• 대한원격탐사학회:학술대회논문집
• /
• 대한원격탐사학회 2003년도 Proceedings of ACRS 2003 ISRS
• /
• pp.1313-1315
• /
• 2003

This paper is dedicated to studying the quantitative analysis method with remote-sensing data in shallow geological structure reconstruction by the example of TM data in western China. A new method of computing attitude of geological contacts from remote-sensing data is developed and assessed. We generate several geological profiles with remotely derived measurements to constrain the shallow geological structure reconstruction in three dimensions.

• Archives of Plastic Surgery
• /
• 제50권3호
• /
• pp.240-247
• /
• 2023

More than 40 years have passed since the description of the first "free abdominoplasty flap" for breast reconstruction by Holmström. In the meantime, surgical advances and technological innovations have resulted in the widespread adoption of autologous breast reconstruction to recreate the female breast after mastectomy. While concepts and techniques are continuing to evolve, maintaining an overview is challenging. This article provides a review of current trends and recent innovations in autologous breast reconstruction.

• 대한환경공학회지
• /
• 제27권8호
• /
• pp.813-821
• /
• 2005

강릉 오봉호의 수온 및 탁수 거동에 관한 모델 연구 결과가 본 논문에 제시되었다. 농업용수 공급을 위해 1983년 만들어진 이 호수는 현재 하류 지역의 수자원 확보와 홍수 방지를 위하여 저수용량을 확대하는 재개발이 검토되고 있다. 횡방향 평균화 2차원 수리 수질 모델인 미공병단의 CE-QUAL-W2를 현재 상태와 재개발 후의 호수에 적용하였다. 2001년과 2003년에 관측된 수위와 수온 측정 자료를 이용하여 모델을 보정하고 검증하였으며, 측정 값과 모델 값이 적절한 일치를 보였다. 검증된 모델을 이용하여 댐 재개발이 수온과 수체 흐름에 미치는 영향을 예측한 결과 재개발 후에는 표층과 심층의 수온 구배가 강하게 나타나고, 낮은 수온을 가진 심층이 확대되나, 겨울과 봄에는 수직 수온 분포 형태가 재개발 전과 후 모두 비슷한 것으로 나타났다. 이는 댐 재개발이 여름철 호수 수온 성층현상을 더욱 강하게 만들고 지속시간을 길게 할 것임을 의미한다. 예측된 수체 이동현상을 관찰한 결과 재개발 전에는 상류의 탁수는 호수의 중층과 심층사이에 유입되어 부유물질이 천천히 침강하는 것으로 나타났다. 그러나 재개발 후에는 강한 성층현상이 나타나기 때문에 밀도가 비슷한 중층에 유입 탁수가 오래 머물 것으로 예측되었다. 또한 재개발로 인하여 댐 부근의 부유물질 농도가 크게 감소할 것이 예측되었다.

• 대한두개안면성형외과학회지
• /
• 제10권2호
• /
• pp.81-85
• /
• 2009

Purpose: The inferior orbital wall is the most vulnerable to injury and inadequate reconstruction of inferior orbital fracture result in postoperative complications include enophthalmos, ocular dystopia and diplopia. Although the anatomical reconstruction of the inferior orbital wall is necessary to prevent these complications, the complexity of inferior orbital wall makes it difficult. We fabricated and remodeled the titanium micro-mesh plate for the anatomical reconstruction of inferior orbital wall. Methods: Twenty-nine patients with inferior orbital wall blow-out fracture were operated and twelve of them presented large extensive fracture. We intraoperatively fabricated and remodeled the Titanium-micro mesh to angulated lazy S shape similar to contralateral uninjured orbit. The preoperative and postoperative facial CT scan verified the 3-dimensional and anatomical reconstruction of the fractures. The mean follow-up was 19.7 months and postoperative complications was evaluated. Results: All cases showed the exact anatomical reconstruction, but there were minor complications in two cases. one patient had postoperative diplopia until 3months after surgery and the other patient had persistent enophthalmos (2 mm), but no further surgical correction was required. Conclusion: The comprehensive understanding of orbital convexity is the most important factor for anatomical reconstruction of inferior orbital fracture. We could prevent postoperative complications after inferior orbital wall reconstruction by intraoperative fabrication and anatomical remodeling of Titanium micro-mesh.

• Archives of Plastic Surgery
• /
• 제46권6호
• /
• pp.580-588
• /
• 2019

Background There are various reconstructive options for nail bed defects. However, it is challenging not to leave a deformity. In this study, we investigated differences in outcomes depending on the reconstruction method, attempted to determine which method was better, and analyzed other factors that may affect outcomes. Methods The long-term outcomes of nail bed reconstruction were reviewed retrospectively. We performed three types of reconstruction depending on the defect type: composite grafts of severed segments, nail bed grafts from the big toe, and two-stage surgery (flap coverage first, followed by a nail bed graft). Subsequent nail growth was evaluated during follow-up, and each outcome was graded based on Zook's criteria. The reconstruction methods were statistically analyzed. Other factors that could contribute to the outcomes, including age, the timing of surgery, germinal matrix involvement, defect size, and the presence of bone injuries, were also compared. Results Twenty-one patients (22 digits) who underwent nail bed reconstruction were evaluated. The type of reconstruction method did not show a significant relationship with the outcomes. However, patients who sustained injuries in the germinal matrix and patients with a defect larger than half the size of the nail bed had significantly worse outcomes than the comparison groups. Conclusions The results suggest that no operative method was superior to another in terms of the outcomes of nail bed reconstruction. Nevertheless, involvement of the germinal matrix and defect size affected the outcomes.

• 한국콘텐츠학회논문지
• /
• 제20권6호
• /
• pp.445-459
• /
• 2020

본 연구는 관계상실 경험자의 사건중심성이 의미재구성에 영향을 미치는 과정에서 탈중심화의 매개효과를 검증하고자 하였다. 이를 위해 전국 범위로 관계상실을 경험한 20세 이상 성인남녀 295명(남 109명, 여 186명)을 대상으로 상실경험 관련 질문지, 사건중심성 척도, 탈중심화 척도 및 애도에 대한 의미재구성 척도를 사용해 설문 조사를 실시하였고, SPSS 22.0 프로그램을 사용하여 매개효과를 검증하였다. 연구 결과, 첫째로 사건중심성과 탈중심화는 의미재구성과 정적 상관을 보였다. 둘째, 탈중심화가 사건중심성과 의미재구성을 완전 매개하는 것으로 나타났다. 사건중심성에서 의미재구성으로 가는 직접 경로는 유의하지 않았고, 사건중심성이 탈중심화를 매개할 경우에만 의미재구성에 영향을 미치는 것으로 나타났다. 이러한 결과를 바탕으로 본 연구의 제한점과 후속 연구를 위한 제언을 논의하였다.

• Maxillofacial Plastic and Reconstructive Surgery
• /
• 제35권4호
• /
• pp.248-255
• /
• 2013

Reconstruction techniques of orofacial defects caused by wide excision of the intraoral malignant lesions are various. Although radial forearm free flap is a common donor site on reconstruction of soft tissue defect, anterolateral thigh (ALT) free flap also has an established site in orofacial soft tissue reconstruction as the favored donor flap with recent progress of the microsurgical technique. A 59-year-old female complained of hyperplastic mass on the right retromolar and buccal cheek, which was diagnosed as a squamous cell carcinoma (SCC) by an incisional biopsy. Before the operation, we planned a wide excision of the SCC lesion, supraomohyoid neck dissection, reconstruction with radial forearm free flap (RFFF), and split thickness skin graft. We accidentally found an arterial variation of the forearm area during elevation of RFFF, and changed the plan of reconstruction operation to reconstruction with ALT free flap. Operative sites was healed well during the post-operative period, and we referred to the department of radiation oncology for post-operative radiotherapy.

• 대한두경부종양학회지
• /
• 제1권1호
• /
• pp.35-61
• /
• 1985

The surgical treatment of advanced carcinomas and some benign tumors having clinically malignant behaviors of the head and neck region often require extensive resection, necessitating large flaps for reconstruction. Since the original upper arm flap was described by Tagliacozzi in 1597, a variety of technique such as random pattern local flap, axial flap, distant flap, scalping flap, myocutaneous flap, free flap etc. have been proposed for reconstruction of head, face and neck defects. Reconstruction of the facial defects usually require the use of distant tissue. Traditionally, nasal reconstruction has been carried out with a variety of forehead flaps. In recent years, there has been more acceptance of immediate repairs following the removal of these tumors. As a result, patients are more willing to undergo these extensive resections to improve their chances of cure, with the reasonable expectation that an immediate reconstruction will provide an adequate cosmetic result. Authors experienced 13 cases of head and neck tumor during last three and half years that required wide excision and immediate reconstruction with various flaps, not with primary closure or simple skin graft. We present our experience with varied flaps for reconstruction after wide resection of head and neck tumors 3 cases of defect of dorsum of nose or medial canthus with island forehead flaps, lower eyelid defect with cheek flap, cheek defect with Limberg flap, orbital floor defect with Temporalis muscle flap, lateral neck defects with Pectoralis major myocutaneous flap or Latissimus dorsi myocutaneous free flap, subtotal nose defect with scalping flap, wide forehead defect with Dorsalis pedis free flap and 3 cases of mandibular defect or mandibular defect combined with lower lip defect were reconstructed with free vascularized iliac bone graft or free vascularized iliac bone graft concomitantly combined with free groin flap pedicled on deep circumflex iliac vessels We obtained satisfactory results coincided wi th goal of treatment of head and neck tumors, MAXIMAL CURE RATE with MINIMAL MORBIDITY, OPTIMAL FUNCTION, and an APPEARANCE as close to normal as possible.

• Archives of Reconstructive Microsurgery
• /
• 제9권2호
• /
• pp.172-178
• /
• 2000

With esthetic concern in the reconstruction of skin and soft tissue defects of face, the use of local flap has been the method of choice. However, when there is extensive tissue loss in the face, local flaps do not provide satisfactory results. The amazing development of microsurgical technique has decreased the percentage of free flap failure, thus making free flap use in reconstruction of facial soft tissue defects. Many free flaps has been applied for reconstruction of face defects. Especially, the radial forearm flap has numerous advantages with which facial reconstruction is made possible. But, its disadvantages are ; the sacrifice of one major artery supplying the hand and donor site complications. In order to circumvent these disadvantages, we employed posterior interosseous artery(PIA) forearm free flap for the reconstruction of the face defects. The posterior interosseous forearm island flap was first described by Zancolli and Angrigiani(1985). Currently, the PIA island flap and free flap have been used for hand reconstructions. The disadvantages of the PIA flap are ; the small caliber of the pedicle, different locations of the perforating branches, and the proximity of the motor branch of the radial nerve. But, its advantages lies in preserving the major artery of the hand, minimal donor site morbidity, and fairly well matched skin texture and color, and that the flap volume is sufficient, not too bulky with convenient handling. By using this flap, we performed 1 case of tumor resection and 1 case of traumatic defect. From our experiences we conclude that it is one of many useful methods in the reconstruction of the skin and soft tissue defects of the face. We also have discussed advantages and some limitations of various free flaps for reconstruction of the face.

• Archives of Plastic Surgery
• /
• 제33권6호
• /
• pp.688-694
• /
• 2006

Purpose: Reconstruction of the craniofacial defects can be carried out with autogenous tissues, allogenic implants, or alloplastic materials. Titanium mesh systems have been used for bony reconstruction in non load-bearing areas. They offer several advantages: immediate availibility without any donor site morbidity, easy handling, stable 3-D reconstruction, and low susceptibility to infection. The aim of this study is to evaluate the usefulness and complications of titanium mesh system in the reconstruction of the craniofacial defects. Methods: From Jan. 2000, to Dec. 2004, we performed reconstruction of craniofacial bone defects in 21 patients who had benign or malignant tumor and fracture events in the cranium, orbit, nasal bone, maxilla, zygoma and the mandible. The size of the defects ranged from $1.0{\times}1.5cm$ to $12{\times}10cm$. Two different mesh systems, micro-titanium augmentation mesh and dynamic mesh was used for bony reconstruction in non load-bearing areas. The patients were evaluated from 1 to 4 yrs clinically and radiographically with a mean follow up period of 1.5 yrs. Results: There were no serious complications, including wound infection, foreign body reaction, exposures or loos of the mesh, central infection and pathologic findings of bone around mesh exception of one patient, who had expired of skull base tumor recurrence. Long-term stability of the reconstructions and the overall functional and aesthetic outcome was excellent. Conclusion: Our experiences demonstrate that the Titanium mesh system is a relatively safe and efficient method in the craniofacial reconstruction and have broadens our choices of therapeutic procedures in the craniomaxillofacial surgery.