• Archives of Plastic Surgery
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• 제48권6호
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• pp.614-621
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• 2021

Background Reconstruction of congenital microtia remains challenging, particularly in patients with a history of ear canaloplasty due to insufficient regional soft tissue. The insertion of a tissue expander prior to implantation of the cartilage framework has traditionally been employed. However, this procedure could induce additional morbidity. Herein, we present a method using V-Y advancement of a temporal triangular flap to gain additional soft tissue in these challenging cases. Methods Congenital microtia patients with a history of ear canaloplasty who underwent auricular reconstruction using the Nagata technique between 2016 and 2020 were reviewed. To obtain additional soft tissue, V-Y advancement of a temporal triangular flap was performed concurrently with implantation of the costal cartilage framework, without prior insertion of a tissue expander. The outcomes of these patients with respect to postoperative complications and esthetics were evaluated. Results Eight patients with bilateral lesions were included. No specific complications developed after the first-stage surgery. However, one patient experienced complications after the second stage (auricular elevation). An analysis of the esthetic results showed most patients had excellent outcomes, achieving a satisfactory convolution. The median number of operations needed to complete reconstruction was 2, which was fewer than required using the conventional method with prior insertion of a tissue expander. Conclusions In patients with a history of previous canaloplasty, V-Y advancement of a temporal triangular flap could serve as an alternative to tissue expansion for microtia reconstruction. This technique provided reliable and satisfactory results with a reduced number of surgical stages.

• Journal of Acupuncture Research
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• 제39권1호
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• pp.36-39
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• 2022

Background: Acupotomy is a type of acupuncture where a scalpel-shaped needle (miniscalpel needle) is used instead of a normal acupuncture needle to exfoliate adhesion sites or to relax entrapped regions. This study aimed to identify the descriptive characteristics of patients who received acupotomy treatment at a single Korean Medicine Clinic. Methods: This retrospective review analyzed the medical charts of patients who had received acupotomy at least once from August 2017 to December 2019 at a single Korean Medicine Clinic. The demographic characteristics, chief complaints, acupotomy treatment sites, and principal diagnosis codes were analyzed. Results: We identified 551 outpatients; the average age was 52 ± 14.26 years and 49.9% were male. The patients underwent an average of 8.47 sessions of acupotomy. Altogether, 35.91% of the acupotomy treatments were administered to the spinal regions, of which 60.01% were in the lumbar region. The codes related to the lumbar spinal condition/disease which were used most frequently. The chief complaints were dizziness, lumbar spinal stenosis, and Dupuytren's contracture in patients over 60 years of age. Conclusion: This is the 1^st analysis of acupotomy treatment patterns in Korea to date. Acupotomy is primarily administered in the treatment of spinal conditions/diseases, especially for those involving the lumbar region. Future studies are necessary to determine the clinical outcomes of patients who receive acupotomy treatment and the safety of this treatment.

• Journal of Periodontal and Implant Science
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• 제52권4호
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• pp.298-311
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• 2022

Purpose: The aim of this study was to evaluate the clinical outcomes of periodontal granulation tissue preservation (PGTP) in access flap periodontal surgery. Methods: Twenty patients (stage III-IV periodontitis) with 42 deep periodontal pockets that did not resolve after non-surgical treatment were consecutively recruited. Access flap periodontal surgery was modified using PGTP. The clinical periodontal parameters were evaluated at 9 months. The differences in the amount of granulation tissue width (GTw) preserved were evaluated and the influence of smoking was analyzed. Results: GTw >1 mm was observed in 97.6% of interproximal defects, and the granulation tissue extended above the bone peak in 71.4% of defects. At 9 months, probing pocket depth reduction (4.33±1.43 mm) and clinical attachment gain (CAG; 4.10±1.75 mm) were statistically significant (P<0.001). The residual probing depth was 3.2±0.89 mm. When GTw extended above the interproximal bone peak (i.e., the interproximal supra-alveolar granulation tissue thickness [iSUPRA-GT] was greater than 0 mm), a significant CAG was recorded in the supra-alveolar component (1.67±1.32 mm, P<0.001). Interproximal gingival recession (iGR) was significant (P<0.05) only in smokers, with a reduction in the interdental papillary tissue height of 0.93±0.76 mm. In non-smokers, there was no increase in the iGR when the iSUPRA-GT was >0 mm. The clinical results in smokers were significantly worse. Conclusions: PGTP was used to modify access flap periodontal surgery by preserving affected tissues with the potential for recovery. The results show that preserving periodontal granulation tissue is an effective and conservative procedure in the surgical treatment of periodontal disease.

• 한국응용과학기술학회지
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• 제40권2호
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• pp.244-257
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• 2023

본 연구는 고지방식이를 섭취한 난소절제 쥐의 지방조직에서 제니스테인에 의한 지방조직감소와 항염증에 대한 운동의 영향을 조사하였다. 고지방식이를 섭취한 쥐(C)에 비해 제니스테인 단독처리(G)와 운동 단독처리(Ex)는 지방조직무게, 지방세포 크기 및 혈청 속 포도당과 유리 지방산 수치를 감소시켰으며, 이러한 현상은 제니스테인과 운동을 동시처리(G/Ex) 하였을 경우 더 효과적으로 감소하였다. 지방조직에서 C에 비해 G와 Ex의 지방생성 유전자와 염증성 사이토카인 유전자의 발현은 모두 감소하였고, 특히 이러한 유전자의 감소 현상은 G와 Ex 각각 보다 G/Ex에서 더욱 효과적이었다. 따라서 본 연구는 고지방식이를 섭취한 난소절제 쥐에서 제니스테인과 운동의 동시처리는 제니스테인 단독처리에 비해 더 효과적으로 비만과 지방조직 염증을 개선하였으며 이것은 지방생성 유전자를 긍정적으로 조절한 결과임을 밝혔다. 본 연구는 제니스테인의 항비만과 지방조직 항염증에 대해 운동이 유익한 영향을 미친다는 것을 제안한다.

• Journal of Radiation Protection and Research
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• 제48권2호
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• pp.100-106
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• 2023

Background: As breast tissue expanders consist of metallic materials in the needle guard and ferromagnetic injection port, irradiation can produce radioactivation. Materials and Methods: A CPX4 (Mentor Worldwide LLD) breast tissue expander was exposed using the Versa HD (Elekta) linear accelerator. Two photon energies of 6 and 10 MV-flattening filter free (FFF) beams with 5,000 monitor units (MU) were irradiated to identify the types of radiation. Furthermore, 300 MU with 10 MV-FFF beam was exposed to the CPX4 breast tissue expander by varying the machine dose rates (MDRs) 600, 1,200, and 2,200 MU/min. To assess the instantaneous dose rates (IDRs) solely from the CPX4, a tissue expander was placed outside the treatment room after beam irradiation, and a portable radioisotope identification device was used to identify the types of radiation and measure IDR. Results and Discussion: After 5,000 MU delivery to the CPX4 breast tissue expander, the energy spectrum whose peak energy of 511 keV was found with 10 MV-FFF, while there was no resultant one with 6 MV-FFF. The time of each measurement was 1 minute, and the mean IDRs from the 10 MV-FFF were 0.407, 0.231, and 0.180 μSv/hr for the three successive measurements. Following 10 MV-FFF beam irradiation with 300 MU indicated around the background level from the first measurement regardless of MDRs. Conclusion: As each institute room entry time protocol varies according to the working hours and occupational doses, we suggest an addition of 1 minute from the institutes' own room entry time protocol in patients with CPX4 tissue expander and the case of radiotherapy vaults equipped with a maximum energy of 10 MV photon beams.

• 대한치과교정학회지
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• 제53권6호
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• pp.402-419
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• 2023

Objective: This study assessed the differences in soft tissue deviations of the nose, lips, and chin between different mandibular asymmetry types in Class III patients. Methods: Cone-beam computed tomography data from 90 Class III patients with moderate-to-severe facial asymmetry were investigated. The sample was divided into three groups based on the extent of mandibular rolling, yawing, and translation. Soft tissue landmarks on the nose, lips, and chin were investigated vertically, transversely, and anteroposteriorly. A paired t test was performed to compare variables between the deviated (Dv) and nondeviated (NDv) sides, and one-way analysis of variance with Tukey's post-hoc test was performed for intergroup comparisons. Pearson's correlation coefficient was calculated to assess the relationship between the soft and hard tissue deviations. Results: The roll-dominant group showed significantly greater differences in the vertical positions of the soft tissue landmarks between the Dv and NDv than other groups (P < 0.05), whereas the yaw-dominant group exhibited larger differences in the transverse and anteroposterior directions (P < 0.05). Moreover, transverse lip cant was correlated with the menton (Me) deviation and mandibular rolling in the roll-dominant group (P < 0.001); the angulation of the nasal bridge or philtrum was correlated with the Me deviation and mandibular yawing in the yaw-dominant group (P < 0.01). Conclusions: The three-dimensional deviations of facial soft tissue differed based on the mandibular asymmetry types in Class III patients with similar amounts of Me deviation. A precise understanding of soft tissue deviation in each asymmetry type would help achieve satisfactory facial esthetics.

• 대한관절경학회지
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• 제1권1호
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• pp.9-19
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• 1997

Biomechanics of the soft tissue arc different from that of bone. Soft tissue has characteristics of nonhomogeneous, no-linear, anisotropic, viscoelastic, and finite deformation. Biomechanics of ACL, one of the soft tissue, are briefly described : structural and mechanical properties, viscoelastic response, immobilization, kinematics and static function.

• 한국정밀공학회지
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• 제23권2호
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• pp.15-20
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• 2006

• 대한치과보철학회지
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• 제47권3호
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• pp.301-311
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• 2009

연구목적: 연조직 펀치를 이용한 무피판 임플란트 수술법은 임플란트를 식립할 부위에 환상형의 절개를 필요로 한다. 이에 연조직 펀치의 사용을 위한 지침을 만드는 데 도움을 주고자 성견의 하악에서 임플란트 주위 조직의 치유에 대한 연조직 펀치의 영향을 조사하는 실험이 수행되었다. 연구 재료 및 방법: 6 마리의 성견에서 하악의 양측에 무치악의 평편한 치조제를 만들었다. 3 개월 동안의 치유 기간 후, 3 mm, 4 mm, 5 mm 연조직 펀치를 사용하여 절개하고 양측에 각각 3개의 임플란트 (직경 4.0 mm)를 식립하였다. 그리고 즉시 치유지대주 (직경 4.5 mm)를 연결하였다. 그 후 치유 기간 동안 임플란트 주위 점막을 임상적, 방사선학적 그리고 조직학적 방법으로 평가하였다. 평가 요소는 치은 지수, 탐침시 출혈, 치주 탐침 깊이, 변연골 상실 그리고 임플란트 주위 조직의 수직적인 변화이다. 결과: 임플란트 식립 후 치유 기간 동안에 3 mm, 4 mm, 5 mm 연조직 펀치 군 사이에 접합 상피의 길이, 치주 탐침 깊이, 변연골 상실이 유의할 만한 차이가 관찰되었다 (P <.05). 3 mm 연조직 펀치를 사용한 경우가 4 mm 이상의 연조직 펀치를 사용한 것에 비해 상대적으로 접합 상피의 깊이는 짧았고, 치주 탐침 깊이는 얕았으며, 변연골 흡수량이 적었다. 결론: 무피판 임플란트 수술에서 연조직 펀치의 직경은 최적의 연조직 밀폐의 형성과 연조직의 치유에 있어 중요한 역할을 한다. 선택된 치유지대주보다 약 1 mm 작은 직경의 연조직 펀치를 사용하는 경우 임플란트 주변 점막과 긴밀한 접촉을 이룰 수 있고 창상 치유가 가장 양호 하다.

• 한국엔터테인먼트산업학회논문지
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• 제14권6호
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• pp.279-287
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• 2020

본 연구는 딥티슈마사지와 일라이트병행 딥티슈마사지가 체형변화에 미치는 영향을 검증하고, 각각의 적용 방법에 따른 체형변화 효과를 확인하여 체형개선에 효율적인 방법을 제안하고자 하였다. 연구의 대상은 30대 여성 20명을 난수표방식에 따라 각각 10명으로 나누어 딥티슈마사지, 일라이트병행 딥티슈마사지를 1회/주 8주 동안 진행하였다. 시점별로 실험전, 4주 경과, 8주 경과에 따라 모아레토포그래피를 사용하여 극돌기 기울기, 견갑부, 둔부의 변화 값을 측정하였다. 수집된 자료는 SPSS v. 21.0 통계 패키지 프로그램을 활용하여 최종 분석하였으며, 그 결과는 다음과 같다. 연구대상자의 일반적 특성은 전문직이 가장 높게 나타났고, 기혼자가 90%로 이 중 77.8%가 출산 경험자로 78.6%가 자연분만 하였으며, 자녀수는 두 명이 57.1%로 가장 높게 조사되었다. 실험 전 일라이트병행 딥티슈마사지 적용군과 딥티슈마사지 적용군의 극돌기 기울기, 견갑부, 둔부를 측정한 결과 일라이트병행 딥티슈마사지 적용군이 딥티슈마사지적용군에 비해 모든 항목에서 다소 높게 나타났으나 통계적으로 유의미한 차이는 보이지 않아 동질성을 확보할 수 있었다. 마사지 적용방법에 따른 체형변화 비교는 일라이트병행 딥티슈마사지 적용군이 딥티슈마사지 적용군보다 시점에 따라 극돌기 기울기, 견갑부, 둔부의 감소율이 크게 나타나 유의한 차이를 보였으며(p<.05, p<.01), 일라이트병행 딥티슈마시가 딥티슈마사지보다 체형변화에 더 효과적 방법으로 확인되었다. 이에 일라이트병행 딥티슈마사지는 체형변화 개선에 활용 가능한 유용한 요법으로 제안하며, 피부미용 산업현장 및 관련 분야에서 활용하기를 기대해 본다.