• 대한두개안면성형외과학회지
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• 제10권1호
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• pp.33-36
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• 2009

Purpose: Fractures of the mandibular condylar area are common injuries that account for 29% to 40% of fractures of the facial bones and represent 20% to 62% of all mandibular fractures. Currently 3 main methods are being used in the treatment of mandibular subcondylar fractures: closed reduction; open reduction and internal fixation; Endoscopic reduction and internal fixation. Each method has its proponents and opponent as well as advantages and disadvantages, and indications for each vary among surgeons. There are six approaches of open reduction: submandibular, retromandibular, preaurilcular, postauricular, intraoral, transparotid approach. Among them, transparotid approach has been described for subcondylar exposure with dissection in the direction of facial nerve fibers to expose the bone through the parotid gland. This approach carries the risk of a parotid glandular fistula as well as facial nerve injury but has the advantage of being directly over the fracture site. We report safety and efficacy of surgical treatment using a transparotid approach for direct plating. Methods: A 43-year-old man sustained multiple facial bone fractures by driver traffic accident. Mandibular subcondyle was fractured and dislocated internally. We performed open reduction and internal fixation by transparotid approach. Fractured site was fixed by titanium mini plate & screw. We applicated arch bar for approximately 3 weeks. Results: Follow-up length was about 5months. Scar of surgical incision was indistinct, there was no symptoms and signs of facial nerve and parotid gland injury, and maximal mouth opening was measured 49.5 mm. Conclusion: Transparotid approach has high risks of facial nerve and parotid gland injury, but paradoxically it is the most effective technique in saving facial nerve. Open reduction and internal fixation of mandibular subcondylar fracture by transparotid approach with precise and versed procedure, best outcome can be expected.

• 대한치과교정학회지
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• 제47권3호
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• pp.195-206
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• 2017

Facial asymmetry can be classified into the rolling-dominant type (R-type), translation-dominant type (T-type), yawing-dominant type (Y-type), and atypical type (A-type) based on the distorted skeletal components that cause canting, translation, and yawing of the maxilla and/or mandible. Each facial asymmetry type represents dentoalveolar compensations in three dimensions that correspond to the main skeletal discrepancies. To obtain sufficient surgical correction, it is necessary to analyze the main skeletal discrepancies contributing to the facial asymmetry and then the skeletal-dental relationships in the maxilla and mandible separately. Particularly in cases of facial asymmetry accompanied by mandibular yawing, it is not simple to establish pre-surgical goals of tooth movement since chin deviation and posterior gonial prominence can be either aggravated or compromised according to the direction of mandibular yawing. Thus, strategic dentoalveolar decompensations targeting the real basal skeletal discrepancies should be performed during presurgical orthodontic treatment to allow for sufficient skeletal correction with stability. In this report, we document targeted decompensation of two asymmetry patients focusing on more complicated yaw-dependent types than others: Y-type and A-type. This may suggest a clinical guideline on the targeted decompensation in patient with different types of facial asymmetries.

• 인터넷정보학회논문지
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• 제5권6호
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• pp.79-91
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• 2004

다양한 얼굴 포즈 검출 및 인식은 매우 어려운 문제로서, 이는 특징 공간상의 다양한 포즈의 분포가 정면 영상에 비해 매우 흩어져있고 복잡하기 때문이다. 이에 본 논문에서는 기존의 얼굴 인식 방법들이 제한 사항으로 두었던 입력 영상의 다양한 포즈 및 표정에 강인한 얼굴 인식 시스템을 제안하였다. 제안한 방법은 먼저, TLS 모델을 사용하여 얼굴 영역을 검출한 뒤, 얼굴의 구성요소를 통하여 얼굴 포즈를 추정한다. 추정된 얼굴 포즈는 3차원 X-Y-Z축으로 분해되는데, 두 번째 과정에서는 추정된 벡터를 통하여 만들어진 가변 템플릿과 3D CAN/DIDE모델을 이용하여 얼굴을 정합한다 마지막으로 정합된 얼굴은 분석된 포즈와 표정에 의하여 얼굴 인식에 적합한 정면의 정규화 된 얼굴로 변환된다. 실험을 통하여 얼굴 검출 모델의 사용과 포즈 추정 방법의 타당성을 보였으며, 포즈 및 표정 정규화를 통하여 인식률이 향상됨을 확인하였다.

• 대한치과교정학회지
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• 제17권1호
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• pp.55-62
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• 1987

Diagnosis and treatment plans of patients are depended on cephalogram in most case. However, conventional cephalogram may change diagnosis because it ignores a conception of natural head position. The purpose of this study was to investigate the difference of head positions between conventional X-ray taking and x-ray taking in natural head position, and correlation between above results and craniofacial morphology, 60 male students in dental college, Yon sei Univ. were selected, and every cephalogram is studied by comparison of the change of head position. The results are as follows. 1. When taking X-ray by using conventional method, external auditary meatus FH was more tilted than ear rod FM by $2.1^{\circ}{\pm}1.8$ in forward and downward direction. 2. As facial form becomes concave, natural head position and head position, appeared in X-ray taking by using conventional method, become more similiar. 3. Change in head position had showed high correlations with facial form (N-A-Pog angle), and there was high significance to concave group when compared with average group, but significance to convex group was not found. 4. Multiple regression equation concerning change of head position was solved. ${\Delta}FH=24.5\;+\;0.31$ NAPog + 0.43 Prominence of Chin + 0.13 Facial length -0.32 Anterior facial height.

• 한국컴퓨터정보학회논문지
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• 제11권3호
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• pp.151-159
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• 2006

본 논문에서는 두 대의 카메라 영상으로부터 얼굴의 포즈를 추정하는 방법을 제안한다. 제안된 방법은 먼저 두 얼굴 영상으로부터 대응되는 눈썹, 눈, 입의 특징점을 추출한 다음, 스테레오 비전의 삼각법에 의해 특징점에 대한 3차원 위치를 계산한다. 그 다음에는 특징점으로 부터 삼각형을 생성하고 그 삼각형에 수직 방향을 계산함으로써 얼굴의 포즈를 계산한다. 계산된 얼굴의 포즈를 3D 얼굴 모델에 적용해 본 결과 본 논문에서 제안된 방법이 정확한 얼굴 포즈를 추정할 수 있음을 알 수 있었다.

• 대한두개안면성형외과학회지
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• 제20권1호
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• pp.3-9
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• 2019

Facial nerve palsy has an effect on a person's well-being functionally and psychologically. Therefore, comprehensive patient management is essential. One of the most common uncomfortable and potentially debilitating features is associated with the incapacity for eye closure. Restoration of eye closure is a key consideration during the surgical management of facial palsy. In this article, we introduce simple surgical methods-which are relatively easy to learn and involve the upper and lower eyelids-for achieving eye closure. Correcting upper eyelid function involves facilitating the component of eye closure that is in the same direction as gravity and is, therefore, less complicated and favorable outcomes than correction of lower lid. Aesthetic aspects should be considered to correct the asymmetry caused by facial palsy. Lower eyelid function involves a force that opposes gravity for eye closure, which makes correction of lower eyelid ectropion more challenging than surgery for the upper eyelid, particularly in terms of effecting a sustained correction. Initially, proper ophthalmic evaluation is required, including identifying the chronicity and severity of ectropion. Also, it is important to determine whether or not lateral canthoplasty is necessary. The lateral tarsal strip procedure is commonly used for lower lid correction. However, effective lower lid correction can be achieved with better cosmesis when extensive supporting techniques are applied, including those involving cheek tissue.

• 한국지능시스템학회논문지
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• 제14권7호
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• pp.821-829
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• 2004

얼굴인식기술이 인증 및 보안을 위한 도구로 활용되고 있지만 입력영상의 상태, 즉 조명환경에 따라 적용할 수 있는 범위가 제약적일 수밖에 없다. 본 논문에서는 이러한 제약을 최소화하기 위해 측면과 후면조명 등의 불규칙한 조명환경에서 획득한 입력영상에서 얼굴의 특징을 구분하여 얼굴영상임을 확인하는 방법을 제안한다. 제안된 방법은 에지차영상을 얼굴특징이 두드러지도록 전처리한 후, X와 Y축의 프로파일을 이용하여 얼굴영역을 예측하고 영역 내의 밝기분포를 이용하여 눈, 코, 입 등의 얼굴특징이 놓일 수 있는 수평영역을 분리한다. 수평영역들은 눈, 코, 입을 포함할 수 있는 영역의 그룹으로 나누어지고 각 그룹에서 코와 입, 그리고 눈의 순서로 특징들을 검출한다. 얼굴여부는 검출된 특징들의 구조적인 관계를 검증하여 확인한다. 제안된 알고리즘은 배경색상이나 조명의 방향과 색상 등으로 인해 얼굴의 형태와 특징이 결여된 입력영상에서도 매우 안정적으로 적용됨을 실험을 통해 확인하였다.

• 한방안이비인후피부과학회지
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• 제35권4호
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• pp.1-30
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• 2022

Objectives : The purpose of this study was to explore the experience of patients with facial palsy symptoms treated with Korean medicine treatment(KMT) after western treatment. Methods : We conducted an individual in-depth interview with 10 participants who had experience in both western and KMT for facial palsy symptoms. This qualitative study adopted the grounded theory of Strauss and Corbin, and collected data was analyzed by using coding(open-axial-selective) that was performed to create paradigm model, which can explain this study's main theme. Results : The central phenomenon of this study was 'choosing Korean medicine treatment after western treatment preceded', and the core category was derived as 'selecting process of KMT after western medical treatment and improvement plan of Korean medicine treatment'. Conclusions : For patients with facial palsy, KMT was perceived as an essential treatment rather than an alternative, and recognized as the main treatment. Patients didn't settle for western treatment which was in progress, actively selected KMT and suggested the specific plan for improvement of KMT. Through this, we should be considered the direction of the KMT for facial palsy symptom which is the common disease of KMT.

• 대한치과교정학회지
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• 제14권1호
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• pp.161-172
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• 1984

This study was undertaken to evaluate the cephalometric changes of the soft tissue and skeletal profile subsequent 10 the rapid palatal expansion in 25 Angle's Class III cases, ranging in age from six to fifteen years, with cross-bite of the anterior teeth, underdevelopment of maxilla and facial disharmony Following results were obtained: 1. ANS moved downward, Point A presented forward & downward movement increasing SNA and Point B presented backward & downward movement decreasing SNB. 2. Mandible was rotated to backward & forward and maxilla moved forward & downward with the bite opening and improvement of anterior teeth cross-bite. 3. Soft tissue on mandible was rotated to backward & forward following hard tissue changes causing the decrease of facial convexity angle and backward & downward rotation of Point B', Pog'. 4. Response of the upper lip was more significant in downward than forward direction, and correlated with the upper central incisor and mandible rotation. 5. Response of the lower lip was more significant in downward than backward direction, and correlated with the mandible rotation. 6. There was a rather high degree of correlation between skeletal profile and soft-tissue profile, 1 : LS, $\bar{1}$:Pog', Pog:LS, Pog:LI, Pog:Pog' in horizontal measurements and $\bar{1}$:Pog', Pog:LI, Pog:Pog' in vertical measurements.

• 대한치과교정학회지
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• 제23권1호
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• pp.101-113
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• 1993

For the purpose of interpretation of positional changes of craniofacial structures in Class III malocclusion between mixed and permanent dentition, 73 normal samples and 103 Class III samples of mixed dentition and 125 normal samples and 168 Class III samples of permanent dentition were selected. Comparative cephalometric analysis was undertaken between them respectively by mesh diagram method to evaluate the positional changes of maxilla and mandible in anteroposterior direction and vertical direction and also the inclination changes of maxillary and mandibular incisors in labio-lingual direction. The following results were obtained : 1. The antero-posterior positional changes of the maxilla and mandible were posterior direction of maxilla and anterior direction of mandible. 2. The vertical positional changes of the maxilla and mandible were superior direction of both maxilla and mandible. 3. The labio-lingual inclination changes of the maxillary and mandibular incisors were lingual direction of both maxillary and mandibular incisors.