• Title/Summary/Keyword: anatomical features

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Surgery of Parasplenial Arteriovenous Malformation with Preservation of Vision - A Case Report - (부뇌량팽대 동정맥 기형의 수술에서 시야의 보존 - 증례보고 -)

  • Joo, Jin Yang;Ahn, Jung Yong
    • Journal of Korean Neurosurgical Society
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    • v.29 no.6
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    • pp.815-821
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    • 2000
  • Parasplenial arteriovenous malformations(AVMs) are rare vascular malformations which have distinct clinical and anatomical features. They are situated at the confluence of the hippocampus, isthmus of the cingulate gyrus and the gyrus occipitotemporalis medialis. These lesions are anterior to the calcarine sulcus and their apex extends towards the medial surface of the trigonum. Posterolaterally, these lesions are in close proximity to the visual cortex and optic radiation. The objectives in the surgery of parasplenial AVMs are complete resection of the lesions and preservation of vision. These objectives must be achieved with comprehensive understanding of the following anatomical features :1) the deep central location of the lesions within eloquent brain tissue ; 2) the lack of cortical representation of the AVMs that requires retraction of visual cortex ; 3) deep arterial supply ; 4) deep venous drainage ; 5) juxtaposition to the choroid plexus with which arterial supply and venous drainage are shared. A 16-year-old female student presented with intraventricular hemorrhage from a right parasplenial-subtrigonal AVM. The lesion, fed by posterior cerebral artery and drained into the vein of Galen, was successfully treated by the inter-hemispheric parietooccipital approach. To avoid visual field defect a small incision was made on precuneus anterior to the calcarine sulcus. In this report, the authors describe a surgical approach with special consideration on preservation of visual field.

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Fine Needle Aspiration Cytology of Kimura's Lymphadenitis with Characteristic Warthin-Finkeldey Type Polykaryocytes - A Case Report - (특징적인 Warthin-Finkeldey형의 다유핵 거대세포 소견을 보인 기무라 림프절염의 세침흡인 생검소견 - 1예 보고 -)

  • Kim, Yeon-Mee;Cho, Hye-Je
    • The Korean Journal of Cytopathology
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    • v.6 no.1
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    • pp.48-53
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    • 1995
  • Kimura's disease is a chronic Inflammatory disorder of unknown etiology, presenting usually as a painless subcutaneous swelling in the head and neck region or in the lymph nodes. We experienced a case of Kimura's lymphadenitis with characteristic Warthin-Finkeldey type polykaryocytes by fine needle aspiration cytology. The patient was a 10-year old male with two enlarged lymph nodes in the postauricular area. Fine needle aspiration cytology from the lymph nodes disclosed hypercellular smears with some scattered eosinophils and polykaryocytes in a polymorphous lymphoid background. There were also fragmented vessel wails and activated endothelial cell clusters in the slightly necrotic background. The Warthin-Finkeldey type polykaryocytes had three to thirty nuclei and prominent nucleoli with cytoplasmic borders. Their nuclei were arranged in grapevine or ring shaped clusters. As these polykaryocytes could also be found in lymph nodes and extranodal tissues of both reactive and neoplastic lymphoid disorders, polykaryocytes themselves are clinically nonspecific. However, the morphologic features of the Warthin-Finkeldey type giant cells are quite different from the foreign body type or Langhans' type giant cells. When the characteristic cytologic features of Kimura's disease such as significant number of eosinophils in a background of lymphoid cells asd proliferation of vessels and endothelial cells are also observed in the smear, it is possible to suggest this diagnosis in the appropriate clinical setting.

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Comparison of the second and third intercostal spaces regarding the use of internal mammary vessels as recipient vessels in DIEP flap breast reconstruction: An anatomical and clinical study

  • Seong, Ik Hyun;Woo, Kyong-Je
    • Archives of Plastic Surgery
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    • v.47 no.4
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    • pp.333-339
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    • 2020
  • Background The purpose of this study was to compare the anatomical features of the internal mammary vessels (IMVs) at the second and third intercostal spaces (ICSs) with regard to their use as recipient vessels in deep inferior epigastric artery perforator (DIEP) flap breast reconstruction. Methods A total of 38 consecutive DIEP breast reconstructions in 36 patients were performed using IMVs as recipient vessels between March 2017 and August 2018. The intraoperative findings and postoperative complications were analyzed. Anatomical analyses were performed using intraoperative measurements and computed tomography (CT) angiographic images. Results CT angiographic analysis revealed the mean diameter of the deep inferior epigastric artery to be 2.42±0.27 mm, while that of the deep inferior epigastric vein was 2.91±0.30 mm. A larger mean vessel diameter was observed at the second than at the third ICS for both the internal mammary artery (2.26±0.32 mm vs. 1.99±0.33 mm, respectively; P=0.001) and the internal mammary vein (IMv) (2.52±0.46 mm vs. 2.05±0.42 mm, respectively; P<0.001). Similarly, the second ICS was wider than the third (18.08±3.72 mm vs. 12.32±2.96 mm, respectively; P<0.001) and the distance from the medial sternal border to the medial IMv was greater (9.49±2.28 mm vs. 7.18±2.13 mm, respectively; P<0.001). Bifurcations of the IMv were found in 18.4% of cases at the second ICS and in 63.2% of cases at the third ICS. Conclusions The IMVs at the second ICS had more favorable anatomic features for use as recipient vessels in DIEP flap breast reconstruction than those at the third ICS.

The petiole anatomy of the genus Spiraea L. (Rosaceae) in Korea (한국산 조팝나무속(Spiraea L. 장미과)의 엽병 해부)

  • Lee, Jeong-Ho;Kwon, Oh-Woung;Jang, Tae-Soo;Roh, Hee-Seon;Hong, Suk-Pyo
    • Korean Journal of Plant Taxonomy
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    • v.40 no.1
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    • pp.16-26
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    • 2010
  • The petiole anatomy of three sections (sects. Calospira, Chamaedryon, and Spiraria) in the genus Spiraea (Rosaceae), which are distributed/cultivated in Korea, was studied and described in details. The vascular bundle system of the distal, medial, and proximal parts of the petiole were studied using LM with the aim of documenting any differences in vascular anatomy. Significant variation of anatomical characters was found in petiole shape (dichotomy, lens or subcircular in outline), presence of two distinct lateral wings, the thickness of epidermis, number of vascular bundles, length of ventral axis, length of dorsiventral axis, width of median vascular bundle, and length of median vascular bundle. All features were compared and we concluded that petiole anatomical characters can be useful for providing diagnostic features to distinguish the studied taxa. A key for identifying the Spiraea taxa in Korea based on their petiole anatomical characters is also provided.

Anatomical Characteristics of Bisected Compression Woods and Their Intervened Wood in a Stem of Pinus densiflora S. et Z. (소나무(Pinus densiflora S. et Z.)수간내(樹幹內)에 양분형성(兩分形成)된 압축이상재(壓縮異常材)와 그 사이에 존재(存在)하는 간재(間材)의 해부학적(解剖學的) 특성(特性))

  • Lee, Phil-Woo;Chung, Youn-Jib
    • Journal of the Korean Wood Science and Technology
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    • v.16 no.2
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    • pp.42-49
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    • 1988
  • Anatomical characteristics on abnormal type of bisected compression woods and light colored wood intervened between these dark colored compression woods on under part and their respective opposite woods on upper parts of cross section in Pinus densiflora S. et Z. stem were compared through optical microscopic investigation. and the obtained results were summarized as follows: 1. Tracheid length increased linearly as the number of rings from the pith increases in all investigated parts, but increasing tendency in tracheid length was similar within bisected two compression woods and their opposite woods. 2. Tracheids were the shortest in bisected two compression woods and tracheid length in intervened wood between these two compression woods was longer than in compression woods but shorter than in the opposite woods. 3. Bisected two compression woods and intervened wood between these two compression woods revealed similar features in tracheid transition from springwood to summerwood, intercellular space, tracheid entanglement, and cross sectional view of tracheid. but spiral check was observed only in these two compression woods, therefore the intervened wood between these two compression woods disclosed anatomical characteristics similar to, not typical of, compression woods.

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Morphologic Changes of Postirradiated Cervical Cells in Cervical Cancer (자궁경부암의 방사선치료 후 자궁경부세포의 형태학적 변화)

  • Lee, Hye-Kyung;Lee, Kwang-Min;Chung, Dong-Kyu;Kim, Soo-Kon
    • The Korean Journal of Cytopathology
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    • v.4 no.2
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    • pp.87-92
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    • 1993
  • The effect of Roentgen rays on carcinoma of the cervix has long been of great interest to both radiologists and gynecologists. Since most cervical carcinomas are treated by irradiation, any additional knowledge either concerning the radiosensitivity of cervical tumors or their ultimate prognosis would be of value. The vaginal smear is considered to be one of convenient and rapid methods to study the effects of radiation on cervical malignancy. We observed morphologic changes in 297 cytologic preparations obtained from 60 patients who had underwent irradiation for cancer of the cervix. With the morphologic parameters such as cytoplasmic vacuolization, cytoplasmic basophilia, multinucleated giant cell formation, polymorphonuclear leucocytes (PMNL) sticking and postradiation dysplasia, we analyzed the findings in relation to the follow up time interval. The most common effect was the cytoplasmic vacuolization with basophilia of basaloid cells, which were noted in more than 90% of followed patients. The multinucleated giant ceil formation and PMNL stickering were noted in 38 cases(63%) and 48 cases(80% ) respectively. The differential diagnosis of postradiation dysplasia from recurrent or persistent carcinoma, reparative atypical cells, and regressing tumor cells was difficult and further study seems to be needed to clarify the more accurate morphologic features and biologic behavior.

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Region Extraction & Disease Recognition in MRI (MRI 영상에서 영역추출과 질환인식)

  • Lee, Sang-Bock;Lee, Sam-Yol;Lee, Jun-Haeng
    • Journal of radiological science and technology
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    • v.27 no.3
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    • pp.19-24
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    • 2004
  • MRI imaging is one of the imaging techniques showing anatomical structures of human body for medical diagnosis, and has been researched in order to provide better quality of anatomical information. In this study, we propose a very useful method to extract an interest areas and how to diagnose necrolysis of femoral neck disease automatically. Regions of femoral neck is set using anatomical features and Hough transform and advantages of both region extension and histogram-based region segmentation method are combined for better region segmentation. As a result of the proposed method, good imaging quality was obtained for femoral neck with both normal and severe necrosis as well as for femoral neck in early stage of necrolysis.

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Evaluation of morphometric features of fossa navicularis using cone-beam computed tomography in a Turkish subpopulation

  • Magat, Guldane
    • Imaging Science in Dentistry
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    • v.49 no.3
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    • pp.209-212
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    • 2019
  • Purpose: Fossa navicularis is a bone defect in the clivus. Familiarity with this anatomical variant is important because it is close to vital anatomical structures in the base of the skull. The aim of this study was to determine the prevalence and morphometric properties of fossa navicularis within the clivus in a Turkish subpopulation using cone-beam computed tomography (CBCT). Materials and Methods: A total of 168 CBCT scans (female: 96, male: 71) were evaluated. High-quality CBCT images of patients without a syndromic condition or a history of neurological disease or surgery were included in the study. The prevalence, depth, length, and width of the fossa navicularis were performed. Results: The prevalence of fossa navicularis was 27.5% (n=46 patients). Sex was not associated with the depth, length, or width of the fossa navicularis (P>0.05). A significant positive correlation was found between age and length of the fossa navicularis(P>0.05). Conclusion: Fossa navicularis was found to be rare (27.5%). Anatomical variants of the skull base can also be clearly identified on CBCT images. The results of this study may be useful to radiologists, anatomists, and surgeons interested in the skull base.

Development of Novel Dental Chews for Dogs Considering Breed Variations in Anatomical Features of Dentition

  • Noh, Hyun-woo;Kang, Seon-mi;Seo, Kangmoon
    • Journal of Veterinary Clinics
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    • v.34 no.6
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    • pp.429-433
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    • 2017
  • The purpose of this study was to find anatomical variation of each small breed dog's dentition for designing more effective dental chews. Small breed dogs were volunteered for dental impressions with dental stone and alginate under tiletamine-zolazepam, tramadol, and medetomidine intravenous anesthesia. Twenty-two criteria were measured to compare dental impressions. Twenty-five dogs (9 Malteses, 8 Miniature Poodles, and 8 Shih-Tzus) were recruited. Statistically, Shih-Tzus had smaller teeth and shorter interdental spaces than those of Maltese and Miniature Poodles. Grossly, the distance between upper teeth and lower teeth was wider in Shih-Tzus. Shih-Tzu had different dental anatomy in comparative to Miniature Poodle and Maltese. It was recommended to design the dental chew considering these differences.

REHABILITATION OF A PATIENT WITH A POST RADIOTHERAPY TRISMUS WITH AN OBTURATOR AND A MAXILLARY DENTURE USING MAGNET ATTACHMENTS

  • Bae, Hanna-Eun-Kyong;Jeon, Jeong-Ho;Chung, Moon-Kyu
    • The Journal of Korean Academy of Prosthodontics
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    • v.46 no.6
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    • pp.586-590
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    • 2008
  • Construction of an obturator for rehabilitation of a patient who underwent a maxillectomy is vital. Routinely a constructed obturator includes denture portion. A patient who may present anatomical limitations due to surgical or radiotherapy complications often challenges the clinician. Purpose: This clinical report describes a patient with severe trismus after surgical resection and radiotherapy treatment of a tumor in the upper left maxilla. Conclusion: This report describes the concepts of using a rotational path insertion for an obturator and a separately constructed maxillary denture. The stability and retention of the obturator were obtained from anatomical features. Where as these were achieved through magnetic attachments and the remaining edentulous ridge to ensure esthetic and function of the prosthesis.