• Title/Summary/Keyword: Tissue expansion

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Surgical Treatment of Postpneumonectomy Syndrome with Tissue Expanders in Children

  • Jung, Hee Suk;Suh, Jee Won;Kim, Tae Hoon;Lee, Chang Young;Chung, Kyung Young
    • Journal of Chest Surgery
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    • v.48 no.3
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    • pp.217-219
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    • 2015
  • Postpneumonectomy syndrome (PPS) is a rare late complication of pneumonectomy. It occurs more often in children than in adults, and is characterized by respiratory failure resulting from bronchial compression caused by severe mediastinal shift. Various methods have been used to treat PPS, including aortopexy and the insertion of plastic balls, silastic implants, and saline-filled breast prostheses. We describe two cases of PPS corrected with tissue expanders after right pneumonectomy in patients with esophageal atresia.

Cleft lip and palate patient treatment using self-ligating bracket and distraction osteogenesis: A case report (자가결찰 브라켓과 골신장술을 이용한 구순구개열 환자의 치험례)

  • Moon, Cheol-Hyun;Park, Sun-Kyu
    • The Journal of the Korean dental association
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    • v.47 no.10
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    • pp.656-668
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    • 2009
  • It is difficult to perform orthodontic treatment for cleft lip and palate patient. Although there are many orthodontic appliances to expand narrowed maxillary arch, results are rarely successful and the possibility of relapse is increased due to severe scars. Self-ligating bracket, recently used in orthodontic treatment, suggests solution of crowding by expansion of dental arches. Light and continuous force could apply for orthodontic movement due to characteristic low friction of self ligating bracket, which gives expansion force until dentition reaches its new equilibrium position and it can be expressed as spontaneous lateral expansion with heavy labial tension. This kind of expansion force is thought to be a possibility of expanding the constricted maxillary arch of cleft lip and palate patient. Repositioning of the maxilla by Le Fort I osteotomy in case of severe maxillary deficiency, increases the possibility of relapse because of limitation in anterior movement and adaptation of soft tissue. In these cases, distraction osteogenesis(DO) can be applied for stable result. We report a case of cleft lip and palate patient with narrowed maxillary arch and maxillary deficiency using self ligating bracket and DO.

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Evaluation of Stability of CLC through Strength and Reduction of Drying Shrinkage (강도 및 건조수축 저감을 통한 CLC의 안정성 평가)

  • Lee, Chang-Woo;Hwang, Woo-Jun;Lee, Sang-Soo
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2022.11a
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    • pp.205-206
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    • 2022
  • This study intends to conduct tests on subsidence and drying shrinkage by mixing CaO-CSA expansion materials to ensure the stability of CLC, and to understand its properties. Based on CLC of 0.6, the replacement ratio of CaO-CSA expansion material was conducted at five levels compared to blast furnace slag, and the results are as follows. The replacement of CaO-CSA expansion material at an appropriate level produces ethringhite and potassium hydroxide, and it is believed that the internal voids of CLC and the Tobelmorite interlayer structure are charged to increase the structural stability, leading to an increase in compressive strength and a decrease in the drying shrinkage. However, it is judged that tissue relaxation due to excessive substances in the high replacement ratio affects the stability of CLC. In the future, we will conduct additional experiments on density, absorption rate, flow test, and settlement, and evaluate and analyze the stability of CLC by selecting the optimal replacement ratio of CaO-CSA expansion materials.

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A Preliminary Study on Developing a Photoacoustic Imaging System for Inflammatory Arthritis Diagnosis (관절염 진단용 광음향 이미징 시스템 개발을 위한 선행 연구)

  • Youn, Jong-In;Park, Ji-Won
    • The Journal of Korean Physical Therapy
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    • v.22 no.4
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    • pp.83-89
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    • 2010
  • Purpose: The goal of this study was to investigate the feasibility for the early diagnosis of inflammatory arthritis by the reconstruction of three-dimensional photoacoustic imaging with a tissue phantom. Methods: Q-switched Nd:YAG laser (l = 532 nm) was applied to a tissue phantom to generate photoacoustic waves, and the acquired photoacoustic signals at different positions around the sample were used to recombine the distribution of the optical absorption and the images were subsequently generated through a reconstruction algorithm. Results: From the acquired photoacoustic signals, the surface andinner core of the phantom was clearly distinguished. Furthermore, the back-projection algorithm was able to reconstruct two-dimensional and three-dimensional photoacoustic images that contained the optical absorption property information of the tissue phantom. Conclusion: The results indicate that the photoacoustic imaging technique has many advantages such as high optical contrast and high acoustic resolution. The acquired images can be used for the early diagnosis of inflammatory arthritis by the structural information obtained from the region of interest.

Human Acellular Dermis versus Submuscular Tissue Expander Breast Reconstruction: A Multivariate Analysis of Short-Term Complications

  • Davila, Armando A.;Seth, Akhil K.;Wang, Edward;Hanwright, Philip;Bilimoria, Karl;Fine, Neil;Kim, John Y.S.
    • Archives of Plastic Surgery
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    • v.40 no.1
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    • pp.19-27
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    • 2013
  • Background Acellular dermal matrix (ADM) allografts and their putative benefits have been increasingly described in prosthesis based breast reconstruction. There have been a myriad of analyses outlining ADM complication profiles, but few large-scale, multi-institutional studies exploring these outcomes. In this study, complication rates of acellular dermis-assisted tissue expander breast reconstruction were compared with traditional submuscular methods by evaluation of the American College of Surgeon's National Surgical Quality Improvement Program (NSQIP) registry. Methods Patients who underwent immediate tissue expander breast reconstruction from 2006-2010 were identified using surgical procedure codes. Two hundred forty tracked variables from over 250 participating sites were extracted for patients undergoing acellular dermis-assisted versus submuscular tissue expander reconstruction. Thirty-day postoperative outcomes and captured risk factors for complications were compared between the two groups. Results A total of 9,159 patients underwent tissue expander breast reconstruction; 1,717 using acellular dermis and 7,442 with submuscular expander placement. Total complications and reconstruction related complications were similar in both cohorts (5.5% vs. 5.3%, P=0.68 and 4.7% vs. 4.3%, P=0.39, respectively). Multivariate logistic regression revealed body mass index and smoking as independent risk factors for reconstructive complications in both cohorts (P<0.01). Conclusions The NSQIP database provides large-scale, multi-institutional, independent outcomes for acellular dermis and submuscular breast reconstruction. Both thirty-day complication profiles and risk factors for post operative morbidity are similar between these two reconstructive approaches.

Familial gigantiform cementoma (가족성 거대 백악종)

  • Han Won-Jeong;Kim Eun-Kyung
    • Imaging Science in Dentistry
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    • v.36 no.3
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    • pp.157-162
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    • 2006
  • Familial gigantiform cementoma is a rare fibre-cemento-osseous disease of the jaws which appears to be transmitted as an autosomal dominant trait with variable expressivity of the phenotype. A 7-year-old girl visited DKUDH complaining of the painless facial deformity. Clinically, significant facio-lingual expansion was observed at the left maxilla, left mandibular body and symphysis portion. Malposition of lower anterior teeth was found. Panoramic radiograph and CT scan showed the extensive expansile mixed lesion at maxilla and mandible. Bone scan revealed hot spot at the maxilla and left side of mandible. Histologic examination revealed moderately dense fibrous connective tissue with scattered masses resembling cementum. The patient's mother had a history of the mandibular resection due to benign tumor. Her younger brother had buccal expansion of right mandible. We report our finding of a family that has exhibited clinical, radiographic and histologic findings consistent with the familial gigantiform cementoma.

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AN ANALYSIS OF STRESS DISTRIBUTION IN THE CASE OF UNILATERAL MOLAR EXPANSION WITH PRECISION LINGUAL ARCH BY FINITE ELEMENT METHOD (구치 편측확장을 위한 Precision Lingual Arch 적용시 응력분포에 관한 유한요소법적 연구)

  • Koo, Bon-Chan;Sohn, Byung-Wha
    • The korean journal of orthodontics
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    • v.24 no.3 s.46
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    • pp.721-733
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    • 1994
  • Orthodontic tooth movement is closely related to the stress on the periodontal tissue. In this research the finite element method was used to observe the stress distribution and to find the best condition for effective tooth movement in the case of unilateral molar expansion. The author constructed the model of lower dental arch of average Korean adult and used $.032'\times.032'\times60mm$ TMA wire. The wire was deflected in the horizontal and vertical direction to give the 16 conditions. The following results were obtained ; 1. When the moment and force were controlled properly the movement of anchor tooth was minimized and the movement of moving tooth was maximized. 2. As the initial horizontal deflection increased the buccal displacement of both teeth was also increased. As the initial horizontal deflection increased the lingual movement of anchor tooth and the buccal movement of moving tooth increased. 3. When the initial horizontal and vertical deflection rate was 1.5 the effective movement of moving tooth was observed with minimal displacement of anchor tooth.

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Arrested pneumatization of the sphenoid sinus mimicking intraosseous lesions of the skull base

  • Jalali, Elnaz;Tadinada, Aditya
    • Imaging Science in Dentistry
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    • v.45 no.1
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    • pp.67-72
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    • 2015
  • Arrested pneumatization of the sphenoid sinus is a developmental variant that is not always well recognized and is often confused with other pathologies associated with the skull base. This report describes the case of a patient referred for cone-beam computed tomography (CBCT) imaging for dental implant therapy. CBCT demonstrated a well-defined incidental lesion in the left sphenoid sinus with soft tissue-like density and sclerotic borders with internal curvilinear opacifications. The differential diagnoses included intraosseous lipoma, arrested pneumatization of the sphenoid sinus, chondrosarcoma, chondroid chordoma, and ossifying fibroma. The radiographic diagnosis of arrested pneumatization was based on the location of the lesion, its well-defined nature, the presence of internal opacifications, and lack of expansion. Gray-scale CBCT imaging of the area demonstrated values similar to fatty tissue. This case highlighted the fact that benign developmental variants associated with the skull base share similar radiographic features with more serious pathological entities.

Formation and Change of Road·Block·Lot System of Old Inner Cheongju City (청주 구도심 지역의 가로·가구·필지체계의 형성과 변천)

  • Weon, Se-Yong;Kim, Tai-Young
    • Journal of the Korean Institute of Rural Architecture
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    • v.5 no.2
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    • pp.10-19
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    • 2003
  • The purpose of this study was to analyze the formation and change of road-block-lot of the old inner city in cheongju The result of this study are as follows; (I)Among others a system roads of in around the old castle in cheongju city is most of feature north and south direction of road. Lot system is organic relations of north and south direction of road. Therefore, urban tissue in around the old castle in cheongju city is established order road system keep on the change of expansion urban tissue. (2) Block type classified into non-division, 2division and over 3division. (3) The square block remains mostly in Cheongju old castle, two-division block was around south of castle. And block of the grid-form street system divided into over 3 division. Through the guideline about characteristic of block type, residential area should be developed as a characteristics area in the urban area.

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A Case of Forehead Reconstruction with Remnant Forehead Flap Unit (잔여 전두피판을 한 단위로 이용한 전두연부조직 결손의 재건: 증례보고)

  • Lee, Sung Jun;Kim, In Kyu;Seul, Chul Hwan;Kim, Sug Won
    • Archives of Plastic Surgery
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    • v.32 no.6
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    • pp.757-759
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    • 2005
  • Acquired defects involving exposed bone on the forehead is challenging to reconstruct. Skin expansion provides an ideal thin flap for forehead aesthetic unit, but it takes long time and high cost, and many patients are dissatisfied at their figures. Free flap can provide enough tissue immediately, but it takes long time and has the risk of mismatches of color and texture. This report details our experiences with two patients who had soft tissue defect on their forehead that was covered with remnant forehead flap unit. This method uses one-unit-forehead island flap based on supratrochlear and supraorbital vessel. We obtained satisfactory results in terms of aesthetic and functional consideration.