• 제목/요약/키워드: anterior zone

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반얼굴연축과 관련된 공통줄기기형 (Common Trunk Anomalies Associated with Hemifacial Spasm)

  • 김선혜;유재욱;최대섭;조재민;강규식;강희영;박기종;최낙천;권오영;임병훈
    • Annals of Clinical Neurophysiology
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    • 제10권2호
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    • pp.104-108
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    • 2008
  • Background: The compression of 7th cranial nerve by arteries is one of the various causes of hemifacial spasm (HFS). A few previous studies were revealed the relation between the compression of 7th cranial nerve and common trunk anomaly. We evaluated the common trunk anomalies in patients with HFS using MRI and MRA. Methods: From January 2001 to December 2005, 41 consecutive patients (9 men, mean age $54.5{\pm}12.6$) with HFS underwent MRI and MRA. T2 axial images and time-of-flight angiographies were reviewed for identification of the compression at root exit zone by two neuroradiologists and one neurologist. Results: Thirty-seven patients showed neurovascular compression on the lesion side. Twenty patients of them were shown the compression of 7th cranial nerve by anterior inferior cerebellar artery (AICA), and seventeen patients of them were shown the compression by posterior inferior cerebellar artery (PICA). Twenty-four patients of the thirty-seven patients had common trunk anomaly. In control, twelve of twenty-one subjects had common trunk anomaly, that the frequencies of common trunk anomaly of two groups were 58.8% in HFS and 57.1% in controls. In the twenty-four patients with common trunk anomaly, eighteen patients had dominant-AICA, and six patients had dominant-PICA. The rate of nerve compression by common trunk anomaly in the HFS with unilateral common trunk, dominant-AICA was 76.5% and dominant-PICA was 100%. Conclusions: This study also revealed that AICA was most common compressive artery. There was no difference between the HFS groups and control groups in frequency of common trunk anomaly. Thus, we could not demonstrate the relationship between common trunk anomaly and HFS.

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한강종합개발 이후 한강하구 및 경기만의 퇴적환경 (Depositional Sedimentary environments in the Han River Estuary and Around the Kyunggi Bay Posterior to the Han river's developments)

  • 장현도;오재경
    • 한국해양학회지
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    • 제26권1호
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    • pp.13-23
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    • 1991
  • 한공종합개발 휘 한강하구 및경기만에서의 퇴적환경을 파악하기 위하여 수리물리 적 및 퇴적학적 관점의 수사를 실시하였다. 수리적 특정과 퇴적학적 특성을 종합해 볼 때, 본 연구지역은 크게 \circled1 행주대교 상류역의 하천, \circled2한강과 경기만을 연결하는 하 구, \circled3 경기만 일대의 연안-만 퇴적환경으로 구분할 수 있다. 그러나 한강종합개발 이 후 한강 전역에서 통수단면적이 증가되고 유속이 감소되는 등 전반적인 수리물리적 특 성이 변화됨으로써 한강하류 및 하구역(강화대료)에서의 부유물질 농도가 각각 37mg/l, 500-1750 mg/l에서 개발이후 17 mg/l 208-1142 mg/l 로 큰 폭으로 감소된 것 으로 나타났다. 또한 하류 수중보 부근에서는 siltation이 유발되고 있으며, 하천환경 과 하구환경의 경제가 점이 적이지 못하고 급격한 변화를 보이는 등 퇴적환경에도 상 당한 변화가 초래된 것으로 나타났다. 이는 주로 종합개발에 수반되는 한강의 수위저 하를 방지하기 위하여 잠실대교와 신곡에 수중보를 설치함으로써 비롯된 것으로 사료 된다. 하구는 하천과 해양을 연결하는 전이지역이므로, 한강과 한구에서의 이러한 변 화는 앞으로 인접한 퇴환경에도 많은 영향을 미칠 것으로 사료되며, 경기만으로 파급 되는 영향을 파악하기 위하여는 무엇보다도 임진강과 예성강 하구를 포함한 한강 하구 역에 대한 상세한 연구가 요구된다.

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심하게 위축된 하악골의 완전 무치악 환자에서의 수직 골신장술을 이용한 임플란트 치료 (IMPLANT INSTALLATION USING VERTICAL DISTRACTION OSTEOGENESIS AT A SEVERELY ATROPHIED EDENTULOUS MANDIBLE)

  • 염학렬;전승호;김윤태;팽준영;안강민;명훈;황순정;서병무;최진영;이종호;정필훈;김명진
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제28권2호
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    • pp.154-165
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    • 2006
  • Objectives : It is difficult to place implants at a severely atrophied edentulous mandible because of vertical and horizontal alveolar defect. The autogenous and allogenic bone graft and guided bone regeneration are useful, but there are some limitations such as the resorption and infection of the grafted bone, and insufficiency of soft tissue. Distraction osteogenesis has recently evolved a challenging technique to overcome major draws of conventional augmentation procedures, we, therefore, report the four applications of implant placement after vertical alveolar distraction osteogenesis. Patients and Methods : Four patients(all female, mean age: $60{\pm}6$ years) with severe alveolar ridge deficiencies at their anterior mandible were treated with vertical alveolar distraction osteogenesis by intraoral device(Track 1.5, 15 mm model, KLS Martin, Tuttlingen, Germany) and placement of implants (Branemark MK III, TiUnite). After the latency periods of 5, 7, 8 days, distraction rhythm and rate were $0.5\;mm{\times}2\;times/day$ in the case of good bone quality, and $0.25\;mm{\times}3\;times/day$ in the case of poor bone quality. After consolidation periods of mean fifteen weeks, five implants for each patients were placed at the interforaminal area. Results : On average, a vertical gain of $11.38{\pm}1.38\;mm$ was obtained by distraction. And all distraction zone showed complete ossification by panoramic radiography. There were no postoperative complications other than numbness of lower lip in one case. Total twenty implants in four patients were placed and their outcomes were satisfactory. Conclusion : It is a useful method to place five implants after vertical distraction osteogenesis of the severely atrophied mandible for the implant-supported fixed prosthesis.

Microvascular Decompression for Hemifacial Spasm Associated with Vertebrobasilar Artery

  • Kim, Joo-Pyung;Park, Bong-Jin;Choi, Seok-Keun;Rhee, Bong-Arm;Lim, Young-Jin
    • Journal of Korean Neurosurgical Society
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    • 제44권3호
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    • pp.131-135
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    • 2008
  • Objective : Hemifacial spasm (HFS) is considered as a reversible pathophysiological condition mainly induced by continuous vascular compression of the facial nerve root exit zone (REZ) at the cerebellopontine angle. As an offending vessel, vertebrobasilar artery tends to compress much more heavily than others. The authors analyzed HFS caused by vertebrobasilar artery and described the relationships between microsurgical findings and clinical courses. Methods : Out of 1,798 cases treated with microvascular decompression (MVD) from Jan. 1980 to Dec. 2004. the causative vessels were either vertebral artery or basilar artery in 87 patients. Seventy-nine patients were enrolled in this study. Preoperatively, computed tomography (CT) or brain magnetic resonance (MR) imaging with 3-dimentional short range MR technique was performed and CT was checked immediately or 2-3 days after anesthetic recovery. The authors retrospectively analyzed the clinical features. the compression patterns of the vessels at the time of surgery and treatment outcomes. Results : There were 47 were male and 32 female patients. HFS developed on the left side in 52 cases and on the right side in 27. The mean age of onset was 52.3 years (range 19-60) and the mean duration of symptoms was 10.7 years. Many patients (39 cases; 49.1%) had past history of hypertension. HFS caused only by the vertebral artery was 8 cases although most of the other cases were caused by vertebral artery (VA) in combination with its branching arteries. Most frequently, the VA and the posterior inferior cerebellar artery (PICA) were the simultaneous causative blood vessels comprising 32 cases (40.5%). and in 27 cases (34.2 %) the VA and the anterior inferior cerebellar artery (AICA) were the offenders. Facial symptoms disappeared in 61 cases (77.2%) immediately after the operation and 68 cases (86.1%) showed good outcome after 6 months. Surgical outcome just after the operation was poor in whom the perforators arose from the offending vessels concurrently (p<0.05). Conclusion : In case where the vertebral artery is a cause of HFS, commonly branching arteries associated with main arterial compression on facial REZ requires more definite treatment for proper decompression because of its relatively poor results compared to the condition caused by other vascular compressive origins.

조개류에 기생하는 흡충유에 관한 연구 III. 바지락 Tapes philipinarum에 기생한 Gymnophallid cercaria의 1 신종, Cercaria tapes n. sp.에 대하여 (Studies on a Trematode Parasitic in Bivalves III. On a New Gymnophallid cercaria, Cercaria tapes n. sp., (Trematoda) from a short-necked clam, Tapes philippinarum)

  • 김영길;전세규
    • 한국수산과학회지
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    • 제16권2호
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    • pp.154-159
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    • 1983
  • 1980년 9월 2일부터 1981년 8월 2일까지 금강 하구역인 충남 서천군 서면 솔리산 바지락의 생식소를 조사한 바. Gymnophallidae에 속하는 신종의 cercaria를 발견하여 Cercaria tapes n. sp.로 기재하였다. sporocyst의 크기는 $380-650{\times}130-160{\mu}m$이고, 전단에 분출구와 인두가 있으며, 안쪽에는 30여개의 cercara 및 배세포가 들어 있다. cercaria는 긴 타원형으로 각부의 크기는 충체 $160-187{\times}62-77{\mu}m$, 꼬리 $47-52{\times}17{\mu}m$, 갈라진 꼬리부분 $67-72{\times}12-15{\mu}m$이다. 배설낭은 Y형이고, flame cell식 은 2[(1)+(1)]=4이다. 바지락 2,086개중 42개가 기생되어 연평균 $2.01\%$의 기생률을 나타냈고, 기생률이 가장 높은 시기는 3월의 $5.74\%$, 가장 낮은 시기는 1월의 $0.4\%$이었고, 5,6월에는 기생패가 검출되지 않았다. 각장 2.1-3.0 cm가 $0.38\%$, 3.1-4.0cm가 $1.53\%$, 4.1-5.0cm가 $0.09\%$의 기생률을 나타냈고 2.0cm이하의 치패에는 기생되지 않았다.

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2채널 영상 스트리밍 기술을 적용한 차량용 전. 후방 무선 영상 모니터링 시스템 (Applying a Two-channel Video Streaming Technology Front and Rear Vehicle Wireless Video Monitoring System)

  • 나희수;원영진;윤중근;이상민;안명일;김동현;문종훈
    • 전자공학회논문지
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    • 제51권12호
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    • pp.210-216
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    • 2014
  • 본 논문은 승용 및 화물 차량의 주차 시, 사각지대에 의해 발생할 수 있는 위험요소를 차량의 전방, 후방에 장착된 카메라를 이용하여, 위험 요소 발견 시 신속히 상황을 대처할 수 있도록 운전자를 도와주는 차량용 전. 후방 영상 모니터링 시스템의 개발을 제안하였다. 임베디드 시스템(embedded system) 환경에서 두 개의 고해상도 영상 데이터를 TCP/IP 기반 네트워크로 전송하는 방법으로 하나의 SoC(System on Chip)와 두 개의 고해상도 CMOS(Complementary metal-oxide-semiconductor) 영상 센서를 사용 하였다. 영상 데이터를 TCP/IP 네트워크 기반으로 전송하기 위해서 두 개의 카메라에서 입력 받은 영상을 H.264 포맷으로 압축한 뒤에 실시간 전송 규약(Real-time Transport Protocol)을 이용해서 영상 데이터를 무선(Wi-Fi)으로 전송하였다. 무선 환경에서 발생할 수 있는 전송손실, 전송지연, 전송제한 등을 감안하여 H.264로 압축된 두 개의 영상 데이터의 비트레이트를 조절하여, 무선(Wi-Fi) 환경에서 최적의 전송 조건을 갖추기 위한 시스템을 구현하여 실험하였다.

골다공증과 악골의 골밀도 및 치주 질환과의 상관 관계 (Relationships between osteoporosis, alveolar bone density and periodontal disease in postmenopausal women)

  • 한은영;류인철;이용무;구영;한수부;최상묵;신지연;양승민;정종평
    • Journal of Periodontal and Implant Science
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    • 제31권3호
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    • pp.565-571
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    • 2001
  • The purpose of this study is to determine if a relationship exists among osteoporosis, alveolar bone density and periodontal disease in postmenopausal osteoporotic women and postmenopausal healthy women. Twenty-two women were evaluated for this study. They were attending the postmenopausal clinic, Seoul National University Hospital and generally healthy except osteoporosis. They had experienced menopause not less than one year when we began to examine them. Bone densities of lumbar area(L2-L4) was determined by DEXA(LUNAR-expert Co,. U.S.A). We diagnosed osteoporosis when T-score was below -2.5 and healthy state when T-score was over -1. Osteoporotic(10 female), not hormone-treated group and healthy control group(12 female) were asked for their age, menopausal age, menopausal period and the number of remaining teeth and examined clinically for plaque index(PI), gingival index(GI), clinical attachment loss(CAL) on their 6 Ramfjord index teeth. Intraoral radiographs were taken in maxillary anterior zone. All films were equally exposed and developed. Each films was digitized and analysed using image processing software, Scion image. Alveolar bone regions of interest were selected and Intensity of each pixel was quantized in the array ranging from 0(white) to 255(black). The two groups were comparable with respect age, menopausal age, menopausal period and number of remaining teeth. The osteoporotic women had significantly lower alveolar bone density than controls in maxilla. But no significant difference was found with respect clinical attachment loss, plaque index and gingival index. Supported by the Ministry of Public Health and Welfare, Korea (HMP-00-CH-10-0009).

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하악지에서의 하치조신경관 주행에 대한 Conebeam CT를 이용한 연구 (THE STUDY ON COURSE OF THE INFERIOR ALVEOLAR CANAL IN THE MANDIBULAR RAMUS USING CONEBEAM CT)

  • 김형우;권경환;민승기;오승환;지영덕;고세욱;이재환;온병훈
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제31권5호
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    • pp.386-393
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    • 2009
  • Objectives: This study was performed to evaluate course of the inferior alveolar canal in the mandibular ramus and to find safety zone when ramal bone is harvested. Patients and Methods: From January, 2009 to February, 2009, the 20 patients who visited in the Department of Oral and Maxillofacial Surgery, Sanbon Dental Hospital. Wonkwang University and the Conebeam CT was taken of various chief complaints, were selected. The patients who had left and right mandibular first molar and incisor missing, jaw fracture and bone pathology were excluded. The R point was defined as the point which occlusal plane was crossed to the mandibular anterior ramus(external oblique ridge). In the cross-sectional coronal and axial views, the inferior alveolar canal position to the R point, buccal bone width(BW), alveolar crest distance(ACD), distance from alveolar crest to occlusal plane(COD) and inferior alveolar canal to sagittal plane(CS) were measured and horizontal distance(HD), vertical distance(VD) and nearest distance(ND) were measured. Results: The inferior alveolar canal is located $6.19{\pm}1.21\;mm$ from the R point. Horizontal distance from the R point were $13.07{\pm}2.45\;mm$, vertical distance from the R point were $14.24{\pm}2.41\;mm$ and nearest distance from the R point were $10.12{\pm}1.76\;mm$. The course of the inferior alveolar canal was positioned within $0.61{\pm}0.68\;mm$. The distance from external buccal bone to the inferior alveolar canal was increased from the R point anteriorly. Conclusions: It is considered that the mandibular ramus from the R point to 10 mm anteriorly can be harvested safely at ramal bone grafting.

완전 구강 회복술 (Full Mouth Rehabilitation)

  • 이승규;이성복;권긍록;최대균
    • 구강회복응용과학지
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    • 제16권3호
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    • pp.171-185
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    • 2000
  • The treatment objectives of the complete oral rehabilitation are : (1) comfortably functioning temporomandibular joints and stomatognathic musculature, (2) adherence to the basic principle of occlusion advocated by Schuyler, (3) anterior guidance that is in harmony with the envelope of function, (4) restorations that will not violate the patient's neutral zone. There may be many roads to achieving these objectives, but they all convey varing degrees of stress and strain on the dentist and patient. There are no "easy" cases of oral rehabilitation. Time must be taken to think, time must be taken to plan, and time must be taken to perform, since time is the critical element in both success and failure. Moreover, a systematized and integrated approach will lead to a prognosis that is favorable and predictable. This approach facilitates development of optimum oral function, comfort, and esthetics, resulting in a satisfied patient. Such a systematized approach consists of four logical phase : (1) patient evaluation, (2) comprehensive analysis and treatment planning, (3) integrated and systematic reconstruction, and (4) postoperative maintenance. Firstly, we must evaluate the mandibular position. The results of a repetitive, unstrained, nondeflective, nonmanipulated mandibular closure into complete maxillomandibular intercuspation is not so much a "centric" occlusion as it is a stable occlusion. Accordingly, we ought to concern ourselves less with mandibular centricity and more with mandibular stability, which actually is the relationship we are trying to establish. The key to this stability is intercuspal precision. Once neuromuscular passivity has been achieved during an appropriate period of occlusal adjustment and provisionalization, subsequent intercuspal precision becomes the controlling factors in maintaining a stable mandibular position. Secondly, we must evaluate the planned vertical dimension of occlusion in relationship to what may now be an altered(generally diminished), and avoid the hazard of using such an abnormal position to indicate ultimate occlusal contacting points. There are no hard and fast rules to follow, no formulas, and no precise ratios between the vertical dimension of occlusion. Like centric relation, it is an area, not a point.

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별망둑 the gluttonous goby Chaenogobius gulosus 후각기관의 해부, 조직학적 특성 및 동소 망둑어과 출현종들과의 비교연구 (Microscopic Characteristics of the Olfactory Organ in the Gluttonous Goby Chaenogobius gulosus(Pisces, Gobiidae), Compared to Sympatric Intertidal Gobies)

  • 김현태;박종영
    • 한국어류학회지
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    • 제33권1호
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    • pp.1-7
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    • 2021
  • 본 연구는 우리나라 서해의 모래와 암반 조간대에 서식하는 별망둑 Chaenogobius gulosus 후각기관의 해부 및 조직학적 구조를 확인하고 그 특징을 동소종(미끈망둑 Luciogobius guttatus, 날개망둑 Favonigobius gymnauchen)들과 비교하였다. 별망둑은 튜브형 전비공, 표면과 평행하는 후비공, 세로배열의 한 개 후판, 두 개 비낭, 후상피 하부에 풍부한 림프구, 호산구, 후감각뉴런에서 후돌기 직경의 1/4의 섬모 길이의 일반적 결과를 보여 주었다. 이러한 특징들 중 1) 0.5~1.0 mm의 전비공 직경, 0.2~0.5 mm의 후비공 직경(vs. 미끈망둑의 0.2~0.3 mm, 0.2~0.3 mm; 날개망둑의 0.2~0.4 mm, 0.1~0.3 mm의 전비공과 후비공 직경), 2) 감각상피에서의 상대적으로 풍부한 림프구, 3) 비감각섬모의 부재(vs. 미끈망둑에서 높은 분포; 날개망둑에서 낮은 분포), 4) 후감각뉴런의 후돌기 대비 1/4의 섬모 길이(vs. 미끈망둑의 1/4에서 1 : 1 비율 혼재; 날개망둑의 2~3배)는 두 동소종들과 비교되는 특이적인 결과였다. 결론적으로, 별망둑 후각기관의 해부 및 조직학적 특징들은 모래와 암반 조간대에서 다른 동소종들 보다 더 적극적인 면역반응과 활동적인 움직임에 적응된 결과로 간주된다.