• Title/Summary/Keyword: Upper neck

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Branchial Cleft Anomalies (선천성 새성기형)

  • Kwon Si-Hyung;Choi Jin-Sub;Park Cheong-Soo;Hwang Eui-Ho
    • Korean Journal of Head & Neck Oncology
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    • v.10 no.2
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    • pp.122-127
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    • 1994
  • One hundred fifty four cases of branchial anomaly treated from January 1987 to July 1993 were analysed to determine clinical features, embryologic and anatomic types of the branchial cleft anomaly, to investigate the differences between adults and pediatrics, and to establish the appropriate treatment plan. The male to female ratio was not signifiacntly different in pediatric and adult patients. The mean symptom duration was 0.5 years(range 0.08-14 years) in pediatric patients and 1.67 years (0.7-7 years) in adult patients. The clinical presentations of these anomalies were lateral neck mass in 112(72.7%), infected discharge in 22(14.3%), non-infected discharge in 6(3.9%), and abscess in 14 cases(9.l%). Sites of the lesions were upper third of the neck in 93(60.3%), infraauricular in 35(22.7%), middle third of the neck in 17(11.0%) and inferior third of the neck in 9 cases(5.8%). The anatomic types were cystic form in 117(75.9%), sinus in 24(15.5%), and fistula in 13 cases(8.4%). Embryologic classification were 124 second branchial cleft anomalies(80.5%), 29 first branchial cleft anomalies(18.8%), and 1 third branchial cleft anomaly(0.6%). Immediate surgery under the uncontrolled infection in 17 cases result in 82.4% recurrent rate(14 cases), and 17.6% cure rate(3 cases). Delayed surgery under the controlled infection in 8 cases recurrent rate(1 case), and 87.5% cure rate(7 cases). In summary, the most common branchial cleft anomaly is second type cyst both in pediatric and adult group, delayed surgical exterpation after infection control with I & D or antibiotics may give a good chance for care and may reduce the recurrence.

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Laryngotracheal invasion by well-differentiated thyroid carcinoma (기도를 침범한 분화성 갑상선암종)

  • Choi, Jong-Ouck;Kim, Yong-Whoan;Park, Chan;Ko, Tae-Ok;Choi, Geon
    • Korean Journal of Bronchoesophagology
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    • v.3 no.2
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    • pp.287-292
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    • 1997
  • We report 22 cases of well -differentiated thyroid carcinoma infiltrating the upper airway tract. This retrospective study was undertaken to evaluate the prognosis md to determine optimal therapy for thyroid carcinoma adhering to or invading the trachea or larynx from 1984.3 to 1996.12. The treatment was individualized depending on the extent of the cancer. There were 12 cases dissected free by an laryngotracheal shaving, 7 cases removed by an tracheal resection with end to end anastomosis, 3 cases removed by an total laryngectomy. In all of these cases, we performed a total thyroidectomy with an accompanying neck dissection. There were no major complications during the operation. Over the 5-years observation period, 11 patients are alive without a sign of recurrence, 4 Patients are alive with recurrence, 7 died of thyroid carcinoma; 2 of 12 in an laryngotracheal shaving cases, 2 of 7 in an tracheal resection with end to end anastomosis case, 3 of 3 in an total laryngectomy case. The result showed an radical operation for thyroid carcinoma invading the laryngotrachea improves the survival rate, but limits improving the cure rate, and the invasion of the thrchea or larynx must be treated whenever possible by an total resection followed by radioiodine and external beam radiation.

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Effects of Cervico-Thoracic Mobilization Technique and Therapeutic Exercise on Muscle Activity, Functional Disability, Craniovertebral angle in Patient with Neck Pain (목 통증 환자에게 목-등뼈 가동술과 치료적 운동이 근활성도, 기능장애, 머리척추각에 미치는 영향)

  • Je-ho Kim;Jong-uk Choi;Yoon-hwan Kim;Hyun-seung Song;Yong-sik Jeong
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.29 no.1
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    • pp.11-23
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    • 2023
  • Purpose: This study aimed to determine the effects of cervico-thoracic (C-T) mobilization technique and therapeutic exercise on muscle activity, craniovertebral angle (CVA), and neck disability index (NDI) in patients with neck pain. Methods: : A total of 30 patients with neck pain were included and divided into C-T mobilization combined with Pilates group (Experimental group; EG) and thoracic mobilization and self-exercise (Control group; CG) group; each group consisted of 15 patients. The exercises were performed by patients in both groups three times a week, for four weeks. NDI was used to measure functional disability and sEMG was used to measure muscle activity. Results: The EG participants showed significant improvement in the CVA and NDI after the intervention than the CG (p<.05). While both groups presented after intervention decreased muscle activity(upper trapezius), there were no statistically significant differences between the groups (p>.05). Conclusion: The findings of this study suggest that thoracic mobilization technique combined with Pilates exercise may have beneficial effects on CVA and NDI in patients with neck pain and forward head posture.

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Effects of Breathing Re-education Training on Pain and Dysfunction Levels, Posture, Quality of Life, Pulmonary Function in Patients with Chronic Neck Pain: A Randomized Controlled Trial (호흡 재교육 훈련이 만성 목통증 환자의 통증과 기능장애 수준, 자세, 삶의 질, 폐 기능에 미치는 영향: 무작위 대조군 실험)

  • Sang-hyu Lee;Suhn-yeop Kim
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.30 no.1
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    • pp.29-42
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    • 2024
  • Background: This study aimed to determine the effects of training on breathing re-education on pain and dysfunction levels, posture, quality of life (QoL), and pulmonary function in patients. Methods: This study included 34 patients with chronic neck pain and upper thoracic breathing pattern were included. The participants were assigned to either the routine physical therapy program (RPTP) (CG; n=17) or RPTP and breathing pattern re-education training (EG; n=17). The CG and EG groups performed RPTP for 40 minutes, and only the EG groups performed breathing re-education training for 10 minutes. Exercises were performed thrice weekly for both groups. Level of pain and dysfunction, posture, QoL and pulmonary function status were assessed before and after the intervention. Results: After four weeks of intervention, numeric pain rating scale (NPRS), Korean version of neck disability index, cranio-vertebral angle, cranial rotation angle, and 12-item short form health survey-physical and mental component summaries had significant differences before and after intervention in both groups (p<.01). However, only NPRS, forced vital capacity, forced expiratory volume in 1s, and maximum voluntary ventilation showed significant interactions between the two groups and measurement time (p<.01). Conclusion: Breathing re-education training and RPTP may be optimal for patients with chronic neck pain and may be more effective in improving neck pain and pulmonary function.

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Somatotype of Women's Upper Body in their thirties through a Development Figure of the Surface of the Body (체표면 전개도에 의한 30대 여자 상반신의 유형분석)

  • 최은주
    • Journal of the Korean Society of Clothing and Textiles
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    • v.22 no.2
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    • pp.203-214
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    • 1998
  • The purpose of this study is to classify the upper body of women into several kinds of somatotypes, using the method of Surgical Tape and making their shells. The subjects are 53 females 30 to 39 years-old. Fifty-three anthropometric data are measured per shell of bodysurface; six somatotype factors are obtained through principal component analysis and orthogonal rotation by the method of Varimax, Somatotype of women's upper body is achieved by cluster analysis, using the standardized factor score as an independent variable and the FASTCLUS of SAS by Kmeans. The results are as follows: 1. The number of the factors which explain the somatotype is six and those factors comprise 76.12 percent of total variance. Factor 1: related to the size of shape in the front of upper body Factor S: related to the size of shape in the back of upper body Factor 3: related to the type of the upper chest over the chest circumference line Factor 4: related to the length of·the upper body Factor 5: related to the part of the neck Factor 6: related to the type of the lower chest under the chest circumference line 2. Cluster analysis results in classification of upper body into five clusters. Cluster L: the length is the largest and the circumference is small. The part of waist is the largest and widest among surface areas. Cluster 2: Slender body line from chest to waist is characteristic. The length is longer. The part of upper and lower chest is larger among surface areas. Cluster S: the circumference is the smallest and armhole is small. The length and surface area are small. Cluster 4: the circumference and armhole is the largest. The length is the smallest. Cluster 5: the circumference is average and the length is a little long. The body line(silhouette) from chest to waist is curved slightly.

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The Effect of Steroid Therapy for Idiopathic Unilateral Vocal Cord Palsy (특발성 일측성 성대마비에서 경구 스테로이드 요법의 효과)

  • Bae, Jong-Won;Lee, GilJoon
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.30 no.2
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    • pp.107-111
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    • 2019
  • Background and Objectives Idiopathic unilateral vocal fold paralysis (IVFP) is believed to be due to inflammation and edema of the recurrent laryngeal nerve caused by viral diseases such as upper respiratory tract infections. Corticosteroid has a potent anti-inflammatory action which should minimize nerve damage. The purpose of this study was to investigate the effect of oral steroid therapy on IVFP. Materials and Method Study was performed for the IVFP patient from January 2012 to August 2017. Patient's dermography, direction and location of paralyzed vocal cords, history of hypertension, diabetes, cerebrovascular disease, and other underlying disease, smoking history, alcohol consumption and upper respiratory tract infection, and symptoms were investigated. Treatment was divided into three groups: the observation group, low-dose group, and high-dose group, and the recovery rate and time of vocal cord paralysis were analyzed in each group. Results Thirty-seven patients were enrolled in this study. There was no relationship between oral steroid use, dosage and recovery of vocal cord paralysis. Oral steroids showed a rapid recovery of vocal cord paralysis, but there was no statistically significant difference in the time of recovery of vocal palsy with or without steroids (p=0.673). In addition, there was no statistically significant difference in recovery rate between the period to start of treatment, presence of diabetes mellitus, and treatment modality, but the recovery rate was high in the group with upper respiratory tract infection history (p=0.041). Conclusion In IVFP, oral steroid therapy has no significant difference in time and extent of recovery compared to the case of spontaneous recovery.

A Study on the Body Surface Area of Korean Women (Part I) Body Surface Area and It's Rational Rate (한국여성의 체표면적에 관한 연구(제1보) -체포면적 및 그의 안분비율에 대하여-)

  • Im Soon;Cha Ok Seon
    • Journal of the Korean Society of Clothing and Textiles
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    • v.12 no.3 s.28
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    • pp.277-284
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    • 1988
  • The purpose of study was to measure to body Surface area and the rational rate of Korean adult's women. The subjects are 20 years old to 49 years old women (Their bust width ranges from 74.5 to 101.5 cm, the height from 144.6 to 163.3 cm, the weight from 44.2 to 74.0 kg, Rohrer Index from 1. 02 to 1. 89). As the experimental method, both the gypsum method, by which the shape of body can be copied as it is, and weighing method, from which planed body surface area can be measured with consistant thickness of polypropylene film used. The results were obtained as follows. 1. After dividing the Korean adult's women into four groups (single and married women in their twenties, those in their thirties, those in their fourties). The change of body surface area was reviewed in accordance with age groups. No great difference among age group was showed in whole body surface area. 2. average value of body surface area is 1, 514m^2 and the part of trunk shows the biggest difference to the age groups. 3. After dividing the middle of body into two groups, the relation of symmetry of each parts is reviewed with difference in body surface area. The results shows that the part of head & neck and lower limbs are symmetrical. The part of trunk and upper limbs are unsymmetrical. 4. Regional rates of each part of whole body surface area are follows. head $4.98\%$, each-lobes $0.46\%$, neck $2.01\%$, face$2.48\%$, upper trunk $19.64\%$, lower trunk $13.91\%$, upper armpits $1.76\%$, lower armpits $12.52\%$, hands $4.64\%$, thighs $18.89\%$, lower legs$13.10\%$, feet $6.01\%$.

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Analysis of Bodice Patterns Developed through Draping Method Using the Dress Form Representing Korean Female Fashion Models' Body Features (국내 여성 패션모델 체형 반영 인대 활용을 통한 입체재단 제작 길원형 특성 분석)

  • Park, Gin Ah
    • Journal of Fashion Business
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    • v.21 no.1
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    • pp.74-87
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    • 2017
  • The aim of this study was to analyze the features of bodice patterns modeled using a dress form that represents Korean female fashion models' body features. A controlled experiment was carried out using an existing dress form that has been frequently used in South Korea. The purpose of the study was to suggest notable findings derived from understanding the development of bodice patterns for Korean female fashion models. The comparison of features of bodice patterns from the developed and existing dress forms was carried out with consideration of the upper body features of the developed dress form, such as body angles and body cross-sectional shapes. The following results were derived from the investigations. (1) The angles of the upper and lower breast cups of the developed dress form differed to those of the existing dress form, showing a 5.0cm smaller front shoulder dart and a 3.5 larger ㎝ ㎝ front waist dart within the bodice patterns. (2) The body angle features of the developed dress form included a straighter neck and shoulder blade and more concave center back than the existing dress form, with a 2.0 reduced back neck height and a 4.8 larger back waist dart for ㎝ ㎝ the bodice back panel. The more realistic body angles of the developed dress form anticipate the improvement of garment pattern-making. (3) The altered shoulder angles resulted in an increased size of the back shoulder dart and a decreased size of the front shoulder height within the bodice patterns. (4) The increased rate of curvature of cross-sectional shapes on the bust and waist circumferences of the developed dress form resulted in an increase in the sizes of the front and back waist darts.

A Study on the Body Characteristics of Korean Obese Women (Part I)

  • Yi, Kyong-Hwa
    • Journal of the Korean Society of Clothing and Textiles
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    • v.34 no.6
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    • pp.937-954
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    • 2010
  • This study analyzes the body characteristics of Korean obese women using 2004 Size Korea data. For selecting the obesity sample, 7 obesity judgment indices were chosen from previous clothing-related studies. A total of 636 females defined as "obese" by 5 out of 7 indices were selected as subjects for this study. 54 body measurements and obesity judgment indices were used. First, the subjects had a BMI 27.11, R$\ddot{o}$hrer index 1.76, Vervaeck index 104.77, Relative weight 133.00, and WHR 0.90. In the case of the distribution by age groups, the twenties were 6.4% of the entire subjects, the thirties were 18.2%, the forties were 16.4%, the fifties were 37.4%, and the sixties were 21.5%. The result of the ANOVAs (divided into 5 age groups) showed significant differences in 41 measurement items except for bust circumference, waist length front, and all of obesity judgment indices. Second, according to the ANOVAs among stature groups divided by 5cm pitches there are significant differences in all measurements except for bust circumference. The results of the ANOVAs among bust circumference groups divided by 5cm pitches show that significant differences were observed in all measurements except four measurement items (including body rise). According to the ANOVAs among the waist circumference groups divided by 5cm pitches, there are no significant differences in all height measurements and shoulder length, waist to hip length, and crotch length. It is confirmed that stature and bust circumference have a deep relationship with measurements other than waist circumference. Third, as the factor analysis were conducted using 39 measurement items to extract the body characteristics of obese women Factor 1 is "circumference measurements & obesity judgment indices," Factor 2 is "heights & arm-related lengths," and Factor 3 is "size and ratio of waist circumference & hip circumference." Factor 4 was "lengths in upper body," Factor 5 was "back width in upper body," Factor 6 was "side neck point to bust & bust circumference," Factor 7 was "length in lower body & arm circumferences," and Factor 8 was "neck base circumference & front widths in upper body." These 8 factors explained 76.54% of the total variance.

Long-term consistency of clinical sensory testing measures for pain assessment

  • Pablo Bellosta-Lopez;Victor Domenech-Garcia;Thorvaldur Skuli Palsson;Pablo Herrero;Steffan Wittrup Mcphee Christensen
    • The Korean Journal of Pain
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    • v.36 no.2
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    • pp.173-183
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    • 2023
  • Background: Understanding the stability of quantitative sensory tests (QSTs) over time is important to aid clinicians in selecting a battery of tests for assessing and monitoring patients. This study evaluated the short- and long-term reliability of selected QSTs. Methods: Twenty healthy women participated in three experimental sessions: Baseline, 2 weeks, and 6 months. Measurements included pressure pain thresholds (PPT) in the neck, upper back, and leg; Pressure-cuff pain tolerance around the upper-arm; conditioned pain modulation during a pressure-cuff stimulus; and referred pain following a suprathreshold pressure stimulation. Intraclass correlation coefficients (ICC) and minimum detectable change (MDC) were calculated. Results: Reliability for PPT was excellent for all sites at 2 weeks (ICC, 0.96-0.99; MDC, 22-55 kPa) and from good to excellent at 6 months (ICC, 0.88-0.95; MDC, 47-91 kPa). ICC for pressure-cuff pain tolerance indicated excellent reliability at both times (0.91-0.97). For conditioned pain modulation, reliability was moderate for all sites at 2 weeks (ICC, 0.57-0.74; MDC, 24%-35%), while it was moderate at the neck (ICC, 0.54; MDC, 27%) and poor at the upper back and leg at 6 months. ICC for referred pain areas was excellent at 2 weeks (0.90) and good at 6 months (0.86). Conclusions: PPT, pressure pain tolerance, and pressure-induced referred pain should be considered reliable procedures to assess the pain-sensory profile over time. In contrast, conditioned pain modulation was shown to be unstable. Future studies prospectively analyzing the pain-sensory profile will be able to better calculate appropriate sample sizes.