• Title/Summary/Keyword: Reconstruction plate

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Quadrilateral Flap Technique Applied for Complete Cleft Lip Patients - Report of cases - (완전구순열 환자에서 사각피판법의 적용 - 증례보고 -)

  • Nam, Il-Woo;Lee, Ju-Hwan;Lee, In-Woo;Seo, Byoung-Moo
    • Korean Journal of Cleft Lip And Palate
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    • v.12 no.2
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    • pp.65-72
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    • 2009
  • Quadrilateral flap technique for primary cheiloplasty in patients with cleft lip was initially developed by Hagedorn in 1884. After Le Mesurier presented this procedure in 1940's, many surgeons adopted this technique for clinical advantage of reconstruction of Cupid's bow and lesser amount of tissue discarding than straight line technique. However, owing to its drawbacks such as sacrifice of Cupid's bow and prominent scar on philtral ridge, other techniques like Tennison's triangular flap and Millard's rotation-advancement flap have gradually taken its place. Nevertheless, some clinicians like Dr. Wang has modified this quadrilateral flap technique for better clinical outcomes. In this report we present 3 cases of unilateral complete cleft lip patients who underwent primary cheiloplasty with favorable outcomes based on Dr. Wang's modified quadrilateral flap technique.

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Ultrastructure of the flagellar apparatus in cryptomorphic Cryptomonas curvata (Cryptophyceae) with an emphasis on taxonomic and phylogenetic implications

  • Nam, Seung Won;Shin, Woongghi
    • ALGAE
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    • v.31 no.2
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    • pp.117-128
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    • 2016
  • Cryptomonas curvata Ehrenberg is a photosynthetic freshwater flagellate and the type species of the genus Cryptomonas. We examined the flagellar apparatus of cryptomorphic C. curvata by transmission electron microscopy. The major components of the flagellar apparatus are the non-keeled rhizostyle (Rhs), striated fibrous root (SR), striated fiber-associated microtubular root (SRm), mitochondrion-associated lamella (ML), and two types of microtubular roots (3r and 2r). The non-keeled Rhs originate at the ventral basal body and consist of two types of microtubule bands extending together into the middle of the cell. The SR and SRm extend parallel to the left side of the cell. The ML originates from the ventral basal body and is a plate-like fibrous structure associated with mitochondria. The 3r extends from the dorsal basal body toward the dorsal anterior of the cell. The 2r originates between the two basal bodies and extends shortly to the left of the cell. The overall configuration of the flagellar apparatus is most similar to that previously reported for C. pyrenoidifera. These results demonstrate that the features of the flagellar apparatus are useful for distinguishing closely related species and inferring phylogenetic relationships among taxa.

Surgical Reconstruction of the Severe Tongue Laceration with Mandibular Fracture in a Siberian Husky Dog

  • Lee, Jae-Hoon;Kim, Tae-Hoon;Yang, Wo-Jong;Kang, Eun-Hee;Chang, Hwa-Seok;Chung, Dai-Jung;Choi, Chi-Bong;Lee, Jeong-Ik;Kim, Hwi-Yool
    • Journal of Veterinary Clinics
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    • v.25 no.6
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    • pp.545-548
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    • 2008
  • A 3-year-old castrated male Siberian husky was presented for evaluation after being hit by a car. On physical examination, the dog showed open-mouth, displacement of mandible and hypersalivation with blood ting. The base of tongue was transected almost 80% on the bias from right dorsal side to the left ventral side. Radiography demonstrated separation of mandible symphysis, and fracture of right condyle and vertical ramus. After debridement of the necrotic tissue, tongue apposition with simple interrupted suture was performed. Mandibular symphysis, condyle and mandibular vertical ramus fractures were fixed using pin, cerclage wire, T-plate, and K-wires. The mouth was irrigated daily using chlorhexidine after surgery. The sutures that were loose here or untied at tongue were re-sutured under sedation. The transected tongue was healed and recovered its normal movement after 6 weeks.

A New Tectonic Model of Cretaceous East Asia: Role of Mantle Plume (백악기 동아시아 신지구조 모델: 맨틀 플룸의 역할)

  • Lee, Changyeol
    • Economic and Environmental Geology
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    • v.52 no.5
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    • pp.337-345
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    • 2019
  • The hypothesis of ridge subduction which explains the Cretaceous igneous activities in East Asia including China, Korea and Japan, has been widely accepted in the society. Especially, the hypothesis explains the southwest-to-northeast migration of the Cretaceous adakite emergence in Southwest Japan. However, the hypothesis has several issues because the geochemical analyses and plate reconstruction model are not consistent with the consequences of the ridge subduction. To resolve the issues, a new hypothesis of the plume-continent and plume-slab interaction is suggested, which explains the igneous activities during the Cretaceous. In this review, I briefly introduce the two hypotheses and suggest an additional future study to prove the new hypothesis.

A Study on the Method for Reconstructing the Shell Plates Surface from Shell Template Offset Drawing (Shell Template Offset 도면을 활용한 선체 곡판 형상 복원 방법에 관한 연구)

  • Hwang, Inhyuck;Son, Seunghyeok
    • Journal of the Society of Naval Architects of Korea
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    • v.56 no.1
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    • pp.66-74
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    • 2019
  • In the field of shipbuilding design, the use of 3D CAD is becoming commonplace, and most of the large shipyards are conducting 3D design. However at the production site, workers are still working on 2D drawings rather than 3D models. This tendency is even worse in small-scale shipyards and block manufacturing shops. Particularly, in a manufacturing shop that is engaged in the outsourcing of blocks, it may not be possible to provide 3D model. However, the demand for 3D models in the production field is steadily increasing. Therefore, it would be helpful if 3D model could be generated from a 2D drawing. In this paper, we propose a method to extract template and unfolded surface shape information from shell template offset drawing using computer vision technology. Also a 3D surface model was reconstructed and visualized from the extracted information. The result of this study is thought to be helpful in the work environment where 3D model information can not be obtained.

Post-traumatic reconstruction of skeletal Class II malocclusion with multiple teeth fracture (외상과 다수의 치아 파절을 동반한 골격성 II 급 부정교합 환자의 치험례)

  • Jang, Woowon;Baek, Eui Seon;Hwang, Soonshin;Kim, Kyung-Ho;Chung, Chooryung J.
    • Korean Journal of Cleft Lip And Palate
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    • v.20 no.1
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    • pp.49-58
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    • 2017
  • We report the rehabilitation of Class II malocclusion with multiple teeth fracture due to trauma. A multidisciplinary team approach was necessary to treat patient's problems such as bone fracture, malocclusion, and multiple teeth fracture. Emergency conservative treatment, orthodontic treatment and prosthetic restoration successfully restored the occlusion. However, special considerations were needed along the orthodontic treatment process due to the unexpected complications such as ankylosis, root resorption and detection of additional teeth fractures.

Reconstruction of Anterior Cruciate Ligament in Adolescent (청소년기에 시행한 전방십자인대 재건술)

  • Song Eun Kyoo;Shim Sang Don;Kim Hyung Jong;Kim Hyung Won
    • Journal of the Korean Arthroscopy Society
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    • v.6 no.2
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    • pp.101-108
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    • 2002
  • Purpose: To evaluate the clinical results of anterior cruciate ligament (ACL) reconstruction and to know the results of physeal injury by transphyseal tunnel in adolescents who had remaining growth potential. Materials and Methods : This study involved 12 patients under 19 years old out of 445 patients, who underwent ACL reconstruction between 1993 and 2001. The mean age at the time of operation was 15.9 $(13.1\~16.9)$ years and fellow-up period was 45.1 $(24\~120.6)$ months in avrarge. Autologous quadrupled hamstring tendon was used as graft in 11 cases and bone-patellar tendon-bone in 1 case. Clinical results were evaluated by Lysholm Knee Scoring Scale, range of motion and return to preinjury sports activities. Radiologic results were evaluated by $Telos^{\circledR}$ device. Bone maturity were analyzed by chronological age, standing height and the width of growth plate in AP and lateral view of knee joint at preoperatively. The growth disturbances were evaluated by measuring femorotibial angle, anatomical and mechanical lateral distal femoral angle, mechanical medial proximal tibial angle and leg length and by comparing those of uninjured site in last follow-up teleoroentgenogram. Results : The mean Lysholm Knee score was 51 $(25\~63)$points preoperatively and 98 $(94\~100)$ points at last follow up. The mean anterior displacement of the tibia by using $Telos^{\circledR}$ device was improved from 13.5 $(6\~27)$ mm to 2.9 $(1\~4)$ mm and there were no significant instabilities of the knee in all cases. There were no leg length discrepancies over 1 cm and no statistically significant abnormal alignment of the knee joint in all cases. Conclusion: ACL reconstruction using transphyseal tunnel for restoring stability and knee function is assumed as a good mettled of treatment without significant leg length discrepancy and abnormal alignment of the knee joint.

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The Operative Treatment of Scapular Glenoid Fracture (견갑골 관절와 골절의 수술적 치료)

  • Kang, Ho-Jung;Jung, Sung-Hoon;Jung, Min;Hahn, Soo-Bong;Kim, Sung-Jae;Kim, Jong-Min
    • Clinics in Shoulder and Elbow
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    • v.10 no.2
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    • pp.212-219
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    • 2007
  • Purpose: To determine the causes of the surgical treatment results in glenoid fracture by a retrospective analysis. Materials and methods: From March 1999 to February 2004, 9 patients who underwent an open reduction due to a glenoid fracture were reviewed. The modified Ideberg classification was used. There were 1, 3, 2, 1 and 2 cases of modified Ideberg type I, II, III, V, and VI, respectively. The internal fixators were a reconstruction plate, a small plate, a one-third tubular plate, a small screw, and a cannulated screw in 6, 1, 3, 3 and 1 case, respectively. The constant score and Adam's functional assessment method were used to evaluate the postoperative shoulder function. Results: The average time for fracture union was 7 weeks. The functional assessment was excellent in 4 cases, good in 3 cases, and fair in 2 cases. There were two complications related to surgery; articular screw encroachment, and inferior glenoid bone resorption without instability. Conclusion: A glenoid fracture with glenohumeral instability or displaced that was treated by open surgery showed good clinical results. Moreover, the more comminuted fracture had a lower functional score.

Paleostress Reconstruction in the Tertiary Basin Areas in Southeastern Korea (한반도 동남부 제3기 분지지역에서의 고응력장 복원)

  • Moon, Tae-Hyun;Son, Moon;Chang, Tae-Woo;Kim, In-Soo
    • Journal of the Korean earth science society
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    • v.21 no.3
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    • pp.230-249
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    • 2000
  • Southeastern Korean Peninsula has undergone the polyphase deformations according to the changes of regional tectonic settings during the Cenozoic. Through analyses of more than 600 fault-slip data gathered in the study area, five tectonic events are revealed as the followings: (I) NW-SE transtension, (II) NW-SE transpression, (III) NE-SW pure or radial extension, (IV) NNE-SSW transpression, (V) NE or ENE-WSW transpression. Event I was induced by the pull-apart type extension of the East Sea during 24-16 Ma, which resulted in the NW-SE extension of the Tertiary Basins in SE Korea. Event II was resulted from the collision of SW Japan and Izu-Bonnin Arc (or Kuroshio Paleoland) on the Philippine Sea Plate at ${\sim}$ 15 Ma, which stopped the extension of the Tertiary Basins and originated the uplift of fault blocks in and around SE Korean Peninsula. It was continued until ${\sim}$ 10 Ma. Event III is interpreted as the post-tectonic event after the block-uplifts due to the event II, which indicates a temporal lull in activity of the Philippine Sea Plate since 10 Ma. Event IV was originated from the resumption in activity of the Philippine Sea Plate which was restarted to move toward north at ${\sim}$ 6 Ma. The event made the EW compressional structures behind SW Japan as well as in the Korea Straits, and thus the block-uplifts in SE Korea was resumed again. Lastly, event V was resulted from the gradual decrease in influence of the Philippine Sea Plate and the cooperative compression due to the subduction of the Pacific Sea Plate and the collision of the Indian Plate since 5-3.5 Ma, which generated the NS compressional structures in the offshore along the eastern coast of the Korean Peninsula and thrust up the fault-blocks toward west. This event is continuing so far, and thus is making the active faultings resulting in the present earthquakes of the Korean Peninsula.

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THE HISTOLOGIC STUDY OF BONE HEALING AFTER HORIZONTAL RIDGE AUGMENTATION USING AUTO BLOCK BONE GRAFT (자가골 블럭 이식을 이용한 수평골 증강술시 이식골의 치유)

  • Oh, Jae-Kwen;Choi, Byung-Jun;Lee, Baek-Soo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.31 no.3
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    • pp.207-215
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    • 2009
  • Purpose: The aim of the present study is to evaluate the long term bone healing after horizontal ridge augmentation using auto block bone graft for implant installation timing. Materials and Methods: Five Beagle dogs(which were 14 months old and weighted approximately 10kg). In surgery 1(extraction & bone defect), premolars(P2, P3,P4) were extracted and the buccal bone plate was removed to create a horizontally defected ridge. After three months healing, in surgery 2(ridge augmentation). Auto block bone grafts from the mandibular ramus were used in filling the bone defects were fixed with stabilizing screws. The following fluorochrome labels were given intravenously to the beagle dogs: oxytetracycline 1week after the surgery, alizarin red 4 weeks after the surgery, calcein blue 8 weeks after the surgery. The tissue samples were obtained from the sacrificed dogs of 1, 4, 8, 12, 16 weeks after the surgery. Non-decalcified sections were prepared by resin embedding and microsection to find thickness of $10{\mu}m$ for the histologic examination and analysis. Results: 1. We could achieve the successful reconstruction of the horizontal bone defect by auto block bone graft. The grafted bone block remained stable morohologically after 16 weeks of the surgery. 2. In the histologic view. We observed osteoid tissue from the sample $4^{th}$ week sample and active capillary reconstruction in the grafted bone from the $12^{th}$ week sample. Healing procedures of auto bone grafts were compared to that of the host bone. 3. Bone mineralization could be detected from the $8^{th}$ week sample. 4. Fluorochrome labeling showed active bony changes and formation at the interface of the host bone and the block graft mainly. Bony activation in the grafted bone could be seen from the $4^{th}$ week samples. Conclusions: Active bone formation and remodeling between the grafted bone and host bone can be seen through the revascularization. After the perfect adhesion to host bone, Timing of successful implant installation can be detected through the ideal ridge formation by horizontal ridge augmentation.