• 제목/요약/키워드: incising

검색결과 28건 처리시간 0.025초

횡격막 성형술: 5례 보고 (Phrenoplasty [Diaphragmatic Thoracoplasty]: Report of 5 Cases)

  • 배두현
    • Journal of Chest Surgery
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    • 제3권2호
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    • pp.113-120
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    • 1970
  • Since the turn of the century there has been a constant search for a satisfactory method of controlling a large intrathoracic space following lobectomy. Primarily these methods consist of thoracoplasty, plombage, and phrenic nerve paralysis which are not completely satisfactory for they may result in loss of chest wall motility or diaphragmatic function. Incising the diaphragm at its periphery and resuturing to the chest wall at a level several rib spaces higher is an effective method of reducing intrathoracic space with minimal interference with pulmonary function. It is of particular value when the anticipated space problem is in the lower part of the thoracic cavity. Five cases are presented in which the diaphragm was peripherally detached and advanced to higher levels. Two cases were following lower lobectomy and three cases were following decortication for chronic empyema in which expansion was not good enough to adequately fill the space. Results in these cases were satisfactory.

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Subscapular and Pectoralis Major Sparing Deltopectoral Approach for Reverse Total Shoulder Arthroplasty

  • Chung, Young-Woo;Seo, Jae-Woong;An, Ki-Yong
    • Clinics in Shoulder and Elbow
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    • 제22권2호
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    • pp.110-112
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    • 2019
  • In reverse ball shoulder replacement, surgery is usually performed using a deltopectoral approach or an anterosuperior transdeltoid approach. The deltopectoral approach is to incise the pectoralis major to upper 1/3 to 1/2, and subscapularis tendon should be removed at the lesser tuberosity of the humerus. This approach has the problem of breaking the shoulder deltoid instead of incising the rotator cuff. Therefore, we report a detailed procedure of reverse ball shoulder replacement using approach without incision of the pectoralis major muscle and subscapularis muscle.

인사이징 처리 낙엽송 CCA-방부원주목의 강도 성능 평가 (Strength Property of the Incised Larix (Larix kaempferi Carr.) Round Posts treated with CCA)

  • 박준철;김상우;류재윤;홍순일
    • Journal of the Korean Wood Science and Technology
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    • 제36권3호
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    • pp.85-92
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    • 2008
  • 본 연구에서는 인사이징 처리 낙엽송 방부 원주목의 강도 성능을 평가하기 위하여 원목, 원주목과 강도 성능을 비교 분석하였다. 원목과 원주목의 휨강도(MOR)는 큰 차이가 없었다. 인사이징 처리 방부 원주목은 휨탄성 계수(MOE)가 9% 감소하였고 휨강도는 원목에 대한 강도비 0.71로 약 29% 강도의 저하를 보였다. 일반적인 2인치 제재목이 아닌 원주 형태의 원주목을 이용한 휨허용응력 산정시 인사이징 방부처리 저감계수를 휨탄성계수는 0.91, 휨강도는 0.71로 적용해야 할 것으로 사료된다. 못뽑기 저항은 원목, 원주목, 방부 원주목 모두 큰 차이를 보이지 않았다. 볼트 접합부의 전단력은 인사이징 처리 방부 원주목과 원주목의 차이는 거의 나타나지 않았다. 볼트 접합부의 허용 전단 내력 산정에는 인사이징 저감 계수의 적용은 검토하지 않아도 됨을 확인할 수 있었다.

고온 재건조가 CCA 처리 Lodgepole Pine 각재의 건조 특성에 미치는 영향 (Effect of High-temperature Redrying on Drying Characteristics of CCA-treated Lodgepole Pine Dimension Lumber)

  • 김규혁
    • Journal of the Korean Wood Science and Technology
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    • 제18권3호
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    • pp.34-41
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    • 1990
  • 본 연구는 CCA로 방부(防腐)처리된 Lodgepole pine 각재(角材)의 재건조(再乾燥)시 고온건조법(高溫乾燥法)의 적용이 건조속도(乾燥速度) 및 건조결함(乾燥缺陷)의 발생에 어떻게 영향하는가를 고찰하고자 수행되었다. 고온건조시 건조속도는 통당(通常) 열기건조(熱氣乾燥)시보다 약(約) 2.5배 증가되었으며, 방부처리재의 재건조 속도는 처리전(前)의 전건조속도보다 약간 감소됨을 보였다. 표면할열(表面割裂)의 발생정도(程度)은 전건조시의 경우, 고온건조시 보다 심(甚)하였으나 재건조시에는 건조방법간에 큰 차이가 없었다. 방부제의 침투(浸透)를 도모(圖謀)하기 위하여 자상(自傷)처리(Incising)된 각재의 경우에는 재건조시 절개부(切開部)의 연장(延長)에 의해 할렬의 정도가 증가됨을 보였다. 뒤틀림(Warping)의 발생정도는 고온건조시가 통상 열기건조에 비해 심하지 않았으며, 전(全) 건조과정을 통하여 발생된 뒤틀림은 WWPA가 정(定)해놓은 Lodgepole pine 2등급(等級)(No. 2 grade)의 뒤틀림 허용치(許容値)의 범위내(範圍內)에 있음을 보였다. 결론적(結論的)으로, 고온건조시 증가되는 건조속도와 건조재의 질(質)에 큰 영향을 주지않는 범위내에서 발생되는 건조결함을 고려할 때, Lodgepole pine의 전건조및 CCA 처리후 재건조를 위해 큰 문제없이 고온건조법이 적용될 수 있음을 보였다.

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이중(二重) 확산처리법(擴散處理法)에 의(依)한 간벌(間伐) 소경재(小經材)의 방부처리(防腐處理) (Preservative Treatment of Thinned Small-diameter Logs by Double-diffusion Processes)

  • 김규혁;김재진;지우근
    • Journal of the Korean Wood Science and Technology
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    • 제19권4호
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    • pp.7-17
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    • 1991
  • The feasibility of treating three softwood(Japanese larch pitch pine, and Korean pine) thinned logs by double-diffusion treatment processes was investigated. Some posts were incised before immersion, and others were imersed in hot copper sulfate solution. Comparison among species indicated that. in general, pitch pine was most treatable and Japanese larch least treatable. For all three species, almost all treatment schedules gave consistently good penetration and high net retention, but very steep gradient of preservative distribution. As expected, the treatability was increased by the extension of immersion time, increased concentration of treating solution, incising. and heating of the first solution. Of the variables tested, it appears that heating of the first solution is the most important. From the data in this paper, it may be concluded that, if the first solution is not heated, the best schedule is #3. If the first solution is healed. it appears the best schedules are #10 or #11. Since heating of the first solution improves the treatability. schedules # 10 or :#11 are recommended if the cost of heating might be justified. The data presented in this paper indicate that double-diffusion treatment processes seem to offer a promise as a comparatively effective and easy-operating method of treating thinned logs for the small-scale production of treated stock.

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홀로렌즈를 이용한 장기 투영 시스템 (The Organ projection system using holographic lens)

  • 김동연;김동현
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2017년도 추계학술대회
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    • pp.83-85
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    • 2017
  • 일반적으로 현재 많이 사용하는 장기 투영 시스템은 MRI와 CT이다. MRI와 CT는 전자기장을 이용하여 인체를 절개하지 않고 내부 장기를 의사가 볼 수 있도록 한다. 하지만 문제점은 단면적으로 영상을 보여주기 때문에 의사들이 내부 장기를 입체적으로 관찰하기 어려운 문제가 있다. 이 논문에서는 증강현실의 기술을 이용하여 사람의 내부 장기를 현실에 투영 할 수 있는 시스템을 개발한다. 개발한 시스템은 홀로렌즈를 이용하여 환자의 신체위로 내부 장기를 입체 영상으로 보여주며 핸드 모션을 이용하여 내부 장기를 이동시켜 상세하게 관찰이 가능하게 한다.

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성숙가토의 관절원판후조직 절단 후 하악골의 위치변화가 악관절에 미치는 영향에 관한 연구 (THE EFFECTS OF CHANCES OF MANDIBULAR POSITION ON TEMPOROMANDIBULAR JOINT IN ADULT RABBITS WHOSE RETRODISCAL TISSUES WERE INCISED)

  • 황현식;손병화
    • 대한치과교정학회지
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    • 제22권2호
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    • pp.345-372
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    • 1992
  • The purpose of this experiment was to study the effects of changes of mandibular position on temporomandibular joint in internal derangement patients Twenty-four female New Zealand White Rabbits, weighing over 3.5kg, were utilized in this study . Bilateral temporomandibular joint surgery was performed in twenty-one of the rabbits to displace disc anteriorly through incising the retrodiscal tissue 1-2mm posterior to the disc, thus inducing internal derangement. They were divided into three groups nine were left untreated after surgery, six were fitted with functional protrusive appliances 4 weeks after surgery, and six wore collar appliances to apply 4 ounces of mandibular refractive force per side 4 weeks after surgery. The remaining three served as the control group. Histologic examinations were performed after sacrificing them by threes at 4-week intervals. The results were as follows. 1. Histologic findings similar to internal derangement were observed in the rabbits whose retrodiscal tissues had been incised. 2. In the rabbits untreated after surgery, articular surface on condylar process and articular eminence showed severe erosion and deformation, and displaced disc manifested changes in both shape and internal architecture. 3. Functional protrusion after surgery resulted in progressive remodeling on postero-superior portion of condyle and glenoid fossa, while it also brought about erosion on articular eminence and anterior portion of condyle. 4. Mandibular retraction after surgery resulted in compression of retrodiscal tissue and regressive remodeling of posterior portion of condyle.

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음낭피판을 이용한 음낭과 음경 림프부종의 치료 (Treatment of Lymphedema of the Scrotum and Penis Using Scrotal Flaps)

  • 이도헌;박선형;박정준;황재하;김광석;이삼용
    • Archives of Plastic Surgery
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    • 제38권6호
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    • pp.899-902
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    • 2011
  • Purpose: Lymphedema of the scrotum and penis is a functionally and emotionally incapacitating problem for patients. Patients suffer pain from swelling, chronic irritation, repeated infections, drainage, and sexual dysfunction. Although there are various methods for the treatment of scrotal and penial lymphedema, achieving a satisfactory reconstruction in severe cases still remains a challenge due to the lack of locally available tissue. Methods: A 33-year-old man sustained severe lymphedema of the scrotum and penis. He reported a history of swelling since 25 years, which had been intensified during the past few months. There was no history of irritation, surgery, trauma, infection or travel to endemic countries. The authors reconstructed the scrotum and penis using 4 scrotal flaps made by incising the enlarged scrotum crucially. Results: The postoperative course was uneventful. Histopathologic examination showed nonspecific chronic inflammation. The patient was followed up for 18 months and a good reconstructive result was obtained with no recurrence. Conclusion: The authors' method is safe and easy to perform. This method may be a convenient and reliable alternative for the treatment of severe lymphedema of the scrotum and penis.

가토에서 관절원판 후조직 절단 및 교합고경 감소가 악관절에 미치는 영향 (THE EFFECTS OF INCISON OF RETRODISCAL TISSUE AND OCCLUSAL REDUCTION ON TEMPOROMANDIBULAR JOINT OF RABBIT)

  • 이병석;김종철
    • 대한치과교정학회지
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    • 제23권4호
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    • pp.645-660
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    • 1993
  • In this study, effects of incision of retrodiscal tissue and unilateral occlusal reduction on temporomandibular joint of rabbit were investigated. Twenty-seven adult New Zealand White Rabbits, weighing over 3.5kg, were utilized in this study. Temporomandibular joint surgery was performed in left temporomandibular joint of 24 rabbits to displace disc anteriorly through incising the retrodiscal tissue 1-2mm posterior to the disc. They were divided into two groups : twelve were left untreated after surgery, occlusal reduction was performed on left posterior teeth every 2 weeks in the other twelve rabbits, The remaining three served as the control group. The sample were sacrificed by 8, 12, and 16 weeks after surgery. Histologic examinations were performed after sacrificing them. The results were as follows : 1. Histologic findings which were manifested by flat articular fossa, broad articular surface, generalized recession of articular cartilage and sclerosis of subchondral bone were observed. These findings were similar to internal derangement. 2. In the rabbits untreated after surgery, thin cartilagenous layer and necrotic tissue were observed in 8 weeks group, calcifying cartilagenous layer was observed in 12 weeks group, and cartilagenous layer on anterior portion was observed in 16 weeks group. So, it showed gradual healing pattern into the normal tissue except displaced disc. 3. Occlusal trauma after surgery resulted in generalized recession of upper and lower articular surface. Necrosis and vertical split on condylar process of mandible were observed in 8 weeks group. Osteoclasts, exposure of subchondral bone due to erosion on upper and lower articular surface, and degenerative changes on retrodiscal tissue were observed in 16 weeks group. So, it showed continuous prowess pattern of osteoarthrosis.

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Autologous Cartilage Intracordal Injection in Unilateral Vocal Fold Paralysis

  • Wang, Soo-Geun;Lee, Byung-Joo;Goh, Eui-Kyung;Chon, Kyon-Myong;Roh, Hwan-Jung;Lee, Jin-Choon
    • 대한음성언어의학회:학술대회논문집
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    • 대한음성언어의학회 2003년도 제19회 학술대회
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    • pp.182-182
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    • 2003
  • Objectives : The methods to treat glottic incompetence include thyroplasty type I, arytenoid abduction, and intracordal injection using various materials. The intracordal injection is easy and simple and does not require skin incision. In general, the grafted cartilage shows a high survival rate, a low absorption rate and small voluminous change. The authors performed injection of minced autologous auricular cartilage and fat using a Bruning injector in unilateral vocal cord palsy We evaluate the effect and safety of autologous auricular cartilage intracordal injection. Study Design : Retrospective study. Methods : Auricular cartilage was obtained by incising tragus vertically and it was minced with a scalpel and #15 blade. About 2g of abdominal fat was obtained by small periumbrical incision and cut into small pieces. The minced cartilage was put into a 1$m\ell$ injector and then the injector was filled with fat. The operation was conducted under laryngeal microscope. Minced cartilage was injected into the vocalis muscle at the junction of the middle and posterior third of the vocal fold. In three cases, we performed autologous cartilage intracordal injection. Results : We observed no postoperative complications, such as dyspnea, granulation, inflammation, in any of the cases. The voice was improved compared with the voice prior to operation in all cases. Conclusion : Although the cases are still limited and the observation period is short, we suggest that the autologous cartilage using the auricular cartilage is the ideal and new effective augmentative material in vocal cord palsy.

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