• Title/Summary/Keyword: Lateral mass

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Usefulness of a Lateral Thoracodorsal Flap after Breast Conserving Surgery in Laterally Located Breast Cancer

  • Yang, Jung Dug;Ryu, Dong Wan;Lee, Jeong Woo;Choi, Kang Young;Chung, Ho Yun;Cho, Byung Chae;Park, Ho Yong;Byun, Jin Suk
    • Archives of Plastic Surgery
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    • v.40 no.4
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    • pp.367-373
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    • 2013
  • Background Breast-conserving surgery is widely accepted as an appropriate method in breast cancer, and the lateral thoracodorsal flap provides a simple, reliable technique, especially when a mass is located in the lateral breast. This study describes the usefulness of a lateral thoracodorsal flap after breast conserving surgery in laterally located breast cancer. Methods From September 2008 to February 2013, a lateral thoracodorsal flap was used in 20 patients with laterally located breast cancer treated at our institution. The technique involves a local medially based, wedge shaped, fasciocutaneous transposition flap from the lateral region of the thoracic area. Overall satisfaction and aesthetic satisfaction surveys were conducted with the patients during a 6-month postoperative follow-up period. Aesthetic results in terms of breast shape and symmetry were evaluated by plastic surgeons. Results The average specimen weight was 76.8 g. The locations of the masses were the upper lateral quadrant (n=15), the lower lateral quadrant (n=2), and the central lateral area (n=3). Complications developed in four of the cases, partial flap necrosis in one, wound dehiscence in one, and fat necrosis in two. The majority of the patients were satisfied with their cosmetic outcomes. Conclusions Partial breast reconstruction using a lateral thoracodorsal flap is well matched with breast color and texture, and the surgery is less aggressive than other techniques with few complications. Therefore, the lateral thoracodorsal flap can be a useful, reliable technique in correcting breast deformity after breast conserving surgery, especially in laterally located breast cancer.

Response of orthotropic Kelvin modeling for single-walled carbon nanotubes: Frequency analysis

  • Hussain, Muzamal;Naeem, Muhammad N.;Tounsi, Abdelouahed
    • Advances in nano research
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    • v.8 no.3
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    • pp.229-244
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    • 2020
  • In this paper, modified Kelvin's model has been used to analyze the orthotropic vibration frequencies of single walled carbon nanotubes with clamped-clamped and clamped-free boundary conditions. For this system the governing equation is developed with wave propagation approach. Armchair, zigzag and chiral structures are considered for the vibrational analysis to investigate the effect of different modes, in-plane rigidity and mass density per unit lateral area. Throughout the computations, on decreasing the length-to-diameter ratios, the frequencies of said structure increases. In addition, by increasing three different value of in-plane rigidity resulting frequencies also increase and frequencies decrease on increasing mass density per unit lateral area. The results generated using computer software MATLAB to furnish the evidence regarding applicability of present model and also verified by available published literature.

A Methodolody of Considering the Failure of Supports in Evaluating Tunnel Safety Factors (터널의 안전율 평가 시 지보재 파괴 고려 방안 연구)

  • You Kwang-Ho;Hong Keun-Young;Park Yeon-Jun;Lee Hyun-Koo;Kim Jea-Kwon
    • 한국터널공학회:학술대회논문집
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    • 2005.04a
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    • pp.213-224
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    • 2005
  • The safety factor of a tunnel considering the failure of supports is important because the failure of supports might cause the collapse of the tunnel. In the previous studies, shotcrete was modelled as beam elements and the failure of the shotcrete was checked according to the allowable working stress concept. In this study, shotcrete was modelled by both beam elements and continuum (elasto-plastic) elements. Safety factors of tunnels were estimated by two dimensional numerical analysis with varying rock mass class, coefficient of lateral pressure, thickness of shotcrete, rock bolt reinforcement and excavation method. Also the study suggested not only a proper amount of supports but also modelling method.

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A Case of Fourth Branchial Cleft Cyst (제 4 새성 기형 1예)

  • Park Il-Seok;Chang Jai-Hyuk
    • Korean Journal of Head & Neck Oncology
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    • v.21 no.1
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    • pp.53-56
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    • 2005
  • The branchial anomaly is a lateral neck mass commonly seen by otolaryngologists. Depending on its anatomic location, branchial anomaly can be classified into first, second, third and fourth. The fourth branchial cleft anomaly is very rare entity and until now, only 35cases have been reported worldwide. It may present as neck cyst, recurrent neck abscess, thyroiditis. Combined with barium swallow esophagogram and computed tomography scan can aid in diagnosis of this rare disease entity. Complete excision of the entire epithelial tract combined with ipsilateral thyroid lobectomy remains the mainstay of treatment. Authors experienced a case of lateral neck mass which was anatomically presumed to be the fourth branchial cleft cyst. We report this case with the related literature.

A Case of Extra-Submandibular Gland Pleomorphic Adenoma in Upper Lateral Neck (상측경부에 발생한 악하선 외 다형선종 1예)

  • Hong, Seok Jung;Lee, Mi Ji;Kim, Seung Woo
    • Korean Journal of Head & Neck Oncology
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    • v.34 no.2
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    • pp.65-67
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    • 2018
  • Pleomorphic adenoma (PA) is a benign tumor which usually originates from major and minor salivary glands. This tumor arising outside submandibular gland (SMG) is extremely rare. To author's knowledge, only four cases have been reported so far in English literature. Its pathogenesis is still unclear, but it can be explained by embryologic theory of major salivary gland. A 68-year-old man with an incidental mass on left upper lateral neck visited to our clinic. The radiologic findings showed well-margined round mass outside left SMG. The excisional biopsy revealed a pleomorphic adenoma. We report the rare and unique case with a brief literature review.

A hemangioma in the masseter muscle: a case report

  • Park, Daehwan;Park, Sulki;Baik, Bongsoo;Kim, Sunyoung
    • Archives of Craniofacial Surgery
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    • v.22 no.4
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    • pp.218-221
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    • 2021
  • Intramuscular hemangiomas of the masseter muscle are uncommon tumors and therefore can be difficult to accurately diagnose preoperatively, due to the unfamiliar presentation and deep location in the lateral face. A case of intramuscular hemangioma of the masseter muscle in a 66-year-old woman is presented. Doppler ultrasonography showed a 34×15 mm hypoechoic and hypervascular soft tissue mass in the left masseter muscle, suggesting hemangioma. The mass was excised via a lateral cervical incision near the posterior border of the mandibular ramus. The surgical wound healed well without complications.

A Case of Cystic Lymph Node Metastasis of Tonsil Cancer Mimicking 2nd Branchial Cleft Cyst (제2열 새열 낭종으로 오인되었던 편도암의 낭성 경부 임파절 전이 1예)

  • Park, Seung Bum;Noh, Minh Ho;Ban, Won Woo;Ban, Myung Jin;Park, Jae Hong
    • Korean Journal of Head & Neck Oncology
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    • v.31 no.2
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    • pp.86-90
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    • 2015
  • Cystic lymph node metastasis of head and neck squamous cell carcinoma(HNSCC) which presumed to be mainly originated from oropharynx including Waldeyer's ring may present as a benign cystic mass on lateral neck such as branchial cleft cyst. Branchial cleft cyst is one of the most common lateral neck cystic mass which may result in regional infection or lymph adenopathy. Many of previously reported literatures showed the incidence of cystic lymph node metastasis from oropharynx including Waldeyer's ring. Preoperative imaging studies and fine needle aspiration cytology cannot provide the accurate results until excision of cystic mass for the diagnostic or therapeutic purpose. Recently, we experienced the rare case of cystic lymph node metastasis from ipsilateral tonsil, which mimicked infected 2nd branchial cleft cyst. Thus, we reported our experience with presentation of case and review of literatures.

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Evaluation of Gait Stability using Medio-Lateral Inclination Angle in Male Adults (좌·우 기울기각도를 이용한 남자 성인의 보행안정성 평가)

  • Chang, Jae-Kwan;Yoon, Suk-Hoon
    • Korean Journal of Applied Biomechanics
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    • v.20 no.3
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    • pp.261-266
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    • 2010
  • Human body is hard to be in perfect balance during walking. Most of time the trunk is supported by one leg and the center of mass(COM) falls to the contralateral side. Thus, dynamic variables such as the velocity of the COM should be considered when gait stability is evaluated. The purpose of this study was to investigate whether the extrapolated center of mass(XCom) which utilized the COM position and its velocity, is appropriate to evaluate gait stability. Ten healthy adults participated in this study and performed 3 different types of gaits(normal(NG), hands on waists(HWG), and hands on shoulders(HSG)) onto 4 different types of obstacle(obstacle height: 0%, 30%, 40% and 50% of leg length). Medio-lateral Com-CoP and XCom-CoP inclination angle were calculated during support phase. For all condition, greater M-L XCoM-CoP inclination angles were found(p<.05) compared with those of matched obstacle height CoM-CoP. Especially, M-L XCoM-CoP inclination angle at 50% height revealed the best condition for monitoring dynamic stability. Significantly increased in M-L XCoM-CoP inclination angle was found(p<.05) as obstacle height increased on NG and HWG.

Tuned mass dampers for torsionally coupled systems

  • Pansare, A.P.;Jangid, R.S.
    • Wind and Structures
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    • v.6 no.1
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    • pp.23-40
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    • 2003
  • The steady state response of a torsionally coupled system with tuned mass dampers (TMDs) to external wind-induced harmonic excitation is presented. The torsionally coupled system is considered as one-way eccentric system. The eccentricity considered in the system is accidental eccentricity only. The performance of single tuned mass damper (TMD) optimally designed without considering the torsion is investigated for the torsionally coupled system and found that the effectiveness of a single TMD is significantly reduced due to torsion in the system. However, the design of TMD system without considering the torsion is only justified for torsionally stiff systems. Further, the optimum parameters of a single TMD considering the accidental eccentricity are obtained using numerical searching technique for different values of uncoupled torsional to lateral frequency ratio and aspect ratio of the system. The optimally designed single TMD system is found to be less effective for torsionally coupled system in comparison to uncoupled system. This is due to the fact that a torsionally coupled system has two natural frequencies of vibration, as a result, at least two TMDs are required which can control both lateral and torsional response of the system. The optimum damper parameters of different alternate arrangements such as (i) two identical TMDs placed at opposite corners, (ii) two independent TMDs and (iii) four TMDs are evaluated for minimum response of the system. The comparative performance of the above TMDs arrangements is also studied for both torsionally coupled and uncoupled systems. It is found that four TMDs arrangement is quite effective solution for vibration control of torsionally coupled system.