• Title/Summary/Keyword: 성형각

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Changes in Soft Tissue Profile after Surgical Correction of Prognathic Mandible (하악전돌증의 악교정수술 후 연조직 형태변화에 대한 연구)

  • Sung, Sang-Jin;Park, Hyun-Do;Kim, Jae-Seung;Moon, Yoon-Shik
    • The korean journal of orthodontics
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    • v.30 no.3 s.80
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    • pp.355-365
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    • 2000
  • The treatment plan for orthognathic surgery must be based on accurate predictions, and this can be produced the most esthetic results. Treatment of prognathic mandible in adult is usually orthognathic surgery using mandible set back, but mandible with retruded chin point is needed additional chin augmentation. In this case, the directions between mandible and chin point are different therefore, the prediction of soft tissue reactions must be modified. In this study, we materialize the patients who was taken orthognathic surgery due to prognathic mandible, 11each(Group A) was taken only Bilateral Sagittal Sprit Ramus Osteotomy (BSSRO), 9each(Group B) was taken additional advancement genioplasty. The lateral cephalometric radiography taken 8 months later after orthognathic surgery by this patients were used. The results of this study were as follows : 1. The profile of lips was favorable after surgery due to upper lip to I-line became prominent and lower lip tc E-line was retruded. 2. In both group, upper lip moved posteriorly and nasolabial angle was increased. 3. The ratio of the soft tissue profile change in POGs point to skeletal B point movement was $84\%$ in group A and $66\%$ in group B, and there was statistical significance between group A and group B. 4. Vertical movement of hard tissue points is decreased in group A.

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Surgical Treatment of Ebstein Anomaly (Ebstein 기형의 외과적 치험)

  • 이종호;김병렬
    • Journal of Chest Surgery
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    • v.32 no.1
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    • pp.5-9
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    • 1999
  • Background: Ebstein anomaly is a rare congenital disease distinguished by its unique deformity in tricuspid valve and right ventricle & atrium. In its surgical treatment , tricuspid valve reconstruction and valve replacement are well known method, but various surgical methods were suggested. Material and Method : From January 1984 to December 1995, 8 patients with Ebstein anomaly underwent surgical correction. Age and sex distribution, clinical symtoms, radiologic findings, preoperative studies, operative findings, operative methods and its results were analyzed. Result: The sex ratio was 5 to 3(male : female). Patients' ages were averaged 17.6(2-28) years. In all cases, it showed typical deformities of the tricuspid valve. Associated anomalies were permenant foramen ovale, atrial septum defect, pulmonary stenosis. Surgical procedures included tricuspid valve replacement(n=4) and tricuspid valve reconstuction(n=4). Two cases of sinus tachycardia and complete AV block occured postoperatively. There were two hospital death and no late death. All survivors are in NYHA class I or II with median follow up of 64.8 months. 2-D echocardiogram disclosed improvement tricuspid regurgitation during the follow up period. Conclusion: Even though operative method of Ebstein anomaly should be decided according to each anatomical characteristics, we recommended that tricuspid valvuloplasty and plication can be one of the good methods method in the selective cases.

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Improved Downlink Performance of Transmit Adaptive Array applying Transmit Antenna Selection (적응형 송신 빔 성형 시스템의 순방향 링크 성능 향상을 위한 송신 안테나 선택 방식의 적용)

  • Ahn, Cheol-Yong;Kim, Dong-Ku
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.28 no.3A
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    • pp.111-118
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    • 2003
  • The transmit adaptive array requires the forward link channel information for evaluating the optimum transmit weight vector in which a feedback channel provides transmitter with the forward link channel information. The larger transmit adaptive array is, the higher required rate of feedback channel is. Therefore we consider the system that the N-transmit antenna system is expanded to the 2N-transmit antenna system, while the feedback channel is maintained as that of N-transmit antenna system. The increase of the number of antennas can produce the additional diversity gain, however the insufficient feedback bits assigned to each antenna aggravates the quantization error. In this paper, we propose the transmit antenna selection in order to improve the performance of transmit adaptive array having an insufficient feedback channel information. The effective method to transmit the weight vector is also introduced. System performances are investigated for the case of N=4 corresponding to the antenna selection diversity schemes on the flat fading channel and the multipath fading channel. The simulation results show that the proposed scheme can improve the system performance by 1 dB when the N is expanded to the 2N, while the feedback channel is restricted to that of N-transmit antenna system.

Classification of Deep Inferior Epigastric Perforator Courses Based on Computed Tomography Angiography: Incidences and Clinical Implications (컴퓨터 단층 촬영 혈관 조영술을 이용한 심하복벽 혈관과 천공지의 박리 용이성에 따른 분류)

  • Lee, Yeonhoon;Kim, Sung Chan;Eom, Jin Sup;Kim, Eun Key
    • Archives of Hand and Microsurgery
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    • v.23 no.4
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    • pp.281-289
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    • 2018
  • Purpose: Preoperative surgical planning utilizing computed tomography angiography (CTA) has now become a routine in many practices. We analyzed the course of the deep inferior epigastric artery (DIEA) and its perforators (DIEP) that would either facilitate or hinder flap dissection based on CTA to aid surgical planning. Methods: The 115 consecutive patients who underwent abdominally based free flap breast reconstruction were enrolled in this prospective study. DIEA/P courses were categorized mainly according to their intramuscular courses and their incidences were investigated. Results: A total of 425 perforators were identified preoperatively on the CTA, with an average number of 3.7 distinctly visualized in the entire flap territory. Eighty-nine perforators (20.9%) had a favorable (less than 1 cm intramuscular course) pattern, namely long submuscular (34.8% of the patients), long subfascial (15.6%), and total circummuscular (13.9%). Overall 56.5% of the patients had at least one favorable DIEA/P. On the other hand, absence of DIEA and absence of adequate (>1 mm) DIEP was reported in 3 and 8 hemiabdomen. Conclusion: Preoperative CTA evaluation of DIEA/P can be used to identify favorable as well as unfavorable courses for dissection to aid surgical planning.

A Comparison of Three Stainless Steel Instruments in the Preparation of Curved Root Canals in vitro (세 종류의 Stainless Steel File을 이용한 만곡근관 형성 후 근관형태 변화에 관한 비교 연구)

  • Young-Tae Kim;Seung-Ho Baek;Kwang-Sik Bae;Sung-Sam Lim;Soo-Han Yoon
    • Restorative Dentistry and Endodontics
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    • v.26 no.1
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    • pp.9-15
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    • 2001
  • 통상적인 근관형성 과정에서 근관형태의 직선화 경향을 발견할 수 있으며, 그 결과 만곡이 심한 근관에서 이상적인 근관형태를 얻기가 어렵다. 이를 극복하기 위한 많은 기구들과 근관 성형법들이 개선되고 소개되었다. 본 연구에서는 최근에 개발된 직사각형의 단면을 가지는 stainless steel file인 RT file과 Flex-R file, K-file을 이용하여 만곡근관 형성 후 최종 근관형태를 비교하여 각 file을 평가하고자 한다. 본 실험은 Bramante등의 방법을 변형하여 술 전의 근관형태와 술 후의 근관형태를 비교하였다. Schneider의 방법을 변형하여 3차원적 만곡을 계산하여 12도에서 36도 이내에 만곡도를 가진 근관을 선택하였다. 49개의 발거된 상악대구치 협측근관이나 하악대구치 근심근관을 3개의 군으로 나누고 레진과 플라스틱으로 제작된 mold에 투명한 교정용 레진으로 매몰하였다. 근첨에서 2.5, 5, 8mm지점에서 절단하여 각 mold에서 재조립한 후 다음과 같이 근관형성을 시행하였다. 제 1군은 SS K-file을 이용하여 step-back 방법 ; 제 2군은 Flex-R file을 이용하여 balanced force 방법 ; 제 3군은 RT file을 이용하여 step-back 방법으로 근관 형성하였다. 술 전과 술 후에 각 시편들을 체현미경으로 사진촬영하여 근관 중심 위치 이동률, 근관형성으로 삭제된 상아질양, 근관형성 후 모양을 Sigma scan/ image software program으로 계산하고 One way ANOVA로 통계적 유의성을 검증하여 다음과 같은 결론을 얻었다. 1. RT file이 치근단에서 K-file보다 유의성 있게 근관의 중심을 유지하는 것으로 보였다. 치아 중앙부에서는 RT file과 Flex-R file이 K-file에 대해 유의성 있게 우수한 것으로 나타났다. 2. 근관형성 후 삭제된 상아질양에서는 치근단에서 RT file이 적게 나왔으나 유의성은 없었다. 3. 근관형성 후 절단면 모양은 원형, 타원형, 불규칙한 형태들이 다양하게 나타났고 각 군간에 유의성 있는 차이는 없었다.

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Structural Analysis and Failure Prediction of Tape-Wrapped Structures (테이프래핑 구조물의 구조 해석 및 파단 예측)

  • Goo, Nam-Seo;Park, Hoon-Cheol;Yoon, Kwang-Joon;Lee, Yeol-Hwa
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.32 no.3
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    • pp.17-21
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    • 2004
  • Tape-wrapped structures have been generally used in nozzle parts of guided missiles. A continuous band of woven composite material is wrapped around a mandrel that is designed to produce real products. After going through a vacuum bagging process, this woven composite material is cured in a high-pressure autoclave or hydroclave. However, tape-wrapped structures are difficult to analyze because of its large thickness and inclined lay-up. The present study investigates the method of analysis and failure prediction of tape-wrapped structures. The four-point bending test and its finite element analysis were performed to study how to model tape-wrapped structures and investigate their failure characteristics.

Sensitivity Analysis of the CBS Ku-Band Antenna due to Manufacturing/Alignment Errors (CBS Ku대역 안테나의 제작/정렬 오차 민감도 해석)

  • 한재흥;윤소현;엄만석;박종흥;이성팔
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.14 no.2
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    • pp.168-177
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    • 2003
  • The performance sensitivity analysis due to manufacturing/alignment errors is performed for the Ku-band offset parabola antenna of the domestic Communications and Broadcasting Satellite. The performance variations due to reflector random surface error, which inevitably happens during reflector manufacturing, are statistically analyzed using RMS error and correlation interval. The impact on the antenna performance of the fred hem's position and angular errors is investigated, and the sensitive directions are identified. When the target tolerances are applied, the performance degradations are found to be within the loss budget or corresponding performance margins.

Split Die Design for ECAP with Lower Loads (등통로각압축 공정용 저하중 분리형 금형 설계)

  • Jin, Young-Gwan;Kang, Seong-Hoon;Son, Il-Heon;Im, Yong-Taek
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.32 no.3
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    • pp.217-222
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    • 2008
  • Equal channel angular pressing (ECAP) is one of the effective methods to produce bulk-nano materials by accumulating plastic strain into the workpiece without changing its cross-sectional shape in the multi-pass processing. However, the forming load becomes higher for manufacturing large specimens using conventional solid or split dies because of friction, flash formation, and usage of dummy specimen. In the present investigation, better split die was designed to reduce the forming loads and improve the geometrical accuracy of the specimen in the multi-pass ECAP. The new die exit channel was also designed to reduce the friction effect. Experiments with AA1050 specimens with a square cross-section were carried out to examine the design goal using the proposed split dies for routes A and C up to four passes. The numerical forming simulations were used to determine the effective geometry of various die models in the present work.

SURGICAL REDUCTION OF DISPLACED SUBCONDYLAR FRACTURES OF MANDIBLE USING OF SAGITTAL SPLIT AND OBLIQUE SUBCONDYLAR OSTEOTOMY (시상골절단과 사선골절단술을 이용한 하악골 과두골절의 외과적 치험예)

  • Kim, Hyoun-Chull
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.11 no.2
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    • pp.87-95
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    • 1989
  • The therapeutic methods and follow - up prognosis of subcondylar fractures in adults have always been sources of controversy. To improve the therepeutic results in subcondylar fractures with displacement, and especially, the bicondylar ones, the auther employ the surgical reduction using of sagittal split and oblique subcondylar osteotomy. This report is illustrated by six clinical cases.

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Adaptability of zirconia core fabricated by cold isostatic pressing (냉간 정수압 성형법으로 제작된 지르코니아 코어의 적합도에 관한 연구)

  • Seo, Yoon-Jeong;Yun, Kwi-Dug;Kim, Hyun-Seung;Park, Sang-Won
    • The Journal of Korean Academy of Prosthodontics
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    • v.48 no.2
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    • pp.143-150
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    • 2010
  • Purpose: The purpose of this study is to fabricate the new zirconia block (CNU block) and to evaluate fit of core and porcelain veneered zirconia crown. Material and methods: The experimental blocks were fabricated from the commercial ytrria-stabilized zirconia powder (KZ-3YE Type A). The powder was uniaxial pressing and the green bodies were conducted using the Cold Isostatic Pressing. The zirconia blocks were presintered at $1040^{\circ}C$ and the final sintering was performed at $1450^{\circ}C$. The Kavo Everest ZS $blank{(R)}$ (KaVo, Biberach/ $Ri{\beta}$.) was used as a control group. The linear shrinkage of CNU block and Kavo block were compared. Twenty-one cores for porcelain veneered crowns were fabricated with CAD/CAM system ($Everest{(R)}$, Biberach/ $Ri{\beta}$.). Group I; seven cores fabricated from Kavo blocks, Group II; seven cores fabricated from CNU blocks, Group III; seven cores from CNU blocks and porcelain veneering for crowns. All specimens were cemented and sectioned into two planes; diagonal and bucco-lingual. The measurement of the marginal, internal, and occlusal fit was carried out using SEM ($S-4800^{(R)}$) at $30{\times}$. The results were analyzed by one-way ANOVA test. Results: The linear shrinkage of the CNU block and the KaVo block was 19.00% and 20.09%. The marginal gap of cores ($29.67{\pm}6.58{\mu}m$) fabricated from CNU blocks showed significantly smaller than that of the cores of Kavo blocks ($36.84{\pm}7.18{\mu}m$) (P < .05). The internal gaps of the porcelain veneered crowns ($32.23{\pm}6.33{\mu}m$) were larger than those of the other two groups ($37.57{\pm}6.81{\mu}m$ and $38.14{\pm}6.81{\mu}m$). Conclusion: No statistically significant difference was found in between experimental groups and control group. The experimental groups in marginal gap showed significantly smaller than the control group.