• Archives of Plastic Surgery
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• 제38권2호
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• pp.182-188
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• 2011

Purpose: The buttocks region has been associated with allure and sex appeal for centuries. Gluteal implants enable buttocks remodeling in a way that is not possible in other methods. One of the reasons that render gluteal implant surgeries unpopular is the fear of complications, the main problems being seroma, wound dehiscence, extrusion, and a visible or palpable implant. The authors present the XYZ technique, which provides anatomical reference points to guide the intramuscular dissection procedure in a feasible and safe way, resulting in a lower complication rate. Methods: The XYZ procedure was done for buttock augmentation on 8 patients from December 2009 to June 2010. Patient's ages ranged from 27 to 44 with a mean age of 36. Seven patients were applied the 250cc sized Elastomer implants with one patient 290cc sized implant. Preoperative marking was done with the patients in the standing position. Bisection of the gluteus maximus muscle was done at the midpoint thickness to create a plane for implant insertion, which is called the sandwich plane. Results: The 8 cases were performed safely without major complications. However one patient had minor wound dehiscence, and was managed with conservative treatment. Another patient had a discomfort on the buttocks for a long time. The patients were followed up for average 6 months. All patients were satisfied with the aesthetic results. Conclusion: In performing the XYZ technique for gluteal augmentation, the surgeon must split the muscle into two equal halves with anatomical reference points to guide the muscle detachment in a symmetrical way at an adequate depth. This method provides a guideline for the surgeon in determining the ideal plane during intramuscular dissection and gives predictable results with low complication rates. Intramuscular gluteoplasty with gluteal implants offers predictable, aesthetically pleasing results without contour irregularities and only a low incidence of major complications.

• Archives of Plastic Surgery
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• 제39권5호
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• pp.561-564
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• 2012

Nasal bone fractures are often accompanied by septal fractures or deformity. Posttraumatic nasal deformity is usually caused by septal fractures. Submucosal resection and septoplasty are commonly used surgical techniques for the correction of septal deviation. However, septal perforation or saddle nose deformity is a known complication of submucosal resection. Hence, we chose to perform septoplasty, which is a less invasive procedure, as the primary treatment for nasal bone fractures accompanied by septal fractures. During septoplasty, we used a bioabsorbable mesh as an internal splint. We used the endonasal approach and inserted the mesh bilaterally between the mucoperichondrial flap and the septal cartilage. The treatment outcomes were evaluated by computed tomography (CT) and the nasal obstruction symptom evaluation (NOSE) scale. The CT scans demonstrated a significant improvement in the septal deviation postoperatively. The symptomatic improvement rated by the NOSE scale was greater at 1 month and 6 months after surgery compared to the preoperative status. There were no cases of extrusion or infection of the implant. In cases of moderate or severe septal deviation without dislocation from the vomerine groove on the CT scan, our technique should be considered one of the treatments of choice.

• 한국생산제조학회지
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• 제20권6호
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• pp.785-792
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• 2011

Equal channel angular(ECA) pressing is the established processing technique in which a polycrystalline metal is pressed through the die to achieve a very high plastic strain. Therefore, the capability to produce an ultra-fine grain size in the materials is provided. To investigate that mechanical properties at elevated temperature have the ultrafine grain ECA pressing, experiments were conducted on an Al-4.8% Mg-0.07% Mn-O.06% Si alloy. After having been solution treated at 773K for 2hrs, the billet for ECA pressing was inserted into the die. And it was pressed through two channel of equal to cross section intersecting at a 90 degree angle. The billet can be extrude repeatedly because of 1:1 extrusion ratio. Since the billet is passed through the cannel for 2 times, a large strain is accumulated in the alloy. The tensile tests on elevated temperature were carried out with initial strain rate of $10^{-3}s^{-1}$ at eight temperature distributed from 293K to 673K.

• 소성∙가공
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• 제17권2호
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• pp.124-129
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• 2008

Net shape forging technologies give many effects into the costs and qualities for the finished products. So, the studies to reduce the additional machining amount are very important in forging industry. Specially, there are two main topics in cold forging industry, such as, tool life and precision forging. In this study, new forging technique was proposed to eliminate the machining process for fixing up the length and improve the lead accuracy of gear. The luck-up hub is manufactured through many processes, such as upsetting, piercing and direct extrusion. The gear is formed in direct extrusion process; however, lead accuracy of the gear is over allowance limit. Therefore, the additional sizing process must be added. In this study, process design for closed-die forging of a lock-up hub used for a component of automobile transmission was made using three-dimensional finite element simulations, and the strain distributions and velocity distributions are investigated through the post processor. The rigid-plastic finite-element method for back pressure forging has been used in order to reduce development time and die cost. Using the FEM simulation, we found the optimum value of back pressure. The prototypes of lock-up hub parts were forged into the net-shape. In the experiment, lead precision of tooth are measured by the CCMM(Contact Coordinate Measuring Machine). The dimensional accuracy of forged part was improved up to the 40% when back press was applied.

• 한국분말야금학회:학술대회논문집
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• 한국분말야금학회 2006년도 Extended Abstracts of 2006 POWDER METALLURGY World Congress Part2
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• pp.855-856
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• 2006

In the present work, hot workability of particulate-reinforced Al6061-20%SiC composite produced by direct hot extrusion technique was studied. Uniaxial hot compression test at various temperatures and strain rates was used and the workability behavior was evaluated from the flow curves and the attendant microstructures. It was shown that the presence of SiC particles in the soft Al6061 matrix deteriorates the hot workability. Bulging of the specimens and flow lines were observed, which indicate the plastic instability during hot working. Microstructure of the composites after hot deformation was found to be heterogeneous, i.e. the reinforcement clusters were observed at the flow lines. The mechanism of deformation was found to be controlled primarily by dynamic recrystallization.

• 한국소성가공학회:학술대회논문집
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• 한국소성가공학회 2003년도 추계학술대회논문집
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• pp.97-100
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• 2003

Globally, the various machine components, as in electronics and communications, are demanded to being high-performance and micro-scale with abrupt development of the fields of computers, mobile communications. As this current tendency, production of the parts that must have high accuracy, so called milli-structure, are accomplished by the method of top-down, differently as in the techniques of MEMS, NANO. But, in the case of milli-structure, production procedure is highly costs, difficult and demands more accurate dimension than the conservative forming, processing technique. In this paper, forming analysis of the micro-former as the milli-structure are performed and then calculate the punch force etc. This information calculated is applied to decide the forming capacity of micro-former and design the process of forming stage, dimension of dies in another forming bodies. And, for the better precise forming analysis, elasto-plastic analysis is to be performed, then the consideration about effect of elastic recovery when punch and die are unloaded, have to be discussed in change of dimensions.

• 대한치과교정학회지
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• 제36권4호
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• pp.308-320
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• 2006

견인골 신장술의 개념을 치주인대 조직에 적용한 Liou의 급속 치아 이동 술식은 이동할 견치의 원심부 골 삭제에 의한 치조골 저항의 최소화 및 근심부의 치주조직 견인에 의한 골 형성으로 요약된다. 이는 주로 제1소구치 발치 후 견치의 견인을 요하는 환자들에 적용되어 효과적으로 치료 기간을 단축하고 양호한 결과를 얻을 수 있으나 견인 중 견치의 경사 및 정출 등 문제점이 발생하기 쉬우므로 견인이 완료될 때까지 치체이동을 유도하며 경로를 유지하는 것이 중요하다. 본 증례에서는 이러한 급속견인의 예측가능성을 높이기 위해 설측으로 연장된 견인스크류를 순측의 견고한 안내선과 병행 적용하였다. 발치 직후 미리 제작된 견치 치근 모델을 적용하여 발치와의 깊이를 형성하고 또한 교정용 미니스크류 임플란트를 이용하여 고정원을 보강하였다. 이러한 방법을 적용하여 골격성 II급 관계 및 전치 돌출을 보이는 성인 여환에서 효과적인 견치 및 전치부 견인을 통해 치료기간을 13개월로 단축할 수 있었다. 우려했던 치수의 실활 혹은 치주조직의 병소는 발견되지 않았으며 치료 후 10개월 유지 시에도 양호한 교합관계 및 치주조직의 건강상태를 보였다. 본 증례에서 소개된 방법을 통하여 급속 견인을 필요로 하는 경우에 보다 예측 가능한 방법으로 효율적인 치료를 할 수 있을 것으로 사료된다.