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Concealment, depression and poor quality of life in patients with congenital facial anomalies
Lim, So-Young;Lee, Dongsoo;Oh, Kap Sung;Nam, Bora;Bang, Sa-lk;Mun, Goo-Hyun; Pyon, Jai-Kyong;Kim, Ji-Hae;Yoon, Se Chang;Song, Hyo-Seok;Jeon, Hong Jin Sookmyung Women's University Research Institute of 2011 여성과 건강 Vol.6 No.2
Objectives: Studies have shown that patients with congenital facial anomalies are vulnerable to depression. In addition, concealment of facial anomalies in an effort to mask handicaps is common, and these patients also often have difficulties with interpersonal rela¬tionships and in social situations. Despite this, no previous study has investigated the associa¬tion between concealment of facial anomalies and depression, and a patient’s quality of life. Methods: A group of 65 patients, who had been scheduled for plastic surgery, completed this study. A total of 50 patients who had congenital facial anomalies, some of whom concealed their facial anomalies (N = 22), and some whom didn’t (N = 28), as well as 15 patient controls were interviewed and subsequently administered the Beck Depression Inventory-ll (BDI-II), the Structured Clinical Interview for DSM-IV (SCID), the Millon Behavioral Medicine Diagnostic (MBMD) and the WHO Quality of Life (WHOQOL). Results: Among patients with congenital facial anomalies, those who concealed their anom¬alies exhibited a significantly higher level of depression and anxiety; higher rates of self¬ accusation, dissatisfaction, hypochondria, weight loss and antisocial personality traits; and a lower quality of life than those who did not conceal their anomalies. To the contrary, no significant differences were found with respect to depression, anxiety and quality of life between the congenital facial anomaly group and controls. Further, the concealment of facial anomalies was a significant predictor for lifetime major depressive disorder (odds ratio (OR) = 7.1, 95% confidence interval (Cl) 1.4-37.3), after adjusting for age, gender and microtia. Conclusion: Facial concealment is a significant predictor of depression and poor quality of life in patients with congenital facial anomalies.
김노현,박상조,황태규,이순용 인제대학교 1993 仁濟醫學 Vol.14 No.2
Holoprosencephaly는 대뇌 반구 발달의 실패와 중앙선상의 안면기형을 나타내는 드문 선천성 질환이다. 저자들은 출생시 토순 및 비정상적인 안면소견을 보여 시행한 전산화 단층촬영에서 Alobal type으로 확진된 환아를 경험하였기에 보고하고자 한다. Holoprosencephaly is the result of an embryogenic defect of prechodal mesoderm which leads to incomplete morphogenesis of the fore brain and variable deficit of facial midline anomalies. A case of holoprosencephaly, alobal type with premaxillary agenesis in 1-day-female patient was presented. She had hypotelorism, cleft upper lip, and flat nasal bridge. Diagnosis of holoprosencephaly is confirmed by clinical features and CT-scan. A brief review of literatures was made.
김상렬,정현 대한이비인후과학회 2005 대한이비인후과학회지 두경부외과학 Vol.48 No.6
The facial nerve is the most important structure in the ear surgery. The presence of an anomalous route of the facial nerve is rarelyencountered, and this occurs more frequently in the presence of a middle ear malformation. However, anomalies of the facialnerve in the normal temporal bone remain poorly defined. Information about this anomaly has a certain practical value inreducing the incidence of facial nerve injuries in the middle ear and the mastoid surgery. In this article, we report a case of a 33-year-old man with bifurcation of the mastoid segment of the facial nerve on both sides, combined with attic cholesteatoma onthe right ear.
소아 전농 환자에서 인공 와우 이식 수술 후에 발생하는안면 신경 연축의 임상 양상 및 해결 방안
장선오,최병윤,홍성룡,김형미,박민현,송재준,오승하,김종선 대한이비인후과학회 2006 대한이비인후과학회지 두경부외과학 Vol.49 No.4
Background and Objectives:Facial nerve stimulation (FNS) as a complication of cochlear implantation can produce significant discomfort, limit effective use of cochlear implant, and require extensive reprogramming in some patients. The purpose of this study is to review the clinical features of children with FNS after cochlear implantation and to discuss its possible solutions. Subjects and Method:Thirteen children who had FNS after cochlear implantation were included. Their medical records were reviewed retrospectively regarding the presence of inner ear anomaly (IEA), the programming techniques for cochlear implant, timing and progression of FNS, and the management of it. Results:Ten out of 13 children (76.9%) with FNS had IEA. In those 10 patients with IEA, FNS appeared within 6 months from the operation and showed a tendency of being relevant to all electrodes. Authors used four methods to eliminate FNS. They included (a) turning off the specific electrodes when FNS seems related to some specific electrodes, (b) changing the coding strategy or the programming mode, which proved not to be effective, (c) reducing the C-level, which resulted in severe narrowing of dynamic range as well as a relative control of FNS, and (d) surgical exploration in specific cases. Conclusion:FNS after CI is at greater risk for IEA. FNS in those cases can interfere with the progression of speech development. This should be sufficiently informed of the parents of CI candidates with IEA preoperatively. Surgical exploration can be reserved for elimination of FNS in specific cases. (Korean J Otolaryngol 2006;49:371-7)
혈관종으로 안면기형이 있는 환자의 전신마취 경험 -증례보고-
김동찬 ( Dong Chan Kim ),이지혜 ( Ji Hye Lee ),김정희 ( Jung Hee Kim ),이성녀 ( Sung Nyu Lee ),김덕규 ( Deokkyu Kim ) 전북대학교 의과학연구소 2011 全北醫大論文集 Vol.35 No.1
기도관리의 어려움은 마취와 관련된 중요 합병증의 원인 중에 하나이다. 어려운 기도 (difficult airway)에서 기도확보가 늦어지거나 실패한다면 환자는 사망까지 초래될 수 있다. 만약 어려운 기도가 의심된다면 각성 상태 기 관내삽관이나 외과적 기도확보가 추천된다. 저자들은 고관절과 대퇴부의 농양에 대한 수 술이 필요한 52세의 남자 환자에서 안면에 심 한 변형을 유발한 혈관종 때문에 어려운 기도 관리를 경험하였기에 이를 보고하는 바이다. Difficult airway is one of the most important causes of major anesthesia-related complications. If an airway is suspected to be difficult, awake endotracheal intubation or surgical airway were recommended. We report a case that a 52-year-old male underwent a surgery for the abscess of hip and thigh, and he had facial anomaly due to no definite treatment for hemangioma, which is cause of difficult airway.
안면기형을 동반한 Cherubism 환아의 마취경험 -증례 보고-
김아나,이상일,김경우,김준현,김지연,김경태,박장수,김정원,최원주 대한마취통증의학회 2012 Anesthesia and pain medicine Vol.7 No.4
We report the perioperative airway management in a 7-year-old boy suffering from Cherubism who was scheduled for endoscopic sinus surgery under general anesthesia. Cherubism is a rare, hereditary disorder of the jaws characterized by expansion of the maxilla and mandible. A difficult airway was encountered during induction of general anesthesia, nasal and oral mask pitting ventilation was hard for first attempts due to facial bony abnormality. At second attempt,we tried only oral mask pitting ventilation and it was successful.
Occlusal deviations in adolescents with idiopathic and congenital scoliosis
Zhang Hao,Ma Jingbo,Zhang Zhicheng,Feng Yafei,Cai Chuan,Wang Chao 대한치과교정학회 2022 대한치과교정학회지 Vol.52 No.3
Objective: This cross-sectional study aimed to investigate the characteristics of malocclusions in scoliotic patients through clinical examinations. Methods: Fifty-eight patients with idiopathic scoliosis (IS) and 48 patients with congenital scoliosis (CS) participated in the study. A randomly selected group of 152 orthopedically healthy children served as the control group. Standardized orthodontic and orthopedic examination protocols were used to record the occlusal patterns and type of scoliosis. Assessments were made by three experienced orthodontists and a spinal surgery team. The differences in the frequency distribution of occlusal patterns were evaluated by the chi-squared test. Results: In comparison with patients showing IS, patients with CS showed a higher incidence of Cobb angle ≥ 45° (p = 0.020) and included a higher proportion of patients receiving surgical treatments (p < 0.001). The distribution of the Angle Class II subgroup was significantly higher in the IS (p < 0.001) and CS (p = 0.031) groups than in the control group. In comparison with the healthy controls, the CS and IS groups showed significantly higher (p < 0.05) frequencies of asymmetric molar and asymmetric canine relationships, upper and lower middle line deviations, anterior deep overbite, unilateral posterior crossbite, and canted occlusal plane, with the frequencies being especially higher in CS patients and to a lesser extent in IS patients. Conclusions: Patients with scoliosis showed a high frequency of malocclusions, which were most obvious in patients with CS.