• Archives of Plastic Surgery
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• 제48권1호
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• pp.114-120
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• 2021

Background The pedicled anterolateral thigh (ALT) flap has become more popular for the reconstruction of soft-tissue defects in neighboring areas. Nonetheless, few studies in the literature have explored the use of this flap for trochanteric ulcer reconstruction. The aim of our study is to present the author's experience of utilizing the ALT flap, with a focus on technical elements regarding the flap design and the tunneling method to maximize the reach of the flap. Methods The medical records of patients who received pedicled ALT flaps for the reconstruction of trochanteric pressure sores were retrospectively reviewed. The patients' demographic data, operative details, and postoperative complications were evaluated. Results Between October 2018 and December 2019, 10 consecutive patients (age range, 13-45 years) underwent 11 pedicled ALT myocutaneous flaps for trochanteric pressure sore reconstruction. Each flap was designed around the most distal cutaneous perforator that was included in the proximal third of the skin paddle. The flaps ranged in size from 11×6 to 14×8 cm. The ALT flap was transposed through a lateral subcutaneous tunnel in five patients, while the open tunnel technique was used in six patients. All flaps survived, and no vascular compromise was observed. Conclusions The pedicled ALT flap is a safe and reliable option for reconstructing trochanteric pressure sores. An appropriate flap design and a good choice of the tunneling method are crucial for successful flap transposition.

• 대한두개안면성형외과학회지
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• 제23권5호
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• pp.193-204
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• 2022

Tongue reconstruction remains a major aspect of head and neck reconstructive procedures. Surgeons planning tongue reconstruction should consider several factors to optimize the overall outcomes. Specifically, various technical aspects related to tongue reconstruction have been found to affect the outcomes. Multidisciplinary teams dedicated to oncologic, reconstructive, and rehabilitative approaches play an essential role in the reconstructive process. Moreover, operative planning addressing certain patient-related and defect-related factors is crucial for optimizing functional speech and swallowing, as well as quality of life outcomes. Furthermore, tongue reconstruction is a delicate process, in which overall functional outcomes result from proper flap selection and shaping, recipient vessel preparation and anastomosis, surgical approaches to flap insetting, and postoperative management. The second part of this review summarizes these factors in relation to tongue reconstruction.

• 건축역사연구
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• 제27권2호
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• pp.125-138
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• 2018

During the 1950s, the North Koreans rebuilt their capital-Pyongyang-as a modern city under the principle of Soviet urban design. One North Korean architect, Kim Jung-hee, has been widely credited since the late 1980s as the master architect of the General Plan of the city's reconstruction. While Kim Jung-hee played a crucial role in its reconstruction, his heroic image as the founding architect of Pyongyang is considerably attributed to North Korea's mythical narratives rather than his historical activities. This paper argues that Pyongyang's postwar urban design was not a work made by a single actor, Kim Jung-hee; rather, it was a long-term collaborative project in which a team of North Korean architects and Soviet technical advisors took their respective roles. Beginning in the late 1980s, North Korea, which had been struggling with economic decline and an increasing sense of lagging behind in its rivalry with its Southern counterpart, used heroic narratives during the 1950s' postwar reconstruction period as an important propaganda tool for their regime. In this mythical narrative of Pyongyang's reconstruction, massive economic and technical aid from other communist countries has often disappeared, and the memory of the architects who contributed greatly to the reconstruction but later purged in North Korea have also completely vanished. Kim Jung-hee, meanwhile, remained in this epic as the founding architect who rebuilt the city in faithful accordance with the leadership of Kim Il Sung.

• 한국방송∙미디어공학회:학술대회논문집
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• 한국방송공학회 1996년도 Proceedings International Workshop on New Video Media Technology
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• pp.35-40
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• 1996

In this paper, a method for 3-D surface reconstruction with two real cameras is presented. The method, which combines the extraction of binocular disparity and its interpolation can be applied to the synthesis of images from virtual viewpoints. The synthesized virtual images are as natural as the real images even when we observe the images as stereoscopic images. The method opens up many applications, such as synthesizing input images for multi-viewpoint 3-D displays, enhancing the depth impression in 2-D images and so on. We also have developed a video-rate stereo machine able to obtain binocular disparity in 1/30 sec with two cameras. We show the performance of the machine.

• Clinics in Shoulder and Elbow
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• 제23권1호
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• pp.41-47
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• 2020

Ulnar collateral ligament injuries have been increasingly common in overhead throwing athletes. Ulnar collateral ligament reconstruction is the current gold standard for managing ulnar collateral ligament insufficiency, and numerous reconstruction techniques have been described. Although good clinical outcomes have been reported regarding return to sports, there are still several technical issues including exposure, graft selection and fixation, and ulnar nerve management. This review article summarizes a variety of surgical techniques of ulnar collateral ligament reconstructions and compares clinical outcomes and biomechanics.

• 대한관절경학회지
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• 제9권2호
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• pp.109-114
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• 2005

Recently, the interest on anatomical ACL reconstruction with double bundle technique is increased to reproduce the original load distribution, and kinematics of the knee. We developed an arthroscopic double bundle ACL reconstruction technique using autogenous quadriceps tendon with 2 splitted graft and patellar bone plug. The anteromedial bundle and posteolateral bundle of the ACL is replicated with each splitted graft of quadriceps tendon and fixed with biodegradable interference screw on the 2 femoral tunnels. The patellar bone plug of quadriceps tendon is fixed with biodegradable interference screw within the 1 tibial tunnel. We suggest that our technique using quadriceps tendon may be an alternative in arthroscopic double bundle ACL reconstruction.

• 대한정형외과스포츠의학회지
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• 제2권1호
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• pp.15-19
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• 2003

Although the number of anterior cruciate ligament reconstruction is increasing, complications after primary ACL reconstruction are more difficult to determine. Intraoperative and postoperative complications can lead to ultimate failure of a primary reconstructive procedure. Therefore, surgical success in ACL reconstruction requires detailed knowledge and technical advancements about ACL reconstruction. Preoperatively surgeon must pay attention to selection of grafts and methods of fixation, and intraoperatively, attention to the harvest of graft, passage of graft, intraarticuar placement of the graft, notchplasty, proper tensioning of the graft, and others. Postoperative complications must be detected early, including infection, abnormal healing responses, arthrofibrosis, graft rejection, and reflex sympathetic dystrophy. Careful patient selection, appropriate surgical timing, careful surgical technique, and supervised preoperative and postoperative rehabilitation can minimize postoperative complications.

• 대한관절경학회지
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• 제12권3호
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• pp.167-171
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• 2008

• 대한두개안면성형외과학회지
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• 제23권3호
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• pp.95-102
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• 2022

The challenges of successful nasal reconstruction, which are related to the anatomical complexity of the region, have been extensively studied. Revisional operations are often required to achieve proper nasal reconstruction, with results resembling the premorbid nasal status. This is necessary to ensure the quality of life of skin cancer patients. Fundamental nasal reconstruction requires both proper soft tissue coverage and proper function. However, earlier studies in the field primarily focused on the functional aspect of nose reconstruction, although the cosmetic aspect is also an important factor to consider. In response to this need, many recent studies on nose reconstruction have proposed various refinement strategies to improve aesthetic satisfaction. Most plastic surgeons accept the nasal aesthetic subunit principle as a standard for nasal reconstruction. This review outlines the commonly used surgical refinement options and management strategies for postoperative complications based on the subunit principle. In patients with nasal defects, a proper technical strategy might help minimize revision operations and optimize the long-term results.

• 대한방사선기술학회지:방사선기술과학
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• 제22권1호
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• pp.5-11
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• 1999

This paper reviews recent major activities on instrumentation and methodology of PET. The performance of the PET instrumentation can be expressed by four physical characteristics, 1) spatial resolution, 2) coincidence resolving time, 3) energy resolution, and 4) detection efficiency. The physical and technical aspects of PET systems are briefly discussed along with these characteristics. Toward high resolution PET the recent trend has been to design multiple rings of densely packed detector arrays with scintillators. In order to satisfy the sampling requirement in reconstruction, continuous detector units has been developed. Iterative image reconstruction algorithms have received considerable attention for improvement of both the sampling requirement and image quality toward the stationary PET. Better resolving time improves the maximum true coincidence rate, which is also increased with more detectors placed in coincidence with each other. It suggests that volume PET is promising for enhancement of detection efficiency. The scattered coincidence event rate may be reduced by using detectors with better energy resolution. The use of interplane septa, however, takes over improvement of energy resolution in 2D PET. Energy resolution becomes an important factor for image quality under the condition of septa removal such as volume PET. Toward full utilization of emitting photons, 3D reconstruction incorporating oblique rays has been studied, and volume reconstruction algorithms have been developed. Practical volume PET systems impose heavy burden not only to detector sets and coincidence circuits, but also to computers in the memory requirements and the data processing. In conclusion, there have been many ingenious methods in development of PET instrumentation, which are based on unique capability of PET. They will be expected to overcome technical limitations, and to approach the fundamental limits.