• Korean Journal of Head & Neck Oncology
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• v.24 no.2
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• pp.203-206
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• 2008

Objectives：DFSP(Dermatofibrosarcoma protuberans) is an uncommon, slowly growing, locally invasive malignant tumor that usually presents as a painless, often long-standing mass arising in the dermis of skin. It occurs most frequently on the trunk and proximal parts of the limbs, less commonly in the head and neck region and has a frequent tendency to recur after surgical excision. Clinically, the initial appearance of the tumor similar to that of benign tumor such as keloid and dermatofibroma. Therefore, accurate clinical diagnosis and adequate surgical excision are important. Materials and Methods：We experienced 6 patients of DFSP in head and neck during the recent 6 years, 5 male and 1 female patients. The age of the patients ranged from 31 to 66. As reconstructive methods, the authors used cervicofacial flap, trapezius musculocutaneous flap, TRAM flap, anterolateral thigh free flap and skin graft. Results：The patients were followed up after operation from 24 to 79 months and all remained free of disease except one case, who occurred at forehead area. Conclusion：We present the experience of 6 cases of DFSP occurred in head and neck. We obtained satisfactory results with appropriate diagnosis and treatment which wide excision with surgical margins 3-5cm. We also present an operative plan of this locally aggressive and highly recurrent tumor.

• Archives of Plastic Surgery
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• v.48 no.6
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• pp.685-690
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• 2021

Background Human immunodeficiency virus (HIV)-associated lipodystrophy is a known consequence of long-term highly active antiretroviral therapy (HAART). However, a significant number of patients on HAART therapy were left with the stigmata of complications, including fat redistribution. Few studies have described the successful removal of focal areas of lipohypertrophy with successful outcomes. This manuscript reviews the outcomes of excisional lipectomy versus liposuction for HIV-associated cervicodorsal lipodystrophy. Methods We performed a 15-year retrospective review of HIV-positive patients with lipodystrophy. Patients were identified by query of secure operative logs. Data collected included demographics, medications, comorbidities, duration of HIV, surgical intervention type, pertinent laboratory values, and the amount of tissue removed. Results Nine male patients with HIV-associated lipodystrophy underwent a total of 17 procedures. Of the patients who underwent liposuction initially (n=5), 60% (n=3) experienced a recurrence. There were a total of three cases of primary liposuction followed by excisional lipectomy. One hundred percent of these cases were noted to have a recurrence postoperatively, and there was one case of seroma formation. Of the subjects who underwent excisional lipectomy (n=4), there were no documented recurrences; however, one patient's postoperative course was complicated by seroma formation. Conclusions HIV-associated lipodystrophy is a disfiguring complication of HAART therapy with significant morbidity. Given the limitations of liposuction alone as the primary intervention, excisional lipectomy is recommended as the primary treatment. Liposuction may be used for better contouring and for subsequent procedures. While there is a slightly higher risk for complications, adjunctive techniques such as quilting sutures and placement of drains may be used in conjunction with excisional lipectomy.

• Ocean and Polar Research
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• v.45 no.3
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• pp.125-140
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• 2023

We investigated meiofaunal biofouling (40-1,000 ㎛) on stranded marine plastic debris (hereafter MPD) collected from 8 coastal areas highly affected by plastic pollution located in the southern part of Korea during June, 2021, in order to analyze the abundance and composition of MPD associated organisms. A total of eight shapes of MPD was collected and classified into four types of plastics (LDPE, PET, PP and EPS) based on Resin Identification Coding System. Meiofounal biofouling was identified into 35 taxa belonging to 11 phylum, 10 classes and 12 order, and were numerically dominated by harpacticoids (EPS: 21.6%, PP: 27.1%), nematodes (LDPE: 23.2%) and foraminiferans (PET: 29.6%). Surface area of MPD was negatively correlated with abundances of organisms on the plastic debris (r = -0.487, p < 0.05, n = 24), indicating that abundances (avg. 3,225 inds. 0.1 m^-2) on the smallest area of PP debris (avg. 0.0208 m² ) were higher than those (avg. 50 inds. 0.1 m^-2) on the largest area of LDPE debris (avg. 0.4029 m^-2). Whereas, there was no correlation between surface area of MPD and the number of taxa on the debris (r = 0.147, p = 0.49, n = 24). These results showed that higher abundances of meiofaunal biofouling were observed on the PP material debris than those on the other debris collected from eight hot spots of the southern coastal waters in Korea, associated with not only polymer type and surface area of the PP debris, but also possibly surface microstructure of the PP debris.

• Archives of Craniofacial Surgery
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• v.11 no.2
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• pp.111-115
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• 2010

Purpose: A plunging ranula is relatively uncommon and represents a mucus escape reaction occurring from a disruption of the sublingual salivary gland. It is a common condition found in young adults, even though the reported age range is 2 - 61 years. We report our experience of a complete excision of a plunging ranula via the intraoral and submandibular approach. Methods: A 23-year-old man had a large protruding mass in the right submandibular area. Initially, the protruding mass appeared bilaterally but the left side disappeared spontaneously. The MRI findings revealed a homogenous fluid attenuation mass in the submandibular space, suggesting a ranula. The sublingual gland was extirpated through the intraoral approach and the ranula excised totally via the submandibular approach. Results: The patient had an uneventful postoperative course without infection, paralysis and tongue sensory changes, etc. The pathology findings were characteristic of a pseudocyst without a lining epithelium or endothelium but with a vascular fibro-conective tissue wall filled with mucinous fluid. No recurrence was observed on the submandibular area during the 8 month follow-up period. Conclusion: The combined intraoral approach and submandibular approach is an effective and highly recommended method for sublingual gland extirpation and complete excision of a plunging ranula.

• Journal of the Korean Society of Propulsion Engineers
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• v.9 no.4
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• pp.39-47
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• 2005

The structural analysis and water pressure tests are performed for liquid rocket thrust chamber regenerative cooling channel specimens at room temperature condition. Material properties of copper alloy to be used in the elastic-plastic structural analysis are obtained by uniaxial tension test at room temperature. The plate-type cooling channel specimens are manufactured and performed water pressure test to verify the analysis results. The results of elastic-plastic structural analysis and water pressure test show resonable agreements though with minor differences and it is revealed that structural stability of regenerative cooling channel is highly affected by the manufacturing tolerances due to very thin cross-sectional thickness of the cooling channel.

• Archives of Craniofacial Surgery
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• v.18 no.2
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• pp.112-116
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• 2017

The ideal scalp reconstruction involves closure of the defect with similar hair-bearing local tissue in a single step. Various reconstructions can be used including primary closure, secondary healing, skin grafts, local flaps, and microvascular tissue transfer. A 53-year-old female patient suffered glioblastoma, which had recurred for the second time. The neuro-surgeons performed radial debridement and an additional resection of the tumor, followed by reconstruction using a serratus anterior muscle flap with a split-thickness skin graft. Unfortunately, the flap became completely useless and a bilateral rotation flap was used to cover the defect. Two month later, seroma with infection was found due to recurrence of the tumor. Additional surgery was performed using multiple perforator based island flap. The patient was discharged two weeks after surgery without any complications, but two months later, the patient died. Radical surgical resection of tumor is the most important curative option, followed by functional and aesthetic reconstruction. We describe a patient with a highly malignant tumor that required multiple resections and subsequent reconstruction. Repeated recurrences of the tumor led to the failure of reconstruction and our strategy inevitably changed, from reconstruction to palliative treatment involving fast and stable wound closure for the patient's comfort.

• Journal of ILASS-Korea
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• v.7 no.2
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• pp.7-15
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• 2002

A particle flow visualization, electrostatic charging measurement and separation of triboelectrically charged particles in the external electric field by a fluidized bed tribocharger are conducted for the removal of PVC particles from mixed waste plastics. The laboratory-scale triboelectrostatic separation system consists of the fluidized bed tribocharger, a separation chamber, a collection chamber and a controller. PVC and PET particles can be imparted negative and positive surface charges respectively due to the difference of triboelectric charging series between particles and particles in the fluidized bed tribocharger, and can be separated by passing them through an external electric field. To visualize these charged particles, He-Ne laser is used with cylindrical lenses to generate a sheet beam. In the charging measurement, the particle motion analysis system (PMAS), capable of determining particle velocity and diameter. is used to non-intrusively measure particle behavior in high strength electric field. The average charge-to-mass ratios of PVC and PET particles are $1.4\;and\;1.2{\mu}C/kg$, respectively. The highly concentrated PVC (91.9%) can be recovered with a yield of about 96.1% from the mixture of PVC and PET materials for a single-stage processing. The triboelectrostatic separation system using the fluidized tribocharger shows the potential to be an effective method for removing PVC from mixed plastics for waste plastic recycling.

• Archives of Craniofacial Surgery
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• v.15 no.3
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• pp.109-116
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• 2014

Background: Infants with deformational plagiocephaly (DP) usually present with cranial vault deformities as well as facial asymmetry. The purpose of this study was to use three-dimensional anthropometric data to evaluate the influence of cranial deformities on facial asymmetry. Methods: We analyzed three-dimensional computed tomography data for infants with DP (n=48) and without DP (n=30, control). Using 16 landmarks and 3 reference planes, 22 distance parameters and 2 angular parameters were compared. This cephalometric assessment focused on asymmetry of the orbits, nose, ears, maxilla, and mandible. We then assessed the correlation between 23 of the measurements and cranial vault asymmetry (CVA) for statistical significance using relative differences and correlation analysis. Results: With the exception of few orbital asymmetry variables, most measurements indicated that the facial asymmetry was greater in infants with DP. Mandibular and nasal asymmetry was correlated highly with severity of CVA. Shortening of the ipsilateral mandibular body was particularly significant. There was no significant deformity in the maxilla or ear. Conclusion: This study demonstrated that the cranial vault deformity in DP is associated with facial asymmetry. Compared with the control group, the infants with DP were found to have prominent asymmetry of the nose and mandible.

• Archives of Plastic Surgery
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• v.49 no.2
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• pp.240-252
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• 2022

Rather than just another "review," this is intended to be an "overview" of the entire subject of the medial sural artery perforator (MSAP) flap as has been presented in the reconstructive literature from its inception in 2001 until the present, with any exceptions not purposefully overlooked. Unfortunately, the pertinent anatomy of the MSAP flap is always anomalous like most other perforator flaps, and perhaps even more variable. No schematic exists to facilitate the identification of a dominant musculocutaneous perforator about which to design the flap, so some adjunctive technology may be highly valuable for this task. However, if a relatively thin free flap is desirable for a small or moderate sized defect that requires a long pedicle with larger caliber vessels, the MSAP flap deserves consideration. Indeed, for many, this has replaced the radial forearm flap such as for partial tongue reconstruction. Most consider the donor site deformity, even if only a conspicuous scar on the calf, to be a contraindication. Yet certainly if used as a local flap for the knee, popliteal fossa, or proximal leg, or as a free flap for the ipsilateral lower extremity where a significant recipient site deformity already exists, can anyone really object that this is not a legitimate indication? As with any perforator flap, advantages and disadvantages exist, which must be carefully perused before a decision to use the MSAP flap is made. Perhaps not a "workhorse" flap for general use throughout the body, the MSAP flap in general may often be a valuable alternative.

• Earthquakes and Structures
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• v.23 no.2
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• pp.183-196
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• 2022

Reduced beam section (RBS) moment connections used in special moment resisting frames are currently limited to beam sections that are not larger than nominal depths of 920 mm, weight of 447 kg/m and flange thickness of 44 mm. Due to the higher demand for structural components with jumbo sections, which can potentially be applied in the transfer girders in long-span building structures, the newly available steel heavy members are promising. To address this issue, advanced numerical models are developed to fully evaluate the distribution of stresses and concentrations of plastic strains for such jumbo RBS connections. This paper first presents a brief overview of an experimental study on four specimens with large beam and column sections. Then, a numerical model that includes initial imperfections, residual stresses, geometric nonlinearity, and explicitly modeled welds is presented. The model is used to further explore the behavior of the test specimens, including distribution of stresses, distribution of plastic strains, stress triaxiality and potential for fracture. The results reveal that the stresses are highly non-uniform across the beam flange and, similarly, the plastic strains concentrate at the extreme fiber of the bottom flange. However, neither of these phenomena, which are primarily a function of beam flange thickness, is reflected in current design procedures.