• Title/Summary/Keyword: anatomic structure

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근관치료 영역에서 Cone Beam CT의 활용 (Cone Beam Computed Tomography in Endodontics)

  • 조형훈
    • 대한치과의사협회지
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    • 제57권7호
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    • pp.392-402
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    • 2019
  • The most important part of everyday root canal treatment is diagnosis about the morphology of tooth, root and root canal. Usually this procedure is performed by visual examination and radiographic (panoramic/periapical) examination. However, 2-dimentional radiography has several limitations such as imposition of anatomic structures including buccal/lingual root canals and distortion of images. Recently, owing to the increased interest in dental implant and affordable cost of CBCT equipment, CBCT has been introduced widely in local dental clinics. CBCT is characterized by their lower radiation dose and shorter exposure time than conventional CT scan, and ability of 3-dimentional reconstruction of the dento-alveolar structure. Also in endodontic field, the data from CBCT could be very helpful in diagnosing complex root canal anatomy, apical periodontitis, cause of failure and in determining treatment plan. However, there are some limitations such as radiation dose and artifact. Therefore, clinicians should know about indication, advantages and limitations of CBCT, and properly use it for successful root canal treatment to save the natural teeth.

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Reverse Facial-submental Artery Island Flap with Reinnervation of the Anterior Belly of the Digastric Muscle

  • Sakuma, Hisashi;Takemaru, Masashi
    • Archives of Plastic Surgery
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    • 제49권3호
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    • pp.423-426
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    • 2022
  • Reconstruction of the upper lateral lip subunit is challenging, and use of several classical local flaps have been previously reported. However, these methods have drawbacks such as visible scarring, anatomic distortion, and functional disability. To obtain satisfactory results, preservation of perioral function is important. We report a case of functional upper lip reconstruction after tumor resection using a reverse facial-submental artery island flap with a reinnervated anterior belly of the digastric muscle (ABDM) without sacrificing the perioral structure. A 73-year-old man presented with basal cell carcinoma on the left upper lip which was widely excised, including the orbicularis oris muscle. The remaining 4 cm × 3.5 cm defect was reconstructed using a reverse facial-submental artery island flap with ipsilateral ABDM. The motor nerve of the ABDM was sutured with the stump of the buccal branch of the ipsilateral facial nerve. The postoperative course was uneventful, and good functional and esthetic recovery were observed at 12-month follow-up. This procedure may be an alternative option for reconstruction of lateral upper lip defects.

The pterygomandibular raphe: a comprehensive review

  • Rithvik Vutukuri;Norio Kitagawa;Keiko Fukino;R. Shane Tubbs;Joe Iwanaga
    • Anatomy and Cell Biology
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    • 제57권1호
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    • pp.7-12
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    • 2024
  • The pterygomandibular raphe (PMR) is a tendinous structure connecting the bucinator and the superior pharyngeal constrictor muscles. With its implications in the spread of oral cancer, the proper treatment of obstructive sleep apnea, and dental procedures, it is important to obtain a thorough understanding of the PMR. We reviewed the existing literature to compile the published information regarding its anatomy, embryology, imaging, variations, functions, pathologies, and clinical relevance of the pterygomandibular raphe.

방사광 경 엑스선 마이크로 단층촬영을 이용한 거머리의 해부학적 3차원 구조분석 (A Study of the 3D Anatomical Structure Analysis of Leech Using Hard X-ray Micro Tomography by Synchrotron Radiation)

  • 이지원;이언석
    • 한국콘텐츠학회논문지
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    • 제16권12호
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    • pp.70-77
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    • 2016
  • 본 연구에서는 거머리의 미세한 해부구조를 3차원적으로 분석 가능한 방사광의 경 엑스선 이미징을 통하여 객관적 분석법 및 생체모사기술 구축을 위한 기초자료를 구축하고자 하였다. 우리는 방사광을 이용하여 거머리의 미세 구조영상을 얻을 수 있었고, 3차원적인 해부학적 분석이 가능함을 확인하였다. 또한 방사광을 통해 얻은 데이터는 내부구조의 미세조직까지 관찰 가능하기 때문에 성분 분석 및 생리적, 기능적 측면으로도 연구의 토대가 될 것으로 사료된다. 더 나아가 추후 거머리로부터 생체모사기술 연구 분야 등에 기여할 수 있을 것이라 기대된다.

관골 골절에 따른 합병증에 관한 임상적 연구 (A CLINICAL STUDY OF COMPLICATIONS FOLLOWING ZYGOMA FRACTURE)

  • 송상훈;엄기훈;양병은;유준영
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제21권4호
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    • pp.366-369
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    • 1999
  • 관골 골절을 분류할 때 주위의 해부학적인 구조물과 연관해서 기능적인 면에 중점을 두어야 하므로 복시나 내안증같은 합병증이 나타날 수 있는 안와골절을 포함하는 분류를 해야한다. 관골 골절의 변위에 따라 나타나는 합병증의 양상이 매우 다양하므로 진단에 도움이 될 수 있도록 지속적인 연구가 필요할 것으로 사료되며, 초창기에 이러한 임상적인 합병증이 나타나지 않더라도 추후에 발생할 가능성이 있기 때문에 이를 간과해서는 안될 것으로 사료된다.

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Left-Sided Cisterna Chyli: a Case Report on a Rare Normal Anatomic Structure

  • Seo, Jin Ho;Hwang, Jeong Ah;Shin, Hyeong Cheol;Kim, Seung Soo;Park, Chan Ho;Lee, Hyoung Nam
    • Investigative Magnetic Resonance Imaging
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    • 제23권3호
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    • pp.276-278
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    • 2019
  • The cisterna chyli, a dilated lymphatic sac in the retrocrural space, is usually located to the right of the aorta. We report a case of a left-sided cisterna chyli, which was incidentally detected on the radiologic examinations of a preoperative workup for cholangiocarcinoma. Computed tomography (CT) and magnetic resonance (MR) images revealed a cisterna chyli measuring 2.5 cm in length in the left retrocrural space. The dilated lumbar lymphatics joined with the cisterna chyli, which was continuous with the left-sided thoracic duct. To the best of our knowledge, this is the second antemortem case of a left-sided cisterna chyli in literature. The cisterna chyli can mimic retrocrural lymphadenopathy, solid tumor with cystic degeneration, abscess or hematoma. The left-sided cisterna chyli should be referred to as a structure so as to be cautious in surgical approach.

두부방사선계측사진(頭部放射線計測寫眞)과 컴퓨터그래프상(像)을 이용(利用)한 성인정상교합자(成人正常咬合者)의 두개안면형태(頭蓋顔面形態)에 관(關)한 연구(硏究) (A CEPHALOMETRIC AND COMPUTERIZED STUDY ON THE CRANIOFACIAL PATTERN IN ADULT WITH NORMAL OCCLUSION)

  • 김광원;이동주
    • 대한치과교정학회지
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    • 제20권1호
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    • pp.87-100
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    • 1990
  • This study was designed to compare the craniofacial structure of orthodontic patients with that of normal adult. For that purpose, 61 male and 64 female adults with normal occlusion were selected and utilizing the cephalogram that had taken under the natural head position and computerized graphic image, the special position of each anatomical structure against true horizontal and vertical reference plane was investigated. The following results were obtained. 1. The absolute special positions of each anatomic structure were calculated. 2. The inclination of Sella-Nasion plane to true horizontal plane was $8.3^{\circ}{\pm}3.9$ in male and $9.3^{\circ}{\pm}3.2^{\circ}$ in female. 3. The inclination of Frankfort horizontal plane to true horizontal plane was $1.3^{\circ}{\pm}3.0^{\circ}$ in male and $1.7^{\circ}{\pm}3.0^{\circ}$ in female. 4. The dimensions of Nasion-sella and Nasion-Anterior nasal spine to be used as the basic units of mesh diagram were $70.7mm{\pm}3.1mm$, $61.8mm{\pm}2.7mm$ in male and $67.8mm{\pm}3.3mm$, $57.0mm{\pm}2.6mm$ in female respectively. 5. The standard templates of craniofacial structure of male and female adult normal group were constructed. 6. The mesh diagrams of craniofacial structure of male and female adult normal group were constructed.

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Effects of Material Properties and Fabric Structure Characteristics of Graduated Compression Stockings (GCS) on the Skin Pressure Distributions

  • Liu Rong;Kwok Yi-Lin;Li Yi;Lao Terence-T;Zhang Xin
    • Fibers and Polymers
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    • 제6권4호
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    • pp.322-331
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    • 2005
  • Graduated compression stockings (GCS) have been widely used for the prophylaxis and treatment of venous diseases. Their gradient pressure function largely related to their fabric structure and material properties. By combing fabric physical testing and wear trials, this study investigated the GCSs fabric structure and material properties at different locations along the stocking hoses, and quantitatively analyzed the effects of fabrics on skin pressure longitudinal and transverse distributions. We concluded that, Structural characteristics and material properties of stocking fabrics were not uniform along the hoses, but a gradual variation from ankle to thigh regions, which significantly influenced the corresponding skin pressure gradient distributions; Tensile (WT, EM) and shearing properties (G) generated most significant differences among ankle, knee and thigh regions along the stocking hose, which significantly influenced the skin pressure lognitudinal gradient distribution. More material indices generating significant gradual changes occurred in the fabric wale direction along stocking hose, meaning that materials properties in wale direction would exert more important impact on the skin pressure gradient performances. And, the greater tensibility and smoother surface of fabric in wale direction would contribute to put stocking on and off, and facilitate wearers' leg extension-flexion movements. The indices of WT and EM of stocking fabrics in series A have strong linear correlations with skin pressure lognitudinal distribution, which largely related to their better performances in gradual changes of material properties. Skin pressure applied by fabric with same material properties produced pronounced differences among four different directions around certain cross-sections of human leg, especially at the ankle region; and, the skin pressure magnitudes at ankle region were more easily influenced by the materials properties, which were considered to be largely related to the anatomic structure of human leg.

특별히 고안된 감압술 장치를 이용한 하악의 치성 낭종의 치료: 증례보고 (DECOMPRESSION TREATMENT FOR ODONTOGENIC CYST IN MANDIBLE USING SPECIFIC DECOMPRESSION APPLIANCE : CASE REPORT)

  • 김경수;김진철;오해수;최빈;길용갑;홍용재
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제29권2호
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    • pp.182-186
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    • 2007
  • A cyst is a pathologic lesion characterized by a cavity filled with fluid, celluar products, air, or a combination of these. Dentigerous cysts were formed around the crown of unerupted teeth. The reduced enamel epithelium persists around the crown after it has formed. Proliferation of the epithelium in a fluid-filled sac may be induced by osmotic pressure. In the first decade the most frequent location is the premolar site. In each subsequent decade the largest number of cysts are in the mandibular third molar site, with the second most frequent site being the maxillary canine. The treatment of odontogenic cyst can be mostly classified into three types of cyst enucleation, marsupialization and decompression. We should consider age of patient, anatomic structure, location and size for choosing a treatment method. Advantage of cyst enucleation is fast healing, but a injury of a surrounding structure is highly. Marsupialization is conservative treatment that can reduce the damage of a adjacent structure, but it is only limited at superficial lesion. Decompression also is conservative treatment, but it has the difficulty of the oral hygiene and the troublesome of the lavage. We present the possibility that reduces the defect of decompression and cures the lesion efficiently. We report a male patient with the dentigerous cyst developed at left mandibular third molar in this study. We used the decompression for a treatment and created special appliance to treat the lesion efficiently. We report a case of the cyst treatment that is association with efficiency of decompression appliance.

자동유방초음파 장비의 액와부 평가를 위한 초음파 패드 물질의 타당성 (Feasibility for Ultrasound Pad Material for the Evaluation Axillary Region of Automated Breast Ultrasound Equipment)

  • 서은희;성열훈
    • 대한방사선기술학회지:방사선기술과학
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    • 제41권3호
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    • pp.231-240
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    • 2018
  • Automated breast ultrasound (ABUS) equipment is a new innovative technique for 3D automatic breast scanning, but limited for the examination in the concave axillary region. The purpose of this study was to determine feasible candidate materials for the ultrasonic wave propagation media in ABUS, enabling the evaluation of the axillary region. Ultrasonography was performed using an ABUS system ($Invenia^{TM}ABUS$, GE, USA) on the ultrasound-specific phantom (UC-551M-0.5, ATS Laboratories, USA) covered by different candidate materials. The validity of feasible candidate materials was evaluated by image quality. Three independent radiological technologists, with more than 10 years of experience, visually assessed on the images. The inter-observer agreements according to the candidate materials were tested using Cronbach's alpha. Unenveloped solidified carrageenan can be a feasible material for the use of ABUS with excellent test reliability. Therefore, the coverage of the axillary region with carrageenan may be effective for ABUS which was originally developed for the convex anatomic structure as female breast.