• Journal of Korean Neurosurgical Society
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• v.42 no.1
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• pp.1-5
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• 2007

Objective : We studied whether frontal skull base fracture has an impact on the occurrence and recovery of anosmia and/or ageusia following frontal traumatic brain injury (TBI). Methods : Between May 2003 and April 2005, 102 consecutive patients who had hemorrhage or contusion on the frontal lobe base were conservatively treated. Relevant clinical and radiographic data were collected, and assessment of impaired smell and taste sensation were also surveyed up to at least 12 months post-injury. Results : Among 102 patients, anosmia was noted in 22 (21.6%), of whom 10 had ageusia at a mean 4.4 days after trauma. Bilateral frontal lobe injuries were noted in 20 of 22 patients with anosmia and in all 10 patients with ageusia. Frontal skull base fracture was noted in 41 patients, of whom 9 (21.4%) had anosmia and 4 (9.5%) had ageusia. There was no statistical difference in the occurrence of anosmia and ageusia between patients with or without fracture. Of the 22 patients with anosmia, recovery from anosmia occurred in nine (40.9%) at the interval of 6 to 24 months after trauma, of whom six had frontal skull base fracture and three were not associated with fracture. Recovery of anosmia was significantly higher in patients without fracture than those with fracture (p<0.05). Recovery from ageusia occurred in only two of 10 patients at the interval of 18 to 20 months after trauma and was not eminent in patients without fracture. Conclusion : One should be alert and seek possibile occurrence of the anosmia and/or ageusia following frontal TBI. It is suggested that recovery is quite less likely if such patients have fractures on the frontal base, and these patients should wait for at least 6 to 18 months to anticipate such recovery if there is no injury to the central olfactory structures.

• Archives of Plastic Surgery
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• v.50 no.1
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• pp.54-58
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• 2023

Patients with Crouzon syndrome have increased risks of cerebrospinal fluid rhinorrhea and meningoencephalocele after LeFort III osteotomy. We report a rare case of meningoencephalocele following LeFort III midface advancement in a patient with Crouzon syndrome. Over 10 years since it was incidentally found during transnasal endoscopic orbital decompression, the untreated meningoencephalocele eventually led to intermittent clear nasal discharge, frontal headache, and seizure. Computed tomography and magnetic resonance imaging demonstrated meningoencephalocele in the left frontal-ethmoid-maxillary sinus through a focal defect of the anterior cranial base. Through bifrontal craniotomy, the meningoencephalocele was removed and the anterior cranial base was reconstructed with a pericranial flap and split calvarial bone graft. Secondary frontal advancement was concurrently performed to relieve suspicious increased intracranial pressure, limit visual deterioration, and improve the forehead shape. Surgeons should be aware that patients with Crouzon syndrome have the potential for an unrecognized dural injury during LeFort III osteotomy due to anatomical differences such as inferior displacement and thinning of the anterior cranial base.

• Journal of Korean Neurosurgical Society
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• v.65 no.6
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• pp.846-852
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• 2022

Objective : Traumatic intracranial hematomas have been rarely evacuated by endoscopic surgery. The frontal lobe is the usual location for the traumatic intracerebral hematoma (TICH). Endoscopic evacuation for the frontal TICHs via an eyebrow incision is to be presented as minimally invasive surgery. Methods : Thirteen patients with frontal TICHs were managed with endoscopic hematoma evacuation via eyebrow incision. After making the incision in the lateral eyebrow, a small frontal craniotomy was made, and the hematoma was evacuated under direct visualization of a rigid endoscope. No catheter was placed. Orbital rim resection, hematoma evacuation rate, surgical complications, and outcome at discharge were analyzed. Results : Men were 11 and the mean age was 54 years old (range, 27-86). Orbitotomy was performed in four patients, and no effect on the hematoma evacuation rate was observed. More than 80% of the hematoma volume was successfully removed in 10 cases. Hematoma configuration was not related to the hematoma evacuation rate. None of the patients underwent revision operation or decompressive craniectomy. Conclusion : Endoscopic evacuation of the TICHs with the supraorbital approach may be a good method to evacuate the hematoma located in the frontal base.

• Journal of Korean Neurosurgical Society
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• v.45 no.2
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• pp.103-106
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• 2009

Intracranial schwannomas preferentially arise from the vestibular branch of the eighth nerve, and rarely from the trigeminal nerve, facial nerve, and lower cranial nerves. Anterior cranial fossa schwannomas are extremely uncommon and few details about them have been reported. The patient was a 39-year-old woman whose chief complaints were anosmia and frontal headache for 2 years. The gadolinium (Gd)-enhanced magnetic resonance imaging (MRI) showed an extra-axial mass from ethmoid sinus to right frontal base region near the midline, with solid enhancement in lower portion and multicystic formation in upper portion. The tumor was totally resected via basal subfrontal approach. At operation, the tumor had cystic portion with marginal calcification and the anterior skull base was destructed by the tumor. The olfactory bulb was involved, and the tumor capsule did not contain neoplastic cells. The histopathological diagnosis was schwannoma. We report a rare case of anterior cranial fossa schwannoma with literature review.

• Proceedings of the KSME Conference
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• 2001.11a
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• pp.489-494
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• 2001

This paper develops a finite element model for frontal crash analysis of a large-sized truck. It is composed of 220 parts, 70,041 nodes and 69,073 elements. This paper explains only major parts' models in detail such as frame, cab, floor, and bumper which affect on crash analysis a lot. In order to prevent penetration not only at a part itself but also between parts, all contact areas are defined using type-36, self-impact type. The developed model's reliability is validated by comparing simulation and crash test results. The results used for model validation are vehicle pulses at B-pillar, and frame and deformation of frame and cab. The frontal crash simulation is performed with the same conditions as crash test. And, it is performed using PAM-CRASH installed in super-computer SP2. The developed model whose reliability is verified may be used as a base to develop a finite element model for occupant behavior and injury coefficient analysis.

• Proceedings of the KSRS Conference
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• v.2
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• pp.954-957
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• 2006

Satellite data (thermal and color imagery) show that offshore flowing filaments off the west coasts of North America, North and South Africa can influence significantly the cross-frontal mixing in the coastal upwelling zones. To evaluate this role, we investigated structure, dynamics and behavior of surface filaments in the Canary and Benguela upwelling regions on the base of daily satellite IR and VIS imagery (AVHRR NOAA, MODIS-Aqua). It was found that seasonal variability of the filaments location depends on intra-annual shift of general upwelling intensity along the coast. The main statistical characteristics of filaments - length, width, temperature anomaly and estimates of velocity were obtained. Estimates of cross-frontal water exchange due to filamentation based on the statistical data show that these coherent structures play a major role in the water and particle exchange between coastal zone and the open ocean in both upwelling regions.

• Journal of the Korean Society of Clothing and Textiles
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• v.19 no.3
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• pp.463-470
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• 1995

Anthropological measurements concerning 29 items were made on 37 adult males aged from 20 to 60. Factor analysis was applied in all 36 items. The main results are as gallows 1. Neck girth and need base girth are smaller. in the elder croup than the gouger group. 2. These decrease occur in the frontal part of the neck. 3. Neck frontal width decreases with age, but side depth increases. 4. The back part of the body depth at the level of the shoulder increases with age. 5. For the factor analysis, the third factor is a factor of forms, the variations of which has a relation with age.

• Journal of Auto-vehicle Safety Association
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• v.7 no.1
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• pp.13-19
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• 2015

Recently, Child safety has become one of the issue with Q10 dummy representing large child. The objective of this paper was to evaluate performance of three child restraints system (backless booster, high-back booster and without booster) by changing D-ring location in the rear seat. Sled tests were carried out with a Q 10 in 64km/h frontal impact. Before the dynamic sled tests, we assessed dummy positioning with difference in CRS types and height adjustment positions. Dynamic sled test results indicated that there is different performance of CRS types and belt routing. These test results will use as base line data for development CRS safety performance for Q 10.

• International Journal of Automotive Technology
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• v.6 no.6
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• pp.643-655
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• 2005

The frontal crash optimization of S-shaped closed-hat section member using the homogenization method, design of experiment (DOE) and response surface method (RSM) was studied. The optimization to effectively absorb more crash energy was studied to introduce the reinforcement design. The main focus of design was to decide the optimum size and thickness of reinforcement. In this study, the location of reinforcement was decided by homogenization method. Also, the effective size and thickness of reinforcements was studied by design of experiments and response surface method. The effects of various impact velocity for reinforcement design were researched. The high impact velocity reinforcement design showed to absorb the more crash energy than low velocities design. The effect of size and thickness of reinforcement was studied and the sensitivity of size and thickness was different according to base thickness of model. The optimum size and thickness of the reinforcement has shown a direct proportion to the thickness of base model. Also, the thicker the base model was, the effect of optimization using reinforcement was the bigger. The trend curve for effective size and thickness of reinforcement using response surface method was obtained. The predicted size and thickness of reinforcement by RSM were compared with results of DOE. The results of a specific dynamic mean crushing loads for the predicted design by RSM were shown the small difference with the predicted results by RSM and DOE. These trend curves can be used as a basic guideline to find the optimum reinforcement design for S-shaped member.

• Journal of Trauma and Injury
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• v.21 no.1
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• pp.66-69
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• 2008

Traumatic bilateral abducens nerve palsy is rare and is associated with intracranial, skull and cervical spine injuries. We report a case of bilateral abducens nerve palsy in a 40-month-old patient with a skull base fracture. The injury mechanism was associated with direct nerve injury caused by a right petrous bone fracture and indirect injury by frontal impact on the abducens nerve at the point of fixation to the petrous portion and Dorello's canal. The emergency physician should be aware of injuries and the mechanism of abducens nerve palsy in head trauma.