• Title/Summary/Keyword: Derotation

Search Result 11, Processing Time 0.029 seconds

Correction of Short Nose Deformity Using a Septal Extension Graft Combined with a Derotation Graft

  • Paik, Moo Hyun;Chu, Lo Shui
    • Archives of Plastic Surgery
    • /
    • v.41 no.1
    • /
    • pp.12-18
    • /
    • 2014
  • In patients having a short nose with a short septal length and/or severe columellar retraction, a septal extension graft is a good solution, as it allows the dome to move caudally and pushes down the columellar base. Fixing the medial crura of the alar cartilages to a septal extension graft leads to an uncomfortably rigid nasal tip and columella, and results in unnatural facial animation. Further, because of the relatively small and weak septal cartilage in the East Asian population, undercorrection of a short nose is not uncommon. To overcome these shortcomings, we have used the septal extension graft combined with a derotation graft. Among 113 patients who underwent the combined procedure, 82 patients had a short nose deformity alone; the remaining 31 patients had a short nose with columellar retraction. Thirty-two patients complained of nasal tip stiffness caused by a septal extension graft from previous operations. In addition to the septal extension graft, a derotation graft was used for bridging the gap between the alar cartilages and the septal extension graft for tip lengthening. Satisfactory results were obtained in 102 (90%) patients. Eleven (10%) patients required revision surgery. This combination method is a good surgical option for patients who have a short nose with small septal cartilages and do not have sufficient cartilage for tip lengthening by using a septal extension graft alone. It can also overcome the postoperative nasal tip rigidity of a septal extension graft.

Analysis of Scoliosis Correction Effects according to Instrumentation Devices using a Finite Element Model (유한요소 모델을 이용한 척추 측만증 교정 시 교정 기구에 따른 효과 분석)

  • 김영은;손창규;이광희;최형연;이춘기
    • Journal of the Korean Society for Precision Engineering
    • /
    • v.21 no.8
    • /
    • pp.157-163
    • /
    • 2004
  • Scoliosis is a complex musculoskeletal dieses requiring 3-D treatment with surgical instrumentation. To investigate the effects of correction surgery, a finite element model of personalized model of the scoliotic spine that will allow the design of clinical test providing optimal estimation of the post-operation results was developed. Three dimensional skeletal parts, such as vertebrae, clavicle and scapular were modeled as rigid bodies with keeping their morphologies. Kinematical joints and spring elements were adapted to represent the inter-vertebral disc and ligaments respectively. With this model, two types of surgery procedure, distraction procedure with Harrington device and rod derotation procedure with pedicle screw and rod system had been carried out. The obtained simulation results were comparatively corresponding to the post operational outcomes and successfully demonstrated qualitative analysis of surgical effectiveness. From this analysis, it has been found that the preparing of appropriate rod curvature and its insertion was more important than just performing the excessive derotation for scoliosis correction.

Spatial changes of the maxillary molar following unilateral derotation with the precision TPA (Precision TPA로 회전된 편측 구치 치료시 공간변화에 대한 연구)

  • Kim, You-Sun;Yeh, Seong-Pil;Kang, Dae-Woon;Chun, Youn-Sic;Row, Joon
    • The korean journal of orthodontics
    • /
    • v.34 no.3 s.104
    • /
    • pp.219-227
    • /
    • 2004
  • The purpose of this study was to evaluate the spatial changes of mesial-in rotated maxillary molar and opposite anchor tooth during derotation by the precision transpalatal arch (TPA) with the use of a new typodont simulation system, the Calorific machine system, which was designed to observe the whole process of tooth movement. The maxillary right first molar was used for the anchor tooth and the maxillary left first molar was used for the mesial-in rotated tooth, and the angle of rotation was increased to 20,40, and 60. A passive precision TPA was fabricated and then activated by bending the left arm to 20, 40, and 60. Each experiment was repeated five times under the same conditions and analyzed by ANOVA and Tucky's Studentized Range (HSD) test. In the occlusal plane, when the bending angle of precision TPA was increased, the mesiobuccal cusp of the rotated molar moved more buccally (p<0.001) and less distally (p<0.001) while the distolingual cusp moved in the mesiopalatal direction. In the sagittal plane, the palatal roots of the derotated molar moved mesially (p<0.001). In the traverse plane, the derotated molar showed slight extrusion (p<0.001). The upper right first molar, which was used as an anchor tooth, showed clinically insignificant movement across all three planes.

Maxillary molar derotation and distalization by using a nickel-titanium wire fabricated on a setup model

  • Jung, Jong Moon;Wi, Young Joo;Koo, Hyun Mo;Kim, Min Ji;Chun, Youn Sic
    • The korean journal of orthodontics
    • /
    • v.47 no.4
    • /
    • pp.268-274
    • /
    • 2017
  • The purpose of this article is to introduce a simple appliance that uses a setup model and a nickel-titanium (Ni-Ti) wire for correcting the mesial rotation and drift of the permanent maxillary first molar. The technique involves bonding a Ni-Ti wire to the proper position of the target tooth on a setup model, followed by the fabrication of the transfer cap for indirect bonding and its transfer to the patient's teeth. This appliance causes less discomfort and provides better oral hygiene for the patients than do conventional appliances such as the bracket, pendulum, and distal jet. The treatment time is also shorter with the new appliance than with full-fixed appliances. Moreover, the applicability of the new appliance can be expanded to many cases by using screws or splinting with adjacent teeth to improve anchorage.

Effects of Fusion Level for Scioliotic Spine Correction Simulation with Pedicle Screw and Rod Derotation Method (척추경 나사못 고정과 강봉 감염술을 이용한 척추 측만증 교정 해석시 유합 범위에 따른 교정 효과 분석)

  • 김영은;손창규;최형연;하정현;이춘기
    • Journal of Biomedical Engineering Research
    • /
    • v.25 no.1
    • /
    • pp.71-76
    • /
    • 2004
  • In order to investigate the Post-operative changes in scoliotic spine according to selection of fusion level a mathematical finite element model of King-Moe type II scoliotics spine system was developed. By utilizing this finite element scoliosis model surgical correction simulation procedures of pedicle fixation and derotation were simulated. In consequence of the calculation by changing the fusion Levels, postoperative changes like Cobb angle, apical vertebrae axial rotation (AVAR), thoracic kyphosis, and rib hump were Qualitatively analyzed. In the analysis of operative kinematics, the decrease or Cobb angle was most prominent in distraction than in deroation. Applying the rod derotation only was not effective in decrease of Cobb angle but just caused increase of At AR and rib hump. From the operative simulation, co-action or distraction and translation during rod insertion has major impact on Cobb angle decrease and maintenance of kyphosis. With rod rotation, Cobb angle decrease was obtained, but combined increase of AVAR and rib hump was simulation observed as well. The case of most extended instrumentation range with 60o rod rotation produced double decrease of Cobb angle, but the increase of rib hump and AYAR occurred corresponding1y. The optimum selection of fusion level was proved as one level less than inflection position of the thoracic spine curvature.

The Derotation of the Tilted Face Using Skin Color Information (피부색 정보를 이용한 얼굴 기울기 보정)

  • 박은경;이상훈;차의영
    • Proceedings of the Korean Information Science Society Conference
    • /
    • 2003.10b
    • /
    • pp.541-543
    • /
    • 2003
  • 본 논문에서는 얼굴인식률에 영향을 미치는 여러 요인들(조명, 피부색, tilt(상하각도). pose(좌우각도), 나이, 표정 등) 중 기울어진 얼굴을 보정하는 방법에 대해 제안한다. 타원형 피부색 모형에 따라 피부색 영역을 추출하고 추출된 피부색 영역 경계선의 일부를 이용하여 타원을 검출한 다음, 검출된 타원의 기울기을 이용하여 보정된 얼굴을 얻는다. 실험결과를 통해 제안하는 방법이 다양한 환경과 얼굴 각도에서 좋은 결과를 보임을 알 수 있다.

  • PDF

Usefulness of Simple Rod Rotation to Correct Curve of Adolescent Idiopathic Scoliosis

  • Kim, Ji Yong;Song, Kyungchul;Kim, Kyung Hyun;Rim, Dae Cheol;Yoon, Seung Hwan
    • Journal of Korean Neurosurgical Society
    • /
    • v.58 no.6
    • /
    • pp.534-538
    • /
    • 2015
  • Objective : To correct apical vertebral rotation for adolescent idiopathic scoliosis (AIS), direct vertebral derotation (DVD) or simple rod rotation (SRR) might be considered. The aim of the present study is to introduce the surgical experiences of AIS by a Korean neurosurgeon and to evaluate the effectiveness of SRR for apical vertebral rotation. Methods : A total of 9 patients (1 male and 8 females) underwent scoliosis surgery by a neurosurgeon of our hospital. The Lenke classifications of the patients were 1 of 1B, 2 of 1C, 1 of 2A, 1 of 2C, 3 of 5C and 1 of 6C. Surgery was done by manner of simple rod rotation on the concave side and in situ coronal bending. Coronal Cobb's angles, vertebral rotation angles and SRS-22 were measured on a plain standing X-ray and CT before and after surgery. Results : The mean follow up period was 25.7 months (range : 5-52). The mean number of screw positioning level was nine (6-12). The mean age was 16.4 years (range : 13-25) at surgery. The mean Risser grade was $3.7{\pm}0.9$. The apical vertebral rotation measured from the CT scans was $25.8{\pm}8.5^{\circ}$ vs. $9.3{\pm}6.7^{\circ}$ (p<0.001) and the Coronal Cobb's angle was $53.7{\pm}10.4^{\circ}$ vs. $15.4{\pm}6.5^{\circ}$ (p<0.001) preoperatively and postoperative, respectively. The SRS-22 improved from 71.9 preoperatively to 90.3 postoperatively. There were no complications related with the operations. Conclusion : SRR with pedicle screw instrumentation could be corrected successfully by axial rotation without complications. SRR might serve as a good option to correct AIS deformed curves of AIS.

SNR Enhancement Algorithm Using Multiple Chirp Symbols with Clock Drift for Accurate Ranging

  • Jang, Seong-Hyun;Kim, Yeong-Sam;Yoon, Sang-Hun;Chong, Jong-Wha
    • ETRI Journal
    • /
    • v.33 no.6
    • /
    • pp.841-848
    • /
    • 2011
  • A signal-to-noise ratio (SNR) enhancement algorithm using multiple chirp symbols with clock drift is proposed for accurate ranging. Improvement of the ranging performance can be achieved by using the multiple chirp symbols according to Cramer-Rao lower bound; however, distortion caused by clock drift is inevitable practically. The distortion induced by the clock drift is approximated as a linear phase term, caused by carrier frequency offset, sampling time offset, and symbol time offset. SNR of the averaged chirp symbol obtained from the proposed algorithm based on the phase derotation and the symbol averaging is enhanced. Hence, the ranging performance is improved. The mathematical analysis of the SNR enhancement agrees with the simulations.

Phase Representation with Linearity for CORDIC based Frequency Synchronization in OFDM Receivers (OFDM 수신기의 CORDIC 기반 주파수 동기를 위한 선형적인 위상 표현 방법)

  • Kim, See-Hyun
    • Journal of the Institute of Electronics Engineers of Korea SP
    • /
    • v.47 no.3
    • /
    • pp.81-86
    • /
    • 2010
  • Since CORDIC (COordinate Rotation DIgital Computer) is able to carry out the phase operation, such as vector to phase conversion or rotation of vectors, with adders and shifters, it is well suited for the design of the frequency synchronization unit in OFDM receivers. It is not easy, however, to fully utilize the CORDIC in the OFDM demodulator because of the non-linear characteristics of the direction sequence (DS), which is the representation of the phase in CORDIC. In this paper a new representation method is proposed to linearize the direction sequence approximately. The maximum phase error of the linearized binary direction sequence (LBDS) is also discussed. For the purpose of designing the hardware, the architectures for the binary DS (BDS) to LBDS converter and the LBDS to BDS inverse converter are illustrated. Adopting LBDS, the overall frequency synchronization hardware for OFDM receivers can be implemented fully utilizing CORDIC and general arithmetic operators, such as adders and multipliers, for the phase estimation, loop filtering of the frequency offset, derotation for the frequency offset correction. An example of the design of 22 bit LBDS for the T-DMB demodulator is also presented.

Feasibility of a polydioxanone plate as an adjuvant material in rhinoplasty in Asians

  • Oh, Gwang Jin;Choi, Jaeik;Kim, Taek-Kyun;Jeong, Jae-Yong;Kim, Joo-Hak;Kim, Sunje;Oh, Sang-Ha
    • Archives of Plastic Surgery
    • /
    • v.46 no.2
    • /
    • pp.152-159
    • /
    • 2019
  • Background Nasal framework-supporting procedures such as septal extension grafts, derotation grafts, and columellar strut grafts are usually required in rhinoplasty in Asian patients because the skin envelope is tight, but the nasal framework is small and weak. Autologous materials are preferred, but they have some limitations related to the amount that can be harvested and the frequency of use. Therefore, synthetic materials have been used to overcome these limitations. Methods A total of 114 patients who received a polydioxanone (PDS) plate as an adjuvant material in rhinoplasty from September 2016 to August 2017 were retrospectively investigated. The PDS plate was used as to support the weak framework and to correct the contour of the alar cartilages. The PDS plate was used for reinforcement of columellar struts and septal L-struts, alar cartilage push-down grafts, fixation of septal extension grafts, and correction of alar contour deformities Results Primary and secondary rhinoplasty was performed in 103 and 11 patients, respectively. Clinically, no significant inflammation occurred, but decreased projection of the tip was observed in seven patients and relapse of a short nose was noted in five patients. Conclusions PDS plates have been used in the United States and Europe for more than 10 years to provide a scaffold for the nasal framework. These plates can provide reinforcement to columellar struts, L-struts, and septal extension grafts. In addition, they can assist in deformity correction. Therefore, PDS plates can be considered a good adjuvant material for Asian patients with weak and small nasal cartilage.