• Title/Summary/Keyword: external nose

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The measurement of nose dimensions through the three-dimensional reformation images after nasal bone fracture

  • Jang, Seung Bin;Han, Dong Gil
    • Archives of Craniofacial Surgery
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    • v.20 no.1
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    • pp.31-36
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    • 2019
  • Background: After closed reduction, patients are sometimes concerned that their external nasal shapes have changed. The aim of this study was to investigate and explain changes in nasal shape after surgery through objective photogrammetric anthropometry measurements taken through three-dimensional (3D) reformed computed tomography (CT) images. Methods: Our study included 100 Korean patients who underwent closed reduction of isolated nasal bone fracture from January 2016 to June 2017. Using the ruler tool in Adobe Photoshop CS3, we measured preoperative and postoperative nasal base heights, long nostril axis lengths, both nasal alar angles, and amount of nasal deviation through the 3D reformation of soft tissue via CT scans. We then compared the dimension of nose. Results: The amount of postoperative correction for nasal base height was 1.192 mm. The differences in nostril length between each side were found to be 0.333 mm preoperatively and 0.323 mm postoperatively. The differences in the nasal alar angle between each side was $1.382^{\circ}$ preoperatively and $1.043^{\circ}$ postoperatively. The amount of nasal deviation was found to be 5.248 mm preoperatively and 1.024 mm in postoperatively. Conclusion: After the reduction of nasal bone fractures, changes in nasal dimensions were noticeable in terms of nasal deviation but less significant in nasal tips, except for changes in nasal alar angles, which were notable.

A case report of congenitally abnormal rabbit-headed stillbirth Najdi lamb

  • Elsokary, Mohamed M.M.;Shehata, Seham F.;Saadedin, Islam M.
    • Journal of Animal Reproduction and Biotechnology
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    • v.35 no.3
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    • pp.265-267
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    • 2020
  • The congenital head anomalies are most often used to describe defects in the eyes, mouth, nose, skull, and or brain. The faulty embryogenesis most likely found to be associated with abnormal genetic or epigenetic causes during pregnancy. Eventually it leads to congenital anomalies. Rabbit-headed Lamb (RH) is a disorder in sheep breeding that is characterized by some deformities in the head and the face. A dead -day old- crossbred white Najdi lamb with a deformed face and head was reported to be born in the current case. The external and physical examination revealed a deformed skull and facial region with a unilateral eye, fused mouth, pig-like nose, and patent skull with the brain coming out from left eye orbit. Additionally, the lamb was very skinny with unusual long extremities. This is the first report of this syndrome that describes such deformities in a stillbirth Najdi breed lamb.

Absorbable Plate as a Perpendicular Strut for Acute Saddle Nose Deformities

  • Kim, Jong-Gyu;Rhee, Seung-Chul;Cho, Pil-Dong;Kim, Deok-Jung;Lee, Soo-Hyang
    • Archives of Plastic Surgery
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    • v.39 no.2
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    • pp.113-117
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    • 2012
  • Background : Nasal pyramid fractures accompanied by saddle nose deformities are not easily corrected by closed reduction. We used an absorbable plate as a perpendicular strut to support the collapsed "keystone area" and obtained good results. Methods : Between September 2008 and June 2011, 18 patients who had nasal pyramid fractures with saddle nose deformities underwent surgery. Pre- and postoperative facial computed tomographic images and photographs were taken to estimate outcomes. The operative technique included the mucoperichondrial dissection of the nasal septum, insertion of an absorbable plate prepared to an appropriate length to support the "keystone area", and fixation of the absorbable plate strut to the cartilaginous septum. Results : Functional and esthetic outcomes were satisfactory in all patients. Eleven patients assessed the postoperative appearance of the external nose as 'markedly improved' and 7 patients as 'improved'. The 5 surgeons scored the results as a mean of 4.5 on a 5-point scale. Conclusions : The use of an absorbable plate as a perpendicular strut requires no additional procedures because the plate is gradually absorbed. The mechanical strength provided by a buttress between the "keystone area" and the maxillary crest lasts for a long time before the strut is absorbed.

Hyaluronic Acid Filler Injection Guided by Doppler Ultrasound

  • Won Lee
    • Archives of Plastic Surgery
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    • v.50 no.4
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    • pp.348-353
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    • 2023
  • Doppler ultrasound can be used to detect almost all arteries of the face before injecting the hyaluronic acid (HA) filler. The relatively more dangerous sites of filler injection are the glabellar wrinkle, forehead, temple, nose, and nasolabial fold area, and it is recommended to map the vasculature of these areas by Doppler ultrasound before performing filler injection. The Doppler ultrasound detection method is included as a video. Internal carotid arterial branches, the supratrochlear, supraorbital, and dorsal nasal arteries, and external carotid arterial branches, the superficial temporal and facial arteries, are very important arteries when injecting HA filler; thus, Doppler ultrasound detection is recommended.

Experimental Investigation for the Shroud Separation in the Supersonic Flow (초음속 비행환경 조건에서의 슈라우드 분리시험 연구)

  • Kim, Jung-Young;Lee, Dong-Min
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.45 no.7
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    • pp.539-549
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    • 2017
  • In this paper, experimental studies on the shroud separation were performed to investigate characteristics of the shroud separation at mach 3. Shroud separation tests were carried out in the vertical free-jet wind tunnel that is capable of testing separable structures. A shroud model was miniaturized to meet test objectives and test section dimensions of the wind tunnel. Pneumatic Locking and separation mechanisms were designed considering external force due to free stream. High speed cameras were used to record the shroud motion and unsteady shock patterns over the deploying shrouds during the shroud separation process. Also, unsteady pressures on the nose surface were measured by using the pressure sensors. Through the tests, the measurement data necessary for researches on the shroud separation technology were obtained. Shroud separation behaviors and characteristics of unsteady pressure on the nose surface for each external flow conditions were analyzed.

Aesthetic Rhinoplasty for the Improvement of the Lateral Facial Profile; Image-up Rhinoplasty (얼굴의 측면 윤곽선 개선을 위한 미용 코성형술)

  • Min Sung
    • Archives of Plastic Surgery
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    • v.32 no.2
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    • pp.205-213
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    • 2005
  • There are several characteristics of the nose of orientals. The dorsum of nose is flat and low, the skin is thick with severe tension, the nasal tip is bulbous, the nostril is wide, and the projection of the nose is limited due to a poorly developed alar cartilage with a short columella. In order to improve these untoward characteristics of the nose of Orientals aesthetically, plain augmentation of the dorsum and tip-plasty with conventional methods has been performed by many plastic surgeons. However these conventional rhinoplasty is not enough to obtain satisfactory results when transforming into a more beautiful and aesthetically charming appearance. In order to produce the optimal nasal shape and profile, it is extremely important to consider the aesthetic surgical factors, which are; the position of the nasion, the optimal nasolabial angle(95-100 degree in Orientals), the natural exposure of infra-tip lobule with and columella, the position of the tip defining point in harmony with the dorsal profile and the smooth and natural silhouette of the lateral nasal profile as it descends into the inferior portion of the nose. From April, 2003 to August, 2004, a total of 52 patients underwent open rhinoplasty, adhering to the strict aesthetic principles considered and described priorly. Surgical approach was done through a transcolumella incision and an alar rim incision. The nasal dorsum was augmented with a silicone implant and the shape of the columella and the nasolabial angle were finessed with a silicone strut implant which was placed in between the medial crurae in a manner of a non-visible graft. The nasal tip was corrected by alar cartilage suture technique and onlay graft of shield shaped Alloderm and Gore-Tex. Author obtained the optimal nasal shape and profile aesthetically, and the results, considered satisfactory in all patients without any complications, are as follows; 1. the average increase in nasal length was 2.5 mm, 2. the average decrease in nasal width was 2.1 mm, 3. the average increase in nasal tip projection was 3.2 mm, 4. the changes of nasolabial angles were from 85.5 degree to 94.7 degree, 5. the changes of the angle between the long axis of the external naris was from 101.3 degree to 89.5 degree. In conclusion, this surgical procedure is an effective, reliable and a valuable method in improving the nasal shape, tip projection, nasolabial angle and especially, the lateral facial profile of Orientals aesthetically.

A Morphorlogical Study of Ear, Eye, Nose and Mouth according to the Sasang Constitution (사상인(四象人) 이목비구(耳目鼻口)의 형태학적(形態學的) 특징(特徵) 연구(硏究))

  • Hong, Suck-chull;Koh, Byung-hee;Song, Il-byung
    • Journal of Sasang Constitutional Medicine
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    • v.10 no.2
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    • pp.221-270
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    • 1998
  • Objective This research is a study about constitutional diagnosis through the external appearances as a basic principle, and it is for finding shape differences of the ear, eye, nose, mouth according to the Sasang constitution Method We have collected 209 cases of patients of the Sasang Constitutional Department, including employees of the Kyung-Hee Medical Center and took pictures of the frontal view, lateral view, oblique view of face and measured heights, deapth, breadths of ear, eye, nose, mouth with 'The Measurement of R. Martin'. We analyzed shape differences of the face according to the Sasang constitution with certain results Results We got the morphologic characteristics of ear, eye, nose and mouth according to the Sasang constitution as Table 3. -Table 10. Conclusion : 1. The morphologic characteristics of Ear according to the Sasang constitution (1) Morphologic ear length, Physiognomic ear length, Ear lobule length is longer in Taeumin than Soeumin. (2) Physiognomic ear breadth is wider in Taeumin than Soeumin. (3) Physiognomic ear length, lobule length ratio is higher in Taeumin than Soyangin. 2. The morphologic characteristics of Eye according to the Sasang constitution. (1) Inner Palpebral fissure width, 5th Palpebral fissure length, Bizygomatic breadth-Outercanthal distance is the longest in Taeumin (2) Palpebral fissure inclination is widest in Soeumin. (3) Palpebral fissure length is longer in Taeumin than Soeumin. (4) Pupillary diameter ratio is the lowest in Taeumin (5) Palpebral fissure length, width ratio is higher in Soeumin than Taeumin. (6)zygomatic breadth, Bizygomatic breadth-Outercanthal distance ratio is the higher in Taeumin than Soeumin. 3. The morphologic characteristics of Nose according to the Sasang constitution. (1) Nasion depth is deepest in Soyangin. (2) Nasion to pupillary depth is deeper Soyangin than Taeumin. (3) Nasal tip depth, Nostril to Nasalalar depth is deeper Soyangin than Taeumin. (4) Subnasale to Nasalalar depth is the shallowest in Taeumin (5) Nasalalar height is lowest in Soeumin. (6) Nasalalar to Nostril distance is deeper Taeumin than Soeumin. (7) Nasal tip depth, Nasal depth ratio is the highest in Taeumin (8) Nasal depth Nasalalar heightratio is lowest in Soeumin. (9) Midfaceheight, Nasal tip depth ratio is higher Soyangin than Taeumin. 4. The morphologic characteristics of mouth according to the Sasang constitution. (1) Lower mid lip height, Lower philtrum height, Lower quarter lip height, Total middle lip height, Total philtrum height, Total quarter lip height is the shottest in Soyangin. (2) Upper mid lip height, Upper philtrum height is longer in Taeumin than Soyangin (3) Lip inclination is higher in Soeumin than Soyangin. (4) Intercheilion breadth, total height ratio is lowest in Soyangin. (5) Total lip height, Upper philtrum height ratio is higher in Soyangin than Soeumin. (6) Lower lip height Lower quarter lip height ratio is higher in Soyangin than Taeumin. (8) Total lip area is wider in Taeumin than Soyangin.

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Development of 1/60th Scale Moving Model Rig Using the Compressed Air Launcher and One-Wire Guidance System of Train Model (압축공기 발사기에 단선 와이어 유도방식을 적용한 1/60축척 터널주행 열차모형 시험기 개발에 대한 연구)

  • Kim, Dong-Hyeon;O, Il-Geun
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.25 no.5
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    • pp.634-644
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    • 2001
  • The test facility of a 1/60-scale model for train-tunnel systems has been recently developed to investigate the effects of tunnel portal shapes, hood shapes and air-shafts for reducing the micro-pressure waves radiating towards the surroundings from the tunnel exit. The present test rig has been advanced from a 1/70-scale facility at NLR in Netherlands. The NLR test rig has the two-wise guidance system that needs two ears attached on the external surface of a model train nose. Therefore, their train models have irregular nose shapes. The main characteristics of the present facility are that the train model is guided by only one wire from the compressed air launcher to the absorber parts of test facility and the wire guidance hole is located at the axial center of a train model. In the present test rig, after a train model is launched, the air jet from the launcher does not enter the tunnel model. Experimental results were compared with numerical predictions to prove the performance of the test facility.

Study on the Aerodynamic Analysis of the High-Speed EMU (동력분산형 고속철도의 공력해석기술 연구)

  • Rho, Joo-Hyun;Ku, Yo-Cheon;Yun, Su-Hwan;Kwak, Min-Ho;Park, Hoon-Il;Kim, Kyu-Hong;Lee, Dong-Ho
    • Proceedings of the KSR Conference
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    • 2008.06a
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    • pp.1166-1171
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    • 2008
  • Through Korean high speed train development project "G7 Leading Technology Development Project" from 1996 to 2002, HSR-350X has been developed. It can run the maximum operating speed of 350 km/h. Based on this technology, KTX-2 which will be served commercially has been developed till 2007. This paper introduces the aerodynamic analysis of the High-Speed EMU and shows the results of optimized aerodynamic nose shape design techniques and clean pantograph panhead original techniques study. These are the important parts of developments for high speed train which maximum speed is 400 km/h. Especially for decrease of tunnel micro pressure waves, the optimized nose area distributions were derived and the characteristics of micro pressure wave were analyzed. The robust optimized pantograph panhead shapes investigated to improve the performance and decrease the vortex flow which is thought to be its noise source. These shapes are clean and robust to external disturbances like unsteady accelerated flow or side wind was derived. Finally aerodynamic performances was verified with PIV and smog visualization by wind tunnel test.

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Simultaneous Reconstruction of a Subtotal Maxillectomy and Columella Deficit using Radial Forearm and Preauricular Free Flaps (요측전완과 이개전부 유리피판을 이용한 아전상악절제술과 비주결손의 동시 재건)

  • Yoon, Taekeun;Eun, Seokchan;Cho, Sung-Woo;Rhee, Chae-Seo
    • Korean Journal of Head & Neck Oncology
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    • v.38 no.1
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    • pp.53-57
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    • 2022
  • Reconstruction of subtotal maxillectomy defects with columella deficit is challenging. We report a unique case of facial reconstruction using a free radial forearm flap and a free preauricular flap for the maxillectomy and columella deficit. A 73-year-old woman was diagnosed with recurrent sebaceous carcinoma of the nose. We performed wide excision, including areas of the right cheek, nose, upper lip, maxilla, and columella. The resultant subtotal maxillectomy defect was reconstructed using a three-dimensional flap. First, a free radial forearm flap was transfered to resurface the nasal, oral, and external facial side. Second, a preauricular flap was positioned into the columella defect and anastomosed with the distal portion of the radial forearm flap pedicle. The two flaps survived, and the patient recovered uneventfully. We believe the radial forearm and preauricular double free flaps with the pedicle connection method were effective in reconstructing the present case of subtotal maxillectomy defect.