• Proceedings of the Korea Water Resources Association Conference
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• 2017.05a
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• pp.53-53
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• 2017

DCIA(Directly Connected Impervious Area) 및 EIA(Efficient Impervious Area)의 개념은 불투수층의 하위 개념으로서, 배수관망으로 직접 연결되어 있는 불투수층이다. DCIA는 하천 생태계의 건전성을 예측함에 있어 전체 불투수지역 자료를 사용하는 것보다 정확성이 높다. DCIA의 가장 큰 장점은 도시환경에서 녹색 사회기반시설(green infrastructure)과 밀접한 관련이 있는 것으로 알려지면서, 최근에 녹색 사회기반시설 설치에 따른 영향분석을 평가하는 중요한 요소로 자리잡고 있다. 본 연구에서는 정밀 토지피복도를 이용하여 DCIA를 산정하였으며, 이를 이용하여 유출량 해석을 수행한 결과 전체 불투수지역 자료를 사용한 것 보다 높은 정확도를 보였다. 또한 대상유역의 녹색 사회기반시설 설치에 따른 유출량의 변화를 평가하기 위하여 DCIA와 폭함수를 이용한 분석을 수행하였다. 분석결과 녹색 사회기반시설 설치에 따른 DCIA의 감소율에 따라 첨두홍수량 저감을 확인할 수 있었다. 이러한 결과는 도시유역의 홍수량 저감방안으로서 DCIA 분석을 기반으로 한 녹색 사회기반시설을 보다 적극적으로 도입할 수 있다는 것을 의미한다.

• Proceedings of the Korea Water Resources Association Conference
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• 2019.05a
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• pp.65-65
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• 2019

DCIA(Directly Connected Impervious Area) 및 EIA(Efficient Impervious Area)는 불투수층의 하위 개념으로서, 배수관망과 직접 연결된 불투수층을 지칭한다. DCIA는 하천 생태계의 건전성을 예측함에 있어 전체 불투수지역 자료를 사용하는 것보다 정확성이 높다. DCIA는 도시환경에서 녹색 사회기반시설(green infrastructure)과 밀접한 관련이 있는 것으로 알려지면서, 최근에 녹색 사회기반시설 설치에 따른 영향분석을 평가하는 중요한 요소로 자리잡고 있다. 본 연구에서는 도시지역의 정밀 토지피복도를 이용하여 DCIA를 산정하였으며, 이를 이용하여 유출량 해석을 수행한 결과 전체 불투수지역 자료를 사용한 것 보다 높은 정확도를 보였다. 또한 대상유역의 녹색 사회기반시설 설치에 따른 유출량의 변화를 평가 결과 그린인프라 설치로 이한 DCIA의 감소와 이에 따른 첨두홍수량 저감을 확인할 수 있었다. 이러한 결과는 도시유역의 홍수량 저감방안으로서 DCIA 분석을 기반으로 한 녹색 사회기반시설을 보다 적극적으로 도입할 수 있다는 것을 의미한다.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.33 no.6
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• pp.525-528
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• 2011

A deep circumflex iliac artery (DCIA) flap is usually used for reconstruction in oral and maxillo-facial surgery department since introduced by O'Brien in 1975. Various flap designs are possible for osteomusculocutaneous, musculocutaneous, musculosseous and vascularized bone types. Iliac crest shape is similar to contour of mandible. Moreover, though a fibular flap has only 15~20 mm of cutting plane width, a DCIA flap contains much more bone amount, making this a similar reconstruction compare with normal mandible. A 68 year-old male with squamous cell carcinoma on the anterior floor of the mouth had an impression with T2N0Mx and the treatment procedure was DCIA reconstruction after wide resection and marginal mandibulectomy, with both supraomohyoid neck dissection. We present an experience of DCIA flap for reconstruction with a literature review.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.28 no.6
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• pp.586-589
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• 2006

Deep circumflex iliac artery (DCIA) flap can be harvested as a composite free flap and is often used to adequately reconstruct wide mandibular defects. However, the harvesting of this DCIA flap can result in severe osseous defect of the donor site causing a morphologic defect in the iliac crest. To reconstruct this defect of the iliac donor site, several innovative techniques using bioactive ceramic spacers, autogenous rib bone, polylactic acid mesh, or titanium plates have been introduced. Nonetheless, these methods have not been widely used due to high cost, secondary donor site morbidity, difficulty of use, and postoperative dissatisfaction. We used two titanium plates to reconstruct the donor iliac site defect at the harvesting time of primary DCIA flap surgery in the 30-year old female with an ameloblastoma in the left mandible. Postoperatively, both iliac sites were relatively balanced and there were few complications. At the 2 years follow-up, there were no specific abnormal radiographic findings and the patient was very satisfied with her esthetic iliac contouring. In our report, we evaluate the effect of two titanium plates on the reconstruction of the iliac donor site in the aspects of esthetics and usefulness. This technique has many advantages, such as reduced cost, simplicity, decreased postoperative pain or discomfort, and improved bilateral balance of both anterior iliac crest contours, especially in young female patients.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.36 no.4
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• pp.161-167
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• 2014

Purpose: The reconstruction of mandibular defects poses many difficulties due to the unique, complex shape of the mandible and the temporomandibular joints. With development of microvascular anastomosis, free tissue transplantation techniques, such as deep circumflex iliac artery (DCIA) flap and fibular free flap (FFF), were developed. The DCIA offers good quality and quantity of bone tissue for mandibular segmental defect and implant for dental rehabilitation. Virtual surgical planning (VSP) and stereolithography-guided osteotomy are currently successfully applied in three-dimensional mandibular reconstruction, but most use FFF. There are only a few articles on reconstruction with the DCIA that assess the postoperative results. Methods: Three patients admitted during a five month period (April of 2013 to August of 2013) underwent resection of mandible and DCIA musculo-osseous reconstruction using a VSP and stereolithographic modeling and assessment of outcomes included technical accuracy, esthetic contour, and functional outcomes. Results: This technique yielded iliac bone segment with excellent apposition and duplication of the preoperative plan. Flap survival was 100 percent and all patients maintained preoperative occlusion and contour. Conclusion: Based on our experience, we offer considerations and logically consistent protocols by classification of mandibular defects, and demonstrate the benefits in VSP and stereolithographic modeling of mandibular reconstructive surgery with DCIA flap.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.38
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• pp.10.1-10.5
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• 2016

Herniation after harvesting of deep circumflex iliac artery (DCIA) flap is a known but not a common complication. It occurs about 2.8 to 9 % according to the literatures and can proceed to a more severe complication such as bowel obstruction. There are several factors that exacerbate the risk: surgical factors, operator factor, and patient factors. Surgical factors include large anatomical defect and denervation of related muscles. Operator factor stands for unpunctual suture technique. Patient factors represent obesity, diabetes, pulmonary disease, smoking habits, and so on. Thus, herniation might occur regardless of meticulous suture. Herein, we would like to report two cases of herniation after DCIA flap harvesting and repaired by Lichtenstein tension-free hernioplasty with literature review.

• Journal of International Society for Simulation Surgery
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• v.2 no.2
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• pp.83-86
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• 2015

Recently, computer-assisted surgery is popular for performing well-planned operations. Computer-aided navigation system is helpful in maxillofacial surgery with real time instrument positioning and clear anatomic identification. Generally, segmental mandibulectomy and reconstruction flap surgery have done by extra-oral approach such as, submandibular approach. This case report describes performing intra-oral segmental mandibulectomy and reconstruction with monocortical deep circumflex iliac artery (DCIA) flap and CT guided implant surgery by using computer-aided surgical guide and navigation for managing ameloblastoma in a 31 years old female patient.

• Water for future
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• v.48 no.8
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• pp.60-68
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• 2015

• Proceedings of the Korea Water Resources Association Conference
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• 2016.05a
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• pp.154-154
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• 2016

우리나라는 급격한 경제 발전과 함께 빠르게 도시화가 진행되었다. 하지만 도시화가 진행됨에 따라 불투수면적의 증가로 인해 도시지역 침수에 대한 위험이 야기되고 있다. 배수관망 체계는 지역 내의 강우를 빠르게 배출하는데 목적을 두고 발전해 왔다. 이러한 노력에도 불구하고 서울시는 2010년, 2011년과 같이 반복적인 침수로 인명과 재산 피해를 겪고 있는 실정이다. 본 연구에서는 2010년과 2011년을 기준으로 침수된 서울시 100개의 유역을 선정하고 깁스모형을 적용하여 침수지역을 중심으로 한 배수관망체계의 특성을 분석하였다. 이와 함께 각 유역의 IA(Impervious Area)와 DCIA(Directly Connected Impervious Area)를 근거로 불투수면적의 공간적 분포 특성도 분석하였다. 깁스모형을 이용한 네트워크 특성과 불투수면적의 공간적 분포 특성을 근거로 침수지역과의 상관관계를 분석하였다. 이를 바탕으로 도시 지역의 배수관망의 효율성을 판단하고 지역 특성에 최적화된 배수관망체계를 구축하는데 도움이 될 것이라 기대된다.

• The Journal of the Korean dental association
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• v.49 no.9
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• pp.520-526
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• 2011

Vascularized iliac crest flap include bone tissue of good quality and quantity for mandible segmental defect. Even if fibular flap can contain longer bone tissue, iliac crest has esthetic shape for mandible body reconstruction and large height for implant. Conventional vascularized iliac crest osteomyocutaneous flap is too bulky for reconstruction of intraoral soft tissue defect. But modified flap can reduce soft tissue volume, so is good for functional reconstruction of oral mucosa. It takes only one month for completely replace oral mucosa. The final mucosal texture is much better than other skin paddle flap, especially for implant prosthesis. Donor site morbidity of this method looks same level or less with other modalities functionally and socially. In case of oral mucosa-mandible combined defect, vascularized iliac crest with internal oblique muscle flap shows good outcomes for hard and soft tissue.