• Archives of Plastic Surgery
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• 제48권5호
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• pp.503-510
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• 2021

Facial feminization surgery (FFS) incorporates aesthetic and craniofacial surgical principles and techniques to feminize masculine facial features and facilitate gender transitioning. A detailed understanding of the defining male and female facial characteristics is essential for success. In this first part of a two-part series, we discuss key aspects of the general preoperative consultation that should be considered when evaluating the prospective facial feminization patient. Assessment of the forehead, orbits, hairline, eyebrows, eyes, and nose and the associated procedures, including scalp advancement, supraorbital rim reduction, setback of the anterior table of the frontal sinus, rhinoplasty, and soft tissue modifications of the upper and midface are discussed. In the second part of this series, bony manipulation of the midface, mandible, and chin, as well as soft tissue modification of the nasolabial complex and chondrolaryngoplasty are discussed. Finally, a review of the literature on patient-reported outcomes in this population following FFS is provided.

• 대한두개안면성형외과학회지
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• 제22권5호
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• pp.239-246
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• 2021

Background: Bone grafts can provide an optimal environment for permanent tooth to erupt and enhance the stability of the alveolar maxilla. Although autologous bone is an optimal source for osteogenesis, its inevitable donor site morbidity has led to active research on bone substitutes. This study was designed to evaluate the safety and feasibility of using biphasic calcium phosphate (BCP; Osteon) as a bone substitute in dogs. Methods: Bilateral third and fourth premolars of four 15-week-old mongrel dogs were used. All teeth were extracted except the third premolar of the right mandible, which was used as a control. After extraction of the premolars, each dog was administered BCP (Osteon), demineralized bone matrix (DBM; DBX), and no graft in the hollow sockets of the right fourth premolar, left fourth premolar, and left third premolar, respectively. Radiographs were taken at 2-week intervals to check for tooth eruption. After 8 weeks, each dog was sacrificed, and tooth and bone biopsies were performed to check for the presence of tooth and bone substitute particle remnants. Results: Four weeks after the operation, permanent tooth eruptions had started at all the extraction sites in each dog. Eight weeks after the operation, all teeth had normally erupted, and histological examination revealed BCP particles at the right fourth premolar. Conclusion: In all four dogs, no delay in the eruption of the teeth or shape disfigurement of permanent teeth was observed on gross inspection and radiologic evaluation. On histological examination, most of the BCP and DBM were replaced by new bone. Bone substitutes can be used as graft materials in patients with alveolar clefts.

• 대한치과보철학회지
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• 제57권3호
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• pp.280-287
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• 2019

구강이라는 특수한 환경 속에서 치아는 평생을 거쳐 마모, 부식 등을 겪게 된다. 점진적이며 일정한 치아의 마모는 노화의 자연스러운 현상이나, 특정 요소에 의한 마모나 부식 등은 병적인 요소이며 교합면의 병리적 손상과 이에 따른 교합 부조화, 심미적 문제, 턱관절 장애 등을 야기할 수 있다. 본 증례는 26세의 젊은 여성 환자로 전반적인 치아의 마모와 부식이 동반된 상태였다. 디지털 안모 분석, 생리적 안정위, 전치부 치관 길이 평가 등을 통해 진단 납형을 제작하였다. 디지털 분석을 통해 치관연장술에 필요한 가이드를 제작하여 수술을 진행하였고 임시 보철물을 통하여 저작 기능 및 심미성을 회복하였다. 지르코니아 최종 보철로 수복하여 심미적, 기능적으로 만족할만한 결과를 얻었으므로 이 증례를 보고하고자 한다.

• 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.

• Archives of Plastic Surgery
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• 제46권3호
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• pp.221-227
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• 2019

Background Gynecomastia is a common condition that can cause severe emotional and physical distress in both young and older men. Patients in whom symptomatic recalcitrant gynecomastia persists for a long time are potential candidates for surgery. Methods From January 2014 to January 2016, 15 patients underwent correction of gynecomastia through a single 3-mm incision at our institution. Only patients with true gynecomastia underwent surgery with this new technique. Through the small incision, sharp dissection was performed in a clockwise and counterclockwise direction describing two half-circles. Health-related quality of life and aesthetic outcomes were evaluated using a modified version of the Breast Evaluation Questionnaire (BEQ). Results The patients' average age was 23.5 years (range, 18-28 years), and their average body mass index was $23.2kg/m^2$ (range, $19.2-25.3kg/m^2$). One case was unilateral and 14 cases were bilateral. The weight of glandular tissue resected from each breast ranged from 80 to 170 g. No excess skin was excised. Bleeding was minimal. The mean operating time was 25 minutes (range, 21-40 minutes). No complications were recorded. All lesions were histologically benign. The patients' average score was 3.5 (on a 5-point Likert scale) in all domains of the BEQ for themselves and their partners. Conclusions In this study, we demonstrated the safety and reliability of a new technique that allows mastectomy through an imperceptible 3-mm incision. We obtained high patient satisfaction scores using our surgical technique, and patients reported considerable improvement in their social, physical, and psychological well-being after surgery.

• 디지털융복합연구
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• 제19권4호
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• pp.267-274
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• 2021

본 연구의 목적은 선거 결과 인포그래픽 디자인이 지역과 이념의 분할을 부추기지 않고 포용적 정보를 제공할 수 있도록 디자인 속성지표를 도출하고 이에 기반을 둔 디자인에 대한 평가와 해석을 통하여 선거 결과 인포그래픽 디자인의 전망을 제시하는 것이다. 연구의 방법과 결과는 첫째, 이론적 고찰을 통해 인포그래픽 디자인의 특성을 파악하여 데이터의 시각화가 중요함을 확인하고, 선거 결과 인포그래픽 디자인의 사례조사를 통해 다양한 형식의 디지털 인터랙션을 활용한 카토그램 형식의 디자인이 주요 흐름인 것을 파악하였다. 둘째, 제21대 국회의원 선거 결과 인포그래픽 디자인에 대한 반응 조사를 통해 5개의 디자인 속성지표(합목적성, 편의성, 심미성, 이해 용이성, 공공성)를 도출하고 선정한 5개 디자인에 대해 설문조사와 전문가 인터뷰를 통해 디자인 지표와의 적합성을 평가하고 분석하였다. 결론적으로, 선거 결과 인포그래픽 디자인은 기본적인 목적과 기능에 맞으면서 수요자가 요구하는 정보를 선택할 수 있는 다양한 형식의 인포그래픽 디자인을 제공함으로써 수요자 요구에 맞는 포용적 정보를 제공하여 지역과 이념의 분할 적 관념을 상쇄하는 방향으로 발전할 것으로 전망한다.

• 대한치과보철학회지
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• 제59권1호
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• pp.107-115
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• 2021

전체 치열에 걸쳐 과도한 병적 마모가 발생하는 경우 저작기능의 저하 및 악관절, 근신경계의 병리적인 문제가 발생할 수 있다. 본 증례는 71세 남성 환자로 상악 좌측 제 1 대구치 부위 임플란트 수복 공간의 부족 및 전치부 절단교합 및 전방, 측방유도의 상실 및 전치아에 걸친 심화된 파절과 마모가 관찰된 환자에서 수직고경 증가를 동반한 전악구강회복술을 계획하였다. 환자의 적절한 수직고경을 결정하기 위하여 안모, 심미, 기능 및 보철 수복 공간을 평가하였으며, 거상된 수직고경의 임시수복물을 제작하였고 약 4개월 간의 관찰기간을 거친 후 임상증상 및 불편감 없음을 확인한 후 CAD-CAM을 이용한 단일구조 지르코니아 전장관전악수복을 완료하였다. 이상과 같은 과정을 통해 수직고경 거상을 동반한 전악구강회복술을 시행하였으며, 만족스러운 심미 및 기능적 결과를 얻었기에 이를 보고하고자 한다.

• 패션비즈니스
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• 제25권1호
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• pp.16-38
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• 2021

The purpose of this study was to develop a fashion design with a greater sense of modernism based on the characteristics and design elements of Myanmar traditional clothing focusing on the Yandanapon Mandalay period of the last dynasty of Myanmar using the SCAMPER technique, which is one of the creative methodologies. Contemporary menswear fashion designs were developed based on the individual elements of the questionnaire on the SCAMPER technique using fashion design elements. The design development process was as follows. First, this study set the developmental theme of contemporary menswear fashion design in Myanmar's traditional clothing style during the Yadanapon Mandalay period. Second, to develop designs using the SCAMPER technique, the elements of Myanmar's traditional clothing were first divided into item composition and design elements, followed by application of the SCAMPER questionnaire. Also, various designs were developed by combining and applying different elements. Third, optionally selective elements evolved from the design development process using the SCAMPER technique questionnaire. Fourth, the design evaluation was used to select the designs matching the study purpose out of 55 design sketches via FGI (Focus Group Interview) consisting of four fashion designers. Fifth, a total of six designs were selected by additional design modification. Based on the aforementioned processes, a total of six works of men's clothing design were presented. This study provides basic data for the cultural and aesthetic understanding of traditional Myanmar clothing. It also serves as a source of new ideas to express modern fashion design in different ways.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제47권4호
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• pp.257-268
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• 2021

Objectives: Cleft lip and palate is a common congenital anomaly that impairs the aesthetics, speech, hearing, and psychological and social life of an individual. To achieve good aesthetic outcomes, presurgical nasoalveolar molding (NAM) has become important. Currently, the intraoral NAM technique is widely practiced. Numerous modifications have been made to intraoral NAM techniques, but the original problem of compliance leading to discontinuation of treatment remains unsolved. Therefore, the present study compared an extraoral NAM technique with the intraoral NAM technique. Materials and Methods: Twenty infants with complete unilateral cleft lip and palate were included and divided into two equal groups. Group A received the intraoral NAM technique, and Group B received the extraoral NAM technique. Pre- and postoperative extraoral and intraoral measurements were recorded. Results: Groups A and B did not differ significantly in any extraoral or intraoral parameter. Conclusion: The extraoral NAM technique is as effective as the intraoral NAM technique in achieving significant nasal and alveolar changes in complete unilateral cleft lip and palate patients. Additionally, it reduces the need for frequent hospital visits for activation and the stress associated with the insertion and removal of the intraoral NAM plate, thereby improving compliance.

• 한국융합학회논문지
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• 제13권4호
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• pp.195-201
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• 2022

21세기 화두인 4차 산업혁명의 핵심은 최첨단으로 발전하고 있는 다양한 기술들의 융합에 있다. 따라서 다양한 관점에서의 문제해결을 위해 융합 교육은 필수적이라 할 수 있다. 무엇보다 미래사회의 인간과 기술의 접점에서 발생하는 복합문제를 해결하기 위해서는 인문학적, 예술적 접근을 통한 통찰력이 필요하다고 보았다. 이제 대학은 새로운 디지털 환경에 적응하기 위해 다 학적으로 종합설계를 운영하려 하고 있다. 본 연구에서는 연구자가 운영한 예술을 접목한 공학 종합설계 교과목의 운영사례를 기술하였다. 연구자는 1. 문제 인식 및 정의, 2. 아이디어 도출 및 평가, 3. 프로젝트 개발, 4. 발표 및 시연의 프로세스 운영방식을 적용하여 종합설계 교과목에서의 예술 융합형 교육과정을 제시하였다. 본 연구를 통해 학생들에게 프로젝트 개발에 있어 예술적 심미안과 감성적 접근을 시도하게 함으로써 공학 계열 종합설계 교과목에서의 예술 융합 운영방식을 제시하였다는 데 의의가 있다.