• Title/Summary/Keyword: Graft

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Effect Of Bioceramic Grafts With And Without eptfe Membrane In Periodontal Osseous Defects In Dogs (생체요업재료와 차폐막의 복합사용후 골연하 결손부의 재생효과)

  • Lee, In-Kyung;Lee, Ki-Young;Han, Soo-Boo;Ko, Jae-Sung;Cho, Jeong-Sik
    • Journal of Periodontal and Implant Science
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    • v.26 no.1
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    • pp.47-67
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    • 1996
  • The purpose of this study was to observe the effect of $Biocoral^R$ graft and bioglass 45S5 graft in combination with ePTFE membrane in periodontal osseous defects for new bone formation. Nine healthy dogs were used. Under general anesthesia, 3-wall defects were created on the mesial and distal surfaces of the maxillary right canines, the mesials of the maxillary right second premolars, the distals of the mandibular right canines and the mesials of the mandibular right third premolars. To induce periodontitis, a silicone rubber, $Provil^R$ light body, was injected under pressure into the defects. Ninety days later, $Provil^R$was removed and followed by thorough root planing. The followings were then applied in the mesial and distal defects of the maxillary right canines, the mesials of the maxillary right second premolars, the distals of the mandibular right canines and the mesials of the mandibular right third premolars by random selections : 1) ePTFE membrane only application, 2) $Biocoral^R$ graft, 3) $Biocoral^R$ graft and ePTFE membrane application, 4)Bioglass 45S5 graft, 5) Bioglass 45S5 graft and ePTFE membrane application. The membranes were removed 1 month later. The dogs were sacrified at 1, 2 and 3 months following the graft, and block sections were made, demineralized, embedded, stained and examined by light microscope and transmission electron microscope. On the sections from teeth treated with ePTFE membrane only, the defect demonstrated extensive connnective tissue and alveolar bone regeneration. The $Biocoral^R$ graft group demonstrated extensive bone regeneration compared with ePTFE membrane only group. In the $Biocoral^R$ graft plus ePTFE membrane group, regeneration of new alveolus and crest occurred within the defect. As the experimental period lengthened, bone regeneration was increased and bone bridge was formed among the graft particles. The but bioglass 45S5 graft group demonstrated extensive bone regeneration but the amount of new bone was less than that of the $Biocoral^R$ graft group. For the bioglass 45S5 graft plus ePTFE membrane group, the amount of new bone was also increased. As the experimental period lengthened, bone regeneration was increased. Multinucleated giant cells, fibroblasts and macrophages were observed. As the bone formation was increased, the number of such cells was decreased. In conclusion, the $Biocoral^R$ was found better than the bioglass 45S5 for new bone formation, and the use of ePTFE membrane alone or with $Biocoral^R$/bioglass 45S5 can be supported as potential methods of promoting bone formation.

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Outcomes and Patency of Complex Configurations of Composite Grafts Using Bilateral Internal Thoracic Arteries

  • Shih, Beatrice Chia-Hui;Chung, Suryeun;Kim, Hakju;Chang, Hyoung Woo;Kim, Dong Jung;Lim, Cheong;Park, Kay-Hyun;Kim, Jun Sung
    • Journal of Chest Surgery
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    • v.53 no.2
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    • pp.64-72
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    • 2020
  • Background: It is generally agreed that using a bilateral internal thoracic artery (BITA) composite graft improves long-term survival after coronary artery bypass grafting (CABG). Although the left internal thoracic artery (LITA)-based Y-composite graft is widely adopted, technical or anatomical difficulties necessitate complex configurations. We aimed to investigate whether BITA configuration impacts survival or patency in patients undergoing coronary revascularization. Methods: Between January 2006 and June 2017, 1,161 patients underwent CABG at Seoul National University Bundang Hospital, where the standard technique is a LITA-based Y-composite graft with the right internal thoracic artery (RITA) sequentially anastomosed to non-left anterior descending (LAD) targets. Total of 160 patients underwent CABG using BITA with modifications. Their medical records and imaging data were reviewed retrospectively to investigate technical details, clinical outcomes, and graft patency. Results: Modifications of the typical Y-graft (group 1, n=90), LITA-based I-graft (group 2, n=39), and RITA-based composite graft (group 3, n=31) were used due to insufficient RITA length (47%), problems using LITA (28%), and target vessel anatomy (25%). The overall 30-day mortality rate was 1.9%. Among 116 patients who underwent computed tomography or conventional angiography at a mean interval of 29.9±33.1 months postoperatively, the graft patency rates were 98.7%, 95.3%, and 83.6% for the LAD, left circumflex artery, and right coronary artery territories, respectively. Patency rates for the inflow, secondary, and tertiary grafts were 98.2%, 90.5%, and 80.4%, respectively. The RITA-based graft (group 3) had the lowest patency rate of the various configurations (p<0.011). Conclusion: LITA-based Y composite graft, showed satisfactory clinical outcomes and patency whereas modifications of RITA- based composite graft had the lowest patency and 5-year survival rates. Therefore, when using RITA-based composite graft, other options should be considered before proceeding atypical configurations.

Evaluation of the Healing Process of Autogenous Tooth Bone Graft Material Nine Months after Sinus Bone Graft: Micromorphometric and Histological Evaluation

  • Kim, Young-Kyun;Jun, Sang-Ho;Um, In-Woong;Kim, Sooyeon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.35 no.5
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    • pp.310-315
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    • 2013
  • Micromorphometric and histological examinations were conducted with a collected tissue specimen nine months after sinus bone graft using autogenous tooth bone graft material (AutoBT). As a result of micro-computed tomographic analysis, the total bone volume (graft material+new bone) was 76.45%, and the proportion of new bone was 45.4%. The bone mineral density and the average Hounsfield Unit of new bone were 0.26 and 1,164.69, respectively. The histological examination showed that AutoBT particles were united well with new bone. AutoBT was considered to have excellent bone healing ability after sinus graft and bone density that can resist repneumatization.

Axillo-Axillar bypass with Gore-Tex graft for a pulseless disease. (액와동맥간 Bypass Graft 를 이용한 무맥증 수술치험 1례)

  • 이신영
    • Journal of Chest Surgery
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    • v.18 no.3
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    • pp.466-469
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    • 1985
  • The patient was 17 years old female who complained of coldness of right arm and occasional dizziness, since 4 months prior to admission. On physical examination, the right radial, brachial and common carotid arterial pulses were not palpable. Aortography revealed narrowing of innominate and right common carotid arteries, and complete obstruction of right subclavian artery. The right axillary artery was faintly visualized on the delayed film. Axillo-axillar bypass was done using Gore-Tex graft of 8 mm I.D.. By bilateral subclavicular incision, both side axillary arteries was exposed. End to side anastomosis was made between graft and right axillary artery and the graft was brought out to the left side, subcutaneously, over the sternum, and the anastomosis was made between graft and left axillary artery. Postoperatively, both radial pulses were equally palpable. On follow-up visiting, there were no subjective symptoms and blood pressure in both arms was equal.

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Free jejunal graft for replacement of cervical esophagus (유리 장 이식편을 이용한 식도 재건)

  • Lee, Hong-Seop;Lee, In-Seong;Kim, Chang-Ho
    • Journal of Chest Surgery
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    • v.17 no.4
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    • pp.775-779
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    • 1984
  • Reconstruction of the pharynx and cervical esophagus is a difficult surgical problem. A successful case of reconstruction of cervical esophagus by free jejunal graft upon a 23-year-old female who had stricture in the pharynx and cervical esophagus after ingestion of hydrochloric acid is presented. This procedure was done after the primary traditional reconstruction with right sided colon had resulted in restenosis due to necrosis of the cervical portion of the graft. A proximal jejunal segment, about 12 cm in length was isolated for free graft preserving its vascular arcade. Both superior thyroid artery and vein were anastomosed to the graft vessels in end to end by continuous suture of 8-0 monophil. Nylon. The postoperative course was uneventful. The patient has been followed for 4 months after operation and she can eat every kind of food without dysphagia. We think free jejunal graft offers an excellent and safe method of reconstructing cervical esophagus and pharynx with definitive advantages over other traditional techniques.

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Graft Polymerization of Methacrylic acid onto PET Film (PET필름에 Methacrylic 산의 그라프트 중합)

  • Chung Hae Won
    • Journal of the Korean Society of Clothing and Textiles
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    • v.10 no.2
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    • pp.79-84
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    • 1986
  • Methacrylic acid was graft polymerized with benzoyl peroxide in itiator onto the commercial PET film. Graft polymerization was carried out in emulsion, which consisted of BPO (1), chlorobenzene(8) as swelling agent, tween 80(1) and sodium lauryl sulfate(1) as emulsifier and water(1,000). Original PET film has poor reactivities and, so the film preswdled with benzyl alcohol($150^{\circ}C$, 1hr) was also examined. The graft yield of PET film was increased with reaction temperature and monomer concentration. The graft yield of preswelled PET film was higher than that of no-treated PET film. Moisture regain was linearly increased with graft yield. DSC thermodiagram showed the Tm of grafted PET film was same as that of original PET film. Grafted PET film was dyed with methylene blue solution. The photograph of the cross section showed that grafting was occured not at the center but near surfaces.

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BONE GRAFT PROCEDURE WITH ENDOSSEOUS IMPLANTS : A REVIEW OF THE LITERATURE (골유착성 임프란트와 관련된 골 이식술에 대한 문헌 고찰)

  • Moon, Se-Ki;Chung, Ho-Kyun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.26 no.5
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    • pp.533-539
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    • 2000
  • Recent development of dental implantology has taken an interest in the bone graft procedure. This is a review of literature, published from 1994 to November 1999. This study is provided by MEDLINE search. In this study, 718 patients received 829 graft with placing 2,677 endosseous implants. In mandible, nonvascularized or vascularized block bone grafts provided better results(success rate 95.2%) than particulate grafts(83.6%). But in maxilla, particulate grafts provided better results(93.7%, 86.2%) and more cases especially in sinus elevation. There were many cases using autogenous bone graft and revealed good results, but allogenic or alloplastic bone graft materials also were used by many surgeons.

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NUMERICAL ANALYSIS ON THE BLOOD FLOW CHARACTERISTIC IN THE ARTERIOVENOUS GRAFT FOR DIFFERENT INJECTION METHOD OF BLOOD (혈액 투석시 충혈방법에 따른 인조혈관 내 유동 특성에 관한 수치해석 연구)

  • Kim, J.T.;Sung, K.H.;Ryou, H.S.
    • Journal of computational fluids engineering
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    • v.18 no.3
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    • pp.14-19
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    • 2013
  • Renal failure patients have to operate arteriovenous graft for hemodialysis. Blood flow characteristics influence the patency rate of arteriovenous graft. Numerical investigation is performed with the arteriovenous graft according to injection of blood. As a result, when the injection is not applied to venous graft, the low wall shear stress region appears at venous anastomosis. It may cause intimal hyperplasia at venous anastomosis.

TECHNETIUM-99m BONE SCAN FOR EVALUATING AUTOLOGOUS ILIAC BONE GRAFT AND FREEZE-DRIED BONE ALLOGRAFT IN DOG'S MANDIBLE (Technetium-99m 골주사를 이용한 하악골의 자가골 및 동종골 이식의 평가에 대한 실험적 연구)

  • Jin, Sung-Bark;Kim, Soo-Kyung
    • The Journal of the Korean dental association
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    • v.22 no.1 s.176
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    • pp.37-48
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    • 1984
  • Clinical assessment of bone-graft healing in the maxillofacial region is generally limited to clinical evaluation, radiographs, and biopsy. Sequential interpretation of osseous repair, more sensitive than with conventional radiography is possible with a non-invasive, non-destructive radionuclide method. Technetium-99m radionuclide bone scan was used in the evaluation of the progress of osteogenic activity in autologous iliac bone graft and freeze-dried bone allograft of dog's mandible. Bone scan was performed at 1wk, 2wk, 4wk, 6wk, and 8wk after grafting. In autologous graft the activity ratio for the graft bone remained greater than that of the host since 2자 after grafting; however, in lyophilized allograft the activity ratio for graft bone was greater than that of the host at 6자 after grafting.

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Preparation and Properties of Polyolefin Graft Polymer available as a Primer for Polyurethane Adhesive (I) Synthesis of polyolefins with cyclic acid anhydride by free radical graft polymerization

  • Ryu, Ki Jung;Kim, Min Jung;Min, Seong Kee;Lee, Won Kee;Park, Chan Young
    • Elastomers and Composites
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    • v.50 no.2
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    • pp.119-125
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    • 2015
  • Because of their low surface free energy and absence of polar groups at the surface, polyolefins are substrates whose wetting and adhesion are very difficult. Free radical grafting of monomers to backbone polymer is one of the most attractive ways for the chemical modification of polymers. Synthesis of graft copolymer through graft polymerizations of PE and/or PP with phthalic anhydride (PhAn) was made and FTIR spectra of the graft polymer were the examined. And also the effects of phthalic anhydride content on the grafting ratio, thermal properties and contact angle of the graft polymer were examined.