• Title/Summary/Keyword: Microform

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Repair of Unilateral Incomplete Lesser Form Cleft Lip (편측성 불완전 소구순열의 치료)

  • Park, Hye Jeong;Jung, Hwi-Dong;Mulliken, John Butler;Jung, Young-Soo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.35 no.3
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    • pp.178-183
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    • 2013
  • Cleft lip arises from congenital underdevelopment with various degrees and patterns. Mulliken named a unilateral incomplete cleft lip with no severe cleft as a lesser-form cleft lip and categorized it into three subgroups. Anatomically categorized subgroups are minor-form, microform, and mini-microform cleft by the extent of vermilion-cutaneous dysjuntion. The vermillion cutaneous notch is more than 3 mm from the regular Cupid's bow peak for minor-form, less than 3 mm for microform, and almost no gap with discontinuity on the vermillion cutaneous border for mini-microform. The treatments are rotational advancement flap for minor-form, double unillimb Z-plasty for microform, and vertical lenticular excision for mini-microform, respectively. This article aims to present the literature review about the incomplete lesser form cleft lip classified by Mulliken and to report our experiences.

Correction of Minor-Form and Microform Cleft Lip Using Modified Muscle Overlapping with a Minimal Skin Incision

  • Kim, Min Chul;Choi, Dong Hun;Bae, Sung Gun;Cho, Byung Chae
    • Archives of Plastic Surgery
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    • v.44 no.3
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    • pp.210-216
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    • 2017
  • Background In treating minor-form or microform cleft lip, obtaining an optimal result is a challenge because of the visible scarring caused by traditional surgery. We present a refined method using muscle overlapping with a minimal skin incision in patients younger than 3 years, a group characterized by thin muscle. Methods The surgical technique involves restoration of the notched vermillion using Z-plasty, formation of the philtral column using overlapping of an orbicularis oris muscle flap through an intraoral incision, and correction of the cleft lip nasal deformity using a reverse-U incision and V-Y plasty. A single radiologist evaluated ultrasonographic images of the upper lip. Results Sixty patients were treated between September 2008 and June 2014. The age at the time of operation ranged from 6 to 36 months (mean, 26 months). The follow-up period ranged from 8 to 38 months (mean, 20 months) in minor-form cases and from 14 to 64 months (mean, 37 months) in microform cases. A notched cupid's bow was corrected in 10 minor-form cases and 50 microform cases. Ultrasonographic images were obtained from 3 patients with minor-form cleft lip and 9 patients with microform cleft lip 12 months after surgery. The average muscle thickness was 4.5 mm on the affected side and 4.1 mm on the unaffected side. Conclusions The advantages of the proposed procedure include the creation of an anatomically natural philtrum with minimal scarring. This method also preserves the continuity and function of the muscle and provides sufficient augmentation of the philtral column and nostril sill.

Midline cleft of the upper lip associated with a microform unilateral cleft and a proboscis-like structure: a case report

  • Adekunle Moses Adetayo;Olukayode Adebola Yusuf;Chika Precious Ibeh;Eyinnaya Ukaegbu;Fadekemi Oginni;Modupe Olusola Adetayo
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.49 no.4
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    • pp.223-227
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    • 2023
  • A midline or median cleft lip is rare, and a midline cleft associated with a unilateral cleft and a proboscis-like structure is rarer still. We present a case managed at our center in which a 5-year-old male had a median cleft of the upper lip with an associated 'proboscis' and a microform unilateral cleft lip.

Analysis of Procedures for Correction of Microform Cleft Lip through Strategic Approaches (전략적 접근을 통한 미세형 구순열의 수술에서 실제 사용된 술기의 분석)

  • Song, Kyeong Ho;Bae, Yong Chan;Bae, Seong Hwan
    • Archives of Craniofacial Surgery
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    • v.14 no.1
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    • pp.16-23
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    • 2013
  • Background: Even though degrees of deformation of microform cleft lip are not high, it has to be corrected with various procedures upon conditions and areas since it has various expressions. Many studies have focused on the classifications and procedures, but there are only a few studies on how much these procedures are performed in the actual field. This study aims to analyze the utilization of various procedures upon major correction points. Methods: A total of 52 patients who had been corrected by one surgeon from 1995 to 2011 were enrolled as subjects. Based on the medical records, it was checked whether the incision was made or not along with the correction procedures for alar base and philtral column, Cupid's bow, and vermillion free margin. Results: In case of an incision, full incision (42 times) was conducted most frequently. For alar base and philtral column, muscle re-approximation (25 times) was performed most frequently. However, recently, it was shown that excision on only the affected area and correction with dermis were more likely to be used. For Cupid's bow and vermilion free margin, elliptical excision on the only affected area followed by re-approximation was performed most frequently for 46 times (Cupid's bow) and 44 times (vermilion free margin), respectively. Conclusion: For the correction of microform cleft lip, less invasive procedures are preferred. However, in the actual field, if needed, aggressive procedures consisting of incisions have been conducted to correction. These trends are somewhat changed to utilization of a simple procedure, such as excision on the modified area, followed by a re-approximation rather than complicated procedures using the muscle.

A study on the material designation in library cataloging (목록에서의 자료종별표시에 관한 연구)

  • 이창수
    • Journal of Korean Library and Information Science Society
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    • v.25
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    • pp.377-404
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    • 1996
  • The purpose of this study is to investigate material designation in library cataloging and to suggest General Material Designation (GMD) and Specific Material Designation(SMD) in Korean. A summary of the study follows. In library cataloging, methods of indicating the type of material are : (1) color-coding, (2) media code as part of the call number, (3) material designation in physical description area or note area, (4) GMD and SMD. GMD is a term indicating the broad class of material to which a bibliographic item belongs. SMD is a term indicating the special class of material to which a bibliographic item belongs. GMD was listed in parenthesis following the title proper before AACR1975 code, but currently it is listed in square brackets after the AACR1975 code. AACR2 was the standard cataloging rule in GMD and SMD terminology. It is suggested that GMD be used in Korean for graphic material, sound recordings, drawings, microform, multimedia, videorecordings, manuscripts, photographs, slides, printed music, motion pictures, printed texts, objects, braille, cartographic materials, computer files and transparenies.

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Roughness Measurement Performance Obtained with Optical Interferometry and Stylus Method

  • Rhee Hyug-Gyo;Lee Yun-Woo;Lee In-Won;Vorburger Theodore V.
    • Journal of the Optical Society of Korea
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    • v.10 no.1
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    • pp.48-54
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    • 2006
  • White-light scanning interferometry (WLI) and phase shifting interferometry (PSI) are increasingly used for surface topography measurements, particularly for areal measurements. In this paper, we compare surface profiling results obtained from above two optical methods with those obtained from stylus instruments. For moderately rough surfaces ($Ra{\approx}500\;nm$), roughness measurements obtained with WLI and the stylus method seem to provide close agreement on the same roughness samples. For surface roughness measurements in the 50 nm to 300 nm range of Ra, discrepancies between WLI and the stylus method are observed. In some cases the discrepancy is as large as 109% of the value obtained with the stylus method. By contrast, the PSI results are in good agreement with those of the stylus technique.

Surface Topography Measurement and Analysis for Bullet and Casing Signature Identification (총기 인식을 위한 측정 시스템 구현 및 해석 알고리즘 개발)

  • Rhee, Hyug-Gyo;Lee, Yun-Woo;Vorburger Theodore Vincent;Reneger Tomas Brian
    • Korean Journal of Optics and Photonics
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    • v.17 no.1
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    • pp.47-53
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    • 2006
  • The Integrated Ballistics Identification Systems (IBIS) is widely used for bullet and casing signature identification. The IBIS obtains a pair of ballistic signatures from two bullets (or casings) using optical microscopy, and estimates a correlation score which can represent the degree of signature match. However, this method largely depends on lighting and surface conditions because optical image contrast is primarily a function of test surface's slope, shadowing, multiple reflections, optical properties, and illumination direction. Moreover, it can be affected with surface height variation. To overcome these problems and improve the identification system, we used well known surface topographic techniques, such as confocal microscopy and white-light scanning interferometry. The measuring instruments were calibrated by a NIST step height standard and verified by a NIST sinusoidal profile roughness standard and a commercial roughness standard. We also suggest a new analysis method for the ballistic identification. In this method, the maximum cross-correlation function CCFmax is used to quantify the degree of signature match. If the compared signatures were exactly the same, CCFmax would be $100\%$.

Correction of Upper Lip Depression Using Conchal Cartilage Graft in Unilateral Cleft Lip Deformity (일측구순열변형에서 이갑개연골이식술을 이용한 상구순 함몰의 교정)

  • Han, Ki-Hwan;Yun, Sang-Ho;Yeo, Hyun-Jung;Kim, Jun-Hyung;Son, Dae-Gu
    • Archives of Plastic Surgery
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    • v.38 no.4
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    • pp.383-390
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    • 2011
  • Purpose: To correct the upper lip depression after the correction of unilateral cleft lip, autologous grafts such as bone, dermal, fascial grafts and fat injections or alloplastic implants are used. Transplanted bones, dermis and fascia have a tendency to be absorbed and have donor morbidity. Fat injections are absorbed inconsistently and alloplastic implants have problems such as foreign body reactions, protrusions and infections. Authors corrected the upper lip depression using conchal cartilage graft in unilateral cleft lip deformity and the results was analysed with photos. Methods: 26-unilateral cleft lip and 2-microform cleft lip cases, totally 28 cases were performed. Their mean age was 21.89 years. The male and female cases were 12 and 16, respectively. Under anesthesia (general: 18 cases and local: 10 cases), cavum conchae (n=8), cymba conchae (n=16) and whole conchae (n=4) were harvested. Transversely cut the margin of the obtained cartilage, we cut out the most bent portion and put a partial-thickness incision on concave surface in cases of excessive convexity. Then, we performed the onlay graft of the conchal cartilage via scar revision site in unilateral cleft lip and via the reconstruction site of the cupid bow in microform cleft lip. The augmentation of the upper lip was evaluated with photos. Adapting the baseline connecting between the both cheilions as a horizontal standard line, we measured the highest point among the tangents between the upper lip and nose (point a), the lowest point (point c), the middle point between a and c (point b) and the vertical line from the alare (point d) to the horizontal standard line. To assess the postoperative symmetry, we compared cleft side upper lip contour index (%) A,B,C,D=(a,b,c,d)-ch ${\times}$ 100/(ch-ch) and non-cleft side upper lip contour index (%) A',B',C',D'= (a',b',c',d')-ch ${\times}$ 100 / (ch-ch).h) Results: After the surgery, no complication was found except in one case which double layers graft performed in the cleft lip deformity, the lateral portion was protruded. The upper lip contour index, the difference of A and A' were-0.83%, and thus the mild depression was persisted. Difference of B and B', C and C', D and D' were 0.83%, 1.07%, 0.90%. There were statistically significant difference, and thus the depression of upper lip were improved generally. Conclusion: Authors performed the onlay graft of the conchal cartilage in unilateral cleft lip deformity and found that the depression of the upper lip was well corrected except the uppermost part when photogrammetrically analyzed.

Problems in the Use of Microforms in Research Libraries -With a special reference to the users' attitude in Korean research organizations- (마이크로형태자료 이용의 문제점 -우리나라 연구기관의 이용자조사를 중심으로-)

  • Lee Soon Ja
    • Journal of the Korean Society for Library and Information Science
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    • v.7
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    • pp.197-223
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    • 1980
  • This paper consists of two parts: the first part discusses general problems of microforms as transmission and storage media of research information, especially in view of user's reactions to this unconventional media. Many articles and surveys from major American library journals and other professional publications have been mentioned and reviewed to find out the common issues which could be relevent to Korean case. The latter part is the analysis of the two sets of surveys. One was done from 5 research libraries in Seoul and the other, from 150 researchers who were the users of the libraries. The major findings are: The research libraries in Korea are in the infant stage of building their microform research collection. They are doing their special effort to level up the weaknesss of the collection. Presently, general level of usage is very low, although the users showed a positive attitude toward this unaccustomed media. They are well convinced with necessity of use of microforms in their research and they have correct ideas about some of the problems they are going to face along with the eventual heavier use of the materials. They are psychologically ready to accept them and to make a good use out of them if some of the external conditions for proper use of the material would be guaranteed.

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The Development Program of the Collection for Korean Classical Materials in the University Library - With emphasis on the library of Pusan National University (대학도서관에서의 고전자료 개발방안 -부산대학교 도서관을 중심으로-)

  • Song Jung-Sook
    • Journal of the Korean Society for Library and Information Science
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    • v.25
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    • pp.215-232
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    • 1993
  • The Long-Term Development Plan of the Pusan National University(PNU) has announced on 1991 in order to reach its roles and levels as an University with international standards, a Graduate School research-oriented and a core university in its community through accomplishment of this Plan. University libraries would be planned to support their universities' goals. Therefore the Library of PNU is facing on the task for supporting the Plan. The Collection for Korean Classical Materials (CKCM) is not limited in Korean Literature, Korean History, Korean Philosophy fields but covered the academic fields except a hightech science : Humanities, social science. pure science, applied science and arts etc. However, the Library of PNU does not have the organization, special librarian and budget for CKCM. Under this notion organization, budget and librarian for the collection would be followed. The CKCM contains the original editions, photography editions, copied issues. microform reproductions with comprehensive subjects in the fields of studies. Especially for the collection of treasure books the role of the Library of PNU induce to open individuals' collections or families' collections to public through the Library. The equipments for preserving rare books and treasure books are the conditioners for humidity and temperature, automatic extinguishment system. The reference materials, copy machine and reading room are requested for the user service of CKCM. The materials would be one of the most important thing in study and research. Therefore the Library of PNU need to pay attention to develop and preserve CKCM.

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