• Title/Summary/Keyword: anatomical location

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Anatomical Characteristics of the Mandibular Median Lingual Foramen: the Assessment of the CBCT (CBCT를 이용한 하악 정중설공의 해부학적 평가)

  • Lee, Go-Woon;Kim, Ok-Su
    • Journal of Dental Rehabilitation and Applied Science
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    • v.29 no.4
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    • pp.337-346
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    • 2013
  • It is necessary to consider the median lingual foramen carefully to prevent the bleeding due to the damage of the sublingual artery for implant surgery. This study is to evaluate the frequency, location, diameter and the number of the Mandibular median lingual foramen regarding gender and age in the CBCT. Sixty two images of cone beam computed tomography (CBCT) whose visited the Chonnam National University Dental hospital from Sept. 2010 to Apr. 2011 were evaluated. Frequency, number, location and the diameter of Mandibular median lingual foramen shown in the CBCT image were evaluated. Sixty two patients (100%) had at least one median lingual foramen and fifty six patients (90.32%) had multiple foramens. Forty patients (66.13%) showed the median lingual foramen on the location between Mn. central incisors. The mean vertical position of the genial spine and the median lingual foramen was 24.21 mm and 14.52 mm, respectively. And the relative mean vertical dimension of median lingual foramen was 0.45. The mean diameter of the foramen was 0.93 mm. CBCT demonstrated the frequency, location, diameter and the number of median lingual foramen. It is necessary to take CBCT before implant placement to prevent the bleeding.

A Study on Terminology in ZhenJiuJiaYiJing(鍼灸甲乙經) ("침구갑을경(鍼灸甲乙經)"의 용어체계(用語體系)에 관한 연구)

  • Park, Chan-Young;Lee, Byung-Wook;Kim, Ki-Wook
    • Journal of Korean Medical classics
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    • v.26 no.3
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    • pp.127-139
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    • 2013
  • Objectives : In the traditional oriental medicine, efforts to utilize the knowledge system so called Ontology have been achieved for systemic researches and efficient propagation of knowledge on oriental medicine. So far, in Korea, studies on drug ontology, pathological ontology, Cold Damage ontology and diagnostic ontology had been implemented, however, any development of ontology in the field of Acupuncture &, Moxibustion has not been achieved. Methods : We used Microsoft Access to collect terms in ZhenJiuJiaYiJing. The terms are related to human body area and structure. And then we built relationship of 'part of' and 'criterion of acupuncture point location' between the terms. Result & Conclusions : The terms used to explain acupuncture points in order to describe the position of acupuncture point name in ZhenJiuJiaYiJing were 8 words concerning different name of acupuncture point(穴名) 109, body part name(人體部位名稱) 150, meridian(經脈) 6 and structure(構造物).

Two Cases of Colonoscopic Retrieval of a Foreign Body in Children: A Button Battery and an Open Safety Pin

  • Lee, Eun Joo;Yang, Hye Ran;Cho, Jin Min;Ko, Jae Sung;Moon, Jin Soo
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.20 no.3
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    • pp.204-209
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    • 2017
  • Ingestion of foreign body in children is a relatively common problem among paediatric population. The foreign bodies mostly pass spontaneously through the gastrointestinal tract. However, complications can occur according to its anatomical location, the characteristics of the foreign body, and delays in management. Although the cases of ingested button batteries or sharp objects impacted at the gastrointestinal tract can be very serious, there have been very only a few cases have reported colonoscopic removal of these dangerous foreign bodies in adults, and there have been no case reports in children. We report one case of a button battery and one case of an open safety pin, both impacted in the terminal ileum that had moved from the stomach within a few hours of ingestion and were eventually managed by colonoscopy without any complications.

Automatic Detection of Optic Disc Boundary on Fundus Image (안저 영상에서 시신경유두의 윤곽선 자동 검출)

  • 김필운;홍승표;원철호;조진호;김명남
    • Journal of Biomedical Engineering Research
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    • v.24 no.2
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    • pp.91-97
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    • 2003
  • The Propose of this paper is hierarchical detection method for the optic disc in fundus image. We detected the optic disc boundary by using the Prior information. It is based on the anatomical knowledge of fundus which are the vessel information. the image complexity. and etc. The whole method can be divided into three stages . First, we selected the region of interest(ROI) which included optic disc region. This is used to calculate location and size of the optic disc which are prior knowledge to simplify image preprocessing. And then. we divided the fundus image into numberous regions with watershed algorithm and detected intial boundary of the optic disc by reducing the number of the separated regions in ROI. Finally, we have searching the defective parts of boundary as a result of serious vessel interference in order to detect the accurate boundary of optic disc and we have removing and interpolating them.

Mandibular condyle and infratemporal fossa reconstruction using vascularized costochondral and calvarial bone grafts

  • Jang, Hyo Won;Kim, Nam-Kyoo;Lee, Won-Sang;Kim, Hyung Jun;Cha, In-Ho;Nam, Woong
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.40 no.2
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    • pp.83-86
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    • 2014
  • There are some difficulties in approaching and removing the lesion in infratemporal fossa because of its anatomical location. After wide excision of tumor lesion, it is also difficult for reconstruction of mandibular condyle and cranium base on infratemporal fossa. Besides, there are some possibilities of cerebrospinal fluid leakage, intracranial infection and bone resorption. It is also challenging for functional reconstruction that allows normal mandibular movement, preventing mandibular condyle from invaginating into the skull. In this report, we present 14-month follow-up results of a patient who had undergone posterior segmental mandibulectomy including condyle and infratemporal calvarial bone and mandible reconstruction with free vascularized costochondral rib and calvarial bone graft to restoration of the temporomandibular joint area.

Classification of Blowout Fracture (안와 파열 골절의 분류)

  • Lee, Jun Ho;Ryu, Min Hee;Kim, Yong Ha
    • Archives of Plastic Surgery
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    • v.34 no.6
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    • pp.719-723
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    • 2007
  • Purpose: Blowout fracture can lead to functional impairments and esthetic deformities such as impairment of ocular movement, diplopia, visual loss and enophthalmos. The object of this study is to present a classification and its analysis according to the computed tomographic scan in blowout fractures. We classified blow out fractures into three types according to the anatomical location of fracture, the size of the bone defect and the degree of periosteal injury by using the computed tomography scan. Each progress and complications were analyzed more than mean 1 year. Methods: Among the 155 cases during 4 years, there were 11 cases of medial orbital wall fracture, 97 cases of inferior orbital wall fracture, 47 cases of combined type. The mean age of patients was 31.2 years, ranged from 8 to 84 years. Results: According to our classification, surgical treatments through the nasoendoscopic approach, the subciliary approach, the transconjunctival approach or their combinations were performed in 116 patients, and conservative treatments were done in 46 patients. Presurgical clinical findings of diplopia, impairment of ocular movement, enophthalmos of more than 2 mm were present in 62 patients. After surgical treatment, clinical findings were remained in 7 patients. Conclusion: We think that our classification according to computed tomographic scan is helpful for the indication and it may decrease the complications such as impairment of ocular movement, diplopia, visual loss and enophthalmos.

Surgical treatment of pulmonary aspergillosis (폐 Aspergillosis 의 외과적 치료)

  • 유회성
    • Journal of Chest Surgery
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    • v.17 no.2
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    • pp.269-274
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    • 1984
  • Since tuberculosis was a common pulmonary disease in Korea, Aspergillosis was easily misdiagnosed as tuberculosis and an acute form of Aspergillosis was misinterpreted as pneumonia because of their similarities in the X-ray findings. This investigation is designed to illustrate the clinical features and preoperative diagnosis and surgical role in the management of this disease. In a retrospective review of operative cases from Jan. 1963 through Dec. 1983, 36 cases were analyzed. Peak age incidence lies in the 3rd decade [41.7%]. All cases had a history of treatment with antituberculous drugs under diagnosis of pulmonary tuberculosis and the most common chief complaint was hemoptysis [69.5%]. Only nine cases [25%] showed cavitary lesions with mycetoma and preoperative sputum study for fungus showed low positive valve [42.3%]. Anatomical location of lesion was located mainly upper lobe [66.7%] and most of cases were managed by lobectomy. We experienced 7 cases of complication; they were postoperative empyema, hepatic failure, esophageal varix bleeding. Postoperative pathologic findings showed that 29 cases [80.5%] were combined with tuberculosis 3 cases were combined with bronchiectasis and 4 cases were not combined with other disease. In conclusion, when the patient has a longstanding history of pulmonary tuberculosis and has a hemoptysis, he must be suspected fungus super infection. Resectional surgery is the treatment of choice for symptomatic localized disease and needed resection in asymptomatic patient to prevent possible fatal sequelae in the future.

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Expanded Endoscopic Transnasal Approach to the Chordoid Glioma of the Third Ventricle : The First Case Ever Reported

  • Zeinalizadeh, Mehdi;Sadrehosseini, Seyed Mousa;Meybodi, Keyvan Tayebi;Sharifabadi, Ali Heidari
    • Journal of Korean Neurosurgical Society
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    • v.59 no.6
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    • pp.643-646
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    • 2016
  • Chordoid glioma of the third ventricle is a rare and challenging tumor to surgery because of its unique anatomical location and its close juxtaposition to the neurovascular structures and hypothalamus. The authors report a case of chordoid glioma of the third ventricle in a 43-year-old woman, who presented with headache and somnolence. The tumor was approached by endoscopic transnasal technique with a favorable result. Histopathologic examination disclosed a neoplastic tissue composed of eosinophilic epithelioid cells, mucinous, periodic acid Schiff-diastase positive, extracellular matrix, and scattered lymphoplasmacytic infiltrates. The best treatment option remains controversial. Customarily, the surgical route to remove chordoid glioma is transcranial; however, the undersurface of the optic chiasm and optic nerves preclude an adequate surgical visualization. In contrast, an expanded endoscopic transnasal approach provides a direct midline corridor to this region without any brain retraction.

Registration of 3D CT Data to 2D Endoscopic Image using a Gradient Mutual Information based Viewpoint Matching for Image-Guided Medialization Laryngoplasty

  • Yim, Yeny;Wakid, Mike;Kirmizibayrak, Can;Bielamowicz, Steven;Hahn, James
    • Journal of Computing Science and Engineering
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    • v.4 no.4
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    • pp.368-387
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    • 2010
  • We propose a novel method for the registration of 3D CT scans to 2D endoscopic images during the image-guided medialization laryngoplasty. This study aims to allow the surgeon to find the precise configuration of the implant and place it into the desired location by employing accurate registration methods of the 3D CT data to intra-operative patient and interactive visualization tools for the registered images. In this study, the proposed registration methods enable the surgeon to compare the outcome of the procedure to the pre-planned shape by matching the vocal folds in the CT rendered images to the endoscopic images. The 3D image fusion provides an interactive and intuitive guidance for surgeon by visualizing a combined and correlated relationship of the multiple imaging modalities. The 3D Magic Lens helps to effectively visualize laryngeal anatomical structures by applying different transparencies and transfer functions to the region of interest. The preliminary results of the study demonstrated that the proposed method can be readily extended for image-guided surgery of real patients.

CLINICAL STUDY ON SUBMANDIBULAR MASSES (악하부종괴에 대한 임상적 연구)

  • Jang, Hyun-Seok;You, Jun-Young
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.18 no.4
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    • pp.701-705
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    • 1996
  • There are many kind of diagnostic entities in submandibular or neck masses, and we can set up treatment plan and estimate treatment result, prognosis by accurate diagnosis. By reasoning medical and dental history, physical examination, anatomical consideration of masses in submandibular or neck area, location of masses, laboratory and radiographic studies, we can formulate a clinical diagnosis or differential diagnosis. Although a clinical diagnosis might suffice in some instances, a definitive(microscopic) diagnosis is frequently required for proper treatment. In order to get some information about making accurate diagnosis and setting up appropriate treatment plan, we did clinical study and histopathologic classification of 82 patients who visited and were operated for submandibular masses at Department of Oral and Maxillofacial Surgery in Seoul National University Hospital from 1988 to 1992. The result were as follows : 1. Submandibular masses occured most frequently in forties and fifties, and there was no sex predilection. 2. Chief complaints were in order of mass, swelling, pain and consistency were soft mass, mobile hard mass, firm mass, diffuse swelling in descending order. 3. Most frequent pathologic finding was lymphadenitis. 4. Site of submandibular masses were submandible, neck, submental, retromandible in descending order, and there was no predilection between left and right side. 5. Accuracy rate between clinical impression and result was 51.2%.

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