• Title/Summary/Keyword: Deformed Cases

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Ventricular septal defect associated with aortic regurgitation: a report of 24 cases (대동맥판 폐쇄부전이 동반된 심실중격 결손증 수술 치험 24례 보)

  • 정경영
    • Journal of Chest Surgery
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    • v.16 no.4
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    • pp.476-484
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    • 1983
  • Ventricular septal defect[VSD] associated with aortic regurgitation[AR] represents 2 to 7.5% of all VSD which is most common congenital heart disease. The aortic valve may by normal in infants with VSD, but the aortic regurgitation may be developed in these patients later. The aortic valve became fibrotic, thickened, deformed and prolapsed, so these late deformities require to be corrected with plication, valvuloplasty or aortic valve replacement [AVR]. There are some controversy between the early repair of VSD alone and the late repair of VSD and aortic valve till now. From December 1971 to August 1983, we had experienced 24 patients of VSD associated with AR which constitute 6.5% of our total patients with VSD. The VSD was subpulmoary [type I] in 14[58.3%], subcristal [type II] in 8[33.3%], atrioventricular canal type[type III] in 1, and combine of type I and II in 1. Patch repair of VSD was made in 15 patients and direct suture of small VSD in 9.14 patients had aortic plication of valvuloplasty and 9 had AVR accompanying VSD repair, and 1 patient had VSD closure alone. The postoperative courses of these patients were uneventful except in some cases. A patient who was undertaken AVR with Starr-Edwards ball valve and VSD closure, died due to left ventricular failure and low cardiac output syndrome. Follow up shows, in 14 patients with aortic plication or valvuloplasty, AR was developed in 9. In 9 AVR, there were two later complications which were paravalvular leakage in one and re-AVR due to subacute bacterial endocarditis in another.

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Matrixplasty for the Treatment of Pincer Nail with Nail Growth Plate Deformity (성장판 변형을 동반한 집게 발톱 변형의 매트릭스플라스티를 이용한 치료)

  • Cho, Young-A;Choi, Kyung-Jin;Song, Young-Joon;Suh, Dong-Won
    • Journal of Korean Foot and Ankle Society
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    • v.15 no.3
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    • pp.139-143
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    • 2011
  • Purpose: The purpose of this study was to introduce the 'Matrixplasty' for the treatment of a severely incurved toenail with growth plate deformity and to report our results treating this disease entity. Materials and Methods: Between January 2010 and May 2010, 48 consecutive patients (62 cases) underwent treatment of symptomatic incurved toenails with the 'matrixplasty'. The mean period of time at last follow-up was $14.0{\pm}1.3$ months. The recurrence rate and complication rate were evaluated. An American Orthopedic Foot and Ankle Society (AOFAS) forefoot hallux score was assigned and patients were evaluated at pretreatment and the last follow-up meeting. For evaluation of improvement in toenail shape, the center to edge angle of the toenail was measured at pretreatment and last follow-up. Results: All ingrown toenails healed and the nail deformity was corrected within 3 weeks after the procedure. Among the 62 cases, four cases had recurred by the last follow-up. The mean pretreatment AOFAS forefoot hallux score was $73.1{\pm}12.8$, and it improved to $98.7{\pm}1.1$ by the last follow-up (p<0.01). The mean center to edge angle of the toenail improved from $53.3{\pm}12.9$ degrees to $18.2{\pm}7.4$ degrees by the last follow-up (p<0.01). Minor paronychia, which was managed with local wound dressing and oral antibiotics, was identified in eight cases. Conclusion: Matrixplasty showed excellent clinical results in the treatment of severe incurved toenail (pincer nail) and this procedure also showed great improvement of the deformed toenail and its growth plate.

Reconstruction of Atypical Tragus in Patients with Accessory Tragus or Macrotragus (부이주 및 큰이주를 동반하는 비전형적인 이주의 재건술)

  • Yoo, Won-Jae;Oh, Kap-Sung;Lim, So-Young;Pyon, Jai-Kyong;Mun, Goo-Hyun;Bang, Sa-Ik
    • Archives of Plastic Surgery
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    • v.37 no.4
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    • pp.443-446
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    • 2010
  • Purpose: Tragus is one of the key structure of the normal shape of auricle. We experienced several cases of hypoplastic tragus with preauricular appendage. This article describes the methods of reconstruction of atypical tragus using accessory tragus or macrotragus to make better aesthetic results rather than simple excision. Methods: From April, 2004 to March, 2009, 21 patients got operations by our method. Seven patients had bilateral deformity of tragus. Mean age was 12.7 years. For 17 cases of accessory tragus, simple excision, z-plasty and interpolation flap was performed. For 11 cases of macrotragus, debulking and z-plasty was performed. Mean follow-up period was 9.4 months. Results: Reconstructed tragus looked symmetric with the opposite side in contour, size, direction and partial coverage of auditory meatus. There was no enlargement of remnant appendage for the follow up period and there was no complication such as hematoma, infection and chondritis. Conclusion: In cases of small and deformed tragus, preauricular tissue such as accessory tragus and macrotragus could be a good source of tragal reconstruction.

The Effect of Inferior Turbinectomy on Heat/Humidity Transfer Ability of the Nose (하비갑개수술이 비강의 열/습도 전달 특성에 미친 영향)

  • Chung, Kang-Soo;Chang, Ji-Won;Kim, Sung-Kyun
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.36 no.4
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    • pp.419-424
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    • 2012
  • In addition to respiration, the nose performs three other major physiological functions-air-conditioning, filtering, and smelling. On the basis of our experience in experimental investigations of nasal airflows in normal and abnormal nasal cavity models, airflows in the normal model and three artificially deformed models, which simulate the results of surgical treatments (inferior turbinectomy), are investigated by PIV and CFD. The left cavities of all three models are normal, and the right cavities are modified as follows: (1) excision of the head of the inferior turbinate, (2) resection of the lower fifth of the inferior turbinate, and (3) resection of almost the entire inferior turbinate. The use of high-resolution CT data and careful surface rendering of three-dimensional computer models with the help of an ENT doctor provide more sophisticated nasal cavity models. Nasal airflows for both normal and deformed cases are also compared.

Identification of Forming Limits of Sheet Metals for Automobile Parts by Asymmetric Deep-drawing Experiments (비대칭 시편의 딥드로잉 실험에 의한 박판금속의 성형한계도)

  • Heo, Hun;Lee, Chung-Ho;Jeong, Jae-Ung
    • Transactions of Materials Processing
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    • v.7 no.1
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    • pp.81-93
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    • 1998
  • Identification of forming limits of sheet metals is an important task to be done before the sheet metal forming processes. The information of the forming limit is indispensable for design of deformed shapes and related forming processes. This procedure becomes more important than ever as the auto-body becomes complicated and the number of auto-body parts is reduced for lower production cost. To identify the forming limit of sheet metals stretching with a hemispherical punch has gained popularity because of the convenient experimental procedure. The stretching experiment however has localized deformation or the shear band is originated from the non-unifrom deformation in the critical circum-stance instead of the absolute criterion. More accurate information of the forming limit therefore could be obtained by a more appropriate experiment to the real process. In this papaer an experiment program is devised to practivally identify the forming limits of sheet metals for auto-body parts. The experiment program contains not only stretching but deep-drawing Both forming experiments use the same hemispherical punch while they use different specimens. Deep-drawing experiments use speci-mens cut out in circular arc on both sides of circular blank to make it torn during the deep-drawing They also use speciments cut out straight in one side of a circular blank to make it deformed unevenly which causes local deformation during the deep-drawing. The experimental result demonstrates that the forming limit diagrams in the two cases show difference in their effective magnitude. The forming limit curve from deep-drawing is located lower than that from stretching. It is noted from the result that the deep-drawing process causes acceleration of localized deformation in comparison with the stretching process. From the experimental result the maximum value of forming limit could be pre-dicted for safe design.

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A Study on System for measuring morphometric characteristis of fish using morphological image processing (형태학적 영상처리를 이용한 어체 측정 시스템 개발에 관한 연구)

  • Lee, Dong-Gil;Yang, Yong-Su;Kim, SeongHun;Choi, Jung-Hwa;Kang, Jun-Gu;Kim, Hee-Je
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.48 no.4
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    • pp.469-478
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    • 2012
  • To manage, sort, and grade fishery resources, it is necessary to measure their morphometric characteristics. This labor-intensive task involves performing repetitive operations on land and on a research vessel. To reduce the amount of labor required, a vision-based automatic measurement system (VAMS) for the measurement of morphometric characteristics of flatfish, such as total length (TL), body width (BW), and body height (BH), has been developed as part of a database management system for fishery resources management. This system can also measure the mass (M) of flatfish. In the present study, we describe a morphological image processing algorithm for the measurement of certain characteristics of flatfish. This algorithm, which involves preprocessing, edge pattern matching, and edge point detection, is effective in cases where the flatfish being measured has a deformed tail and is randomly oriented. The satisfactory performance of the proposed algorithm is also demonstrated by means of experiments involving the measurement of the BW, TL and BH of a flatfish when it is straightened (BW : 117mm, TL : 329mm, BH : 24.5mm), when its tail is deformed, and when it is randomly oriented.

A Study on Operation Condition of Blast Furnace According to Burden Distribution (장입물 층상구조에 따른 고로내 운전상황 변화 연구)

  • Yang, Kwang-Heok;Choi, Sang-Min;Jung, Jin-Kyung
    • 한국연소학회:학술대회논문집
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    • 2006.10a
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    • pp.145-150
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    • 2006
  • At the furnace top, the distribution of charging coke and ore is adjusted to control the reducing gas flow distribution in the furnace. It is necessary to predict operation condition of blast furnace according to the burden profile to judge whether charging is properly conducted In this study, We propose the model for predicting while layer structures whithin furnace when top burden profile was given. Layer structure of coke and ore could be predicted by top burden profile and solid velocity. Solid velocity is assumed as potential flow. Potential function distribution and timeline are also calculated using solid velocity field. The Calculation is conducted for different burden profile cases. As the result burden distribution and grid structure, which is deformed to match the layer structure in shaft and deadman profile. Gas flow was calculated using this grid, and calculated results are compared with each other.

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Analysis of Flexible Media by Dynamic Elastica Theory with Aerodynamic Force (공기저항이 고려된 Dynamic Elastica 이론을 통한 유연매체의 거동해석)

  • Hong, Sung-Kwon;Jee, Jung-Geun;Jang, Yong-Hoon;Park, No-Cheol;Park, Young-Pil
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2005.05a
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    • pp.547-550
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    • 2005
  • In many machines handling lightweight and flexible media, such as automated teller machines and printers, the media must transit an open space. It is important to predict the static and dynamic behavior of the sheets with a high degree of reliability The nonlinear theory of the dynamic elastica has often been used to a nonlinear dynamic deflection model. In this paper, the governing equation is derived and simulated by the finite difference method. The analysis has to include aerodynamic effect for more exact behavior analysis, because the flexible media can be deformed drastically by a little force. Therefore aerodynamic force must be applied to the governing equation. Different results were obtained with and without aerodynamic effect and the resulted show that after contacting circular guide, the directions of flexible media of two cases are different.

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The Analysis of Deformation Behavior in Thin Slab Caster (박슬라브 연주주편 변형 거동해석)

  • 배원병;박해두;이호국
    • Proceedings of the Korean Society for Technology of Plasticity Conference
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    • 1996.03a
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    • pp.165-171
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    • 1996
  • Recently, to improve the productivity in the continuous casting process, thin slab continuous caster which is one of the new steelmaking technologies by a high speed casting has been introduced. In the process of the thin slab continuous cast, there is more possibility than convnetional one that the deformation be occurred by the bulging of solidified shell, since the thickness of soliidfied shell is very thin as much as 60mm after the casting is finished. In some cases of severe bulging, there might be more breakout. In this paper, using finite difference method , solification analysis of slab is made as well as the thicknessof solidified shell and temperature are calculated. Also, based on the data of the calculated temperature, the deformed behavior of solidified narrow face is anlayzed with the MARC which is a package program for finite element analysis.

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Prediction of Heating-line Positions for Line Heating Process by Using a Neural Network (신경회로망을 이용한 선상가열공정의 가열선 위치선정에 관한 연구)

  • 손광재;양영수;배강열
    • Journal of Welding and Joining
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    • v.21 no.4
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    • pp.31-38
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    • 2003
  • Line heating is an effective and economical process for forming flat metal plates into three-dimensional shapes for plating of ships. Because the nature of the line heating process is a transient thermal process, followed by a thermo elastic plastic stress field, predicting deformed shapes of plate is very difficult and complex problem. In this paper, neural network model o3r solving the inverse problem of metal forming is proposed. The backpropagation neural network systems for determining line-heating positions from object shape of plate are reported in this paper. Two cases of the network are constructed-the first case has 18 lines which have different positions and directions and the second case has 10 parallel heating lines. The input data are vertical displacements of plate and the output data are selected heating lines. The train sets of neural network are obtained by using an analytical solution that predicts plate deformations in line heating process. This method shows the feasibility that the neural network can be used to determine the heating-line positions in line heating process.