• Archives of Craniofacial Surgery
• /
• v.11 no.2
• /
• pp.77-84
• /
• 2010

Purpose: The nasal bones are the most common fracture sites of the facial bones, and a careful reduction may still result in secondary deformities, such as saddle nose, deviated nose, hump nose etc, requiring secondary cosmetic rhinoplasty. Therefore, this study examined the clinical characteristics of nasal bone fractures to propose guidelines for patient selection and surgical procedures to achieve more satisfactory results and to prevent secondary deformities with simultaneous augmentation rhinoplasty and bony reduction. Methods: The study was based on 26 out of 149 nasal bone fracture patients who underwent simultaneous augmentation rhinoplasty with bony reduction between May 2008 and April 2009. Retrospective analysis was performed according to the clinical data, surgical techniques and postoperative results. Results: Of the 26 patients, there were 15 males and 11 females. The incidence according to the Stranc's classification revealed that 62% of patients were injured by a frontal impact and 38% by a lateral impact. Frontal impact plane I (50%) was the most frequent type. At the follow up, 18 (81.2%) out of 22 patients were satisfied with their postoperative outcome, and the remaining 4 patients were fair. No one was dissatisfied. However, 5 cases in 3 patients (23%) had some complications; minimal implant deviation in 2 cases, minor irregularity on the nasal dorsum in 2 cases and palpable implant movement under palpation in 1 case. None of these cases required surgical correction. Conclusion: With the proper guidance, simultaneous augmentation rhinoplasty with bony reduction can prevent secondary deformities and satisfy the cosmetic outcomes.

• Archives of Craniofacial Surgery
• /
• v.13 no.2
• /
• pp.104-110
• /
• 2012

Purpose: Who may dare to state that optimal choice of treating nasal bone fracture is closed reduction? Few decades of authors' experience in nasal bone fracture has lead to believe that more active and assertive approach in nasal bone fracture by performing simultaneous lateral osteotomy may be applied in proper indications to acquire more accurate reduction and cosmetically satisfying result. Methods: From May 2008 to October 2009, among 241 nasal bone fracture patients, 20 patients underwent simultaneous lateral osteotomy with nasal bone fracture reduction. Followed by rigid septal correction, nasal cavity is packed to stabilize the fracture segment for safer osteotomy. Through intranasal incision, in selected cases of difficult reduction or for cosmetic purposes, various types of lateral osteotomy was performed corresponding to the fracture anatomy, conditions of the nasal cavity. Postoperative nasal packing was retained for one week and nasal dorsum splint for 3 weeks. Results: Lateral osteotomy was utilized for difficult cases of closed reduction, for correction of wide nose, hump and deviation in 9, 5, 2, and 4 cases, respectively. Patient satisfaction was scaled 90% in satisfaction and moderate in 10% (2 cases), complaining of mild nasal tip deviation. Physicians detected 2 cases of apparent deformity with patient recognition; one patient with mild step deformity at the osteotomy site and the other patient with minimal implant mobility. Conclusion: By accompanying profound understanding of the fracture anatomy, more active and assertive approach in nasal fracture reduction can be coincide with simultaneous lateral osteotomy to reduce the rate of secondary deformity and to obtain more cosmetically satisfying result.

• Journal of ILASS-Korea
• /
• v.7 no.1
• /
• pp.7-13
• /
• 2002

This paper is study on simultaneous reduction of NOx and soot for direct injection diesel engine using high and low cetane fuels. The stratified injection system was applied for diesel engine to use high and low cetane fuel. In this study, diesel fuel was used as high cetane fuels, methanol was used as low cetane fuels. Some parts of the injection system, ie. Nozzle holder. delivery vale, was remodeled to inject dual fuel sequentially from one injector. The leak injection quantity ratio of dual fuel was certificated by volumetric ratio at injection quantity experiment. According as concentration of low cetane fuel was varied, combustion experiment was performed using Toroidal and Complex chamber. Also, exhaust gas and fuel consumption were measured at the same time. Simultaneous reduction of NOx and soot was achieved at complex chamber regardless of concentration of low cetane fuel. However, according as concentration of low cetane fuel was increased, THC and CO was increased.

• Wind and Structures
• /
• v.22 no.3
• /
• pp.349-368
• /
• 2016

A preconditioning technique is presented for a simultaneous solution to wind-membrane interaction. In the simultaneous equations, a linear elastic model was employed to deal with the fluid-structure data transfer at the interface. A Lagrange multiplier was introduced to impose the specified boundary conditions at the interface and strongly coupled simultaneous equations are derived after space and time discretization. An initial linear elastic model preconditioner and modified one were derived by treating the linearized elastic model equation as a saddle point problem, respectively. Accordingly, initial and modified fluid-structure interaction (FSI) preconditioner for the simultaneous equations were derived based on the initial and modified linear elastic model preconditioners, respectively. Wind-membrane interaction analysis by the proposed preconditioners, for two and three dimensional membranous structures respectively, was performed. Comparison was made between the performance of initial and modified preconditioners by comparing parameters such as iteration numbers, relative residuals and convergence in FSI computation. The results show that the proposed preconditioning technique greatly improves calculation accuracy and efficiency. The priority of the modified FSI preconditioner is verified. The proposed preconditioning technique provides an efficient solution procedure and paves the way for practical application of simultaneous solution for wind-structure interaction computation.

• Journal of Korean Association for Spatial Structures
• /
• v.19 no.3
• /
• pp.51-59
• /
• 2019

A hybrid mid-story seismic isolation system with a smart damper has been proposed to mitigate seismic responses of tall buildings. Based on previous research, a hybrid mid-story seismic isolation system can provide effective control performance for reduction of seismic responses of tall buildings. Structural design of the hybrid mid-story seismic isolation system is generally performed after completion of structural design of a building structure. This design concept is called as an iterative design which is a general design process for structures and control devices. In the iterative design process, optimal design solution for the structure and control system is changed at each design stage. To solve this problem, the integrated optimal design method for the hybrid mid-story seismic isolation system and building structure was proposed in this study. An existing building with mid-story isolation system, i.e. Shiodome Sumitomo Building, was selected as an example structure for more realistic study. The hybrid mid-story isolation system in this study was composed of MR (magnetorheological) dampers. The stiffnessess and damping coefficients of the example building, maximum capacity of MR damper, and stiffness of isolation bearing were simultaneously optimized. Multi-objective genetic optimization method was employed for the simultaneous optimization of the example structure and the mid-story seismic isolation system. The optimization results show that the simultaneous optimization method can provide better control performance than the passive mid-story isolation system with reduction of structural materials.

• Archives of Plastic Surgery
• /
• v.38 no.6
• /
• pp.851-860
• /
• 2011

Purpose: Reduction by simply assembling bones is recognized as treatment for a zygoma fracture. However, in patients who originally had a protruding zygoma, the fractured parts look like malarplasty after the edema subsides, giving a soft impression which patients notice. Thus, we created symmetry through simultaneous contralateral malar reduction in a unilateral zygoma fracture. Methods: In this study, the patients who had surgery between July, 2008 and December, 2009 with admission were object. In 76 patients with a zygoma fracture, the patients with bilateral zygoma fractures were excluded. Among 48 patients who had a reduction only after a unilateral zygoma fracture, the patients hoping for a reduction of their rough protruding zygoma were analyzed with front cephalometry. The study progressed on 22 patients who had simultaneous contralateral malar reduction in a unilateral zygoma fracture with consent. After fixing the fracture, we did a straight zygoma osteotomy through a 1.5 cm intraoral incision. After that, we created symmetry with a special ruler and fixed the broken zygomatic arch with a screw and plate. We evaluated the facial index and satisfaction with a statistical analysis before and after the surgery. Results: In 22 patients, there was no reoperation except for 1 patient who had a zygoma fracture. None of the patients were treated for infection or hematoma. Two patients complained of paresthesia after the malar reduction operation, but this subsided in 4 months. Most of them were satisfied with the malar reduction, especially the women, and we obtained a better mid facial contour with decreased facial width ($p$ <0.05). Conclusion: Existing zygoma fracture surgery focuses on anatomical reduction. However, we need to have a cosmetic viewpoint in fractures as interests of face contour arise. Thus, contralateral malar reduction got a 4.7 (range 0~5) from patients who had malar reduction surgery in our hospital. Although adjusting to all zygoma fractures has limitations, it can be a new method in zygoma fractures when there are limited indications of protruding zygoma and careful attention is given to patients' high demands.

• Proceedings of the IEEK Conference
• /
• 2003.11a
• /
• pp.149-152
• /
• 2003

This paper presents a method to find motion vectors that are closer to true motion with noisy images for simultaneous noise reduction and do-interlacing. The proposed method requires four interlaced field images: one noisy field image and three field images from which noise is already removed. The validation of motion provides accurate motion vectors and allows us to utilize them even in very noisy environment. The validated motion vectors are first used for the noise reduction, buffered and used later for the noise reduction and de -interlacing.

• Journal of the Korean Society of Industry Convergence
• /
• v.7 no.4
• /
• pp.331-340
• /
• 2004

This paper presents a feasibility study of a fresh air load reduction system by using an underground double floor space. The fresh air is introduced into the double slab space and passes through the opening bored into the footing beam. The air is cooled by the heat exchange with the inside surface of the double slab space in summer, and heated in winter. This system not only reduces sensible heat load of the fresh air by heat exchange with earth but also reduces latent heat load of the fresh air by ad/de-sorption of underground double slab concrete. In this paper, we used a model for evaluation of fresh air latent heat load reduction by hygroscopic of air to earth exchange system taking into account coupled heat and moisture transfer of underground double floor space. In conclusion it shows the validity of the proposed method for a design tool and the quantitative effect of the system.

• Transactions of the Korean Society of Automotive Engineers
• /
• v.11 no.3
• /
• pp.85-91
• /
• 2003

In this study, the potential possibility of oxygenated fuel such as Methyl tertiary butyl ether (MTBE) was investigated for the sake of exhausted smoke reduction from diesel engine. MTBE has been used as a fuel additive blended into unleaded gasoline to improve octane number, but the study of application for diesel engine was incomplete. Because MTBE includes oxygen content approximately 18%, it is a kind of oxygenated fuel that the smoke emission of MTBE is reduced remarkably compared with commercial diesel fuel. But, the NOx emission of MTBE blended fuel is increased compared with commercial diesel fuel. And, it was tried to analyze not only total hydrocarbon but individual hydrocarbon components from $C_1$ to $C_6$ in exhaust gas using gas chromatography to seek the reason for remarkable reduction of smoke emission. Individual hydrocarbons($C_1$~$C_6$) as well as total hydrocarbon of oxygenated fuel are reduced remarkably compared with diesel fuel. And, the effects of exhaust gas recirculation(EGR) on the characteristics of NOx emission has been investigated, too. It was found that simultaneous reduction of smoke and NOx was achieved with oxygenated fuel and cooled EGR method.

• Proceedings of the KIEE Conference
• /
• 1988.11a
• /
• pp.9-12
• /
• 1988

This paper shows a asymmetrically controlled method for the simultaneous control of real and reactive power generated by Superconducting Magnetic Energy Storage (SMES). Asymmetrically controled 12 pulse converter has been proposed in this paper for harmonic reduction of transformer primary current.