• 제목/요약/키워드: setback

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하악골 전돌증 수술 후 하악골 이동량에 따른 발음 양상에 관한 비교 연구 (COMPARISON OF SPEECH PATTERNS ACCORDING TO THE DEGREE OF SURGICAL SETBACK IN MANDIBULAR PROGNATHIC PATIENTS)

  • 신기영;이동근;오승환;성헌모;이숙향
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제23권1호
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    • pp.48-58
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    • 2001
  • After performing mandibular setback surgery, we found some changes in patterns and organs of speech. This investigation was undertaken to investigate the aspect and degree of speech patterns according to the amount of surgical setback in mandibular prognathic patients. Thirteen patients with skeletal Class III malocclusion were studied preoperative and postoperative over 6 months. They had undergone the mandible setback operation via bilateral sagittal split ramus osteotomy(BSSRO). We split the patients into two groups. Group 1 included patients whose degree of mandibular setback was 6mm or less, and Group 2 above 6mm. Control group was two adults wish normal speech patterns. A phonetician performed narrow phonetic transcriptions of tape-recorded words and sentences produced by each of the patients and the acoustic characteristics of the plosives, fricatives, and flaps were analyzed with a phonetic computer program (Computerized Speech Lab(CSL) Model 4300B(USA)). The results are as follows: 1. Generally, Patients showed longer closure duration of plosives, shorter VOT(voice onset time) and higher ratio of closure duration against VOT. 2. Patients showed more frequent diffuse distribution than the control group in frication noise energy of fricatives. 3. In fricatives, frequency of compact from were higher in group 1 than in group 2. 4. Generally, a short duration of closure for /ㄹ/ was not realized in the patient's flaps. Instead, it was realized as fricatives, sonorant with a vowel-like formant structure, or trill type consonant. 5. Abnormality of the patient's articulation was reduced, but adaptation of their articulation after surgery was not perfect and the degree of adaptation was different according to the degree of surgical setback.

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후진 이부성형술의 경조직과 연조직 측모 변화 예측에 관한 연구 (A Study on the Prediction of Hard and Soft Tissue Changes after Setback Genioplasty)

  • 양정은;김일규;조현영;주상현;편영훈;정범상;배상필;조현우
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제34권6호
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    • pp.413-420
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    • 2012
  • Purpose: The purpose of this setback genioplasty study is to develop a prediction method for the calculated osteotomy angle using horizontal and vertical changes as well as to evaluate the proportion of hard and soft tissue changes. Methods: Twelve patients who had received setback genioplasty with other maxillofacial surgery were examined. Three lateral cephalograms were taken just before surgery, immediately after surgery, and 3 months later surgery. A reference line was established to the reference point of the inner most point of the lingual symphysis cortex, incisor tip, and 2nd molar cusp tip. Measuring was conducted from pogonion (Pg), menton (Me), labrale inferius (Li), Mentolabial fold, soft tissue pogonion (Pg'), and soft tissue menton (Me') to the reference lines. Results: In setback genioplasty, the skeletal Pg moved posteriorly 5.07 mm. The ratios of soft tissue to hard tissue movement were 36% posteriorly and 62% inferiorly at Pg', 67% posteriorly and 104% inferiorly at Me', and 34% anteriorly and 164% posteriorly at Li. In reduction & setback genioplasty, skeletal Pg moved posteriorly 4.63 mm and skeletal Me moved superiorly 3.63 mm. The ratios of soft tissue to hard tissue movement were 76% posteriorly and 18% superiorly at Pg', 68% posteriorly and 42% superiorly at Me', and 44% anteriorly, 124% posteriorly at Li. The calculated mean slope angle, based on ${\Delta}H/{\Delta}V$ ratio, was 61.25 and the measured mean slope angle was 60.17. Thus, the calculated and measured slope angles have a similarity. Conclusion: In setback genioplasty, soft tissue moves posteriorly and inferiorly. In particular, at the Me' and Pg', the inferior movement of the soft tissue is greater than the posterior movement. Also, the predictable results (measured slope angle) after operation can be achieved by the calculated slope angle. Thus, the relationship of soft and hard tissue changes must be considered as the results are predictable.

Effects of bodily retraction of mandibular incisors versus mandibular setback surgery on pharyngeal airway space: A comparative study

  • Keum, Byeong-Tak;Choi, Sung-Hwan;Choi, Yoon Jeong;Baik, Hyoung-Seon;Lee, Kee-Joon
    • 대한치과교정학회지
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    • 제47권6호
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    • pp.344-352
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    • 2017
  • Objective: The purpose of this study was to compare the changes induced in the pharyngeal airway space by orthodontic treatment with bodily retraction of the mandibular incisors and mandibular setback surgery without extraction. Methods: This retrospective study included 63 adult patients (32 men and 31 women). Thirty-three patients who had been treated via four-bicuspid extraction and bodily retraction of the mandibular incisors (incisor retraction, IR group) were compared with 30 patients who had been treated via mandibular setback surgery (MS group) without extraction. Lateral cephalograms were acquired and analyzed before (T1) and after treatment (T2). Results: The superior pharyngeal airway space did not change significantly in either group during treatment. The middle pharyngeal airway space decreased by $1.15{\pm}1.17mm$ and $1.25{\pm}1.35mm$ after treatment in the IR and MS groups, respectively, and the decrease was comparable between the two groups. In the MS group, the inferior pharyngeal airway space (E-IPW) decreased by $0.88{\pm}1.67mm$ after treatment (p < 0.01). The E-IPW was larger in the MS group than in IR group at T1, but it did not differ significantly between the two groups at T2. No significant correlation was observed between changes in the pharyngeal airway space and the skeletal and dental variables in each group. Conclusions: The middle pharyngeal airway space decreased because of the posterior displacement of the mandibular incisors and/or the mandibular body. The E-IPW decreased only in the MS group because of the posterior displacement of only the mandibular body.

Investigating the effect of age on skeletal stability after sagittal split ramus osteotomy for mandibular setback

  • Lee, Chung-O;Hwang, Hee-Don;Choi, Jin-Wook;Kim, Jin-Wook;Lee, Sang-Han;Kwon, Tae-Geon
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제38권6호
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    • pp.354-359
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    • 2012
  • Objectives: The purpose of this study was to investigate whether the age factor would be related with stability of mandibular setback surgery for patients with mandibular prognathism. Materials and Methods: We compared the relapse patterns of 47 patients divided into three age groups (termed younger, adult, and older). The younger group consisted of patients between 15 and 17 years old; the adult group was made up of patients between 21 and 23 years old, and the older group was made up of patients more than 40 years old. The positional change of B point was evaluated at preoperative, postoperative, and follow-up states. Results: The horizontal relapse ratio was 21.7% in the younger group, 15.3% in the adult group, and 15.7% in the older group. Although relatively higher degrees of relapse were found in the younger group, this increase was not statistically significant. Spearman's correlation analysis was performed to explore other factors contributing to relapse. We subsequently found that the amount of relapse was related to horizontal setback. Conclusion: Although the degree of relapse in younger patients is not significant;y higher compared to other groups. The major contributing factor to relapse after sagittal split ramus osteotomy is amount of setback rather than age when the surgery was performed to patients over than 15 years of age.

악교정술전후의 설위 및 설골의 위치변화와 회귀현상에 대한 연구 (A STUDY OF RELAPSE AND POSITION OF HYOID BONE FOLLOWING ORTHOGNATHIC SURGERY)

  • 이상한
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제13권4호
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    • pp.476-490
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    • 1991
  • Although various technical details of the surgical procedures have been improved, Skeletal relapse is the most noteworthy complication of orthognathic surgery. It seems to be an imbalance of the perioral muscular groups resulting from changes in the cavitas oris propria after surgery. Among other factors, it is widely known with the changes of tongue posture, as indicated by the hyoid position. Ten patients that had undergone mandibular setbacks by way of Modified Obwegeser method were evaluated retrospectively. The serial cephalometric films were taken preoperatively, immediately postoperatively, after removal of IMF, and at a subsequent long-term follow-up period. The cephalometric evaluation of tongue posture were based on stable craniofacial landmarks. The relation between the 2-dimensional changes of tongue posture and hyoid position and the relapse of mandibular setback are discussed. Anatomic changes that were found to accompany such setback are as follows. 1.There are 2 cases of relapse in 10 patients at long-term follow-up(20%) 2.The tongue was moved posteriorly and its size was reduced anteriorly and posteriorly at immediate postoperative change and then the mandible shifted slightly toward the preoperative position, but the long was adapted to its new environment due to changing the position of its posterior part, and also the hyoid that moved posterioly and inferiorly was stabilized sightly posteriorly than its original position. 3.On the distance change of the suprahyoid muscle, the distance of P-H, ST-H was increased at immediate postoperative change(p<0.01) and decreased at IMF period(p<0.001), but the distance of H-Me, H-Ge was slightly decreased at IMF and long-term period(p<0.05). 4.On the width change of the pharyngeal air way, the width of the upper part of the pharyngeal space was lightly contracted at IMF and long-term period(p<0.05). 5.On the relation between mandibular setback and tongue posture and hyoid position, the significant correlation was found between the changes of some parts of mandibular setback and those of tongue posture, and not found those of hyoid position.

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도로인접성에 따른 육상 풍력자원 잠재량 평가 (Evaluation of Onshore Wind Resource Potential According to the Road Proximity)

  • 김현구;황효정;강용혁;윤창열
    • 신재생에너지
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    • 제9권4호
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    • pp.13-18
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    • 2013
  • Wind turbines should generally be installed at a certain distance from a road to ensure passengers' safety. In Korea, there is no clear guidance as the Ministry of Environment first proposed a road setback distance of 400 m in the Onshore Wind Farm Siting Guidelines draft proposed in July 2012, and then modified it to 1.5 times the height of the wind turbine in October of the same year. This study analyzed the dynamic range of onshore wind resource potential according to how the road setback distance is set using the Korea Wind Atlas with 100m spatial resolution made by the Korea Institute of Energy Research, the transportation network of the Ministry of Construction and Transportation, and the forest road network of the Korea Forestry Service. Owing to the geographical characteristics of Korea, where mountainous terrain accounts for 70% of the total territory, the wind resource potential within 1 km from forest roads are estimated to be 14.3 GW, 14% of Korea's total wind resource potential. In addition, the construction distance of new road for transporting wind turbines from the existing road to a wind farm site is estimated as less than 2 km. Given the limited wind resource potential and geographical constraints, an assessment system that can maximize wind resource utilization and ensure road safety at the same time, and which takes into account the regional characteristics instead of applying the fixed road setback distance across-the-road, is required.

방사선 조사된 검은후추가루의 Amylograph Characteristics의 변화에 따른 검지 가능성 (Detection Capability by Change of Amylograph Characteristics of Irradiated Black Pepper)

  • 이상덕;오만진;양재승
    • 한국식품과학회지
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    • 제33권2호
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    • pp.195-199
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    • 2001
  • Amylograph를 이용하여 방사선 조사된 검은후추가루의 amylograph characteristics의 변화를 검사하고, 변화된 amylograph characteristics에 의해서 검은후추가루의 검지가 가능한지를 알아보기 위하여 본 실험은 수행되었다. Initial pasting temperatures, maximum viscosity temperatures는 조사선량의 증가에 따른 유의적인 변화가 관찰되지 않았다. Maximum viscosity(P), $93^{\circ}C$ viscosity, $93^{\circ}C$에서 15분 후의 viscosity(H), $45^{\circ}C$ viscosity(C), $45^{\circ}C$에서 30분 후의 viscosity, $45^{\circ}C$에서 60분 후의 viscosity는 조사선량이 증가할수록 감소하는 경향을 보여주었으며, p<0.05의 수준에서 통계적인 유의성이 관찰되었다. 그러나 breakdown(P-H), setback(C-P), 그리고 consistency(C-H)는 조사선량의 증가에 따른 명확한 차이가 관찰되지 않았다. breakdown(P-H)이 0.75, setback(C-P)이 0.88, consistency(C-H)가 0.31의 $R^2$ 값을 보인 것을 제외하고는 모든 amylograph characteristics 의 $R^2$ 값은 0.97 이상의 높은 상관성을 보여 주었다. 따라서 amylograph characteristics에 의해서 검은후추가루의 방사선 조사여부 확인이 가능하였다.

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분무수세 건조한 무세미와 부산물 쇄립의 쌀가루 특성 (Properties-of Rice Flours Prepared from Milled and Broken Rice Produced by Pre-washing Process)

  • 최소연;이상효;이영택
    • 한국식품영양과학회지
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    • 제34권7호
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    • pp.1098-1102
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    • 2005
  • 일반 백미를 분무수세한 후 건조하여 제조한 무세미와 부산물로 생성된 무세미 쇄립의 이화학적 특성 및 오염미생물을 분석하였다. 무세미 쌀가루는 명도와 황색도가 원료쌀에 비해 다소 낮았고 수분흡수지 수(WAI)와 수분용해지수(WSI)는 원료쌀에 비해 높게 나타났으며 무세미 쇄립에서 gel consistency가 다소 높게 나타났다. 무세미 쌀가루는 amylo-graph 최고점도와 breakdown이 높았으며 setback은 가장 낮은 반면에 무세미 쇄립은 최고점도와 breakdown이 낮았으며 setback이 높은 것으로 나타났다. 무세미의 DSC 측정결과 호화개시온도와 호화최고온도가 원료쌀에 비해 약간 감소하는 경향이었으며 호화엔탈피는 다소 높게 나타났다. 무세미는 원료쌀에 비해 total bacteria, yeast-like strain의 수가 감소하여 쌀 표면 미생물의 세척 효과에 따른 미생물의 오염정도가 낮았다.

벼 재조합자식계통의 초기급속등숙 속도에 따른 아밀로그램 특성변이 (Characteristics Variation of Amylogram Properties by the Rapidity of Grain Filling in Rice Recombinant Inbred Line's Populations)

  • 곽태순
    • 한국육종학회지
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    • 제40권3호
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    • pp.291-294
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    • 2008
  • 밀양 23호와 기호벼의 재조합 자식 164계통에 대하여 Rapid Visco Analyzer(RVA)방법으로 분석한 아밀로그램특성을 출수 후 15일째의 이삭무게를 출수 후 40일째의 이삭무게 비율로 계산한 초기급속등숙속도(rapidity of grain filling:RGF)품종군별로 호화온도, 최고점도, 최저점도, 최종점도, 강하점도, 응집점도 및 취반점도를 해석하였고 품종군별 아밀로그램특성간 상관관계를 분석하였다. 사용한 164 M/G RILs를 RGF에 따라서 완만등숙형(40%이하의 RGF), 준완만등숙형(41- 60% RGF), 준급속등숙형(61-80%RGF), 그리고 급속등숙형(81%이상 RGF)으로 구분되었으며 최고점도, 최저점도 및 취반점도는 RGF품종군별 일정한 경향을 보였다. 초기급속등숙속도를 기준으로 분류한 모든 품종군에서 강하점도와 취반점도는 고도의 부의 상관을 보였고 응집점도와 취반점도는 고도의 정의 상관을 보였다.

하악전돌증의 술후 동태에 관한 두부계측학적 분석 (CEPHALOMETRIC ANALYSIS OF POSTSURGICAL BEHAVIOR OF MANDIBULAR PROGNATHISM)

  • 김종렬;김태규;정인교;양동규;박수병;손우성;이병태
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제15권2호
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    • pp.123-128
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    • 1993
  • For the purpose of studying postsurgical stability of mandibular prognathism, 18 patients(8 men and 10 women) were selected who underwent sagittal split ramus osteotomy and lateral cephalograms taken preoperatively, immediate postoperatively, and over 6-month follow-up were traced and analysed. The following results were obtained. 1. Average magnitude of setback vas 11.0mm, and aberage relapse was 3.0mm, so the rate of relapse was 27%. 2. Magnitude of mandibular setback contributed to relapse. 3. The patients of less than 10mm setback showed average 10% of relapse rate, and it was of little clinical significance. 4. Proper detachment of pterygomasseteric sling prevention of clockwise rotation of proximal segment and rigid fixation are recommended for the better postoperative stability.

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