• Title/Summary/Keyword: facial diagnosis

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Infrared thermographic imaging in patients with alopecia. (탈모 환자의 적외선 체열 진단상 안면부 체열 특성)

  • Yi, Tae-Hoo;Moon, Jung-Bae;An, Kyung-Eh;Lee, Hye-Jung
    • Journal of Oriental Medical Thermology
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    • v.5 no.1
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    • pp.78-86
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    • 2006
  • Objectives: To examine any potential relationships between the types of alopecia and the facial heat distribution in patients with alopecia Methods: 183 patients with alopecia participated in this study to provide facial heat distribution measured by the Infrared Thermography Scanner (ITS, Nec San-ei Instruments Ltd, Japan). The thermography scan was used in a light-and heat-protected room after 20 minutes’of resting period. 1.5m of distance maintained between the patients and ITS. Results: Specificity in the type of facial heat distribution was found as follow. 1. Types of facial heat distribution can be classified as T-type and diffused patterns. 2. There was a significant difference in the pattern of facial heat distribution among different types of alopecia (p=0.002): facial heat distribution appeared T-type in Androgenic Alopecia, Alopecia Areata, and Telogen Effluvium (71.3%, 85.7%, 70.4%), whereas diffused pattern was dominant in Seborrheic Alopecia(55.6%). 3. There was a significant difference in the pattern of facialheat distribution between men and women (p<0.001): While the T-type and diffused type were equally appeared in men (50.6%: 49.4%), T-type was dominant in women (88.0% vs. 12.0%). Conclusions: We conclude that the pattern of facial heat distribution differs depends on the types of alopecia and gender. These differences may provide useful information for the diagnosis and clinical therapy for this population.

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A STUDY ON USEFULNESS OF THE REFERENCE LINE IN DIAGNOSIS OF THE FACIAL ASYMMETRY (안모비대칭의 진단용 기준선의 유용성에 관한 연구)

  • Ryu, Sung-Ho;Chang, Hyun-Ho
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.31 no.3
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    • pp.266-273
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    • 2005
  • Purpose: To assess the relationship between soft tissue reference line and hard tissue reference line using the standardized photographs and the posteroanterior cephalometric radiographs(P-A)in facial asymmetric patients and to compare the differences of angular measurement between normal group and asymmetry group. Methods: Normal group consisted of 44 persons with normal occlusion and normal facial morphology. Asymmetry group consisted of 90 patients with facial asymmetry. Standardized facial photographs and P-A were taken in all subjects. The horizontal reference lines were bipupillary line in photographs and latero-orbitale line in P-A respectively. The vertical reference line were the line from the midpoint of horizontal reference line perpendicularly. Angular measurement of otobasion canting, lip canting, nose deviation, chin deviation, and maxillary deviation were compared and analyzed in photographs. And angular measurement of mastoid canting, mandibular canting, nose deviation, chin deviation, and maxillary deviation were compared and analyzed in P-A. Results: 1. The variables of photographs and P-A were significantly related in the asymmetry group. 2. Significant differences between all variables except for PT2 and PA2 were shown in the asymmetry group and between PT1 and PA1, PT3 and PA3 in the normal group respectively. 3. Comparison measurement scores of angular difference between control group and experimental group concerning each variable showed significant difference except for PA1. Conclusions: Soft tissue components may not compensate for underlying skeletal imbalance in nose deviation and chin deviation. The horizontal reference lines in photographs were significant related with the P-A, but angular variables between the two studies show significant differences. Therefore, we do not recommend use photography in the assessment the facial asymmetry as complemented in the P-A.

A Study on Reliability of Computerized Cephalometric Analysis System (두부 방사선 규격사진 컴퓨터 분석기의 신뢰도에 관한 연구)

  • Woo-Cheon Kee
    • Journal of Oral Medicine and Pain
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    • v.19 no.2
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    • pp.47-55
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    • 1994
  • To investigate the reliability and reproducibility of the computerized cephalometric analysis system, se compared the differences of the 10 linear and 13 angular measurements by manual works and the use of computerized cephalometric analysis system. We obtained as follows : 1. There was not significant difference between maean values of 22 manual and computerized measurements. 2. There was not significant difference between mean differences of manual and computerized cephalometric analysis data taken by same examiner except facial depth, facial length and posterior facial height. 3. There was not significant difference between mean differences of two trials of the computerized cephalometric analysis data by same examiner in all measurements. 4. There was not significant difference between mean differences of the computerized cephalometric analysis data by two examiners except FMIA and IMPA. According to this result, we guess the use of computerized cephalometric analysis system is useful on diagnosis and treatment planning of othodontic patients.

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Various Genioplasty techniques and case presentations (턱끝 성형술의 다양한 절골술식과 임상증례)

  • Choi, Jin Young
    • The Journal of the Korean dental association
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    • v.58 no.2
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    • pp.94-102
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    • 2020
  • The form and location of chin is very important factor which determine the facial impression. Genioplasty is getting popular in order to improve the facial impression as facial beauty is considered as improvable factor. Through the geniplasty, chin can be moved to wanted location 3 dimensionally Genioplasty is relative simple but precise diagnosis and accurate surgical technique is very important for accurate and satisfying results. The form and shape of chin itself can be analysized and also must be evalulated in relation to the nose and lip and face. Author introduces the analysis of the chin, various surgical techniques of genioplasty and presents some cases.

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Clinical Practice Guideline for Sasang Constitutional Medicine: The Examination of Sasangin Disease and Diagnosis for Sasang Constitution (사상체질병증 임상진료지침: 사상체질병증 검사 및 체질진단)

  • Kim, Sang-Hyuk;Lee, Siwoo;Lee, Jun-Hee;Lee, Eui-Ju
    • Journal of Sasang Constitutional Medicine
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    • v.27 no.1
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    • pp.110-124
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    • 2015
  • Objectives This study was purposed to develop the clinical practice guideline for examination of Sasangin disease and diagnosis for Sasang Constitution. Methods "Donguisusebowon" and many articles were reviewed and examined for developing clinical practice guidelines. And "Guideline for Educating Public Health Korean Medical Doctors on Diagnosis of Sasang Constitution" was basically used to develop clinical guidelines. Results & Conclusions By researching and discussing the examination of Sasangin disease and diagnosis for Sasang Constitution, we make the principle of the clinical practice guideline, including methods using body shape, facial shape, vocal characteristic and personality etc.

Salivary Duct Carcinoma in Parotid Deep Lobe, Involving the Buccal Branch of Facial Nerve : A Case Report (이하선의 심엽에 위치하며 안면신경의 볼가지를 침범한 타액관 암종 1예)

  • Kim, Jung Min;Kwak, Seul Ki;Kim, Seung Woo
    • Korean Journal of Head & Neck Oncology
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    • v.28 no.2
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    • pp.125-128
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    • 2012
  • Salivary duct carcinoma(SDC) is a highly malignant tumor of the salivary gland. The tumor is clinically characterized by a rapid onset and progression, the neoplasm is often associated with pain and facial paralysis. The nodal recurrence rate is high, and distant metastasis is common. SDC resembles high-grade breast ductal carcinoma. Curative surgical resection and postoperative radiation were the mainstay of the treatment. If facial paralysis is present, a radical parotidectomy is mandatory. Regardless of the primary location of SDC, ipsilateral functional neck dissection is indicated, because regional lymphatic spread has to be expected in the majority of patients already at time of diagnosis. If there is minor gland involvement, a bilateral neck dissection should be performed, because lymphatic drainage may occur to the contralateral side. The survival of SDC patient is poor, with most dying within three years. We experienced a unique case of SDC in parotid deep lobe. We report the clinicopathologic features of this tumor with a review of literature.

TRAUMATIC FALSE ANEURYSM OF THE LINGUAL ARTERY - A CASE REPORT- (설동맥에 발생한 외상성 위동맥류)

  • Min, Gyung-In;Lee, Ju-Hyun;Seo, Kyung-Suk;Kim, Chul-Hwan
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.27 no.6
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    • pp.551-555
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    • 2001
  • False aneurysms(Pseudoaneurysms) and arteriovenous fistulas have only rarely been reported in the facial region. In this region the false aneurysm arises most frequently in the superficial temporal and facial artery, but other branches of the external carotid are sometimes involved, including the maxillary and lingual artery. False aneurysms can be occurred by blunt trauma that either laceration or rupture the full thickness of the arterial wall. The diagnosis of a false arterial aneurysm can be often made solely on the basis of physical examination. Angiography is helpful for conformation, for delineating the lesion and its vascular supply, and for ruling out the presence of associated vascular lesions such as arteriovenous fistulas. Ultrasonography may also be useful in delineating lesions that are not easily accessible for physical examination. Treatment of false aneurysms is excision, ligation, and arterial embolization. This is a case of false aneurysm of the lingual artery after facial trauma caused by traffic accident. The lesion was successfully treated by embolization and ligation of the lingual and facial branches of the external carotid artery.

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Analysis of Facial Asymmetry

  • Choi, Kang Young
    • Archives of Craniofacial Surgery
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    • v.16 no.1
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    • pp.1-10
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    • 2015
  • Facial symmetry is an important component of attractiveness. However, functional symmetry is favorable to aesthetic symmetry. In addition, fluctuating asymmetry is more natural and common, even if patients find such asymmetry to be noticeable. However, fluctuating asymmetry remains difficult to define. Several studies have shown that a certain level of asymmetry could generate an unfavorable image. A natural profile is favorable to perfect mirror-image profile, and images with canting and differences less than $3^{\circ}-4^{\circ}$ and 3-4 mm, respectively, are generally not recognized as asymmetry. In this study, a questionnaire survey among 434 medical students was used to evaluate photos of Asian women. The students preferred original images over mirror images. Facial asymmetry was noticed when the canting and difference were more than $3^{\circ}$ and 3 mm, respectively. When a certain level of asymmetry is recognizable, correcting it can help to improve social life and human relationships. Prior to any operation, the anatomical component for noticeable asymmetry should be understood, which can be divided into hard tissues and soft tissue. For diagnosis, two-and three-dimensional (3D) photogrammetry and radiometry are used, including photography, laser scanner, cephalometry, and 3D computed tomography.

Verrucous carcinoma arising from actinic keratosis: a case report

  • Jung, Ji Hyuk;Jeon, Yeo Reum;Kim, Hyo In;Lee, Mi Kyung;Chung, Seum
    • Archives of Craniofacial Surgery
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    • v.22 no.6
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    • pp.333-336
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    • 2021
  • Verrucous carcinoma (VC) is a rare subtype of squamous cell carcinoma that commonly occurs in the oral cavity. However, VC of the facial skin is relatively rare. We report a case of a 91-year-old woman with VC of the facial skin in the left zygoma area. She was diagnosed with actinic keratosis (4×3 cm) of the same site approximately 12 years previously, but declined further treatment. The mass was excised with a minimum of 0.4 cm from gross margins with the result of free from tumor of all margins by frozen section, allowing for primary closure after skin undermining. Basal resection was performed in the preplatysmal plane. The diagnosis of VC was confirmed by histopathological examination. Postoperatively, the wound healed without incident and with no signs of facial nerve injury. To our knowledge, this is the first reported case of VC of facial skin arising from actinic keratosis.

Effect of Facial Chuna Manual Therapy Combined with Korean Medicine Treatmeant for Bell's Palsy

  • Choi, Yeon Ah;Ryu, Soo Min;Lee, Seung Min;Heo, You Jin;Lee, Eun young;Lee, Cham Kyul;Jo, Na Young;Roh, Jeong-Du
    • Journal of Acupuncture Research
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    • v.39 no.3
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    • pp.222-228
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    • 2022
  • The effect of combined Korean medicine treatment including facial chuna manual therapy was retrospectively investigated in patients with Bell's palsy. There were 16 patients (14 males) who received 2 months outpatient treatment following > 14 days of hospitalization. The Yanagihara score and House-Brackmann grade were used to measure the severity of symptoms and recovery. The patients (mean age 58.5 ± 24.74 years) were categorized based on their medical history of hypertension (n = 10), diabetes millitus (n = 10), or oral intake of steroids early in the diagnosis of Bell's palsy (n = 10). There was no difference between patients who had or did not have a previous history of diabetes mellitus or oral steroid. Both the Yanagihara-score and House-Brackmann grade improved significantly in the total patient sample after treatment (p < 0.001). Combined Korean medicine including facial chuna manual therapy may have a beneficial effect on patient symptoms and recovery.