• Archives of Plastic Surgery
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• 제50권1호
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• pp.3-9
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• 2023

Background In breast reconstruction, synthetic meshes are frequently used to replace acellular dermal matrix (ADM), since ADM is expensive and often leads to complications. However, there is limited evidence that compares the types of substitutes. This study aimed to compare complications between materials via a network meta-analysis. Methods We systematically reviewed studies reporting any type of complication from 2010 to 2021. The primary outcomes were the proportion of infection, seroma, major complications, or contracture. We classified the intervention into four categories: ADM, absorbable mesh, nonabsorbable mesh, and nothing used. We then performed a network meta-analysis between these categories and estimated the odds ratio with random-effect models. Results Of 603 searched studies through the PubMed, MEDLINE, and Embase databases, following their review by two independent reviewers, 61 studies were included for full-text reading, of which 17 studies were finally included. There was a low risk of bias in the included studies, but only an indirect comparison between absorbable and non-absorbable mesh was possible. Infection was more frequent in ADM but not in the two synthetic mesh groups, namely the absorbable or nonabsorbable types, compared with the nonmesh group. The proportion of seroma in the synthetic mesh group was lower (odds ratio was 0.2 for the absorbable and 0.1 for the nonabsorbable mesh group) than in the ADM group. Proportions of major complications and contractures did not significantly differ between groups. Conclusion Compared with ADM, synthetic meshes have low infection and seroma rates. However, more studies concerning aesthetic outcomes and direct comparisons are needed.

• 한국항공우주학회지
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• 제35권2호
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• pp.87-93
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• 2007

항공기 설계를 할 때에는 CFD를 이용한 해석 과정을 수반하는 것이 일반적이다. 그러나 CFD 해석은 많은 계산 시간과 비용이 소요되는데 동적 격자를 이용하면 다양한 모델의 해석 시 격자의 재구성 과정에 소요되는 시간을 줄일 수 있다. 뿐만 아니라 공탄성 해석처럼 격자를 갱신하면서 해석을 수행하는 경우, 설계 모델의 최적화 과정과 같이 다양한 격자를 구성해야 하는 경우에 동적 격자를 사용하면 전체 해석 시간을 줄일 수 있으므로 효율적인 해석이 가능하다.

• Journal of Chest Surgery
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• 제27권5호
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• pp.422-426
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• 1994

Recently, we experienced one case of multiple ribs fracture with large chest wall defects. This patient was treated with internal fixation of ribs by use of Judet`s struts and reconstruction of chest wall defects by use of Teflon mesh. Postoperative outcome was satisfactory result and its advantages were reduced duration of operation, prevention of pulmonary herniation and reduced risk of postoperative infection.

• 대한기관식도과학회지
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• 제7권2호
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• pp.128-139
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• 2001

The purpose of this study was to review the literatures of experimental tracheal reconstruction. Although there have been significant advancements in the surgical treatment of the long circumferential tracheal injuries, there still has been a difficult problem with high morbidity and mortality. The method for tracheal reconstruction after circumferential resection is preferred end-to-end anastomosis for defects up to 6 cm in length, but larger tracheal defects require the use of tracheal allograft, various artificial prosthesis or autogenous organs. The tracheal allotransplantation has been widely used as there was significantly improved the method of surgical technique, preservation and immunosuppression. But it has been limited by a number of factors such as few donor, limited use of immunosuppressant, delayed revascularization and re-epitheliazation. Experimental studies on the tracheal prosthesis have a long history and they tried to use silicone, polytetrafluoroethylene, polypropylene mesh, Dacron, Marlex mesh, external or internal stents. Other experimental studies were reported the use of autogenous tissues that were cartilage. jejunum, aorta, skin, muscle, periostium or esophagus. But a great variety of these protheses have been resulted unsatisfactory in a significant Proportion of cases. Alternatively, the tissue-engineering technique has showed a new approach to reconstruct trachea and much progress in tissue-engineering bas been made recently. In conclusion, although the tracheal allotransplantation and the use of prosthesis and allograft have been reported a lot of limitation to overcome, we could sooner expect good result of ideal tracheal prosthesis.

• 한국CDE학회논문집
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• 제1권3호
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• pp.189-202
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• 1996

Complex geometric shapes can be defined simply and efficiently by combining and operating various surface primitives. These primitives and their intersection curves are used in finite element mesh generation to form an easy and intuitive procedure for finite element modelling of curved surfaces. This paper proposes techniques of automatic mesh generation on surface primitives with arbitrarily shaped boundaries and control curves, which may be created by surface to surface intersection. A method of automatic mesh generation on plane, which was previously developed by the author, has been modified for application to the surface mesh generation. Owing to the mesh generation-wise differences between planes and surfaces, the surfaces should be transformed into conceptual plane so that the modified plane mesh generation method can be applied. Surface development, mapping and mesh reconstruction are the key techniques suggested in this paper. The selection of the technique to apply can be determined automatically on the basis of the developability, existence of singularity and other characteristics of the surfaces on which the mesh is to be generated. The suggested techniques were implemented into parts of mesh generation functions of the finite element software, MacTran. Their validity and practicality were manifested by the actual use of this software.

• 한국정보과학회논문지:시스템및이론
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• 제31권10호
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• pp.593-602
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• 2004

정렬되지 않은 3차원 측정점들로부터 이들을 근사하는 표면을 재구성하는 방법을 제안하였다. 제안된 방법은 경계면 축소포장 방식에 의한 표면 재구성 방법(shrink-wrapped boundary face： SWBF) 으로, 측정점으로부터 경계셀과 경계면을 구해 초기 메쉬를 생성하고 이를 연속적으로 축소하는 방식에 의해 표면을 재구성한다. 제안된 방법은 기존의 표면 축소포장 방식의 메쉬 생성 방법의 문제점인 물체의 토폴로지에 대한 제약이 없이 어떠한 형태의 표면 재구성에도 적용이 가능하며, 기존 방법이 축소 단계에서 각 메쉬 정점에 대한 최단거리 측정점을 찾는 전역 탐색을 해야 하는데 비해 지역 탐색만으로 최적의 측정점을 찾을 수 있으므로 처리 시간 측면에서도 우월하다. 실험을 통해 제안된 표면 재구성 알고리즘이 측정점들간의 관계를 알 수 없는 정렬되지 않은 3차원 점들에 대한 표면 재구성에 매우 안정적이고 효과적임을 확인할 수 있었다.

• Journal of Chest Surgery
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• 제31권2호
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• pp.155-161
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• 1998

1979년 1월부터 1996년 8월까지 전북대학교병원 흉부외과에서 치료한 원발성 흉벽종양은 51례이다. 원발성 종양을 가진 환자의 평균 나이는 36.1세이고 남자는 32명, 여자는 19명이었다. 양성종양이 40례(78.4%), 악성종양이 11례(21.6%)이었다. 증상은 국소 종괴가 가장 흔한 증상으로 32(62.7%)례에서 있었다. 골 및 연골 조직에서 발생한 경우는 32례(62.7%), 연부조직에서 발생한 경우는 19례(37.3%)이다. 양성 종양인 경우 3례에서는 광범위 절제술 및 흉벽 재건술이 시행되었고 37례에서는 절제술만 시행되었으며 현재까지 재발이나 종양관련 사망은 관찰되지 않았다. 악성 종양인 경우 광범위 절제술 및 재건술을 시행한 경우는 8례에서 시행되었다. 광범위 절제술이 시행된 5례에서는 Marlex Mesh, Prolene Mesh와 Teflon felt을 이용하여 흉벽 재건술이 시행되었다. 전 예에서 수술과 관련된 사망은 없었다. 광범위 절제술을 받은 악성종양 환자 중 5례(71.4%)가 생존하고 있다.

• Journal of International Society for Simulation Surgery
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• 제3권1호
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• pp.36-38
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• 2016

Fibrous dysplasia is a relatively rare disease but the management would be quite challenging. Because this is not a malignant tumor, the preservation of the facial contour and the various functions seems to be important in treatment planning. Until now the facial bone reconstruction with autogenous bone would be the standard. Although the autogenous bone would be the ideal one for facial bone reconstruction, donor site morbidity would be the inevitable problem in many cases. Meanwhile, various types of allogenic and alloplastic materials have been also used. However, facial bone reconstruction with many alloplastic material have produced no less complications including infection, exposure, and delayed wound healing. Because the 3D printing technique evolved so fast that 3D printed titanium implant were possible recently. The aim of this trial is to try to restore the original maxillary anatomy as possible using the 3D printing model, based on the mirrored three dimensional CT images based on the computer simulation. Preoperative computed tomography (CT) data were processed for the patient and a rapid prototyping (RP) model was produced. At the same time, the uninjured side was mirrored and superimposed onto the traumatized side, to create a mirror-image of the RP model. And we molded Titanium mesh to reconstruct three-dimensional maxillary structure during the operation. This prefabricated Titanium-mesh implant was then inserted onto the defected maxilla and fixed. Three dimensional printing technique of titanium material based on the computer simulation turned out to be successful in this patient. Individualized approach for each patient could be an ideal way to restore the facial bone.

• 정보처리학회논문지A
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• 제14A권3호
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• pp.133-140
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• 2007

SWBF(shrink-wrapped boundary face) 알고리즘은 조직되지 않은 3차원 측정점으로부터 표면을 재구성하기 위해 최근에 제안된 방법이다. 본 논문에서는 SWBF 알고리즘의 표면 중복문제를 제기하고, 이를 해결하기 위한 개선된 표면 재구성 방법을 제안한다. 제안된 방법은 경계셀이 아닌 모든 셀들을 내부셀과 외부셀로 구분하고, 개선된 경계면의 정의를 이용해 초기메쉬에서 표면의 중복이 발생하지 않도록 하였다. 또한, 측정 방향에 따라 표면 샘플링의 조밀도가 차이가 나는 일반적인 3차원 스캐너로부터 추출된 데이터의 처리를 위해 셀 영상에서 2차원 연결성을 정의하여 사용하였다. 실험을 통해 제안된 방법이 SWBF 알고리즘의 표면중복문제를 극복하는데 매우 유용함을 알 수 있었다.

• Journal of Chest Surgery
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• 제51권5호
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• pp.308-311
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• 2018

We herein present a new surgical reconstruction technique for large chest wall defects after resection of advanced chest wall tumors.