The frontal cephalometric analysis has not gained its importance in maxillofacial surgery compared to the lateral cephalometric analysis. In general, the frontal cephalometric analysis is practicable in providing an accurate measurement of the horizontal position and the width of maxilla, zygoma, and mandible. It also provides an assessment in the horizontal and vertical asymmetry of the face. With this knowledge, it is reasonable to regard the frontal cephalometric analysis as a valuable tool in making accurate diagnosis, planning of operation and evaluation of the results for sophisticated maxillofacial surgery. In addition, a recent development of computer software provides an extra benefit in diagnosing and performing surgery which has been frequently used in the dental field, in contrast to its limited application in the plastic surgery. The authors measured the frontal cephalometry of 115 patients who had maxillofacial surgery in our hospital from January 2000 to October 2002. The total 124 operative procedures for the patients are as follows: 58 was angle contouring; 22 zygomatic reduction; 16 genioplasty; 11 sagital split ramus osteotomy; 4 anterior segmental osteotomy; 10 distraction osteogenesis, and 6 was two-jaw surgery. The detailed procedure of the measurement is as follows: Digital scanning of cephalometric films; Presentation of the digital images on computer software (Vceph(R), CyberMed Inc. Korea); Registration of 43 anatomic landmarks such as zygomatic arch, gonion, antegonion, jugular process, and the automatic analysis with a custom-modified computer software with 27 items including midline analysis, facial width and height analysis, ratio analysis, symmetry analysis, and mandibular analysis. The analyzed data can be depicted as in the figure and chart. With above the mentioned automatic analysis, we found it to be effective, time-saving and accurate in the diagnosis of the facial asymmetry and estimation of the ratio of the facial bone. In this study, the authors have devised the frontal cephalometric analysis for the plastic and reconstructive maxillofacial surgery and its automatically analyzed measurements by using the computer software. This modified frontal cephalometric analysis has proved to be useful and efficient for diagnosis, operation planning and evaluation of the result in maxillofacial surgery.
Anatomic Landmarks ; Cephalometry ; Diagnosis ; Facial Asymmetry ; Facial Bones* ; Genioplasty ; Humans ; Mandible ; Maxilla ; Osteogenesis, Distraction ; Osteotomy ; Surgery, Oral* ; Surgery, Plastic ; Surgical Procedures, Operative ; Zygoma

Preserved particulate fascia lata, derived from screened human cadavers, has recently become available. This injectable form of the material can be injected when soft tissue augmentation is desired. Historically, preserved fascia grafts have proven efficacy and an excellent safety record over the past 70 years. Deep facial wrinkles, especially grabellar frown and nasolabial fold remain a difficult problem to be corrected. Clinical subjects(N=35; 29 women, 6 men, age range 29 - 48 years) requiring soft tissue augmentation to correct deep facial wrinkles were injected with a total of 53 syringes of freeze-dried, irradiated, human cadaver fascia lata. After an subdermal pocket was created at each depressed site, two different preparations -2.0 mm, 0.5 mm particle sizes-were hydrated in 2 - 3 cc normal saline and injected with needles ranging in size from 16 to 20 gauge. The patients were followed for 9 months (1-17 months) after implantation without incidence of infection, allergic reaction, or acute rejection. After the treatment day, patients experienced no further discomfort. No dermal inflammation was evident and the local ecchymosis associated with infections was minor. Soft tissue augmentation was evident 6 months after grafting or longer in most cases. Ultimately, a predictable improvement in skin contour occurred in the majority of the facial wrinkles.Preserved particulate fascia lata grafting is a simple, safe, controlled technique for correction of facial wrinkles. This patient series indicates that injectable preparations of preserved fascia lata have the high biocompatibility as experienced with whole-tissue implants.
Cadaver ; Ecchymosis ; Fascia Lata* ; Fascia* ; Female ; Humans ; Hypersensitivity ; Incidence ; Inflammation ; Male ; Nasolabial Fold ; Needles ; Skin ; Syringes ; Transplants

Most influenza vaccines currently in use target the highly variable hemagglutinin protein to induce neutralizing antibodies and therefore require yearly reformulation. T cell-based universal influenza vaccines focus on eliciting broadly cross-reactive T-cell responses, especially the tissue-resident memory T cell (TRM ) population in the respiratory tract, providing superior protection to circulating memory T cells. This study demonstrated that intramuscular (i.m.) administration of the adenovirus-based vaccine expressing influenza virus nucleoprotein (rAd/NP) elicited weak CD8 TRM responses in the lungs and airways, and yielded poor protection against lethal influenza virus challenge. However, a novel “prime-and-deploy” strategy that combines i.m. vaccination of rAd/NP with subsequent intranasal administration of an empty adenovector induced strong NP-specific CD8+ TRM cells and provided complete protection against influenza virus challenge. Overall, our results demonstrate that this “prime-and-deploy” vaccination strategy is potentially applicable to the development of universal influenza vaccines.

The objective of our study was to determine individual and global glomerular filtration rates (GFRs) using dynamic renal computed tomography (CT) in Beagle dogs. Twenty-four healthy Beagle dogs were included in the experiment. Anesthesia was induced in all dogs by using propofol and isoflurane prior to CT examination. A single slice of the kidney was sequentially scanned after a bolus intravenous injection of contrast material (iohexol, 1 mL/kg, 300 mgI/mL). Time attenuation curves were created and contrast clearance per unit volume was calculated using a Patlak plot analysis. The CT-GFR was then determined based on the conversion of contrast clearance per unit volume to contrast clearance per body weight. At the renal hilum, CT-GFR values per unit renal volume (mL/min/mL) of the right and left kidneys were 0.69 +/- 0.04 and 0.57 +/- 0.05, respectively. No significant differences were found between the weight-adjusted CT-GFRs in either kidney at the same renal hilum (p = 0.747). The average global GFR was 4.21 +/- 0.25 mL/min/kg and the whole kidney GFR was 33.43 +/- 9.20 mL/min. CT-GFR techniques could be a practical way to separately measure GFR in each kidney for clinical and research purposes.
Animals ; Dogs/*physiology ; Female ; Glomerular Filtration Rate/*physiology ; Male ; Reference Values ; Tomography, X-Ray Computed/methods/*veterinary

Although the prevalence of hereditary hemolytic anemia (HHA) is relatively low in Korea, it has been gradually increasing in recent decades due to increment in the proportions of hemoglobinopathies from immigrants of South East Asia, raising awareness of the disease among clinicians, and advances in diagnostic technology. As such, the red blood cell (RBC) Disorder Working Party (WP), previously called HHA WP, of the Korean Society of Hematology (KSH) developed the Korean Standard Operating Procedures (SOPs) for the diagnosis of HHA in 2007. These SOPs have been continuously revised and updated following advances in diagnostic technology [e.g., flow cytometric osmotic fragility test (FOFT) and eosin-5-maleimide (EMA) binding test], current methods for membrane protein or enzyme analysis [e.g., liquid chromatography-tandem mass spectrometry (LC-MS/MS), ultra-performance liquid chromatography-tandem mass spectrometry (UPLC-MS/MS), high-performance liquid chromatography (HPLC)], and molecular genetic tests using next-generation sequencing (NGS). However, the diagnosis and treatment of HHA remain challenging as they require considerable experience and understanding of the disease. Therefore, in this new Korean Clinical Practice Guidelines for the Diagnosis of HHA, on behalf of the RBC Disorder WP of KSH, updated guidelines to approach patients suspected of HHA are summarized. NGS is proposed to perform prior to membrane protein or enzyme analysis by LC-MS/MS, UPLC-MS/MS or HPLC techniques due to the availability of gene testing in more laboratories in Korea. We hope that this guideline will be helpful for clinicians in making diagnostic decisions for patients with HHA in Korea.