• Archives of Plastic Surgery
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• 제33권3호
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• pp.276-282
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• 2006

The anterolateral thigh(ALT) flap has been known as a very versatile and reliable flap. We report our experiences with the anterolateral thigh flap for the postoncologic reconstruction of head and neck region from April 2002 to March 2005. A total of 38 subjects (M: F=30:8, mean age:53.8 years) were taken. We reviewed primary site of tumors, size and thickness of flaps, location and number of perforators, course of perforators, length of pedicle, and postoperative complications. The mean flap size, thickness and pedicle length were $11.8{\times}6.4cm$, 1.1 cm and 12.2 cm, respectively. We classified the pedicles based on the authors' criteria. Type I, pedicle with short intramuscular course, was with 29 cases(72.5%), type II, pedicle with long intramuscular course, with 6 cases(15%), type III, pedicle with septocutaneous course, with 3 cases(7.5%), and type IV, clinically unavailable pedicle, with 2 cases (5%). We experienced 1 case of partial and 1 case of total flap loss. There was 1 case of donor site wound dehiscence, which was treated by debridement and closure. According to the defect, efficient adjustment of the size and thickness of flap was possible, and favorable functional and aesthetic results have been obtained in our study. Our experience confirmed the versatility and usefulness of the anterolateral thigh flap for various reconstructions in head and neck region.

• 대한두개안면성형외과학회지
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• 제20권6호
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• pp.382-387
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• 2019

Background: Defects of the nasal ala and tip have a complex three-dimensional structure that makes them challenging to reconstruct. Many reconstructive options have been described for nasal ala and tip defects, ranging from primary closure to local flaps and skin grafts. However, it is difficult to determine which method will yield the best cosmetic results in each individual case. Thus, the purpose of this study was to determine which surgical procedures for reconstructing defects of the nasal ala and tip have better cosmetic results. Methods: From 2008 to 2018, 111 patients underwent surgery to reconstruct skin defects after resection of skin cancer in the nasal ala or tip. Their charts were reviewed to obtain data on age, sex, surgical location, size of the defect, surgical method, and cosmetic results using a visual analog scale (VAS). Results: For nasal ala reconstruction, the most commonly used surgical technique was the nasolabial flap (n= 42). This method also had the highest VAS score (7/10). The most commonly selected surgical method for nasal tip reconstruction was the bilobed flap (n= 13), and bilobed flaps and primary closure had the highest VAS score (7/10). Conclusion: Nasolabial flaps showed excellent cosmetic results for the reconstruction of nasal ala defects, while primary closure and bilobed flaps yielded excellent cosmetic results for the reconstruction of nasal tip defects.

• Archives of Plastic Surgery
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• 제40권3호
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• pp.226-231
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• 2013

Background The reconstruction of volar surface defects is difficult because of the special histologic nature of the tissue involved. The plantar surface is the most homologous in shape and function and could be considered the most ideal of reconstructive options in select cases of volar surface defects. In this paper, we evaluate a single institutional case series of volar tissue defects managed with second toe plantar free flaps. Methods A single-institution retrospective review was performed on 12 cases of reconstruction using a second toe plantar free flap. The mean age was 33 years (range, 9 to 54 years) with a male-to-female ratio of 5-to-1. The predominant mechanism was crush injury (8 cases) followed by amputations (3 cases) and a single case of burn injury. Half of the indications (6 cases) were for soft-tissue defects with the other half for scar contracture. Results All of the flaps survived through the follow-up period. Sensory recovery was related to the time interval between injury and reconstruction-with delayed operations portending worse outcomes. There were no postoperative complications in this series. Conclusions Flexion contracture is the key functional deficit of volar tissue defects. The second toe plantar free flap is the singular flap whose histology most closely matches those of the original volar tissue. In our experience, this flap is the superior reconstructive option within the specific indications dictated by the defect size and location.

• Archives of Plastic Surgery
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• 제40권5호
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• pp.564-569
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• 2013

Background Scalp defects may be caused by various etiological factors, and they represent a significant surgical and aesthetic concern. Various surgical techniques can be applied for reconstructive work such as primary closure, skin grafting, pedicled or free flaps. In this article, the authors share their clinical experience with scalp operations using the technique of local flaps and discuss the application of this method from the perspective of not only the size of the defect, but also in relation to the anatomical area, quality of surrounding tissue, and patient's condition. Methods During the period from December 2007 to December 2012, 13 patients with various scalp defects, aged 11 to 86 years, underwent reconstruction with local pedicle flaps. The indications were based on the patients' condition (age, sex, quality of surrounding tissue, and comorbidities) and wound parameters. Depending on the size of the defects, they were classified into three groups as follows: large, 20 to 50 $cm^2$; very large, 50 to 100 $cm^2$; extremely large, 100 $cm^2$. The location was defined as peripheral (frontal, temporal, occipital), central, or combined (more than one area). We performed reconstruction with 11 single transposition flaps and 1 bipedicle with a skin graft on the donor area, and 2 advancement flaps in 1 patient. Results In all of the patients, complete tissue coverage was achieved. The recovery was relatively quick, without hematoma, seroma, or infections. The flaps survived entirely. Conclusions Local flaps are widely used in scalp reconstruction since they provide healthy, stable, hair-bearing tissue and require a short healing time for the patients.

• 비파괴검사학회지
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• 제30권1호
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• pp.46-53
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• 2010

항공기용 복합재료 내부 여러 층에서 발생하는 박리를 정량적으로 평가하기 위한 X-ray 후방산란 검사장치를 개발하였다. 복합재료 두께방향으로의 역산란 밀도변화로부터 층간 박리를 검사하는 슬릿 방식의 카메라와 컴퓨터로 제어되는 X-ray 선원, 그리고 센서로 구성되는 X-ray 후방산란장치를 제작하여 그 성능을 충격하중에 의해 만들어진 인공결함시편을 이용해 검증하였다. 결함평가를 위해 복합재료내 산란장의 크기를 이론적으로 계산하는 수학적 해석 모델을 볼츠만 방정식을 이용하여 제안하였으며 적응필터 알고리즘을 사용하여 산란 노이즈를 최소화 하였다. 다중 박리 결함을 X-ray 후방산란장치를 통해 효과적으로 검출하였으며, 박리 위치와 박리 상태를 모두 정확하게 검사할 수 있음을 실험을 통해 확인하였다.

• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2015년도 추계학술대회
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• pp.687-690
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• 2015

전방 추돌 경보 시스템(FCWS) 및 차선 이탈 경보 시스템(LDWS)에서 차선 및 객체 검출을 위한 관심영역은 차도영역으로 설정되어야 한다. 분수계 분할(watershed segmentation)방법은 차도영역을 분리하기에 효과적인 알고리즘이다. 이 알고리즘은 초기 seed에 속해있는 watershed line과 국부 최소값에 따라서 분할 결과가 다르게 나타나는데 차도 seed에 그 이외의 영역이나 차량이 포함될 경우에 차도 이외의 부분이 차도영역으로 포함되어 분할된다. 이런 문제점을 보완하기 위해 도로 환경에 따라 차도 seed를 적응적으로 변경해야 한다. 그 방법으로 영상을 여러 개의 관심영역으로 분할하여 차선을 검출하고 자기차선을 잇는 직선을 초기 seed로 설정한다. 설정된 seed에 차량이 검출되면 seed 위치를 조정하고 조정된 위치에서 차선을 지나지 않는다면 차선을 지나도록 seed의 크기를 조정하여 최종적인 seed를 결정한다. 최종적으로 결정된 seed를 통해서 도로환경에 따라 적응적으로 차도영역을 검출을 가능하게 한다.

• 정보처리학회논문지B
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• 제15B권6호
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• pp.543-552
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• 2008

ATIS(Advanced Traveler Information System)는 교통 상황이나 주행 정보 등을 실시간으로 제공하여 이용자의 편익을 도모하는 시스템이다. ATIS를 위해 영상 이미지를 분석하여 교통정보를 수집 수집하는 방식은 크게 영역에 루프 검지기를 설정하여 측정하는 방식과, 영상 분석을 통해 차량을 검출하고 추적하는 방식으로 나뉜다. 본 연구에서는 차선마다 가상 검지기를 설치하는 방식을 기초로, 영상 분석 방법의 차량 위치 추적 방식을 응용하여 교통정보를 측정하는 시스템을 제안한다. 이때 가상 검지기 방식의 단점을 보완하기 위해 차선마다 다중의 가상 검지선을 설정하여, 검지 영역 내에 여러 대의 차량이 진입하거나 차량의 차선 변경 시에도 효과적으로 교통정보를 추출할 수 있게 하였고, 영상분석 방식의 문제점인 검지영역의 크기 증가에 따른 차량 추출 시간의 증가를 해결하기 위해 검지 영역 내에서 대표 픽셀을 추출하여 교통정보를 측정하였다. CCTV를 이용하여 취득한 영상에 제안하는 시스템을 이용하여 차량의 평균 속도와 차선별 교통량 측정한 결과 실제 교통량대비 평균 92.32%의 차량 검지율를 보였다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제30권6호
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• pp.513-517
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• 2008

Purpose: This study aimed to evaluate distribution and maximal value of mechanical stresses on the reconstruction plate, bridging mandibular symphysis defect, and to optimize the most appropriate locations of the plate to distribute the stress causing the fracture of the plate. Materials and methods: Four types of reconstruction were constructed by different number and location of the reconstruction plates on the 3 D finite element model (FEM) of a human edentulous mandible; Type I: one plate on the inferior border of the anterior mandible, Type II: one plate on the middle of the anterior mandible, Type III: one plate on the superior border of the anterior mandible, and Type IV: two plates on the inferior and superior border of the anterior mandible. Results: The results showed that the maximal stress of type I (234.29 Mpa) was lower than that of type II (260.91 Mpa) and type III (247.37 Mpa), but higher than that of type IV (186.64 Mpa). We could also observe that the stresses are tending to focus on the inner side and inferior part of the plate which connected proximal segment from the vertical load. Conclusions: On the basis of the findings, it was concluded that using a plate on the inferior border of mandible or two plates on the inferior and superior border of mandible are more favorable to distribute mechanical stresses, which could reduce the fracture of the plate.

• 동력기계공학회지
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• 제6권4호
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• pp.68-72
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• 2002

For the evaluation of a flaw in a welded stainless steel by the Time of Flight Diffraction(TOFD) Method, we have made the reference specimen for experimentation. As a result, we could analyze a specific character and the inner state of the structure in a welded stainless steel and we came to the conclusion as followed. (1) For analyze the structure state of a section in a welded stainless steel through the optical microscope, we could have analyzed the generated shape and the location of a flaw and the inner parts of the structure state through the microscope of eighty magnification and two hundred magnification about the soundness, the heat affected zone(HAZ) and the welded part. (2) Through the comparison with the shape and the size of a flaw in the welded part about the conventional ultrasonic test and the TOFD Method, we could make an observation the special character of the TOFD Method and principles. (3) We analyzed and collected the merit of the TOFD Method on the basis of the experimental result by the shape and the size of a flaw in the inner welded parts. So, we made up a base that we could use as a basic data for a similar flaw like that. Through the study as mentioned above, we could make an observation the flaw detective method and principles used in the TOFD Method.

• Archives of Hand and Microsurgery
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• 제23권4호
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• pp.306-312
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• 2018

안면 신경의 측두지는 그 해부학적 위치로 인하여 외상성 손상에 취약하며, 이로 인해 환자는 종종 상당한 미용적, 기능적 손실을 경험한다. 나아가 결손이 있는 만성 손상은 신경 이식 등의 추가적인 시술이 필요한 경우가 많기에 급성 손상에 비하여 그 치료가 까다롭다. 본 연구에서는 안면 신경의 측두지 손상 발생으로부터 1개월 후에 지연된 신경 이식을 한 남성 환자의 증례를 다루었다. 우리는 성공적으로 비복 신경을 분할 이식하였으며 환자는 양호한 미용적, 기능적 회복을 보였다.