• Title/Summary/Keyword: lower lip

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Gasserian Ganglion and Mandibular Nerve Block for the Patient with Mouth Floor Cancer -A case report- (구상암 환자에서의 갓세르 신경절 및 하악신경 차단 -증례 보고-)

  • Moon, Dong-Eon;Park, Kyu-Ho;Suh, Jae-Hyun;Kim, Sung-Nyeun
    • The Korean Journal of Pain
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    • v.7 no.1
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    • pp.92-95
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    • 1994
  • Most neoplasm of the floor of the mouth are squamous cell carcinoma. They originate from anterior midline floor of the mouth and penetrate into the sublingual gland. Invasion of the mandible is a late manifestation. Lymphatic spread is the submaxillary and subdigastric nodes and advanced lesions of them produce severe pain, The initial step in managing patients with cancer pain is the oncology therapy in the form of radiotherapy, surgery, or chemotherapy, alone or combined. When oncologic therapy is ineffective, the pain must be treated by systemic analgesic, psychologic, neurostimulating, regional analgesic,and meuroablative techniques. We successfully treated with gasserian ganglion block on the left side and mandibular nerve block on the right side with pure alcohol in the patient having severe submandibular, lower lip and tongue pain.

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Actinomycosis and Sialolithiasis in Submandibular Gland

  • Kang, Jin Seok;Choi, Hwan Jun;Tak, Min Sung
    • Archives of Craniofacial Surgery
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    • v.16 no.1
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    • pp.39-42
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    • 2015
  • Actinomycosis is a subacute or chronic suppurative infection caused by Actinomyces species, which are anaerobic Gram-positive bacteria that normally colonize the human mouth and digestive and urogenital tracts. Cervicofacial actinomycosis is the most frequent clinical form of actinomycosis, and is associated with odontogenic infection. Characterized by an abscess and mandibular involvement with or without fistula, but the cervicofacial form of actinomycosis is often misdiagnosed because the presentation is not specific and because it can mimic numerous infectious and non-infectious diseases, including malignant tumors. We report a rare case of actinomycosis infection with coexisting submandibular sialolithiasis. The patient presented with a $1{\times}1cm$ abscess-like lesion below the lower lip. Punch biopsy of the lesion revealed atypical squamous cell proliferation with infiltrative growth, suggestive of squamous cell carcinoma. The patient underwent wide excision of this lesion, where the lesion was found to be an abscess formation with multiple submandibular sialolithiases. The surgical specimen was found to contain Actinomyces without any evidence of a malignant process. We assumed that associated predisposing factors such as poor oral hygiene may have caused a dehydrated condition of the oral cavity, leading to coexistence of actinomycosis and sialolithiasis.

Treatment of primary cutaneous anaplastic large cell lymphoma

  • Baik, Bong Soo;Lee, Wu Seop;Ji, So Young;Park, Ki Sung;Yang, Wan Suk;Kim, Sun Young
    • Archives of Craniofacial Surgery
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    • v.20 no.3
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    • pp.207-211
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    • 2019
  • Primary cutaneous anaplastic large cell lymphoma (C-ALCL) is a rare subtype of primary cutaneous lymphoma with a favorable prognosis. Primary cutaneous CD30+ lymphoproliferative disorders, which include C-ALCL and lymphomatoid papulosis, are the second most common group of cutaneous T-cell lymphomas. C-ALCL is comprised of large cells with anaplastic, pleomorphic, or immunoblastic cytomorphology, and indeed, more than 75% of the tumor cells express the CD30 antigen. C-ALCL clinically presents with solitary or localized reddish-brown nodules or tumors, and sometimes indurated papules, and they may be with ulceration covering with dark eschar. Multifocal lesions are seen in 20% of the patients. Extracutaneous dissemination, which mainly involves the regional lymph nodes, occurs in 10% of patients. A 69-year-old man noticed a mild elevated cutaneous lesion containing central ulceration covering with brownish black necrotic tissue on the right lower lip, and the lesion was surgically removed. After the first operation, another skin lesion was developed and the histological examination confirmed the diagnosis, C-ALCL. Eight specimens were excised during the 7-month follow-up period. The patient started the treatment with low-dose oral methotrexate (15 mg/wk) and there was no recurrence for 11 months.

Effects of Facial Exercise for Facial Muscle Strengthening and Rejuvenation: Systematic Review

  • Lim, Hyoung Won
    • The Journal of Korean Physical Therapy
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    • v.33 no.6
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    • pp.297-303
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    • 2021
  • Purpose: The mass of facial muscles can be increased through exercise, as is also the case for muscles in the extremities. This systematic review was conducted to investigate the effect of facial exercises on facial muscle strengthening and facial rejuvenation, focusing on recent studies. Methods: A literature search was performed using the PubMed, ScienceDirect, and Web of Science databases. The quality of the trials was evaluated according to the PEDro scale. In total, 11 studies were included in this review: four studies on facial exercise for facial rejuvenation and seven studies on strengthening the muscles of the face. Results: Facial exercises for facial rejuvenation increased the mechanical properties and elasticity of the skin of the face and neck, the thickness and cross-sectional area of the facial muscles, and the fullness of the upper and lower cheeks. Conclusion: A study aimed at strengthening facial muscles showed improvements in labial closure strength and tongue elevation strength. Despite the positive results for facial rejuvenation and muscle strengthening, the level of evidence was low. Therefore, in future research, it will be necessary to investigate the effects of facial exercise in a thoroughly controlled experiment with a sufficient sample size to increase the level of evidence.

A Study of the Style Type and Formative Properties of Short Front and Long Back Skirts in the Early Joseon Dynasty (조선 전기 전단후장형 치마의 스타일 유형과 조형적 특성 연구)

  • Yi Ji Hwang;Sohee Kim
    • Journal of the Korean Society of Clothing and Textiles
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    • v.47 no.2
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    • pp.215-231
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    • 2023
  • This study classifies short front long back skirts from the Joseon Dynasty by style type, identifies their formative characteristics based on their external morphological properties and internal composition, and examines their correlation with Korean thought. A literature review and empirical research were conducted for this study. The style of short front long back skirts is classified as inverted "b"-shaped, lower lip, wavy, trapezoid with a raised center hem, or half-circle. As such, this skirt possesses the formative properties of imbalance, variability of shape, intentional three-dimensionality, and confluence. In other words, with an imbalance resulting from the difference in length between the front and back, these skirts are characterized by variability in shape created by intentional three-dimensionality expressed as intentional three-dimensional beauty, the confluence of planes and dimensions, as well as of materials and colors. These properties are correlated with Korean ways of viewing the world. This study contributes to the development of Korean designs.

Perception of discrepancy in the upper midline position in conjunction with the gingival display according to various occupations in Iran

  • Hooman Zarif Najafi;Taraneh Estedlal;Maryam Saki;Maryam Azadi
    • The korean journal of orthodontics
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    • v.53 no.3
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    • pp.163-174
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    • 2023
  • Objective: This study evaluated the influence of various gingival displays on the esthetic perception in the presence of upper dental midline discrepancy. Methods: A smiling image of a male subject was altered digitally to produce five image series: normal smile (series A), decreased tooth show (series B), increased gingival show (series C), maxillary cant (series D), and asymmetric upper lip elevation (series E). In each image series, the midline was deviated to the right and left incrementally. A total of 210 raters (four professional groups and laypersons, n = 42 in each group) determined the midline deviation threshold and the attractiveness of midline position in each series. Results: The right and left thresholds were statistically similar for the symmetrical series (A, B, and C), while for series D, the right threshold was significantly lower. In most rater groups, the mean threshold order was: B > A > E > C > D. In all the series, the raters selected the coincident midline as the most attractive series except for series D, for which 1-2-mm deviations to the left were selected as the most attractive by almost all the groups. Conclusions: It is crucial to establish the coincident midline position in a symmetrical smile, especially when a gummy smile exists. In the asymmetrical gingival show, a coincident midline might not be the most esthetic midline position.

Prevention and treatment of microstomia

  • Sae Hwi Ki;Tae Jun Park
    • Archives of Craniofacial Surgery
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    • v.25 no.3
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    • pp.105-115
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    • 2024
  • The mouth, located in the lower third of the face, is a uniquely visible structure. It serves as a vital organ both aesthetically and functionally, playing a key role in speech, expression, and fundamental oral functions. Consequently, any alterations or defects in its shape, due to various causes, can lead to aesthetic and functional deficiencies. These issues may also result in challenges with social interactions and a decrease in confidence. In cases of microstomia, various surgical approaches are proposed based on the location, extent, shape, and cause of the defect, leading to numerous case reports. Plastic surgeons are proficient in oral reconstruction; however, cases of microstomia are relatively rare, which reduces their familiarity and interest in these cases. Additionally, preferences for oral size and shape vary according to factors such as geographical region and ethnicity, further complicating the functional definition of microstomia. Therefore, both subjective patient and physician judgments play crucial roles in the diagnosis and treatment of microstomia, as these may vary depending on individual and societal aspects. This review aims to classify the various causes and definitions of microstomia, as well as its non-surgical and surgical treatment options, with the goal of the treatment of this condition.

Multimodal audiovisual speech recognition architecture using a three-feature multi-fusion method for noise-robust systems

  • Sanghun Jeon;Jieun Lee;Dohyeon Yeo;Yong-Ju Lee;SeungJun Kim
    • ETRI Journal
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    • v.46 no.1
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    • pp.22-34
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    • 2024
  • Exposure to varied noisy environments impairs the recognition performance of artificial intelligence-based speech recognition technologies. Degraded-performance services can be utilized as limited systems that assure good performance in certain environments, but impair the general quality of speech recognition services. This study introduces an audiovisual speech recognition (AVSR) model robust to various noise settings, mimicking human dialogue recognition elements. The model converts word embeddings and log-Mel spectrograms into feature vectors for audio recognition. A dense spatial-temporal convolutional neural network model extracts features from log-Mel spectrograms, transformed for visual-based recognition. This approach exhibits improved aural and visual recognition capabilities. We assess the signal-to-noise ratio in nine synthesized noise environments, with the proposed model exhibiting lower average error rates. The error rate for the AVSR model using a three-feature multi-fusion method is 1.711%, compared to the general 3.939% rate. This model is applicable in noise-affected environments owing to its enhanced stability and recognition rate.

Study on the Relationship Between 12Meridians Flow and Facial Expressions by Emotion (감정에 따른 얼굴 표정변화와 12경락(經絡) 흐름의 상관성 연구)

  • Park, Yu-Jin;Moon, Ju-Ho;Choi, Su-Jin;Shin, Seon-Mi;Kim, Ki-Tae;Ko, Heung
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.26 no.2
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    • pp.253-258
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    • 2012
  • Facial expression was an important communication methods. In oriental medicine, according to the emotion the face has changed shape and difference occurs in physiology and pathology. To verify such a theory, we studied the correlation between emotional facial expressions and meridian and collateral flow. The facial region divided by meridian, outer brow was Gallbladder meridian, inner brow was Bladder meridian, medial canthus was Bladder meridian, lateral canthus was Gallbladder meridian, upper eyelid was Bladder meridian, lower eyelid was Stomach meridian, central cheeks was Stomach meridian, lateral cheeks was Small intestine meridian, upper and lower lips, lip corner, chin were Small and Large intestine meridian. Meridian and collateral associated with happiness was six. This proves happiness is a high importance on facial expression. Meridian and collateral associated with anger was five. Meridian and Collateral associated with fear and sadness was four. This shows fear and sadness are a low importance on facial expression than different emotion. Based on yang meridian which originally descending flow in the body, the ratio of anterograde and retrograde were happiness 3:4, angry 2:5, sadness 5:3, fear 4:1. Based on face of the meridian flow, the ratio of anterograde and retrograde were happiness 5:2, angry 3:4, sadness 3:5, fear 4:1. We found out that practical meridian and collateral flow change by emotion does not correspond to the expected meridian and collateral flow change by emotion.

Oral and Pharyngeal Cancer Among the Arab Population in israel from 1970 to 2006

  • Zini, Avraham;Nasser, Nasser;Vered, Yuval
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.2
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    • pp.585-589
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    • 2012
  • Background: Israeli Arabs are considered as a developing society characterized by poverty and high levels of smoking among men. The purpose of this study was to describe their incidence, mortality and survival rates for oral and pharyngeal cancer between the years 1970-2006. Studies such as this in the Arab world, where the population is almost the same as the Arab population in Israel, are rare. Methods: The incidence and survival data were derived from all relevant registered data at the National Cancer Registry. The group of lesions included cancer of the lips, tongue, buccal mucosa, floor of the mouth, salivary glands, gums, palate and pharynx. Morphological description was according to WHO classification. Results: Most diagnosed patients were male. The mean age was 54.4 years, and mean years of survival were 3.83. The oropharynx was the most common site (28.3%) while the palate was the least frequent (3.12%). Squamous cell carcinoma (SCC) was the most common histological feature (66.3%), while basal cell carcinoma (BCC) was the least (3.9%). The overall 5 years survival rate was 59.4%, this being highest for BCC (82.1%), while SCC was significantly lower (56.2%) (p<0.001). Lip cancers survived better than other sites. Conclusions: Data from this society are similar to other developing societies in the majority of the results. The incidence of oral and pharyngeal cancer is lower among the Arab population, in comparison to the Jewish population in Israel.