• 제목/요약/키워드: Incomplete reduction

검색결과 97건 처리시간 0.026초

볼처짐 최소화를 위한 최소절개 및 박리 관골 축소 성형술 (Prevention of Cheek Drooping in Intraoral Reduction Malarplasty without Internal Fixation)

  • 박동권;최재훈;이진효;유영준
    • Archives of Plastic Surgery
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    • 제38권6호
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    • pp.845-850
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    • 2011
  • Purpose: In general, orientals including Korean, have a mesocephalic face whereas Caucasians, among the western, have a dolichocephalic face. Unlike the western, in orientals including Korean, prominent malar bones are recognized as stubborn and unattractive appearance. That is why reduction malarplasty is one of the most popular aesthetic surgical procedure in Korea. Many surgical methods to reposition prominent malar bones have been performed by means of a coronal incision or a combined incisions, using both the intraoral and the external incision. Bicoronal approach has advantage such as wide operative field, easy to maintain symmetry and possibility of combining facial lift but has shortcoming, such as external scars, long operative time, and the possibility of facial nerve or artery injury. Intraoral approach has advantages of short operative time, simplicity of procedure and no external scar. But this approach is associated with problems of cheek drooping, limited exposure and difficulty in making symmetry. Methods: During 8 years, we performed a reduction malarplasty without internal fixation through an minimal intraoral incision and dissection in 39 patients. Results: The patients were followed for 46 months, with satisfactory results and no cheek drooping. There was no patient who want to revise the inappropriate operative result such as asymmetry and incomplete correction. Conclusion: We conclude that minimal intraoral incision and dissection could acquire satisfactory result of reduction malarplasty along with prevention of cheek drooping.

하악 우각부 미용 성형술 ; 임상적 응용과 병발증 (ESTHETIC MANDIBULAR ANGLE REDUCTION ; IST USE AND COMPLICATIONS)

  • 김창수;엄인웅;민병국;민성기;양윤석
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제13권2호
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    • pp.137-143
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    • 1991
  • 악안면부의 기형은 기능 및 심미적인 매우 중요한 문제이며, 이러한 면에서 현대 악안면 영역의 성형술은 기능 및 사회심리적으로 많은 기여를 한다는 것은 사실이다. 악안면 성형술 중 하악 우각부에 대한 관심은 19 세기 후반부터 교근비대증 (Masseter Hypertrophy)으로 표현되었으며, 안모의 심미적인 영향에 대한 평가는 동양에서 하악골의 변형과 함께 비중있게 다루어지고 있다. 교근비대 또는 협부비대의 원인은 악성 및 양성종물, 악습관에 의한 생리적 비대, 감염, 선천적기형 등이 있을 수 있으나, 환자가 호소하는 주소는 안연의 비대칭 또는 사각형의 안모등이므로 이에 대한 수술의 주된 목적은 심미적인 면이 대부분을 차지한다고 볼 수 있다. 그러므로 안모개선 등 수술 후의 결과에 대한 깊은 관심이 요구되며, 따라서 혈종이나 감염, 하악골 골절, 개구장애 등과 같은 합병증과 후유증에 대한 올바른 이해와 최대한의 예방이 필요할 것으로 사료되어 문헌고찰과 함께 증례보고를 하는 바이다.

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Reduction of comminuted fractures of the anterior wall of the frontal sinus using threaded Kirschner wires and a small eyebrow incision

  • Lee, Da Woon;Kwak, Si Hyun;Choi, Hwan Jun;Kim, Jun Hyuk
    • 대한두개안면성형외과학회지
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    • 제23권5호
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    • pp.220-227
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    • 2022
  • Background: Frontal sinus fractures are relatively rare. Their surgical management significantly differs depending on whether the posterior wall is invaded and the clinical features vary. A bicoronal incision or endoscopic approach can be used. However, the minimally invasive approach has been attracting attention, leading us to introduce a simple and effective surgical method using multiple-threaded Kirschner wires. Methods: All patients had isolated anterior wall fractures without nasofrontal duct impairment. The depth from the skin to the posterior wall was measured using computed tomography to prevent injury. The edge of the bone segment on the skin was marked, a threaded Kirschner wire was inserted into the center of the bone segment, and multiple Kirschner wires were gently reduced simultaneously. Results: Surgery was performed on 11 patients. Among them, seven patients required additional support for appropriate fracture reduction. Therefore, a periosteal elevator was used as an adjunct through a small sub-brow incision because the reduction was incomplete with the Kirschner wire alone. The reduction results were confirmed using facial bone computed tomography 1 to 3 days postoperatively. The follow-up period was 3 to 12 months. Conclusion: The patients had no complications and were satisfied with the surgical results. Here we demonstrated an easy and successful procedure to reduce a pure anterior wall frontal sinus fracture via non-invasive threaded Kirschner wire reduction.

퍼지규칙 기반 시스템에서 불필요한 속성 감축에 의한 패턴분류 (Pattern classification on the basis of unnecessary attributes reduction in fuzzy rule-based systems)

  • 손창식;김두완
    • 인터넷정보학회논문지
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    • 제8권3호
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    • pp.109-118
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    • 2007
  • 본 논문에서는 퍼지규칙 기반 시스템에서 규칙 내에 포함된 불완전한 속성을 제거하여 보다 간략화 된 규칙으로도 분류할 수 있는 방법을 제안하였다. 제안한 방법에서는 규칙 내에 포함된 불완전한 속성을 제거하기 위해 러프집합을 이용하였고 보다 명확한 분류를 위해 출력부 소속함수의 적합도가 최대인 속성들을 추출하였다. 또한 모의실험에서는 제안된 방법의 타당성을 검증하기 위해 rice taste data를 기반으로 규칙 감축 전 퍼지 max-product 결과와 규칙 감축 후 퍼지 max-product 결과를 비교하였다. 그 결과, 규칙 감축 전 max-product 결과와 규칙 감축 후 max-product 결과가 정확히 일치함을 볼 수 있었고, 보다 객관적인 검증을 위해 비퍼지화 된 실수 구간을 비교하였다.

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실시간교통정보 이용에 따른 차량의 CO, VOC, NOx 저감효과 평가 (Evaluating Vehicle Emission Reduction (CO, VOC and NOx) Using Real-time Traffic Information)

  • 김준형;엄정섭
    • 환경영향평가
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    • 제20권2호
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    • pp.217-226
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    • 2011
  • This paper was inspired by the fact that Real-time Traffic Information Service could play a key role in reducing incomplete combustion time remarkably since it can provide traffic jam information in real-time basis. Emission characteristics of experimental engines were studied with variable travel distances and speed of car in terms of traffic information provided. 12 Km distance road of Susung district in Daegu is taken as an experimental area to examine this new approach. The emission was tested while the driving was done at 8 AM, 3 PM, 6 PM which represents various traffic conditions. The reduced emission has been measured for a travel distance running at different loads (conventional shortest route and Real-time Traffic Information) and various loads (CO, VOC and NOx) are all inventoried and calculated in terms of existing emission factors. The emission has been shown to reduce linearly with travel distance : carbon monoxide (20.56%), VOC (29.21%), NOx(8.86%).

Wire or Hook Traction for Reducing Zygomatic Fracture

  • Ahn, Hee Chang;Youn, Dong Hyun;Choi, Matthew Seung Suk;Chang, Jung-Woo;Lee, Jang Hyun
    • 대한두개안면성형외과학회지
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    • 제16권3호
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    • pp.131-135
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    • 2015
  • Background: Variable methods have been introduced for reduction of the zygomatic fractures. The Dingman elevator is used widely to reduce these fractures but is inappropriate in certain types of fractures which require atypical traction vectors. We introduce and examine an alternate method of reducing zygomatic fractures using wire and hook traction. Methods: A retrospective study was performed for all zygomatic fracture patients admitted between 2008 and 2014. Medially rotated fractures were reduced by using a wire looped through an intermaxillary screw secured on the medial side of the zygoma. Laterally rotated fractures were reduced using a hook introduced through an infrazygomatic skin incision. Results: No accidental bleeding or incomplete reduction was observed in any of the cases. Postoperative imaging demonstrated proper reduction immediately after the operation. Follow-up computed tomography study at 1 month after operation also demonstrated proper reduction and healthy union across the previous site of fracture. Conclusion: The hook and wire method allowed precise application of traction forces across zygomatic fractures. The fractured bone fragment could be pulled in the direction precisely opposite to the vector of impact at the time of trauma. Soft tissue damage due to dissection was minimized. In particular, this method was effective in reducing rotated bone fragments and can be an alternative option to using the zygoma elevator.

Identifying, Prioritizing, Measuring and Verifying Clean Energy Solutions for Korea's Public Building Renewable Energy Obligation Policy

  • Lee, Kwang Seob;Kang, Eun Chul;DA CUNHA, Ivor Francis;Lin, Cheng-Xian;Lee, Euy Joon
    • 대한기계학회논문집 C: 기술과 교육
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    • 제4권1호
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    • pp.11-18
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    • 2016
  • Under the Renewable Heat Obligation (RHO) public buildings in the Republic of Korea larger than $10,000m^2$ must achieve an 11% overall reduction to thermal energy consumption. Well intended solutions have been proposed. However, not all option is evaluated on the same basis, potentially resulting in incomplete or sub-optimal solutions. What's more once projects are implemented, there are inconsistencies in the methods used to measure and evaluate operating performance of the post-retrofit case. The RETScreen decision tools and methodology can be used by decision makers, policy developers, architects, engineers and community leaders to evaluate and select the most effective solutions for Korea's RHO needs.

Trial of Computer Simulation of Image Reconstruction from Incomplete Data for New CT with Reduced Exposure

  • Hayakawa, Yoshinori;Furuya, Toshimitsu;Sakakibara, Norifumi
    • 한국의학물리학회:학술대회논문집
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    • 한국의학물리학회 2002년도 Proceedings
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    • pp.382-384
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    • 2002
  • Filtered-Back-Projection technique is used in X-ray CT image reconstruction. This requires X-ray transmission data from all directions. As the transverse cross-section of the body is approximately 50 cm, transmitted X-rays in this direction are strongly attenuated. If X-ray transmission data in this direction is avoided, exposure to the patients seems to be reduced one 20th of usual value. Some alternative method has to be found for clinically sufficient image quality. New methods are under development and tentative results are reported that utilizes the principle of superposition.

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Improve object recognition using UWB SAR imaging with compressed sensing

  • Pham, The Hien;Hong, Ic-Pyo
    • 전기전자학회논문지
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    • 제25권1호
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    • pp.76-82
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    • 2021
  • In this paper, the compressed sensing basic pursuit denoise algorithm adopted to synthetic aperture radar imaging is investigated to improve the object recognition. From the incomplete data sets for image processing, the compressed sensing algorithm had been integrated to recover the data before the conventional back- projection algorithm was involved to obtain the synthetic aperture radar images. This method can lead to the reduction of measurement events while scanning the objects. An ultra-wideband radar scheme using a stripmap synthetic aperture radar algorithm was utilized to detect objects hidden behind the box. The Ultra-Wideband radar system with 3.1~4.8 GHz broadband and UWB antenna were implemented to transmit and receive signal data of two conductive cylinders located inside the paper box. The results confirmed that the images can be reconstructed by using a 30% randomly selected dataset without noticeable distortion compared to the images generated by full data using the conventional back-projection algorithm.

Investigation on spanwise coherence of buffeting forces acting on bridges with bluff body decks

  • Zhou, Qi;Zhu, Ledong;Zhao, Chuangliang;Ren, Pengjie
    • Wind and Structures
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    • 제30권2호
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    • pp.181-198
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    • 2020
  • In the traditional buffeting response analysis method, the spanwise incomplete correlation of buffeting forces is always assumed to be same as that of the incident wind turbulence and the action of the signature turbulence is ignored. In this paper, three typical bridge decks usually adopted in the real bridge engineering, a single flat box deck, a central slotted box deck and a two-separated paralleled box deck, were employed as the investigated objects. The wind induced pressure on these bridge decks were measured via a series of wind tunnel pressure tests of the sectional models. The influences of the wind speed in the tests, the angle of attack, the turbulence intensity and the characteristic distance were taken into account and discussed. The spanwise root coherence of buffeting forces was also compared with that of the incidence turbulence. The signature turbulence effect on the spanwise root coherence function was decomposed and explained by a new empirical method with a double-variable model. Finally, the formula of a sum of rational fractions that accounted for the signature turbulence effect was proposed in order to fit the results of the spanwise root coherence function. The results show that, the spanwise root coherence of the drag force agrees with that of incidence turbulence in some range of the reduced frequency but disagree in the mostly reduced frequency. The spanwise root coherence of the lift force and the torsional moment is much larger than that of the incidence turbulence. The influences of the wind speed and the angle of attack are slight, and they can be ignored in the wind tunnel test. The spanwise coherence function often involves several narrow peaks due to the signature turbulence effect in the high reduced frequency zone. The spanwise coherence function is related to the spanwise separation distance and the spanwise integral length scales, and the signature turbulence effect is related to the deck-width-related reduced frequency.