• 제목/요약/키워드: Lengthening

검색결과 350건 처리시간 0.022초

전기적화상에 의한 구순결손의 재건-증례보고- (The Reconstruction of the Lip Defect due to Electrical Burn (Case Report))

  • 민병일;김병린;김경원;박진규
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제12권3호
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    • pp.63-67
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    • 1990
  • Electrical burns of the lips are most frequently seen in small children, who are apt to chew on electrical cord or plug, the ends of extension cords in their mouth, saliva creates a short circuit across the terminals within the plug, causing an electrical burn. Tissue destruction with electrical burns is sudden and extensive. Extensive, deep coagulation necrosis is instaneously produced by the extreme temparatures of electrical arc. If the child is well grounded, the circuit flow through his body may cause cardiac arrest. The purpose of this report is to document two cases of electrical lip burn and reconstruction of the lip defect with some local flap techniques. For case 1, Z plasty & V-Y plasty and lengthening of the commissure and in case 2, Abbe flap technique was used and scar was revised later. Z-plasty and V-Y plastry were used for scar release and Abbe flap was designed on lower lip to meet the need of upper lip. For short of right lip width, lengthening of the commissure was done. We are to report the improvement with forementioned operation on the patient of electrical burn upon the lip.

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유전성 연축성 양하지 마비 환자에서의 족부 진행성 동적 첨내반족 -1예 보고- (Progressive Dynamic Equinovarus Deformity in Hereditary Spastic Paraplegia - A Case Report-)

  • 배서영;서인석
    • 대한족부족관절학회지
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    • 제8권1호
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    • pp.111-113
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    • 2004
  • In neurogenic equinovarus deformity, surgical intervention such as tendon transfer or osteotomy can be expected to improve symptoms. However, in rare cases of hereditary spastic paraplegia, the deformity and paralysis gradually progress. So limited operation and early post-operative rehabilitation are preferred to aggressive operation. We would like to report our clinical experience with one case of hereditary spastic paraplegia patient with reference review. A 40 year-old male, given tendon transfer of ankle and foot and tendo achilles lengthening 10 years ago, complained about aggravated spastic paraplegia which resulted in dynamic equinovarus and limited walking ability since his operation. Family history showed limited walking ability of his father with gradually progressing spastic paralysis and he was diagnosed as hereditary spastic paraplegia type I. We had performed a limited operation such as tendo achilles and tibialis posterior lengthening to induce plantigrade standing and walking with crutch. As a result, the patient was able to maintain a stabilized standing posture and walk after the operation. Hereditary spastic paraplegia presents with a progressive paralysis which limits rehabilitation after tendon transfer, and the symptoms can be aggravated. Therefore, considering potential hereditary neurogenic disorders in paients with equinovarus deformity and performing limited operative procedures seem to be important.

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종골의 비골 결절 골절제술 후 발생한 장비골건 파열에 대한 수술적 치료: 증례 보고 (Surgical Treatment of Peroneus Longus Tendon Rupture after Ostectomy of Peroneus Tubercle of Calcaneus: A Case Report)

  • 이진영;김갑래;정민;이의수;권재우;서동연
    • 대한족부족관절학회지
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    • 제18권2호
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    • pp.72-75
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    • 2014
  • We experienced a patient in whom rupture of the peroneus longus tendon occurred after ostectomy of the peroneus tubercle of the calcaneus. Acute rupture of the peroneus tendon can be managed by end-to-end anastomosis, while neglected cases can be treated by tenodesis, tendon transfer, or tendon graft. In the current patient, the tendon ends were mildly retracted, yielding a small gap. We successfully repaired the retracted tendon ends after lengthening by Z-plasty.

Prosodic Modifications of the Internal Phonetic Structure of Monosyllabic CVC Words in Conversational Speech

  • Mo, Yoonsook
    • 말소리와 음성과학
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    • 제5권1호
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    • pp.99-108
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    • 2013
  • Previous laboratory studies have shown that prosodic structures are encoded in the modulations of phonetic patterns of speech including suprasegmental as well as segmental features. In particular, effects of prosodic context on duration and intensity of syllables and words have been widely reported. Drawing on prosodically annotated large-scale speech data from the Buckeye corpus of conversational speech of American English, the current study attempted to examine whether and how prosodic prominence and phrase boundary of everyday conversational speech, as determined by a large group of ordinary listeners, are related to the phonetic realization of duration and intensity. The results showed that the patterns of word durations and intensities are influenced by prosodic structure. Closer examinations revealed, however, that the effects of prosodic prominence are not the same as those of prosodic phrase boundary. With regard to intensity measures, the results revealed the systematic changes in the patterns of overall RMS intensity near prosodic phrase boundary but the prominence effects are restricted to the nucleus. In terms of duration measures, both prosodic prominence and phrase boundary are the most closely related to the lengthening of the nucleus. Yet, prosodic prominence is more closely related to the lengthening of the onset while phrase boundary lengthens the coda duration more. The findings from the current study suggest that the phonetic realizations of prosodic prominence are different from those of prosodic phrase boundary, and speakers signal different prosodic structures through deliberate modulations of the internal phonetic structure of words and listeners attend to such phonetic variations.

생비골 성장판 이식술을 이용한 선천성 다발성 골연골증에서 전완부 변형의 치료 (Treatment of Forearm Deformity caused by Hereditary Osteochondromatosis using Free Vascularized Fibular Epiphyseal Transplantation)

  • 한정수;유명철;정덕환;한현수;한수홍
    • 대한골관절종양학회지
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    • 제1권1호
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    • pp.60-67
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    • 1995
  • It is difficult to manage the growing deformity of forearm bone caused by hereditary osteochondromatosis in children, because deformity and discrepancy of limb length is progressive. The are many treatment methods of these problems including excisio of osteochondroma, lengthening of ulna, shortening of radius, corrective osteotomy with or without lengthening apparatus. Among many treatment methods, we tried free vascularized epiphyseal transplantation with the proximal fibular epiphysis in 3 patients of hereditary osteochondromatosis for inducement of continuous bone growth and deformity correction. The average duration of follow up was 7 years and 1 month, the shortest duration being to 4 years and 5 months and the longest 10 years and 8 months. Serial radiologic and clinical evaluation were carried out during follow up and there were satisfactory length gain, deformity correction and improvement of adjacent joint motion in 2 cases. According to our follow up evaluation, free vascularized epiphyseal transplantation is valuable procedure in forearm deformity of hereditary osteochondromatosis although it needs skillful and experienced operative technique.

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가골 신연술을 이용한 양측성 다발열 단중족증의 치료 (1예 보고) (Operative Treatment of the Bilateral Multiple Rays Brachymetatarsia using Callotasis (A Case Report))

  • 권세원;박강희;소재완
    • 대한족부족관절학회지
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    • 제14권2호
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    • pp.186-189
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    • 2010
  • Among congenital brachymetatarsias fourth metatarsal bone shortening is most common form and unusually involves multiple metatarsal bones. We report a case of the patient with bilateral 1st and 4th multiple rays brachymetatarsia treated with callostasis. Twenty eight months after procedure, right side showed 1st metatarsal lengthening about 11.5 mm (29.23%) and 4th metatarsal 17.86 mm (35.87%). Twenty one months later, left side showed 1st metatarsal lengthening about 14.58 mm (36.8%) and 4th metatarsal 20.52 mm (43.01%). In healing index right side showed 1st metatarsal 3.4 month/cm, 4th metatarsal 2.5 month/cm and left side showed 1st metatarsal 4.2 month/cm, 4th metatarsal 2.3 month/cm. Final follow-up results presented excellent outcome in cosmetic problem, easy wear of shoes, and measurement of patient's self satisfaction.

위기 이후 금융중개와 금융제도 변천 및 한국에 대한 시사점 (Financial Intermediation and the Post-Crisis Financial System with Implications for Korea)

  • 신현송
    • KDI Journal of Economic Policy
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    • 제32권1호
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    • pp.1-26
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    • 2010
  • 대출자산의 증권화는 자산부실위험을 분산시키려는 취지로 도입하였으나 실제로는 자산부실을 키우고 금융중개부문의 취약성을 키우는 결과를 낳았다. 본 논문은 증권화와 자산부실 문제를 다룰 수 있는 금융제도 전반의 위험을 분석할 수 있는 회계 프레임워크를 고려한다. 미국의 증권화제도는 긴 중개사슬을 낳았고, 위기 시에 취약한 구조가 되었다. 유럽에서 사용되는 커버드본드 제도는 짧은 중개제도와 부합하는 제도로서 금융제도의 안정성에 도움이 된다. 한국의 금융제도도 부채의 안정성을 감안할 때 커버드본드의 혜택을 볼 수 있을 것으로 예상된다.

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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
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    • 제41권1호
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    • pp.12-18
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    • 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.

How Different are Vowel Epentheses in Learner Speech and Loanword Phonology?

  • Park, Mi-Sun;Kim, Jong-Mi
    • 음성과학
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    • 제15권2호
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    • pp.33-51
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    • 2008
  • Difference of learner speech and loanword phonology is investigated in terms of Korean learners' speech and their loanword adaptation of English words with a post-vocalic word-final stop. When we compared the speech of 12 Korean learners in mid-intermediate level with that of eight English speakers, the learner speech did not reflect loanword phonology of the vowel insertion after a voiced word-final stop (e.g., rib$[\dotplus]$, bad$[\dotplus]$, gag$[\dotplus]$ vs. tip[=], cat[=], book[=]), but, instead, the target phonology of vowel lengthening before a voiced word-final stop (e.g., rib[r.I:b], CAD$[k{\ae}:d]$, bag$[b{\ae}:g]$ vs. rip[rI.p], cat$[k{\ae}t]$, back$[b{\ae}k])$. A longitudinal study of learner speech before and after instruction showed some development toward the acquisition of target phonology. The results indicate that learner speech departs from loanword phonology, and approaches to target speech in a faster rate than direct ratio. Thus, native phonology predicts loanword phonology, but lends little support to learner speech. Our results also indicate that loanword phonology is constant, while learner speech changes toward the acquisition of target phonology.

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