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1.
J Craniofac Surg ; 2024 Apr 09.
Artigo em Inglês | MEDLINE | ID: mdl-38595199

RESUMO

The aim of this study was to investigate the appearance of the faces of Chinese women in leadership positions through an anthropometric analysis of Women of China from 1949 to 2022. Photographs of cover women of Women of China were gathered and a total of 380 frontal and 101 lateral photographs were collected. The photographs were divided into 3 time phases: phase I (1949-1978): from the launch of Women of China magazine, up until the time of reform and opening; phase II (1978-2010): from the time of reform and opening until when Google China was blocked; and phase III (2010-2022): to the present. The horizontal corneal diameter (11.52 mm) was set as the reference value for the frontal face. The anthropometric results showed the width of the face, midface, and lower face decreased over time. The women at phase I had larger and round faces, smaller and narrower eyes, wider noses, and thicker lips; relatively masculine and hard-working woman image, as the occupations of women were mainly described as workers, farmers, and civil servants. Phase II showed smaller but still round faces, relatively wide-set round eyes, narrower noses, and smaller lips than in phase I; neutral features as skilled workers, engineers, entrepreneurs, civil servants, and researchers. Phase III showed oval faces, almond eyes, narrower noses, smaller full lips, and wider chins, reflecting a process of feminization; working in entertainment, sports, and science. The data from this study might serve as the recommended aesthetic proportions when performing plastic surgical procedures for talented woman.

2.
J Craniofac Surg ; 2024 Feb 16.
Artigo em Inglês | MEDLINE | ID: mdl-38363293

RESUMO

The aim of this study was to investigate the aesthetic characteristics of Chinese beauty through an anthropometric analysis of beauty pageant winners from 1952 to 2021. Photographs from 5 renowned Chinese beauty pageants (Miss World Pageant, Miss Earth Pageant, Miss Universe Pageant, Miss International Pageant, and Miss Chinese Cosmos Pageant) were gathered and a total of 294 frontal and 31 lateral photographs were collected. The photos were divided into 3 time phases: phase I (1952-1977): from the first time when Chinese girls participated in beauty pageants, up until the time of reform and opening; phase II (1978-2002): from reform and opening to the re-opening of the Miss Chinese Cosmos Pageant; phase III (2003-2021): to the present. The horizontal corneal diameter (11.52 mm) was set as the reference value for the frontal face. Among the 35 anthropometric items of frontal faces (26 distances and 9 angles) and 41 anthropometric items of lateral faces (33 distances and 8 angles), 21 anthropometric items (16 distances and 5 angles) and 8 proportional indices of frontal faces showed significant differences. On lateral pictures, 2 angles showed significant differences among the 3 phases. Regarding the anthropometric measurements that decreased across the 3 phases, the width of the face, midface, and lower face exhibited the greatest changes. The lower face width showed the most striking changes, with a decrease from 128.5 to 112.0 mm. The quadratic regression revealed a significant turning point after 1978, coinciding with the period of Chinese reform and opening, which had a profound impact on aesthetics.

3.
J Craniofac Surg ; 2023 Dec 06.
Artigo em Inglês | MEDLINE | ID: mdl-38055327

RESUMO

The aim of this paper is to present how to free and stretch the palatine vessels from the greater palatine foramen in palatoplasty. After a mucoperiosteal flap is raised, periosteal elevator is passed behind the palatine vessels to detach the periosteum around the vessels. Then, a blunt right-angle instrument is placed behind the palatine vessels, and the vessels are pulled from the foramen in the superior aspect, slightly forward (63 degrees) and medially (19 degrees) according to the direction to the greater palatine canal (GPC). The nasal mucosa is also released from the hard palate and from the lateral pharyngeal wall. After dividing the palatal aponeurosis and elevating the anterior flap, the first suture is inserted through the nasal layer of the mucosa at the level of the posterior border of the hard palate (A suture). The nasal layer is approximated and sutured. After the closure of the buccal layer, the 2 posterior flaps are joined to the small anterior flap. Finally, A suture is tied. In 60 cases of pushback palatoplasty, the palatine vessels were stretched from the greater palatine foramen. In literatures, the length of GPC is 26.97 mm. Anteroposterior diameter of the upper opening of GPC is 3.88 mm. The angle between the vertical plane and the axis of GPC is 19.09 degrees. The angle between the transverse plane and the axis of GPC is 62.63 degrees. Probably, this information is the values obtained in adults. As a matter of fact, similar values were obtained in our study on this subject.

4.
J Craniofac Surg ; 34(7): 2206-2211, 2023 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-37610024

RESUMO

This study aimed to provide anatomical data on the platysma for clinical procedures. The authors obtained 25 specimens from 15 adult Korean cadavers (9 men, 6 women; mean age, 72 years; range, 61-85 years). Lines connecting the gonion with the gnathion (G-GN) and the acromial end (acromial end of the clavicle) with the sternal end (sternal end of the clavicle) were used as references. Modified Sihler staining was used to trace the nerves distributed in the platysma. The superior border values of the platysma were 12.1 ± 2.7 mm, 31.5 ± 5.3 mm, 42.4 ± 5.6 mm, and 61.7 ± 6.4 mm, respectively, for sections 2 through 5 on the G-GN line. The inferior border values of the platysma were 83.6 ± 19.1 mm, 80.1 ± 14.0 mm, 74.8 ± 14.5 mm, 67.2 ± 13.7 mm, and 54.6 ± 7.1 mm, respectively, for the 5 sections on the acromial end of the clavicle-sternal end of the clavicle line. In the hyoid bone, cricoid cartilage, and jugular notch, the mean distance between the bilateral platysma was 14.4 ± 2.2 mm, 22.6 ± 10.6 mm, and 51.1 ± 15.7 mm, respectively. The mean angle at the cervical branch of the facial nerve and the anterior border of the sternocleidomastoid muscle sternal head was 28.7 ± 2.6 degrees and 53.4 ± 7.7 degrees from the G-GN line, respectively. The upper third of the platysma was supplied by branches of the facial artery and submental artery. The middle third was supplied by branches of the occipital artery and received its direct blood supply from branches of the external carotid artery. The lower third was supplied by branches of the transverse cervical artery. The authors hope that the results of this study will be helpful for rejuvenation procedures of the neck.

5.
Medicina (Kaunas) ; 58(8)2022 Aug 02.
Artigo em Inglês | MEDLINE | ID: mdl-36013503

RESUMO

Background and Objectives: The prevalence of obesity among children is increasing and is highlighting many problems. Lack of sleep is common among children and adolescents. Although several studies have investigated sleep duration and overweight and obesity from a sex perspective, data regarding age and sex effects remain limited and inconclusive. This study aimed to evaluate the risk(s) for overweight or obesity according to sleep duration among children and adolescents; to evaluate the effect of short sleep duration on the incidence of overweight/obesity among children and adolescents; and to evaluate sex differences in the risk of overweight or obesity with shorter sleep durations. Materials and Methods: The PubMed database was searched for relevant studies published up to June 30, 2021. Odds ratios for obesity/overweight were estimated for short compared with long sleep duration. Subgroup analysis based on sleep duration, sex, and study location was also performed. Results: The estimated odds ratio for combined obesity and overweight was 1.171 (95% confidence interval (CI) 1.092−1.256) according to short sleep duration. Obesity/overweight with short sleep duration was significantly prevalent in the <6 and 6−10 years' subgroups (odds ratio 1.226 (95% CI 1.083−1.387) and 1.341 (95% CI 1.175−1.530), respectively). Among boys, short sleep duration was significantly correlated with a high occurrence of obesity/overweight (odds ratio 1.294 (95% CI 1.153−1.452)); no such correlation was found among girls. Conclusions: Short sleep duration may increase risk of obesity among children and adolescents, especially those <6 and 6−10 years of age. In the subgroup analysis, the incidence of obesity/overweight for short sleep time revealed significant results among Asians and boys.


Assuntos
Obesidade , Sobrepeso , Adolescente , Índice de Massa Corporal , Criança , Feminino , Humanos , Incidência , Masculino , Obesidade/epidemiologia , Obesidade/etiologia , Sobrepeso/complicações , Prevalência , Fatores de Risco , Sono
6.
J Craniofac Surg ; 32(5): 1918-1922, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33645956

RESUMO

ABSTRACT: This study aimed to examine the accurate location and boundary of the parotid gland in Koreans.Forty hemifaces from embalmed cadavers (mean age: 73 years) were studied. The line connecting the porion, gonion, and gnathion was used as a reference line. To measure the boundary of the parotid gland, the Frankfort horizontal line was used as the x-axis, whereas the vertical line passing through the porion was used as the y-axis. All measurements were taken from the lateral side of the face.The parotid gland has a variety of shapes: irregular, reverse triangle, and falciform. In all specimens, the boundary of the parotid gland was located 20 to 60 mm below the Frankfort horizontal line and located 10 mm anterior to the y-axis. On average, the most anterior and posterior distances of the parotid gland from the porion-gonion line were 36.4 ±â€Š13.9 mm and 20.1 ±â€Š10.5 mm, respectively, and the most inferior distance of the parotid gland from the gonion-gnathion line was 9.8 ±â€Š5.8 mm. All specimens of parotid glands were found within an area 20 to 40 mm below the Frankfort horizontal line and 10 mm to the left of the y-axis. The most anterior point of the parotid gland was observed at varying locations. The maximum value of the most anterior point was 61.26 mm; it rarely exceeded the ectocanthion. The most posterior points of the parotid gland were located between the mastoid process and sternocleidomastoid muscle.These results might be useful for preventing injury to the parotid gland during facial rejuvenation procedures.


Assuntos
Face , Glândula Parótida , Idoso , Cabeça , Humanos , Rejuvenescimento , República da Coreia
7.
Sensors (Basel) ; 20(12)2020 Jun 23.
Artigo em Inglês | MEDLINE | ID: mdl-32585870

RESUMO

A theoretical and experimental study on the design-to-performance characteristics of a compression-mode Pb(Zr,Ti)O3-based piezoelectric accelerometer is presented. Using the metamodeling to approximate the relationship between the design variables and the performances, the constituent components were optimized so that the generated electric voltage, representing sensitivity, could be maximized at different set values of the resonant frequency (25-40 kHz). Four kinds of optimized designs were created and fabricated into the accelerometer modules for empirical validation. The accelerometer modules fabricated according to the optimized designs were highly reliable with a broad range of resonant frequency as well as sufficiently high values of charge sensitivity. The fixed (or mounted) resonant frequency was between 16.1-30.1 kHz based on the impedance measurement. The charge sensitivity decreased from 296.8 to 79.4 pC/g with an increase of the resonant frequency, showing an inverse relation with respect to the resonant frequency. The design-dependent behaviors of the sensitivity and resonant frequency were almost identical in both numerical analysis and experimental investigation. This work shows that the piezoelectric accelerometer can be selectively prepared with best outcomes according to the requirements for the sensitivity and resonant frequency, fundamentally associated with trade-off relation.

8.
Aesthetic Plast Surg ; 44(5): 1833-1842, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32710202

RESUMO

PURPOSE: As filler procedures have increased in popularity, serious injection-related complications (e.g., blindness and stroke) have also increased in number. Proper and effective training is important for filler procedure safety; however, limitations exist in traditional training methods (i.e. anatomical illustrations and cadaver studies). We aimed to describe the development process and evaluate the usability of a virtual reality (VR)-based aesthetic filler injection training system. MATERIALS AND METHODS: We developed the virtual reality hardware for the training system and a short guide, with a lecture regarding safe filler injection techniques. One hundred clinicians who attended a conference tested the training system. Participants completed system usability scale (SUS) and satisfaction questionnaires. RESULTS: Nearly half of the participants were aged 35-50 years, and 38% had more than 5 years of aesthetic experience. The mean SUS score was 59.8 (standard deviation, 12.23), with no significant differences among the evaluated subgroups. Approximately 76% of participants provided SUS scores of more than 51, indicating acceptable usability. Participants aged 35-50 years were more likely to rate the system as having poor usability than were those aged < 35 years (odds ratio = 5.20, 95% confidence interval: 1.35-20.08). CONCLUSIONS: This study was the first to develop and explore the usability of a VR-based filler training system. Nearly three-fourths of participants indicated that the training system has an acceptable level of usability. However, assessments in precise target audiences and more detailed usability information are necessary to further refine the training system. LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .


Assuntos
Técnicas Cosméticas , Preenchedores Dérmicos , Realidade Virtual , Adulto , Cegueira , Estética , Humanos , Pessoa de Meia-Idade
9.
Surg Radiol Anat ; 42(5): 617-626, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-31960087

RESUMO

PURPOSE: The purpose of this study was to evaluate age-related changes of orbital rim in Koreans and construct a reference data set for the aging phenomenon in Asians. METHODS: Data were collected from computed tomography (CT) scans of orbits and facial bones obtained from 107 Korean (55 males and 52 females) at intervals of 0.60 mm. Subjects was categorized according to sex and age as follows: young group (20-35 years) and old group (60 years and above). CT scans were reconstructed via three-dimensional (3D) modeling programs. The most lateral, medial, superior and inferior points of orbital rim were used as reference points. The orbital aperture area in each 3D model was measured using an analytical software program such as 3-Matic. RESULTS: The orbital aperture height showed no overall statistically significant difference (P > 0.05) with age in either sex. Changes were irregular with a combination of decrease and increased components. The mean change did not exceed about 0.1 mm. The orbital aperture area showed no significant change with increasing age in either male or female study populations. CONCLUSIONS: In this study, there was no significant enlargement of the orbital rim with increasing age in Koreans. The measurement data in the present study differ from previous studies involving White subjects, which revealed a significant increase in orbital aperture area.


Assuntos
Envelhecimento/fisiologia , Povo Asiático , Órbita/anatomia & histologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Conjuntos de Dados como Assunto , Feminino , Humanos , Imageamento Tridimensional , Masculino , Pessoa de Meia-Idade , Órbita/diagnóstico por imagem , Órbita/fisiologia , Valores de Referência , República da Coreia , Tomografia Computadorizada por Raios X , População Branca , Adulto Jovem
10.
Opt Express ; 27(26): 37446-37453, 2019 Dec 23.
Artigo em Inglês | MEDLINE | ID: mdl-31878524

RESUMO

Despite the rapidly increasing demand for accurate ultraviolet (UV) detection in various applications, conventional Si-based UV sensors are less accurate due to disruption by visible light. Recently, Ga(Al)N-based photodiodes have attracted great interest as viable platforms that can avoid such issues because their wide bandgap enables efficient detection of UV light and they are theoretically blind to visible and infrared light. However, the heteroepitaxy of a Ga(Al)N layer on sapphire substrates inevitably leads to defects, and the Ga(Al)N photodiode (PD) becomes not perfectly insensible to visible light. Employment of a dielectric stacked UV pass filter is possible to avoid unwanted absorption of visible light, but the angle-dependent pass band limits the detection angle. Here, we have demonstrated the Ag-Al2O3 Fabry-Perot UV pass filter-integrated AlGaN ultraviolet photodiode. The inherent optical extinction characteristics of Ag was utilized to design the fabrication-tolerant UV pass filter with a peak transmittance at ∼325 nm. As the angle of incidence increased, the peak transmission decreased from 45% to 10%, but the relative transmission spectrum remained almost unchanged. By integrating these filters, the visible light rejection ratio (responsivity for 315 nm light to responsivity for 405 nm light) was improved by a factor of 10, reaching a value of 106 at angles of up to 80 degrees.

11.
Sensors (Basel) ; 19(15)2019 Jul 31.
Artigo em Inglês | MEDLINE | ID: mdl-31370167

RESUMO

While seeking to achieve high performances of a bulk piezoelectric acceleration sensor, we investigated the behavior of the design variables of the sensor components and optimized the sensor design using a numerical simulation based on piezoelectric analysis and metamodeling. The optimized results demonstrated that there was an exponential dependency in the trade-off relation between two performance indicators, the electric voltage and the resonant frequency, as induced by the design characteristics of the sensor. Among the design variables, a decrease in the base height and epoxy thickness and an increase in the piezo element's inner diameter had a positive effect on two performances, while the head dimensions (diameter and height) exhibited the opposite effect on them. The optimal sensor designs are proposed within the valid range of resonant frequency (25-47.5 kHz). Our redesign of a commercial reference sensor improved the resonant frequency by 13.2% and the electric voltage by 46.1%.

12.
Surg Radiol Anat ; 40(11): 1261-1265, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30167818

RESUMO

INTRODUCTION: The aim of this study was to determine the location and distribution pattern of neurovascular structures superior and inferior to the clavicle by detailed dissection. METHODS: Fifteen adult non-embalmed cadavers with a mean age of 71.5 years were studied. For measurements, the most prominent point of the sternal end of the clavicle (SEC) on anterior view and the most prominent point of the acromial end of the clavicle (AEC) were identified and divided five equal sections before dissection. A line connecting the SEC and AEC was used as a reference line. The surrounding neurovascular structures were investigated. RESULTS: The supraclavicular nerve was mainly distributed in the second and the third sections (distribution frequency: 41.30% and 30.43%, respectively) from AEC. Branches of the thoracoacromial artery were mainly distributed in the second, third, and fourth sections (distribution frequency: 21.15%, 26.92%, and 28.85%, respectively). Branches of the subclavian vein were mainly distributed in the third and fourth sections (distribution frequency: 23.26 and 30.23%, respectively). Distribution frequency of subclavian vein, subclavian artery, and brachial plexus ranged from 31.3 to 57.5%. DISCUSSION: When the clavicle was divided into five sections, there was relatively little distribution of neurovascular damage in the first section or the fifth section. This study reveals the average location of subclavian vein with artery and brachial plexus. Results of this study could be used as reference during surgery.


Assuntos
Clavícula/irrigação sanguínea , Clavícula/inervação , Idoso , Idoso de 80 Anos ou mais , Pontos de Referência Anatômicos , Cadáver , Clavícula/lesões , Dissecação , Fraturas Ósseas/cirurgia , Humanos , Pessoa de Meia-Idade
13.
Surg Radiol Anat ; 39(7): 803-806, 2017 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-27999945

RESUMO

The arterial system of the gastrointestinal tract has many variations. However, variation in the inferior mesenteric artery (IMA) is less common than for the other abdominal arteries. The case in the present cadaver subject showed a variation in the anatomy of the IMA that differed from those seen in previous studies, because it did not originate from the abdominal aorta and had no branches. A single artery arising from branches of the inferior pancreaticoduodenal and middle colic arteries supplied the hindgut. This variation generated blood vessels along the digestive tract during the later stages of development. The marginal artery of the colon in this case probably was more highly developed instead of the IMA. It is clinically important to know the range of variations, as these data are used in the diagnosis and treatment of abdominal diseases. This hitherto unknown variation might affect the health of patients, and we recommend radiographic examinations for diagnosis and treatment.


Assuntos
Artéria Mesentérica Inferior/anatomia & histologia , Idoso de 80 Anos ou mais , Variação Anatômica , Humanos , Masculino
14.
Lasers Surg Med ; 48(6): 624-8, 2016 08.
Artigo em Inglês | MEDLINE | ID: mdl-27075398

RESUMO

BACKGROUND AND OBJECTIVES: The effectiveness of needle-free injection devices in neocollagenesis for treating extended skin planes is an area of active research. It is anticipated that needle-free injection systems will not only be used to inject vaccines or insulin, but will also greatly aid skin rejuvenation when used to inject aesthetic materials such as hyaluronic acid, botulinum toxin, and placental extracts. There has not been any specific research to date examining how materials penetrate the skin when a needle-free injection device is used. In this study, we investigated how material infiltrates the skin when it is injected into a cadaver using a needle-free device. STUDY DESIGN/MATERIALS AND METHODS: Using a needle-free injector (INNOJECTOR™; Amore Pacific, Seoul, Korea), 0.2 ml of 5% methylene blue (MB) or latex was injected into cheeks of human cadavers. The device has a nozzle diameter of 100 µm and produces a jet with velocity of 180 m/s. This jet penetrates the skin and delivers medicine intradermally via liquid propelled by compressed gasses. Materials were injected at pressures of 6 or 8.5 bars, and the injection areas were excised after the procedure. The excised areas were observed visually and with a phototrichogram to investigate the size, infiltration depth, and shape of the hole created on the skin. A small part of the area that was excised was magnified and stained with H&E (×40) for histological examination. RESULTS: We characterized the shape, size, and depth of skin infiltration following injection of 5% MB or latex into cadaver cheeks using a needle-free injection device at various pressure settings. Under visual inspection, the injection at 6 bars created semi-circle-shaped hole that penetrated half the depth of the excised tissue, while injection at 8.5 bars created a cylinder-shaped hole that spanned the entire depth of the excised tissue. More specific measurements were collected using phototrichogram imaging. The shape of the injection entry point was consistently spherical regardless of the amount of pressure used. When injecting 5% MB at 6 bars, the depth of infiltration reached 2.323 mm, while that at 8.5 bars reached 8.906 mm. The area of the hole created by the 5% MB injection was 0.797 mm(2) at 6 bars and 0.242 mm(2) at 8.5 bars. Latex injections reached a depth of 3.480 mm at 6 bars and 7.558 mm at 8.5 bars, and the areas were measured at 1.043 mm(2) (6 bars) and 0.355 mm(2) (8.5 bars). Histological examination showed that the injection penetrated as deep as the superficial musculoaponeurotic system at 6 bars and the masseter muscle at 8.5 bars. CONCLUSION: When injecting material into the skin using a pneumatic needle-free injector, higher-pressure injections result in a hole with smaller area than lower-pressure injections. The depth and shape of skin penetration vary according to the amount of pressure applied. For materials of low density and viscosity, there is a greater difference in penetration depth according to the degree of pressure. Lasers Surg. Med. 48:624-628, 2016. © 2016 Wiley Periodicals, Inc.


Assuntos
Látex/administração & dosagem , Azul de Metileno/administração & dosagem , Pele/química , Bochecha , Humanos , Injeções a Jato , Látex/farmacocinética , Azul de Metileno/farmacocinética , Pressão , Pele/patologia
15.
Clin Anat ; 28(4): 520-6, 2015 May.
Artigo em Inglês | MEDLINE | ID: mdl-25693862

RESUMO

The abdominal head of the pectoralis major (AHPM) is important in cosmetic and flap surgeries. Few studies have reported on its neurovascular entry points and distribution patterns. We aimed to determine the entry points and distribution patterns of the neurovascular structures within the AHPM. Thirty-two hemithoraxes were dissected, and the distribution patterns of the neurovascular structures were classified into several categories. The neurovascular entry points were measured at the horizontal line passing through the jugular notch (x-axis) and the midclavicular line (y-axis). The AHPM was innervated by the communication branches of the medial pectoral nerve (MPN) and the lateral pectoral nerve (LPN) in 78.1% of the specimens and of the MPN without the communication branches in 21.9%. All the LPNs had communication branches, which could be classified as independent in 46.9% of the samples, with the MPN in 21.9%, and with the LPN in 9.3%. The blood supply of the AHPM was composed of branches from the lateral thoracic artery (LTA) in 62.5% of the specimens, the thoracoacromial artery (TA) in 15.6%, and the LTA with the TA in 21.9%. The mean distance of the entry point was 6.3 cm ± 1.3 cm lateral to the y-axis, 8.1 cm ± 3.3 cm below the x-axis in the nerves, 6.5 cm ± 1.2 cm lateral to the y-axis, and 8.6 cm ± 3.0 cm below the x-axis in the arteries. This study defined the average neurovascular entry point and distribution pattern in detail using standard lines to enable the AHPM to be better understood.


Assuntos
Músculos Peitorais/irrigação sanguínea , Músculos Peitorais/inervação , Idoso , Idoso de 80 Anos ou mais , Artérias/anatomia & histologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Valores de Referência , Retalhos Cirúrgicos/irrigação sanguínea , Retalhos Cirúrgicos/inervação , Nervos Torácicos/anatomia & histologia
16.
Surg Radiol Anat ; 37(9): 1087-92, 2015 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-25772517

RESUMO

PURPOSE: Occipital belly (OB) of occipitofrontalis muscle (epicranius) is a muscle which covers the occipital part of the skull. The posterior auricular nerve (PAN) is the first extracranial branch of the facial nerve, which supplies the OB. The PAN is one of the structures used to identify the facial nerve during surgeries such as parotidectomy and mastoidectomy. In the present report, we provide detailed anatomical knowledge of the OB and its innervation. METHODS: Twenty-six hemifaces from 14 Korean cadavers were dissected. The mastoid tip, external occipital protuberance (EOP), a horizontal line that is parallel to the Frankfurt horizontal plane (x-axis), and a vertical line through the EOP (y-axis) were used as reference points and lines. RESULTS: The OB demonstrated a variety of features and was mostly asymmetrical. The muscle bellies were observed to angle toward the temporoparietalis muscle laterally, with the aponeurosis angled at approximately 55°-65°. The mean width and height were 60.9 ± 8.7 and 31.7 ± 7.5 mm, respectively. Muscle bellies were located at a mean distance of 7.1 ± 2.5 mm superior to the x-axis and 29.6 ± 6.4 mm lateral to the y-axis. The mean vertical distance from the origin of the PAN at the anterior border of the mastoid process (MP) to the mastoid tip was 6.1 ± 2.1 mm. The mean nerve angle between the PAN and the x-axis was 55.7° ± 6.8°. The entry point of the PAN that innervates the OB was positioned at a mean distance of 9.0 ± 3.5 mm superior to the x-axis and 79.0 ± 8.1 mm lateral to the y-axis. CONCLUSIONS: Understanding the morphometrical characteristics of the OB and its innervation may potentially improve surgical outcomes to assist in locating the posterior auricular branch of the facial nerve.


Assuntos
Músculos Faciais/anatomia & histologia , Músculos Faciais/inervação , Nervo Facial/anatomia & histologia , Idoso , Idoso de 80 Anos ou mais , Cadáver , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
17.
Surg Radiol Anat ; 37(8): 969-74, 2015 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25637360

RESUMO

The purpose of this study was to investigate the safety zone without any neurovascular injury to the medial compartment of hip joint through an anatomical method and describe the relationship of the extra-articular anatomic structures from the surface of the hip joint. Thirty-two fresh specimens from 17 adult Korean cadavers (8 males and 9 females, age range 54-79 years at death) were used for this study. For the measurements, the most superolateral point of the pubic symphysis (PS) and prominent point of the anterior superior iliac spine (ASIS) were identified before dissection. The line connecting the PS and ASIS was defined as a reference line and the PS was a starting point for measurements. All 19 variables measured in this study were related to the femoral head, neck, and surrounding neurovascular structures. The variables were measured according to the x- and y-coordinates in relation to the reference line. The femoral head was generally located 39.5-71.0 mm on the x-coordinate and located 33.5-34.6 mm on the y-coordinate. The junction of the femoral neck and body was located at 52.8 mm on the x-coordinate, and 65.3 mm on the y-coordinate. The junction of the femoral head and neck was located at 47.1 mm on the x-coordinate, and 51.4 mm on the y-coordinate. The location of the medial compartment of the hip joint was located from 38.0 to 43.0 % on the x-coordinate and located from 5.1 to 6.5 cm. These results of this study provide detailed anatomy for arthroscopic hip surgeons.


Assuntos
Artroscopia/normas , Articulação do Quadril/cirurgia , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Valores de Referência
18.
BMC Musculoskelet Disord ; 15: 417, 2014 Dec 09.
Artigo em Inglês | MEDLINE | ID: mdl-25488492

RESUMO

BACKGROUND: Use of a baseplate with a smaller diameter in reverse shoulder arthroplasty is increasing, especially in patients with a small glenoid or glenoid wear. However, the effect of a smaller baseplate on stability of the glenoid component has not been evaluated. Thus, the purpose of this study was to determine whether a smaller baseplate (25 mm) is beneficial to the initial stability of the glenoid component compared to that with a baseplate of a commonly used size (29 mm). METHODS: Micromotion of glenoid components attached to 14 scapulae of fresh-frozen cadavers was measured and compared between 25- and 29-mm baseplates in biomechanical testing. Impingement-free range of motion in abduction, adduction, internal rotation, and external rotation was evaluated by using a simulated computer model constructed based on the same fresh-frozen cadavers used in biomechanical testing. RESULTS: Micromotion at the inferior third of the glenoid-glenosphere interface was higher in the 29-mm baseplate group than in the 25-mm baseplate group during both 0.7- and 1-body weight cyclic loading in biomechanical testing. Adduction deficit was smaller, and total impingement-free range of motion from abduction to adduction and rotation were greater in the 25-mm baseplate group than in the 29-mm baseplate group in the simulated computer model. CONCLUSIONS: Use of a baseplate with a smaller diameter (25 mm) in reverse shoulder arthroplasty is suitable for improving the primary stability of the glenoid component. With a smaller baseplate, impingement-free range of motion is optimized in a smaller glenoid.


Assuntos
Artroplastia de Substituição/instrumentação , Cavidade Glenoide/patologia , Cavidade Glenoide/cirurgia , Prótese Articular , Desenho de Prótese , Amplitude de Movimento Articular/fisiologia , Idoso , Feminino , Humanos , Pessoa de Meia-Idade , Ombro/patologia , Ombro/cirurgia , Resultado do Tratamento
19.
ScientificWorldJournal ; 2014: 763692, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24995359

RESUMO

The automobile's knuckle is connected to the parts of the steering system and the suspension system and it is used for adjusting the direction of a rotation through its attachment to the wheel. This study changes the existing material made of GCD45 to Al6082M and recommends the lightweight design of the knuckle as the optimal design technique to be installed in small cars. Six shape design variables were selected for the optimization of the knuckle and the criteria relevant to stiffness and durability were considered as the design requirements during the optimization process. The metamodel-based optimization method that uses the kriging interpolation method as the optimization technique was applied. The result shows that all constraints for stiffness and durability are satisfied using A16082M, while reducing the weight of the knuckle by 60% compared to that of the existing GCD450.


Assuntos
Automóveis/normas , Desenho de Equipamento/normas , Modelos Estruturais , Desenho de Equipamento/métodos
20.
ScientificWorldJournal ; 2014: 743470, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24955416

RESUMO

The structural integrity of valves that are used to control cooling waters in the primary coolant loop that prevents boiling within the reactor in a nuclear power plant must be capable of withstanding earthquakes or other dangerous situations. In this study, numerical analyses using a finite element method, that is, static and dynamic analyses according to the rigid or flexible characteristics of the dynamic properties of a 200A butterfly valve, were performed according to the KEPIC MFA. An experimental vibration test was also carried out in order to verify the results from the modal analysis, in which a validated finite element model was obtained via a model-updating method that considers changes in the in situ experimental data. By using a validated finite element model, the equivalent static load under SSE conditions stipulated by the KEPIC MFA gave a stress of 135 MPa that occurred at the connections of the stem and body. A larger stress of 183 MPa was induced when we used a CQC method with a design response spectrum that uses 2% damping ratio. These values were lower than the allowable strength of the materials used for manufacturing the butterfly valve, and, therefore, its structural safety met the KEPIC MFA requirements.


Assuntos
Modelos Teóricos , Centrais Nucleares , Análise de Elementos Finitos
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