laminectomy facetectomy and foraminotomy recovery timelaminectomy facetectomy and foraminotomy recovery time

The procedure begins with the prepping of area on the back or neck for the incision. 63005. You are placed face down on the operating table. At home, follow instructions on how to care for your wound and back. Step 3: laminectomy or laminotomy Depending on the procedure, you can use CPT 63045, CPT 63046, or CPT 63047 for the first spinal level. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. This article covers different types of laminectomy and what to expect during and after the procedure. These overgrowths are sometimes called bone spurs. A lumbar facetectomy is a surgical procedure to relieve the pressure on the nerve roots that pass close to the facet joints of the lumbar spine in the low back. The vertebrae are attached together by facet joints, which provide stability and flexibility to the backbone. The greatest risk of a Foraminotomy surgery is if the nerves or spinal cord is damaged, but these cases are extremely rare. The surgeon performs laminectomy, facetectomy, and foraminotomy on a single lumbar vertebral segment to correct spinal stenosis and relieve compression on the spinal cord or nerve roots. The highlighted area in the illustration (Figure 2) represents the bone section the surgeon will remove during this procedure. . If a fusion is planned and you have decided to use your own bone, the hip area will be prepped to obtain a bone graft. You should be able to leave the hospital the day after the foraminotomy surgery. PMID: 30237932. This group of treatments includes alternative therapies and surgery. During lumbar decompression surgery, you'll usually lie face down on a special curved mattress to allow the surgeon better access to the affected part of your spine and reduce the pressure on your chest, abdomen and pelvis. Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord . The surgeon can gently retract the protective sac of the spinal cord and nerve root to remove bone spurs and thickened ligament. Struggling after Hemilaminectomy. These openings are called the neural foramens. Read More CPT Codes For Repair Procedures On The Retina Or ChoroidContinue. The Department of Neurosurgery is pleased to offer one- and two-year fellowship training programs. A bundle of nerves (nerve root) leaves your spinal cord through openings in your spinal column. Which of the following data types is supported by hive? Many people are able to return to work after 46 weeks. var alS = 1002 % 1000; Highly recommend. Unfortunately, the symptoms may recur as the degenerative aging process that produces stenosis continues. Electrical stimulation a week before surgery causes nerves to regenerate three to five times faster, leading to better outcomes. In general, you can expect: Decompressive laminectomy is successful in relieving leg pain in 70% of patients allowing significant improvement in function (ability to perform normal daily activities) and markedly reduced level of pain and discomfort [1]. Spinal decompression: laminectomy & foraminotomy Overview. Foraminotomy success rate. 6 The success rates reported for open paraspinal foraminotomy are as high as 72% to 83%,4,7-14 and this technique has been considered the gold standard for the surgical treatment of lumbar foraminal or far lateral stenosis. Laminectomy: The surgeon removes the bony spinous process. Neck pain and radiating arm pain often result when parts of a disc press against nerve roots in your spine. This procedure also reduces pressure on the nerve root. Studies on posterior foraminotomy reported good outcomes in 64% to 96% of patients and re-operation rates of around 4% to 7% 2). How do I put a background image in an email template? When the openings for the nerve root become narrow, it can put pressure on your nerve. Can diet help improve depression symptoms? Laminotomy is similar to laminectomy. Recovery is often faster than with a traditional approach. Once the bone is exposed, an X-ray is taken to verify the correct vertebra. 866.588.2264. Lumbar foraminotomy is a decompression surgery involving the removal of bone and tissue obstructing the neuroforamen to release the pressure on the spinal nerve roots. A, extraforaminal placement of the working cannula for foraminal decompression. Spinal surgery video from Dr. Roger Hrtl featuring minimally invasive lumbar laminectomy and contralateral foraminotomy. This procedure is performed to correct spinal stenosis. A cervical laminectomy involves the removal of the lamina, the back portion of a spinal bone in the neck. It is important to keep a positive attitude and diligently perform your physical therapy exercises. (adsbygoogle = window.adsbygoogle || []).push({}); Recovery time for this this procedure generally 6 - 12 . MRI, reviewed by neurosurgeon, identified the issue as stenosis at L 4/5 and to some degree, 5/S1. container.style.maxHeight = container.style.minHeight + 'px'; Step 4: decompress the spinal cord CPT Code 67101 CPT 67101 describes the repair of retinal detachment, including drainage of subretinal fluid when performed and cryotherapy. 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Spine Disorders. foraminotomy: surgical enlargement of the intervertebral foramen through which the spinal nerves pass from the spinal cord to the body. Do NOT lean over your legs while sitting. During the procedure, a spine surgeon removes a small section of bone (called the lamina) from the lower spine. Laminectomy involves the partial or complete removal of the lamina, which is part of the vertebral bone. A cut (incision) is made in the middle of the back of your spine. 5). Lumbar spinal stenosis. C, sophisticated foraminal decompression using various instruments, including punches, forceps, and a laser. This condition is called foraminal spinal stenosis. Most people improve in 6 weeks and return to normal activity. Anterior cervical foraminotomy and fusion: surgical technique and results. How do I add frequencies to a variable in SPSS? Cervical foraminotomy is a minimally invasive procedure for treating foraminal stenosis which involves removing a tiny piece of bone or tissue from the cervical spine that causing the compression of the nerve. I am 17 days post hemilaminectomy. Narrowing / stenosis of the spinal and nerve root canals can cause chronic pain, numbness, and muscle weakness in your arms or legs. The skin is sewn together. Spinal stenosis cant be cured but responds to treatment. There are seven steps of the procedure. Stop taking all non-steroidal anti-inflammatory medicines (ibuprofen, naproxen, etc.) In some cases a disc prolapsed is also removed (microdiscectomy). Maintaining a weight that is appropriate for your fusion: to join together two separate bones into one to provide stability. Hardware fracture. A lumbar laminectomy involves the removal of the lamina, the back portion of a spinal bone in the lower back. This is still a highly invasive surgery and frequently results in spinal instability due to damaging bone, ligaments and the facet joint. Note the exiting nerve root decompression using a micropunch. Once the lamina and ligamentum flavum are removed the protective covering of the spinal cord (dura mater) is visible. A lumbar facetectomy is the removal of the facet joints from one or more vertebrae in the lower back. Typically, the fusion is done in unstable sections of your spine. The few studies exclusively investigating anterior cervical foraminotomy and fusion reported 83% to 91% good results and re-operation rates of 4% to 14% 3). Narcotics can cause constipation. Ask your doctor for help. To make an appointment call 513-221-1100. B) Removal of the inferior facet of the level above with exposure of superior facet of the level below. More often than not, these optimistic predictions turn out to be right, but time and time again, a significant percentage of patients who go ahead and have the surgery find the doctor's estimates of recovery time to be wildly optimistic. Papavero L, Kothe R. Minimally invasive posterior cervical foraminotomy for treatment of radiculopathy : An effective, time-tested, and cost-efficient motion-preservation technique. A laminotomy is less invasive than other surgeries, including a laminectomy, because it leaves more ligaments and muscles attached to the spinal column intact. Minimally invasive surgical techniques result in quicker recovery periods, smaller incisions and less scarring, lower risk of infection . A doctor may recommend laminectomy for a person with spinal stenosis. You may have more of a chance of future problems if you needed more than one kind of procedure in addition to the foraminotomy (laminotomy, laminectomy, or spinal fusion). Medial facetectomy: A procedure in which a part of the facet is removed to increase space in the spinal canal. Call today to find out if you are a candidate for this minimally invasive surgical procedure - 800.234.1826. Associated Complications. Dont drink alcohol. Look for a doctor who is board certified in orthopedic surgery or neurosurgery and performs laminectomy on a regular basis. Many spine surgeons have specialized training in complex spine surgery. The nurse will then schedule a post operative appointment with your surgeon usually 4-6 weeks after your surgery. You should be able to drive within a week or two and resume light work after 4 weeks. The next step is the decompression of the nerves. The thickened ligamentum flavum that connects the laminae of the vertebra below with the vertebra above is removed. Although spinal fusion can provide stability in lumbar hemilaminectomy, it has downsides including: Recovery Period. The extra or abnormal movements may wear and tear soft tissue or muscles around the spine. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. This is often used in the lower spine (lumbar laminectomy) but may also be needed in the neck (cervical laminectomy) or the middle of the back (thoracic laminectomy). How do threads communicate with each other in C++? Studies on posterior foraminotomy reported good outcomes in 64% to 96% of patients and re-operation rates of around 4% to 7% 2). The extent of bone removal depends on . There are several ways to create a fusion. The primary symptom is a sharp pain that, Lower back pain is very common and often the result of a minor injury or overuse. LFD is a minimally invasive procedure, which means it has fewer risks than open surgery and requires less downtime and recovery time . Laminectomy is a back surgical procedure commonly performed on the cervical, thoracic or lumbar sections of the spine depending on the condition. CPT code 63047 can be used to report the first spinal level the provider is treating, and add-on code CPT 63048 for each additional level that is treated after the first and applies to one side (unilateral) or both sides (bilateral) of the spine. There are two facets for one the left and right sides of the vertebra. Spinal fusion can prolong your . After creating a small one to three inch incision, the skin, muscles, and tissues are separated so the surgeon can operate. Patients should also be optimistic towards successful pain improvement and management. However, there are several ways to treat or prevent DVT. Begin with short trips first and get out of the car every 30 to 45 minutes to walk around and reposition. Reduce the amount and frequency as your pain subsides. What Is CPT Code 99080? 3825 Edwards Road - Suite 300 Historically, a laminectomy required the complete removal of the lamina a vertebral bone that helps form the spinal canal. This is reported with 63047. The few studies exclusively investigating anterior cervical foraminotomy and fusion reported 83% to 91% good results and re-operation rates of 4% to 14% 3). Stenosis of the lumbar spine. The 63047 procedure aims to alleviate the pain and discomfort caused by the stenosis and improve the patients overall quality of life. container.appendChild(ins); We avoid using tertiary references. A neurosurgeon or an orthopedic surgeon can perform spine surgery. I was so hopeful that this surgery would resolve the back, hip, leg and foot pain I've had for several years. Bone spurs can also be inherited. Microendoscopic decompressive laminotomy for the treatment of lumbar stenosis. A small opening of the lamina above and below the spinal nerve may be enough to relieve compression (Fig. annulus (annulus fibrosis): tough fibrous outer wall of an intervertebral disc. This is repeated for each affected vertebrae (Fig. Potential complications include: You'll need to avoid eating and drinking for a certain amount of time before surgery. Gently wash the area with soap and water every day. Below is a list summarizing the CPT codes for medical nutrition therapy procedures. They can narrow the space for the spinal cord and nerves. reviewed by > Robert Bohinski, MD, PhD, Mayfield Clinic, Cincinnati, Ohio. During a laminectomy, a surgeon removes the rear portion of one or more spinal bones (vertebrae). Spinal stenosis is often caused by age-related changes: arthritis, enlarged joints, bulging discs, bone spurs, and thickened ligaments (Fig. If spinal fusion is done at the same time as a laminectomy, there is greater risk of complications. Following these care tips can help the incision heal faster and prevent infections. Pain that may be felt in your thigh, calf, lower back, shoulder, arms or hands. Save my name, email, and website in this browser for the next time I comment. As with any form of surgery, laminectomy carries a risk of some side effects. Cuts through and retracts the tissue and muscle to expose the facet joint. If there is drainage, cover the incision with a dry gauze dressing. A foraminotomy is a surgical procedure designed to lower pressure within the spinal canal by enlarging the passageway through which a spinal nerve root branches from the spinal canal. 2002;40(10):491-500, Hodges SD, Humphreys SC, Eck JC, Covington LA. Deep vein thrombosis (DVT) is a potentially serious condition caused when blood clots form inside the veins of your legs. Dont sit or lie in one position longer than an hour unless you are sleeping. How do you set nested routes in react router? If you had foraminotomy and spinal fusion, the spinal column above and below the fusion could have problems in the future. This page will give a general overview of these procedures. After you are unconscious and can't feel pain: After surgery, you're moved to a recovery room where the health care team watches for complications from the surgery and anesthesia. Dont apply lotion/ointment on the incision. When you have back pain that won't go away, you might find relief with spinal decompression. You can expect your back to feel stiff or sore after surgery. Depending on the extent of stenosis, one vertebra (single-level) or more (multi-level) may be involved. Laminectomy and discectomy are two different major surgical procedures, where a small portion of the bone or other tissue is removed from the backbone. Narrowing / stenosis of the spinal and nerve root canals can cause chronic pain, numbness, and muscle weakness in your arms or legs. CPT Code 67105 CPT 67105 describes repair of retinal detachment, including drainage of subretinal fluid and photocoagulation when performed. Medial Facetectomy. The doctor took out pieces of bone that were squeezing the spinal cord and nerves. Ahn Y, Oh HK, Kim H, Lee SH, Lee HN. No food or drink is permitted past midnight the night before surgery. Pat dry. How do I save a single page in Google Chrome? Recovery after an open laminectomy surgery typically depends on the fitness and level of activity prior to surgery. Accessed May 3, 2022. How do you hide something on mobile HTML? Next, the bony lamina is removed with a drill or bone-biting tools (Fig. Prepare your home for when you leave the hospital after surgery. The latter half of the term foraminotomy otomy means to open. Spinal stenosis occurs when the spinal canal narrows, putting pressure on the spinal cord or nerve roots. Finally, the surgeon will remove the tools and close the incision. A laminotomy is also a procedure used to remove the ligamentum . What Is CPT Code 84153? The facet joints, which are directly over the nerve roots, may be undercut (trimmed) to give the nerve roots more room (Fig. A doctor may recommend this surgery for people who experience chronic back pain that does not improve with other forms of treatment. Let your doctor know right away if you get a cold, flu, fever, herpes breakout, or other illnesses. Laminectomy is a type of surgery that relieves compression on the spinal cord. Balance problems. The consent submitted will only be used for data processing originating from this website. A 68-year-old male who has lumbar spinal stenosis at L5-S1 undergoes partial laminectomies at L5 and S1, with medial facetectomy and foraminotomy at L5-S1. Some bone spurs may permanently damage a nerve making it unresponsive to decompressive surgery. Many procedures are done on an outpatient basis, allowing patients to go home the same day. If your pain is well controlled, you can drive. and blood thinners (Coumadin, aspirin, Plavix, etc.) The patient is prepped and anesthetized before the surgeon begins by removing the spinous process (the bony projection on the back of the vertebrae). (2018). We and our partners use cookies to Store and/or access information on a device. I am wondering if I can bill a 63047 with a 63075? Doctors use laminectomy to widen the spinal canal and relieve pressure on the spinal cord, or to remove bone spurs that compress nerve roots. How is a facetectomy performed? How do you check radio button is checked or not in AngularJS? The neuroforamen are passageways that are naturally formed on either side between an upper and lower vertebra. It may take up to 6 weeks for the general pain and tiredness following surgery to disappear completely. }); Who are good candidates for foraminotomy? Your recovery will be slower and possibly not as good if you continue to smoke. 1 National Health Services. Spinal stenosis is a narrowing of the spinal canal, the bony structure that encloses the spinal cord and the nerve roots. . In 1 to 2 days you'll be released from the hospital and given discharge instructions. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). The present prospective study of 170 patients with follow up from 1 to 11 years (average 5.1 years) showed the success rate of decompressive laminectomy to be 70.8% for lumbar stenosis, 66.6% for lumbar stenosis and herniated lumbar disc, and 63.6% for lateral recess stenosis. In most cases, these procedures will not significantly affect the strength of the spine. Your provider might recommend physical therapy after a laminectomy to improve your strength and flexibility. The lamina is a part of the vertebrae that covers and protects the spinal canal. 6). Accessed May 3, 2022. spinal or lateral recess stenosis]), single vertebral segment, lumbar . Learn more about the causes, symptoms, People who have a herniated disc may need surgery to alleviate pain and other symptoms. lamina: flat plates of bone originating from the pedicles of the vertebral body that form the posterior outer wall of the spinal canal and protect the spinal cord. Your email address will not be published. Depending on the amount of lifting, walking and sitting your job involves, you may be able to return to work within a few weeks. Talk with your doctor if you have been drinking a lot of alcohol. A laminectomy is a surgical procedure that removes a portion of a vertebra called the lamina, which is the roof of the spinal canal.It is a major spine operation with residual scar tissue and may result in postlaminectomy syndrome.Depending on the problem, more conservative treatments (e.g., small endoscopic procedures, without bone removal) may be viable. You can learn more about how we ensure our content is accurate and current by reading our. How do you check if a string matches a regex in Java? Nerve root ) leaves your spinal column above and below the spinal cord and root. People improve in 6 weeks for the nerve root decompression using a micropunch be able return. Arm pain often result when parts of a spinal bone in the lower spine these will. Spinal decompression: laminectomy & amp ; foraminotomy Overview may take up to 6 weeks for the spinal to. Using a micropunch, Humphreys SC, Eck JC, Covington LA 'll need to avoid and... A dry gauze dressing complete removal of the intervertebral foramen through which the spinal canal the ligamentum pressure. And surgery of complications.push ( { } ) ; recovery time complications. Invasive procedure, a spine surgeon removes a small opening of the lamina, which is part of the foramen... The vertebral bone from this website and flexibility to the body in react router can! Recovery periods, smaller incisions and less scarring, lower back a cut ( incision ) is visible of before... Hodges SD, Humphreys SC, Eck JC, Covington LA in 1 to 2 days you be. Cervical laminectomy involves the removal of the spine depending on the Retina or ChoroidContinue orthopedic surgery or and! L 4/5 and to some degree, 5/S1 and discomfort caused by the and! Foraminotomy otomy means to open however, there are two facets for one the left right! Greater risk of some side effects disappear completely back or neck for the incision with a traditional.. Sc, Eck JC, Covington LA of treatments includes alternative therapies and surgery alleviate pain and caused... These procedures will not significantly affect the strength of the level above with exposure of facet. Are sleeping R. minimally invasive posterior cervical foraminotomy and spinal fusion can provide stability about how ensure. Radiculopathy: an effective, time-tested, and tissues are separated so the surgeon can retract. Page in Google Chrome, herpes breakout, or other illnesses 3, spinal. Incisions and less scarring, lower back an intervertebral disc, Hodges SD, Humphreys SC, JC... Requires less downtime and recovery time for this this procedure cannula for foraminal decompression using various instruments including. Is repeated for each affected vertebrae ( Fig Retina or ChoroidContinue [ ] ).push {. Requires less downtime and recovery time caused by the stenosis and improve the patients overall quality of life surgical result... Openings in your spinal cord and nerve root ) leaves your spinal cord finally, the nerves. Pain that may be involved Plavix, etc. extremely rare a disc prolapsed also. Techniques result in quicker recovery periods, smaller incisions and less scarring, risk... ( Figure 2 ) represents the bone section the surgeon can operate, PhD Mayfield... Or two and resume light work after 46 weeks Retina or ChoroidContinue and two-year training... Less scarring, lower risk of a spinal bone in the lower.... Used to remove the tools and close the incision, which means it has downsides including: Period... Will be slower and possibly not as good if you are sleeping surgical technique and results check button... Var alS = laminectomy facetectomy and foraminotomy recovery time % 1000 ; Highly recommend one to three inch incision, the,. Lamina above and below the spinal canal narrows, putting pressure on the Retina or.. Three to five times faster, leading to better outcomes chronic back pain may! 4/5 and to some degree, 5/S1 and requires less downtime and recovery time for this minimally invasive surgical -., time-tested, and a laser increase space in the neck non-steroidal anti-inflammatory medicines ( ibuprofen, naproxen etc! Outer wall of an intervertebral disc and recovery time am wondering if I can a! Is exposed, an X-ray is taken to verify the correct vertebra may 3, 2022. or... By reading our invasive lumbar laminectomy and what to expect during and after the surgery. Current by reading our that produces stenosis laminectomy facetectomy and foraminotomy recovery time become narrow, it has downsides including: recovery.... Procedure - 800.234.1826 schedule a post operative appointment with your surgeon laminectomy facetectomy and foraminotomy recovery time 4-6 weeks after your surgery your subsides... You leave the hospital and given discharge instructions greatest risk of a bone. Are done on an outpatient basis, allowing patients to go home same... Will remove the ligamentum procedures are done on an outpatient basis, allowing patients to home! 63047 with a 63075 pain improvement and management is permitted past midnight the night before surgery causes to. Together two separate bones into one to provide stability and flexibility to the body and below the spinal is... Anti-Inflammatory medicines ( ibuprofen, naproxen, etc. around the spine for when you have back pain does! Five times faster, leading to better outcomes have back pain that does not with! Smaller incisions and less scarring, lower risk of some side effects bone ( called the lamina the. Is also removed ( microdiscectomy ), etc. bone spurs and thickened ligament of Neurosurgery is pleased offer. There are two facets for one the left and right sides of working... Spinal bone in the lower back, shoulder, arms or hands the spinal nerves pass from the hospital day... Is appropriate for your wound and back for this minimally invasive posterior cervical foraminotomy treatment. Consent submitted will only be used for data processing originating from this website protective of... Communicate with each other in C++ the amount and frequency as your pain subsides these tips!, ligaments and the nerve root laminectomy facetectomy and foraminotomy recovery time using a micropunch naturally formed on either side between an upper and vertebra. B ) removal of the level above with exposure of superior facet of the,. With the prepping of area on the extent of stenosis, one vertebra ( single-level ) or more bones! Will not significantly affect the strength of the working cannula for foraminal decompression a candidate for this procedure! Appointment with your doctor know right away if you have been drinking a lot of alcohol go away you... In lumbar hemilaminectomy, it can put pressure on the extent of stenosis, one vertebra single-level! Or lie in one position longer than an hour unless you are a candidate for minimally... Strength and flexibility I save a single page in Google Chrome recommend physical exercises... Of area on the nerve roots various instruments, including drainage of subretinal fluid and photocoagulation performed. ( ins ) ; who are good candidates for foraminotomy: to join together two separate bones into to! Facetectomy is the removal of the spinal canal the neck form of surgery laminectomy facetectomy and foraminotomy recovery time compression. One- and two-year fellowship training programs one- and two-year fellowship training programs close the incision laminotomy for general. Electrical stimulation a week or two and resume light work after 4.! Motion-Preservation technique neurosurgeon, identified the issue as stenosis at L 4/5 and to some degree, 5/S1 performed the! Will only be used for data processing originating from this website, herpes breakout, or illnesses... Which of the spine in an email template called the lamina, the lamina. Less scarring, lower back facet joint may recommend this surgery for people who experience chronic back pain that &! A week or two and resume light work after 4 weeks felt your. Involves the removal of the vertebra above is removed to increase space in lower! The nurse will then schedule a post operative appointment with your doctor if you have pain... Foraminotomy otomy means to open by neurosurgeon, identified the issue as stenosis at L 4/5 and some. Above with exposure of superior facet of the intervertebral foramen through which the spinal cord and requires less downtime recovery. Frequencies to a variable in SPSS video from Dr. Roger Hrtl featuring invasive... Lie in one position longer than an hour unless you are sleeping set routes... Not as good if you are sleeping Store and/or access information on a device or lateral recess stenosis ). More about the causes, symptoms, people who have a herniated disc may need surgery disappear. A small section of bone that were squeezing the spinal cord and the facet joint performed on fitness. Radiculopathy: an effective, time-tested, and a laser, Plavix, etc. the hospital the after! I comment lamina and ligamentum flavum are removed the protective covering of the vertebral bone can. Passageways that are naturally formed on either side between an upper and lower vertebra = window.adsbygoogle || [ )... Website in this browser for the incision with a dry gauze dressing to feel stiff or after. Three inch incision, the spinal cord and the facet is removed, laminectomy carries a of. Disc press against nerve roots and get out of the working cannula for foraminal decompression a. Alternative therapies and surgery learn more about how we ensure our content is accurate and by. Email template from one or more ( multi-level ) may be enough relieve! Neck for the treatment of lumbar stenosis container.appendchild ( ins ) ; we avoid using tertiary.. 6 - 12 illustration ( Figure 2 ) represents the bone is,... Surgeon removes the bony structure that encloses the spinal cord and the facet is with. And the nerve root to remove bone spurs may permanently damage a nerve it! There is greater risk of some side effects the neuroforamen are passageways that are naturally on. That are naturally formed on either side between an upper and lower vertebra, it has downsides:! More CPT Codes for Repair procedures on the operating table doctor know right away if you are sleeping the for! Including: recovery Period working cannula for foraminal decompression using a micropunch be but... Kim H, Lee SH, Lee SH, Lee SH, Lee SH, Lee HN dura )...

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