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골유도재생술과 동시에 식립한 임플란트의 변연골 흡수량에 대한 후향적 고찰
박슬지,선화경,고세욱,지영덕,Park, Seul-Ji,Seon, Hwa-Gyeong,Koh, Se-Wook,Chee, Young-Deok 대한악안면성형재건외과학회 2012 Maxillofacial Plastic Reconstructive Surgery Vol.34 No.6
Purpose: The purpose of this study was to evaluate marginal bone loss of the alveolar crest on implants with or without guided bone regeneration and variables that have influenced. Methods: The clinical evaluation were performed for survival rate and marginal bone loss of 161 endosseous implants installed with guided bone regeneration (GBR) in 83 patients from September 2009 to October 2010 in relation to sex and age of patients, position of implant, implant system, length and diameter of implant. Study group (n=42) implant with GBR procedure, control group (n=41) implant without GBR technique. Simultaneous GBR approach using resorbable membranes combined with autogenous bone graft or freeze-dried bone allograft or combination. Radiographic examinations were conducted at healing abutment connection and latest visit. Marginal bone level was measured. Results: Mean marginal bone loss was 0.73 mm in study group, 0.63 mm in control group. Implants in maxillary anterior area (1.21 mm) were statistically significant in study group (P<0.05), maxillary posterior area (0.81 mm) in control group (P<0.05). Mean marginal bone loss 1.47 mm for implants with diameter 3.4 mm, 0.83 mm for implants of control group with diameter 4.0 mm (P<0.05). Some graft materials showed an increased marginal bone loss but no statistically significant influence of sex, implant type or length. Conclusion: According to these findings, this study demonstrated the amount of marginal bone loss around implant has maintained a relative stable during follow-up periods. We conclude that implants with GBR had similar survival rate and crestal bone level compared with implants in native bone.
팔 뻗기 기반의 어깨뼈 치료를 통한 가동 안정성 증진이 뇌졸중 환자의 선 자세 및 기능적 팔 움직임에 미치는 영향: 단일사례연구
박슬지,배은희,황병용,박효정 대한신경치료학회 2023 신경치료 Vol.27 No.2
Purpose The purpose of this study is to investigate how improved mobility through reachingbased scapular treatment effects antigravity posture and functional arm movement. Methods The subject is a 50 years old man who is a Lt. hemiplegia patient four months after the onset. The intervention was conducted five times a week for two weeks for one hour each. For antigravity posture evaluation, linear posture alignment analysis and Functional Reaching Test (FRT) were performed through photography, and Korean version of the FuglMeyer Assessment scale (KFMA) was used for functional arm movement test. Results FRT increased by 8cm after intervention, and in FMA it improved by 5points in the flexor synergy, 1 point in the shoulder bending, 1point in the Shoulder abduction, and 1 point in the Shoulder flexion. After intervention, the posture approached the midline and pain of the scapula decreased a lot. Conclusion Armreachingbased scapular treatment is considered effective in improving antigravity posture and arm function in stroke patients.
온병훈,고세욱,박슬지,지영덕,Ohn, Byung-Hun,Koh, Se-Wook,Park, Seul-Ji,Chee, Young-Deok 대한악안면성형재건외과학회 2011 Maxillofacial Plastic Reconstructive Surgery Vol.33 No.6
Epidermoid cyst is a cystic form of teratoma and believed to be derived from trapped embryonic cells along the lines of embryonic closure. A 28-year-old woman presented with a painless swelling over the left mandibular area. On panoramic view, the mandible revealed a $5.5{\times}2.0\;cm^2$ multilocular radiolucent lesion of the left mandibular body and a computed tomography scan showed expansion of both the buccal and lingual plates in the same area. Microscopy found stratified squamous epithelium of the cystic wall and cystic contents of keratinized material. The histological diagnosis wasan epidermoid cyst. The most common location of epidermoid cyst at the head and neck is in the orbit (47%), followed by the mouth floor (23%) and the cervical area (9~24%), but in the jaw bone, it is considered very infrequent. We report the uncommon epidermoid cyst in the mandibular body that had a good healing outcome after treatment with a conservative marsupialization during the 40 months follow-up.