• The korean journal of orthodontics
• /
• v.35 no.5 s.112
• /
• pp.398-407
• /
• 2005

The present study was conducted to examine the morphometrics and function of the disk on both sides among patients with facial asymmetry (FA) and to elucidate plausible correlations between internal derangement (ID) and FA. The sample was composed of 10 males and 27 females with FA. The disk status of all subjects was evaluated by bilateral high resolution magnetic resonance scans in the sagittal (closed and open) and coronal (closed) planes. Five types of disk displacement were identified accordingly. The disk function was diagnosed as normal disk function, disk displacement with reduction, and disk displacement without reduction. The disk shape on sagittal MRI in closed position was classified as bi-concave, biplanar, funnel/hemiconvex, and deformed. The disk position, translation and rotation were also measured. The difference between the shifted side and non-shifted side was analyzed by statistical analysis. Approximately $70\%$ of the patients in the present study showed unilateral or bilateral ID. It was found that anterior disk displacements (ADD), especially rotational ADD, occurred more frequently in the shifted side, while normal disk position was observed mainly in the non-shifted side (p<0.01). The disk of the shifted side showed significantly deformed configuration and inferior-anterior disk position. However, the disk of the non-deviated side showed hyper-mobility during jaw opening movement. These results demonstrate that in FA patients, the disks status of the shifted side is different from that of the non-shifted side, a phenomenon that could be correlated to facial asymmetry.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• v.43 no.2
• /
• pp.77-82
• /
• 2017

Objectives: The aim of this study was to compare the mechanical resistance of four different osteosyntheses modeled in two different sagittal split ramus osteotomy (SSRO) designs and to determine the linear loading in a universal testing machine. Materials and Methods: An in vitro experiment was conducted with 40 polyurethane hemimandibles. The samples were divided into two groups based on osteotomy design; Group I, right angles between osteotomies and Group II, no right angles between osteotomies. In each group, the hemimandibles were distributed into four subgroups according to the osteosynthesis method, using one 4-hole 2.0 mm conventional or locking plate, with or without one bicortical screw with a length of 12.0 mm (hybrid technique). Each subgroup contained five samples and was subjected to a linear loading test in a universal testing machine. Results: The peak load and peak displacement were compared for statistical significance using PASW Statistics 18.0 (IBM Co., USA). In general, there was no difference between the peak load and peak displacement related to osteotomy design. However, when the subgroups were compared, the osteotomy without right angles offered higher mechanical resistance when one conventional or locking 2.0 mm plate was used. One locking plate with one bicortical screw showed higher mechanical resistance ($162.72{\pm}42.55N$), and these results were statistically significantly compared to one conventional plate with monocortical screws (P=0.016) and one locking plate with monocortical screws (P=0.012). The difference in peak displacement was not statistically significant based on osteotomy design or internal fixation system configuration. Conclusion: The placement of one bicortical screw in the distal region promoted better stabilization of SSRO. The osteotomy design did not influence the mechanical behavior of SSRO when the hybrid technique was applied.

• Journal of the Korean Geotechnical Society
• /
• v.15 no.3
• /
• pp.41-70
• /
• 1999

The benefits of utilizing internal reinforced members, such as soil nails and ground anchors, in maintaining stable excavations and slopes have been known among geotechnical engineers to be very effective. Occasionally, however, both soil nails and ground anchors are simultaneously used in one excavation site. In the present study, a method of limit equilibrium stability analysis of the excavation zone reinforced with the vertically or horizontally mixed nail-anchor system is proposed to evaluate the global safety factor with respect to a sliding failure. The postulated failure wedges are determined based on the results of the $FLAC^{2D}\; 및\; FLAC^{3D}$ program analyses. This study also deals with a determination of the required thickness of the shotcrete facing. An excessive facing thickness may be required due to both the stress concentration and the relative displacement at the interface zone between the soil nailing system and the ground anchor system. A simple finite element method of analysis is presented to estimate the corresponding relative displacement at the interface zone between two different support systems. As an efficient resolution to reduce the facing thickness, the modified bearing plate system is also proposed. Finally with various analysis related to the effects of design parameters, the predicted displacements are compared with the results of the $FLAC^{2D}$ program analyses.

• Journal of Korean Tunnelling and Underground Space Association
• /
• v.25 no.2
• /
• pp.43-63
• /
• 2023

With the concentration of the population in the city center and the saturation of the structures on the ground, the development of the underground structures becomes important and the construction of an adjoining tunnel that can reduce the overall problems is respected. In addition, it is necessary to apply the reinforcement construction method for the pillar part of the adjacent tunnel that can secure stability, economy and workability of the site. In this study, the tunnel pillar reinforcement method using prestress and grouting was reviewed. There are various reinforcement methods that can compensate for the problems of the side tunnel, but as the tunnel pillar construction method using prestress and grouting is judged to be excellent in field applicability, stability and economic feasibility, theoretical and numerical analysis of the actual behavior mechanism are conducted. Numerical analysis is divided into PC stranded wire + steel pipe reinforcement grouting + prestress (Case 1), pillar part tie bolt reinforcement (Case 2), pillar part non-reinforcement (Case 3) under the same ground conditions, and the maximum value of the celling displacement, internal displacement, and member force, the stability was confirmed. Through numerical analysis, it was confirmed that Case 1 which reinforced the PC stranded wire, was the best construction method and if it is verified and supplemented through field experiments later, it will be possible to derive superior results in terms of displacement control and member force than the currently applied reinforcement method was judged.

• The Journal of Korean Academy of Prosthodontics
• /
• v.42 no.2
• /
• pp.226-237
• /
• 2004

Purpose: Four finite element models were constructed in the mandible having a single implant fixture connected to the first premolar-shaped superstructure, in order to evaluate how the shape of the fixture and the implant-abutment connection would influence the stress level of the supporting tissues fixtures, and prosthethic components. Material and methods : The superstructures were constructed using UCLA type abutment, ADA type III gold alloy was used to fabricate a crown and then connected to the fixture with an abutment screw. The models BRA, END , FRI, ITI were constructed from the mandible implanted with Branemark, Endopore, Frialit-2, I.T.I. systems respectively. In each model, 150 N of vertical load was placed on the central pit of an occlusal plane and 150 N of $40^{\circ}$ oblique load was placed on the buccal cusp. The displacement and stress distribution in the supporting tissues and the other components were analysed using a 2-dimensional finite element analysis . The maximum stress in each reference area was compared. Results : 1. Under $40^{\circ}$ oblique loading, the maximum stress was larger in the implant, superstructure and supporting tissue, compared to the stress pattern under vertical loading. 2. In the implant, prosthesis and supporting tissue, the maximum stress was smaller with the internal connection type (FRI) and the morse taper type (ITI) when compared to that of the external connection type (BRA & END). 3. In the superstructure and implant/abutment interface, the maximum stress was smaller with the internal connection type (FRI) and the morse taper type (ITI) when compared to that of the external connection type (BRA & END). 4. In the implant fixture, the maximum stress was smaller with the internal connection type (FRI) and the morse taper type (ITI) when compared to that of the external connection type (BRA & END). 5 The stress was more evenly distributed in the bone/implant interface through the FRI of trapezoidal step design. Especially Under $40^{\circ}$ oblique loading, The maximum stress was smallest in the bone/implant interface. 6. In the implant and superstructure and supporting tissue, the maximum stress occured at the crown loading point through the ITI. Conclusion: The stress distribution of the supporting tissue was affected by shape of a fixture and implant-abutment connection. The magnitude of maximum stress was reduced with the internal connection type (FRI) and the morse taper type (ITI) in the implant, prosthesis and supporting tissue. Trapezoidal step design of FRI showed evenly distributed the stress at the bone/implant interface.

• Journal of Korean Neurosurgical Society
• /
• v.29 no.1
• /
• pp.58-65
• /
• 2000

Objective : Thoracolumbar junction is second most common level of injury next to cervical spine. The object of this study is to study the usefulness of surgical titanium mesh instead of bone graft, as well as to evaluate the correction of spinal deformity and safety of early ambulation in patients with injury at thoracolumbar junction. Patients and Methods : This review included 51 patients who were operated from July 1994 to December 1997. The injured spine is considered to be unstable, if it shows involvement of two or more columns, translatory displacement more than 3.5mm, decrease more than 35% in height of vertebral body and progression of malalignment in serial X-ray. The decision to operate was determined by (1) compression of spinal cord or cauda eguina, (2) unstable fracture, (3) malalignment and (4) fracture dislocation. The procedure consisted of anterior decompression through corpectomy and internal fixation with anterior instrument and surgical titanium mesh which was impacted with gathered bone chip from corpectomy. Results : Fifty-one patients were followed up for at least 12 months. The main causes of injury were fall and vehicle accident. The twelfth thoracic and the first and the second lumbar vertebrae were frequently involved. Complete neural decompression was possible under direct vision in all cases. Kyphotic angulation occurred in a patient. Radiologic evaluation showed correction of deformity and no distortion or loosening of surgical titanium mesh with satisfactory fixation postoperatively. Conclusions : We could obtain neurological improvement, relief of pain, immediate stabilization and early return to normal activities postoperatively. Based on these results, authors recommend anterior decompression and internal fixation with surgical titanium mesh in thoracolumbar unstable spine injuries.

• Maxillofacial Plastic and Reconstructive Surgery
• /
• v.22 no.3
• /
• pp.294-300
• /
• 2000

Purpose: The aim of this study was to find the clinical characteristics of the patients who had temporomandibular joint internal derangement(ID) with disc adhesion(adhesion group) compared to only disc displacement without disc adhesion, perforation, hyperemia, and so on(ID group). Materials and methods: Thirty seven joints were included in adhesion group and 54 joints in ID group of all 174 patients(174 joints) treated surgically and had been checked periodically over 12 months at TMJ clinic of Yongdong Severance Hospital, Yonsei University, between 1992 and 1997. Mouth opening range, pain during mouth opening and biting, headache, neck/shoulder pain and TMJ sound were checked his/her every visit before and after surgery. Results: The maximum mouth opening was improved significantly after postoperative 3 months in two groups(p<0.01), but adhesion group was less improved. Pain during mouth opening was improved significantly over 3 months after surgery in adhesion group(p<0.01), but in ID group 1 month after surgery. Biting pain was improved and maintained it after surgery and not significant difference between two groups. Headache and neck/shoulder pain were much improved after surgery(p<0.01), but slight relapse was found in adhesion group after 12 months. TMJ sound was more found in adhesion group after 1 month(p<0.05), but after 3 months, no significant difference was found between two groups. Conclusions: The postoperative results of adhesion group were worse than ID group. Therefore, it is considered more carefully to diagnose and treat in cases of internal derangement with adhesion.

• The Journal of the Acoustical Society of Korea
• /
• v.34 no.1
• /
• pp.12-19
• /
• 2015

In this paper, temporal variations of acoustic transmission loss (TL) affected by internal tide are studied by computer simulation using oceanic data measured in the southern sea of Jeju Island in summer. Temperature was measured with depth (bottom depth are nearly 80 m) in two sites near Seogwipo coast every one hour for 25 hours during July 27 and 28, 2009. The periodic fluctuation of temperature due to the internal tide was observed and its vertical displacement was more than 10 m. In order to investigate temporal variation of TL by internal tide, acoustic propagation between two measurement sites (3.8 km distance) was simulated with a source depth of 10 m. TL variation for 1/3 octave band of 100 Hz center frequency highly coincided with tidal period but more complex variation with indistinct tidal period was observed for 1 kHz. Maximun standard deviation of TL variation was 4.2 dB for 100 Hz at 2.8 km distance from a source and it was 3.7 dB for 1 kHz. The tidal variation was also shown in detection range and its maximum variance was less than 1 km. These results imply that temporal variation of TL should be considered for acoustic researches at the southern sea of Jeju Island.

• Journal of the Korea Society for Simulation
• /
• v.27 no.1
• /
• pp.101-109
• /
• 2018

Field experiments as well as numerical analyses with finite element analysis codes are two valuable and complemental ways to understand the structural response under explosive blast load. However, there seems to be only limited information available about finite element analysis and experimental validation on the response of structural components under internal explosions. For complementary use of the two ways, the numerical analyses should be validated with field experiments by comparing their results. In this paper, a small-scaled reinforced concrete building with a room is employed for experimental investigations. An amount of TNT is detonated at the center of the room. Pressure at three different sites in the room, displacement of centers of two walls, and damage patterns of four walls are measured and compared to results from numerical analyses. The experimental results are much similar to the numerical analyses results. The finite element analysis code ANSYS AUTODYN is employed to numerically analyze both pressure distribution inside the room and response of walls subjected to blast pressure. The feasibility and validity of the numerical analysis on the reponses of structural components under internal explosions are discussed in terms of structural damage assessment, and evaluated as the same damage in the analysis and the experiments.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• v.34 no.6
• /
• pp.644-648
• /
• 2008

Purpose: The aim of this study was to investigate the clinical cases of subcondylar fracture with intraoral approach. Material and Method: Fifteen patients with unilateral subcondylar fracture were treated in the department of oral and maxillofacial surgery, Kangdong Sacred Heart Hospital, College of Medicine, Hallym University between 2006 and 2007. Each patients was examined by computed tomography(CT) and panorama. 3D-CT taken when fractured segment was displaced and comminuted. Patients was done intermaxillary fixation to occlusal stability and prevent displacement of fractured segment before general operation. Open reduction and internal fixation(ORIF) accomplished under general anesthesia and used to intraoral approach. We examinated the state of occlusion, maximum opening. Evaluation of the state of occlusion was divided in patient`s subjective evaluation that compare pre-traumatic occlusion with postoperative occlusion, and estimator`s objective evaluation that use articulating paper. Examination was done at 2 weeks, 1, 3, 6 month postoperative by follow up. Result: The ORIF through intraoral approach was good in all patients. In the state of occlusion, all patients recovered pre-traumatic occlusion in 6 month postoperation. Maximum opening was gradually increased. In 3 month postoperative, maximum opening was excessed 40mm. Conclusion: Our study indicate that the intraoral approach is a good technique for subcondylar fracture. Intraoral approach prevent complication that facial nerve damage, scar formation caused by extraoral approach. So, we recommend intraoral approach when subcondylar fracture.