• Archives of Plastic Surgery
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• 제36권6호
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• pp.761-766
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• 2009

Purpose: Secondary breast reconstruction is defined as a whole reconstructive procedure to correct complications and to improve the aesthetics when a patient is dissatisfied with her initial reconstruction. We would like to present these particular procedures on previously failed breast reconstruction with analysis of unsatisfactory results. Methods: From June 2002 to August 2008, we performed secondary breast reconstructions for 10 patients with failed breasts. Six patients with implant failure underwent secondary breast reconstructions using free TRAM flaps after the removal of implants. Two patients with partial loss of pedicled TRAM flaps underwent secondary breast reconstruction using Latissimus Dorsi flaps. Two patients with 1 total loss of free TRAM flap and 1 extensive fat necrosis underwent secondary breast reconstruction using implants. Results: The average age of the patients were 36.4 years (26 ~ 47 years). All flaps survived completely and had relatively good aesthetic results in free TRAM cases. There was breast asymmetry in one patient using cohesive gell implants in total loss of previously free TRAM patient, which was corrected by exchanging the implants and placing dermofat grafts. Conclusion: Secondary breast reconstruction differs from primary procedures in several aspects; there are changes in the anatomy and tissue environment of the breasts, and various limitations in choosing reconstruction methods. In addition, the patients may be uncomfortable with previous complication. It is important to consider various factors before deciding to undergo a secondary breast reconstruction carefully with informed consent.

• Journal of International Society for Simulation Surgery
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• 제2권1호
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• pp.1-6
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• 2015

Purpose Bisphophonate-related osteonecrosis of the jaw (BRONJ) is an emerging problem. Extensive osteonecrosis of the jaw needs free flap reconstruction. Free fibular flap is the most useful flap for maxilla-mandibular hard and soft tissue reconstruction. The advantages of fibular free flap are simultaneous soft and hard tissue reconstruction and placing implant in reconstructed mandible and maxilla. In this study, four consecutive BRONJ patients who underwent fibula free flap reconstruction using simulation surgery were reviewed. Materials and Methods Four BRONJ patients who underwent free fibula reconstruction between May 2006 and September 2014 were included in this study. Male to female ratio was 1:3 and average age was 67.3 years old (62-70). All patients need mandibular bone reconstruction. Three patients suffered from osteoporosis and one male patient had multiple myeloma. Postoperative flap survival, functional reconstruction, esthetic results, food taking were evaluated. Results Three osseous flaps and one osteocutaneous flap were used. All the fibular flaps were survived and patients were recovered without complications. Oro-cutaneous fistula was resolved after operation. All patients were satisfied with the esthetic results. Patients reported improved solid food intake after operation with partial denture. One fully edentulous patient had semi-fluid diet after operation. Conclusion Treatment of the BRONJ is difficult due to lack of standard protocol. Fibular free flap using simulation surgery is the workhorse flap for mandibular hard and soft tissue reconstruction, especially in stage III BRONJ patient. In this study, functional and esthetic results were successful in all patients. Normal diet was possible with partial dentures.

• 지적과 국토정보
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• 제49권1호
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• pp.29-43
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• 2019

본 연구는 조합방식 재건축사업의 문제점을 해결하기 위하여, 조합방식 재건축사업의 대안으로 신탁방식 재건축사업의 신뢰성을 검증한다. 이를 위해 조합방식 재건축사업과 신탁방식 재건축사업의 사업기간, 사업수지, 재건축부담금 산정내역 등의 비교분석을 진행하였다. 연구 결과는 다음과 같다. 첫째, 사업 기간은 신탁방식의 재건축사업이 조합방식의 재건축사업보다 짧다. 둘째, 사업성은 신탁방식이 조합방식보다 좋을 가능성이 크다. 셋째, 재건축초과이익 산정 기간의 차이와 시행 주체 관련 비용 항목의 차이로 인하여 신탁방식이 조합방식보다 재건축부담금을 적게 부담하게 된다. 따라서 조합방식 재건축사업의 대안으로서 신탁방식 재건축사업의 안정성은 부분적으로 검증되었다. 신탁방식 재건축사업은 앞으로 더 확대될 것으로 예상된다.

• Archives of Plastic Surgery
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• 제49권2호
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• pp.174-183
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• 2022

Management of traumatic skull base fractures and associated complications pose a unique reconstructive challenge. The goals of skull base reconstruction include structural support for the brain and orbit, separation of the central nervous system from the aerodigestive tract, volume to decrease dead space, and restoration of the three-dimensional appearance of the face and cranium with bone and soft tissues. An open bicoronal approach is the most commonly used technique for craniofacial disassembly of the bifrontal region, with evacuation of intracranial hemorrhage and dural repair performed prior to reconstruction. Depending on the defect size and underlying patient and operative factors, reconstruction may involve bony reconstruction using autografts, allografts, or prosthetics in addition to soft tissue reconstruction using vascularized local or distant tissues. The vast majority of traumatic anterior cranial fossa (ACF) injuries resulting in smaller defects of the cranial base itself can be successfully reconstructed using local pedicled pericranial or galeal flaps. Compared with historical nonvascularized ACF reconstructive options, vascularized reconstruction using pericranial and/or galeal flaps has decreased the rate of cerebrospinal fluid (CSF) leak from 25 to 6.5%. We review the existing literature on this uncommon entity and present our case series of n = 6 patients undergoing traumatic reconstruction of the ACF at an urban Level 1 trauma center from 2016 to 2018. There were no postoperative CSF leaks, mucoceles, episodes of meningitis, or deaths during the study follow-up period. In conclusion, use of pericranial, galeal, and free flaps, as indicated, can provide reliable and durable reconstruction of a wide variety of injuries.

• 한국가시화정보학회:학술대회논문집
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• 한국가시화정보학회 2005년도 추계학술대회 논문집
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• pp.1-5
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• 2005

The digital HPTV velocity field measurement consists of four steps: recording, numerical reconstruction, particle extraction and velocity extraction. In the velocity extraction process, we improved PTV algorithm to extract the displacement of particle each placed in 3D space. Because a digital recording device was used, some factors such as a spatial resolution, numerical aperture, and particle concentration can affect the performance of the digital HPTV. Especially, a particle concentration ($C_{o}$) affected tile reconstruction efficiency in numerical reconstruction and particle extraction process. In this paper, the reconstruction efficiency was analyzed experimentally with different particle concentration. Optimal reconstruction efficiency was shown in the range of $C_{o}$=$13\∼15$ particles/$mm^{3}$.

• 제어로봇시스템학회:학술대회논문집
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• 제어로봇시스템학회 2005년도 ICCAS
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• pp.1749-1752
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• 2005

For online high accurate reconstruction of an object from an visual information, a linear reconstruction method for multiple images is popular. Basically this method needs many cameras or many different screen shots from different view points. This method, however, has the benefit of less calculation and is adequate for a real time application by comparing other popular method. In this paper, online reconstruction system using more than three cameras is treated. An evaluation method of cameras' position, and of the number is derived for the linear reconstruction method. To decrease errors that are caused from skew of lens, positional error between corresponding points is taken into consideration on the evaluation. The proposed evaluation method enables estimation of the adequate number of cameras and then of feasible view locations. Additionally, repeating search of epipolar lines enables estimation of the hidden point. Comparing with result of an average error analysis, it was confirmed that the proposed methods works effectively.

• 한국주거학회논문집
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• 제13권4호
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• pp.67-73
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• 2002

The purpose of this study is to investigate the reflection degree of residents' opinions and their participation, on the premise that the reconstruction of apartments is a process of the concrete realization of residents' dwelling needs and of the recreation of living spaces. Here are some of results of this research; Although apartment residents who have experienced the process of reconstruction have a great desire to participate and a wide range of participation, the proper procedure of participation is not prepared and the contents of reconstruction is not fully understood. And the residents have the different opinions on 'height and mass of apartment' and 'amount of compensation and payment'. Meanwhile, the residents believe that all of them should take part in the participation process and some government interventions are needed. Accordingly, various ways for resident participation in the process of reconstruction are to be provided and new techniques for encouraging public participation are to be sought.

• Journal of International Society for Simulation Surgery
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• 제2권2호
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• pp.76-79
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• 2015

One of the most serious complications after head and neck radiation is osteoradionecrosis (ORN) of the jaw. The etiology of ORN is extraction, minor dental procedure or dental implant surgery. When ORN of the jaw progressed to stage III, free fibular flap is the most useful methods for reconstruction. In this case report, a 67-year-old ORN patient who underwent fibular free flap reconstruction using simulation surgery with 3-dimensional rapid prototype (3D RP) model was reviewed. After partial mandibulectomy, a osteocutaneous fibula flap was used for reconstruction. Oro-cutaneous fistula was resolved after operation. Patients reported improved food intake after operation without pus discharge. Functional and esthetic results showed successful reconstruction.

• Journal of International Society for Simulation Surgery
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• 제4권1호
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• pp.13-16
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• 2017

Fibular free flap reconstruction is the flap of the choice in long-span mandibular bone reconstruction. The most common disadvantage of the fibular flap is short bone height to install dental implant. Double barrel fibular flap has been tried, however, bulky flap in the oral cavity hinder its use. Titanium reconstruction plate has been used simultaneously with the free fibular flap to stabilize occlusion and to fix the fibular flap. In this study, titanium reconstruction plate was fixed in the lower border of the mandible and the fibular free flap was fixed in the superior border of the titanium plate to improve implant-crown ratio. This new technique improved the longevity of the dental prosthodontics with dental implants.

• 한국방송∙미디어공학회:학술대회논문집
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• 한국방송공학회 2009년도 IWAIT
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• pp.714-718
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• 2009

3D reconstruction of a human face from an image sequence remains an important problem in computer vision. We propose a method, based on a factorization algorithm, that reconstructs a 3D face model from short image sequences exhibiting rotational motion. Factorization algorithms can recover structure and motion simultaneously from one image sequence, but they usually require that all feature points be well tracked. Under rotational motion, however, feature tracking often fails due to occlusion and frame out of features. Additionally, the paucity of images may make feature tracking more difficult or decrease reconstruction accuracy. The proposed 3D reconstruction approach can handle short image sequences exhibiting rotational motion wherein feature points are likely to be missing. We implement the proposal as a reconstruction method; it employs image sequence division and a feature tracking method that uses Active Appearance Models to avoid the failure of feature tracking. Experiments conducted on an image sequence of a human face demonstrate the effectiveness of the proposed method.