• Archives of Reconstructive Microsurgery
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• v.25 no.2
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• pp.69-71
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• 2016

Reconstruction of the lower extremities is difficult due to a lack of skin laxity and muscular tissues. Here, we present a case of lower extremity reconstruction via the anterior tibial artery perforator based segmental muscle island flap. Our patient was a 75-year-old male with a chronic ulcerative wound on the right lower leg from an old car accident. A $5.0{\times}0.5cm$ size ulcerative wound with tibial bone exposure was noted. We planned to reconstruct the lower extremity defect with a free flap, but the vessel status was severely compromised intraoperatively. Thus, we found the anterior tibial artery perforator using Doppler ultrasound, elevated the tibialis anterior muscle segment flap, and transposed it to cover the defect successfully. The flap presented with a nice contour and the skin graft covering the flap survived completely. There were no complications of the surgical site at three months follow-up and no gait morbidity. This is a meaningful case applying the concept of segmental muscle flap based on a perforator that had advantages including proper bulkiness, vascularization, and preservation of function, which were well applied, leading to great success.

• Journal of Korea Society of Industrial Information Systems
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• v.25 no.6
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• pp.1-13
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• 2020

In this paper, the author proposed a nuclear power plant (NPP) instrumentation signal faults identification algorithm. A variational autoencoder (VAE)-based model is trained by using only normal dataset as same as existing anomaly detection method, and trained model predicts which signal within the entire signal set is anomalous. Classification of anomalous signals is performed based on the reconstruction error for each kind of signal and partial derivatives of reconstruction error with respect to the specific part of an input. Simulation was conducted to acquire the data for the experiments. Through the experiments, it was identified that the proposed signal fault identification method can specify the anomalous signals within acceptable range of error.

• Archives of Plastic Surgery
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• v.50 no.5
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• pp.523-528
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• 2023

The Gustilo IIIB tibiofibular fractures often result in long bone loss and extensive soft tissue defects. Reconstruction of these complex wounds is very challenging, especially when it includes long bone grafts, because the donor site is limited. We describe our experience using a set of chimeric ipsilateral vascularized fibula grafts with a thoracodorsal artery perforator free flap to reconstruct the traumatic tibia defects. A 66-year-old male suffered a severe comminuted tibia fracture and segmented fibula fracture with large soft tissue defects as a result of a traffic accident. He also had an open calcaneal fracture with soft tissue defects on the ipsilateral side. All the main vessels of the lower extremity were intact, and the cortical bone defect of the tibia was almost as large as the fractured fibula segment. We used an ipsilateral vascularized fibula graft to reconstruct the tibia and a thoracodorsal artery perforator flap to resurface the soft tissue, using the distal ends of peroneal vessels as named into sequential chimeric flaps. After 3 weeks, the calcaneal defect was reconstructed with second thoracodorsal artery perforator free flap. Reconstruction was successful and allowed rapid rehabilitation because of reduced donor site morbidity.

• Journal of Chest Surgery
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• v.29 no.2
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• pp.239-243
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• 1996

Chest wall reconstruction Is difficult because of the physiological and anatomical functions of thoracic cavity where the thoracic cavity must be stabilized in order to prevent paradoxical motion, and adequate protection must be provided to the mediastinal structures. A 37-year-old male patient with full-thickness defect on the left anterior thoracic cavity due to traffic accident was treated. Emergency operation was performed for debridement and bleeding control, and on postoperative 25 days, chest wall reconstruction was performed as a second-stage operation. Left anterior chest wall was reconstructed with latissimus dorsi myocutaneous flap which had thoracodorsal arterial pedicle, and split-thickness skin grift from the left thigh was done. After chest wall reconstruction, spontaneous self-respiration was possible without ventilatory support. The pulmonary function test performed at postoperative 3 months revealed 80% of predicted values (FVC, FEV1.0). The postoperative result of chest wall reconstruction using latissimus dorsi myocutaneous flap was excellent anatomically, physiologically and aesthetically.

• Archives of Plastic Surgery
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• v.50 no.6
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• pp.550-556
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• 2023

Blunt breast trauma occurs in 2% of blunt chest injuries. This study aimed to evaluate the evidence on breast reconstruction after blunt trauma associated with the use of a seat belt. Also, we describe the first case of breast reconstruction using the Ribeiro technique. In November 2022, a systematic search of MEDLINE, EMBASE, and Google Scholar databases was conducted. The literature was screened independently by two reviewers, and the data was extracted. Our search terms included breast, mammoplasty, blunt injury, and seat belts. In addition, we present the case of a woman with a left breast deformity and her reconstruction using the inferior Ribeiro flap technique. Six articles were included. All included studies were published between 2010 and 2021. The studies recruited seven patients. According to the Teo and Song classification, seven class 2b cases were reported. In five cases a breast reduction was performed in the deformed breast with different types of pedicles (three superomedial flaps, one lower flap, one superior flap). Only one case presented complications. The case here presented was a type 2b breast deformity in which the lower Ribeiro pedicle was used successfully without complications during follow-up. Until now there has been no consensus on reconstructive treatment due to the rarity of this entity. However, we must consider surgical treatment individually for each patient. We believe that the Ribeiro technique is a feasible and safe alternative in the treatment of posttraumatic breast deformities, offering very good long-term results.

• Journal of Auto-vehicle Safety Association
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• v.15 no.4
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• pp.23-31
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• 2023

In recent years, the technology for autonomous driving has been advancing rapidly, ADAS (Advanced Driver Assistance System) functions, which improve driver convenience and safety performance, are mostly equipped in recently released vehicles and range from level 0 to level 2 in autonomous driving technology. Among the various functions of ADAS, AEBS (Autonomous Emergency Braking System), which analyzes traffic accidents, is the most closely related to the vehicle's braking. This study developed a simulation technique for reproducing accidents related to AEBS based on real vehicle experimental data, and it was applied to the analysis of actual ADAS vehicle accidents to identify the causes of accidents.

• Journal of Auto-vehicle Safety Association
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• v.13 no.4
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• pp.60-65
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• 2021

The event data recorders (EDR) have been used as a device to help understand traffic accidents. With the recent development of autonomous vehicle (AV), it has become important to prepare the new EDR for AV. Therefore, the purpose of this study is to propose the direction of EDR-AV recording. First of all, the recent EDR data elements and the data elements of AV under discussion at UNECE WP29 EDR/DSSAD (Data Storage System for Automated Driving) were analyzed. The consumer complaint database in Motor Vehicle Recall Center in Korea was analyzed in order to utilize cases of domestic traffic accidents related to advanced driver assistance systems (ADAS). Consequently, problems with existing EDR were identified through unclear accident cases related to ADAS. In the future, it was proposed to record images in which the ADAS perception systems recognize the surroundings of the accident site as an EDR-AV recording item.

• Journal of Chest Surgery
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• v.22 no.2
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• pp.342-347
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• 1989

A 4-year-old male developed the esophageal perforation after air-gun shut injury in the thorax. The esophageal perforation was found on esophagogram at the next day after the accident. Because of delayed diagnosis, mediastinitis and pyopneumothorax were developed. The general conditions of the patient were very critical with sepsis on admission. Therefore, two staged operation was planned. At the first stage, exclusion and diversion of the esophagus was carried out to treat chemical pneumonitis due to gastric contents through the esophago-bronchial fistula by gastroesophageal reflux. Clinical conditions of the patient were improved after the first stage operation. At the second stage, the esophageal reconstruction with right colon was performed.

• Journal of Chest Surgery
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• v.27 no.1
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• pp.68-71
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• 1994

A tracheo-esophageal fistula following from blunt chest trauma is one of less common lesion and few guidelines are available to direct its optimal management. Herein, we report a 24-year-old man injured in a motor vehicular accident sustained a nonpenetrating double blowout injury of the thorax and large tracheoesophageal fistula occurred. Tracheal defect required resection and reconstruction, of which the membranous portion underwent closure with borrowed adjacent esophageal wall primarily and substernal left colon interposition was performed 4 weeks later.

• Proceedings of the Korea Society for Simulation Conference
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• 2000.11a
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• pp.192-197
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• 2000

Real-time driving simulation is a comprehensive technology that can be applied effectively to vehicle and traffic safety improvement, by reproducing various driving conditions and situations realistically in a safe and controlled environment. This paper describes PC-based real-time driving simulation technology in terms of design factors and simulation components. It also introduces Kookmin University Driving Simulators developed based on these considerations, which have been applied effectively to ABS HILS and a human factor study concerning sudden acceleration accident reconstruction.