• 제목/요약/키워드: Needle Fracture

검색결과 38건 처리시간 0.029초

Visible Perforating Lateral Osteotomy: Internal Perforating Technique with Wide Periosteal Dissection

  • Rho, Bong Il;Lee, In Ho;Park, Eun Soo
    • Archives of Plastic Surgery
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    • 제43권1호
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    • pp.88-92
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    • 2016
  • There are two general categories of lateral osteotomy techniques-the external perforating method and the internal continuous method. Regardless of which technique is used, procedural effectiveness is hampered by limited visualization in the surgical field. Considering this point, we devised a new technique that involves using a wide subperiosteal dissection and internal perforation under direct visualization. Using an intranasal approach, whereby the visibility of the intended fracture line was maintained, enabled a greater degree of control, and in turn, results that were more precise, and thus predictable and reproducible. Traditionally, it has been taken as dogma that the periosteum must be preserved, considering the potential for dead space and bony instability; however, under sufficient visualization of the surgical field with an internal perforating method, complete osteotomy with fully preserved intranasal mucosa could be conducted exactly as intended. This intact mucosal lining compensates for the elevated periosteum. Compressive dressing and drainage through a Silastic angio-needle catheter enabled the elimination of dead space. Therefore, precise, reproducible, and predictable osteotomy minimizing the potential for associated complications such as ecchymosis, that is, bruising owing to hemorrhage, could be performed. In this article, we introduce a novel technique for lateral osteotomy with improved visualization.

악하선에 발생한 호산성 세포암종 1예 (A Case of Oncocytic Carcinoma Arising in the Submandibular Gland)

  • 신승국;이영옥;이병주;임윤성
    • Korean Journal of Otorhinolaryngology-Head and Neck Surgery
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    • 제55권3호
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    • pp.173-176
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    • 2012
  • Oncocytic neoplasm of the head and neck region accounts for approximately 1% of all salivary gland tumors, but only 5% of oncocytic neoplasm is malignant. Oncocytic carcinoma arising in the submandibular gland is exceedingly rare. We encountered a sixty seven-year-old male patient who presented with multiple mass in the right neck. Fine needle aspiration biopsy revealed a salivary gland tumor of predominantly oncocytic form, and a differential diagnosis included oncocytic adenoma or mucoepidermoid carcinoma. A right submandibular gland resection and modified radical neck dissection were performed. Histologically, the tumor cells showed nuclear pleomorphism, and stromal invasion, which were compatible with oncocytic carcinoma. After surgery, the entire neck region was irradiated. Seventeen months after the initial surgery, multiple metastases to the bone and lung were detected from the incidental pathologic bone fracture of the right humerus; palliative chemotherapy was performed to resolve this. We report a case of oncocytic carcinoma in the submandibular gland with a review of literature.

침상 코크스의 피치 코팅에 따른 리튬 이차전지 탄소계 음극소재의 전기화학적 특성 (Electrochemical Properties of Needle Coke through a Simple Carbon Coating Process for Lithium Ion Battery)

  • 황진웅;이종대;임지선
    • 공업화학
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    • 제31권5호
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    • pp.514-519
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    • 2020
  • 흑연 소재는 높은 구조적 안정성 및 낮은 가격으로 리튬 이차전지 음극소재로 이용되고 있다. 또한, 탄소 소재의 낮은 속도 특성을 개선하려는 탄소 코팅 연구가 활발히 진행되고 있다. 탄소 코팅은 화학적 반응을 이용하는 CVD 코팅, 용매를 사용하는 습식 코팅, 기계적 충돌에 의한 건식 코팅으로 나뉜다. 본 논문에서는 습식 코팅 공정에서 사용 용매에 따라 탄소 전구체(피치)의 일부만 사용될 수 있는 문제와 용매 제거에 의한 환경 문제를 해결하고자 건식 공정인 고속 분쇄/코팅 공정을 이용하여 리튬 이차전지 음극용 탄소 소재를 제조하였다. 침상 코크스와 피치의 무게비는 8 : 2 wt.%으로 하고, 고속 분쇄/코팅 공정을 이용하여 침상 코크스의 분쇄와 피치의 코팅을 통한 구상화를 진행하였을 때, 침상 코크스의 모서리 면이 피치로 코팅되는 것을 확인하였다. 이 소재를 2400 ℃ 고온 열처리를 진행한 결과 피치 코팅되지 않은 소재와 비교하여 초기용량과 효율은 큰 차이를 보이지 않았으나, 10C/0.1C 속도 특성에서 41.8%의 성능이 향상되었다. 고속 분쇄/코팅 공정을 통해 제조된 소재는 고속 방전용 리튬 이차전지 음극 소재에 사용될 수 있을 것으로 생각된다.

스크랩 불순물이 Zr 합금의 미세조직 및 기계적 특성에 미치는 영향 (Effect of Scrap Impurities on Microstructure and Mechanical Properties of Zr Alloys)

  • 정구범;김인원;송재숙;신평우;홍순익
    • 한국주조공학회지
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    • 제36권3호
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    • pp.81-87
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    • 2016
  • In this study, the effect of scrap ratio on the mechanical properties of Zr alloys was studied. Oxygen content in the ingot cake increased rapidly with increasing fraction of scrap, which can be attributed to the surface oxide of scrap including small pieces of turning, chips, etc. Iron content did not increase much with the increasing addition of scrap, suggesting scrap materials was well reserved in the iron-free container. As-cast structure of Zr alloy with the scrap:sponge ratio displayed plate/or needle ${\alpha}$ phase and no appreciable change of the cast structure was observed with change of scrap fraction. The strength increases with increasing fraction of scrap, which can be attributed to the increase of oxygen content. The ductility decreased slightly with increase of scrap fraction. Dislocation-oxygen interaction is known to increase the strength at the expense of ductility. Ingot cake with intentionally added $Fe_2O_3$ exhibited the drastic decrease of the formability, even exhibited the brittle fracture behavior during rolling. The oxidation resistance, however, increased with the increase of scrap fraction because of high oxygen content, which may prevent more penetration and diffusion of oxygen into matrix.

스피넬 전성형체의 $La_2$O_3-A1_2O_3-SiO_2$계 유리 침투 kinetic (Kinetic Study Of $La_2$O_3-A1_2O_3-SiO_2$ glass infiltration into Spinel Preforms)

  • 이득용;장주웅;김병수;김대준;송요승
    • 한국결정성장학회지
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    • 제12권1호
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    • pp.31-35
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    • 2002
  • 상용 스피넬 분말(0.94$\mu$m)을 $1300^{\circ}C$ 2시간 열처리한 후 30분 동안 습식혼합하여 3.29$\mu$m의 최종분말을 제조하여 die-press법을 이용하여 $1100^{\circ}C$에서 2시간 1차 소결하여 다공성 전성형체를 제조하고 $1080^{\circ}C$에서 0~2시간가지 $La_2O_3-A1_2O_3-SiO_2$계 유리를 용응 침투시켜 유리 침투 깊이와 시간간의 kinetic을 조사하였다 유리 침투시간이 증가할수록 침투깊이는 모세관압에 의하여 parabolic하게 증가하였다. 유리-스피넬 복합체의 강도와 인성값은 각각 317MPa, 3.56MPa . $m^{1/2}$이 었으며 $1300^{\circ}C$의 높은 하소온도로 인한 재결정에 의하여 스피넬은 침상과 다각형 조직이 동시에 존재하는 이중 미세조직 이 관찰되었다.

폴리메틸메타크리레이트를 사용한 경피적 척추성형술의 골다공증 척추체 압박골절에 대한 치료효과 : 예비보고 (Percutaneous Vertebroplasty with Polymethymethacrylate in the Treatment of Osteoporotic Vertebral Body Compression Fractures : Preliminary Report)

  • 박춘근;이관성;최영근;류경식;박춘근;조경석;강준기
    • Journal of Korean Neurosurgical Society
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    • 제29권3호
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    • pp.365-371
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    • 2000
  • Objectives : To describe a technique for percutaneous vertebroplasty of osteoporotic vertebral body compression fractures and to report preliminary results of its use. Methods : The technique was used over a 8-month period in 9 patients with 10 painful vertebral fractures. The technique involves percutaneous puncture of the involved vertebrae with a Jamshidi needle via a transpedicular approach followed by injection of polymethylmethacrylate(PMMA) into the vertebral body. Results : The procedure was technically successful in all patients, with an average injection amount of 5.9 cc per vertebral body. One patient complained of flank pain postoperatively in spite of improvement in back pain caused by the fractured vertebra. Remaining eight patients reported significant pain relief early after treatment. The patients were followed up for 3 to 15 months(average 7.2 months) and demonstrated no recurrence of pain or aggravation of deformity. Conclusion : Vertebroplasty appears to be a valuable tool in the treatment of painful osteoporotic vertebral fractures, providing acute pain relief and early mobilization in appropriate patients. However, it needs to have more extensive prospective clinical study to confirm its definitive role in the management of this condition.

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고진공 고압 다이캐스팅으로 제조된 AA365 합금의 미세조직과 기계적 특성에 미치는 T6 열처리의 영향 (Effect of T6 heat treatment on the microstructure and mechanical properties of AA365 alloy fabricated by vacuum-assisted high pressure die casting)

  • 전준협;손승배;이석재;정재길
    • 열처리공학회지
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    • 제37권3호
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    • pp.121-127
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    • 2024
  • We investigate the effect of T6 heat treatment on the microstructure and mechanical properties of AA365 (Al-10.3Si-0.37Mg-0.6Mn-0.11Fe, wt.%) alloy fabricated by vacuum-assisted high pressure die casting by means of thermodynamic calculation, X-ray diffraction, scanning and transmission electron microscopy, and tensile tests. The as-cast alloy consists of primary Al (with dendrite arm spacing of 10~15 ㎛), needle-like eutectic Si, and blocky α-AlFeMnSi phases. The solution treatment at 490 ℃ induces the spheroidization of eutectic Si and increase in the fraction of eutectic Si and α-AlFeMnSi phases. While as-cast alloy does not contain nano-sized precipitates, the T6-treated alloy contains fine β' and β' precipitates less than 20 nm that formed during aging at 190℃. T6 heat treatment improves the yield strength from 165 to 186 MPa due to the strengthening effect of β' and β' precipitates. However, the β' and β' precipitates reduce the strain hardening rate and accelerate the necking phenomenon, degrading the tensile strength (from 290 to 244 MPa) and fracture elongation (from 6.6 to 5.0%). Fractography reveals that the coarse α-AlFeMnSi and eutectic Si phases act as crack sites in both the as-cast and T6 treated alloys.

하치조신경 마취시 하악공으로의 접근을 위한 전산화단층촬영을 통한 방사선적 연구 (THE STUDY BY USING THE COMPUTERIZED TOMOGRAPHY IMAGING IN ORDER TO ACCESS TO MANDIBULAR FORAMEN WHILE INFERIOR ALVEOLAR NERVE ANESTHESIA)

  • 김지광;구홍;안진석;국민석;박홍주;오희균;조진형
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제32권6호
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    • pp.566-574
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    • 2006
  • Purpose : This study was performed to provide an anatomical information of the mandibular ramus for the successful inferior alveolar nerve block. Three dimensional images were reconstructed from the computerized tomography (CT) and the anatomical evaluation of the mandibular ramus was done. Materials and methods : Sixty-four patients who had been taken the facial CT scans from 2000, Jan to 2003, June was selected. The patients who had the anterior or posterior teeth misssing, edentulous ridge, and jaw fracture were excepted. In the occulusal plane, the lingual surface angle (LSA) between the mid-sagittal plane and the mandibular molar lingual surface from the 2nd premolar to the 2nd molar, the inner ramal surface angle (IRSA), the maximum inner ramal surface angle (MxIRSA), and the outer ramal surface angle (ORSA) to the-mid sagittal plane were measured. The inner ramal surface angle in the ligular tip level (IRSA-L) and the outer ramal surface angle in the ligular tip level (ORSA-L), the ramal length (RL), and the anterior ramal length (ARL) were also measured in the lingular tip level. Results : In the lingular tip level, the mean IRSA-L and ORSA-L were $28.6{\pm}6.3^{\circ}$ and $17.9{\pm}4.9^{\circ}$ respectively. The larger was the IRSA, the larger was the ORSA. In the lingular tip level, the mean ramal length was 35.8${\pm}$3.4 mm. The larger was the IRSA-L, the shorter was the ramal length. On the lingular tip level, the mean anterior ramal length from anterior ramus to lingular tip was 19.6${\pm}$3.3 mm. when the ramal length was longer, the anterior ramal length was also longer. On the lingular tip level, there was positive correlation vetween the IRSA and the ORSA, negative correlation between the IRSA and the ramal length, and positive correlation between the ramal length and the lingular tip level to the anterior ramus. There was no statistical meaning of data between sex and age. Conclusion : In the clinical view of the results so far achieved, if the direction of needle is closer to posterior it is able to contact bone on lingular tip when the internal surface of ramus is wided outer.