• Archives of Plastic Surgery
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• 제41권1호
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• pp.71-76
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• 2014

Background Numerous methods exist for simultaneous correction of mild blepharoptosis during double eyelid surgery. These methods are generally categorized into either incisional (open) or non-incisional (suture) methods. The incisional method is commonly used for the creation of the double eyelid crease in patients with excessive or thick skin. However, concurrent open ptosis correction is often marred by the lengthy period of intraoperative adjustment, causing more swelling, a longer recovery time, and an increased risk of postoperative complications. Methods The authors have devised a new, minimally invasive technique to alleviate mild ptosis during incisional double eyelid surgery. The anterior lamella is approached through the incisional technique for the creation of a double eyelid while the posterior lamella, including Muller's and levator muscles, is approached with the suture method for Muller's plication and ptosis correction. Results The procedure described was utilized in 28 patients from June 2012 to August 2012. Postoperative asymmetry was noted in one patient who had severe preoperative conjunctival scarring. Otherwise, ptosis was corrected as planned in the rest of the cases and all of the patients were satisfied with their postoperative appearance and experienced no complications. Conclusions Our hybrid technique combines the benefits of both the incisional and suture methods, allowing for a predictable and easily reproducible correction of blepharoptosis with an aesthetically pleasing double eyelid.

• 정보과학회 논문지
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• 제44권11호
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• pp.1130-1137
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• 2017

하나의 메모리 셀에 여러 비트의 정보를 저장하는 다치화 기법은 공정 미세화와 함께 낸드 플래시 메모리의 집적도를 크게 향상시켰지만, 그 반대급부로 MLC 낸드 플래시 메모리의 평균 쓰기 성능은 SLC 낸드 플래시 메모리 대비 두 배 이상 하락하였다. 본 논문에서는 MLC 낸드 플래시 기반 저장장치의 성능 향상을 위해 제안되었던 기존의 계층 교차적 최적화 기법들을 소개하고, 두 기법의 상호 보완성을 분석하여 해당 기법들의 한계점을 극복하는 새로운 통합 기법을 제안한다. MLC 낸드 플래시 디바이스에 존재하는 성능 비대칭성을 플래시 변환 계층 수준에서 최대한 활용함으로써, 제안하는 기법은 인가되는 다수의 쓰기 명령을 SLC 낸드 플래시 디바이스의 성능으로 처리하여 저장장치의 성능 향상을 도모한다. 실험 결과, 제안하는 기법은 기존 기법 대비 평균 39%의 성능 향상을 달성할 수 있음을 확인하였다.

• 대한두개안면성형외과학회지
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• 제19권1호
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• pp.13-19
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• 2018

Background: $Abb{\acute{e}}$ flap technique is one of the most challenging operations to correct horizontal deficiencies in secondary cleft lip deformity. Since its first introduction, the operative method was dynamically modified from simple variation to complete conceptual change, but conventional $Abb{\acute{e}}$ flap has many drawbacks in esthetic and functional aspect. Our purpose was reconstructing the symmetry of Cupid's bow and central vermilion tubercle with minimal sequalae. Methods: From 2008 to 2016, this technique was applied to 16 secondary cleft lip patients who had total or more than 60% of unilateral deficiency of Cupid's bow and central lip or tubercle pouting deficiency. A quadrangular-shaped flap was transferred from vermilion including skin and white line of central or contralateral lower lip. Pedicle division and insetting were made at 9 (unilateral) or 10 (bilateral) days after transfer. Secondary lip revision was done with open rhinoplasty after wound maturation. Results: Overall satisfaction was high with modified technique. Scar was minimally noticeable on both upper and lower lip especially. Balanced Cupid's bow and symmetric vermilion tubercle were made with relatively small size of flap compared to conventional $Abb{\acute{e}}$ flap. An accompanying benefit was reduced ectropion of lower lip, which made balanced upper and lower lip protrusion with more favorable profile. Conclusion: A new modified $Abb{\acute{e}}$ flap technique showed great satisfaction. It is worth considering in secondary cleft lip patient who has central lip shortage and asymmetry of upper lip vermilion border line. Our technique is one of the substitutes for correction of horizontal and central lip deficiency with asymmetric Cupid's bow.

• Archives of Plastic Surgery
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• 제38권2호
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• pp.143-147
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• 2011

Purpose: A Tessier classification number 7 cleft is an uncommon malformation that results from a failure of mesenchymal fusion within the maxillary and mandibular prominences of the 1st pharyngeal arch. Many operative techniques of the number 7 cleft repair have been proposed to restore function and improve aesthetics. Fifteen patients underwent repair of a number 7 cleft over 13 years by a modification of the surgical Technique, and an appraisal of the operative outcome is reported herein. Methods: A retrospective review was conducted involving 15 patients with number 7 clefts who underwent surgery from 1996 to 2009. The changes in surgical technique included skin closure, attachment of the orbicularis oris muscle, and position of the repaired commissure; the changes were analysed with a review of the medical records and the outcomes of surgery were analysed via photographs. Specifically, the technique of skin closure was changed from the a Z-plasty to a linear closure, the orbicularis oris muscle overlapped attachment was replaced by a side-to-side approximation with horizontal mattress sutures, and the position of the repaired commissure was changed from 1 mm laterally to 1 mm medially in reference to the non-cleft side. Results: A Z-plasty caused additional cutaneous scarring, an overlapped attachment of the orbicularis oris muscle caused a thick oral commissure, and the repaired commissure migrated to the lateral side, so a 1 mm, laterally-positioned commissure caused asymmetry. The altered procedure included a linear skin closure, a side-to-side orbicularis oris muscle approximation, and a 1 mm, medially-positioned commissure, which together resulted in a good outcome. Conclusion: The altered procedure for repair of a number 7 cleft as described herein, yields a short scar, no functional problems with the orbicularis oris muscle, a thin oral commissure, and symmetry of the repaired commissure.

• Journal of Power Electronics
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• 제17권4호
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• pp.972-982
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• 2017

The Park's vector of stator current is a popular technique for the detection of induction motor faults. While the detection of the faulty condition using the Park's vector technique is easy, the classification of different types of faults is intricate. This problem is overcome by the Multiple Park's Vector (MPV) approach proposed in this paper. In this technique, the characteristic fault frequency component (CFFC) of stator winding faults, rotor winding faults, unbalanced voltage and bearing faults are extracted from three phase stator currents. Due to constructional asymmetry, under the healthy condition these characteristic fault frequency components are unbalanced. In order to balanced them, a correction factor is added to the characteristic fault frequency components of three phase stator currents. Therefore, the Park's vector pattern under the healthy condition is circular in shape. This pattern is considered as a reference pattern under the healthy condition. According to the fault condition, the amplitude and phase of characteristic faults frequency components changes. Thus, the pattern of the Park's vector changes. By monitoring the variation in multiple Park's vector patterns, the type of fault and its severity level is identified. In the proposed technique, the diagnosis of faults is immune to the effects of unbalanced voltage and multiple faults. This technique is verified on a 7.5 hp three phase wound rotor induction motor (WRIM). The experimental analysis is verified by simulation results.

• Archives of Plastic Surgery
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• 제37권4호
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• pp.499-530
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• 2010

Purpose: Lateral osteotomy is an essential step in the correction of nasal bony asymmetry. Direct visualization allows accurate repositioning of the nasal bones compared to blind techniques, which require precision and manual dexterity. We propose direct visualization procedures in open corrective rhinoplasty. Methods: The technique was used on 16 patients. All patients underwent open rhinoplasty with a columellar incision. The marginal incisions were extended on either side to allow access to the piriform aperture. A double hook was used to caudally retract the lower lateral cartilages and the fibrous connections between the upper and lower lateral cartilages were released until the piriform aperture was visualized. Through the incision, lateral osteotomy was performed using a reciprocating saw at that time with direct visualization. Additional procedures including augmentation rhinoplasty, hump resection, septoplasty and tip plasty were performed simultaneously. Results: This method provided excellent exposure to the lateral nasal bones and allowed the lateral osteotomy to be carried out precisely using the reciprocating saw. Conclusion: This extended open rhinoplasty method is suitable for most individuals, allowing a wide surgical field.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제47권4호
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• pp.286-290
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• 2021

Objectives: The use of fat grafts in maxillofacial sculpturing is currently a common technique. Unlike fillers, autologous fats unite with facial tissues, but long-term results may still be unsatisfactory. Sharing long-term follow-ups can be helpful in making outcomes more predictable. Materials and Methods: The data from patients who were admitted from 2014 to 2016 for fat augmentation were collected. In all cases, fat grafts were injected by blunt cannula using a tunneling technique in different planes. A fan shape order for the malar, periorbital, nasolabial fold, mandibular angle and body, and perioral area was established. Results: Autologous fat was used for different sites of the maxillofacial regions. Of 15 patients, two patients were not satisfied due to fat graft resorption. For this, further injections were performed six months after the first injection using preserved fat grafts. One patient continued to be dissatisfied. There were no other complications related to fat transplants. Conclusion: Fat transplantation is a safe, reliable, and non-invasive method for facial contour and facial soft tissue defect restoration. Additional methods such as mesenchymal stem cells along with fat injection increase the survival rate of transferred fat.

• Archives of Plastic Surgery
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• 제45권2호
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• pp.128-134
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• 2018

Background Non-syndromic craniosynostosis causes craniofacial asymmetry and may persist after cranioplasty. These postoperative asymmetries are primarily depressions. In some cases, patients may be subjected to pranks and harassment by their peers, affecting their psychosocial development. We propose lipoinjection enriched with adipose stem cells (ASCs) to treat the sequelae of craniosynostosis in the fronto-orbital and temporal complex in cranioplasty patients, with the goal of improving the appearance of the upper third of the face. Methods Twelve children (four boys and eight girls) between 4 and 8 years of age (mean age, 6 years) in the postoperative period after treatment for plagiocephaly, brachycephaly, and trigonocephaly were included, with a follow-up period of 1 to 18 months. Fat tissue was obtained from the lower abdomen, and ASCs were isolated using the Yoshimura technique. Lipoinjection was performed using several mini-approaches to ensure adequate distribution. Results Two different scales were used to evaluate the aesthetic outcomes. At 6 months, three plastic surgeons independent of the study classified the results using a Likert scale. The patients' parents categorized the results using a visual analog scale at 6, 9, and 18 months. R esults were favorable on both scales, as the patients' facial appearance improved and they reported increased happiness and self-esteem due to their remodeled facial appearance. Conclusions We suggest that lipoinjection enriched with ASCs is a good alternative for correcting asymmetry of the fronto-orbital and temporal contour in patients with sequelae of craniosynostosis. This treatment will help boost patients' self-esteem starting at an early age.

• 한국터널지하공간학회 논문집
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• 제9권4호
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• pp.387-401
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• 2007

최근 용지매입의 제한, 주변 구조물과의 간섭 등으로 두 터널의 이격거리가 매우 작은 근접 병설터널의 시공이 증가하고 있다. 이러한 경우 터널의 안정성뿐만 아니라 중앙 필라부의 안정성 확보를 위한 보강공법의 선정은 매우 중요한 문제라 할 수 있다. 본 연구에서는 상 하행선의 터널단면이 다른 비대칭 형태이면서, 두 터널간의 이격거리가 매우 근접한 병설터널에 대한 안정성 평가 및 필라부 보강방안에 대하여 상세한 해석적 검토를 수행하였다. 또한 근접 병설터널의 안정성을 확보할 수 있도록 암반 필라의 안정성 검토와 보강공법 등 근접 병설터널의 사례연구를 토대로 보강공법의 적정성과 합리적인 대안을 제시하였다. 특히, 굴착순서, 이격거리, 굴착방법에 따른 터널 거동 파악을 위하여 암반 필라의 응력상태 및 터널변위를 분석하여 암반파괴이론에 근거한 안정성 평가를 수행하였다. 또한 암반 필라부 보강공법의 적정성 검토 및 향후 근접병설 터널에서의 암반 필라 안정성 확보를 위한 개선방안을 제안하였다

• Archives of Plastic Surgery
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• 제33권1호
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• pp.95-100
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• 2006

The challenge of accurately predicting eyelid height after blepharoptosis surgery is well-known problem even in complete hands. From May, 1988 to December, 2004, authors reviewed 182 cases(240 eyes) of blepharoptosis corrected by frontalis muscle transfer or levator resection and had experienced 10 cases(15 eyelids) of early reoperation around 1 week. The period from initial operation to reoperation are between six to eight days and mean period is seven days. Initial operative procedures were frontalis muscle transfer in 3 cases(4 eyelids) and levator resection in 7 cases(11 eyelids). Follow up period ranged from 6 months to 16 years. Early adjusting surgery was performed in accordance with the preoperative and postoperative degree of ptosis of patient and considering previous operative technique. The results are evaluated according to the criteria of an ideal correction by Souther and Jordan. Seven patients have good or satisfactory results(less than 1 mm asymmetry, good in 5 cases and satisfactory in 2 cases). Three patients(5 eyelids) recorded as poor results(more than 2 mm asymmetry). Even if early or late reoperation can be effective in correcting unsatisfactory results after correction of blepharoptosis, early reoperation is better than later reoperation because early reoperation can offer a reduction in time to final result, the ease with which it is performed, potential cost savings. The experience of surgeon is also important factor for the reatment of recurred blepharoptosis