• 제목/요약/키워드: defect prevention

검색결과 131건 처리시간 0.021초

복강 및 흉강 내 거대 데스모이드 종양 수술 치험 1예 (Huge Intraabdominal and Thoracic Desmoid Tumor -Surgical experience in one case -)

  • 김경화;서연호;구자홍;김민호
    • Journal of Chest Surgery
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    • 제36권8호
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    • pp.623-626
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    • 2003
  • 데스모이드는 재발빈도가 높은 양성 종양이다. 본 저자들은 흉강 및 복강에 걸쳐 있는 거대한 데스모이드를 충분한 절단면을 확보한 후 절제하고 간좌엽절제술, 좌폐하엽 쐐기절제술, 부분적 심막절제술 후 우심막을 이용하여 심막재건술을 시행하였고 횡격막을 부분 절제한 후 마렉스 메쉬로 횡격막 재건술을 시행하였다.

하악골 절제술후 간단한 과두재위치 소형금속판을 이용한 재건 금속판의 적용: 증례보고 (APPLICATION OF RECONSTRUCTION PLATE USING SIMPLE CONDYLAR REPOSITIONING MINIPLATE AFTER SEGMENTAL RESECTION OF MANDIBLE)

  • 김영균
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제28권3호
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    • pp.231-233
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    • 2002
  • Temporary reconstruction of the mandibular continuity defect resulting from the ablative tumor surgery with a reconstruction plate can be used for the preservation of normal facial contour and oral function and for periodic follow up of recurrence. Reconstruction plates are adapted to the bone before the resection and provisionally fixated with some screws. Accurate contouring and adaptation are very important for the prevention of displacement of bony stumps and decubituous skin ulcer. However, if there is large expanding buccal tumor mass in mandible, it is very difficult or even impossible to contour the plate before resection. I, therefore, introduce the reconstruction plate application technique using a simple condylar repositioning miniplate after segmental mandibular resection.

Improvement of Sound Quality of Voice Transmission by Finger

  • Park, Hyungwoo
    • International Journal of Advanced Culture Technology
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    • 제7권2호
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    • pp.218-226
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    • 2019
  • In modern society, people live in an environment with artificial or natural noise. Especially, the sound that corresponds to the artificial noise makes the noise itself and affects each other because many people live and work in the city. Sounds are generated by the activities and causes of various people, such as construction sites, aircraft, production machinery, or road traffic. These sounds are essential elements in human life and are recognized and judged by human auditory organs. Noise is a sound that you do not want to hear by subjective evaluation, and it is a loud sound that gives hearing damage or a sound that causes physical and mental harm. In this study, we introduce the method of stimulating the human hearing by finger vibration and explain the advantages of the proposed method in various kinds of a noise environment. And how to improve the sound quality to improve efficiency. In this paper, we propose a method to prevent the loss of hearing loss and the transmission of sound information based on proper signal to noise ratio when using portable IT equipment in various noise environments.

Conservative Surgical Management of Fibrous Dysplasia with Osteomyelitis

  • Sung Bin Youn;Jeong Joon Han;Hoon Myoung
    • Journal of Korean Dental Science
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    • 제16권2호
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    • pp.211-217
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    • 2023
  • Fibrous dysplasia (FD) accompanying osteomyelitis (OM) has been reported to result in recurrent, refractory pain and swelling. Although radical resection of the lesions has been suggested, effective surgical treatment strategies have not yet been established due to the limited number of studies on this pathological condition. In this report, we present the conservative surgical management of FD accompanying OM in two patients who exhibited recurrent signs and symptoms. The present report suggests that OM occurring in patients with FD can be successfully managed with conservative surgical treatment and following removal of the odontogenic origin although bone defect in which inflammatory fibro-osseous lesions is removed through decompression surgery may exhibit regeneration of dysplastic bone. In addition, for the prevention of OM in patients with FD, careful clinical examination and thorough management of dental-related pathologies are necessary with regular follow-up examinations to screen for the possibility of malignant changes.

혈관 부착 이식 비골에 발생한 피로골절 (Stress fracture in Vascularized fibular Grafts)

  • 김형민;김윤수;이기행;정창훈;김준석
    • Archives of Reconstructive Microsurgery
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    • 제10권1호
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    • pp.18-22
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    • 2001
  • Purpose : The purpose of this study was to evaluate stress fracture of vascularized fibular grafts(VFG) by analyzing factors associated with stress fracture and the treatment results. Materials and Methods : From June 1985 to May 1998, 7 patients with stress fractures in the 38 patients with long bone defect who had vascularized fibular graft were evaluated with clinical and radiologic methods including grafted fibular length and hypertrophic index of de Boer. The average age of the patients was 35 years(range, $14{\sim}60$ years). The mean follow-up period was 20 months(range, $16{\sim}32$ months). Results: 7(18.4%) stress fractures occurred in 38 patients. Characteristics of the fractures were (1) all occurred at lower extremity of male patients treated with VFG for long bone defected caused by infected nonunion; (2) all occurred 10 months at the average(range, $4{\sim}17$ months) after VFG; and (3) the length and hypertrophic index of grafted fibula had no influence on the incidence of stress fracture. Union was obtained in 3 patients by conservative treatment. 4 patients obtained union by internal fixation; one at immediately onset of fracture; and three after failure of conservative treatment who had fracture around the knee joint. Conclusion : Stress fracture may occur during the first one year after vascularized fibular graft and more attention must be paid for prevention of it, especially in the cases of infected nonunion. Stress fracture around the knee joint was expected to lead to a good result of early union by operative treatment.

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GIS 부분방전 신호와 도착 시간차 분석을 통한 PD발생 위치 추적 (Partial Discharge Position Tracking Method using a GIS Partial Discharge Signal and Arrival Time Difference)

  • 최문규;차한주
    • 전기학회논문지
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    • 제62권9호
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    • pp.1297-1301
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    • 2013
  • This paper analyzes of PD occurrence position through an analysis of the arrival time difference between the GIS partial discharge signal. Because of GIS (Gas Insulated Switchgear) is a facility very important power equipment and as part of the equipment that make up the power system, the stabilization of the power industry, which accounted for 88.5% share of GIS substation in the form of a substation is an important equipment for power supply. In the situation where we are gradually expanding the need for preventive diagnosis in order to improve the efficiency of equipment management and failure prevention for Preventive diagnosis. In this paper as a method for extracting pre-defect of failure of GIS Apply the average value method of calculating the 5 times each using a pulse of the first time of the second pulse (${\Delta}t$) with an oscilloscope generation position PD(Partial Discharge). the results of GIS internal inspection, the partial discharge of the actual the position of the partial discharge was confirmed with an accuracy of about 82% of positions. Arrival time difference in the most effective manner if the partial discharge of GIS internal occurs by applying the averaging method and TOA(Time of arrival) method, the partial discharge occurs you through the measurement and analysis of PD signal occurs was confirmed in the experiment are presented and diagnostic methods location tracking.

얇은 부분층 조갑상 이식을 통한 조갑하 외골종의 치료: 2예 보고 (Thin Split-Thickness Toe Nail-Bed Grafts for Nail Bed Defects in Subungal Exostosis: Two Cases Report)

  • 오인석;김창희;최종순;이상형
    • 대한골관절종양학회지
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    • 제18권2호
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    • pp.83-88
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    • 2012
  • 조갑하 외골종으로 nail bed의 파괴와 손톱의 변형이 동반된 2명의 환자를 대상으로 수술 후 발생하는 발톱 변형에 초점을 두고 수술적 치료를 시행하였다. 조갑상을 손상시킨 병변에 대해 직접 절개를 통해 병변을 제거하였고 제거 후 조갑상의 결손 부위가 넓어 얇은 부분층 조갑상 이식을 시행하였고 만족할 만한 결과를 얻었다. 부위가 넓어 얇은 부분층 조갑상 이식을 통한 조갑상 결손부위의 치료는 공여부를 비교적 잘 보전하면서 표면이 매끄럽고 접촉성이 좋으며 비교적 정상에 가까운 형태의 발톱을 다시 얻는 데 효과적인 방법이다. 따라서 병변의 크기가 큰 조갑하 외골종의 절제 후 발생한 조갑상 결손의 치료에 좋은 치료방법으로 사료된다.

피부보존 유방절제술 후 대흉근전위술과 유방삽입물을 이용한 유방재건술 (Breast Reconstruction by Pectoralis Major Muscle Transfer with Implants after Skin Sparing Partial Mastectomy)

  • 박정민;권용석;이근철;김석권;이진화;조세헌
    • Archives of Plastic Surgery
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    • 제32권5호
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    • pp.573-581
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    • 2005
  • Breast cancer is the second leading cause of death in woman. Unfortunately, the frequency of breast cancer and mastectomy are increasing in Korea. This paper introduces the breast reconstruction by use of pectoralis major muscle transfer with breast implant for small size defect after skin sparing mastectomy for more satisfaction. We reviewed 24 consecutive patients who underwent breast reconstruction by pectoralis major muscle transfer with implant and only breast implant in Dong-A University from April 2002 to March 2004. The patient's age ranged between 29 and 54 years with mean of 42.3 years. We used pectorals major muscle transfer with breast implant in 12 patients and breast implant alone in 12 patients as control. The follow-up period of patients ranged from 10 months to 3 years with mean of 18.5 months. The points of comparison with control group reconstructed by breast implant alone were doctor and patient satisfaction score, operation time, duration of admission, amount of drainage, complication and satisfaction according to mass location. In conclusion, there is no difference with control group in the point of operation time, mount of drainage, duration of admission. And there is higher level of doctor's and patient's satisfaction in group reconstructed by pectoralis major muscle transfer with breast implant than implant only group. Especially, pectoralis major muscle transfer with breast implant was especially necessary for the defect in upper lateral quadrant of the breast to get more satisfaction. The advantage of pectoralis major muscle transfer with breast implant is prevention of the protruding and palpability of implant and aesthetically satisfactory result by intraoperative modification of breast shape.

Clinical Experience of the Brushite Calcium Phosphate Cement for the Repair and Augmentation of Surgically Induced Cranial Defects Following the Pterional Craniotomy

  • Ji, Cheol;Ahn, Jae-Geun
    • Journal of Korean Neurosurgical Society
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    • 제47권3호
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    • pp.180-184
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    • 2010
  • Objective : To prevent temporal depression after the pterional craniotomy, this study was designed to examine the safety and aesthetic efficacy of the brushite calcium phosphate cement (CPC) in the repair and augmentation of bone defects following the pterional craniotomy. Methods : The brushite CPC was used for the repair of surgically induced cranial defects, with or without augmentation, in 17 cases of pterional approach between March, 2005 and December, 2006. The average follow-up month was 20 with range of 12-36 months. In the first 5 cases, bone defects were repaired with only brushite CPC following the contour of the original bone. In the next 12 cases, bone defects were augmented with the brushite CPC rather than original bone contour. For a stability monitoring of the implanted brushite CPC, post-implantation evaluations including serial X-ray, repeated physical examination for aesthetic efficacy, and three-dimensional computed tomography (3D-CT) were taken 1 year after the implantation. Results : The brushite CPC paste provided precise and easy contouring in restoration of the bony defect site. No adverse effects such as infection or inflammation were noticed during the follow-up periods from all patients. 3D-CT was taken 1 year subsequent to implantation showed good preservation of the brushite CPC restoration material. In the cases of the augmentation group, aesthetic outcomes were superior compared to the simple repair group. Conclusion : The results of this clinical study indicate that the brushite CPC is a biocompatible alloplastic material, which is useful for prevention of temporal depression after pterional craniotomy. Additional study is required to determine the long-term stability and effectiveness of the brushite calcium phosphate cement for the replacement of bone.

공동주택 하자접수 유형변화 및 특징에 관한 연구 (A Study on the Changes in Types and Characteristics of Defects in Apartment House)

  • 원준연;남경용
    • 한국건축시공학회지
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    • 제21권4호
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    • pp.333-345
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    • 2021
  • 공동주택 입주자들의 생활 수준 향상 및 고품질 기대로 인해 공동주택 하자와 관련된 민원이 매년 증가하고 있다. 그리고 이와 동시에 하자발생 유형 또한 새롭게 변화하고 있다. 이러한 유형 변화를 확인하기 위해 전국 12개 단지 100개 동(9,748 세대)을 대상으로 조사하였다. 세대 당 하자 접수 건은 하자 종류의 변화 없이 10년 전보다 대략 1.6배 증가하였다. 기계설비 하자 접수 건의 경우는 10년 전보다 1.4배 증가하였지만 하자 종류의 변화가 발견되었다. 그중 일반 부분(급수, 배수, 수압 등)이 차지하는 비율이 10년 전보다 25% 가량 감소하였다. 이는 실내 환경과 관련된 아이템들이 대부분의 신규 공동주택에 필수적으로 적용되어 이와 관련된 하자 종류가 늘어난 까닭이다. 공동주택에 새롭게 적용되는 특화 아이템들이 점차 확대되는 추세로 향후 이와 관련된 하자는 점차 증가할 것으로 예상된다.