• Archives of Plastic Surgery
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• v.49 no.5
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• pp.596-603
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• 2022

Background We suggested an easy and effective harvesting technique to avoid injury to tissues adjacent to the latissimus dorsi (LD). Methods Between 2007 and 2017, breast reconstruction was performed with an LD flap using the "bottom-up" technique. Medical records were retrospectively reviewed. Data on postoperative complications, results, and follow-up were obtained. Nine cadaveric dissections were performed to assess positional relationships between LD and adjacent muscles based on the ribs where relevant muscles and LD attach. Overall, 78 LD flaps were harvested without complications. Results Average age was 45.4 years. The mean operation time was 260minutes. There were no abnormalities or injuries in the adjacent fascia and muscles during the flap harvest. Drains were removed at an average of 21.9 days postoperatively. In all cadavers, there was conjoined fascia between the thoracolumbar and LD fasciae. The average level of the merging point between the LD and external oblique muscle (EOM) was 8.9 to 11.1 ribs. The average level of the overlapping point between the LD and serratus posterior inferior (SPI) was 9.5 to 11.1 ribs. Conclusions There are three dangerous zones during LD flap harvesting. The first zone is where the conjoined fascia encompasses the LD and thoracolumbar fasciae. The second zone is where the LD merges with the EOM and the serratus anterior. The third zone is the lower part where the LD merges with the SPI and EOM. The "bottom-up" technique enables a more meticulous and atraumatic operation by beginner flap surgeons.

• International Journal of Industrial Entomology and Biomaterials
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• v.18 no.2
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• pp.77-82
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• 2009

The egg shell of the tropical tasar silkworm, Antheraea mylitta is formed from the substances secreted by the follicular epithelium during the late vitellogenic stage. TEM study reveals the inner travecular and outer lamellar layer of chorion. The travecular layer is composed of the innermost wax layer, inner and outer chorionic layer. The inner and outer chorionic layers are connected to each other by vertical pillers forming of cavities. The lamellar layer is perforated by the aeropyles. SEM study reveals the differentiation of an anterior surface of the egg shell into four zones-micropylar, edge, aeropyles crown and disc zone. In the mycosis infected eggs the aeropyles and egg-shell surface are fully packed with the hyphae of the fungus, Aspergillus sydowi blocking of plastron respiration and causing the death of developing embryo so that mycosis infected eggs become sterile.

• Journal of Korean Neurosurgical Society
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• v.45 no.3
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• pp.196-198
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• 2009

Hemifacial spasm (HFS) is almost always induced by vascular compression but in some cases the cause of HFS are tumors at cerebellopontine angle (CPA) or vascular malformations. We present a rare case of hemifacial spasm caused by epidermoid tumors and the possible pathogenesis of HFS is discussed. A 36-year-old female patient presented with a 27-month history of progressive involuntary facial twitching and had been treated with acupuncture and herb medication. On imaging study, a mass lesion was seen at right CPA. Microvascular decompression combined with mass removal was undertaken through retrosigmoid approach. The lesion was avascular mass and diagnosed with an epidermoid tumor pathologically. Eventually, we found a offending vessel (AICA : anterior inferior cerebellar artery) compressing facial nerve root exit zone (REZ). In case of HFS caused by tumor compression on the facial nerve REZ, surgeons should try to find an offending vessel under the mass. This case supports the vascular compression theory as a pathogenesis of HFS.

• Journal of Species Research
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• v.5 no.3
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• pp.381-384
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• 2016

Two marine amoebae Vannella bursella (Page, 1974) Smirnov et al., 2007 and Pseudoparamoeba sp. were encountered from marine coastal waters of Masan Bay and Garorim Bay (Korea), respectively. These species are described with uninterpreted records based on light-microscopy of living cells and reported taxonomically for the first time from Korea. Diagnostics of these species are as follows. Vannella bursella: size in vivo, $17-29{\mu}m$ long with flattened ovoid, semicircular locomotive forms. Pseudoparamoeba sp.: size in vivo, $10-15{\mu}m$ long with elongated locomotive forms, producing a few short conical pseudopodia from anterior hyaline zone.

• Animal Systematics, Evolution and Diversity
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• v.36 no.3
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• pp.236-239
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• 2020

Pelagic tunicate, Thetys vagina Tilesius, 1802, is newly reported from Korean waters. The genus Thetys Tilesius, 1802 is also first recorded as Korean fauna. Thetys vagina is the only valid species in the genus Thetys. It is distinct from other genera by having at least 16 body muscles widely interrupted, no anterior proboscis, bent alimentary canal in the solitary oozooid, and five narrow body muscles, no ventral peduncle, an almost compact loop alimentary canal in the aggregate blastozooids. The specimens of T. vagina examined in this study were collected at the subtidal zone of Ulleung-do Island by scuba diving. In this paper, the detailed descriptions and photographs of both the solitary and aggregate living forms of T. vagina are provided.

• Animal Systematics, Evolution and Diversity
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• v.25 no.1
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• pp.41-47
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• 2009

Two ciliate species of Blepharisma were collected from the riverine wetland and mountain peak soil in Korea, Blepharisma undulans Stein, 1867 and B. steini Kahl, 1932, which are reported for the first time from Korea. The description was based on the observations of live and protargol impregnation specimens. Diagnostics of these species (Blepharisma undulans vs. B. steini) are as follows. Body length/width ratio in vivo about 6/1 vs. 2/1, shaped in spindle vs. pyriform to ellipsoid and colored in pinkish vs. reddish. Macronuclei 2 vs. 1, with 4-9 vs. 4-7 spherical micronuclei. Adoral zone of membranelles extends from anterior end to 1/3 vs. 1/2-2/3 of body length, with 47-56 vs. 33-45 adoral membranelles. The numbers of somatic kineties are 22-27 vs. 18-22.

• Journal of the Korean Academy of Esthetic Dentistry
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• v.31 no.2
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• pp.40-46
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• 2022

In maxilary anteriors, aesthetic aspect are of critical importance. but it is difficult to achieve esthetic results because of the narrow buccal-lingual alveolar bone width compared to the posterior teeth and alveolar bone resorption during tooth extraction. This case report describes how to minimize alveolar bone resorption and soft tissue collapse when immediate implant placement is done after extraction of the maxillary anterior teeth due to trauma.

• The Journal of Advanced Prosthodontics
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• v.8 no.5
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• pp.345-353
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• 2016

PURPOSE. The aim of this study was to assess the esthetic outcome of maxillary anterior single implants by comparing the esthetic perception of dental professionals and patients. MATERIALS AND METHODS. Twenty-three patients with single implants in the esthetic zone were enrolled in this study. Dentists of four different dental specialties (Three orthodontists, three oral surgeons, three prosthodontists, and three periodontists) evaluated the pink esthetic score (PES)/white esthetic score (WES) for 23 implant-supported single restorations. The satisfactions of the patients on the esthetic outcome of the treatment have been evaluated according to the visual analog scale (VAS). RESULTS. The mean total PES/WES was $12.26{\pm}4.76$. The mean PES was $6.45{\pm}2.78$ and mean WES was $5.80{\pm}2.82$. There was a statistically significant difference among the different specialties for WES (P<.01) and Total PES/WES (P<.01). Prosthodontists were found to have assigned poorer ratings among the other specialties, while oral surgeons gave the higher ratings than periodontists, orthodontists, and prosthodontists. CONCLUSION. Prosthodontists seemed to be stricter when assessing aesthetic outcome among other specialties. Moreover, a clear correlation existed between dentists' and patients' esthetic perception, thereby providing rationales for involving patients in the treatment plan to achieve higher levels of patient satisfaction.

• The Journal of the Korean dental association
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• v.58 no.2
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• pp.83-92
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• 2020

In the anterior maxillary area, dental implants for tooth replacement are challenging due to the need to satisfy high esthetic level as well as functionality. Immediate implant placement and provisionalization can dramatically reduce the edentulous period, and then fulfill patient's demand for esthetics. The aim of present case report is to demonstrate two cases that successfully restored single tooth with immediate implant placement and provisionalization in the anterior maxillary area. A 47 years old female was scheduled to replace her maxillary right central incisor due to crown-root fracture by trauma. Another 54-year-old female was planned to place dental implant following tooth extraction of maxillary right lateral incisor owing to continuous pus discharge despite repetitive treatments including apicoectomy. In these two cases, surgical and prosthetic procedures progressed in a similar way. After minimal flap elevation, atraumatic tooth extraction was performed. Implant was placed in proper 3-dimensional position and angulation with primary stability. Bone graft or guided bone regeneration for peri-implant bone defect was conducted simultaneously. Provisionalization without occlusal loading was carried out at the same day. Each definitive crown was delivered at 7 and 5 months after the surgery. Two cases have been followed uneventfully for 2 to 5 years of loading time. In conclusion, Immediate implant placement and provisionalization could lead to esthetic outcome for single tooth replacement with dental implant under proper case selection.

• Journal of Dental Rehabilitation and Applied Science
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• v.36 no.4
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• pp.289-295
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• 2020

Improving implant esthetics is very difficult, especially in cases where unaesthetic problems are related to implants in the maxillary anterior dentition. A 69-year old male patient was referred by a prosthodontist for periodic pus discharge and an unaesthetic implant prosthesis (maxillary right lateral incisor). The implant was placed too deeply and showed soft tissue volume deficiency and a long clinical crown. After a clinical and radiographic examination, implant submergence and alveolar ridge augmentation were performed to enhance the aesthetics instead of an explantation. The treatment plan was as follows: extraction the adjacent teeth with tooth mobility, secondary caries, and poor prognosis; placement an additional dental implant with hard and soft tissue grafting; fabrication a fixed bridge using implant abutments. A fixed esthetic prosthesis using implants was fabricated, and the patient was satisfied with the prosthesis. A ridge augmentation with implant submergence may be an alternative for solving the problems of unaesthetic implant restorations in the esthetic zone.