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Situs Inversus Abdominis Associated with Duodenal Atresia - A Case Report- (십이지장 무공증을 동반한 복부 내장 전위증 - 1예 보고-)

  • Park, Jin-Young;Choe, Byung-Ho;Chang, Soo-Il
    • Advances in pediatric surgery
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    • v.15 no.1
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    • pp.52-57
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    • 2009
  • Situs inversus abdominis is a rare congenital condition commonly associated with serious cardiac and splenic malformations. The importance of recognizing the presence of situs inversus abdominis preoperatively is emphasized by the fact that the surgical incision is placed on the incorrect side of the abdomen. A 6 day-old girl was referred to our hospital because of bile stained vomiting. A plain radiography of abdomen and chest showed the heart to be normal position and a reversed "double-bubble" picture with no other gas shadow in the rest of the abdomen. Abdominal computed tomography scan revealed situs inversus with the stomach and polysplenia on the right side and the liver on the left side. A laparotomy confirmed the diagnosis of situs inversus with duodenal atresia. The obstruction was bypassed by constructing a side-to-side duodenoduodenostomy. The postoperative course was uneventful.

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Effects of Mandibular Midline Shift and Difference of Mandibular Height on the Masticatory Muscle Activity (하악 정중선의 편위와 하악골의 높이차가 저작근 활성에 미치는 영향)

  • Jung, Dae-Yeon;Han, Kyung-Soo;Hyun, Tae-Yeon;Kwag, Dong-Kon
    • Journal of Oral Medicine and Pain
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    • v.26 no.1
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    • pp.75-85
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    • 2001
  • This study was performed to investigate the effect of mandibular midline shift and difference of mandibular height between both sides on the electromyo- graphic(EMG) activity of the masticatory muscles on clenching or gum chewing movement. For this study, 105 patients with temporomandibular disorders(TMD) were selected and panoramic radiograph were taken. Amount and side of the midline shift and height of the mandible from antegonial notch to the top of the condylar head were measured on panoramic view. $BioEMG^{(R)}$ (Bioresearch Inc., Milwaukee, USA) was used for recording of EMG activity(${\mu}V$) of the anterior temporalis and the superficial masseter on clenching or gum chewing movement. EMG activity on clenching during 533msec period were measured for activity of the starting point and the one second-after activity as the early EMG and the maximum EMG, respectively. EMG activity on gum chewing movement were measured for activity of the first and the second chewing stroke. The data collected were analysed by SPSS windows program, and the results of this study were as follows : 1. Height of the mandible was 8.06cm on right side and 8.03cm on left side, and showed no difference by age, but significantly differed by sex with higher in male subjects. 2. Mean value of the midline shift was 0.1mm with range of 0~5mm on both sides. The amount and side of the midline shift did not related with height difference of the mandible and/or the EMG activity of the masticatory muscles on clenching. 3. Prevalence of higher right side and higher left side of the mandible were almost same, and the EMG activity of higher side was not higher than that of the other side. 4. In the subjects with height difference of more than 5mm between both sides of the mandible, the early EMG activity on clenching were differed for the anterior temporalis, but the maximum activity were differed for the superficial masseter. 5. In the subjects with height difference of more than 5mm between both sides of the mandible, EMG activity of the anterior temporalis of the gum chewing side was not higher than that of the other side when chewing on the side of lower height, but in the subjects with height difference of less than 5mm, the EMG activity was higher than that of the other side.

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A Study on Left and Right Shape and Deformation of Feet of Korean Adults (한국 성인 발 형태의 좌우 및 변형 연구)

  • Im, Hyeon-Gyun;Park, Su-Chan;Choe, Gyeong-Ju;Kim, Jin-Ho;Park, Se-Jin
    • Journal of the Ergonomics Society of Korea
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    • v.20 no.1
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    • pp.73-86
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    • 2001
  • An analysis of anthropometric data of feet of Korean adults was made in this study. Anthropometric data were measured with the direct measurement method and indirect measurement method. Martin scales and a tapeline were used for direct measurement. Digital images taken with a digital camera as an indirect measurement method were analyzed using AutoCAD program. Total 114 adults aged from 20's to 40's participated in this study. Especially right and left feet were measured. Right and left side were compared and differences according to age were compared too. Feet shape, arch height, and deformation of toe were analyzed. The comparison between right and left foot showed that many subjects had different anthropometric data in their feet. Feet deformation including arch height and claw toe shape showed very serious status. Close and continuous attention to feet deformation is strongly needed.

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악하선배세관의 타석증치검례

  • Kim, Gyu-Sik
    • The Journal of the Korean dental association
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    • v.4 no.1
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    • pp.27-30
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    • 1963
  • The author have had a case of salivary stone in the anterior half of Wharton's duct in the left side. 1)The patient was 32-year=old Korean male .2)There was a history of severe pain at mealtime, pus discharging and marked swelling of the left submandibular region.3) The patient was sebmandibular region. 3)The paient was sedated with 100mg .of Seconal and anesthetized with 2% Xylocaine Hydrochloride. The surgical procedure was performed in the usual manner. 4)THhe stone was ellowish-white, single wheat-shaped and 9mm. by 3mm. in size.

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치근서절제술에 의한 거대한 치근낭종수술예

  • Im, Teck-Jai;Kim, Won-Bae
    • The Journal of the Korean dental association
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    • v.12 no.10
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    • pp.747-751
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    • 1974
  • The authors had a case of large periodontal cyst treated by Apicoectomies in 32 year old, Korean female. 1. A large periodontal cyst revealed big size in Maxilla, left side. 2. The authors have treated the periodontal cyst by means of the apicoectomies of the involved left lateral incisor, canine, 1st premolar and 2nd premolar teeth, maxilla. 3. Radiographic examination revealed a large radiolucent lesion 2.7 3.7cm in diameter, in the midline area, with involvement of the lateral incisor, canine, 1st premolar and 2nd premolar teeth, maxilla.

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Bronchogenic cyst combined with pericardial diverticulum: a case report (심막 계실을 동반한 기관지성 낭종 1례 보)

  • 황윤호
    • Journal of Chest Surgery
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    • v.17 no.2
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    • pp.321-325
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    • 1984
  • Bronchogenic cyst and pericardial diverticulum are relatively infrequent respectively, but they have been detected more commonly with the increasing popularity of the routine and mass survey examination of the chest. A 31 year-old male was admitted for the evaluation of productive cough and two mass lesions in left side on the chest films and bronchogram. Exploratory thoractomy revealed pericardial diverticulum and bronchogenic cyst, which were confirmed by pathologic examination. We are willing to report this combined case which was treated uneventfully by left lower lobectomy and diverticulectomy.

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A CONFUTER ANALYSIS ON THE ARTICULAR EMINENCE AND THE CONDYLAR PATH OF THE EDENTULUS PATIENT IN MANDIBULAR PROTRUSIVE MOVEMENT (무치악자의 하악전방운동시 관절융기와 과두운동로에 관한 컴퓨터 분석)

  • Lee Yeoun-Soo;Park Nam-Soo;Choi Dae-Gyun
    • The Journal of Korean Academy of Prosthodontics
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    • v.30 no.3
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    • pp.321-337
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    • 1992
  • The objective of this study was to compare the condylar path and the anterior angle of articular fossa and to analyze the pattern of condylar path in edentulus patients. Nineteen male and female edentulous patients with normal masticatory system ranging in age 42 to 78, without present symptoms and any history of TMJ disturbance were selected for this study. On the computer analysis on the transcranial radiographs of the TMJ, the angle of slope of articular eminance and condylar path to the Frankfort Horizontal Plane and the height of glenoid fossa was measured respectively, and stuied their interrelationship comparatively. Obtained results were asfollows. 1. The angle of the slope of articular eminence averaged 37.28 degree. and there was no significant difference between the right and left side. 2. The condylar path angle averaged 29.05 degree and there was no significant difference between the right and left side. 3. The height of the glenoid fossa averaged 8.11 mm and there was no significant difference between the right and left side. 4. The sequence of the frequence of condylar movement patterns were concavex curve(39.5% ), 'S' shape curve(34.2%), reverse 'S' shape(15.8%) and convex curve(10.5%). 5. The horizontal distance of the point of the changed curve of the condylar path averaged 2.91 mm. 6. The height of glenoid fossa was highly correlated to the slope of articular eminence and relatively highly correlated to tile condylar path and the condylar path was closely correlated to the slop of articular eminence.

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A STUDY OF EFFECT OF PULSED ELECTROMAGNETIC FIELDS ON OSTEOGENESIS IN RABBIT CRANIAL BONE DEFECT (가토 두개부 골결손에서 맥동전자기장이 골형성에 미치는 영향에 관한 연구)

  • Hwang, Kyung-Gyun;Lee, Jong-Hwan;Kim, Myung-Jin;Shim, Kwang-Sup;Kim, Jong-Won
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.28 no.4
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    • pp.264-273
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    • 2002
  • Pulsed electromagnetic field (PEMF) was used first to induce osteogenesis in 1974. The appliance which was consisted of the Helmholtz coil configuration have used to osteogensis. The objective of this study was to determine whether PEMF, a frequency of 100 Hz and magnetic field strength of 38 gauss applied to the calvarial defect in rabbit, could affect the induction of osteogenesis and the healing of the graft bone. This field should not produce excitation of nerve or muscle and heating the tissue. To evaluate the effect of PEMF on osteogenesis, 16 rabbit under the same condition was divided into 8 experimental groups and 8 control groups. 10 mm calvarial bone defects were formed around sagittal suture. The defect of left side was left without graft while the defect of right side was grafted by bone harvested from left side. A pulsed electromagnetic field was applied for 8 hours per day. Each group was sacrificed after 1 week, 2 weeks, 4 weeks, 8 weeks. Microscopic specimens were obtained from the calvarial bone defects and surrounding tissue using Hematoxylin-Eosin staining method. The results were as follows. 1. In the group which pulsed electromagnetic field was applied, new bone formation filled up the defect was observed after 4 and 8 weeks effectively. 2. There are no difference in the healing period for the fusion between the bone and graft bone. According to the result, the PEMF with 38 Gauss, 100 Hz was very effective in the healing of bone defect and new bone formation. So The PEMF will be useful in clinical aspect for oseteogenesis.

Application of Finite Element Analysis for Structural Stability Evaluation of Modern and Contemporary Sculptures: 'Eve 58-1' by Man Lin Choi

  • Kwon, Hee Hong;Shin, Jeong Ah;Cho, Nam Chul
    • Journal of Conservation Science
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    • v.38 no.4
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    • pp.277-288
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    • 2022
  • 'Eve 58-1', the subject of this study is a statue made of plaster and its structural stability was evaluated by utilizing the CAE program in order to prevent the risk of damage arising from impact and vibration that are generated during the packaging and transportation process given its material characteristics. CAE is an abbreviation for Computer Applied Engineering for realization by predicting changes at the time of application of virtual physical energy. It is applied by reflecting the physical property conditions and each boundary condition of plaster, and the digital images of the internal and external structure of the work were acquired through 3D scanning and CT analysis for interpretation by executing finite element modeling. When acceleration is applied to the work in the direction of its own weight, the left-right side and the front-rear side, it was possible to confirm a maximum displacement value of 15.24 mm in the head section of the front-rear side direction that has been tilted by approximately 27° from the Y-axis and the largest stress value of 12.46 MPa was at the left ankle section. The corresponding results confirmed that the left ankle section is the most vulnerable area and the section for which precautions need to be exercised and supplemented at the time of transporting the work by means of objective values.

Can Right-Handed Surgeons Insert Upper Thoracic Pedicle Screws in much Comfortable Position? Right-Handedness Problem on the Left Side

  • Akyoldas, Goktug;Senturk, Salim;Yaman, Onur;Ozdemir, Nail;Acaroglu, Emre
    • Journal of Korean Neurosurgical Society
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    • v.61 no.5
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    • pp.568-573
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    • 2018
  • Objective : Thoracic pedicles have special and specific properties. In particular, upper thoracic pedicles are positioned in craniocaudal plane. Therefore, manipulation of thoracic pedicle screws on the left side is difficult for right-handed surgeons. We recommend a new position to insert thoracic pedicle screw that will be much comfortable for spine surgeons. Methods : We retrospectively reviewed 33 patients who underwent upper thoracic pedicle screw instrumentation. In 15 patients, a total of 110 thoracic pedicle screws were inserted to the upper thoracic spine (T1-6) with classical position (anesthesiologist and monitor were placed near to patient's head. Surgeons were standing classically near to patient's body while patients were lying in prone position). In 18 patients, a total of 88 thoracic pedicle screws were inserted to the upper thoracic spine with the new standing position-surgeons stand by the head of the patient and the anesthesia monitor laterally and under patient's belt level. All the operations performed by the same senior spine surgeons with the help of C-arm. Postoperative computed tomography scans were obtained to assess the screw placement. The screw malposition and pedicle wall violations were divided and evaluated separately. Cortical penetration were measured and graded at either : 1-2 mm penetration, 2-4 mm penetration and >4 mm penetration. Results : Total 198 screws were inserted with two different standing positions. Of 198 screws 110 were in the classical positioning group and 88 were in the new positioning group. Incorrect screw placement was found in 33 screws (16.6%). The difference between total screw malposition by both standing positions were found to be statistically significant (p=0.011). The difference between total pedicle wall violations by both standing positions were found to be statistically significant (p=0.003). Conclusion : Right-handedness is a problem during the upper thoracic pedicle screw placement on the left side. Changing the surgeon's position standing near to patient's head could provide a much comfortable position to orient the craniocaudal plane of the thoracic pedicles.