• Title/Summary/Keyword: Accurate placement

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Ultrasound-guided Aspiration of the Iatrogenic Pneumothorax Caused by Paravertebral Block -A Case Report-

  • Park, Jin-Suk;Kim, Young-Hoon;Jeong, Su-Ah;Moon, Dong-Eon
    • The Korean Journal of Pain
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    • v.25 no.1
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    • pp.33-37
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    • 2012
  • Thoracic paravertebral block is performed for the treatment of patients with chronic pain, such as complex regional pain syndrome (CRPS) and post-herpetic neuralgia. Thoracic paravertebral block can result in iatrogenic pneumothorax. Because pneumothorax can develop into medical emergencies and needle aspiration or chest tube placement may be needed, early diagnosis is very important. Recently, thoracic ultrasonography has begun to be used to diagnose pneumothorax. In addition, ultrasound-guided aspiration can be an accurate and safe technique for treatment of pneumothorax, as the needle position can be followed in real time. We report a case of iatrogenic pneumothorax following thoracic paravertebral block for the treatment of chronic pain due to CRPS, treated successfully by ultrasound-guided aspiration.

Behavior of geotextile reinforced flyash + clay-mix by laboratory evaluation

  • Vashi, Jigisha M.;Desai, Atul K.;Solanki, Chandresh H.
    • Geomechanics and Engineering
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    • v.5 no.4
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    • pp.331-342
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    • 2013
  • The major factors that control the performance of reinforced soil structures is the interaction between the soil and the reinforcement. Thus it is necessary to obtain the accurate bond parameters to be used in the design of these structures. To evaluate the behavior of flyash + clay soil reinforced with a woven geotextile, 36 Unconsolidated-Undrained (UU) and 12 reinforced Consolidated-Undrainrained (CU) triaxial compression tests were conducted. The moisture content of soil during remolding, confining pressures and arrangement of geotextile layers were all varied so that the behavior of the sample could be examined. The stress strain patterns, drainage, modulus of deformation, effect of confinement pressures, effects of moisture content have been evaluated. The impact of moisture content in flyash + clay backfills on critical shear parameters was also studied to recommend placement moisture for compaction to MDD. The results indicate that geotextile reinforced flyash + clay backfill might be a viable alternative in reinforced soil structures if good-quality granular backfill material is not readily available.

Mandibular Reconstruction with Free Fibular Flap and Dental Implant after Ablative Oral Cancer Surgery Using 3D RP Model: A Case Report

  • Kim, Duck-Hoon;Cha, Hyun-Suk;Ahn, Kang-Min
    • Journal of International Society for Simulation Surgery
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    • v.1 no.2
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    • pp.90-94
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    • 2014
  • Reconstruction of the mandible after ablative oral cancer surgery requires esthetic and functional rehabilitation. Restoring facial symmetry and dentition need accurate preoperative surgical planning and meticulous surgical technique. Free fibular flap is most useful tools to reconstruct mandible because of its adequate length and height, simultaneous harvest of soft and hard tissues and placing dental implants. In this case report, recurred squamous cell carcinoma in the right mandible had been resected and free fibular flap was utilized for mandible reconstruction using 3D rapid prototype. Simulation surgery before dental implant placement has been performed for esthetic and functional prosthodontics.

Ankle Arthroscopy: Anatomy, Portals and Instrument (발목 관절경: 해부학, 삽입구 및 기구)

  • Sung, Ki-Sun
    • Journal of Korean Foot and Ankle Society
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    • v.16 no.1
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    • pp.1-8
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    • 2012
  • Major technologic advances in fiberoptic light transmission, video cameras, and instrumentation have allowed great advances in small-joint arthroscopy. Arthroscopy in particular is now well established procedure for accurate diagnosis and operative management of certain ankle disorders. The small size of the ankle and significant periarticular soft tissue structures make placement and advancement of the arthroscope and instrumentation more difficult than in larger joints. Successful arthroscopy of the ankle requires knowledge of the regional anatomy and a familiarity with the available arthroscopic portals. This review article is going to describe the gross and arthroscopic anatomy of the ankle as it relates to current arthroscopic techniques. Particular emphasis is placed on the anatomic relations of the important osseous and soft tissue structures for a safe, reproducible approach to arthroscopic treatment of ankle pathology. Also, current arthroscopic equipment and instruments are included.

A Study of UWB Placement Optimization Based on Genetic Algorithm

  • Jung, Doyeon;Kim, Euiho
    • Journal of Positioning, Navigation, and Timing
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    • v.11 no.2
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    • pp.99-107
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    • 2022
  • Urban Air Mobility (UAM) such as a drone taxi is one of the future transportations that have recently been attracting attention. Along with the construction of an urban terminal, an accurate landing system for UAM is also essential. However, in urban environments, reliable Global Navigation Satellite Systems (GNSS) signals cannot be received due to obstacles such as high-rise buildings which causes multipath and non-line of sight signal. Thus, the positioning result in urban environments from the GNSS signal is unreliable. Consequently, we propose the Ultra-Wideband (UWB) network to assist the soft landing of UAM on a vertiport. Since the positioning performance of UWB network depends on the layout of UWB anchors, it is necessary to optimize the layout of UWB anchors. In this paper, we propose a two-steps genetic algorithm that consists of binary genetic algorithm involved multi objectives fitness function and integer genetic algorithm involved robust solution searching fitness function in order to optimize taking into account Fresnel hole effects.

ARTIFICIAL ISLANDS RECENTLY CONSTRUCTED IN OSAKA BAY. JAPAN (최근 일본 오사카만에 건설된 세개의 인공섬)

  • T.Akagi
    • Proceedings of the Korean Geotechical Society Conference
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    • 1992.10a
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    • pp.11-26
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    • 1992
  • An attempt has been made to summarize some of the unique geotechnical problems encountered during construction of a few large man-made islands recently completed off the coast of Osaka Bay, Japan. Large settlements appear to be the most serious problem both during and after construction. Settlements due to consolidation of a thick layer of soft alluvial clay that constitutes seabed seem to virtually cease within a relatively short period of time when vertical drains are installed adequately prior to fill placement. Settlements due to compression of underlying thick diluvial deposits consisting of layers of stiff clays interbedded with coarse-grained soils, however, continue over a prolonged period of time and call for special provisions for structures built on the artificial islands to cope with relatively large future settlements. Although accurate settlement prediction is not possible, it is both technically and economically feasible, nevertheless, to construct large-scale islands. Partjcularly attractive and promising is creation of sizable new areas for various purposes, immediately adjacent to highly-developed, densely-populated cities situated along the coast such as those around Osaka Bay.

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HEMORRHAGE OF SUBLINGUAL REGION AND AIRWAY OBSTRUCTION THAT OCCURRED AFTER DENTAL IMPLANT PLACEMENT ON MANDIBLE ANTERIOR EDENTULOUS AREA : CASE REPORT (하악 전치부 무치악부의 임플란트 식립 후 발생한 설하 부위의 출혈과 기도폐쇄)

  • Yang, Seung-Bin;Jang, Chang-Su;Jang, Yong-Wook;Lee, Eui-Hee;Yim, Jin-Hyuk;Kim, Jwa-Young;Yang, Byoung-Eun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.35 no.6
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    • pp.499-501
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    • 2009
  • Because sublingual region is well-vascularized and sublingual artery is passed throughout this region, it should be careful not to perforate lingual cortex when placing dental implant on mandible. A 83-years-old male complained severe sublingual hematoma, hemorrhage and dyspnea came our outpatient department. He had received dental implant placement in the same day. He needed hemostasis and airway control. If soft tissue of sublingual region and the artery are injured, it may result in life-threatening excessive hemorrhage. In dental implant surgery, especially mandible, we should recognize the accurate shape of mandible and anatomy of sublingual region. It is important to stop anticoagulant agent before surgery. When a patient has airway obstruction, the operator should manage airway quickly.

Accuracy of computer-aided template-guided oral implant placement: a prospective clinical study

  • Beretta, Mario;Poli, Pier Paolo;Maiorana, Carlo
    • Journal of Periodontal and Implant Science
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    • v.44 no.4
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    • pp.184-193
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    • 2014
  • Purpose: The aim of the present study was to evaluate the in vivo accuracy of flapless, computer-aided implant placement by comparing the three-dimensional (3D) position of planned and placed implants through an analysis of linear and angular deviations. Methods: Implant position was virtually planned using 3D planning software based on the functional and aesthetic requirements of the final restorations. Computer-aided design/computer-assisted manufacture technology was used to transfer the virtual plan to the surgical environment. The 3D position of the planned and placed implants, in terms of the linear deviations of the implant head and apex and the angular deviations of the implant axis, was compared by overlapping the pre- and postoperative computed tomography scans using dedicated software. Results: The comparison of 14 implants showed a mean linear deviation of the implant head of 0.56 mm (standard deviation [SD], 0.23), a mean linear deviation of the implant apex of 0.64 mm (SD, 0.29), and a mean angular deviation of the long axis of $2.42^{\circ}$ (SD, 1.02). Conclusions: In the present study, computer-aided flapless implant surgery seemed to provide several advantages to the clinicians as compared to the standard procedure; however, linear and angular deviations are to be expected. Therefore, accurate presurgical planning taking into account anatomical limitations and prosthetic demands is mandatory to ensure a predictable treatment, without incurring possible intra- and postoperative complications.

Routing Congestion Driven Placement (배선밀집도 드리븐 배치)

  • Oh Eun-Kyung;Hur Sung-Woo
    • The KIPS Transactions:PartA
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    • v.13A no.1 s.98
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    • pp.57-70
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    • 2006
  • This paper describes a new effective algorithm to estimate routing congestion and to resolve highly congested regions for a given detailed placement. The major features of the proposed technique can be summarized as follows. Firstly, if there are congested regions due to some nets which pass through the regions it can determine which cells affect those congested spots seriously and moves some of them to resolve congestion effectively. Secondly, since the proposed technique uses the ripple movement technique to move cells it resolves congestion without sacrificing wire length. Thirdly, we use an efficient incremental data structure to trace the changes in congestion and wire length as cells move. Hence, selection of cells to move could be very accurate and fast in the course of iteration. Finally, although an MST net model is used to resolve congestion in this paper, proposed technique can be work with any net model. Particularly, if proposed technique can obtain routing information from a real router, congestion can be resolved more effectively. Experimental results show that the proposed technique can resolve congestion effectively and efficiently without sacrificing wire length.

Assessment of the anterior loop of the mandibular canal: A study using cone-beam computed tomography

  • Nascimento, Eduarda Helena Leandro do;Pontual, Maria Luiza dos Anjos;Pontual, Andrea dos Anjos;Perez, Danyel Elias da Cruz;Figueiroa, Jose Natal;Frazao, Marco Antonio Gomes;Ramos-Perez, Flavia Maria de Moraes
    • Imaging Science in Dentistry
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    • v.46 no.2
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    • pp.69-75
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    • 2016
  • Purpose: Sufficient area in the interforaminal region is required for dental implant placement, and the anterior loop of the mandibular canal is located within the limits of this area. The aim of this study was to evaluate the prevalence and extent of the anterior loop in a Brazilian sample population using cone-beam computed tomography (CBCT). Materials and Methods: CBCT images from 250 patients (500 hemimandibles) obtained for various clinical indications were randomly selected and evaluated to determine the presence and length of the anterior loop. The length of the anterior loop was then compared based on gender, age, and the side of the mandible. The data were analyzed using the Pearson chi-square test and linear regression analysis. Results: An anterior loop was identified in 41.6% of the cases, and its length ranged from 0.25 mm to 4.00 mm (mean, $1.1{\pm}0.8mm$). The loop had a greater mean length and was significantly more prevalent in males (p=0.014). No significant differences were found between the right and left sides regarding length (p=0.696) or prevalence (p=0.650). Conclusion: In this study, a high prevalence of the anterior loop of the mandibular canal was found, and although its length varied greatly, in most cases it was less than 1 mm long. Although this is a prevalent anatomical variation, safety limits for the placement of implants in this region cannot be established before an accurate evaluation using imaging techniques in order to identify and preserve the neurovascular bundles.