• Archives of Craniofacial Surgery
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• v.23 no.4
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• pp.171-177
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• 2022

Background: The treatment of zygoma complex fractures is of crucial importance in the field of plastic surgery. However, surgical methods to correct zygoma complex fractures, including the number of fixation sites, differ among operators. Although several studies have compared two-point and three-point fixation, no comparative research has yet been conducted on one-point versus two-point fixation using computed tomography scans of surgical results. Therefore, the present study aimed to address this gap in the literature by comparing surgical results between one-point and two-point fixation procedures. Methods: In this study, we randomly selected patients to undergo surgery using one of two surgical methods. We analyzed patients with unilateral zygoma complex fractures unaccompanied by other fractures according to whether they underwent one-point fixation of the zygomaticomaxillary buttress or two-point fixation of the zygomaticomaxillary buttress and the zygomaticofrontal suture. We then made measurements at three points-the zygomaticofrontal suture, inferior orbital wall, and malar height-using 3-month postoperative computed tomography images and performed statistical analyses to compare the results of the two methods. Results: All three measurements (zygomaticofrontal suture, inferior orbital wall, and malar height) showed significant differences (p< 0.05) between one-point and two-point fixation. Highly significant differences were found for the zygomaticofrontal suture and malar height parameters. The difference in the inferior wall measurements was less meaningful, even though it also reached statistical significance. Conclusion: Using three parameters in a statistical analysis of imaging findings, this study demonstrated significant differences in treatment outcomes according to the number of fixations. The results indicate that bone alignment and continuity can be achieved to a greater extent by two-point fixation instead of one-point fixation.

• Architectural research
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• v.2 no.1
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• pp.1-6
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• 2000

Ever since Viollet-le-Due began to examine Gothic structural elements using his method of geometrical analysis in the nineteenth century, art and architectural historians and a few engineers have periodically attempted to ascertain the structural advantages of the various characteristic features of Gothic architecture. In none of these studies, however, has the way forces work within the lightweight and spacious masonry Gothic buildings been precisely interpreted. The approach taken by art and architectural historians has therefore tended to be primarily descriptive and to be based on intuitive assumptions. This study intend to analyze the Gothic non-vaulted nef unique(aisleless) structures of Lower Languedoc which has never been scientifically tested, and to provide as comprehensive an explanation as possible of the way in which these non-vaulted buildings work. In order to achieve this goal, this paper Is to examine, by means of finite element analysis. the links between the width of non-vaulted aisleless structures, the configuration of the arches, diaphragm arch, and the buttress. Finite element analysis with a computer provides a more accurate analysis than the methods of analysis that have been heretofore applied to Gothic structures, as well as permits us to visualize the global stress behavior of the structure. Combined with traditional methods of studying historical buildings, therefore, finite element analysis inevitably give us a broader understanding of the processes involved in the design and construction of medieval buildings.

• Archives of Craniofacial Surgery
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• v.17 no.4
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• pp.206-210
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• 2016

Background: Zygoma is a major buttress of the midfacial skeleton, which is frequently injured because of its prominent location. Zygoma fractures are classified according to Knight and North based on the direction of anatomic displacement and the pattern created by the fracture. In zygomaticomaxillary complex (ZMC) fracture many incisions (lateral eyebrow, lateral upper blepharoplasty, transconjunctival, subciliary, subtarsal, intraoral, direct percutaneous approach) are useful. We reviewed various approaches for the treatment of ZMC fractures and discussed about incisions and fixation methods. Methods: A retrospective review was conducted of patients with ZMC fracture at a single institution from January 2005 to December 2014. Patients with single zygomatic arch fracture were excluded. Results: The identified 694 patients who were admitted for zygomatic fractures from which 192 patients with simple arch fractures were excluded. The remaining 502 patients consisted of 439 males and 63 females, and total 532 zygomatic bone was operated. Orbital fracture was the most common associated fracture. According to the Knight and North classification the most frequent fracture was Group IV. Most fractures were fixated at two points (73%). Conclusion: We reviewed our cases over 10 years according to fracture type and fixation methods. In conclusion, minimal incision, familiar approach and fixation methods of the surgeon are recommended.

• Archives of Craniofacial Surgery
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• v.19 no.2
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• pp.114-119
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• 2018

Background: The ideal absorbable plating system should provide sufficient rigidity and then be absorbed within a timely manner. The Resorb-X has been recently developed as a plating system with a mixture ratio of 50:50 poly(D, L-lactide). Methods: We present seven of 121 patients who experienced delayed degradation with this absorbable plate. One hundred twenty-one patients with facial bone fracture underwent surgical treatment from March 2011 to March 2015, and rigid fixation was achieved with the Resorb-X. Results: Of 121 patients, seven (5.8%) developed complications at the surgical sites. Six of 102 cases underwent fixation of the infraorbital rim and one of 73 underwent fixation of the frontozygomatic buttress; the other sites of fixation did not develop delayed degradation. Foreign body granuloma developed at the earliest by postoperative 20 months and at the latest by postoperative 28 months (average, 23.5 months). Conclusion: We observed that the use of absorbable plates in incision sites or areas with thin skin can increase the possibility of delayed degradation. When performing surgery in these areas, the normal skin above the fixed location should be covered sufficiently.

• THE INTERNATIONAL COMMERCE & LAW REVIEW
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• v.77
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• pp.91-112
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• 2018

Mediation is one of several alternatives to litigation or arbitration. It is the most informal of the alternatives and the only one that gives the parties control over the outcome. The mediator in mediation is there to help the parties persuade each other that it is in their best interests to settle. As several advantages of mediation, it is considered as the fastest way to resolve a dispute because procedures associated with litigation are not imported into the process. In mediation, the client's resources are focused on resolving the dispute as opposed to building armaments of evidence to buttress legal and factual positions. The AAA commercial mediation rules and operations in the USA are very successful owing to professional training for mediators and simple procedures for mediation to the public. Comparison with USA mediation, KCAB mediation system has several weak points. KCAB mainly deals with administrative matters related to Foreign Trade Law. Therefore, it is necessary for KCAB to come up with more improved international commercial mediation. For example, mediation should be promoted to the public as who easily rely on litigation or arbitration. Second, Setting a rule for easy access to mediation is needed by bench marking AAA's mediation guidelines and operations. Third, professional mediators should be developed by establishing relevant ADR course in law schools. This article investigated some differences of mediation system between KCAB in Korea and AAA in USA, and present some suggestions in order to promote International commercial mediation in KCAB.

• Korean Journal of Cleft Lip And Palate
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• v.16 no.1
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• pp.1-8
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• 2013

Purpose : To introduce a more effective and efficient protocol for protraction of maxillary complex in CLP patient and demonstrate it by case presentation. Methods : Miniplates are placed on zygomatic buttress and anterior part of mandible, at the time of secondary alveolar bone graft. During the night time, the orthopedic force is applied by wearing elastics from maxillary miniplates to facemask (500 g per side). During the day time, the intermaxillary elastics connecting maxillary miniplates to mandibular miniplates are applied (200 g per side). During the orthopedic treatment, dental alignment is possible. Results and conclusion : By the new protocol, the intermaxillary relation and occlusion are improved due to the stable intraoral anchorage and better cooperation of patients.

• Tunnel and Underground Space
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• v.16 no.2 s.61
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• pp.146-155
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• 2006

The target slope of this study, formed during the construction of highway, is the very high infinite slope where sliding began along the discontinuity. Although an attempt was made to stabilize the upper part of the slope by installing the rock anchors, large scale failure was occurred at the lower part if the reinforced area. Afterwards, subsequent failures were observed two times. To investigate the cause of the failure, residual shear strength was measured by performing the direct shear test of rock specimen of the site. The anchor design was based on the pull-out test. Considering the slope surface where the undulation was severe and the variation of strength was very large, buttressing was used to obtain the required anchoring capacity.

• Journal of the Korean Geotechnical Society
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• v.18 no.6
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• pp.83-101
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• 2002

Elastic waves provide an important information about the soil mass in the near-surface. Soil properties in relation to elastic wave parameters are clarified to facilitate the application of geophysical technique to soil characterization. As an example, experiments are performed to gain further insight into the behavior of unsaturated particulate materials using bender elements. The small strain stiffness is continuously measured on specimens subjected to drying, and changes in stiffness are related to changes in interparticle forces such as capillarity, bonding due to ion sharing, buttress effect due to fine migration, and cementation due to salt precipitation. The rate of menisci regeneration is studied after a perturbation as well. Finally, several phenomena associated with the evolution of capillary forces during drying are identified.

• Restorative Dentistry and Endodontics
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• v.14 no.1
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• pp.205-210
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• 1989

The purpose of this study was to observe the minim pins of Link plus (which has buttress thread and shoulder stop design) inserted into dentin and the dentin surrounding pin. The gingival walls of class II cavity were prepared with high speed handpiece in molar teeth not elapsed time after teeth were extracted, and pinhole of 2mm in depth was positioned about 1 mm to the dentinoenamel junction and minim pin was inserted with wrench. After initial examination of the specimens, the specimens were sectioned longitudinally and horizontally to the pins with carborundum disc and low speed diamond saw (Isomet Buehler Ltd) All specimens were coated Au of 250-300${\AA}$ in thickness with Ion Sputter JFC 100 and observed under Scanning Electron Microscope (JSM-35) The following results were obtained. 1. The shoulder stop was seated on the enterance of pinhole in gingival wall, and there were the irregular space between the pin and dentin at the enterance to the pin hole and flakes of dentin lifting from the dentin floor. 2. In case of section to pin horizontally or longitudinally, the dentin debris were observed in gap between pin and dentin, and small cracks were often seen in the dentin surrounding minim pins.

• Journal of Dental Rehabilitation and Applied Science
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• v.23 no.4
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• pp.373-384
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• 2007

The purpose of this study was to analyse the stress distribution on the craniofacial suture and cranium after application of RME. Twelve years and six months old boy and twenty years old adult male were chosen for taking computed-tomography for FEM. From DICOM visual information, it was processed by 3-dimensional image construction program Mimics 10.01. Hounsfield unit(HU) which shows gray scale of CT image is picked for revealing mechanical properties of each model. The models have been accomplished with various range of physical properties. After applying 5.0 mm expansion, the maxillary complex model was obeserved for analyzing displacement and stress distribution of the model. The amount of transverse expansion of child and adult maxilla is different according to its location. It appears that it decreases gradually with the distance from separation site. In child, maximum compressive stress located broad area in zygomatic buttress department and the ends of frontal process of maxilla, pterygoid plate, and bones surrounding orbit. However, in adult maximum compressive stress was located smaller area and the stres was higher than child.