• The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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• v.14 no.2
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• pp.198-206
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• 2001

Recurrent Bell's palsy is a very rare case and have been reported that shows the incidence to be approximately 10 per cent in the Bell's palsy patents. It is generally accepted that facial paralysis caused by compression of the facial nerve by tumor develops slowly and has an unremitting course, however, reported cases have described the rare association of recurrent facial paralysis and intracranial tumor, and the same recovery rate. Usual symptoms of Bell's palsy include subacute facial palsy, hyperacusis on the affected side, postauricular pain on the affected side, altered sensation of taste, and partial trigeminal distribution hypesthesias. Complete resolution of symptoms is usually seen in 2-3months in $75-85\%$ of cases, with $25-35\%$ showing varying degrees of residual effects. We report a case of 4th ipsilateral recurrent Bell's palsy in a 14-year-old women, which was occurred in every winters. We treated her with acupuncture, moxibustion, herbal medication, carbon and silver spike point, and used House-Brackmnn grading system(HBGS) and the Fisch Detailed Evaluation of Facial Symmetry(DEFS) to assess the degree of paralysis in each part of face.

• Journal of Acupuncture Research
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• v.36 no.4
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• pp.197-203
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• 2019

The purpose of this study was to investigate useful manual therapy techniques for peripheral facial nerve palsy and to propose guidelines to be applied for current manual therapy techniques. Several databases were searched to find manual therapies for facial palsy. These therapies included cervical, and temporomandibular joint chuna manual therapy, proprioceptive neuromuscular facilitation, neuromuscular re-education, facial exercise, and mime therapy. Both cervical, and temporomandibular joint chuna manual therapy release nerve compression, helping blood circulation and nerve conduction. Proprioceptive neuromuscular facilitation uses irradiation, bilateral activation, and eccentric facilitation to improve muscle power and symmetry. Neuromuscular re-education, as a retraining tool for facial movement patterns, enhances neuromuscular feedback. Facial exercise helps the patient continuously move and massage facial muscle themselves. Mime therapy aims to develop a conscious connection between the use of certain muscles and facial expressions. The use of facial chuna manual therapy for peripheral facial nerve palsy can stimulate the proprioceptive neuromuscular receptors in the face. Peripheral facial nerve palsy has 4 phases; progress phase, plateau phase, recovery phase, and sequelae phase. Each phase needs different treatments which include relaxation, assistance, resistance, origin-insertion extension, and nerve pathway expansion.

• Structural Engineering and Mechanics
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• v.68 no.6
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• pp.721-733
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• 2018

The modal frequency responses of functionally graded (FG) sandwich doubly curved shell panels are investigated using a higher-order finite element formulation. The system of equations of the panel structure derived using Hamilton's principle for the evaluation of natural frequencies. The present shell panel model is discretised using the isoparametric Lagrangian element (nine nodes and nine degrees of freedom per node). An in-house MATLAB code is prepared using higher-order kinematics in association with the finite element scheme for the calculation of modal values. The stability of the opted numerical vibration frequency solutions for the various shell geometries i.e., single and doubly curved FG sandwich structure are proven via the convergence test. Further, close conformance of the finite element frequency solutions for the FG sandwich structures is found when compared with the published theoretical predictions (numerical, analytical and 3D elasticity solutions). Subsequently, appropriate numerical examples are solved pertaining to various design factors (curvature ratio, core-face thickness ratio, aspect ratio, support conditions, power-law index and sandwich symmetry type) those have the significant influence on the free vibration modal data of the FG sandwich curved structure.

• Geomechanics and Engineering
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• v.14 no.5
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• pp.479-489
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• 2018

In this paper, a comparative study of the effects of soil modelling on the interaction between tunnelling in soft soil and adjacent piled structure is presented. Several three-dimensional finite element analyses are performed to study the deformation of pile caps and piles as well as tunnel internal forces during the construction of an underground tunnel. The soil is modelled by two material models: the simple, yet approximate Mohr Coulomb (MC) yield criterion; and the complex, but reasonable hardening soil (HS) model with hyperbolic relation between stress and strain. For the former model, two different values of the soil stiffness modulus ($E_{50}$ or $E_{ur}$) as well as two profiles of stiffness variation with depth (constant and linearly increasing) were used in attempts to improve its prediction. As these four attempts did not succeed, a hybrid representation in which the hardening soil is used for soil located at the highly-strained zones while the Mohr Coulomb model is utilized elsewhere was investigated. This hybrid representation, which is a compromise between rigorous and simple solutions yielded results that compare well with those of the hardening soil model. The compared results include pile cap movements, pile deformation, and tunnel internal forces. Problem symmetry is utilized and, therefore, one symmetric half of the soil medium, the tunnel boring machine, the face pressure, the final tunnel lining, the pile caps, and the piles are modelled in several construction phases.

• Proceedings of the Korean Vacuum Society Conference
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• 2010.02a
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• pp.367-367
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• 2010

The adsorption configurations of S-proline on Ge(100) were studied using scanning tunneling microscopy (STM), density functional theory (DFT) calculations, and high-resolution core-level photoemission spectroscopy (HRCLPES). We identified three adsorption structures of S-proline on Ge(100) through analysis of the STM images, DFT calculations, and HRCLPES results: (i) an 'intrarow O - H dissociated and N dative bonded structure', (ii) an 'O - H dissociation structure', and (iii) an 'N dative bonded structure'. Moreover, because adsorption through the N atom of S-proline produces a new chiral center due to symmetry reduction by N dative bonding, the adsorption configurations have either (R,S) or (S,S) chirality, yielding an (R,S)-'intrarow O - H dissociated and N dative bonded structure' and an (R,S)-'N dative bonded structure', with a preference for reaction at the Re face. This work presents a novel method for generating stereoselective attachment using S-proline molecules adsorbed onto a Ge(100) surface.

• Archives of Plastic Surgery
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• v.38 no.6
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• pp.851-860
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• 2011

Purpose: Reduction by simply assembling bones is recognized as treatment for a zygoma fracture. However, in patients who originally had a protruding zygoma, the fractured parts look like malarplasty after the edema subsides, giving a soft impression which patients notice. Thus, we created symmetry through simultaneous contralateral malar reduction in a unilateral zygoma fracture. Methods: In this study, the patients who had surgery between July, 2008 and December, 2009 with admission were object. In 76 patients with a zygoma fracture, the patients with bilateral zygoma fractures were excluded. Among 48 patients who had a reduction only after a unilateral zygoma fracture, the patients hoping for a reduction of their rough protruding zygoma were analyzed with front cephalometry. The study progressed on 22 patients who had simultaneous contralateral malar reduction in a unilateral zygoma fracture with consent. After fixing the fracture, we did a straight zygoma osteotomy through a 1.5 cm intraoral incision. After that, we created symmetry with a special ruler and fixed the broken zygomatic arch with a screw and plate. We evaluated the facial index and satisfaction with a statistical analysis before and after the surgery. Results: In 22 patients, there was no reoperation except for 1 patient who had a zygoma fracture. None of the patients were treated for infection or hematoma. Two patients complained of paresthesia after the malar reduction operation, but this subsided in 4 months. Most of them were satisfied with the malar reduction, especially the women, and we obtained a better mid facial contour with decreased facial width ($p$ <0.05). Conclusion: Existing zygoma fracture surgery focuses on anatomical reduction. However, we need to have a cosmetic viewpoint in fractures as interests of face contour arise. Thus, contralateral malar reduction got a 4.7 (range 0~5) from patients who had malar reduction surgery in our hospital. Although adjusting to all zygoma fractures has limitations, it can be a new method in zygoma fractures when there are limited indications of protruding zygoma and careful attention is given to patients' high demands.

• Journal of the korean academy of Pediatric Dentistry
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• v.23 no.3
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• pp.688-696
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• 1996

Garre's osteomyelitis is a unique form of osteomyelitis characterized rediographically by localized thickening of the periosteum and deposition of laminated subperiosteal bone. The most common inciting factor is a mandibular infection in permanent first molar with necrotic pulp. This disease occurs primarily in children and to date in all instances it has occured only in mandible. It usually results in hard swelling over the jaws, producing facial asymmetry with little or no pain. The overlying skin is normal but can occasionally be inflammed mostly when pain is present. Palpation reveals a usually smooth, bone-hard lesion which feel like an inherent part of the mandible. Unlike other forms of osteomyelitis, there is no marked increase in fever, white bloods cell count, sedimentation rate or alkaline phosphatase value. The treatment of Garre's osteomyelitis usually consist of elimination of the sourses of infection, i.e., either extration of an offending infected teeth or root canal therapy. This treatment almost always results in resolution of the Garre's osteomyelitis. Resistant cases have involved secondary surgery, i.e., decortication and sequestrectomy. This report presents three cases of Garre's osteomyelitis resolved by endodontic treatment. Cliniqtl examination revealed swelling on the face with no tenderness. Periapical radiograph showed deep caries lesion extending into pulp chamber and periapical radiolucency. Occlusal radiograph showed an enlargement of bone and stretching the periosteum. A clinical diagnosis of the Garre's osteomyelitis was made. Endodontic treatment was accomplished with conventional method and restored facial symmetry. Long-term check-ups are necessary to evaluate the results of endodontic treatment.

• The Journal of Korean Physical Therapy
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• v.21 no.2
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• pp.65-70
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• 2009

Purpose: The pathophysiology of congenital muscular torticollis (CMT) is that the sternoclavicularmastoid (SCM) is shortened on the involved side by fibrosis, leading to an ipsilateral tilt and contralateral rotation of the face and chin. The aim of this study was to examine the effect of physical therapy and develop a mass diameter prediction model for infants with CMT. Methods: Fifty six patients were diagnosed with CMT between April 2003 and December 2008. Infants with neurological complications, and spasmodic and ocular torticollis were excluded. Physical therapy was applied to those masses in the SCM muscles of those infants after checking their physical findings and the diameter of the mass with ultrasonography. Their physical findings and mass diameter was reevaluated when their neck tilt was under $5^{\circ}$. Results: The mean age when physical therapy was started was 35 days. After a mean 90 days of treatment, the subjects showed improvement in the neck tilt. Subjects whose neck tilted above $15^{\circ}$ showed significant improvement in neck tilt decreased their mass diameter (p<0.01). Facial symmetric infants showed a shorter recovery duration than the facial asymmetric infants (p<0.05). A mass decreasing model based on the diameter of the mass, facial symmetry or not and the physical therapy start day after birth was developed by linear regression. Conclusion: Physical therapy is an effective treatment for CMT. The change in the diameter of the mass on the SCM muscles after treatment can be predicted.

• Journal of the Korean Society of Clothing and Textiles
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• v.12 no.3 s.28
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• pp.277-284
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• 1988

The purpose of study was to measure to body Surface area and the rational rate of Korean adult's women. The subjects are 20 years old to 49 years old women (Their bust width ranges from 74.5 to 101.5 cm, the height from 144.6 to 163.3 cm, the weight from 44.2 to 74.0 kg, Rohrer Index from 1. 02 to 1. 89). As the experimental method, both the gypsum method, by which the shape of body can be copied as it is, and weighing method, from which planed body surface area can be measured with consistant thickness of polypropylene film used. The results were obtained as follows. 1. After dividing the Korean adult's women into four groups (single and married women in their twenties, those in their thirties, those in their fourties). The change of body surface area was reviewed in accordance with age groups. No great difference among age group was showed in whole body surface area. 2. average value of body surface area is 1, 514m^2 and the part of trunk shows the biggest difference to the age groups. 3. After dividing the middle of body into two groups, the relation of symmetry of each parts is reviewed with difference in body surface area. The results shows that the part of head & neck and lower limbs are symmetrical. The part of trunk and upper limbs are unsymmetrical. 4. Regional rates of each part of whole body surface area are follows. head $4.98\%$, each-lobes $0.46\%$, neck $2.01\%$, face$2.48\%$, upper trunk $19.64\%$, lower trunk $13.91\%$, upper armpits $1.76\%$, lower armpits $12.52\%$, hands $4.64\%$, thighs $18.89\%$, lower legs$13.10\%$, feet $6.01\%$.

• Archives of Craniofacial Surgery
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• v.12 no.2
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• pp.125-128
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• 2011

Purpose: Asymmetric crying facies is caused by agenesis or hypoplasia of the depressor anguli oris muscle and is often associated various anomalies. Several static and dynamic surgical interventions have been reported, but their effects are unreliable. We report on the successful use of botulinum toxin A in an asymmetric crying facies patient. Methods: A 4-year-old girl presented with a facial asymmetry on crying or smiling. Physical examination revealed that her face had no asymmetry at rest. However, the patient showed characteristic asymmetry when smiling, crying, and with other normal facial movements. Asymmetric crying facies was clinically suspected and the weakness of left depressor anguli oris was present on electrophysiology study. Fifteen units of botulinum toxin type A were injected to the right depressor anguli oris muscle. Results: The patient showed the prominent improvement in the facial symmetry without significant complication and the effect persisted until 3 months post injection. Conclusion: Asymmetric crying facies was treated successfully with botulinum toxin A and this method was easy and noninvasive.