• Archives of Reconstructive Microsurgery
• /
• v.5 no.1
• /
• pp.112-120
• /
• 1996

We peformed tendon transfer with a microvascular free flap for recovery of handicapped function and reconstruction for the skin and soft tissue loss. We review the clinical data of 11 children who underwent these operation due to injured foot by pedestrian accident from January, 1986 to June, 1994. The mean age of patients was 5.6 years old(3-8). Five cases underwent tendon transfer and microvascular free flap simultaneously. Another 6 cases underwent operations separately. The time interval between tendon trasnfer and microvascular free flap was average 5.6 months(2-15 months). The duration between initial trauma and tendon transfer was average 9.6 months(2-21 months). The anterior tibial tendon was used in 6 cases. Among these, the technique of splitting the anterior tibial tendon was used in 5 cases. The posterior tibial tendon was used in 3 cases and the extenosr digitorum longus tendon of the foot in 2 cases. Insertion sites of tendon transfer were the cuboid bone in 3 cases, the 3rd cuneiform bone in 3 cases, the 2nd cuneiform bone in 1 case, the base of 4th metatarsal bone in 1 case, and the remnant of the extensor hallucis longus in 3 cases. The duration of follow-up was average 29.9 months(12-102 months). The clinical results were analysed by Srinivian criteria. Nine cases were excellent and 2 cases were good. The postoperative complications were loosening of the tranferred tendon in 2 cases, plantar flexion contracture in 1 case, mild flat foot deformity in 1 case and hypertrophic scar in 2 cases. So we recommend the tendon transfer with a microvascular free flap in the case of injured foot of children combined with nerve injury and extensive loss of skin, soft tissue and tendon.

• Archives of Plastic Surgery
• /
• v.46 no.2
• /
• pp.122-128
• /
• 2019

Background The masseter nerve is a useful donor nerve for reconstruction in patients with established facial palsy, with numerous advantages including low morbidity, a strong motor impulse, high reliability, and fast reinnervation. In this study, we assessed the results of masseter nerve-innervated free gracilis muscle transfer in established facial palsy patients. Methods Ten patients with facial palsy who received treatment from January 2015 to January 2017 were enrolled in this study. Three patients received masseter nerve-only free gracilis transfer, and seven received double-innervated free gracilis transfer (masseter nerve and a cross-face nerve graft). Patients were evaluated using the Facial Assessment by Computer Evaluation software (FACEgram) to quantify oral commissure excursion and symmetry at rest and when smiling after muscle transfer. Results The mean time between surgery and initial movement was roughly 167.7 days. A statistically significant increase in excursion at rest and when smiling was seen after muscle transfer. There was a significant increase in the distance of oral commissure excursion at rest and when smiling. A statistically significant increase was observed in symmetry when smiling. Terzis' functional and aesthetic grading scores showed significant improvements postoperatively. Conclusions Masseter nerve innervation is a good option with many uses in in established facial palsy patients. For some conditions, it is the first-line treatment. Free gracilis muscle transfer using the masseter nerve has excellent results with good symmetry and an effective degree of recovery.

• Journal of Advanced Marine Engineering and Technology
• /
• v.15 no.2
• /
• pp.64-72
• /
• 1991

The unsteady, two-dimensional laminar flow and heat transfer of an incompressible, constant-property fluid flowing around a circular cylinder are numerically analyzed. The Navier-Strokes equation and the energy equation are solved by the finite difference method. The range of the Reynolds number is 10 to 100 and the Prandtl number considered is 0.7. The contours of the flow pattern, equi-vorticity line and isotherm pattern around a circular cylinder are shown. Also, numerical solutions of the surface vorticity, pressure coefficient, drag coefficient, local Nusselt number and mean Nusselt number are obtained. The numerical results for the final time fo calculation are compared with the other available experimental and theoretical results for the steady state and are found to be in good agreement with them.

• Transactions of the Korean Society of Mechanical Engineers B
• /
• v.23 no.2
• /
• pp.262-271
• /
• 1999

A study of aerosol dynamics has been done to obtain axially and radially varying size distributions of particles generated in the Modified Chemical Vapor Deposition process. Heat and mass transfer have also been studied since particle generation and deposition strongly depend on the temperature field in a tube. Bimodal size distributions of particles have been obtained both in the particulate flow and in the deposited particle layer for the first time using the sectional method to solve aerosol dynamics. Variations of geometric mean diameter, geometric standard deviation have been studied for various parameters; flow rates and maximum wall temperature. The comparison between one-dimensional and two-dimensional approaches has also been made.

• Proceedings of the KSME Conference
• /
• 2003.11a
• /
• pp.598-603
• /
• 2003

A CFD analysis has been performed to investigate turbulent heat transfer in a triangular rod bundle with a pitch-to-diameter ratio(P/D) of 1.06. Anisotropic turbulence models predicted the turbulence-driven secondary flow in the triangular subchannel and the distributions of time mean velocity and temperature showing significantly improved agreement with the measurements over the linear standard ${\kappa}-{\varepsilon}$. The anisotropic turbulence models predicted turbulence structure in large flow region fairly well but could not predict the very high turbulent intensity of azimuthal velocity observed in narrow flow region(gap).

• Proceedings of the Korea Society for Energy Engineering kosee Conference
• /
• 1995.05a
• /
• pp.223-229
• /
• 1995

Heat transfer phenomena during freezing process of the water in a vertical cylinder were experimentally studied. Purified water was inserted into the vertical cylinder Experiment was performed with two conditions ; the inlet temperature of the working fluid was maintained to be -1$0^{\circ}C$ and the direction of the working fluid was to be upward or downward. Both the mean temperature of the liquid and temperature difference of cylinder tube wall in the upward were lower than those in the downward. In addition, shape of ice layer in the upward was more uniform than that in the downward. Finally, time-varying total heat energy stored in the water in the upward was higher than that in the downward.

• The Transactions of the Korean Institute of Electrical Engineers P
• /
• v.66 no.4
• /
• pp.182-187
• /
• 2017

Synchronous generators have been significantly applied in large-scale power plants and its monitoring systems are additionally established to sequentially observe states and outputs. We develop a computer based monitoring device for three-phase synchronous power generators in this paper. First, a test-bed of such generator system is created and then a interface board is constructed to transfer electric signals including the output voltage and the current from generators into a computer system via a data acquisition device. Its RMS(root-mean-square) values are continuously shown on a screen of computer systems and its time-histories graphs are additionally illustrated under a graphic user interface(GUI) mode. Lastly, we carry out real-time experiments using the generator system with the monitoring device to demonstrate its reliability and superiority by comparing results of a generic power analyzer which is well-used in measuring various power systems practically.

• Archives of Reconstructive Microsurgery
• /
• v.5 no.1
• /
• pp.128-136
• /
• 1996

Radial nerve injury is caused by variety of etiologies, mainly traumatic. It is primarily a motor nerve and loss of it's function leads to a significant disability. Surgical treatments of radial nerve comprise of neurolysis(internal or external), neurorrhaphy(eineural, perineural or epi-perineural), nerve graft and tendon transfer. However, there is still controversies in treatment methods and time of operation. Authors experienced 23 cases of radial nerve injuries who were treated by operative methods and followed up over 1 year's duration. The male to female ratio was 18 to 5 and mean age was 30.7 years old. The causes were 13 cases in fractures, 5 cases in crushing injury, 3 cases in laceration, 1 case in CO poisoning and 1 case in unknown cause. The summary of the study were as follows ; 1. Excellent or good results were obtained in overall 16 cases among 23 cases; 5 of 9 cases in neurolysis, 3 of 3 cases in neurorrhaphy, 2 of 3 cases in nerve graft and 6 of 8 cases in tendon transfer. 2. In cases of neurorrhaphy and nerve graft, primary or delayed repair showed excellent or good results and neurolysis performed before 6 months leads to better results. But there was no correlations between the time of injury and operation in tendon transfer. 3. The radial nerve injury associated with extensive soft tissue defect or any conditions that leads to nerve ischemia results poor prognosis. 4. The patients aged under 40 years showed better prognosis in clinical results according to the age of surgical treatment. 5. If the surgeon decide the method and the time of operation through the exact evaluation of the factors which influencing the end result such as age of the patient, level and type of injury, extent of nerve lesion and the associated tissue injury, good result could be expected.

• The Journal of the Korea Contents Association
• /
• v.9 no.8
• /
• pp.384-391
• /
• 2009

The coastline area, which was the important to decide the shape of the national land, has the characteristics of changing its shapes and features. We have some trouble to make the appropriate use-plan, because of the huge land to be reclaimed from the sea and developing large and small coast areas. Of them the coastal sand dune plays a definite primary role in the side of tourism and ecology. But there is not enough study for that. Busan Songdo coast is decided as an object of this study. We would analyze transfer path of the coastal sand dune through the time series analysis with RTK-GPS survey for many years. In case of Song do coast, the mean coastline length is approximately 620m, the area is approximately $31,846m^2$. Breakwaters are set up in right and left sides in Song do coast. it can make the sand dune be a minimum. So the coastal sand dune is steadily deposited with a certain beach nourishment of every year. As a result of 7 times survey, both sides of the coastal sand dune are eroded. It turns out it is going ahead over all as the center of the coastal sand dune is deposited.

• Archives of Plastic Surgery
• /
• v.39 no.4
• /
• pp.345-351
• /
• 2012

Background Cranial base defects are challenging to reconstruct without serious complications. Although free tissue transfer has been used widely and efficiently, it still has the limitation of requiring a long operation time along with the burden of microanastomosis and donor site morbidity. We propose using a reverse temporalis muscle flap and calvarial bone graft as an alternative option to a free flap for anterior cranial base reconstruction. Methods Between April 2009 and February 2012, cranial base reconstructions using an autologous calvarial split bone graft combined with a reverse temporalis muscle flap were performed in five patients. Medical records were retrospectively analyzed and postoperative computed tomography scans, magnetic resonance imaging, and angiography findings were examined to evaluate graft survival and flap viability. Results The mean follow-up period was 11.8 months and the mean operation time for reconstruction was $8.4{\pm}3.36$ hours. The defects involved the anterior cranial base, including the orbital roof and the frontal and ethmoidal sinus. All reconstructions were successful. Viable flap vascularity and bone survival were observed. There were no serious complications except for acceptable donor site depressions, which were easily corrected with minor procedures. Conclusions The reverse temporalis muscle flap could provide sufficient bulkiness to fill dead space and sufficient vascularity to endure infection. The calvarial bone graft provides a rigid framework, which is critical for maintaining the cranial base structure. Combined anterior cranial base reconstruction with a reverse temporalis muscle flap and calvarial bone graft could be a viable alternative to free tissue transfer.