• Archives of Plastic Surgery
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• v.46 no.3
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• pp.204-213
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• 2019

Background In implant-based breast reconstruction, acellular dermal matrix (ADM) is essential for supporting the inferolateral pole. Recent studies have compared non-sterilized freeze-dried ADM and sterilized pre-hydrated ADM, but have not assessed whether differences were attributable to factors related to sterile processing or packaging. This study was conducted to compare the clinical outcomes of breast reconstruction using two types of sterile-processed ADMs. Methods Through a retrospective chart review, we analyzed 77 consecutive patients (85 breasts) who underwent tissue expander/implant breast reconstruction with either freeze-dried ADM (35 breasts) or pre-hydrated ADM (50 breasts) from March 2016 to February 2018. Demographic variables, postoperative outcomes, and operative parameters were compared between freeze-dried and pre-hydrated ADM. Biopsy specimens were obtained for histologic analysis. Results We obtained results after adjusting for variables found to be significant in univariate analyses. The total complication rate for freeze-dried and pre-hydrated ADMs was 25.7% and 22.0%, respectively. Skin necrosis was significantly more frequent in the freeze-dried group than in the pre-hydrated group (8.6% vs. 4.0%, P=0.038). All other complications and operative parameters showed no significant differences. In the histologic analysis, collagen density, inflammation, and vascularity were higher in the pre-hydrated ADM group (P=0.042, P=0.006, P=0.005, respectively). Conclusions There are limited data comparing the outcomes of tissue expander/implant breast reconstruction using two types of sterile-processed ADMs. In this study, we found that using pre-hydrated ADM resulted in less skin necrosis and better integration into host tissue. Pre-hydrated ADM may therefore be preferable to freeze-dried ADM in terms of convenience and safety.

• Archives of Plastic Surgery
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• v.51 no.1
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• pp.62-66
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• 2024

Gestational gigantomastia is characterized by the rapid growth of breasts during pregnancy. The treatment method of gestational gigantomastia is unclear; if the medical treatment is ineffective, surgery is considered. However, sufficient research on which method is best to perform breast reconstruction for the gestational gigantomastia patient has not yet been conducted. Our patient was young and had aesthetic needs; thus, we did not recommend modified radical mastectomy. However, it was difficult for the patient to consider active reconstruction using an implant or autologous tissue because of the expected complications and economic problems. The patient had a thin body shape and very large breasts compared with the trunk. Therefore, breast volume was not significantly required after reconstruction. Additionally, we expected that a considerable portion of skin would remain after mastectomy as a tubular-shaped breast. It was expected that the Goldilocks technique would be sufficient to meet the patient's volume needs. Therefore, we proceeded with total mastectomy and reconstruction using the Goldilocks procedure. No complications were recorded after the operation; most of the patient's discomfort was resolved, and the shape and size of the breasts were satisfactory.

• Journal of the Korean Society of Clothing and Textiles
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• v.34 no.2
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• pp.303-317
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• 2010

This study helps in the production of brassieres suitable for female adults by researching the actual wearing conditions and purchasing status, satisfaction rate, and preferences of female college students in their early 20's. The collected data was analyzed by a SPSSWIN 13.0 Program and the results of the research are as follows. 1. There is a noticeable difference between the breast satisfaction rate and breast size, in addition the satisfactory rate was higher in the normal breast size or a little ample size than in the very small or very big size. According to the shape, the satisfactory rate for the breast appeared to be high in the case of the recognition and evaluation of the hemisphere type than the flat, cone, pop out, and downward type. 2. For fitness, the looseness at the top of the cup (pressed between the breasts at the upper part of the front middle), pressing and looseness at the upper sides of the cup, inappropriate size of the cup, tightness of the wings, tightness at the bottom round of the breasts, the narrow width of the wire, wide space of the shoulder strings, and the sliding of the shoulder strings had problems that needed improvement. 3. The major priorities for purchasing brassieres are size, fitness, and aesthetic qualities. As a result, the size and the fitness are more important than the trend or decorations since the brassiere has the function to support the breasts that shows that hygiene and sanitation are recognized as an important standard for undergarment selection. The size and the fitness are important factors regardless of breast types in the examination of the selection standards of the brassieres for each breast type, but the cone and hemisphere types have higher preferences for design; the pop out type has more considerations for the material of the cloth. The result show that appearance is more important for smaller breasts, but the functionality of the brassier is more important than the appearance for medium and larger breast sizes.

• Korean Journal of Radiology
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• v.24 no.4
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• pp.274-283
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• 2023

Objective: To compare the outcomes of digital breast tomosynthesis (DBT) screening combined with ultrasound (US) with those of digital mammography (DM) combined with US in women with dense breasts. Materials and Methods: A retrospective database search identified consecutive asymptomatic women with dense breasts who underwent breast cancer screening with DBT or DM and whole-breast US simultaneously between June 2016 and July 2019. Women who underwent DBT + US (DBT cohort) and DM + US (DM cohort) were matched using 1:2 ratio according to mammographic density, age, menopausal status, hormone replacement therapy, and a family history of breast cancer. The cancer detection rate (CDR) per 1000 screening examinations, abnormal interpretation rate (AIR), sensitivity, and specificity were compared. Results: A total of 863 women in the DBT cohort were matched with 1726 women in the DM cohort (median age, 53 years; interquartile range, 40-78 years) and 26 breast cancers (9 in the DBT cohort and 17 in the DM cohort) were identified. The DBT and DM cohorts showed comparable CDR (10.4 [9 of 863; 95% confidence interval {CI}: 4.8-19.7] vs. 9.8 [17 of 1726; 95% CI: 5.7-15.7] per 1000 examinations, respectively; P = 0.889). DBT cohort showed a higher AIR than the DM cohort (31.6% [273 of 863; 95% CI: 28.5%-34.9%] vs. 22.4% [387 of 1726; 95% CI: 20.5%-24.5%]; P < 0.001). The sensitivity for both cohorts was 100%. In women with negative findings on DBT or DM, supplemental US yielded similar CDRs in both DBT and DM cohorts (4.0 vs. 3.3 per 1000 examinations, respectively; P = 0.803) and higher AIR in the DBT cohort (24.8% [188 of 758; 95% CI: 21.8%-28.0%] vs. 16.9% [257 of 1516; 95% CI: 15.1%-18.9%; P < 0.001). Conclusion: DBT screening combined with US showed comparable CDR but lower specificity than DM screening combined with US in women with dense breasts.

• 축산식품과학과 산업
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• v.9 no.1
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• pp.67-69
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• 2020

• The International Journal of Costume Culture
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• v.7 no.2
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• pp.112-122
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• 2004

A brassier supports and protects breasts and makes a better shape of the upper half of the body through shaping breasts. A brassier, therefore, is recognized as the key underwear for female. Recently, the distribution structure and channels of the brassiere industry is diversified from conventional type of markets to department stores, convenience stores, and internet shopping mall. Studies on the sales of brassieres via internet, however, is not sufficient even though the market size has been dramatically increased thursdays. The study on the size structure (including the size and the materials fabric of brassieres circulating via internet) is especially rare. Therefore, this study tries to comply with increasing requests of consumers through comparing brassier brands on internet. In depth, this study compares cases of Korea and Japan in terms of availability of website on sales, quality indication like materials and functions, and size. The results indicated that there were three companies in Korea which run a website and make a sale through a website. All three Japanese companies operate a website and make sales on a website as well. In terms of size, Korean companies diversify their size of products in two ways. It varies from A cup to D cup based on cup size, and 65 to 100 according to its entire size. On the other hand, Japanese companies use AA, A to I to measure cup size, and 65 to 100 for entire size.

• Food Science of Animal Resources
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• v.40 no.1
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• pp.96-105
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• 2020

The appearance of white striations over breast meat is an emerging and growing problem. The main purpose of this study was to employ the reflectance of visible-near infrared (VIS/NIR) spectroscopy to differentiate between normal and white striped turkey breasts. Accordingly, 34 turkey breast fillets were selected representing a different level of white striping (WS) defects (normal, moderate and severe). The findings of VIS/NIR were analyzed by principal component (PC1) analysis (PCA). It was found that the first PC1 for VIS, NIR and VIS/NIR region explained 98%, 97%, and 96% of the total variation, respectively. PCA showed high performance to differentiate normal meat from abnormal meat (moderate and severe WS). In conclusion, the results of this research showed that VIS/NIR spectroscopy was satisfactory to differentiate normal from severe WS turkey fillets by using several quality traits.

• Archives of Reconstructive Microsurgery
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• v.9 no.2
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• pp.127-133
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• 2000

Free TRAM flap is now increasingly suggested to patients requiring breast reconstruction after the mastectomy. This study is to introduce the experiences of bilateral free TRAM flaps for reconstruction of bilateral breasts and to suggest the way of getting the more satisfactory results. A total of 6 breasts were reconstructed in 3 patients using bilateral free TRAM flaps immediately following the mastectomy. Average operative time for bilateral breast reconstruction was 8 hours comparing to 6.5 hours for unilateral breast reconstruction. Partial or total flap loss did not occur in 6 flaps. Abdomen was repaired directly with muscle and fascia sparing technique without necessity of mesh graft. There was no complication in donor site like abdominal hernia. Bilateral breast reconstruction can achieve exceptionally good aesthetic result with low complication if it is performed with skillful technique and experience. The reason for this is that fairly good symmetry usually is obtained in the initial surgery and in most cases only minimal additional surgery is required to achieve a satisfactory aesthetic result. The one disadvantage of bilateral reconstruction with autologous tissue is the length of the surgical procedure. Although the initial bilateral breast reconstruction can be a long, tedious procedure if free flaps are used, it must be a valuable treatment option for bilaterally mastectomized patients.

• Journal of the Korean Society of Clothing and Textiles
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• v.39 no.4
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• pp.560-575
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• 2015

This study developed brassieres using a suspension system with the elastic panel on the inside of the brassiere cup to replace the wires for 20s women with large and elongated breasts. The following results were obtained by analyzing clothing pressure and a subjective evaluation of brassieres with elastic panels at the bottom or side of the various reduction ratios and with the shoulder straps of the brassiere. Brassieres with dual panels (rather than with only the bottom panel) lowered clothing pressure as well as improved wearing comfort and function. Compared to brassieres with a panel of 10%, brassieres with a panel of 15% lowered clothing pressure and provided superior wearing comfort. In this case, the higher the reduction ratio of the side panels increased clothing pressure on the shoulder, but provided superior well-fit, bust-up, and vibration restraint. To reduce the reduction ratio of the side panel decreased clothing pressure on the shoulder and decreased support functions. Therefore, the reduction ratio of the side panels should be determined by preferable functions such as wearing comfort that depend on the needs of the wearer. It is suggested that a brassiere with a dual elastic panel can replace the brassiere wire.

• The Research Journal of the Costume Culture
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• v.23 no.1
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• pp.24-31
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• 2015

The purpose of this study was to define Korean adolescent girls' brassiere size demand features in order to improve the suitability of junior brassieres for adolescent girls. The subjects for the data collection were Korean teenage girls from age 13 to 17 (n=492). Their body size was collected by conducting anthropometric measurement. The results of this study show that not only the growth of height, but also the growth of the body length is almost finished at the age of 15. The brassiere cup size, which shows the breast growth directly, increased remarkably at age 13 to 14, and once again at age 17. The demand for brassiere band size 70 appeared generally high among all ages. The research also suggests that the band size 60 and over 85 is also needed among the teenage girls. In matters of the brassiere cup size, junior brassieres over B-cup size are also necessary for teenage girls with big breasts to support their heavy breast weight. These results imply that the junior brassiere companies should improve their brassiere size range to fit the teenage girls' breasts properly.