• Title/Summary/Keyword: Transverse correction

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Mandibular midline osteotomy for correction of bimaxillary transverse discrepancy: a technical note

  • Mrunalini Ramanathan;Rie Sonoyama-Osako;Yukiho Shimamura;Taro Okui;Takahiro Kanno
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.49 no.3
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    • pp.107-113
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    • 2023
  • Bimaxillary transverse width discrepancies are commonly encountered among patients with dentofacial deformities. Skeletal discrepancies should be diagnosed and managed appropriately with possible surgical corrections. Transverse width deficiencies can present in varieties of combinations involving the maxilla and mandible. We observed that in a significant proportion of cases, the maxilla is normal, and the mandible showed deficiency in the transverse dimension after pre-surgical orthodontics. We designed novel osteotomy techniques to enhance mandibular transverse width correction, as well as simultaneous genioplasty. Chin repositioning along any plane is applicable concomitant with mandibular midline arch widening. When there is a requirement for larger widening, gonial angle reduction may be necessary. This technical note focuses on key points in management of patients with transversely deficient mandible and the factors affecting the outcome and stability. Further research on the maximum amount of stable widening will be conducted. We believe that developing evidence-based additional modifications to existing conventional surgical procedures can aid precise correction of complex dentofacial deformities.

Surgical Correction of Funnel Chest by using Sulamaa`s metal strut (누두흉의 외과적 치료Metal bar 를 이용한 수술 1례 치험)

  • 손동섭
    • Journal of Chest Surgery
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    • v.18 no.3
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    • pp.492-496
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    • 1985
  • Two cases of surgical correction of funnel chest using metal struts were presented. The main procedures of the method were transverse submammary incision, subperichondrial resection of the deformed costal cartilages, division of the xiphisternal joint, wedge osteotomy of the sternum, freeing of the posterior surface of the sternum and stabilization by means of 2 metal struts. The struts were removed postoperative 3 and 6 months by a small incision under the local anesthesia. The results in both patients were satisfactory. This method of correction is simple, easy to perform and free of any operative risks.

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CORTICOTOMY IN PATIENT WITH NARROW PALATAL ARCH (피질골절단술을 이용한 상악협소증환자의 치험례)

  • Kim, Eun-Cheol;Lee, Sang-Chull;Kim, Yeo-Gab;Ryu, Dong-Mok;Lee, Baek-Soo
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.25 no.4
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    • pp.371-374
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    • 1999
  • The treatment of adults with dentofacial deformities is frequently complicated by existence of discrepancies in transverse dimension. Control of the transverse dimension through surgical technique is now a valuable treatment consideration in non-growing patients. Proper diagnosis of relative and absolute maxillary transverse deficiency is imperative prior to surgical intervention. Therapeutic purpose should be implemented accordingly to facilitate correction of transverse discrepancies concomitant with treatment objectives in sagittal dimension in order to provide the patient with the most stable and functional result possible. Concomitant surgical correction of narrow palate require less treatment time, treatment cost and post-treatment relapse is less than to do only orthodontic therapy. This report is concerned with rapid palatal expansion by a combination of corticotomy and orthodontic treatment.

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Chair side measuring instrument for quantification of the extent of a transverse maxillary occlusal plane cant

  • Naini, Farhad B.;Messiha, Ashraf;Gill, Daljit S.
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.41
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    • pp.21.1-21.3
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    • 2019
  • Background: Treatment planning the correction of a transverse maxillary occlusal plane cant often involves a degree of qualitative "eyeballing", with the attendant possibility of error in the estimated judgement. A simple chair side technique permits quantification of the extent of asymmetry and thereby quantitative measurements for the correction of the occlusal plane cant. Methods: A measuring instrument may be constructed by soldering the edge of a stainless steel dental ruler at 90° to the flat surface of a similar ruler. With the patient either standing in natural head position, or alternatively seated upright in the dental chair, and a dental photographic retractor in situ, the flat under-surface of the horizontal part of this measuring instrument is placed on a unilateral segment of a bilateral structure, e.g. the higher maxillary canine orthodontic bracket hook. The vertical ruler is held next to the contralateral canine tooth, and the vertical distance measured directly from the canine bracket to the flat under-surface of the horizontal part of the measuring instrument. Results: This vertical distance quantifies the overall extent of movement required to level the maxillary occlusal plane. Conclusions: This measuring instrument and simple chair side technique helps to quantify the overall extent of surgical levelling required and may be a useful additional technique in our clinical diagnostic armamentarium.

Minimally Invasive Proximal Transverse Metatarsal Osteotomy Followed by Intramedullary Plate Fixation for Hallux Valgus Deformity: A Case Report (무지외반증 교정을 위한 최소침습적 근위 중족골 횡절골술 및 골수강 내 금속판 고정: 증례 보고)

  • Kim, Jong Hun;Suh, Jin Soo;Choi, Jun Young
    • Journal of Korean Foot and Ankle Society
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    • v.25 no.3
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    • pp.141-144
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    • 2021
  • More than 120 surgical methods for the correction of hallux valgus deformities have been reported. For the correction of moderate to severe hallux valgus deformities with aesthetic demands, minimally invasive surgery at the proximal area can be considered. This paper reports a case of moderate hallux valgus deformity treated by a minimally invasive proximal transverse metatarsal osteotomy followed by intramedullary plate fixation.

A Study on the Evaluation of elastic buckling strength of Singly Symmetric I-Beams (일축대칭 I형보의 탄성좌굴강도 산정에 관한 연구)

  • Ku, So-Yeun;Ryu, Hyo-Jin;Lim, Nam-Hyoung;Lee, Jin-Ok
    • 한국방재학회:학술대회논문집
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    • 2008.02a
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    • pp.79-82
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    • 2008
  • The elastic critical moment of I-beams subjected to moment is directly affected by the following factors; loading type; loading position with respect to the mid-height of the cross section; end restraint conditions. Most design specifications usually provide buckling solutions derived for uniform moment loading condition and account for variable moment along the unbraced length with a moment gradient correction factor applied to these solutions. In order for the method in the SSRC Guide to be applicable for singly symmetric I-beams, improved moment gradient correction factors were proposed in this study. Finite element buckling analyses of singly symmetric I-beams subjected to transverse loading applied at different heights with respect to the mid-height of the cross section were conducted. Transverse loads consisting of a mid-span point load and a uniformly distributed load were considered in the investigation.

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Transverse Shear Behavior of Thin-Walled Composite Beams Using a Mixed Method (혼합법을 이용한 박벽 복합재료 보의 전단변형거동 해석)

  • Park, Il-Ju;Jeong, Sung-Nam
    • Proceedings of the Korean Society For Composite Materials Conference
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    • 2005.11a
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    • pp.194-197
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    • 2005
  • In this work, a mixed beam approach is performed to identify the transverse shear behavior of thin-walled composite beams with closed cross-sections. The analytical model includes the effects of elastic couplings, shell wall thickness, and torsion warping. The distributions of shear flow across the section as well as the shear correction coefficients are obtained in a closed form in the beam formulation. The influence of transverse shear deformation on the static behavior of closed cross-section composite beams is also investigated in the analysis

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The Surgical Release of Dupuytren's Contracture Using Multiple Transverse Incisions

  • Lee, Hyunjic;Eo, Surak;Cho, Sanghun;Jones, Neil F.
    • Archives of Plastic Surgery
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    • v.39 no.4
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    • pp.426-430
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    • 2012
  • Dupuytren's contracture is a condition commonly encountered by hand surgeons, although it is rare in the Asian population. Various surgical procedures for Dupuytren's contracture have been reported, and the outcomes vary according to the treatment modalities. We report the treatment results of segmental fasciectomies with multiple transverse incisions for patients with Dupuytren's contracture. The cases of seven patients who underwent multiple segmental fasciectomies with multiple transverse incisions for Dupuytren's contracture from 2006 to 2011 were reviewed retrospectively. Multiple transverse incisions to the severe contracture sites were performed initially, and additional incisions to the metacarpophalangeal (MCP) joints, and the proximal interphalangeal (PIP) joints were performed if necessary. Segmental fasciectomies by removing the fibromatous nodules or cords between the incision lines were performed and the wound margins were approximated. The mean range of motion of the involved MCP joints and PIP joints was fully recovered. During the follow-up periods, there was no evidence of recurrence or progression of disease. Multiple transverse incisions for Dupuytren's contracture are technically challenging, and require a high skill level of hand surgeons. However, we achieved excellent correction of contractures with no associated complications. Therefore, segmental fasciectomies with multiple transverse incisions can be a good treatment option for Dupuytren's contracture.

Bending analysis of exponentially varied FG plates using trigonometric shear and normal deformation theory

  • Sunil S. Yadav;Keshav K. Sangle;Mandar U. Kokane;Sandeep S. Pendhari;Yuwaraj M. Ghugal
    • Advances in aircraft and spacecraft science
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    • v.10 no.3
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    • pp.281-302
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    • 2023
  • In this paper, bending analysis of exponentially varying functionally graded (FG) plate is presented using trigonometric shear deformation theory (TSDT) considering both transverse shear and normal deformation effects. The in-plane displacement field consists of sinusoidal functions in thickness direction to include transverse shear strains and transverse displacement include the effect of transverse normal strain using the cosine function in thickness coordinate. The governing equations and boundary conditions of the theory are derived using the virtual work principle. System of governing equations, for simply supported conditions, Navier's solution technique is used to obtain results. Plate material properties vary across thickness direction according to exponential distribution law. In the current theory, transverse shear stresses are distributed accurately through the plate thickness, hence obviates the need for a shear correction factor. TSDT results are compared with those from other theories to ensure the accuracy and effectiveness of the present theory. The current theory is in excellent agreement with the semi-analytical theory.