• Title/Summary/Keyword: Korean Flap

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Repair of Complete Cleft Lip Using Extended Mohler Repair (완전 구순열에서 확장 Mohler법의 적용)

  • Park, Young-Wook
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.34 no.3
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    • pp.200-204
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    • 2012
  • In the repair of unilateral complete cleft lip, the most popular method is the rotation-advancement by Millard. Despite advantages of Millard repair, a few pitfalls exist. Above all, some of the scars, at the height of the cleft side philtral ridge, cross the Langer's line. Further, in the repair of complete cleft lip, small triangular lateral lip flap is often added in the base of an advancement flap to level the Cupid's bow. Moreover, preservation of the advancement flap has some negative effects on a primary nasal repair. As a result, the shape of philtrum is somewhat unnatural. Therefore, I applied the extended Mohler repair in the six cases of complete wide cleft lip to get a more esthetic scar. As a result, more natural, straight philtral ridge was obtained, without adding small triangular flap in the base of the advancement flap.

Surgical Treatment of Postoperative Leakage with Pedicled Omental Flap (유경성 대망이식편을 이용한 술후 식도천공 치험1례)

  • Im, Chang-Yeong;Kim, Yo-Han;Yu, Hoe-Seong
    • Journal of Chest Surgery
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    • v.26 no.4
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    • pp.325-328
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    • 1993
  • The pedicled omental flap has been used for treatment of various kind of complications in thoraxcic surgery. Its property of promoting neovascularization , immunilogic properties that limiting the spread of infection, providing soft tissue coverage are very effective in treatment esophageal fistulas. Also, congenital broncho-esophageal fistula [ BEF ] is a rare disease entity which was reported about 100 cases around the world. We experienced 27 years old female patient with Braimbridge type I congenital BEF. We performed division of BEF using stapler and pericardial patch coverage of esophageal side with concomittent left lower lobectomy. This patient was complicated with postoperative esophageal leakage with empyema thoracis. We have successfully managed these problems with re-thoracotomy and re-closure of esophageal fistula using Right Gastroepiploic Artery based pedicled omental flap wrapping around the esophageal anastomosis site. It is felt that pedicled omental flap is a very effective method to manage esophageal complication such as postoperative esophageal leakage.

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SEPARATION CONTROL USING SYNTHETIC JET ON NACA23012 AT HIGH ANGLE OF ATTACK (고받음각의 NACA23012익형에서 synthetic jet을 이용한 박리 제어 연구)

  • Kim S. H.;Kim C.;Kim K. H.
    • 한국전산유체공학회:학술대회논문집
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    • 2005.10a
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    • pp.125-129
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    • 2005
  • Flow control has been performed using synthetic jet on NACA23012. In order to improve aerodynamic performance, synthetic jet is located near separation paint on airfoil with leading edge droop and plain flap. The flow control using synthetic jet shows that stall characteristics and control surface performance can be improved through resizing separation vortices. Stall is delayed and stall characteristics are improved when synthetic jet is applied from separation region of leading edge droop. Control surface effectiveness is increased and lift is increased when synthetic jet applied at the flap leading edge region. The results show that aerodynamic characteristics can be improved through leading edge droop with synthetic jet at near separation and plain flap with synthetic jet at the flap leading edge. The combination of synthetic jet and simple high lift device is as good as fowler flap system.

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Visualization of Flow Fields Around a Flapped Rudder (플랩이 부착된 타 주위 유동장의 가시화)

  • Kim, Seong-Dong;Kim, Jin-Gu;Lee, Gyoung-Woo;Choi, Min-Seon;Cho, Dae-Hwan
    • Proceedings of the KSME Conference
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    • 2000.11b
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    • pp.615-620
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    • 2000
  • Manoeuvrability of ships has been receiving a great deal of attention both concerning navigation safety and the prediction of ship manoeuvring characteristics, especially at the preliminary design stage. Recently, in order to improve manoeuvrability of ships, High-lift devices could be applied to design of rudder at design stage. Now, among the them, we carried out the flow visualization and investigation of flow field around a flapped rudder(trailing-edge flap). A trailing-edge flap is simply a portion of the trailing-edge section of airfoil that is hinged and which can be deflected upward or downward. Flow visualization results of flap defection shown as follow Photos including main body and flap defection.

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Numerical Study on Transient Aerodynamics of Moving Flap Using Conservative Chimera Grid Method (보존적 중첩격자기법을 이용한 동적 플랩의 천이적 공력거동에 관한 수치적 연구)

  • Choi S. W.;Chang K. S.;Kim I. S.
    • Journal of computational fluids engineering
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    • v.5 no.2
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    • pp.9-19
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    • 2000
  • Transient aerodynamic response of an airfoil to a moving plane-flap is numerically investigated using the two-dimensional Euler equations with conservative Chimera grid method. A body moving relative to a stationary grid is treated by an overset grid bounded by a 'Dynamic Domain Dividing Line' which has an advantage for constructing a well-defined hole-cutting boundary. A conservative Chimera grid method with the dynamic domain-dividing line technique is applied and validated by solving the flowfield around a circular cylinder moving supersonic speed. The unsteady and transient characteristics of the flow solver are also examined by computations of an oscillating airfoil and a ramp pitching airfoil respectively. The transient aerodynamic behavior of an airfoil with a moving plane-flap is analyzed for various flow conditions such as deflecting rate of flap and free stream Mach number.

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Reconstruction of Lower Face with Submental Artery Perforator Flap

  • Song, Jung-Kook;Kang, Jae Kyoung;Shinn, Myoung Soo;Yun, Byung Min
    • Archives of Reconstructive Microsurgery
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    • v.23 no.1
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    • pp.40-43
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    • 2014
  • A submental artery perforator flap was applied to the defect site after surgical excision of basal cell carcinoma on the right lower face. Three points were beneficial: it was perfect for assuring the safe margin of the mandibular branch of the facial nerve as well as intact platysma muscle, functionally; harvesting the flap was much easier than that of submental artery flap, surgically; and the color and contour were well matched aesthetically.

Hatchet-type Gluteus Maximus Musculocutaneous Flap for Reconstruction of Sacral Pressure Sore

  • Bae, Sang Wook;Lim, Tae Kang;Kim, Hyong Suk;Song, Baek Yong
    • Archives of Reconstructive Microsurgery
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    • v.23 no.1
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    • pp.25-28
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    • 2014
  • One of the most frequently used flaps for coverage of sacral skin and soft-tissue defects is the gluteus maximus musculocutaneous flap. These authors encountered two cases of sacral pressure sore, for which reconstructive surgery was performed, using the hatchet-shaped gluteus maximus musculocutaneous flap - a modified flap type. We report on our experience in treatment of these two cases, with an excellent outcome.

Aesthetic Considerations after Free Flap Reconstruction

  • Lee, Sang Shin;Kim, Eun Key
    • Archives of Reconstructive Microsurgery
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    • v.23 no.1
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    • pp.8-12
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    • 2014
  • Purpose: The success rate of free flap operation has shown a recent increase. Especially for breast reconstructive patients, aesthetic results are considered a necessity. However, for patients who underwent reconstruction in parts of the body other than breast, for example, head and neck, lower and upper extremities, aesthetic considerations are underscored. Nowadays, however, aesthetic standpoint toward these patients is changing. Materials and Methods: We conducted a retrospective review of 8 patients who underwent secondary procedures after free flap surgery from March of 2011 to April of 2014. Results: Secondary refinement was a safe and less time-consuming technique for maximizing the function and aesthetic appearance for the patient. Conclusion: Appearance has become increasingly important with regard to function and quality of life. Therefore, for free flap reconstructive patients, secondary refinements may be considered in order to change the shape and contour. The secondary refinements are critical to the final result and must be a planned part of the entire reconstructive sequence.

A Study on the New Method for Structural Analysis and Design by MDO(Multidisciplinary Design Optimization) Methodology : Application to Structural Design of Flap Drive System (MDO기법에 의한 새로운 구조해석 및 설계기법 고찰: 플랩 구동장치의 구조설계에의 적용)

  • 권영주;방혜철
    • Korean Journal of Computational Design and Engineering
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    • v.5 no.2
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    • pp.184-195
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    • 2000
  • MDO (Multidisciplinary Design Optimization) methodology is an emerging new technology to solve a complicate structural analysis and design problem with a large number of design variables and constraints. In this paper MDO methodology is adopted through the use of computer aided systems such as Geometric Solid Modeller, Mesh Generator, CAD system and CAE system. And this paper introduces MDO methodology as a new method for structural analysis and design through the application to the structural design of flap drive system. In a MDO methodology application to the structural design of flap drive system, kinetodynamic analysis is done using a simple aerodynamic analysis model for the air flow over the flap surface instead of difficult aerodynamic analysis. Simultaneously the structural static analysis is done to obtain the optimum structural condition. And the structural buckling analysis for push pull rod is also done to confirm the optimum structural condition (optimum cross section shape of push pull rod).

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The Reverse Digital Artery Flap for Finger Tip Reconstruction (수지첨부 손상재건을 위한 수지부 역혈행성 도서형 피판술)

  • Han, Dong-Gil;Ahn, Ki-Young;Park, Dae-Hwan
    • Archives of Reconstructive Microsurgery
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    • v.7 no.2
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    • pp.108-113
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    • 1998
  • Reverse digital artery flaps were performed successfully to resurface the fingertip defect in 13 patients as noninnervated pattern and in 12 patients as innervated pattern from March 1993 to February 1996. No loss of flap in this series was noted. Refinements in flap design and surgical technique resulted in favourable functional and ethetic results. The average two-point discrimination of the reconstructed fingertip was 7.2mm and 4.5mm in the noninnervated and innervated flaps, respectively. This flap is an one of the ideal and reliable option for reconstruction of fingertip defects.

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