• 한국건설관리학회:학술대회논문집
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• 한국건설관리학회 2007년도 정기학술발표대회 논문집
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• pp.618-621
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• 2007

현행 실행되고 있는 하자관리의 경우 마감전단계, 시공자 사전점검, 입주자 사전점검시기에만 주로 하자점검을 하고 각각의 하자 데이터는 서로 연관성이 없다. 그리고 기존의 하자관리 연구의 경우 주로 하자를 분류함에 있어 공종 및 공종별 하자 유형으로 하자데이터를 분류하였다. 이에 본 연구에서는 하자 데이터를 분류하는 기준에 하자의 부위를 추가 하여 하자 데이터를 분류하였다. 또한 부위별 하자관리에 의한 상시 하자관리 체계 방안으로 Web을 기반으로 하는 PDA와 3DCAD이용을 제안하였다.

• Archives of Plastic Surgery
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• 제33권5호
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• pp.546-551
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• 2006

Purpose: The reconstruction of oropharyngeal defect after cancer surgery is very difficult because of their complicated structure and the functional importance to prevent velopharyngeal incompetence. In this article we investigated affecting factors of velopharyngeal function after reconstruction and a fundamental rule of reconstruction for saving their functions such as swallowing, speeching and breathing. Methods: We classified 18 patients into three group under Kimata's grouping. Type I defect(6 patients) was healed by primary closure or secondary intention. In Type II or III defect, two operation methods were used - the folded flap(8 patients) and modified Gehanno method(4 patients), which include a lateral-posterior pharyngeal rotation-advancement flap. We evaluated wound dehiscence between the flap and the soft palate, speech intelligibility using Hirose's method, regurgitation during oral feeding, and hypernasality. Results: Most of type I or II defects patients recovered satisfactory velopharyngeal function. But, in patients with type III defects we found wound dehiscence, worse speech function, and common velopharyngeal incompetence. Conclusion: The large defect size and presence of wound dehiscence are major factors of postoperative velopharyngeal function. We conclude that folded flap or modified Gehanno method is a good reconstructive operation method for broad contact between the flap and defect site, preventing wound problem.