• 대한두개안면성형외과학회지
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• 제15권2호
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• pp.59-62
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• 2014

Background: The zygoma is the most prominent portion of the face. Almost all simple zygomatic arch fractures are treated in a closed fashion with a Dingman elevator. However, the open approach should be considered for unstable zygomatic arch fractures. The coronal approach for a zygomatic arch fracture has complications. In this study, we introduce our method to reduce a special type of unstable zygomatic fracture. Methods: We retrospectively reviewed zygomatic arch view and facial bone computed tomography scans of 424 patients who visited the Wonju Severance Christian Hospital from 2007 to 2010 with zygomaticomaxillary fractures, among whom 15 patients met the inclusion criteria. Results: We used a Dingman elevator and K-wire simultaneously to manage this type of zygomatic arch fracture. Simple medial rotation force usually collapses the posterior fractured segment, and the fracture becomes unstable. Thus, the posterior fracture segment must be concurrently elevated with a Dingman elevator through Keen's approach with rotation force applied through the K-wire. All fractures were reduced without any instability using this method. Conclusion: We were able to reduce unstable and difficult zygomatic arch fractures without an open incision or any external fixation device.

• 한국콘크리트학회:학술대회논문집
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• 한국콘크리트학회 2001년도 봄 학술발표회 논문집
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• pp.201-206
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• 2001

This paper presents truss model that can be used to determine the deformation as well as strength of RC members. This model is constituted to address plastic hinge rotation at tile deformation concentrated regions under severe lateral load. The behavior of each element of truss model is evaluated on the basis of stress field analysis. The deformation is obtained by combining element deformations with joint rotation. Initial strength is calculated at the first failure of any element, and strength deterioration after failure depends on the strength reduction of this element. The proposed model will provide useful tools in seismic design of ductility-required members.

• Earthquakes and Structures
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• 제10권2호
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• pp.329-350
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• 2016

A parametric study was conducted to investigate the seismic deformation demands in terms of drift ratio, plastic base rotation and compression strain on rectangular wall members in frame-wall systems. The wall index defined as ratio of total wall area to the floor plan area was kept as variable in frame-wall models and its relation with the seismic demand at the base of the wall was investigated. The wall indexes of analyzed models are in the range of 0.2-2%. 4, 8 and 12-story frame-wall models were created. The seismic behavior of frame-wall models were calculated using nonlinear time-history analysis and design spectrum matched ground motion set. Analyses results revealed that the increased wall index led to significant reduction in the top and inter-story displacement demands especially for 4-story models. The calculated average inter-story drift decreased from 1.5% to 0.5% for 4-story models. The average drift ratio in 8- and 12-story models has changed from approximately 1.5% to 0.75%. As the wall index increases, the dispersion in the calculated drifts due to ground motion variability decreased considerably. This is mainly due to increase in the lateral stiffness of models that leads their fundamental period of vibration to fall into zone of the response spectra that has smaller dispersion for scaled ground motion data set. When walls were assessed according to plastic rotation limits defined in ASCE/SEI 41, it was seen that the walls in frame-wall systems with low wall index in the range of 0.2-0.6% could seldom survive the design earthquake without major damage. Concrete compressive strains calculated in all frame-wall structures were much higher than the limit allowed for design, ${\varepsilon}_c$=0.0035, so confinement is required at the boundaries. For rectangular walls above the wall index value of 1.0% nearly all walls assure at least life safety (LS) performance criteria. It is proposed that in the design of dual systems where frames and walls are connected by link and transverse beams, the minimum value of wall index should be greater than 0.6%, in order to prevent excessive damage to wall members.

• 한국해양공학회지
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• 제10권2호
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• pp.98-105
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• 1996

A method is proposed to evaluate the elastic-plastic fracture resistance curve only with load displacement records without the crack length measurement in CT specimen. This method is based on the idea that the effect of plastic deformation and the crack growth can be measured only by using a load-displacement record. If we know the reference-load curve representing the hardening of specimen, then the crack extension can be calculated by the elastic compliance determined from the load ratio. The results of this proposed method were compared to those of the elastic-plastic fracture resistance curve for the ASTM standard unloading compliance method. The experimental results for two kinds of ductile materials showed that the proposed method well simulates the material J-R curves. This method is currently applied for CT specimens. but it can be extended to the other specimen geometries.

• Archives of Plastic Surgery
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• 제32권5호
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• pp.667-670
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• 2005

Congenital facial cleft is a rare entity and appears along by the line of different processes of the facial development. An isolated cleft of the nose has been reported not often in the literature. We treated a patient with an isolated nasal cleft associated with undefined cranial anomaly. On 3D CT scan was seen a bony cleft traversing the pyriform aperture lateral to the anterior nasal spine. The nasal septum and frontal process of the maxilla were intact. There also was found bilateral bony defects in the frontal bone and bilateral frontal boss. The nasal cleft and frontal defect and boss were corrected by two stages: anterior two-third of the cranial vault with bilateral frontal boss was remodeled at the age of two years and the nasal cleft was repaired with a local rotation flap at age 3.

• Archives of Plastic Surgery
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• 제51권4호
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• pp.367-371
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• 2024

Skin defects of the total nasal columella can significantly impact both nasal respiratory function and aesthetics. The reconstruction of total columella is a complex process and represents a significant challenge for plastic surgeons. Various factors can cause the loss of the columella. Numerous columella reconstruction procedures have been proposed, each with their own set of advantages and disadvantages. The main issues to address include the need for regional flaps from the forehead or nasofacial sulcus, a long pedicle to reach the columella, and the double angular folding that causes a risk of malnutrition or venous congestion. Additionally, using horizontal nasolabial flaps may lead to deformation of the upper lip. In this study, we present a new procedure to reconstruct the nasal columella using "Domino flaps" with two flaps (the horizontal upper lip island flap and nasocheek island flap). This new procedure ensures adequate skin for reconstruction of nasal columella and partial tip, minimizes rotation angle, reduces the angular folding of the pedicle, furthermore limits deformation of the upper lip. "Domino flaps" are a valuable option for surgeons when reconstructing the total nasal columella. However, it is important to consider whether the patient has a beard at the donor sites.

• 국제강구조저널
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• 제18권4호
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• pp.1350-1362
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• 2018

Full-scale experimental study and numerical analysis on behaviors and failure mechanisms of full high strength steel extended endplate connections in fire have been carried out and presented in this paper. The experimental behaviors of the connections were compared with the provisions of Eurocode 3. The test results show that the failure modes of the connections in fire are bolt failure with yielding of the flange, as same as those at ambient temperature. The failures of the bolts in fire are ductile while they are brittle at ambient temperature. The rotation capacity of the connections in fire is proved sufficient. What is more, at elevated temperature $550^{\circ}C$, the plastic moment resistances of Q690 and Q960 full high strength steel endplate connections are only 40% of those at ambient temperature, while their initial rotation stiffness are 66 and 63% respectively. But the rotation capacities of Q690 and Q960 high strength steel endplate connections are 1.38 and 1.74 times of those at ambient temperature. Moreover, it is found that the component method Eurocode 3 proposed based on connections made of mild steels can be used to calculate plastic resistances and to predict failure modes of high strength steel endplate connections in fire, but it is not suitable to predict their stiffness. The suggestions about rotation capacity of connections in Eurocode 3 are found too conservative for high strength steel endplate connections in fire.

• Archives of Plastic Surgery
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• 제49권6호
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• pp.724-728
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• 2022

Various flaps are used to reconstruct skin and soft tissue defects of the vulva following resection of malignancies. Whenever possible, reconstruction using local flaps is the standard treatment. Here, we describe vulvar defect reconstruction using keystone flaps. Standard keystone flaps are based on randomly located vascular perforators. However, we designed a keystone flap that includes perforators of three named arteries (the anterior labial artery of the external pudendal artery, cutaneous branches of the obturator artery, and posterior labial artery of the internal pudendal artery) and the pudendal nerve, which accompanies the internal pudendal artery. Four patients with squamous cell carcinoma and extramammary Paget's disease of the vulva underwent radical vulvectomy and keystone flaps including perforators of three arteries. Depending on the morphology of the defects, keystone flaps were used with different designs. For elliptical and unilateral vulvar defects, a standard keystone flap was designed, and for defects on both sides of the vulva, a double opposing keystone flap was used. For oval defects, the omega variant keystone flap was designed, and when the morphology of the defect needed rotation of the flap, a rotational keystone flap was designed. All the patients showed good function and sensation, with an acceptable cosmetic appearance.

• 한국콘크리트학회:학술대회논문집
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• 한국콘크리트학회 2010년도 춘계 학술대회 제22권1호
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• pp.145-146
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• 2010

철근콘크리트 구조물에 적용할 수 있는 지진하중에 대한 간략 모멘트 재분배 방법을 개발하였다. 강기둥-약보 거동을 보이는 골조에 대하여 모멘트 재분배에 의한 하중전달 및 변형 메커니즘을 분석하였다. 그 결과를 토대로 보의 부모멘트 단부에서 허용되는 모멘트 재분배율과 보의 소성회전변형 사이의 정량적 관계를 정립하였다. 제안된 방법은 부재강성, 중력하중, 모멘트재분배, 벽체 및 보-기둥 접합부에 의한 강체거동 등에 의하여 보의 양단부 소성힌지에 요구되는 회전변형요구량을 평가할 수 있다.

• 한국콘크리트학회:학술대회논문집
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• 한국콘크리트학회 2003년도 봄 학술발표회 논문집
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• pp.397-402
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• 2003

This paper presents strut-and-tie models for predicting shear strength of RC interior beam-column joints considering the plastic hinge rotation of adjacent beams. On seismic design of frame system, it is controlled beams to occur plastic hinges and to be ductile so as to dissipate earthquake energy efficiently. The plastic hinge deformation of beams is used as analysis parameter in terms of strain of beam tensile bars at column face. The shear strengths of beam-column joints are evaluated by combining direct strut mechanism with truss mechanism. It is assumed that the max force transferred by direct strut mechanism is based on the strength of cracked concrete element, and that by truss mechanism is based on bond capacity.