zone이 뚜렷하고 외형은 성어와 비교적 유사하였다.

한국산 전갱이과 어류 1미기록종 (First Record of the Carangid Fish, Seriola rivoliana from Korea)

  • 김영섭;김용억;안건
    • 한국어류학회지
    • /
    • 제9권2호
    • /
    • pp.244-247
    • /
    • 1997
  • 1995년 10월 28일 전갱이과, Carangidae, 방어속, Seriola에 속하는 Seriola rivoliana가 국내에서 처음으로 제주도 남동쪽 234-6해구에서 선망어구에 어획되었던 것을 부산공동어시장에서 채집하였기에 이를 보고한다. Seriola rivoliana는 방어속 어류 중 잿방어 Seriola dumerili와 형태적으로 닮았지만, 체고, 제2등지느러미와 뒷지느러미의 형태, 새파수 등과 뒷지느러미의 연조수, 첫번째 혈관극의 형태에서 구별이 된다. 특히, 첫번째 혈관극의 형태가 방어속 어류의 다른 종들과 달리 직선인 것이 특정이다. 본 종은 외부형태적으로 제 2등지느러미와 뒷지느러미가 낫모양을 하고 있어 Seriola rivoliana의 국명을 "낫잿방어"로 명명한다.

  • PDF

Facial Flap Repositioning in Posttraumatic Facial Asymmetry

  • Byun, Il Hwan;Byun, Dahn;Baek, Woo Yeol
    • 대한두개안면성형외과학회지
    • /
    • 제17권4호
    • /
    • pp.240-243
    • /
    • 2016
  • Perfect facial and body symmetry is an important aesthetic concept which is very difficult, if not impossible, to achieve. Yet, facial asymmetries are commonly encountered by plastic and reconstructive surgeons. Here, we present a case of posttraumatic facial asymmetry successfully treated with a unique concept of facial flap repositioning. A 25-year-old male patient visited our department with severe posttraumatic facial asymmetry. There was deviated nasal bone and implant to the right, and the actual facial appearance asymmetry was much more severe compared to the computed tomography, generally shifted to the right. After corrective rhinoplasty, we approached through intraoral incision, and much adhesion from previous surgeries was noted. We meticulously elevated the facial flap of both sides, mainly involving the cheeks. The elevated facial flap was shifted to the left, and after finding the appropriate location, we sutured the middle portion of the flap to the periosteum of anterior nasal spine for fixation. We successfully freed the deviated facial tissues and repositioned it to improve symmetry in a single stage operation. We conclude that facial flap repositioning is an effective technique for patients with multiple operation history, and such method can successfully apply to other body parts with decreased tissue laxity.

경막외 뇌척수액 누출과 연관된 양측 상지 근위축증: 증례보고 (Bibrachial Amyotrophy Associated with Epidural Cerebrospinal Fluid Leakage: A Case Report)

  • 노현우;정지선;성덕현
    • 대한근전도전기진단의학회지
    • /
    • 제20권2호
    • /
    • pp.112-118
    • /
    • 2018
  • We describe a case of a 71-year-old male patient who experienced progressive bilateral proximal upper limb weakness and atrophy without sensory symptoms and signs over 5 years. Electromyography demonstrated denervation potentials and neuropathic motor unit action potentials on C5-C7 myotome muscles bilaterally. Cervical spine magnetic resonance imaging revealed engorged anterior epidural venous plexus, T2 hyperintensity localized to grey matter ("snake-eye" appearance) at C2-C6 vertebral level, and ventral epidural fluid collection from C6 to T8 vertebral level. This case indicates that bibrachial amyotrophy associated with epidural fluid leak should be suspected in patients presenting with progressive bilateral upper limb weakness and atrophy without sensory involvement.

한국고유종 줄종개 Cobitis tetralineata의 난발생 및 초기생활사 (Egg Development and Early Life History of the Korean Spine Loach, Cobitis tetralineata (Pisces:Cobitidae))

  • 고명훈;원용진
    • 한국어류학회지
    • /
    • 제27권2호
    • /
    • pp.95-103
    • /
    • 2015
  • 우리나라 고유 담수어류 줄종개 Cobitis tetralineata의 난발생 및 초기생활사를 연구하기 위하여 2013년 6월 섬진강 상류인 전북 순창군 복흥면 정산리에서 족대를 이용하여 친어를 채집하여 실험하였다. 채집된 성숙한 친어는 복강에 Ovaprim을 주사하여 12시간 경과 후 복부압박법으로 채란하고 건식법으로 인공수정 시켰다. 산란된 성숙란은 약한 점착성을 띤회색의 분리침성난으로 난경은 $1.04{\pm}0.03mm$이고 산란수는 $2,646{\pm}916$개였다. 수온 $25^{\circ}C$에서 수정 후 56시간 만에 부화 하였으며, 크기는 전장 $4.6{\pm}0.11mm$이었다. 부화 5일 후에 전장 $6.8{\pm}0.28mm$로 난황이 모두 흡수되어 후기자어로 이행하였으며, 25일 후에는 전장 $9.8{\pm}0.50mm$로 지느러미 기조가 모두 정수로 되어 치어기로 이행하였다. 부화 후 100일 후에는 전장 $34.7{\pm}5.77mm$로 4줄의 Gambetta's zone이 완성되고 외형은 성어와 비교적 유사하였다.

안면 비대칭의 평가를 위한 기준에 관한 정모 두부 방사선 계측학적 연구 (A FRONTAL CEPHALOMETRIC STUDY ON THE REFERENCE LINES TO ASSESS THE CRANIOMAXILLOFACIAL ASYMMETRY)

  • 백선호;안병근;김선해;손흥범;한호진;강수만
    • 대한치과교정학회지
    • /
    • 제23권1호
    • /
    • pp.1-15
    • /
    • 1993
  • This study was undertaken to investigate the midline having the least difference between the right and left structures among the lines that had been used in the study of the craniomaxillofacial asymmetry. The sample of this study consisted of twenty six Korean girls(average 18.9 years old) having normal facial appearance and occlusion. On the frontal cephalometric films of the sample, we divided the whole craniomaxillofacial area into four portions, i.e., cranial, upper facial, lower facial, and dental portion. So, we have found the midlines having the least difference in the whole craniomaxillofacial area itself, and in the each divided four portions, furtherly in the other portions from aimed portion. The findings were as follow: 1. In the whole craniomaxillofacial area, the connecting line between crista galli and anterior nasal spine and the perpendicular bisecting line between right and left foramen rotundums were suitable for the midline. 2. In the cranial portion, established all six lines were suitable for midlines. In the other portions, the perpendicular bisection line between both condylion, the line passing the contact point between right and left mandibular central insisiors among the perpendicular lines between right and left mandibular central incisial tips were suitable midlines fer evaluating the asymmetry of cranial portion. 3. In the upper facial portion, the perpendicular bisecting line between right and left zygions was the most suitable midline. In the other portions, the line between the crista galli and the most superior point of the odontoid process, the perpendicular bisecting line between right and left gonions, the perpendicular bisecting line between right and left condylions, and perpendicular bisecting line between right and left foramens rotundum were suitable midlines for evaluating the asymmetry of the upper facial portion 4. In the dental portion, the perpendicular bisecting lines between right and left buccal cusps of both maxillary first molars and between right and left mandibular first molars were suitable midlines. In the other portions, the perpendicular bisecting line between right and left landmarks crossing the lesser wing of the sphenoid bone and orbit, the perpendicular bisecting line between right and left mental foramens, and the connecting line between crista galli and prosthion were suitable midlines for evaluating the asymmetry of dental portion. 5. In the lower facial portion, the perpendicular bisecting lines between right and left condylions and between right and left gonions were suitable midlines. In the other portions, the line between the crista galli and anterior nasal spine, the perpendicular bisecting line between right and left foramen rotundums, and the perpendicular bisecting lines between right and left buccal cusps of both mandibular first molars and between right and left maxillary first molars were suitable midlines for evaluating the asymmetry of the lower facial portion.

  • PDF

대게 Chionoecetes opilio (O. Fabricius)의 난발생 및 부화 유생의 형태 (Morphological Changes of the Embryo and First Zoea Larvae of Snow Crab, Chionoecetes opilio (O. Fabricius))

  • 임영수;이복규;이종관;허성범
    • 한국양식학회지
    • /
    • 제11권3호
    • /
    • pp.337-344
    • /
    • 1998
  • 경북 영덕군 축사면 근해 수심 약 200m해역에서 채포된 대게, Chionoecetes opilio 어미를 실내 수조에서 사육, 산란시켜 외포란된 알을 연속적으로 채취하여, 그 외부 형태에 의한 발생 단계를 구분하고, 부화한 유생의 형태적 특징을 조사하였다. 사육 수온은 약 5 degree C 정도 였으며, 부화까지 총 소요일수는 276~331일 이었다. 그 결과를 요약하면 다음과 같다. 1. 난 발생 단계 제 1기 난할 및 포배기 (수정에서 원구 출현까지, 24일) 제 2기 낭배기 (U자상 외배엽의 출현전까지, 72일) 제 3기 naupliua기 (악각 원기 출현전 까지, 22일) 제 4기 metanauplius기 (복안에 색소형성전까지, 57일) 제 5기 복안 색소 형성기 (30일) 제 6기 악각 색소포 형성기 (56일) 제 7시 부화 전기 (36일) 2. 부화 유생의 형태적 특징 모든 부화 유생은 prezoea상태로 부화했으며 30문 ~1시간후 zoea I기로 변태했다. zoea I기 유생 두흉부의 크기는, rostral spine 끝에서 dorsal spone 끝까지 길이가 4.6~5.1 양측면 lateral spine의 폭은 3.2~3.5mm였다. 또 몸통은 5개의 분절과 끝이 2갈래로 나누어진 미절로 나누어져 있다.

  • PDF

골격성 제3급 부정교합자의 양악 수술 후 중안면부 연조직 변화에 관한 두부 계측 방사선학적 연구 (THE CEPHALOMETRIC ANALYSIS OF THE SOFT TISSUE CHANGES AT THE MIDDLE FACE IN THE SKELETAL CLASS III PATIENTS WITH THE ORTHOGNATHIC 2-JAW SURGERY)

  • 안제영;김지용;주범기;김민철;허종기;김형곤;박광호
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • 제28권1호
    • /
    • pp.21-26
    • /
    • 2006
  • Considering the skeletal class III malocclusion that complains of mandibular prognathism, there have been some studies of the mandibular change for comparing the changes of pre operative with post operative state. Nowadays it is common to do the orthognathic 2-jaw surgery for the correction of the maxillary deficiency, the post operative stability and the esthetics. We compare and analyze the changes of soft tissue around the nose and the lip with the changes in the direction and the amount of maxilla. Patients who were diagnosed as maxillofacial deformity and received orthognathic surgery of both jaws at Yongdong Severance hospital from 2001 through 2003 were included in this study. Their lateral cephalograms were analyzed, and the post operative change of hard tissue and soft tissue were studied. Upon analyzing the preoperative cephalograms and 6 month post operative cephalograms, there were significant in the vertical change of Labialis superius(Ls) and Stomion(Stm) in soft tissue in relation to the vertical change of skeletal landmarks (Anterior Nasal Spine, Subspinale, Prosthion, Incision Superious). In addition, there were no significance in horizontal movement of the skeletal landmarks among groups. In terms of hard tissue landmarks, group 3(maxillary posterior impaction and advancement surgery group) showed significantly greater change in the vertical movement of Anterior Nasal Spine(ANS), Subspinale(A), Prosthion(Pr), and Incision Superious(Is) compared with other groups. In terms of soft tissue change, group 3 showed more significant change in the vertical movement of Ls and Stm. This study calculated the changes of the skeletal and soft tissue landmarks in order to act as a guide in planning and performing the surgery and as a reference in predicting the postoperative change of facial appearance.

폐경전 무월경 여성에 있어서 골밀도 측정에 관한 연구 (Bone Mineral Density in Premenopausal Amenorrheic Women with Hypogonadism)

  • 박기현;이병석;이보연;조동제;송찬호
    • Clinical and Experimental Reproductive Medicine
    • /
    • 제19권1호
    • /
    • pp.49-56
    • /
    • 1992
  • Bone mineral density was measured to assess whether the patients with premonopausal hypogonadism, comprised of 19 patients with hypogonadotropic hypogonadism(HH), 55 with premature ovarian failure(POF), 23 with hyperprolactinemia(HPLN), and 8 with Sheehan's syndrome. All aged from 20 to 39, were associated with some decrease in regional bone mass compared with that of 63 normal-associated with some decrease in regional bone mass compared with that of 63 normal-cycling control women matched with age and sex. Measurement of bone mineral density was carried out using Dual photon absorptiometry at four sites; femur neck, ward's triangle, trochanter and spine(L2-L4). Bone mineral density at all four sites were significantly decreased in patients with HH(p<0.01), POF(p<0.01). In hyperprolactinemic patients, the decrease in bone mass was significant at femur neck and Ward's triangle(p<0.05). The patients with POF were noted to be associated with significant bone loss when their duration of amenorrhea exceeded one year. In this study, the degree of loss of bone mass and the affected sites seemed to be different depending on the various types of hypogonadism and POF was noted have caused the appearance of loss of bone mass earlier than other thpes of hypogondism we experienced.

  • PDF