• 한국산학기술학회논문지
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• 제5권4호
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• pp.309-314
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• 2004

네일 파일(nail file)을 제조할 때 재료는 강판(두께 0.5㎜)을 사용하고 가공방법은 외형형상을 만들고 Φ 0.8-Φ 1.0㎜의 구멍을 약 300여개 뚫어 완성한다. 이들의 가공방법은 에칭(etching)에 의존하여 제조원가의 33%를 에칭비가 차지하고 있으므로 제조원가의 상승원인이 되고 에칭시 부식제(etching reagent)의 잔류도 환경 친화적이 못되며 재료가 강판이기 때문에 제품에 녹(rust)이 생기므로 이들의 문제점을 해결하고자 다음과 같이 연구개발을 수행하였다. 제품의 녹 방지를 할수 있는 적합한 재질 선택 방법을 고찰하고, 에칭 가공방법을 사용하지 않고 금형을 이용한 프레스 가공으로 교체하기 위하여 프레스 스탬핑시의 스트립 레이아웃(strip layout)기법을 연구개발하고, 금형 부품 중에서 작업 중 절손이 빈번한 보통의 표준펀치를 퀼형의 펀치로 개발 하므로써 프로그레시브 퍼퍼레이팅 금형(progressive perforating die)을 개발하게 되었다.

• Annals of dermatology
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• 제30권6호
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• pp.716-720
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• 2018

Perforating granuloma annulare (PGA), a rare variant of granuloma annulare, is characterized by transepidermal elimination of altered collagen that clinically manifests an umbilicated papule with a central crust. It can be confused with papulonecrotic tuberculid (PNT) because of their similar appearance. Unlike PGA, PNT is usually related to tuberculosis infection with a typical histologic finding of wedgeshaped dermal necrosis. Here, we report the first Korean case of PGA mimicking PNT both clinically and histologically. A 43-year-old Korean woman presented with erythematous papules localized on the extensor surface of her limbs for one year. Some of these papules had a central umbilication or a crust. Regarding comorbidity, she had latent tuberculosis diagnosed with $QuantiFERON^{(R)}-TB$ Gold test about five months ago. She was on antituberculous medication. Initially, a diagnosis of papulonecrotic tuberculid accompanied by latent tuberculosis was considered. However, despite taking the antituberculous medication for five months, her skin lesions were not improved. Biopsy specimen from her arm lesion showed wedge-shaped area of necrosis in the dermis. Additionally, there were multiple focal mucin depositions and palisading granulomatous inflammation throughout the dermis. A diagnosis of PGA was made and she was treated with topical corticosteroid. After two weeks of applying topical corticosteroid, most of her skin lesions disappeared, leaving some hyperpigmented scars.

• 한국농업기계학회:학술대회논문집
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• 한국농업기계학회 1996년도 International Conference on Agricultural Machinery Engineering Proceedings
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• pp.1041-1044
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• 1996

The plastic-film-covered hill planter is a new-type seeding machine, including tow types which are mounted by 11kw and 40 kw tractors. It is made up of fertilizing , plastic-film covering perforating film and hole seeding, soil sealing apparatus, and can work at 5-7kw/h. The plastic-film covering and seeding of cotton, corn and soybean can all use this machine. The plastic-film-covered hill planter is mainly composed of plastic film covering unit, drum-type hill-drop unit and furrow coverer, some other types are also equipped with fertilizer drill unit. It can do combined work of covering plastic film , sowing , plastic film perforating , soil covering at one time, and it is suitable to the covering plastic film as well as planting of the grandulated crops, such as cotton , corn, soybean and so on.

• 한국농업기계학회:학술대회논문집
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• 한국농업기계학회 1996년도 International Conference on Agricultural Machinery Engineering Proceedings
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• pp.996-998
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• 1996

The drum-type hill-drop unit, an important working device of the plastic -film-covered hill planter, can finish filling and separating seed precisely, perforating film and holing , and its seeding depth and spacing are stability . The unit is applied to hole seed many crops, for example, cotton, corn , soybean, etc. The drum-type hill-drop unit(DHU) , the key work unit to the plastic film-covered planter, mainly consists of distributor box , seeding parts, hole forming unit and drum , It can be operated to accomplish seeds distributing, hole forming , plastic film perforating . Moreover , its inner cavity can be used as seed box.

• Steel and Composite Structures
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• 제20권1호
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• pp.71-89
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• 2016

In steel and concrete composite girders, the load transfer between the steel beam and the concrete slab is commonly ensured by installing shear connectors. In this paper, to investigate the nonlinear behavior of perfobond connectors, a total of 60 push-out specimens were fabricated and tested with the variables for the hole diameter, the concrete strength, the thickness of concrete slab, the diameter, strength and existence of perforating rebar, the thickness, height and distance of perfobond ribs. The failure mode and the load-slip behavior of perfobond connectors were obtained. A theoretical model was put forward to express the load-slip relationship. Analytical formulas of shear capacity and peak slip were also proposed considering the interaction between the concrete dowel and the perforating rebar. The calculation results of the proposals agreed well with the experimental values.

• Archives of Reconstructive Microsurgery
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• 제12권1호
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• pp.19-29
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• 2003

Soft tissue reconstruction of dorsum of the foot and ankle has long presented challenging problems for the reconstructive surgeon. Limitations of available local tissue, the need for specialized tissue, and donor site morbidity restrict the options. In an effort to solve these difficult problems, we have begun to use adipofascial flap based on the perforating branch of the peroneal artery. We present our early experience of 5 patients treated with this flap. Our patients ranged from 6 to 26 years in age and included 3 males and 2 females. The etiologies of the wounds were secondary to traffic accident, and crushing injury. The flaps had reverse flow in all patients. The flap and the adjoining raw area were covered with a full-thickness skin graft, while the donor site at the lateral aspect of the leg was closed primarily without grafting. The skin graft was taken from the inguinal area, which was closed primarily. Compared with other flap, this adipofascial flap is thinner, producing less bulkiness to the recipient site and minor aesthetic sequelae to the donor site. In our opinion, this flap is versatile, effective, and an addition to the armamentarium of the reconstructive surgeon for coverage of difficult wounds of the foot and ankle.

• Archives of Plastic Surgery
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• 제36권1호
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• pp.24-28
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• 2009

Purpose: As a recipient vessel, internal mammary vessels have many advantages for microvascular reconstruction of the breast. But the approach is time consuming and results in large morbidities. However, the perforating branches of the internal mammary vessels can be used to minimize such demerits. The purpose of this cadaver study is to clarify the location and diameter of the perforating branches of internal mammary vessels and to prove they are safe and reliable recipient vessels. Methods: We studied 11 formalin - fixed cadavers and dissected their anterior chests bilaterally. The chests were exposed using midline presternal incisions. We dissected and found all perforators at subfascial planes under loupe magnification. The number, external diameter, and the distance from the midline were measured. Result: The mean external diameter of the arterial perforators was 1.32 mm and the mean external diameter of the venous perforators was 1.48 mm. The largest arterial and venous perforators were most frequently found in the second intercostal space. The mean distance from the midline to the perforator was evaluated; the artery averaged 1.95 cm and the vein averaged 2.08 cm. Conclusion: This study will be helpful when using the internal mammary perforating vessels as a recipient vessel during breast reconstruction.

• Archives of Reconstructive Microsurgery
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• 제13권1호
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• pp.24-28
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• 2004

The vascularity of a skin island in fibula osteocutaneous free flap often depends on musculocutaneous perforators that find their origin in the proximal peroneal artery. But a potential drawback has been reported on the unreliability of the skin paddle. The perforating vessels to the skin paddle of the fibula osteocutaneous free flap were rarely derived from a common tibio-fibula trunk, an anterior tibial artery and a posterior tibial artery. Previous studies have emphasized total loss of the overlying skin paddle, if the expected perforating vessels are not present. We report here on our experience that the skin paddle of the fibula osteocutaneous free flap was vascularized not by a peroneal artery but a direct branch of the posterior tibial artery. There were no intraseptal nor intramuscular pedicles in the posterior crural septum which connected to the overlying skin island. Therefore, we performed microsurgical anastomoses between distal peroneal vessels of the fibula and the perforating branches of the posterior tibial vessels of the skin paddle. The anastomosed skin paddle was salvaged with a peroneal flow through vascular anastomosis and was transferred to the bone and intraoral soft tissue defects with the fibula graft. The patient had no evidence of vascular compromise in the postoperative period and showed good healing of the intraoral skin flap.

• Archives of Plastic Surgery
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• 제34권2호
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• pp.203-208
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• 2007

Purpose: Myocutaneous flap was widely used for trochanteric pressure sore but it had many drawbacks such as donor site morbidity, dog-ear deformity and functional muscle sacrifice. We have performed fasciocutaneous flap based on perforating vessels and succeeded in overcoming its drawbacks. Methods: We experienced 11 cases of perforator-based fasciocutaneous flap for the coverage of trochanteric pressure sore in 9 patients, 2 cases of which were bilateral. The ambulatory status of patient group is as follows: 6 of them used a wheelchair, 2 of them are free walking, 1 of them use a wheelchair or crutches. Flap was supplied by cutaneous perforating vessel of descending branch of the lateral circumflex femoral artery and the third perforating artery of the deep femoral artery. The size of wounds were from $4{\times}6.5cm$ to $10{\times}13cm$. Results: We did not find any flap loss or congestion except 2 partial wound dehiscences and 1 wound infection. Donor site morbidity was not found. We observed no recurrence of the pressure sore during the 2.5 year follow-up period. Conclusion: We considered that perforator-based fasciocutaneous flap could overcome the traditional drawbacks of the conventional myocutaneous flap and its modified flap for trochanteric pressure sore. And this flap has many advantages for covering trochanteric pressure sore without any donor site deformity and morbidity, which would greatly improve the aesthetic result.

• 대한두개안면성형외과학회지
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• 제23권2호
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• pp.64-70
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• 2022

Background: Anterolateral thigh (ALT) flaps are versatile soft tissue flaps that have become the standard soft-tissue flaps used for head and neck reconstruction. They provide a long vascular pedicle, constant vessel diameter, abundant soft tissue coverage, and minimal donor site morbidity. The ALT flap was initially designed on the basis of a septocutaneous (SC) perforator. However, more recent research has shown that a substantial number of ALT flaps are now based on musculocutaneous (MC) perforators, and the ratio between MC and SC perforators varies among studies. In this study, we analyzed the perforating pattern of ALT flaps along with their clinical outcomes during head and neck reconstruction in the Korean population. Methods: From October 2016 to July 2020, 68 patients who had undergone an ALT flap procedure for head and neck reconstruction were enrolled retrospectively. The perforating pattern of the cutaneous perforator vessel (MC perforator/SC perforator/oblique branch), pedicle length, and flap size were analyzed intraoperatively. Patient demographics and flap necrosis rates were also calculated. Results: The highest number of cutaneous perforator vessels supplying the ALT flap were the MC perforators (87%). The proportion of MC perforators was significantly higher than that of the SC perforators and oblique branches. Flap necrosis occurred in seven cases (11.86%); sex, hypertension, diabetes mellitus, coronary artery disease, perforator course, and history of radiotherapy did not significantly affect flap necrosis. Conclusion: The ALT free flap procedure remains popular for reconstruction of the head and neck. In this study, we observed that the majority of cutaneous vessels supplying the flaps were MC perforators (87%). When using the MC perforator during flap elevation, careful dissection of the perforator is required to achieve successful ALT flaps because intramuscular dissection is difficult. Perforator pattern and history of radiotherapy did not affect flap necrosis.