• Title/Summary/Keyword: plastic correction

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Reconstruction of Avulsed Upper Lip with Buccal Mucosal Flap (협점막판을 이용한 외상성 상순 결손부의 외과적 재건)

  • Yong, Dong-Kyu;Kim, Jong-Ryoul;Choi, Kab-Rim
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.11 no.1
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    • pp.283-286
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    • 1989
  • The buccal mucosa is an effevtive and versatile intraoral grafting material. For adequate reconst ruction of avulsed lip, restoration of natural appearance and adequate lip function should be done. We treated avulsed upper lip defect which had been affected underlying orbicularis oris muscle as well as vermilion border. We chose cheek mucosa for upper lip reconstruction and performed surgical correction of avulsed upper lip with pedicled buccal mucosal flap. The result was very good because of its superior color and texture matching to remaining yermilion tissue.

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Correction of Bilateral Tessier No. 2, 3, and 12 Facial Cleft with Anopthalmia

  • Moon, Seong-Yong;Kim, Seong-Gon;Park, Young-Ju;Park, Young-Wook
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.35 no.4
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    • pp.243-247
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    • 2013
  • Oblique facial cleft is a rare congenital deformity. Its incidence has been reported as 0.24% of all reported cases of facial cleft. We report on a patient who had a left-sided oblique facial cleft with anopthamia, including lip and palate, nose alar base, and medial canthus. The patient also had a right-sided oblique facial cleft, which included lip and palate, nose alar base, medial canthus, and upper eye brow. Primary closure of the facial cleft was performed using multiple Z-plasty after excision of scar tissue.

Elacstic-\Plastic Limit Load Analysis of Notched Specimen by the Finite Element Method (노치 ( Notch )를 가진 試片의 有限要素法에 의한 彈塑性 極限 荷重解析)

  • Lee, Taik-Soon;Kim, Dong-Sub;Hwang, Pyung
    • Transactions of the Korean Society of Mechanical Engineers
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    • v.7 no.4
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    • pp.379-385
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    • 1983
  • Many papers have shown limit loads of v-notched tension specimens in plane stress by the elastic-plastic finite element method. But they are always higher than the theoretical maximum loads. The present approach tries to find the reasons and formulates correction factor applicable to any notch shape using virtual work principle with triangular elements. The corrected limit loads are in good agreement with theoretical upper bound solutions and they are little influenced by mesh size and specimen length, which make the computing time save.

Primary Correction of Unilateral Cleft Lip by the Tennison-Randall Method: Cases Report and Literatures Review (Tennison-Randall법을 이용한 편측성 구순열의 일차적 교정: 증례보고 및 문헌고찰)

  • Park, Yong-Tae;Kim, Seong-Gon;Park, Young-Wook;Kwon, Kwang-Jun;Park, Ki-Yu
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.33 no.2
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    • pp.154-157
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    • 2011
  • The primary purpose of cleft lip surgery should be the aesthetic and functional recovery of the facial components. Triangular flap repair is one of the most common techniques used in cleft lip surgery. In this case report, thirty patients with unilateral cleft lip had been treated using the Tennison-Randall method. The results were favorable and there have been no permanent complications.

A CASE REPORT OF SURGICAL CORRECTION OF POSTTRAUMATIC LAGOPHTHALMOS (외상에 의한 마비성 토안(兎眼)의 외과적 치험례)

  • Lee, Tae-Young;Chung, Bong-Jun;Kim, Myung-Sub
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.12 no.2
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    • pp.55-61
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    • 1990
  • Patients with facial paralysis, in whom nerve damage is irreparable or in whom the innervation of the paralyzed musculature cannot be restored by nerve suture, grafting, or cross-face nerve transplantation, should be offered some form of reconstructive static and dynamic aid. Temporalis muscle-fascia unit used as a circumorbital sling and motor unit is a dynamic controlled reconstructive procedure, but it has several disadvantages such as wide surgical exposure, bulky-looking at lateral canthal area, insufficient voluntary control. This is a case report of facial palsy of posttraumatic lagophthalmos of 41-year-old male, which was corrected by temporalis muscle-tendon transfer with plantaris tendon transplantation.

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Correction of a post-traumatic scar fold in the lateral canthus using modified Z-plasty

  • Kim, Byeong Jun;Lee, Seung Jun
    • Archives of Craniofacial Surgery
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    • v.19 no.1
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    • pp.51-54
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    • 2018
  • Post-traumatic scar deformations are common in many skin injury cases. These are usually aesthetic problems, but if these deformations impair mobility and the patient feels uncomfortable, we must resolve them. In a patient with a lateral post-traumatic scar fold in the lateral canthus that shortened the horizontal orbital fissure and created traction on eye opening, we performed modified classic Z-plasty, resulting in aesthetic and functional improvements without recurrence.

Correction of congenital cleft earlobe with front and back flaps

  • Karaci, Selman;Kose, Rustu
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.43 no.6
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    • pp.423-426
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    • 2017
  • Congenital auricular deformities may be either deformational or malformational. Malformational anomalies present with a skin or cartilage shortage. Two cases with congenital cleft earlobe were presented. A new surgical technique using a two-layered repair with front and back flaps were introduced. She waited to begin wearing earrings until six months after the surgery to prevent possible scar contracture. The patients were followed up for a period ranging from 3 to 14 months. The earlobe volume deficiency was replaced, and acceptable scar maturation was obtained.

The Configuration and Location of the Nipple-Areola Complex of Young Korean Adult (젊은 한국인 남성의 유두 유륜 복합체의 모양과 위치)

  • Yoon, Sang Yup;Sim, Hyung Bo
    • Archives of Plastic Surgery
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    • v.32 no.6
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    • pp.706-709
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    • 2005
  • The absence of the nipple-areolar complex(NAC) in men are seldom stated, as a result of trauma, burn, mastectomy, or after the correction of extreme bilateral gynecomastia. A total of 50 healthy men aged 21 to 27 years were examined. We recorded the configuration (dimensions and shape) and the location of the NAC with respect to fixed skeletal anatomic landmarks. Of the 50 subjects examined, 44 had oval and 6 had a round NAC. The mean diameter for a round NAC was 24.3 mm. The center of the NAC was in the fourth intercostal space in 41 volunteers and in the fifth intercostal space in 9 of the subjects. To localize the NAC on the chest wall, at least three reproducible measurements proved to be necessary, composed of a horizontal line(distance from the midsternal line to the nipple, A), a medial oblique line(distance from the sternal notch to the nipple, B) and a lateral oblique line(distance from the acromioclavicular joint to the nipple, C). Using these three parameters, we recommend that the appropriate location can be calculated derived from the circumference of the chest.

SURGICAL TREATMENT OF CHRONIC RECURRENT TMJ DISLOCATION WITH EMINOPLASTY THROUGH INTERPOSITIONAL BONE GRAFT (개재골 이식술을 이용한 만성재발성 악관절 탈구의 외과적 처치)

  • Kim, Seong-Gon;Choi, You-Sung
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.21 no.2
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    • pp.209-214
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    • 1999
  • Chronic recurrent TMJ dislocation results in difficulty of mastication, speaking, and swallowing due to the limitation of the mandibular movement. Etiologic factors are considered as the looseness of the capsule and ligaments, the decrease of the articular eminence, condylar morphologic change, muscular disharmony near by TMJ, and the decrease of the vertical length of the mandibular ramus. Treatment approach has been suggested that surgical methods are selected for the correction of the etiologic factors when conservative treatments are not effective. Many surgical methods have been reported such as eminectomy, eminence augmentation, condylotomy, and zygomatic arch down fracture technique. We performed the eminence augmentation through interpositional bone graft in chronic recurrent TMJ dislocation. This method leads to favorable postoperative result without recurrence and complication, so we report the case with related references.

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