• Title/Summary/Keyword: Repair techniques

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A COMPARATIVE STUDY ON CRONIN TRIANGULAR FLAP AND ROTATION-ADVANCEMENT REPAIR IN UNILATERAL COMPLETE CLEFT LIP (편측성 완전구순열에서 Cronin 삼각피판법과 회전신전법에 의한 수복의 비교)

  • Ryu, Sun-Youl;Yun, Cheon-Ju
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.23 no.5
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    • pp.415-421
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    • 2001
  • The present study was carried out to compare the postoperative results of Cronin triangular flap and Millard rotation-advancement repair techniques in repairing the unilateral complete cleft lip. Thirteen patients with unilateral complete cleft lip underwent 6 Cronin triangular flap and 7 Millard rotation-advancement repairs at the Department of Oral and Maxillofacial Surgery of Chonnam University Hospital over a period of 6 years (January 1994 to December 1999). The surgical results following the operation were assessed on the basis of scoring, vertical lip length and scar hypertrophy. The mean score was better in Cronin triangular flap group($74.77{\pm}0.86$) than in Millard rotation-advancement group($66.50{\pm}1.14$) for both lip and nose segments. Scar hypertrophy developed in the Millard rotation-advancement repair group with 28.6% incidence but not in the Cronin triangular flap group. No significant difference was found in the ratio of lip length between Millard rotation-advancement repair and Cronin triangular flap groups($0.73{\pm}0.10$ and $0.80{\pm}0.96$). These results suggest that Cronin triangular flap shows better results than Millard rotation-advancement repair in repairing the unilateral complete cleft lip.

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Outcomes of Combined Mitral Valve Repair and Aortic Valve Replacement (대동맥판막 치환술과 동반시행한 승모판막 성형술 결과)

  • Baek, Man-Jong;Na, Chan-Young;Oh, Sam-Se;Kim, Woong-Han;Whang, Sung-Wook;Lee, Cheol;Chang, Yun-Hee;Jo, Won-Min;Kim, Jae-Hyun;Seo, Hong-Ju;Kim, Soo-Cheol;Lim, Cheong;Kim, Wook-Sung;Lee, Young-Tak;Choi, Hyun-Seok;Moon, Hyun-Soo;Park, Young-Kwan;Kim, Chong-Whan
    • Journal of Chest Surgery
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    • v.36 no.7
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    • pp.463-471
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    • 2003
  • The long-term results of combined mitral valve repair and aortic valve replacement (AVR) have not been well evaluated. This study was performed to investigate the early and long-term results of mitral valve repair with AVR. Material and Method: We retrospectively reviewed 45 patients who underwent mitral valve repair and AVR between September 1990 and April 2002. The average age was 47 years: 28 were men and 17 women. Twelve patients had atrial fibrillation and three had a previous cardiac operation. The mitral valve disease consisted of pure insufficiency (MR) in 34 patients, mitral stenosis (MS) in 3, and mixed lesion in 8. Mitral valve disease was due to rheumatic origin in 24 patients, degenerative in 11, annular dilatation in 8, and ischemia or endocarditis in 2. The functional anatomy of mitral valve was annular dilatation in 31 patients, chordal elongation in 19, leaflet thickening in 19, commissural fusion in 13, chordal fusion in 10, chordal rupture in 6, and so on. Aortic prostheses used included mechanical valve in 32 patients, tissue valve in 12, and pulmonary autograft in one. The techniques of mitral valve repair included annuloplasty in 32 patients and various valvuloplasty of 54 techniques in 29 patients. Total cardiopulmonary bypass and aortic cross clamp time were 204$\pm$62 minute and 153$\pm$57 minutes, respectively. Result: Early death was in one patient due to low output syndrome (2.2%). After follow up of 57$\pm$37 months, late death was in one patient and the actuarial survival at 10 years was 96$\pm$4%. Recurrent MR developed grade II or III in 11 patients and moderate MS in 3. Three patients required reoperation for valve-related complications. The actuarial freedom from recurrent MR, MS, and reoperation were 64$\pm$11%, 86$\pm$8%, and 89$\pm$7% respectively. Conclusion: Combined mitral valve repair with AVR offers good early and long-term survival, and adequate techniques and selection of indication of mitral valve repair, especially in rheumatic disease, are prerequisites for better long-term results.

CORRECTION OF SECONDARY LIP DEFORMITIES IN CLEFT PATIENTS (구순열 환자의 이차 구순 성형술)

  • Kim, Jong-Ryoul;Byun, June-Ho
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.21 no.4
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    • pp.401-406
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    • 1999
  • Secondary deformities of the lip and nose in individuals with repaired unilateral and bilateral clefts may vary in severity, depending on the state of the original defect, the care taken in the initial surgical procedure, the pattern of the patient's facial growth, and the effectiveness of interceptive orthodontic technique. Because each patient has a unique combination of deformities, their surgical reconstruction usually requires the modification and combination of several surgical techniques. Residual lip deformities after primary repair may be esthetic or functional and include scars, skin shortage or excess(vertical and transverse), orbicularis oris muscle malposition or diastasis. The key to accurate repair of secondary cleft lip deformities is a precise diagnosis. This requires observation of the patient in animation and repose. The quality of the scar is not the only factor determining the overall appearance of the lip. Observing the patient in the animated position is critical to assess muscular function. Factors that require precise analysis include lip length, the appearance of the Cupid's bow and philtrum, and nasal symmetry. Only after this detailed analysis can a decision be made as to wether a major or minor deformity exists. We report successful cases using various techniques for the secondary lip deformities.

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A Study on the Adaptive Reuse Techniques through the History of Buildings in the Historic Urban Area - Focused on the Deep and Narrow Lots of Nammun-ro 2Ga, Cheongju - (역사적 도심 내 건축물의 이력을 통해 본 재생기법에 관한 연구 -청주시 남문로 2가동의 세장형 필지를 대상으로-)

  • Kim, Tai-Young
    • Journal of the Korean Institute of Rural Architecture
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    • v.22 no.2
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    • pp.1-8
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    • 2020
  • This study is intended to derive the adaptive reuse techniques through the history and aspects of new construction, extension, repair, and other works, limited to the deep and narrow lots facing Seongan-gil and Nammun-gil in Nammun-ro 2 ga of Cheongju, the historic urban area. The results are as follows. 1) In the case of newly built reinforced concrete buildings, the central part of the top floor of the residence or all floors are opened to the open space(void) to facilitate lighting and ventilation. This is developed as a convection phenomenon due to the temperature difference from the slits between buildings, which affects the entire air flow of the block. 2) The buildings of extension and repair are composed of two-story masonry or steel frame, both the front store facing the road and the house on the back, but it looks like one because it is in contact with each other. If only a small gap between the front and rear buildings is restored to an external space or a space equipped with sun light, a small breath can be provided in lighting and ventilation. 3) The existing two-story wooden stores and houses have lost their external space due to repairs. With minimal intervention to restore the small courtyard, slits, and space under the eaves, it will not only improve lighting and ventilation, but also create a unique appearance as a segment of the elongated store.

DMLS (Direct Metal Laser Sintering) denture repair technique for a removable partial denture: A case report (DMLS (Direct Metal Laser Sintering) 기술을 이용한 가철성 국소의치 수리 증례)

  • Jang, Eun-Sun;Jang, Geun-Won;Byun, Jae-Joon;Kong, Dae-Ryong;Song, Joo-Hun;Lee, Gyeong-Je
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.3
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    • pp.251-256
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    • 2020
  • In recent years, digital technology has been developed in dentistry, which denture frameworks can be manufactured using DMLS (Direct Metal Laser Sintering) technique. A traditional impression method can be replaced by oral scanning and wax pattern production process can be achieved by the use of CAD/CAM techniques. The designed STL files can be sent to DMLS devices to fabricate final components of removable partial dentures (RPD). The advantages of digital dentistry are concision and precision. In this case study, a fracture of occlusal rests providing support and indirect retention was repaired by DMLS and laser welding techniques. It shows satisfactory results in adaptation accuracy and functional properties of the repaired denture.

A Study on Activities of Architecture Craftsmen and Major Carpenters of Court Palace Performance Stages in the Late Joseon Dynasty (조선후기 궁중 연희무대 건축 장인(建築匠人)의 활동과 주요 목수(木手) 연구)

  • Seok, Jin-Young;Han, Dong-Soo
    • Journal of architectural history
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    • v.28 no.3
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    • pp.29-44
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    • 2019
  • A major performance stage carpenter, Jang Insang led performance stages from the 1719 Sukjong Royal Banquet and was confirmed by historical records to be the first craftsman. Lee Wandeuk led the Hwaseong Fortress performance stages of the Jeongjo period and Gichuk Jinchan performance stages of the Sunjo period. The carpenter techniques he used during the Jeongjo period were succeeded to the Sunjo period. Ahn Sungil was the head craftsman who led the performance stages of Jagyeongjeon Jinjak, Muja Jinjak, and Gichuk Jinchan of the Sujo period, under which the foundation for court palace performances was laid. The progression of major carpenters includes Jang Insang of the Sukjong period, Jeon Yoochu of the Yeongjo period, Ahn Sugil of the Sunjo period, Yoon Seoksin of the Heonjong period, Kim Yoonsik of the Gojong period, Lee Jongyoon, Kim Soongil, Seo Sangmook, and Han Sujoon. In addition, the Major Repair of Injeongjeon Hall (1857) of the Cheoljong period was the most important palace construction project for transferring the carpenters' skills. Through this project, Ahn Sungil of the Sunjo period, Kim Myeonggap, Yoon Seoksin of the Heonjong period, Kwon Deuknyang, and Kim Sungil of the Gojong period were able to interact with each other. That is, this major repair project of Injeongjeon Hall reflected the major carpenters' best techniques through performance stage construction, showing the progression of Ahn Sungil, Yoon Seokshin, and Kim Sungil, who led the constructions of Gichuk Jinchan of the Sunjo period (1829), Mushin Jinchan of the Heonjong period (1848), and Jeonghae Jinchan of the Gojong period (1887), the most impressive performance stages of the late Joseon period. The carpenters of the court performance stages participated in important construction projects of the royal palace, reflecting the superior technical skills of the carpenters in the construction of court palace performance stages. The carpenters who played a leading role in the construction of performance stages were able to interact with one another and transfer their excellent technical skills, providing the driving force that allowed court performance stages to blossom into splendid and high-quality court stages in the late Joseon Dynasty.

Replantation of the Amputated Penis using Microsurgery (미세수술에 의한 절단 음경의 재접합)

  • Kang, Yang-Soo;Park, Yong-Nam;Lee, Myung-Ju;Yang, Jeong-Yeol;Rho, Joon;Kim, Chul-Sung
    • Archives of Reconstructive Microsurgery
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    • v.10 no.1
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    • pp.23-27
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    • 2001
  • Penile amputation results primarily from attempts at self-emasculation in the psychotic individual or from felonious assault. Because of the complex nature of patients whom perform self-emasculation and low incidence of felonious assault, large series of these individuals do not exist, and experience with amputation injuries of the genitals is confined to individual case reports. Fortunately, complete amputation of penis is quite rare but potentially devastating occurrence. The repels of the treatment of penile amputation by coporal reapproximation that have been published since 1977 indicate that microreplantation techniques are propably superior to the technically simpler nonmicroscopic coporal reapproximation techniques. As microsurgical techniques have been demonstrated to superior, the preferred method of replantation involves this routine whenever possible. We have experience of a case of successful replantation of completely amputated penis by using microneurovascular repair, with the good result of cosmetic and functional concern. Herein, we report this case with the review of the literatures.

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A Study on the Utilization of History Culture Resources of Cultural Historic Village Project - Targeting Deokbongmaeul, Hoechonmaeul, Hyodongmaeul and Ipsanmaeul - (문화역사마을가꾸기 사업의 역사문화자원 활용 방식 고찰 - 덕봉마을, 회촌마을, 효동마을, 입산마을을 대상으로 -)

  • Kim, Dul-Y;So, Hyun-Su
    • Journal of Korean Society of Rural Planning
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    • v.24 no.1
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    • pp.33-44
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    • 2018
  • This study, targeting Deokbongmaeul, Choonchonmaeul, Hyodongmaeul and Kangsanmaeul, drew the characteristics of history culture resource utilization through the analysis of project plans and performance reports and field surveys. First, Deokbongmaeul is a rural village with scattered Confucian facilities. Ipsanmaeul conforms to Confucian order and has an attractive housing area landscape. Hoechonmaeul has forest landscape and distinguishing intangible recourses like Maeji farmer's music and traditional techniques and legends. Hyodongmaeul shows folk resources and folk behavior like traditional play and techniques. Second, the history culture resources chosen from the project plans focus on intangible history resources like individual historic buildings & structures and customs & traditional techniques. Third, cultural historic village projects are categorized by repair and restoration of historic buildings and structures, development of experience program and building facilities and maintenance and establishing the village landscape elements. From the research results, it is explained that history culture resource utilization methods of cultural historic village project are hard to be expected to have the project results based on the landscape identities of four villages.

Assessment of London underground tube tunnels - investigation, monitoring and analysis

  • Wright, Peter
    • Smart Structures and Systems
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    • v.6 no.3
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    • pp.239-262
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    • 2010
  • Tube Lines has carried out a "knowledge and investigation programme" on the deep tube tunnels comprising the Jubilee, Northern and Piccadilly lines, as required by the PPP contract with London Underground. Many of the tunnels have been in use for over 100 years, so this assessment was considered essential to the future safe functioning of the system. This programme has involved a number of generic investigations which guide the assessment methodology and the analysis of some 5,000 individual structures. A significant amount of investigation has been carried out, including ultrasonic thickness measurement, detection of brickwork laminations using radar, stress measurement using magnetic techniques, determination of soil parameters using CPT, pressuremeter and laboratory testing, installation of piezometers, material and tunnel segment testing, and trialling of remote photographic techniques for inspection of large tunnels and shafts. Vibrating wire, potentiometer, electro level, optical and fibre-optic monitoring has been used, and laser measurement and laser scanning has been employed to measure tunnel circularity. It is considered that there is scope for considerable improvements in non-destructive testing technology for structural assessment in particular, and some ideas are offered as a "wish-list". Assessment reports have now been produced for all assets forming Tube Lines' deep tube tunnel network. For assets which are non-compliant with London Underground standards, the risk to the operating railway has to be maintained as low as reasonably practicable (ALARP) using enhanced inspection and monitoring, or repair where required. Monitoring techniques have developed greatly during recent years and further advances will continue to support the economic whole life asset management of infrastructure networks.

An Experimental Study on the Carbonation Properties of Concrete According to Accelerating Carbonation Conditions (촉진중성화 조건에 따른 콘크리트의 중성화 특성에 관한 실험적 연구)

  • 문형재;이의배;송민섭;주지현;조봉석;김무한
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2004.05a
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    • pp.41-44
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    • 2004
  • Recently, in the case of domestic, for all that the deterioration environment about the carbonation of reinforced concrete structures is accelerated, systematic diagnosis and researches are not completed. And the selection techniques of repair material and method used under the situation that the indicator and the performance evaluation method are nor established are dependant on existing experience. Therefore, the purpose of this study is intend to present fundamental data for the reasonable selection of repair material and method. durability design and longevity on the deteriorated reinforced concrete structures, through computing the carbonation depth and velocity coefficient by accelerating carbonation test under various accelerating conditions and investigating the application of carbonation evaluation method. The results of this study are as follow; The resistances to carbonation are increased when the W/C ratio if lower and the treatment of surface coating is executed. And the carbonation depth and velocity coefficient according to accelerating carbonation test conditions are increased when the conditions of temperature, relative humidity and $CO_2$density are higher individually.

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