• Archives of Plastic Surgery
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• 제37권4호
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• pp.473-476
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• 2010

Purpose: Torus palatinus is a bony prominence at the middle of the hard palate. The size varies from barely discernible to very large, from flat to lobular. This oral exostosis is not a disease or a sign of disease, but if large, may be a problem. So, we present the clinical and histopathologic features and applied therapy and provide a comprehensive review of the rare case of the symptomatic exostoses. Methods: A 37-year-old woman had slowly growing exophytic nodular mass of the bone that arises the midline suture of the hard palate. The patient was concerned about discomfort associated with movement of her tongue and about frequent irritation of the palatal mucosa during mastification of the hard food. The patient had a large, unilobulated torus palatinus. It extended from the area adjacent to the canine to a point beyond the junction with the soft palate. The mass was oblong in shape, measuring about 3 cm long, 2 cm wide, and 0.8 cm in height. Results: Before surgical intervention a CT was obtained for the sake of estimating the thickness of the bone between the exostoses and the maxillary antrum and floor of the nose. The surgical procedure was performed with the patient under general anesthesia. Removal of the exostosis was performed after midline mucoperiosteal incision with osteotome and diamond burr. Histologic finding revealed decalcified dense bony tissue, the presence of lacunae, and normal osteocytes. Conclusion: Surgical removal is recommended when one or more of the following condition exist: interference with the construction of prosthesis, interference with oral function, irritation or pathology of the overlying tissue, inability of the patient to maintain proper oral hygiene, and fear of malignancy or other psychologic trauma. We report a rare case of the torus arising in hard palate with symptoms.

• Archives of Plastic Surgery
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• 제46권2호
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• pp.122-128
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• 2019

Background The masseter nerve is a useful donor nerve for reconstruction in patients with established facial palsy, with numerous advantages including low morbidity, a strong motor impulse, high reliability, and fast reinnervation. In this study, we assessed the results of masseter nerve-innervated free gracilis muscle transfer in established facial palsy patients. Methods Ten patients with facial palsy who received treatment from January 2015 to January 2017 were enrolled in this study. Three patients received masseter nerve-only free gracilis transfer, and seven received double-innervated free gracilis transfer (masseter nerve and a cross-face nerve graft). Patients were evaluated using the Facial Assessment by Computer Evaluation software (FACEgram) to quantify oral commissure excursion and symmetry at rest and when smiling after muscle transfer. Results The mean time between surgery and initial movement was roughly 167.7 days. A statistically significant increase in excursion at rest and when smiling was seen after muscle transfer. There was a significant increase in the distance of oral commissure excursion at rest and when smiling. A statistically significant increase was observed in symmetry when smiling. Terzis' functional and aesthetic grading scores showed significant improvements postoperatively. Conclusions Masseter nerve innervation is a good option with many uses in in established facial palsy patients. For some conditions, it is the first-line treatment. Free gracilis muscle transfer using the masseter nerve has excellent results with good symmetry and an effective degree of recovery.

• Nuclear Engineering and Technology
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• 제55권10호
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• pp.3907-3912
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• 2023

Radiation portal monitors (RPMs) installed at airports and harbors to prevent illicit trafficking of radioactive materials generally use large plastic scintillators. However, their energy resolution is poor and radionuclide identification is nearly unfeasible. In this study, to improve isotope identification, a RPM system based on a multi-array plastic scintillator and convolutional neural network (CNN) was evaluated by measuring the spectra of radioactive sources. A multi-array plastic scintillator comprising an assembly of 14 hexagonal scintillators was fabricated within an area of 50 × 100 cm². The energy spectra of ¹³⁷Cs, ⁶⁰Co, ²²⁶Ra, and ⁴K (KCl) were measured at speeds of 10-30 km/h, respectively, and an energy-weighted algorithm was applied. For the CNN, 700 and 300 spectral images were used as training and testing images, respectively. Compared to the conventional plastic scintillator, the multi-arrayed detector showed a high collection probability of the optical photons generated inside. A Compton maximum peak was observed for four moving radiation sources, and the CNN-based classification results showed that at least 70% was discriminated. Under the speed condition, the spectral fluctuations were higher than those under dwelling condition. However, the machine learning results demonstrated that a considerably high level of nuclide discrimination was possible under source movement conditions.

• 한국주거학회논문집
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• 제8권3호
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• pp.219-230
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• 1997

Lack of technical standards, specification and inadequate execution in masonry wall construction in Korea lead to produce serious flaw problems such as crack, efflorescene, and upset etc.. The purpose of this paper is to present the practical details for Masonry cavity wall construction to prevent rain penetration and to accommodate differential movement between the inner and outer wythes of cavity walls. Considering rain penetration and differential movement of both wythes of cavity walls, provision of an adequate air space, an airtight back-up wall, clean cavity with weepholes and vents, properly positioned flashing, tie and shelf angle etc. depend on the cavity wall types will help ensure good performance. The present details included noncorrosive hot dip galvanized steel or stainless steel for metal components, plastic and ultra violet resistant polypropylene Copolymer for other components was taken into account the construction method and several types of cavity walls in Korea

• Maxillofacial Plastic and Reconstructive Surgery
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• 제11권1호
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• pp.249-254
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• 1989

Transverse mandibular deficiency is rare maxillomandibular malrelationship. Most of this malrelationship is considered to be caused by loss of bone substances. This can be corrected by subapical osteotomy, midsagittal vertical osteotomy, midline horizontal L sliding osteotomy, etc., case by case. In these cases, malrelationship after malunion of mandibular fracture, combination of vertical osteotomy and sliding autogenous cortical bone graft was used and favorable results were obtained. Advantages over previous traditional surgical methods were as follows : 1. This method provided easy access and good visibility. 2. It provided broad bone contact area, thus no other operation to obtain bone graft was needed. 3. There were little circumstances to extract teeth. 4. There were no difficulty in tongue movement after operation.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제27권3호
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• pp.288-297
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• 2005

Rehabilitation of the paralyzed face as a result of trauma or surgery remains a daunting task. Complete restoration of emotionally driven symmetric facial motion is still unobtainable, but current techniques have enhanced our ability to improve this emotionally traumatic deficit. Problems of mass movement and synkinesis still plague even the best reconstructions. The reconstructive techniques used still represent a compromise between obtainable symmetry and motion at the expense of donor site deficits, but current techniques continue to refine and limit this morbidity. In chronically paralyzed face, direct nerve anastomosis, nerve graft, or microvascular-muscle graft is not always possible. In this case, regional muscle transposition is tried to reanimate the eyelid and lower face. Regional muscle includes maseeter muscle, temporalis muscle and anterior belly of the digastric muscle. Temporalis muscle is preferred because it is long, flat, pliable and wide-motion of excursion. In order to reanimate the upper and lower eyelid, Upper eyelid Gold weight implantion and lower eyelid shortening and tightening is mainly used recently, because this method is very simple, easy and reliable.

• 한국지반공학회:학술대회논문집
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• 한국지반공학회 2000년도 가을 학술발표회 논문집
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• pp.485-492
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• 2000

Current design practice for the prediction of tunnelling-induced ground movements depends on empirical methods, which are based on many assumptions and simplification of the modeling. Some discrepancies between the predictions and the measurements of ground movements regarding adjacent structures are inevitable. In order to investigate tunnel-induced ground movements affect on the settlement of existing structures as well as existing structures affect tunnel-induced ground movement, 2-D elasto-plastic finite element analysis are performed. The following influencing factors such as load of the structures, the width of structures, its bending and axial stiffness, its position relative to the tunnel are considered in the numerical analysis.

• 한국지반공학회지:지반
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• 제13권5호
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• pp.125-132
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• 1997

토석류는 다양한 크기의 흙 입자와 물이 고루 섞여 점성을 가진 유체처럼 하방향으로 이동한다는 사실이 관찰되었다. 이 관찰로부터 토석류를 비선행적인 점도를 가진 비뉴톤 유체처럼 거동하는 것으로 간주할 수 있다. 이 논문에서는 토석류의 레올로지적 특성을 규명하기 위해 산사태 현장에서 채취한 시료를 가지고 점도계를 사용하여 일련의 점도시험을 수행하였다. 그 결과, 토석류는 비뉴톤 유체 중 빙함 소성 모델로 거동한다는 사실이 밝혀졌다. 이 모델을 이용하면 토 석류의 이동을 예측할 수 있다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제21권2호
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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.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제29권1호
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• pp.63-70
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• 2007

The occurrence of medial orbital wall fracture is isolated or combined with other facial bone fracture. There are many complications, for example, diplopia, enophthalmos, limitation of eye movement, visual activity depression and blindness. Because of these complications, the accurate diagnosis and treatment of medial orbital wall fracture is very important. We have reconstructed medial orbital walls with transcaruncular approach and obtained good results in patients with medial orbital wall fracture.