• Title/Summary/Keyword: tongue

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THE TREATMENT OF CONGENITAL LYMPHANGIOMA WITH OK-432$(Picibanil^{(R)})$ AND SURGICAL EXCISION (OK-432$(Picibanil^{(R)})$와 외과적 절제술을 이용한 선천성 림프관종의 치험례)

  • Kim, Il-Kyu;Lee, Seong-Ho;Oh, Seong-Sub;Choi, Jin-Ho;Oh, Nam-Sik;Kim, Wang-Sik;Rim, Young-Il;Yang, Dong-Whan
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.23 no.3
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    • pp.281-288
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    • 2001
  • Lymphangiomas are relatively rare benign tumors of the lymphatic system, characterized by congenital lymphatic malformation such as anastomosis or obstuction of the lymphatic channels. There are most frequently diagnosed in children younger than 3years. In contrast to that of the hemangioma, the sex distribution of the lymphangioma is nearly evenly divided. The head and neck lymphangioma represents about $70{\sim}75%$ of all lymphangiomas, and they are difficult to manage. Spontaneous regression is rare, and rapid intermittent enlargement occurs secondary to infection or trauma. Enlargement may cause serious sequelae such as airway obstruction, feeding difficulties, and cosmetic problems. Treatments previously used for lymphangiomas include surgical excision and intralesional injection of sclerosants. Problems associated with surgical excision include the risk of cosmetically unacceptable scarring and the risk of damage to surrounding vital stricture and the high risk of incomplete excision. The sclerosants previously used have numerous other local and systemic side effects. This report describes a case that was successfully treated using OK-432 as a new sclerosant drug and secondary surgical excision for congential cavenous lymphangioma extensively enlarged to tongue, mouth floor and submandibular region.

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A Study on The Clinical Characteristics and Treatment in Burning Mouth Syndrome (구강 작엽감 증후군 (BMS)의 임상적 특징 및 치료에 관한 연구)

  • Mi-Jung Yeom;Chong-Youl Kim
    • Journal of Oral Medicine and Pain
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    • v.20 no.1
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    • pp.39-52
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    • 1995
  • Burning mouth syndrome is characterized by a burning sensation in oral cavity without clinical signs. There has b een no established theories about the diagnosis and treatment. The purpose of this article is to examine the clinical feature of BMS patients of Korean and to present a treatment protocol that can be helpful in clinical applications. The subjects chosen for the study were 52 patients who had visited Department of Oral Diagnosis at Yonsei University Dental Hospital and were diagnosed as BMS. We did questionnaires and precise oral exam, laboratory exam, grouping of our patients, individual treatment for the groups and classification of responses to the treatment. The following results were obtained: 1. Chief complaints were throbbing (71.2%), pricking, stinging, tingling (30.8%), burning(25a%). The tongue is the most frequently affected site (82.7%), followed by full mouth, gingiva, palate, buccal mucosa, lips, throat, labial mucosa and floor of mouth. 2. The average age of onset was 48.1 year and the male to female ratio was 1 to 3. The average duration of symptom was 11.69 months for male and 23.07 months for female. 3. 32.7% of patients had appealed continuous pain, which was the most cases. Aggravating factors were peppery food, salty food, hot food, fatigue, tension conversation, sour food, cold food and toothpaste. Reducing factors were cold food, diet, going to sleep and smoking. 4. Associated symptoms were dry mouth, other life problem, altered taste perception, bad taste, throat pain, tingle and difficulty in swallowing. 5. Most of patients had appealed that there was not associated event on onset of symptom, and the order of prevalence is as fallow; dental treatment, stress, denture wearing, an attack of a systemic disease. 92.3% of patient appealed that there was no psychological withering and 7.7% of patients appealed positively. 6. There were eight males and four females that had jobs. 7. There was no family history in 100% of patients in questions about presence of family history. 8. 96.2% of patients appealed that there was no oral habits. 13.5% of patients had dryness of oral mucosa in oral exam. A significant relation to dental prosthesis was not observable, but incidence of diseases due to stress appeared high in BMS which had the clinical characteristics as above. A group having low serum iron was 63.5% and in this group period of potential iron deficiency appeared high in incidence just before move to anemia. A group represented positive response was 38.5% in fungus study for Candida albicans. Since we can expect high treatment response by prescription of iron-contained drug and antifungal drug in these patients, diagnosing patients' condition of BMS can be achieved in more various aspects through study for serum iron and Candida albicans. Furthermore, it is expected that treatment protocol can be made.

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Neutral zone approach and external impression for rehabilitation of macroglossia: a case report (거대설을 가진 환자에서 중립대 개념과 연마면 인상을 이용한 총의치 수복 증례)

  • Kang, Hyeon;Seo, Nu-Ri;Park, Sang-Won;Yun, Kwi-Dug;Park, Chan;Lim, Hyun-Pil
    • Journal of Dental Rehabilitation and Applied Science
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    • v.34 no.3
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    • pp.218-224
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    • 2018
  • Macroglossia is an obstacle in regard to general prosthodontic restoration. Not only is it difficult to obtain support and stability from dentures manufactured from normal protocol, obtaining efficacy from basic mastication is also difficult. In such cases, realizing harmony between the occlusion and surrounding muscle structures may be important with regard to manufacture of stable full dentures, and it is necessary to form the appropriate polished surface for this case. The neutral zone is defined as the potential area resulting from the neuromuscular function that results in equilibrium between the outward force exerted by the tongue and the inward force exerted by the lips and cheeks. The artificial teeth of the full denture lies in this area, and if the polished zone follows the anatomic form of the dynamic muscles, the movement of the muscles simply acts as an element of stabilizing the dentures improving the esthetics through facial support.

A CLINICOSTATISTICAL ANALYSIS OF ORAL CANCER PATIENTS FOR RECENT 8 YEARS (최근 8년간 구강암 환자에 대한 임상통계학적 연구)

  • Kim, Myoung-Yun;Kim, Chin-Soo;Lee, Sang-Han;Kim, Jin-Wook;Jang, Hyun-Jung
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.33 no.6
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    • pp.660-668
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    • 2007
  • We investigated 248 patients who were diagnosed as malignant tumor in the department of Oral and maxillofacial Surgery of Kyungpook National University from 1999 to 2006, and following results were obtained. 1. Among 248 patients who have malignant tumor, 164 were men and 84 were women, which made the ratio of male to female 1.95:1. 2. The average age of oral cancer patients was 58.3. 3. As of the primary origin site, lower alveolus and gingiva were the greatest with 70 cases(28.2%), followed by tongue(l6.9%), upper alveolus and gingiva(14.9%), palate(13.7%), mouth floor(9.7%), buccal mucosa(4.8%), retromolar trigone(4.4%), Mx. & Mn. bone(3.2%) and lip(2.8%). 4. As of histologic distribution, squamous cell carcinoma was the greatest with 170 cases(68.6%), followed by sarcoma with 17 cases(6.9%), adenoid cystic carcinoma with 17 cases(6.9%), malignant lymphoma with 15 cases(6.0%), mucoepidermoid carcinoma with 13 cases(5.2%), metastatic carcinoma with 6 cases(2.4%) and malignant melanoma with 4 cases(1.6%). 5. Period between recognition of the symptom and the first visit to hospital was less than 3 months for 58.9% of the patients, and more than 3 months for 41% of the patients. 6. Investigation of whether the patients drink or smoke revealed that the number of non-smoking and non-drinking patients was 63 among 170 patients(37.0%) that were able to investigate. The number of patients who smoke only was 29(17.1%) and both drinking and smoking patients were 78(45.9%). 7. In clinical stage order, Stage IV(61.7%) was found th be the largest, followed by stage I(17.2%), stage II(13%) and stage III(7.8%). 8. The 5-year survival rate of the entire oral cancer patients appeared to be 57.7%. The survival rate was higher in younger group and women had higher survival rate but there was no statistical significance to this. In the aspect of stage, the survival rate was Stage I, Stage II, Stage IV and Stage III in decreasing order. The order according to T classification was the same. In N classification, patients with N0 had the highest survival rate and the survival rate decreased in the order of N1 and N2. Survival rate was especially low in patients with N2.

THE ESTHETIC RESTORATION BY OPEN-FACED STAINLESS STEEL CROWN IN PREMATURE LOSS OF MAXILLARY PRIMARY INCISORS (상악 유중절치 조기 상실시 개창 금속관을 이용한 심미적 수복)

  • Lee, Jung-Jin;Kim, Seong-Oh;Lee, Je-Ho;Choe, Hyeong-Jun;Son, Heung-Kyu;Choi, Byung-Jai
    • Journal of the korean academy of Pediatric Dentistry
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    • v.33 no.4
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    • pp.717-721
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    • 2006
  • Premature loss of maxillary primary incisors often results from early childhood caries (ECC), trauma. While space maintenance in the posterior region is an important consideration when there is early loss of primary molars, the anterior segment appears to be stable, even with the early loss of several incisors, once the primary canines erupt. However, collapse of anterior arch integrity is evident in cases where incisor teeth are in a crowded dentition prior to extraction or lost before the eruption of the primary canines. So, when early loss of maxillary primary incisors, the aim of restoration is esthetics, speech problem, oral habit such as tongue thrusting than space maintenance. This paper reports that the esthetic problem due to premature loss of maxillary incisors can be successfully resolved by soldered open-faced stainless steel crown.

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DERMOID CYST IN AN INFANTILE UPPER LIP (영아의 상순에 발생한 유피낭종)

  • Kim, Seong-Oh;Moon, Sung-Hwan;Lee, Jae-Ho;Choi, Hyung-Jun;Choi, Byung-Jai
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.3
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    • pp.501-505
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    • 2004
  • Dermoid cyst is a developmental cyst that is lined by epidermis-like epithelium and contains dermal adnexal structures in the cyst wall. Dermoid cyst most occur in the eye brow although occasionally develop in other locations such as midline of the floor of the mouth, tongue, lip and buccal mucosa. The lesion is slow growing and painless without lympadenopathy. The contents of the dermoid cyst can be caseous or sebaceous. The size can vary from a few millimeters to 12cm in diameter. Histologically, dermoid cyst is lined by epidermis and adnexaes such as sweat gland, sebaceous glands and hair follicles are present in the cyst wall. The 2-year-old female of this case visited Department of Pediatric Dentistry, College of Dentistry, Yonsei University with a chief complaint of the emergence of mass on her upper lip. An excisional biopsy was carried out for a histological examination and sebaceous gland was observed in the cyst wall. The lesion was diagnosed as dermoid cyst. Dermoid cyst does not recur if complete excision is accomplished.

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Modern Reproducing of Jehotang Method (제호탕(醍醐湯)의 현대적 재현)

  • JI, Myoung-Soon;Jeon, Won-Kyung;Ko, Byoung-Seob;Anh, Sang-Woo;Yoon, Chang-Yeol
    • The Journal of Korean Medical History
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    • v.21 no.1
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    • pp.59-69
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    • 2008
  • The "tang[tɑ:ŋ]" in Korean pronounciation means the beverage made of boiled medicinal herbs. The"Jeho-tang", the name of Drink in this abstract, is described in a variety of medical books including the "Dongeui Bogam" as being effective for illness from the summer heat in promoting digestion, curing the heatstroke and bringing it to a halt. The Drink was used as the Royal gifts granted to retainers and royal families on the Day of Dano-festival on the fifth of the fifth month of the year according to the lunar calendar, the items of encouragement for those who worked hard in sacrifices, and the awards for students of Confucianism who were proficient in their learning. The Jeho-tang used in this study was scientifically cooked again after a long time in history through looking at the methods written in the documents concerned with the Drink such as the "Dongeui Bogam" and the "Taste of Korea". In preparation of the medicinal herbs for the Drink, the powder of thinner than 30 mesh of the "Prunus mume", which is a species of Asian plum in the family of Rosaceae, and those of 50 mesh of the "Santalum album", which is the fragrant wood of trees in the genus Santalum and the "Amomum Xanthioides", which is produced in Vietnam and is the name of a kind of herb medicines, being very effective in the desease caused from heatstrare, were used. The sugar concentration of the honey boiled down long time at low heat was $82.43^{\circ}Bx$. When cooking in a double boiler, the inner part of the liquid for the Drink was kept at $80^{\circ}C$ for 12 hours to make it finished in a state of ointment. In the general composition of the finished Jeho-tang, the moisture content was 24.4%, 1.3% of crude fat, 1.4% crude protein and 0.7% ash, along with pH3.2. The acceptance on the whole was come out to be the highest in the sample diluted with the drinking water of 7-fold of the Jeho-tang, indicating that the 7-fold's addition of water was optimum level for drinking. In the Drink cooked by a vaccum pressure extractor for herb medicine, which was developed to improve the art of cooking, the longer the time of pressure was, the less the heterogeneous feeling at tongue was and the more the glossiness of the Drink was. The Jeho-tang cooked under pressure for 7 hours received an excellent evaluation in its acceptability in every way.

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Study on the Development of a Standard Instrument of Diagnosis and Assessment for Spleen Qi Deficiency Pattern (脾氣虛證(비기허증) 진단평가도구 개발 연구)

  • Oh, Hye-Won;Lee, Ji-Won;Kim, Je-Shin;Song, Eun-Young;Shin, Seung-Won;Han, Ga-Jin;Lu, Huanyu;Lee, Jun-Hee
    • The Journal of Korean Medicine
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    • v.35 no.1
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    • pp.157-170
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    • 2014
  • Objectives: The purpose of this study was to develop a standard instrument of diagnosis and assessment for spleen qi deficiency pattern. Methods: Reports published in Korea and China related to spleen qi deficiency pattern were selected. Assessments of selected references were performed to select major symptoms of spleen qi deficiency pattern. Korean translation and review by a Korean linguist were performed to create a draft of [Standard instrument of diagnosis and assessment for spleen qi deficiency (for subject)]. The final [Standard instrument of diagnosis and assessment for spleen qi deficiency (for subject)] was completed after assessment on inclusion or exclusion, on importance of items and on validity of translation by an expert committee, consisting of professors from the National College of Korean Medicine. Results & Conclusions: 1. 14 major symptoms were selected by frequency from 45 references which were related to standard identification of spleen qi deficiency pattern, translated into Korean and reviewed by a Korean linguist. 2. 11 symptoms were selected after assessment on inclusion yes or no by the expert group. Items were listed in order of importance: tiredness of extremities (肢体倦怠), sallow complexion (面色萎黃), reduced appetite (食欲减退), abdominal distension after eating (腹胀食後尤甚), inability to eat (納少), pale tongue and white fur (舌淡苔白), lethargy (神疲), emaciation (消瘦), loose stool (大便溏薄), shortness of breath and reluctance to speak (少氣懶言), and weak pulse (脈緩弱). 3. Final [Standard instrument of diagnosis and assessment for spleen qi deficiency (for subject)] was completed after assessment of translation validity, reflection of individual opinions by the expert committee, and application of weighted value computed from assessment on importance of items.

A new feature specification for vowel height (모음 높이의 새로운 표기법에 대하여)

  • Park Cheon-Bae
    • MALSORI
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    • no.27_28
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    • pp.27-56
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    • 1994
  • Processes involving the change of vowel height are natural enough to be found in many languages. It is essential to have a better feature specification for vowel height to grasp these processes properly, Standard Phonology adopts the binary feature system, and vowel height is represented by the two features, i.e., [\pm high] and [\pm low]. This has its own merits. But it is defective because it is misleading when we count the number of features used in a rule to compare the naturalness of rules. This feature system also cannot represent more than three degrees of height, We wi31 discard the binary features for vowel height. We consider to adopt the multivalued feature [n high] for the property of height. However, this feature cannot avoid the arbitrariness resulting from the number values denoting vowel height. It is not easy to expect whether the number in question is the largest or not It also is impossible to decide whether a larger number denotes a higher vowel or a lower vowel. Furthermore this feature specification requires an ad hoc condition such as n > 3 or n \geq 2, whenever we want to refer to a natural class including more than one degree of height The altelnative might be Particle Phonology, or Dependency Phonology. These might be apt for multivalued vowel height systems, as their supporters argue. However, the feature specification of Particle Phonology will be discarded because it does not observe strictly the assumption that the number of the particle a is decisive in representing the height. One a in a representation can denote variant degrees of height such as [e], [I], [a], [a ] and [e ]. This also means that we cannot represent natural classes in terms of the number of the particle a, Dependency Phonology also has problems in specifying a degree of vowel height by the dependency relations between the elements. There is no unique element to represent vowel height since every property has to be defined in terms of the dependency relations between two or more elements, As a result it is difficult to formulate a rule for vowel height change, especially when the phenomenon involves a chain of vowel shifts. Therefore, we suggest a new feature specification for vowel height (see Chapter 3). This specification resorts to a single feature H and a few >'s which refer exclusively to the degree of the tongue height when a vowel is pronounced. It can cope with more than three degrees of height because it is fundamentally a multivalued scalar feature. This feature also obviates the ad hoc condition for a natural class while the [n high] type of multivalued feature suffers from it. Also this feature specification conforms to our expection that the notation should become simpler as the generality of the class increases, in that the fewer angled brackets are used, the more vowels are included, Incidentally, it has also to be noted that, by adopting a single feature for vowel height, it is possible to formulate a simpler version of rules involving the changes of vowel height especially when they involve vowel shifts found in many languages.

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Numerical Model Study for Structure and Distribution of the Keum River Plume (금강 풀룸의 구조와 분포에 대한 수치모델 연구)

  • 신은주;이상호;최현용
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.7 no.3
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    • pp.157-170
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    • 2002
  • To examine the structure and distribution of the Keum River plume produced by continuous river discharge we carried out three-dimensional numerical model experiments with or without Coriolis force and tide. When Coriolis force is included but tide is not the model plume forms the clockwise circulation north of southern channel in the developing stage. As the plume expansion progresses the center of circulation moves to the southwest, with fuming the discharging axis of low-salinity water to the southwest from the mouth of southern channel. These results are explained mainly in terms of barotropic geostrophy by surface slope maintained with accumulated low-salinity(buoyant) water in front of the estuary mouth due to of offshore strong salinity front. When the M$_2$ tide is included the model plume extends farther to the northwest, forming large tongue-like salinity distribution. The tidally averaged surface flows of the offshore plume are mainly in geostrophic balance. These changes in plume distribution are explained in terms of low-salinity water advection by tidal excursion and active tidal mixing; the former supplies low salinity water to the north off the estuary mouth and the later increases mean sea level along the plume and surface salinity in northern shallow coastal area. The main features of observed Keum River plume(Lee et al., 1999; Choi et al., 1999), which showed the northwestward deflection of the plume axis and northward deepening of the plume thickness from the estuary mouth region, are well reproduced by the model in which tide is included.