• 제목/요약/키워드: Mini-plate

검색결과 51건 처리시간 0.027초

구순구개열로 인한 심한 중안면부 성장부전환자에서 골신장술의 치험례 (DISTRACTION OSTEOGENESIS IN CASE OF CLEFT LIP AND PALATE PATIENT WITH SEVERE MAXILLARY DEFICIENCY)

  • 이백수;오정환;윤병욱;송상헌;류동목
    • 대한구순구개열학회지
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    • 제6권2호
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    • pp.131-135
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    • 2003
  • Severe maxilla1y deficiency can be caused by cleft lip and palate(CLP), other craniofacial deformities, atrophy in the edentulous maxilla, and trauma. Patients with maxillary deficiency present a difficult treatment challenge. Traditionally, this skeletal deformity has been treated by Le Fort osteotomy, skeletal repositioning, and fixation with mini-plates and screws. The drawbacks of this method include a limited amount of anterior maxillary advancement often requiring simultaneous mandibular setback, the inability to create new bone, and minimal soft tissue adaptation to the new position, all of which increase the potential of relapse in case of large advancement. The alternative method of maxillary distraction osteogenesis offers promising results for successfully treatment of these patients while potentially minimizing the risk of relapse.

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유동센서 보정용 캘리브레이션 제트 시스템 개발 (Development of Calibration Jet System for Calibrating a Flow Sensor)

  • 장조원;변영환
    • 한국항공운항학회지
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    • 제11권1호
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    • pp.41-55
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    • 2003
  • A calibration jet system using separate blower is developed to calibrate a flow sensor effectively. Designed open circuit type mini calibration jet system, which has the dimension of $0.5m(W){\times}1.17m(H)$ is small compared with conventional calibration jet systems. The exit of nozzle has exchangeable contractions with a cross section area of $38.5cm^2$ , and a cross section area of $113.1cm^2$, respectively. The ranges of wind speed at exit of exchangeable nozzles are $7.5{\sim}42\;m/s$ and $1.8{\sim}16.5\;m/s$, respectively. The input power for the high pressure blower is 1.18kW. The turning vanes for corner was rolled flat plate parallel to the flow direction. The flow conditioning screen was located immediately downstream of the wide-angle diffuser. The honeycomb and two flow conditioning screens were located in the stagnation chamber. From the economical point of view and the simplicity of the calibration jet system set up and handling, it can be said that the developed calibration jet system is an effective calibration jet system. This system can also be used to calibrate the flow sensor with high resolution.

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열교환기 설계를 위한 국소 냉각 표면위에서의 습공기 유동의 착상실험 (An Experimental Study on Frosting of Humid Air-flow on a Surface with Local Cooling for Heat Exchanger Design)

  • 권정태;임효재;박경우;김창업;김경민;권영철
    • 에너지공학
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    • 제17권1호
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    • pp.1-7
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    • 2008
  • 본 연구는 착상이 일어나는 조건에서 작은 사각 덕트내의 습공기의 층류유동에서 열 및 물질전달특성을 이해하고자 수행되었다. 알루미늄 평판이 열교환기의 핀부분을 모사하기 위하여 사용되었다. 알루미늄 표면온도는 착상조건에서의 열 및 물질전달 특성을 조사하여 해석하기 위하여 측정되었다. 또한 열교환기 공기측 채널에서 착상에 의한 air-blocking효과를 화인하기 위해 압력강하가 측정되었다. 그리고 착상조건에서 습공기의 국소 특성을 해석하기 위한 방법이 제시되었다.

하악골 과두하 골절의 이하선 경유 접근법을 통한 관혈적 정복술 증례보고 (Case Report of Transparotid Approach of Mandibular Subcondylar Fracture)

  • 문민철;오석준;고성훈
    • 대한두개안면성형외과학회지
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    • 제10권1호
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    • pp.33-36
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    • 2009
  • Purpose: Fractures of the mandibular condylar area are common injuries that account for 29% to 40% of fractures of the facial bones and represent 20% to 62% of all mandibular fractures. Currently 3 main methods are being used in the treatment of mandibular subcondylar fractures: closed reduction; open reduction and internal fixation; Endoscopic reduction and internal fixation. Each method has its proponents and opponent as well as advantages and disadvantages, and indications for each vary among surgeons. There are six approaches of open reduction: submandibular, retromandibular, preaurilcular, postauricular, intraoral, transparotid approach. Among them, transparotid approach has been described for subcondylar exposure with dissection in the direction of facial nerve fibers to expose the bone through the parotid gland. This approach carries the risk of a parotid glandular fistula as well as facial nerve injury but has the advantage of being directly over the fracture site. We report safety and efficacy of surgical treatment using a transparotid approach for direct plating. Methods: A 43-year-old man sustained multiple facial bone fractures by driver traffic accident. Mandibular subcondyle was fractured and dislocated internally. We performed open reduction and internal fixation by transparotid approach. Fractured site was fixed by titanium mini plate & screw. We applicated arch bar for approximately 3 weeks. Results: Follow-up length was about 5months. Scar of surgical incision was indistinct, there was no symptoms and signs of facial nerve and parotid gland injury, and maximal mouth opening was measured 49.5 mm. Conclusion: Transparotid approach has high risks of facial nerve and parotid gland injury, but paradoxically it is the most effective technique in saving facial nerve. Open reduction and internal fixation of mandibular subcondylar fracture by transparotid approach with precise and versed procedure, best outcome can be expected.

ECEI 장치를 위한 향상된 성능의 100 GHz 렌즈 안테나 설계 (A Design of Improved 100 GHz Lens Antennas for the ECEI System)

  • 이관희;김성균;모우딘 와합;최현철;김강욱
    • 한국전자파학회논문지
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    • 제27권9호
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    • pp.817-824
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    • 2016
  • 본 논문에서는 KSTAR의 ECEI(Electron Cyclotron Emission Imaging) 장치에 사용되는 100 GHz 미니렌즈의 성능을 향상하기 위해 변형된 타원형 렌즈 안테나 설계를 제안하고 있다. 기존 타원형 렌즈 구조의 밑면에 반구형 렌즈를 추가하고, 이 반구형 렌즈의 끝점에 100 GHz CPS 다이폴 안테나를 위치하게 하였다. 기하광학적 설계를 통해 안테나에서 방사된 전자파가 반구형 렌즈의 표면에서 전반사가 일어나도록 함으로써 안테나 패턴이 주빔 방향으로 집속되는 효과를 나타나게 하였다. 이 설계의 유효성은 3차원 EM 시뮬레이터로서 확인하였다. 제안된 반구형렌즈가 추가된 타원형 렌즈의 안테나 이득은 23.8 dB인데, 기존의 타원형 렌즈에 비해 2.2 dB 향상되었으며, 사이드 로브 레벨은 E-plane과 H-plane에서 2.6 dB, 3.4 dB 감소하였음을 확인하였다.

선부자를 적용한 하악골 골절환자의 치주조직에 기능성 치약이 미치는 영향 (THE EFFECT OF GINGIVAL GEL ON PERIODONTIUM IN MANDIBULAR FRACTURE PATIENTS APPLIED BY ARCH BAR)

  • 김선민;김경욱
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제35권2호
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    • pp.125-130
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    • 2009
  • For many years, intermaxillary fixation using arch bar has been operated in treatment of mandibular fracture patients. But it has many complications including injury of operators and assistants cause by wire, inflammation of periodontium. For that reasons alternatives are required; osteosynthesis technique using mini plate, intermaxillary fixation using IMF screws have been available. Treatment by arch bar fixation, however, is still valuable to treat craniomaxillary fracture patients. The purpose of this study is to know effect arch bar on periodontium and influence gingival gel on periodontium applied by arch bar. 40 mandibular fracture patients are monitored. 30 patients were applied by arch bar, 10 patients were not. And the former were classified by 3 categories; Nano vitamin and Mastic gel were applied to 10 patients respectively and any gingival gel was not used to 10 patients. Clinical attachment level, bleeding on probing and periodontal depth of each group were measured and compared before operation and on 2 weeks and 6 weeks after operation. Mann-Whitney U test was used to analyze result which leads to this conclusion. 1. Whether arch bar is applied or not, treatment of mandlbular fracture gave rise to gingivitis, but 6 weeks after operation, gingivitis is restored to the same level as the state before operation. 2. More severe gingivitis appeared when arch bar is applied to mandibular fracture than when it is not. 3. Both gingival gel used in this study can reduce gingivitis which can be caused by arch bar. 4. In this study, Mastic gel is more effective for prevent gingival inflammation cause by arch bar than nano vitamin. In regard to this result, gingivitis is considered to be available because it is reversible and does not induce periodontal disease. Gingival gel is regarded to be helpful for patients applied by arch bar to feel less discomfort.

Displacement pattern of the anterior segment using antero-posterior lingual retractor combined with a palatal plate

  • Seo, Kyung-Won;Kwon, Soon-Yong;Kim, Kyung A;Park, Ki-Ho;Kim, Seong-Hun;Ahn, Hyo-Won;Nelson, Gerald
    • 대한치과교정학회지
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    • 제45권6호
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    • pp.289-298
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    • 2015
  • Objective: To evaluate and compare the effects of two appliances on the en masse retraction of the anterior teeth anchored by temporary skeletal anchorage devices (TSADs). Methods: The sample comprised 46 nongrowing hyperdivergent adult patients who planned to undergo upper first premolar extraction using lingual retractors. They were divided into three groups, based on the lingual appliance used: the C-lingual retractor (CLR) group (group 1, n = 16) and two antero-posterior lingual retractor (APLR) groups (n = 30, groups 2 and 3). The APLR group was divided by the posterior tube angulation; posterior tube parallel to the occlusal plane (group 2, n = 15) and distally tipped tube (group 3, n = 15). A retrospective clinical investigation of the skeletal, dental, and soft tissue relationships was performed using lateral cephalometric radiographs obtained pretreatment and post en masse retraction of the anterior teeth. Results: All groups achieved significant incisor and canine retraction. The upper posterior teeth did not drift significantly during the retraction period. The APLR group had less angulation change in the anterior dentition, compared to the CLR group. By changing the tube angulation in the APLR, the intrusive force significantly increased in the distally tipped tube of group 3 patients and remarkably reduced the occlusal plane angle. Conclusions: Compared to the CLR, the APLR provides better anterior torque control and canine tipping while achieving bodily translation. Furthermore, changing the tube angulation will affect the amount of incisor intrusion, even in patients with similar palatal vault depth, without the need for additional TSADs.

자가 블록골을 이용한 치조골수평증강술과 임프란트 식립 (HORIZONTAL AUGMENTATION WITH AUTOGENOUS BLOCK BONE AND IMPLANT PLACEMENT)

  • 안지연;김영균;윤필영;황정원
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제29권5호
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    • pp.444-450
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    • 2007
  • In general, labiolingual or buccolingual widths of residual alveolar bone are insufficient in edentulous area, because of alveolar resorption. Horizontal augmentation is bone graft procedure with a view to reinforcing horizontally insufficient bone quantity for installation of implants. The standard method is taking appropriate amount of block bone from intraoral or extraoral autogenous bone, and solid fixation with screws or mini-plate on labial or buccal side of residual alveolar bone. The purpose of this study is to discuss clinical usefulness of horizontal augmentation with autogenous block bone by observation and analysis of course of 41 implants installed to 12 patients by horizontal augmentation in Seoul National University Bundang Hospital from July, 2002 to December, 2005. The mean age of patients is 52.7, from 19 to 70, and the number of men and women is each 2 and 10. Block bone was taken from symphysis, body, ramus of mandible or iliac bone. And 6 types of implants were installed simultaneously or not, the diameters of implants are from 3.3 to 5.5mm, the lengths are from 8 to 15mm. The operator added artificial bone grafting material and optionally covered with membrane. The mean periods of observation after operation and final prosthetics were 28.6 and 17.0 months. As a result, 40 among 41 implants survived, the survival rate was 97.6%. Average 0.9mm crestal resorption was observed at final point of time by periapical view of each patients. Major complication related to the procedure was numbness in 7 patients.

Evaluation of strategic uprighting of the mandibular molars using an orthodontic miniplate and a nickel-titanium reverse curve arch wire: Preliminary cephalometric study

  • Park, Jae-Hyun;Choo, HyeRan;Choi, Jin-Young;Chung, Kyu-Rhim;Kim, Seong-Hun
    • 대한치과교정학회지
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    • 제51권3호
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    • pp.179-188
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    • 2021
  • Objective: To evaluate the overall treatment effects in terms of the amount of uprighting with changes in the sagittal and vertical positions of mandibular molars after applying an orthodontic miniplate with a nickel-titanium (NiTi) reverse curve arch wire (biocreative reverse curve [BRC] system). Methods: A total of 30 female patients (mean age, 25.99 ± 8.96 years) were treated with the BRC system (mean BRC time, 10.3 ± 4.07 months). An I-shaped C-tube miniplate (Jin Biomed) was placed at the labial aspect for the alveolar bone of the mandibular incisors. A 0.017 × 0.025-inch NiTi reverse curve arch wire was engaged at the C-tube mini-plate anteriorly and the first and second premolars and molars posteriorly in the mandibular arch. Pre- and post-BRC lateral cephalograms were analyzed. A paired t-test was used to analyze the treatment effects of BRC. Results: The mandibular second molars were intrusively uprighted successfully by the BRC system. Distal uprighting with a controlled vertical dimension was noted on the first molars when they remained engaged in the BRC and the distal ends of the arch wire were laid on the second molars. The mandibular first and second premolars showed a slight extrusion. The changes in the mandibular incisors were unremarkable, while the mandibular molar angulation improved significantly. The lower occlusal plane rotated counterclockwise (MP-LOP: 1.13° ± 2.60°). Conclusions: The BRC system can provide very effective molar uprighting without compromising the position of the mandibular anterior teeth.

설비공학 분야의 최근 연구 동향 : 2010년 학회지 논문에 대한 종합적 고찰 (Recent Progress in Air-Conditioning and Refrigeration Research : A Review of Papers Published in the Korean Journal of Air-Conditioning and Refrigeration Engineering in 2010)

  • 한화택;이대영;김서영;최종민;김수민;권영철;백용규
    • 설비공학논문집
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    • 제23권6호
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    • pp.449-469
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    • 2011
  • This article reviews the papers published in the Korean Journal of Air-Conditioning and Refrigerating Engineering during 2010. It is intended to understand the status of current research in the areas of heating, cooling, ventilation, sanitation, and indoor environments of buildings and plant facilities. Conclusions are as follows. (1) Research trends of thermal and fluid engineering have been surveyed as groups of general thermal and fluid flow, fluid machinery, and new and renewable energy. Various topics were presented in the field of general thermal and fluid flow. Research issues mainly focused on the thermal reliability of axial fan and compressor in the field of fluid machinery. Studies on the design of ground source heat pump systems and solar chemical reactors were executed in the field of new and renewable energy. (2) Research works on heat transfer area have been reviewed in the categories of heat transfer characteristics and industrial heat exchangers. Researches on heat transfer characteristics included heat transfer in thermoelectric cooling/power generation systems, combined heat and power systems, carbon nano fluid with PVP, channel filled with metal foam and smoke ventilation in a rescue station of a railroad tunnel. Also the studies on flow boiling of R123/oil mixture in a plain tube bundle and R410A charge amount in an air cooled mini-channel condenser were reported. In the area of industrial heat exchangers, researches on plate heat exchanger, shell and tube heat exchanger, enthalpy exchanger, micro channel PCHE were performed. (2) Research works on heat transfer area have been reviewed in the categories of heat transfer characteristics and industrial heat exchangers. Researches on heat transfer characteristics included heat transfer in thermoelectric cooling/power generation systems, combined heat and power systems, carbon nano fluid with PVP, channel filled with metal foam and smoke ventilation in a rescue station of a railroad tunnel. Also the studies on flow boiling of R123/oil mixture in a plain tube bundle and R410A charge amount in an air cooled mini-channel condenser were reported. In the area of industrial heat exchangers, researches on plate heat exchanger, shell and tube heat exchanger, enthalpy exchanger, micro channel PCHE were performed. (3) Refrigeration systems with alternative refrigerants such as hydrocarbons, mixed refrigerants, and CO2 were studied. Performance improvement of refrigeration systems are tried applying various ideas of refrigerant subcooling, dual evaporator with hot gas bypass control and feedforward control. The hybrid solar systems combining the solar collection devices with absorption chillers or compression heat pumps are simulated and studied experimentally as well to improve the understanding and the feasibility for actual applications. (4) Research trend in the field of mechanical building facilities has been found to be mainly focused on field applications rather than performance improvements. Various studies on heating and cooling systems, HVAC facilities, indoor air environments and energy resources were carried to improve the maintenance and management of building service equipments. In the field of heating and cooling systems, papers on a transformer cooling system, a combined heat and power, a slab thermal storage and a heat pump were reported. In the field of HVAC facilities, papers on a cooling load, an ondol and a drying were presented. Also, studies on HVAC systems using unutilized indoor air environments and energy resources such as air curtains, bioviolence, cleanrooms, ventilation, district heating, landfill gas were studied. (5) In the field of architectural environment and energy, studies of various purposes were conducted such as indoor environment, building energy, renewable energy and green building. In particular, renewable energy and building energy-related researches have mainly been studied reflecting the global interest. In addition, many researches which related the domestic green building certification of school building were performed to improve the indoor environment of school.