• Title/Summary/Keyword: 초음파성형

Search Result 106, Processing Time 0.029 seconds

Usefulness of Ultrasound-Guided Closed Reduction of Nasal Bone Fracture (비골골절의 비관혈적 정복술 중 사용한 초음파의 유용성)

  • Lee, Seong Pyo;Suhk, Jung Hoon;Choi, Won Suk;Kim, Tae Bum;Yang, Wan Suk
    • Archives of Craniofacial Surgery
    • /
    • v.9 no.1
    • /
    • pp.12-16
    • /
    • 2008
  • Purpose: Closed reduction is most common treatment method for nasal bone fracture but it requires secondary correction operation commonly. For preventing secondary revision, we applied ultrasonography during closed reduction of nasal bone fracture and examined the result of operation. Methods: 80 patients were sorted into 2 groups, ultrasound-guided closed reduction group(n=40) and manual closed reduction group(n=40). We classified the unilateral fracture involving lower 1/2 of nasal bone into type I, the bilateral fracture involving lower 1/2 of nasal bone into type III and the fracture of upper 1/2 of nasal bone into type III. The occurrence rate of overcorrection and undercorrection were evaluated by comparing preoperative and postoperative MDCT(Multi Direction Computed Tomography). Results: In manual closed reduction group, overcorrection were found in 4 patients and undercorrection were found in 3 patients. In ultrasound-guided closed reduction group, overcorrection was not observed and undercorrection was observed in 2 patients. Conclusion: Intraoperative ultrasound evaluation of nasal bone fracture resulted in reduced occurrence rate of secondary nasal deformities, showed easier detection of the fractured site and have superiority upon simple physical examination or simple x-ray.

Tricuspid Valve Repair for Tricuspid Valve Insufficiency Following a Cardiac Stab Injury - One case report - (심장 자상 후에 발생된 삼첨판막 폐쇄부전의 삼첨판막 성형술 - 1예 보고 -)

  • Kim, Dong-Hyun;Lee, Seong-Jin;Lee, Chol-Sae;Lee, Kihl-Rho;Lee, Seock-Yeol
    • Journal of Chest Surgery
    • /
    • v.40 no.5 s.274
    • /
    • pp.376-379
    • /
    • 2007
  • A 51-year-old male was admitted three month previously with a cardiac stab injury and he underwent direct cardiac repair He had no problem after this event. He complained of dyspnea that stalled 2 months after the original injury. Echocardiography showed severe tricuspid regurgitation and so, chordac replacement and ring annuloplasty was performed. Herein we report on a case of tricuspid valve repair for treating tricuspid insufficiency following a cardiac stab injury.

Teflon Felt Strip Mitral Valve Repair as an Alternative to Expensive Commercial Rings (테플론 펠트를 사용한 승모판막 성형술: 고가의 상업적 제품에 대한 대체물로 가능한가?)

  • Park, Kook-Yang;Jeon, Yang-Bin;Park, Chul-Hyun
    • Journal of Chest Surgery
    • /
    • v.41 no.2
    • /
    • pp.216-222
    • /
    • 2008
  • Background: Prosthetic annuloplasty rings are used for the reconstruction of the mitral valve annulus. However, there is controversy over the best ring to use for reconstruction. In this study, we evaluated the long term result of using a Teflon felt strip as an alternative to commercial rings. Material and Method: From 1996 to 2007, we enrolled 47 patients with pure mitral regurgitation greater than grade III. All patients had an ejection fraction of 40% or more. Patients with congenital heart disease or other valvular heart disease were excluded from this study. They were divided into two groups; the commercial ring group (Group CR) and the Teflon felt ring group (Group TF). Result: There was no mortality. The postoperative echocardiography showed no significant change in the overall ejection fraction (from $58.0{\pm}11.2%\;to\;42.8{\pm}8.4%$). There were no significant differences between the two groups with regard to morbidity, the reoperation rate and recurrence of mitral regurgitation greater than grade II. Conclusion: The long term results from this study showed that posterior mitral annuloplasty using Teflon felt had similar results compared to annuloplasty using commercial rings.

A Study on the Fracture Behavior of Composite Laminated T-Joints Using AE (AE를 이용한 복합재료 T 조인트부의 파괴거동에 관한 연구)

  • Kim, J.H.;Ahn, B.W.;Sa, J.W.;Park, B.J.
    • Journal of the Korean Society for Nondestructive Testing
    • /
    • v.19 no.4
    • /
    • pp.277-287
    • /
    • 1999
  • Quasi-static tests such as monotonic tension and loading/unloading tension were performed to investigate the bond characteristics and the failure processes for the T-joint specimens made from fiber/epoxy composite material. Two types of specimens, each consists of two components, e. g. skin and frame. were manufactured by co-curing and secondary bonding. During the monotonic tension test, AE instrument was used to predict AE signal at the initial and middle stage of the damage propagation. The damage initiation and progression were monitored optically using m (Charge Coupled Device) camera. And the internal crack front profile was examined using ultrasonic C-scan. The results indicate that the loads representing the abrupt increase of the AE signal are within the error range of 5 percent comparing to the loads shown in the load-time curve. Also it is shown that the initiation of crack occurred in the noodle region for both co-cured and secondarily bonded specimen. The final failure occurred in the noodle region for the co-cured specimen. but at the skin/frame termination point for the secondarily bonded specimen. Based on the results, it was found that two kinds of specimen show different failure modes depending on the manufacturing methods.

  • PDF

Analysis of Recurred Mitral Regurgitation after Mitral Repair according to Procedure or Valve Related Causes (승모판막 성형술 후 재발의 원인에 대해 술기와 판막 요인에 대한 분석)

  • Shin Hong Ju;Yoo Dong Gon;Lee Yong Jik;Park Soon Ik;Choo Suk Jung;Song Hyun;Chung Cheol Hyun;Song Meong Gun;Lee Jae Won
    • Journal of Chest Surgery
    • /
    • v.38 no.2 s.247
    • /
    • pp.132-138
    • /
    • 2005
  • Background: Mitral valve repair (MVP) is the optimal procedure for mitral regurgitation (MR), however, failure and subsequent reoperations are the limitations. The current study assessed the procedure in relation to the primary valve related causes of recurrent MR. Material and Method: MR was treated in 493 patients undergoing MVP from January of 1994 to January of 2002. The causes of MR were degenerative $(n=252,\;51.5\%),$ rheumatic $(n=156,\; 31.6\%),$ and others $(n=85,\; 16.9\%).$ Surgery comprised 446 ring annuloplasties $(90.5\%),$ 227 new chordae formations $(46\%),$ 125 quadriangular resections $(25.3\%),$ 28 chordae transfers $(5.7\%),$ and 8 Alfieri's stitches $(1.6\%).$ The mean follow up was $29.04\pm22.81$ months. Result: There were 5 early $(1.01\%)$, and 5 late deaths $(1.01\%).$ The reoperation rate was $1.42\%$. There were 45 $(9.1\%)$ recurrent MR (grade III or IV). Of these, 24 were procedure related including incomplete repair (n=14), discordant new chordae length (n=8) and others (n=2). In 21 patients, the cause was valve related including rheumatic disease progression (n=10), recurrent chordae elongation or prolapse (n=5) and others (n=6). Severe MR was higher after incomplete repair (p < 0.001), and valve related failure strongly correlated with rheumatic progression (p < 0.05). Conclusion: Since completeness of operation is the prime risk factor that determine the repair durability, intra-operative assessment of the initial repair with trans-esophageal echocardiography is essential.

DIAGNOSTIC ULTRASONOGRAPHY IN HEAD AND NECK REGION (두경부영역에서의 초음파촬영을 이용한 진단)

  • Cho, Byoung-Ouck;Lee, Yong-Chan;Koh, Back-Jin;Choi, Chang-Wan
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • v.12 no.1
    • /
    • pp.96-102
    • /
    • 1990
  • Diagnostic ultrasound has the advantages of being noninvasive without any known deleterious biologic effect, rapid, painless, inexpensive and easily reproducible. The author used a real time sector scanner (Picker, Artis USA:5-7.5 MHz) for examing of lipoma, abscess, hematoma, lymphnode enlargement etc. and evaluated ultrasonograph as a diagnostic aid in head and neck region.

  • PDF

Synthesis of poly(dialkyl or monoalkyl)silanes as silicon carbide precursors for ceramic matrix composites (탄화규소 선구물질로서의 폴리(디알킬 또는 모노알킬)실란들의 합성과 세라믹 복합체 응용)

  • Lee, Gyu-Hwan
    • Analytical Science and Technology
    • /
    • v.26 no.1
    • /
    • pp.27-33
    • /
    • 2013
  • Polyalkylsilanes such as poly(dialkyl)silanes and poly(monoalkyl)silanes were synthesized by sonochemical dechlorination-condensation method from (dialkyl or monoalkyl)chlorosilanes with sodium metal. Those polyalkylsilanes were analyzed for the properties such as thermal behaviors from TGA analysis and obtained ceramic yields of 10-20% for poly(dialkyl)silanes and 40-60% for poly(monoalkyl)silanes. Ceramic composite discs were prepared by the combined mixture of polyalkylsilanes and SiC powder and were tested by TGA and analyzed by SEM and XRD for the application as binder for ceramic composite precursors.

fabrication of Ceramic Tape By Ultrasonic Spray (초음파 분무를 이용한 세라믹 테이프의 성형)

  • 윤정한;박양수;심수만;이해원
    • Journal of the Korean Ceramic Society
    • /
    • v.36 no.6
    • /
    • pp.625-631
    • /
    • 1999
  • Ceramic tapes were fabricated by ultrasonically spraying slurries of monodispersed spherical and alumina powders. Effects of slurry compositions on tape forming were investigated. A relatively fast rate of solvent evaporation caused pores and cracks to be formed. A good chemical affinity between solvent and binder gave rise to binder separation resulting in inhomogeneous distribution of binder. Defect-free silica tapes with uniform distribution of particle packing and the binder were obtained from the solvent having a low chemical affinity and a slow evaporation rate and containing appropriate amounts of the binder and the plasticizer. Tape thickness could be controlled by adjusting solids loadings and slurry feed rates. It was possible to fabricate a tape in 15 $\mu\textrm{m}$ thickness from 7 vol% alumina slurry.

  • PDF

A plane strain punch stretching test for evaluating stamping formability (평면변형장출실험을 이용한 스탬핑 성형성 평가)

  • 김영석;남재복
    • Journal of the korean Society of Automotive Engineers
    • /
    • v.15 no.2
    • /
    • pp.121-129
    • /
    • 1993
  • Plane strain punch stretching test (PSST) was developed to evaluate stamping formability of sheet materials. In this test, the rectangular specimen of sheet material is uniformly stretched up to fracture by raising a specially designed punch to certainly assure plane strain stretching deformation along the longitudinal direction of the specimen. The stamping formability was evaluated by limit punch height(LPH) in plane strain punch stretching test compared to limit dome height(LDH) in hemispherical punch stretching test. LPH-value in PSST well ranks the stamping formability of various material and correlates with press performance. Moreover by using ultrasonic thickness gauge the plane strain intercept-limit plane strain(FLCo)-in forming limit curve can be accurately determined from thickness measurement around the fracture area. The FLCo derived from thickness measurement well correlates with the results from circle grid analysis for the deformed circle grid marked on the surface of the specimen.

  • PDF

Benefit of Ultrasound-guided Therapeutic Medial Branch Blocks after Percutaneous Epidural Neuroplasty (신경 성형술 후 초음파 유도하 내측 분지 차단술의 유용성)

  • Moon, Sang Ho;Lee, Song;Jung, Jae-Hyun;Shin, Won Shik
    • The Journal of Korean Orthopaedic Ultrasound Society
    • /
    • v.7 no.1
    • /
    • pp.33-38
    • /
    • 2014
  • Purpose: To determine the therapeutic effectiveness of ultrasound-guided medial branch block (MBB) for the herniated lumbar disc patients who did not relieve their symptoms after percutaneous epidural neuroplasty (PEN). Materials and Methods: From August 2011 to February 2013, 559 patients with herniated lumbar disc have undergone PEN. Among them, ultrasound-guided MBBs were performed for the patients who had sustained low back pain and refered pain to lower extremities. Eighty eight patients were followed at 1 month and 39 patients could be followed at 6 month. All procedures have been performed by the one operator, and 23 G, 10 cm needle was placed and 0.5% lidocaine was injected under ultrasound guide. To target medial branches from L1 to L5, the groove at the root of transverse process and the base of superior articular process has been identified on transverse scan. Patients were evaluated by Visual Analog Scale (VAS) and Oswestry Disability Index (ODI) at each follow-up. Significant pain relief was described as a 50% or more reduction in VAS and significant improvement in function was described as at least a 40% reduction in ODI. Results: VAS showed that preprocedure pain ($7.35{\pm}1.68$; $mean{\pm}SD$) significantly decreased 1 month after block ($3.36{\pm}2.98$) and 6 month ($3.05{\pm}2.27$) (p<0.05). ODI also showed that preprocedure score ($32.82{\pm}8.77$) significantly decreased at 1 month ($15.14{\pm}14.01$) and 6 month ($12.97{\pm}8.82$) (p<0.05). Significant pain relief was observed in 64.49% at 1 month and 64.10% at 6 month. Significant functional improvement in 59.81% at 1 month and 61.54% at 6 month. Conclusion: Ultrasound-guided medial branch block may sufficiently treat the facet problems secondary from disc disease.

  • PDF