• Advances in materials Research
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• 제12권4호
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• pp.273-286
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• 2023

The fracture mechanics make it possible to characterize the behavior with cracking of structures using parameters quantifiable in the sense of the engineer, in particular the stress field, the size of the crack, and the resistance to cracking of the material. Any structure contains defects, whether they were introduced during the production of the part (machining or molding defects for example). The aim of this work is to determine numerically by the finite element method the stress concentration factor Kt of a plate subjected to a tensile loading containing a lateral form defect with different sizes: a semicircle of different radii, a notch with different opening angles and a crack of different lengths. The crack propagation is then determined using the extended finite element technique (X-FEM). The modeling was carried out using the ABAQUS calculation code.

• Archives of Plastic Surgery
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• 제47권4호
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• pp.340-346
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• 2020

Background Adipofascial flaps covered with a skin graft address the challenges involved in reconstructing dorsal foot defects. The purpose of this study was to describe a large adipofascial flap based on the perforators of the dorsalis pedis artery for large foot defects. Methods Twelve patients aged 5-18 years with large soft tissue defects of the dorsal foot due to trauma were treated with an extended dorsalis pedis adipofascial flap from May 2016 to December 2018. The flap was elevated from the non-injured half of the dorsum of the foot. Its length was increased by fascial extension from the medial or lateral foot fascia to the plantar fascia to cover the defect. All perforators of the dorsalis pedis artery were preserved to increase flap viability. The dorsalis pedis artery and its branches were kept intact. Results The right foot was affected in 10 patients, and the left foot in two patients. All flaps survived, providing an adequate contour and durable coverage with a thin flap. Follow-up lasted up to 2 years, and patients were satisfied with the results. They were able to wear shoes. Donor-site morbidity was negligible. Two cases each of partial skin graft loss and superficial necrosis at the tip of the donor cutaneous flap occurred and were healed by a dressing. Conclusions The hinged multiperforator-based extended dorsalis pedis adipofascial flap described herein is a suitable method for reconstructing dorsal foot defects, as it provides optimal functional and aesthetic outcomes with minimal donor site morbidity.

• Archives of Plastic Surgery
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• 제46권3호
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• pp.255-261
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• 2019

Cross-leg flaps are a useful reconstructive option for complex lower limb defects when free flaps cannot be performed owing to vessel damage. We describe the use of the extended distally based sural artery flap in a cross-leg fashion for lower extremity coverage in three patients. To maximise the viability of these extended flaps, a delay was performed by raising them in a bipedicled fashion before gradual division of the tip over 5 to 7 days for cross-leg transfer. Rigid coupling of the lower limbs with external fixators was critical in preventing flap avulsion and to promote neovascular takeover. The pedicle was gradually divided over the ensuing 7 to 14 days before full flap inset and removal of the external fixators. In all three patients, the flaps survived with no complications and successful coverage of the critical defect was achieved. One patient developed a grade 2 pressure injury on his heel that resolved with conservative dressings. The donor sites and external fixator pin wounds healed well, with no functional morbidity. The cross-leg extended distally based sural artery flap is a reliable reconstructive option in challenging scenarios. Adequate flap delay, manoeuvres to reduce congestion, and postoperative rigid immobilization are key to a successful outcome.

• 대한기계학회:학술대회논문집
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• 대한기계학회 2004년도 춘계학술대회
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• pp.537-541
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• 2004

Molecular dynamics simulation of nanolithography by AFM is conducted to study nucleation of various defects, and their subsequent development and interactions as well. During nanolithography via AFM, dislocation loops are emitted along the top surface, and resourceful defect interactions such as, formation of voids chain via the motion of a jog, and creations of extended nodes and Lomer-Cottrell Lock are observed.

• Archives of Plastic Surgery
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• 제37권3호
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• pp.277-280
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• 2010

Purpose: The resection of locally advanced or recurred breast cancers frequently result in large chest wall defects and it leads to a great challenges to cover. Generally simple skin grafts are not a practical option for patients because of their poor cosmetic appearance and prognosis. The latissimus dorsi and rectus abdominis musculocutaneous flap have traditionally been recommended for closure of these large defects. Though the cosmetic result of reconstruction using these flaps is often excellent, but has significant drawbacks. Therefore, we thought that chest wall reconstruction using the external oblique musculocutaneous flap can be an alternative method for extensive chest wall defect related to large, locally advanced breast carcinoma. Methods & Results: We present a case of a 50-year-old Korean female, refered to our department with a left breast tumor for 10 months. CT demonstrate a large tumor on the left anterior chest wall and multiple nodules of varying size in the cervical areas and liver. FDG-PET showed areas of hot uptake throughout the left chest wall, mediastinum and liver. Biopsy was consistent with invasive ductal carcinoma (Grade III). The initial tumor was considered inoperable, so a series of chemotherapy was initiated. Though the size of the breast mass was slightly decreased, the patient continued to suffer from purulent discharge, unpleasant odor and contact bleeding of the mass, the salvage mastectomy was performed. Conclusion: We could reconstruct $23{\times}16\;cm$ sized large chest wall defect, resulting from the resection of a locally advanced breast carcinoma, using an external oblique musculocutaneous flap successfully. Immediate postoperatively checked flap was healthy. Overall result was good without any significant complications and discharged 3 weeks after operation.

• Journal of Chest Surgery
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• 제37권10호
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• pp.856-860
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• 2004

심내기형을 동반한 대동맥궁 단절은 매우 중한 자연경과를 갖고 있는 희귀한 선천성 심장 기형이다. 식도 폐쇄증과 기관 식도루를 동반한 심첨부 근육성 심실 중격 결손과 대동맥궁 단절을 생후 3일된 체중 2.6 kg의 신생아에서 단계적 수술법으로 치료한 경험을 보고한다. 1차 수술로서 우측 개흉술을 통한 식도 폐쇄증의 교정과 함께 좌측 개흉술에 의한 대동맥궁 광범위 단-단 문합술 및 폐동맥 교약술을 시행하였다. 1차 수술 후 87일째 정중 흉골 절개를 통해 심첨부 근육성 심실 중격 결손을 폐쇄하였다. 심실 중격 결손 폐쇄 전 유문부 근육절개술, 대동맥 전방고정술, 대동맥 풍선확장술 등의 추가 시술이 필요하였다. 최종 수술 후 3개월째 양호한 추적 결과를 경험하였기에 보고하는 바이다.

• Journal of Chest Surgery
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• 제41권4호
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• pp.476-479
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• 2008

심실 중격 결손과 폐동맥 협착을 동반한 완전 대혈관 전위를 갖는 환자에서 기존의 Rastelli수술법의 만족스럽지 않은 장기 결과가 보고되는 반면, 최근 들어 대동맥 전위술은 이 질환에서 유용한 수술방법으로 보고되고 있다. 본 증례는 우심실 유입부로 연장된 막성주위형 심실중격결손과 폐동맥 협착을 동반한 완전 대혈관 전위로 진단되어 과거에 체폐단락술을 받았던 2세 남자 환아(체중 9.6 kg)에서 우심실에서 분리한 대동맥 근부를 후방의 좌심실쪽으로 전위시켜 좌심실 유출로 재건술을 시행하고, 판막 도관을 이용하여 우심실 유출로 재건술을 시행하였다. 수술 후 시행한 심초음파 검사에서 양호한 혈역학적 소견을 보여 문헌 고찰과 함께 증례 보고를 한다.

• 한국음향학회지
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• 제30권1호
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• pp.1-8
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• 2011

본 논문에서는 ISF 계수의 순서화 성질을 이용하여 분할구조 벡터양자화기의 단점을 보완하여 ISF 계수 양자화의 성능을 높이는 알고리듬을 제안하고, 이를 이용한 광대역 음성 부호화기용 ISF 계수 양자화기를 설계한다. 16차 이상의 광대역 코덱의 ISF 계수는 계산량과 메모리 사용을 줄이기 위해서 분할구조의 벡터 양자화기를 사용한다. 분할구조 양자화기는 ISF 계수간의 상관도를 충분히 활용하지 못하는 단점이 발생한다. 제안하는 알고리듬은 이러한 단점을 극복하기 위하여 ISF 계수의 순서화 성질을 이용한다. ISF 계수의 순서화 성질을 이용하여 각 서브벡터의 불필요한 코드북 (Codebook Redundancy)을 검색할 수 있다. 이러한 불필요한 코드북은 ISF 계수의 순서화 성질, ISF 계수 예측과정과 기존 코드북의 보간법 (Interpolation)을 통해 적응적인 확장된 코드북으로 교체되어 양자화기의 성능을 향상시킨다. 제안된 알고리듬은 기존의 분할구조 양자화기에서 사용되지 못했던 17 %가량의 불필요한 코드북 인덱스를 적응적인 확장된 코드북에 할당하여, 표준화된 코덱인 AMR-WB의 ISF 계수 양자화기에 비해서 주파수 왜곡 관점에서 약 2 bit 가량의 이득을 보는 결과를 얻었다.

• 대한두개안면성형외과학회지
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• 제21권1호
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• pp.35-40
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• 2020

Background: Extensive eyelid defects are extremely challenging to reconstruct. Although numerous procedures for reconstructing periorbital defects have been proposed, no method is universally used. However, the Tenzel flap is the most commonly used technique to reconstruct eyelid defects affecting one-third to two-thirds of the eyelid. Methods: Recognizing the usefulness of the Tenzel method, we adapted it to reconstruct larger defects around the eyes. Seven patients underwent reconstruction with a modified Tenzel flap with an extended concept after wide excision of a malignant skin lesion. The main difference from the conventional method is that the modified Tenzel flap includes the medial portion of the lower lid defect. The design of a modified Tenzel flap begins as a semicircle at the lateral canthal area, in the same way as a classical Tenzel flap, and extends medially along the subciliary line to cover the defect on the medial lower eyelid. The follow-up time ranged from 3 to 28 months. Results: All flaps survived and healed well, with minimal scarring and natural palpebral outlines. Conclusion: Compared to traditional procedures, the modified Tenzel flap has several advantages, including a one-stage operation, a less noticeable scar, and effective prevention of complications such as lower eyelid ectropion.

• 한국세라믹학회지
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• 제32권12호
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• pp.1377-1382
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• 1995

A high-resolution transmission electron microscopy study on the lattice defects formed in the high energy P ion implanted silicon was carried out on an atomic level. Results show that Lomer dislocations, 60$^{\circ}$perfect dislocations, 60$^{\circ}$ dislocation dipole and extrinsic stacking fault formed in the near Rp of as-implanted specimen. In the annelaed specimens, interstitial Frank loops, 60$^{\circ}$perfect disolations, 60$^{\circ}$dislocation dipoles, stacking faults, precipitates, perfect dislocation loops and <112> rodlike defects existed exclusively near in the Rp with various annealing temperature and time. From these results, it is concluded that extended secondary defects as well as the point defect clusters could be formed without annealing. Even at low temperature annealing such as 55$0^{\circ}C$, small interstitial Frank loops could be formed and precipitates were also formed by $700^{\circ}C$ annealing. The defect band annealed at 100$0^{\circ}C$ for 1 hr could be divided into two regions depending on the distribution of the secondary defects.