• 제목/요약/키워드: Non-fixation method

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노화된 안검에서 상안검 교정술 시 안와 격막 접근법 (Septal Approach on Upper Blepharoplasty in Elderly Person)

  • 오의선;윤인식;박병윤
    • Archives of Plastic Surgery
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    • 제37권5호
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    • pp.659-666
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    • 2010
  • Purpose: Blepharoplasty plays a vital role in facial rejuvenation. Aging eyelids are the result of relaxation of lid structures as the skin, the orbicularis muscle, and mainly the septum, with subsequent protrusion or pseudoherniation of intraorbital fat contents. Traditional blepharoplasty has often involved the excision of excessive lax skin and muscle and removal of fat, leaving the eyelid unnatural and even causing the brow ptosis. The authors propose the septal approach through which the amount of skin excision can be decreased and solid fixation can be achieved in the upper blepharoplasty. Methods: From November 2007 to February 2010, total of 15 patients underwent upper blepharoplasty with septal approach. In 9 patients, orbital septum anchored into the orbital periosteum only. But in 6 patients, the attenuated septum was strengthened through shortening and fixing into orbital periosteum with non-absorbable suture. Results: Pleasing results were obtained from most of the patients. But one patient who had septum anchoring procedure complained of slight undercorrection, therefore secondary operation with septum shortening procedure was followed. Conclusion: We found that the method using orbital septum fixation into orbital periosteum has several advantages: less amount of skin excision, less recurrence rate, and more natural appearance. And the results were reliable and satisfactory.

산성염료와 반응성염료에 의한 카티온화 나일론/비스코스레이온 교직물의 1욕1단 염색 (The One Bath One Step Dyeing of Cationized Nylon/Viscose Rayon Mixture Fabrics With Acid Dyes and Reactive Dyes)

  • 성우경
    • 한국의류산업학회지
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    • 제7권3호
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    • pp.339-345
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    • 2005
  • It is difficult to dye nylon/viscose rayon mixture fabrics by one-bath one-step dyeing method, because acid dyes and reactive dyes require acidic dyebath for adsorption and alkaline dyebath for fixation respectively. In order to overcome the disadvantage of the conventional two bath two step dyeing method of nylon/viscose rayon mixture fabric, it was pretreated with cationizing agent containing chlorohydrine group in aqueous solution of sodium hydroxide. The pretreated nylon/viscose rayon mixture fabrics produced cationized fabrics that could be dyed with acid dyes and reactive dyes under neutral condition. This study was carried out to investigate dyeing possibilities, surface reflectance spectra and color characteristics of cationized nylon/viscose rayon mixture fabrics with acid dyes and reactive dyes in a non-electrolytic and neutral dyebath by one bath one step dyeing method.

쇄골 외측단 Rockwood 제2형 골절의 치료 (Treatment for the Rockwood type Ⅱ Fractures of Lateral End of Clavicle)

  • 오창욱;경희수;박건욱
    • Clinics in Shoulder and Elbow
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    • 제1권1호
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    • pp.66-71
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    • 1998
  • The fractures of lateral end of clavicle can be treated by conservative or operative treatment, but many authors report the higher rate of non-union with conservative treatment and that the operative treatment is more effective for the type II fractures. The authors reviewed and analysed 15 cases of lateral end fracture of clavicle which had been treated at Department of Orthopedic Surgery, Kyungpook National University Hospital from 1991 to 1996. The results were as follows; 1. Among the 15 patients, male was 6,female 9 and the average age was 46.2 years ranged from 21 to 72 years. 2. According to the classification by Rockwood, type II a was 8 cases and II b was 7 cases. 3. We treated operatively 12 cases, 9 cases with tension band wiring and 3 cases with intramedul-Iary K-wire fixation. And we treated conservatively 3 cases with Velpeau cast, but I case of nonunion was treated with tension band wiring. 4. The average follow-up was 3.2 years ranged from 2.1 to 4.7 years. 5. The functional results were evaluated with Weitzman's classification. 6. In the operatively treated cases, there were 4 cases(30.7%) in excellent, 7 cases(53.8%) in good and 2 cases(15.3%) in fair result. But, in the conservatively treated cases, there were 2 cases in good and I case in poor result, and the poor case did not united and had open reduction and internal fixation. 7. In conclusion, the operative treatment revealed good functional results in most cases (10/12) and early open reduction and internal fixation was better method than conservative treatment.

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전치부 개방교합을 동반한 골격성 제3급 부정교합 환자에 대한 양측 하악지 시상분할 골절단술후 안정성에 관한 임상적 분석 (CLINCAL ANALYSIS OF SKELETAL STABILITY AFTER BSSRO FOR CORRECTION OF SKELETAL CLASS III MALOCCLUSION PATIENTS WITH ANTERIR OPEN BITE)

  • 김현수;권대근;이상한;김진수;강동화;장현중
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제33권2호
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    • pp.152-161
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    • 2007
  • This study was conducted to patients visited oral maxillo-facial surgery, KNUH and the purpose of the study was to assess skeletal and dento-alveolar stability after surgical-orthodontic correction treated by skeletal Class III malocclusion patients with open bite versus non-open bite. This retrospective study was based on the examination of 40 patient, 19 males and 21 females, with a mean age 22.3 years. The patients were divided into two groups based on open bite and non-open bite skeletal Class III malocclusion patients. The cephalometric records of 40 skeletal Class III malocclusion patients (open bite: n = 18, non-open bite: n = 22) were examined at different time point, i.e. before surgery(T1), immediately after surgery(T2), one year after surgery(T3). Bilateral sagittal split ramus osteotomy was performed in 40 patients. Rigid internal fixation was standard method used in all patient. Through analysis and evaluation of the cephalometric records, we were able to achieve following results of post-surgical stability and relapse. 1. There was no significant statistical differences between open bite and non-open bite with skeletal Class III malocclusion patients in maxillary occlusal plane angle of pre-operative stage(p>0.05). 2. Mean vertical relapses of skeletal Class III malocclusion patients with open bite were $0.02{\pm}1.43mm$ at B point and $0.42{\pm}1.56mm$ at Pogonion point. In skeletal Class III malocclusion patients with non-open bite, $0.12{\pm}1.55mm$ at B point and $0.08{\pm}1.57mm$ at Pogonion point. There was no significant statistical differences between open bite and non-open bite with skeletal Class III malocclusion patients in vertical relapse(p>0.05). 3. Mean horizontal relapses of skeletal Class III malocclusion patients with open bite were $1.22{\pm}2.21mm$ at B point and $0.74{\pm}2.25mm$ at Pogonion point. In skeletal Class III malocclusion patients with non-open bite, $0.92{\pm}1.81mm$ at B point and $0.83{\pm}2.11mm$ at Pogonion point. There was no significant statistical differences between open bite and non-open bite with skeletal Class III malocclusion patients in horizontal relapse(p>0.05). 4. There were no significant statistical differences between open bite and non-open bite with skeletal Class III malocclusion patients in post-surgical mandibular stability(p>0.05). and we believe this is due to minimized mandibular condylar positional change using mandibular condylar positioning system and also rigid fixation using miniplate 5. Although there was no significant relapse tendency observed at chin points, according to the Pearson correlation analysis, the mandibular relapse was influenced by the amount of vertical and horizontal movement of mandibular set-back(p=0.05, r>0.304).

하악골 골절환자에서 술후 자가통증조절장치와 근주용 진통제의 효과에 관한 비교 (A COMPARATIVE STUDY ON POST-OPERATIVE ANALGESIC EFFECT FOR PATIENT-CONTROLLED AND INTRAMUSCULAR ANALGESIA IN MANDIBULAR FRACTURE PATIENTS)

  • 이석재;김경욱;김철환
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제28권1호
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    • pp.42-48
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    • 2006
  • Open reduction and rigid internal fixation is the most popular treatment method for maxillofacial fracture patients, and it is unevitable that postoperative pain can be developed. Many surgeons including oral & maxillofacial surgeons have made constant efforts to decrease postoperative pain. This study is a comparison of postoperative analgesia and intramuscular analgesia in patients with mandibular fractures. In this study, twenty-one patients (Experimental group) were randomly selected and they were injected with IV patient-controlled analgesia (PCA; Walkmed$^{(R)}$, USA). For control group another twenty-one patients were injected with intramusclar non-steroid anti-inflammatory drugs (Rheoma$^{(R)}$, Samsung Pharm. Co.). And then, we measured visual analogue scale (VAS) scores from first postoperative day to second day at regular time interval. The following results were uptained; 1. In patient group who with open reduction and rigid internal fixation, there was significant difference of postoperative analgesic effect during the first postoperative day(p<0.05). 2. In patient group with over 90 minutes surgery time, there was significant difference of postoperative analgesic effect during the first and second postoperative day when compared between experimental group and control group(p<0.05). 3. In patient group with less than 90 minutes surgery time, there was no significant difference of postoperative analgesic effect during the first and second postoperative day when compared between experimental group and control group(p>0.05). 4. In patient group with surgery of open reduction using rigid internal fixation at single fractured site, there was no significant difference of postoperative analgesic effect during the first and second postoperative day when compared between experimental group and control group(p>0.05). 5. In patient group with surgery at two fractured sites, there was significant difference of postoperative analgesic effect during the first postoperative day when compared between experimental group and control group(p<0.05). As mentioned above, it suggest that patient-controlled analgesia is more effective for postoperative pain relief than intramuscular injection in patients with rigid internal fixation by open reduction after mandibular fracture occurred. Especially, it is considered that in patient with more than 90 minutes surgery time or in cases with multiple fractured sites had more effective results with PCA therapy than conventional intramuscular analgesics.

65세 이상의 상완골 근위부 골절 환자에서 다축 각안정 잠김 압박 금속판을 이용한 내고정술 (Internal Fixation of Proximal Humerus Fracture with Polyaxial Angular Stable Locking Compression Plate in Patients Older Than 65 Years)

  • 이기원;최영준;안형선;김정환;황재광;강정호;추한호;박준석;김태경
    • Clinics in Shoulder and Elbow
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    • 제15권1호
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    • pp.25-31
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    • 2012
  • 목적: 65세 이상의 상완골 근위부 골절 환자에 대하여 다축 각안정 잠김 압박 금속판 (Non-Contact-Bridging proximal humerus plate, Zimmer, Switzerland, NCB)을 이용하여 내고정술을 시행하고 그 임상적, 방사선적 결과를 알아보고자 하였다. 대상 및 방법: 2007년 8월부터 2011년 1월까지 65세 이상의 상완골 근위부 골절 환자 중 NCB 금속판을 이용하여 내고정술을 시행한 32명의 환자를 대상으로 하였다. 평균 연령은 71세 였으며 평균 추시 기간은 11.5개월이였다. 골절의 분류는 2분 골절이 14예, 3분 골절이 18예였다. 임상적 평가는 VAS 점수와 Constant 점수를 이용하였으며, 방사선학적 평가는 골유합 시기와 Paavolainen 방법으로 경간각을 평가하였다. 결과: 최종 추시 시 VAS 점수는 평균 3점, Constant 점수는 평균 64.5점이었으며 모든 예에서 수술 후 평균 16.2주에 골유합을 얻었다. 방사선학적 평가 결과 최종 추시 시 경간각은 평균 125.9도로 우수 24예, 양호 8예이었다. 강선 파열 1예 및 지연유합 1예, 경미한 금속판의 견봉하 충돌로 인한 통증 호소 3예 등의 합병증이 관찰되었으며 정복소실, 나사 이완, 불유합, 상완골 골두의 무혈성 괴사 등은 없었다. 결론: NCB 금속판을 이용한 내고정술은 골절의 고정 및 정복의 유지가 어려운 고령의 상완골 근위부 골절 환자의 치료에 효과적인 수술 방법 중 하나로 생각된다.

하악골 과두돌기 골절시 개구범위에 관한 임상적 연구 (A CLINICAL STUDY OF MOUTH OPENING RANGE IN MANDIBULAR CONDYLE FRACTURES)

  • 우승철;엄인웅;이동근;김수남
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제14권4호
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    • pp.283-294
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    • 1992
  • Functional recovery associated with mouth opening after mandibular condyle fracture was a contradictory result of many authors. The treatment goal of condyle fracture has been not only the good reduction and fixation but also the rapid functional recovery with mouth opening capacity. The purpose of this study is to evaluate the mouth opening capacity after surgical or non-surgical treatment of condyle fracture according to the site, level, maxillomandibular fixation(MMF) and operation method based on 39 patents with condyle fracture who were admitted to the department of oral and maxillofacial surgery, Wonkwang University Hospital from May.1, 1990 to Aug.31, 1992. The results were as follows. 1. The most common fracture site was level IV (17 cases : 42.2%) and level I (14 cases : 36.8%), level II (5 cases: 13.2%) and level III(3 cases : 7.9%) were in decreasing order of frequency. Compound fracture with symphysis was more frequent (69.2%) than simple fracture(30.8%). 2. The mouth opening capacity was increased in the level I compared with level IV. 3. The mouth opening capacity was increased in the group of segment removal. 4. The mouth opening capacity was increased in the MMF period was decreased. 5. Better mouth opening capacity was recorded in the physical therapy group of more than 3-4 weeks of treatment period.

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제품에 대한 심리적 거리감에 따른 이성적, 감성적 광고소구의 효과분석: 아이트래킹 방법을 중심으로 (Analysis of Effects of Rational and Emotional Advertising Appeals on Products from a View of Psychological Distance : Focusing on the Eye-Tracking Method)

  • 강창민;이건창
    • 디지털융복합연구
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    • 제17권11호
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    • pp.97-104
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    • 2019
  • 제품에 대해 소비자들은 주관적인 심리적 거리감을 갖는다. 그리고 해당 제품에 대한 광고소구 효과는 소비자의 심리적 거리감에 따라 달라질 수 있다. 본 연구는 해석수준이론을 바탕으로, 심리적 거리에 따라 효과적인 광고소구가 무엇인지를 분석하고, 아이트래커를 활용하여 신경 생리 실험을 하였다. 실험 참가자는 동일한 제품에 대하여 두 가지 소구유형의 광고를 모두 보았고, 7점 척도를 통해 각각의 광고를 평가하였다. 연구 결과, 심리적 거리가 가까운 제품일 때 이성소구를 선호하며, 심리적 거리가 먼 제품일 때에는 감성소구를 선호하는 것으로 확인되었다. 또한 눈의 움직임은 선호소구와 비선호소구를 보았을 때의 차이를 보였고 측정 변수로는 시선방문횟수(VC), 응시횟수(FC), 응시시간(TFD)을 사용하였다. 선호하는 소구를 보았을 때 세 변수 모두 비선호 소구를 보았을 때보다 값이 작게 나오는 것을 확인했다. 결론에는 본 연구가 갖는 학문적 시사점과 실무적 시사점, 그리고 연구의 한계점에 대해 논의하였으며, 향후 연구방향을 제시하였다.

Nodulation Experiment by Cross-Inoculation of Nitrogen-Fixing Bacteria Isolated from Root Nodules of Several Leguminous Plants

  • Ahyeon Cho;Alpana Joshi;Hor-Gil Hur;Ji-Hoon Lee
    • Journal of Microbiology and Biotechnology
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    • 제34권3호
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    • pp.570-579
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    • 2024
  • Root-nodule nitrogen-fixing bacteria are known for being specific to particular legumes. This study isolated the endophytic root-nodule bacteria from the nodules of legumes and examined them to determine whether they could be used to promote the formation of nodules in other legumes. Forty-six isolates were collected from five leguminous plants and screened for housekeeping (16S rRNA), nitrogen fixation (nifH), and nodulation (nodC) genes. Based on the 16S rRNA gene sequencing and phylogenetic analysis, the bacterial isolates WC15, WC16, WC24, and GM5 were identified as Rhizobium, Sphingomonas, Methylobacterium, and Bradyrhizobium, respectively. The four isolates were found to have the nifH gene, and the study confirmed that one isolate (GM5) had both the nifH and nodC genes. The Salkowski method was used to measure the isolated bacteria for their capacity to produce phytohormone indole acetic acid (IAA). Additional experiments were performed to examine the effect of the isolated bacteria on root morphology and nodulation. Among the four tested isolates, both WC24 and GM5 induced nodulation in Glycine max. The gene expression studies revealed that GM5 had a higher expression of the nifH gene. The existence and expression of the nitrogen-fixing genes implied that the tested strain had the ability to fix the atmospheric nitrogen. These findings demonstrated that a nitrogen-fixing bacterium, Methylobacterium (WC24), isolated from a Trifolium repens, induced the formation of root nodules in non-host leguminous plants (Glycine max). This suggested the potential application of these rhizobia as biofertilizer. Further studies are required to verify the N2-fixing efficiency of the isolates.

Updated Surgical Techniques and Expanded Indications of Free Vascularized Fibular Graft

  • Park, Jong Woong
    • Archives of Reconstructive Microsurgery
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    • 제24권2호
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    • pp.41-49
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    • 2015
  • Free or pedicled vascularized fibular grafts (VFG) are useful for the reconstruction of large skeletal defects, particularly in cases of scarred or avascular beds, or in patients with combined bone and soft tissue defects. Compared to non-VFG, VEG, which contains living osteocytes and osteoblasts, maintains its own viability and serves as good osteoconductive and osteoinductive graft. Due to its many structural and biological advantages, the free fibular osteo- or osteocutaneous graft is considered the most suitable autograft for the reconstruction of long bone defects in the injured extremity. The traditional indication of VFG is the long bone and soft tissue defect, which cannot be reconstructed using a conventional operative method. Recently, the indications have been widely expanded not only for defects of midtibia, humerus, forearm, distal femur, and proximal tibia, but also for the arthrodesis of shoulder and knee joints. Because of its potential to allow further bone growth, free fibular epiphyseal transfer can be used for the hip or for distal radius defects caused by the radical resection of a tumor. The basic anatomy and surgical techniques for harvesting the VFG are well known; however, the condition of the recipient site is different in each case. Therefore, careful preoperative surgical planning should be customized in every patient. In this review, recently expanded surgical indications of VFG and surgical tips based on the author's experiences in the issues of fixation method, one or two staged reconstruction, size mismatching, overcoming the stress fracture, and arthrodesis of shoulder and knee joint using VFG are discussed with the review of literature.