• 대한인간공학회지
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• 제30권1호
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• pp.195-202
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• 2011

Objective: The aim of this study is to investigate and review the previous researches about objective measuring fatigue caused by visual stimuli. Also, we analyze possibility of alternative visual fatigue measurement methods using facial expression recognition and gesture recognition. Background: In most previous researches, visual fatigue is commonly measured by survey or interview based subjective method. However, the subjective evaluation methods can be affected by individual feeling's variation or other kinds of stimuli. To solve these problems, signal and image processing based visual fatigue measurement methods have been widely researched. Method: To analyze the signal and image processing based methods, we categorized previous works into three groups such as bio-signal, brainwave, and eye image based methods. Also, the possibility of adopting facial expression or gesture recognition to measure visual fatigue is analyzed. Results: Bio-signal and brainwave based methods have problems because they can be degraded by not only visual stimuli but also the other kinds of external stimuli caused by other sense organs. In eye image based methods, using only single feature such as blink frequency or pupil size also has problem because the single feature can be easily degraded by other kinds of emotions. Conclusion: Multi-modal measurement method is required by fusing several features which are extracted from the bio-signal and image. Also, alternative method using facial expression or gesture recognition can be considered. Application: The objective visual fatigue measurement method can be applied into the fields of quantitative and comparative measurement of visual fatigue of next generation display devices in terms of human factor.

• 대한두개안면성형외과학회지
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• 제25권2호
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• pp.71-76
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• 2024

Background: The rising incidence of dialysis-dependent end-stage renal disease (ESRD) has underscored the need for collaboration between plastic surgeons and nephrologists, particularly concerning preoperative and postoperative management for facial reconstruction. This collaboration is essential due to a scarcity of comprehensive information in this domain. Methods: A study initiated in January 2015 involved 10 ESRD cases on dialysis undergoing Mohs micrographic surgery for facial skin cancer, followed by reconstructive surgery under general anesthesia. To ensure surgical safety, rigorous measures were enacted, encompassing laboratory testing, nephrology consultations, and preoperative dialysis admission. Throughout surgery, meticulous control was exercised over vital signs, electrolytes, bleeding risk, and pain management (excluding nonsteroidal anti-inflammatory drugs). Postoperative assessments included monitoring flap integrity, hematoma formation, infection, and cardiovascular risk through plasma creatinine levels. Results: Adherence to the proposed guidelines yielded a notable absence of postoperative wound complications. Postoperative plasma creatinine levels exhibited an average decrease of 1.10 mg/dL compared to preoperative levels, indicating improved renal function. Importantly, no cardiopulmonary complications or 30-day mortality were observed. In ESRD patients, creatinine levels decreased significantly postoperatively compared to the preoperative levels (p< 0.05), indicating favorable outcomes. Conclusion: The consistent application of guidelines for admission, anesthesia, and surgery yielded robust and stable outcomes across all patients. In particular, the findings support the importance of adjusting dialysis schedules. Despite the limited sample size in this study, these findings underscore the effectiveness of a collaborative and meticulous approach for plastic surgeons performing surgery on dialysis-dependent patients, ensuring successful outcomes.

• Journal of Dental Anesthesia and Pain Medicine
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• 제24권2호
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• pp.129-135
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• 2024

Concomitant chemoradiotherapy (CCRT) treated patients experience various complications. We present a rare case of post-CCRT Bell's palsy and describe its various possible causes, so as to increase awareness among clinicians about Bell's palsy being a CCRT-associated adverse effect. The patient was a 48-year-old man diagnosed with squamous cell carcinoma who presented with post-CCRT Bell's palsy. After radiotherapy for 6 weeks (overall 67.5 Gy) and four rounds of cisplatin chemotherapy, he complained of paralysis of the entire left face. A test was performed 33 days after the last CCRT session to differentiate Bell's palsy from other causative factors. Based on magnetic resonance imaging findings, facial nerve invasion due to tumor size increase was determined to not cause Bell's palsy. Inflammation of the left Eustachian tube was observed. Hence, steroids and famciclovir were administered, which markedly improved the facial paralysis symptoms within 56 days after facial paralysis development. In conclusion, patients can develop Bell's palsy owing to complex effects of various CCRT mechanisms. Although the exact cause of Bell's palsy has not been identified and the effectiveness of drug treatment was questionable in this case, unlikely causative factors should be excluded through various tests and appropriate and timely measures must be adopted.

• Journal of Korean Neurosurgical Society
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• 제30권6호
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• pp.755-760
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• 2001

Objective : To determine the feasibility of translabyrinthine approach in the vestibular schwannoma patients, the authors reviewed eighteen consecutive cases, focusing at their functional outcome and operative complications. Materials and Method : To evaluate the functional outcome, we reviewed preoperative radiological findings such as size of tumors and location of jugular bulb as well as the preoperative neurological status including audiometric analysis and cranial nerve function in 18 patients, diagnosed as vestibular schwannoma. Also the surgical outcome was evaluated according to the functional preservation of facial nerve and incidence of the surgical complication as well as the extent of surgical resection. Results : The age of patients ranged from 21 to 62 years, with a mean of 50 years. Of 18 patients operated in our center by the translabyrinthine approach, wide exposure with total removal of the mass was possible in 16 cases (88.8%). The facial nerve was anatomically preserved in 88.8%. At six-month follow-up, facial nerve function was good(Grade I-II) in 15 patients(83%) and acceptable(I-IV) in all patients. Although the jugular bulb was highly placed is five patients, gross total resection was possible without facial nerve injury in all patients by the translabyrinthine approach. One patient experienced CSF leakage after surgery, but there was no patient with disabling deficit. Conclusion : Use of the translabyrinthine approach for removal of vestibular schwannomas resulted in good anatomical and functional preservation of the facial nerve, with minimal incidence of morbidity and no mortality. In cases of high jugular bulb impacted into mastoid bone, total removal was possible by displacing the jugular bulb with Surgicel cellulose and placement of bone wax.

• Archives of Plastic Surgery
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• 제37권5호
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• pp.589-594
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• 2010

Purpose: Full thickness skin grafts are useful in the reconstruction of facial skin defects when primary closure is not feasible. Although the supraclavicular area has been considered as the choice of donor site for large facial skin defect, many patients are reluctant to get a neck scar and some patients do not have enough skin to cover the defect owing to the same insult occurred to the neck such as burn accident. We present several cases of reconstruction of facial skin defects by freehand full-thickness skin graft from anterolateral chest wall resulting aesthetically acceptable outcome with lesser donor site morbidity. Methods: Retrospective review was performed from March, 2007 to September, 2009. 15 patients were treated by this method. Mean age was 31.5 years. The ethiology was congenital melanocytic nevus in 7 cases, capillary malformation in 5 cases and burn scar contracture in 3 cases. Mean area of lesion was measured to 67.3 cm2 preoperatively. The lesion was removed beneath the subcutaneous fatty tissue layer. The graft was not trimmed to be thin except defatting procedure. For the larger size of defect, two pieces of grafts were harvested from both anterolateral chest wall in separation and combined by suture. Results: The mean follow up period was 9.7 months. All the grafts survived without any problem except small necrotic areas in 4 cases, which healed spontaneously under conventional dressings in 6 weeks postoperatively. Color match was relatively excellent. There were 2 cases of hyperpigmentation immediately, but all of them disappeared in a few months. Conclusion: In cases of large facial skin defects, the anterolateral chest wall may be a good alternative choice of full-thickness skin graft.

• 대한치과교정학회지
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• 제26권5호
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• pp.557-568
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• 1996

본연구는 안면성장유형에 있어서의 피개교합심도지수, 전후방부조화지수의 성장에 따른 변화 양상을 알아 보기 위하여 정상교합자 남자 19명, 여자 14명의 10년간 격년으로 촬영한 두부 X-선 규격사진을 Y-axis의 연구기간동안 총변화량에 따라 Drop, Neutral, Forward의 세군으로 나누어 분석하여 각 계측항목에 관하여 다음과 같은 결과를 얻었다. $\cdot$ 남녀 각 안면유형에서 각 연령군의 각 계측항목의 평균과 표준편차를 얻었다. $\cdot$ 안면유형에 따른 세 그룹간 비교에서 전후방부조화지수와 피개교합심도지수는 전 연령구간에서 유의차를 나타내지 않았다(p>0.05). 피개교합심도지수는 남녀 모두 전 연령구간에서 Drop, Neutral, Forward의 크기순으로 나타났다. $\cdot$ 피개교합심도지수와 전후방부조화지수는 전연구기간동안 연령증가에 따른 변화없이(p>0.05) 안정되게 유지되는 양상을 보였다. $\cdot$ Y-axis의 총변화량과 각 계측항목의 상관성 조사에서 A-B plane angle, Facial angle은 남녀 모두에서 상관성을 나타내었고(p<0.05) 전후방부조화지수는 여자에서만 상관성을 나타내었으나(p<0.001) 피개교합심도지수는 남녀 모두에서 상관성을 나타내지 않았다(p>0.05).

• 대한전자공학회논문지SP
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• 제45권1호
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• pp.75-83
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• 2008

본 논문에서는 얼굴의 다중 특징을 이용하여 마우스의 다양한 동작을 효율적으로 구현할 수 있는 복지형 인터페이스를 제안한다. 제안된 시스템은 5개의 모듈로 구성 된다 : 얼굴의 검출(Face detection), 눈의 검출(eye detection), 입의 검출(mouth detection), 얼굴특징 추적(lariat feature tracking), 마우스의 제어(mouse control). 첫 단계에서는 피부색 모델과 연결 성분 분석을 이용하여 얼굴 영역을 검출한다. 그 후 얼굴영역으로부터 정확히 눈을 검출하기 위하여 신경망 기반의 텍스처 분류기를 사용하여 얼굴 영역에서 눈 영역과 비 눈 영역을 구분한다. 일단 눈 영역이 검출되면 눈의 위치에 기반 하여 에지 검출기(edge detector)를 이용하여 입 영역을 찾는다. 눈 영역과 입 영역을 찾으면 각각 mean shift 알고리즘과 template matching을 사용하여 정확하게 추적되고, 그 결과에 기반 하여 마우스의 움직임 또는 클릭의 기능이 수행된다. 제안된 시스템의 효율성을 검증하기 위하여 제안된 인터페이스 시스템을 다양한 응용분야에 적용 하였다. 장애인과 비장애인으로 나누어 제안된 시스템을 실험한 결과 모두에게 실시간으로 보다 편리하고 친숙한 인터페이스로 활용 될 수 있다는 것이 증명 되었다.

• 대한두개안면성형외과학회지
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• 제18권4호
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• pp.255-260
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• 2017

Background: Surgery for reconstruction of defects after surgery should be performed selectively and the many points must be considered. The authors conducted this study to compare the local flap and skin graft by facial location in the reconstruction after resection of facial skin cancer. Methods: The authors performed the study in patients that had received treatment in Department of Plastic Surgery, Gyeongsang National University. The cases were analyzed according to the reconstruction methods for the defects after surgery, sex, age, tumor site, and tumor size. Additionally, the authors compared differences of aesthetic satisfaction (out of 5 points) of patients in the local flap and skin graft by facial location after resection of facial skin cancer by dividing the face into eight areas. Results: A total of 153 cases were confirmed. The most common facial skin cancer was basal cell carcinoma (56.8%, 87 cases), followed by squamous cell carcinoma (37.2%, 57 cases) and bowen's disease (5.8%, 9 cases). The most common reconstruction method was local flap 119 cases (77.7%), followed by skin graft 34 cases (22.3%). 86 patients answered the questionnaire and mean satisfaction of the local flap and skin graft were 4.3 and 3.5 (p=0.04), respectively, indicating that satisfaction of local flap was significantly high. Conclusion: When comparing satisfaction of patients according to results, local flap shows excellent effects in functional and cosmetic aspects would be able to provide excellent results rather than using a skin graft with poor touch and tone compared to the surrounding normal skin.

• 한방안이비인후피부과학회지
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• 제15권2호
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• pp.228-236
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• 2002

Persistent facial telangiectasia, erythema and flushing are the major cosmetic problems in patients with rosacea. However various therapeutic modalities for rosacea are not effective. Five patients who had a history of rosacea which poorly controlled by oral and topical medications, were given Herb-medication and Acupuncture treatment. The size of erythema and the number of papules had been gradually decreased and finally all the symptoms were gone except telangiectasia.

• 대한치과교정학회지
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• 제39권3호
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• pp.168-176
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• 2009

본 연구의 목적은 아동에서 사춘기 성장 동안 기도의 변화가 안면 성장에 미치는 영향을 평가하는 것이었다. 9 - 11세(평균 10.7세)의 교정환자 36명을 대상으로 하여 초진 시(T1)와 치료 종료 시(T2)에 각각 측모두부방사선사진과 수완부 방사선 사진을 촬영하였다. 측모두부방사선사진상의 기도 폭경을 기준으로 하여 대상을 세 그룹으로 나누었다; 폭경이 좁은 그룹(AW-Narrow: 5.2 - 8.6 mm), 중간 그룹(AW-Medium: 8.9 - 11.5 mm), 넓은 그룹(AW-Wide: 11.7 - 16.0 mm). T1과 T2시기에 각 그룹 간의 안면 계측치의 차이를 비교하였으며 T1 - T2 사이의 계측치의 변화량을 각 그룹별로 비교하여 성장을 평가하였다. 각 그룹의 기도 폭경 증가량은 AW-Narrow, AW-Medium, AW-Wide group에서 각각 4.55 mm, 3.84 mm, 1.94 mm였으며 통계적으로 유의한 차이를 보였다. T1시기의 각 그룹 간의 비교에서 AW-Narrow group에서 다른 그룹에 비해 PFH가 유의하게 작은 값을 나타냈다. T1 - T2 사이의 성장 평가에서는 AW-Narrow group에서 다른 그룹에 비해 PFH/AFH, facial axis, ANS (T1 - T2), and Gn (T1 - T2)의 변화가 유의하게 큰 값을 보였다. 이 시기의 안면 성장 기간 동안 기도 폭경이 좁은 그룹에서 기도 폭경 및 안면 성장의 보상성 변화가 일어난 것으로 생각된다. 바람직하지 않은 안면 성장을 예방하기 위한 외과적 기도 처치를 고려할 때 자발적인 개선 가능성을 고려하여 좀 더 신중한 평가가 필요할 것으로 생각된다.