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The Reconstruction of the Extensive Inferior Blow-out Fracture Through Endoscopic Transnasal and Subciliary Approaches (광범위한 안와하벽골절에서 속눈썹밑 절개 및 비강 내 내시경적 접근을 동시에 사용한 재건술)

  • Cho, Soo-Jong;Oh, Heung-Chan;Nam, Su-Bong;Kang, Cheol-Uk;Bae, Yong-Chan
    • Archives of Craniofacial Surgery
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    • v.10 no.2
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    • pp.86-90
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    • 2009
  • Purpose: Inferior blow-out fracture is the common facial fracture. Unsatisfactory functional and aesthetic outcomes are frequent when it is treated inappropriately. If fractures are extended and reach the posterior end of orbital floor, enophthalmos frequently followed as complication. The purpose of this study was to evaluate reduction technique of extensive inferior blow-out fracture with ballooning of foley catheter through endoscopic transnasal approach and implantation of $Medpor^{(R)}$ through subciliary approach. Methods: A retrospective study was performed on 14 patients with extensive inferior blow-out fracture who underwent ballooning of foley catheter through endoscopic transnasal approach with implantation of $Medpor^{(R)}$ through subciliary approach. Patients were operated from May 2005 to November 2007. Data for 14 patients were acquired from patient's charts. Preoperative and postoperative data for enophthalmos, diplopia, limitation of extraocular motion were reviewed. Preoperative and postoperative CT scan were also checked. The patients were followed up from 4 to 18 months. Results: The enophthalmos was corrected in all patients. Among 7 patients with diplopia preoperatively, diplopia was resolved in three patients postoperatively. The diplopia persisted in four patients and two of them also had limitation of extraocular motion postoperatively. The limitation of extraocular motion occurred in seven patients preoperatively. But five patients recovered after operation immediately. These symptoms were resolved about three months after the operation. Conclusion: The ballooning of foley catheter through endoscopic transnasal approach with implantation of $Medpor^{(R)}$ through subciliary approach can be considered one of the appropriate technique for extensive inferior blowout fracture.

Inferior Blow-Out Fracture Reduction Using Two Urinary Balloon Catheters

  • Jo, Eun Jun;Kim, Jong Hwan;Yang, Ho Jik
    • Archives of Craniofacial Surgery
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    • v.16 no.3
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    • pp.114-118
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    • 2015
  • Background: The reduction of orbital blowout fracture primarily aims to normalize the extra-ocular movement by returning the herniated orbital soft tissue into the original position, and to prevent enophthalmos by normalizing the orbital cavity volume. We introduce a balloon catheter-assisted orbital floor reduction technique. Methods: A retrospective review was performed for all patients with orbital floor fracture who underwent the technique described in the main body of this text. Medical records were reviewed for demographic data, clinical presentation and course, degree of enophthalmos, intraorbital volume on computed tomography scan, and postoperative outcomes. The enophthalmos and intraorbital volume of the injured site were compared to the uninjured eye and orbit. Results: The review identified 14 patients (11 male, 3 female). The mean preoperative difference in en-exopthalmos was 2.13 mm, while the mean orbital volume was 116%. The mean postoperative difference in en-exophthalmos had improved to 0.61 mm with a mean orbital volume of 101.85%. At the time of catheter removal at 10 days, three patients experienced diplopia (n=1), extra-ocular movement disorder (1), or enophthalmos (1). All of these had resolved by the 6-month follow-up visit. Conclusion: Balloon catheter-assisted reduction of the orbital floor fractures was associated with improvements in intraorbital volume and enopthalmos in the 14 patients. Notable complications included diplopia, enophthalmos, and limited extra-ocular movement, all of which were transient in the early postoperative period and had resolved by 6-month follow up.

Clinical and Radiologic Outcomes of Acute Acromioclavicular Joint Dislocation: Comparison of Kirschner's Wire Transfixation and Locking Hook Plate Fixation

  • Rhee, Yong Girl;Park, Jung Gwan;Cho, Nam Su;Song, Wook Jae
    • Clinics in Shoulder and Elbow
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    • v.17 no.4
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    • pp.159-165
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    • 2014
  • Background: Kirschner's wire (K-wire) transfixation and locking hook plate fixation techniques are widely used in the treatment of acute acromioclavicular joint (ACJ) dislocation. The purpose of this study was to compare the clinical and radiologic outcomes between K-wires transfixation and a locking hook plate fixation technique. Methods: Seventy-seven patients with acute ACJ dislocation managed with K-wire (56 shoulders) and locking hook plate (21 shoulders) were enrolled for this study. The mean follow-up period was 61 months. Results: At the last follow-up, the shoulder rating scale of the University of California at Los Angeles (UCLA) was higher in patients treated with locking hook plate than with K-wires ($33.2{\pm}2.7$ vs. $31.3{\pm}3.4$, p=0.009). In radiologic assessments, coracoclavicular distance (CCD) (7.9 mm vs. 7.7 mm, p=0.269) and acromioclavicular distance (ACD) (3.0 mm vs. 1.9 mm, p=0.082) were not statistically different from contralateral unaffected shoulder in locking hook plate fixation group, but acromioclavicular interval (ACI) was significant difference. However, there were significant differences in ACI, CCD, and ACD in K-wire fixation group (p<0.001). Eleven complications (20%) occurred in K-wire transfixation group and 2 subacromial erosions on computed tomography scan occurred in locking hook plate fixation group. Conclusions: ACJ stabilization was achieved in acute ACJ dislocations treated with K-wires or locking hook plates. Locking hook plate can provide higher UCLA shoulder score than K-wire and maintain CCD, and ACD without ligament reconstruction. K-wire transfixation technique resulted in a higher complication rate than locking hook plate.

A Study on a Crack Evaluation Technique for Turbine Blade Root Using Phased Array Ultrasonics (위상배열 초음파를 이용한 터빈 블레이드 루트부내 결함평가 기법 연구)

  • Cho, Yong-Sang;Jung, Gye-Jo;Park, Sang-Ki;Kim, Jae-Hoon
    • Journal of the Korean Society for Nondestructive Testing
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    • v.24 no.2
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    • pp.151-157
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    • 2004
  • Ultrasonic testing is a kind of nondestructive test to detect a crack or discontinuity in materials or on material surfaces by sending ultrasound to it. This conventional ultrasonic technique has some limitations in reliably detecting crack or accurately assessing materials in the case of complex-shaped power plant components such as a turbine blade root. An alternative method for such a difficult inspection is highly needed. In this study, application of a phased array ultrasonic testing (UT) system to a turbine blade, one of the critical power plant components, has been considered, and the particular incident angle has been determined so that the greatest track detectability and the most accurate crack length evaluation nay be achieved. The response of ultrasonic phased array was also analyzed to establish a special method to determine the track )ength without moving the transducer. The result showed that the developed method for crack length assessment is a more accurate and effective method, compared with the conventional method.

Transnasal Reduction of Blow Out Fracture with Transconjunctival Approach (경결막 접근법과 비강을 통한 정복술을 이용한 안와골절의 수술)

  • Lee, Won;Kang, Dong Hee;Oh, Sang A;Lee, Sung Whan
    • Archives of Craniofacial Surgery
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    • v.11 no.1
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    • pp.1-6
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    • 2010
  • Purpose: Many surgical approaches for reconstruction of blow out fracture have been introduced, which include subciliary incision, transconjunctival incision and transcaruncular incision. Recently endoscopic approach has been attempted. This study was intended to show the effectiveness of the approach through transconjunctival incision combined with transnasal reduction in reconstructing blow out fracture to its original position. Methods: Medical recoreds of 43 patients from March 2008 to March 2009 who underwent surgery for orbital fracture were reviewed, retrospectively. All fractures were operated through transconjuctival incision approach combined with transnasal reduction. The average follow-up period was 10.1 months. To evaluate the surgical outcomes of orbital fracture, we performed CT of the facial bone before and after the surgery. In addition, preoperative and postoperative data of enophthalmos, diplopia and the limitation of extraocular motion was assessed with physical examination. Results: Post-operative CT scan of 43 patients assured that the bone fragments of the orbital fractures were restored to their original positions. Although a few patients developed postoperative transient diplopia or impairment of ocular movement, most of the patients recovered during the follow-up period without complication. Conclusion: From this study, we were able to demonstrate the effectiveness of the transnsasal reduction technique combined with the approach through transconjunctival incision. This technique can be considered as very useful means of repairing orbital fracture. It is not only easy to perform but also it can minimize the damage to the orbital bone. Furthermore, it can restore the fracture to its original position as much as possible.

Video Index Generation and Search using Trie Structure (Trie 구조를 이용한 비디오 인덱스 생성 및 검색)

  • 현기호;김정엽;박상현
    • Journal of KIISE:Software and Applications
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    • v.30 no.7_8
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    • pp.610-617
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    • 2003
  • Similarity matching in video database is of growing importance in many new applications such as video clustering and digital video libraries. In order to provide efficient access to relevant data in large databases, there have been many research efforts in video indexing with diverse spatial and temporal features. however, most of the previous works relied on sequential matching methods or memory-based inverted file techniques, thus making them unsuitable for a large volume of video databases. In order to resolve this problem, this paper proposes an effective and scalable indexing technique using a trie, originally proposed for string matching, as an index structure. For building an index, we convert each frame into a symbol sequence using a window order heuristic and build a disk-resident trie from a set of symbol sequences. For query processing, we perform a depth-first search on the trie and execute a temporal segmentation. To verify the superiority of our approach, we perform several experiments with real and synthetic data sets. The results reveal that our approach consistently outperforms the sequential scan method, and the performance gain is maintained even with a large volume of video databases.

A Study on the Development of Barcode Laser Scanner Using Optical Information Processing (광 정보처리를 이용한 바코드 레이저 스캐너 개발연구)

  • Shin, Kwang-Yong;Ihm, Jong-Tae;Eun, Jae-Jung;Kim, Nam;Park, Han-Kyu
    • Journal of the Korean Institute of Telematics and Electronics
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    • v.26 no.1
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    • pp.69-77
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    • 1989
  • A hologram scanner for POS bar code symb9ol readers has been developed. This system is composed of scanning optics, optical detector, video signal circuitary and preprocessor. In contrast to conventional scanners using polygonal mirrors, which complicate the scanning optics, the hologram scanner developed in this research was made up with simple optics and higher reading performance was achieved. And in order to read abar code symbol omnidirectionally with highdensity scan patterns, the new real time decoding technique was proposed. The advantage of this technique is less hardware and lower clock rate. High speed processing and improved readability for tilted symbol was confirmed experimentally.

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Accuracy of new implant impression technique using dual arch tray and bite impression coping

  • Lee, Shin-Eon;Yang, Sung-Eun;Lee, Cheol-Won;Lee, Won-Sup;Lee, Su Young
    • The Journal of Advanced Prosthodontics
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    • v.10 no.4
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    • pp.265-270
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    • 2018
  • PURPOSE. The purpose of this in vitro study was to evaluate the accuracy of a new implant impression technique using bite impression coping and a dual arch tray. MATERIALS AND METHODS. Two implant fixtures were placed on maxillary left second premolar and first molar area in dentoform model. The model with two fixtures was used as the reference. The impression was divided into 2 groups, n=10 each. In group 1, heavy/light body silicone impression was made with pick up impression copings and open tray. In group 2, putty/light body silicone impression was made with bite impression copings and dual arch tray. The reference model and the master casts with implant scan bodies were scanned by a laboratory scanner. Surface tessellation language (STL) datasets from test groups was superimposed with STL dataset of reference model using inspection software. The three-dimensional deviation between the reference model and impression models was calculated and illustrated as a color-map. Data was analyzed by independent samples T-test of variance at ${\alpha}=.05$. RESULTS. The mean 3D implant deviations of pick up impression group (group 1) and dual arch impression group (group 2) were 0.029 mm and 0.034 mm, respectively. The difference in 3D deviations between groups 1 and 2 was not statistically significant (P=.075). CONCLUSION. Within limitations of this study, the accuracy of implant impression using a bite impression coping and dual arch tray is comparable to that of conventional pick-up impression.

Comparison of prosthetic models produced by traditional and additive manufacturing methods

  • Park, Jin-Young;Kim, Hae-Young;Kim, Ji-Hwan;Kim, Jae-Hong;Kim, Woong-Chul
    • The Journal of Advanced Prosthodontics
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    • v.7 no.4
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    • pp.294-302
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    • 2015
  • PURPOSE. The purpose of this study was to verify the clinical-feasibility of additive manufacturing by comparing the accuracy of four different manufacturing methods for metal coping: the conventional lost wax technique (CLWT); subtractive methods with wax blank milling (WBM); and two additive methods, multi jet modeling (MJM), and micro-stereolithography (Micro-SLA). MATERIALS AND METHODS. Thirty study models were created using an acrylic model with the maxillary upper right canine, first premolar, and first molar teeth. Based on the scan files from a non-contact blue light scanner (Identica; Medit Co. Ltd., Seoul, Korea), thirty cores were produced using the WBM, MJM, and Micro-SLA methods, respectively, and another thirty frameworks were produced using the CLWT method. To measure the marginal and internal gap, the silicone replica method was adopted, and the silicone images obtained were evaluated using a digital microscope (KH-7700; Hirox, Tokyo, Japan) at 140X magnification. Analyses were performed using two-way analysis of variance (ANOVA) and Tukey post hoc test (${\alpha}=.05$). RESULTS. The mean marginal gaps and internal gaps showed significant differences according to tooth type (P<.001 and P<.001, respectively) and manufacturing method (P<.037 and P<.001, respectively). Micro-SLA did not show any significant difference from CLWT regarding mean marginal gap compared to the WBM and MJM methods. CONCLUSION. The mean values of gaps resulting from the four different manufacturing methods were within a clinically allowable range, and, thus, the clinical use of additive manufacturing methods is acceptable as an alternative to the traditional lost wax-technique and subtractive manufacturing.

Development of a Representative Model for Different Body Shapes of 18-24 Aged Women - An Application of a 3D Morphing Technique - (3차원 모핑기법에 의한 18-24세 여성의 체형별 대표 형상 도출을 위한 연구)

  • Shin, Ju-Young;Choi, Young-Lim;Nam, Yun-Ja
    • Fashion & Textile Research Journal
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    • v.13 no.4
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    • pp.590-599
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    • 2011
  • The purpose of this study is to classify body types into different groups based on 3D scanned data, and identify the representative body shapes that most frequently appear in the groups. A high frequency range was defined based on body measurement data, and representative shapes were identified based on body scan data of women aged 18-24. The major findings of this study are as follows. First, the three typical types of height, bust and drop mixes among Korean women aged 18-24 are as follows:) 155-88-N,) 160-82-A, and 165-85-A. Regarding the body type, the A and N types frequently appeared, while the H type was rare. Second, among the subjects of the high-frequency groups, upright bodies were selected as sample models and were used for morphing. An adjustment was made to the morphing results to reflect the body characteristics of the sample models evenly. Third, to verify the morphing results, the body sizes of the sample models and the created models were compared. The result showed that, the sizes were close to the average size of the sample models. Fourth, to verify whether the morphing processes adequately reflected the features of the body shapes, cross-section models of key body parts were made and the degree of representativeness was determined.