• Title/Summary/Keyword: wall defect

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Local Flap Algorithm for the Reconstruction of Anterior Chest Wall Defects (전흉부 재건을 위한 국소 피판술의 선택)

  • Kim, Ji Hoon;Kim, Eui Sik;Hwang, Jae Ha;Kim, Kwang Seog;Lee, Sam Yong
    • Archives of Plastic Surgery
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    • v.36 no.4
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    • pp.397-405
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    • 2009
  • Purpose: Soft tissue defect of anterior chest wall is caused by trauma, infection, tumors and irradiation. To reconstruct damaged anterior chest wall does require to consider the patient's body condition, the cause, the location, the depth and the size of deletion, the circulation of surrounding tissue and minimization of functional and cosmetic disability. In this report, we suggest the algorithm of configuration for reconstruction methods. Methods: A retrospective study of 20 patients who underwent anterior chest wall reconstruction with pedicled musculocutaneous flap and fasciocutaneous flap was conducted. We collected the information of the patient's body condition, the cause, the size, the depth and the location of deletion, implemented flap and complication. We observed and evaluated flap compatibility, functional and cosmetic results. Patients completed survey about the extent to their satisfaction. Result: Follow up period after surgery was from 6 to 26 months, survival of flap were confirmed in all of patients' case. Two cases of local necrosis, one case of wound disruption were reported, but all these were cured by the debridement and primary closure. One hematoma and one seroma formation were observed in donor site. Longer surgery time, more bleeding amount and more transfusion volume were reported in the group of musculocutenous flap. Conclusion: Long term follow up result showed the successful reconstruction in all patients without recurrence and with minimal donor site morbidity. In addition, the patients' satisfaction for cosmetic and functional results were scaled relatively higher. This confirmed the importance of reconstruction algorithm for the chest wall reconstruction.

Computed Tomography Findings Associated with Treatment Failure after Antibiotic Therapy for Acute Appendicitis

  • Wonju Hong;Min-Jeong Kim;Sang Min Lee;Hong Il Ha;Hyoung-Chul Park;Seung-Gu Yeo
    • Korean Journal of Radiology
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    • v.22 no.1
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    • pp.63-71
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    • 2021
  • Objective: To identify the CT findings associated with treatment failure after antibiotic therapy for acute appendicitis. Materials and Methods: Altogether, 198 patients who received antibiotic therapy for appendicitis were identified by searching the hospital's surgery database. Selection criteria for antibiotic therapy were uncomplicated appendicitis with an appendiceal diameter equal to or less than 11 mm. The 86 patients included in the study were divided into a treatment success group and a treatment failure group. Treatment failure was defined as a resistance to antibiotic therapy or recurrent appendicitis during a 1-year follow-up period. Two radiologists independently evaluated the following CT findings: appendix-location, involved extent, maximal diameter, thickness, wall enhancement, focal wall defect, periappendiceal fat infiltration, and so on. For the quantitative analysis, two readers independently measured the CT values at the least attenuated wall of the appendix by drawing a round region of interest on the enhanced CT (HUpost) and non-enhanced CT (HUpre). The degree of appendiceal wall enhancement (HUsub) was calculated as the subtracted value between HUpost and HUpre. A logistic regression analysis was used to identify the CT findings associated with treatment failure. Results: Sixty-four of 86 (74.4%) patients were successfully treated with antibiotic therapy, with treatment failure occurring in the remaining 22 (25.5%). The treatment failure group showed a higher frequency of hypoenhancement of the appendiceal wall than the success group (31.8% vs. 7.8%; p = 0.005). Upon quantitative analysis, both HUpost (46.7 ± 21.3 HU vs. 58.9 ± 22.0 HU; p = 0.027) and HUsub (26.9 ± 17.3 HU vs. 35.4 ± 16.6 HU; p = 0.042) values were significantly lower in the treatment failure group than in the success group. Conclusion: Hypoenhancement of the appendiceal wall was significantly associated with treatment failure after antibiotic therapy for acute appendicitis.

Reconstruction of Hypopharynx and Cervical Esophagus using Gastric Pull Up and Jejunal Free Graft (인두위문합술과 유리공장이식술을 이용한 하인두 및 경부식도 재건술)

  • 정동학;김영모;이원영;김대식;노병선
    • Korean Journal of Bronchoesophagology
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    • v.2 no.1
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    • pp.63-70
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    • 1996
  • Reconstruction for hypopharynx and cervical esophagus after wide resection of extensive hypopharynx and larynx cancers have been used various methods including myocutaneous flaps, gastric pull up, md jejunal or large bowel free graft. Recently, the authors had experienced hypopharynx and larynx cancers with extension to the posterior hypopharyngeal wall and thoracic esophagus. Of course, these reconstructive methods should be selected in accordance with the patient's age, physical status, extend of prim.:W lesion, and defect after on block resection, however, gastric pull up was performed in hypopharynx cancer which had skipped lesion in the thoracic esophagus and jejunal free grafts were performed in case 2, 3 which had a extended lesions to the posterior pharyngeal wall. Some complications were noted, which were successfully stabilized by conservative managements. The gastric pull up and jejunal free graft were considered suitable methods for reconstrunction of hypopharynx and cervical esophagus, however, further studies are necessary about it.

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Effect of thermal annealing for $CuInSe_2$ layers obtained by photoluminescience measurement

  • Hong, Kwang-Joon;Kim, Hae-Jeong
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 2009.06a
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    • pp.86-87
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    • 2009
  • High quality $CuInSe_2$ (CIS) were grown on GaAs substrate by using the hot wall epitaxy method. The behavior of point defects in the CIS layer investigated by using photoluminescence (PL) at 10 K. Point defects originating from $V_{Cu}$, $V_{Se}$, $Cu_{int}$, and $Se_{int}$ were classified as donor or acceptor types. These PL results also led us to confirm that the p-type CIS layer had obviously converted into n-type after the Cu atmosphere treatment. Finally, we found that the In in the CIS layer did not form the native defects, because In existed in the form of stable bonds in the CIS layer.

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The Analysis of Circumference Through-Wall Cracked Pipe Considering Weld Characteristic (용접부 강도불균질을 고려한 원주방향관통균열 배관의 파괴역학 해석법)

  • Park, Bo-Gyu;Oh, Chang-Kyun;Kim, Yun-Jae;Kim, Young-Jin;Kim, Jong-Sung;Jin, Tae-Eun
    • Proceedings of the KSME Conference
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    • 2004.11a
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    • pp.31-36
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    • 2004
  • Defective components of interest include not only homogeneous components, but also components with weldments where tensile properties vary across the weldment. Noting that the region near the weldment is the most vulnerable place for crack initiation and subsequent growth, defect assessment methods for homogeneous structure. Moreover, weldment width and crack location also affects the deformation and fracture behavior of the welded joints. These weld characteristics can evaluate using plastic limit load. So in this paper, evaluate plastic limit load both full circumference part-throughwall cracked pipes and circumference through-wall cracked pipes considering weld characteristics. And using evaluate results, proposed J-integral and crack opening displacement(COD) estimate method based on reference stress method.

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A study on the sound insulation performance of damping sheet attached to the train wall (철도차량벽체의 차음 성능에 대한 제진시트의 영향 고찰)

  • Seo, Dae-Hoon;Kim, Yang-Hann
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2007.11a
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    • pp.97-100
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    • 2007
  • This study deals with the sound insulation performance of the damping sheet, which is widely used in a train. The wall of train is assumed to be a plate made of steel and two damping sheets. In case of damping sheet only, the sound transmission loss follows the mass law. If a steel plate is attached to damping sheet, the transmission loss is found to be higher than single of only steel plate, as we can anticipated, about $3{\sim}5$ dB. This is very well known consequence that is because the density of area increases. However, the increase of the transmission loss is not higher than what we can expect by the mass law. That's because the steel is perfectly blocked from the transmission of the air ; There is no defect in that material.

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Effect of ultra - violet laser treatment on multi - wall carbon nanotube surface

  • Kim, Jun-Sik;Ahn, Kyoung-Soo;Lee, Chang-Hyo;Kim, Chae-Ok;Hong, Jin-Pyo
    • 한국정보디스플레이학회:학술대회논문집
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    • 2002.08a
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    • pp.689-691
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    • 2002
  • Well-aligned multi-wall carbon nanotubes (MWCNTs) have been grown on both Coming glass and silicon substrates at about 400 $^{\circ}C$ by a modified plasma - enhanced chemical vapor deposition system. We have investigated laser irradiation effect on carbon nanotube surface by using an ultra - violet laser. The laser operated to modify structural defect of was carbon nanotube and to ablate possible contamination of carbon nanotube surface. The morphology and surface transformation of MWCNTs as analyzed by a SEM. In addition, the field emission measurement was also carried out in a vacuum chamber with a $10^{-7}$ Torr base pressure by applying bias voltages up to 1000V.

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Optimization of the Thin-walled Aluminum Die Casting Die Design by Solidification Simulation (응고 시뮬레이션에 의한 박육 알루미늄 다이캐스팅 금형 방안의 최적화)

  • Kim, Young-Chan;Cho, Se-Weon;Cho, Jae-Ik;Jeong, Chang-Yeol;Kang, Chang-Seog
    • Journal of Korea Foundry Society
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    • v.28 no.4
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    • pp.190-194
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    • 2008
  • Thin-walled die casting of aluminum notebook computer housing with less than 1mm thickness was investigated by using computational solidification simulation and actual casting experiment. Three different types of gate design, finger, tangential and split type, were used and the results showed that sound thin-walled die casting was possible with tangential and split type gating design because those gates allowed aluminum melt flowed into the thin-wall cavity uniformly and split type gating system was preferable gating design than tangential type at the point of view of soundness of casting and distortion generated after solidification. Also, solidification simulation agreed well with the actual die-casting and the casting showed no casting defect and distortion.

Measurement of Defects on the Wall by use of the Inclination Angle of Laser Slit Beam and Position Tracking Algorithm of Camera (레이저 슬릿빔의 경사각과 카메라 자세 추정 알고리즘을 이용한 벽면 결함 측정)

  • 김영환;송상호;윤지섭;강이석
    • 제어로봇시스템학회:학술대회논문집
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    • 2000.10a
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    • pp.339-339
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    • 2000
  • In this parer, a method of measuring the size of defects on the wall and restructing the defect image of 3-dimension is developed based on the tracking algorithm of a camera position which uses the inclination angle of line slit beam for overcoming the difficulty of the corresponding problem identifying the image point in the both image. In the experiments, an algorithm for estimating the horizontal angle of CCD camera is presented and validated by applying it to the measurement of area and length under the variations of both the distance and the angle of CCD camera. And its performance is compared to that of the rotating and mapping method of image which has the Euclidian distance.

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Incidental detection of myocardial ischemia during F-18 FDG CoDe PET for the evaluation of a solitary pulmonary nodule

  • Park, Chan-H.;Park, Kwang-J.;Lee, Myoung-Hoon
    • The Korean Journal of Nuclear Medicine
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    • v.35 no.6
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    • pp.398-400
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    • 2001
  • The authors report a case of unsuspected myocardial ischemia detected during CoDe FDG PET (coincidence detection fluorodeoxyglucose positron emission tomogram) which was performed for the evaluation of a solitary pulmonary nodule. Camera-based FDG PET without attenuation correction often reveals false defect in the inferior wall of the left ventricle in normals due to excessive attenuation. However, this asymptomatic patient had increased uptake in the inferior wall suggesting ischemic myocardium. The scan finding was confirmed by Tl-201 myocardial SPECT and coronary angiogram. The patient then underwent successful PTCA of mild RCA and right ventricular branch followed by right upper lobectomy for small cell lung cancer.

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