• Archives of Plastic Surgery
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• 제36권5호
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• pp.623-628
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• 2009

Purpose: In cases where nasal fractures involve frontal process of maxilla or perpendicular plate of ethmoid, 4 - 5 days of nasal packing may not provide sufficient support for avoiding displacement after packing removal. Therefore a single Kirschner - wire(K - wire) is used as an internal splint when nasal fractures involve the above two areas. Methods: Thirty five patients during the last 3 practical years were treated with a K -wire pinning according to the anatomic locations of nasal fractures. We performed a retrospective study using 13 nasal fractures out of total 35 patients. Among 13 cases, 10 patients involved frontal process of maxilla, and 3 patients were diagnosed as bilateral nasal side wall fractures accompanied with fractures of perpendicular plate of ethmoid. One patient of the last three cases had been augmented with dorsal silicone implant long before the trauma. We analyzed the anteroposterior displacement of key stone area and the width between both lateral walls by comparing immediate postoperative radiographs with 2 month follow - ups. To reduce the errors, the same measurements were taken by two different inspectors, and the mean of each inspector's measurements was compared. Patient satisfaction was analyzed using a questionnaire regarding the esthetic and functional outcomes. Results: Ten patients underwent a longitudinal K - wire fixation in submucoperiosteal plane underneath the frontal process of maxilla. And three patients underwent a transverse K - wire fixation from the one side of lateral wall to the perpendicular plate of ethmoid and to the other side of lateral wall. The mean postoperative anteroposterior displacement of the key stone area measured by two inspectors were 1.84% and 3.06%; mean narrowing of bony pyramid were 1.33% and 1.48%, respectively. Subjective satisfaction scores regarding the esthetic appearance and the maintenance of nasal shape compared with immediate post - operative state with the long term ones were not different (p>0.05). Conclusion: K - wire pinning after closed reduction is a reliable and useful method for the treatment of nasal fractures involving frontal process of maxilla or perpendicular plate of ethmoid. This is because it achieves longer intranasal support after reduction. This method also leaves conspicuous external scar, and minimal soft - tissue injury.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제27권5호
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• pp.428-434
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• 2001

After miniplate fixation of mandibular angle fractures, fracture line stability during functional loading was evaluated. Using panoramic radiographs, 15 mandibular angle fracture patients who were treated by open reduction and one miniplate fixation along the external oblique ridge, were evaluated at postoperative 1, 4 and 8 weeks. At each time, 2 radiographs were taken: one taken during maximum biting of hardened silicone sheet on the affected side molar area and the other on the non-affected side. The distraction gap of inferior border of mandible at each time and each side was measured and these data were analysed statistically with clinical findings. The differences of inferior border distraction gap during hardened silicone sheet biting on the affected side molar area and on the non-affected side molar area at 4 week radiographs were smaller than those of 1 week's except one case. At 8 week's radiographs, the fracture lines were so stabilized that it was almost impossible to find the gap differences except one case and there were increased radiopacity along the entire fracture lines. Clinically, bony union was confirmed in all cases during plate removal performed at postoperative 6 month. By statistical analysis(paired t-test), the inferior border distraction gap during biting of hardened silicone sheet on the affected side was significantly reduced during 1 and 4 week interval(p<0.01). The differences of inferior border distraction gap during biting on the affected side molar area and on the non-affected side molar area were also significantly reduced at 1 and 4 week interval(p<0.01). But the inferior border distraction(compression) gap during non-affected side biting was not significantly changed. From these findings, it could be concluded that fracture line stability during functional loading after one miniplate fixation of mandibular angle fractures stems mainly from reduction of inferior border distraction gap during affected side biting on time interval. According to these radiographic and clinical findings, the clinical superiority of one miniplate fixation technique in mandibular angle fracture treatment could be confirmed.

• Archives of Plastic Surgery
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• 제46권5호
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• pp.421-425
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• 2019

Background The endoscopic transnasal approach is widely used for reconstructing the medial orbital wall by filling it with a silicone sheet or Merocel, but this technique has the disadvantage of retaining the packing for a long time. To overcome this drawback, a method of positioning an absorbable plate in the orbit has been introduced, but there is a risk of defect recurrence after the plate is absorbed. Here, the authors report the results of a novel surgical technique of placing a nonabsorbable titanium mesh with porous polyethylene into the orbit through the endoscopic transnasal approach. Methods Fourteen patients underwent surgery using the endoscopic transnasal approach. Preoperative computed tomography (CT) was used to calculate the size of the bone defect due to the fracture, and the titanium mesh was designed to be shorter than the anteroposterior length of the defect and longer than its height. The titanium mesh was inserted into the orbit under an endoscopic view. The authors then confirmed that the titanium mesh supported the orbital contents by pressing the eyeball and finished the operation. Immediately after surgery, CT results were evaluated. Results Postoperative CT scans confirmed that the titanium mesh was well-inserted and in the correct position. All patients were discharged without any complications. Conclusions We obtained satisfactory results by inserting a titanium mesh with porous polyethylene into the orbit via the transnasal approach endoscopically.

• 한국군사과학기술학회지
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• 제6권4호
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• pp.124-131
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• 2003

When a secondary gaseous flow is injected vertically into a supersonic flow through circular nozzle, a complicated structure of flow field is produced around the injection area. The interaction between the two streams produces a strong bow shock wane on the upstream side of the side-jet. The results show that bow shock wave and turbulent boundary layer interaction induces the boundary layer separation in front of the side-jet. This study is to analyze the structure of flow fields and distribution of surface pressure on the flat plate according to total pressure ratio using a supersonic cold-flow system and also to study the control force of affected side-jet. The nozzle of main flow was designed to have Mach 2.88 at the exit. The injector has a sonic nozzle with 4mm diameter at the exit of the side-jet. In experiments, The oil flow visualization using a silicone oil and ink was conducted in order to analyze the structure of flow fields around the side-jet. The flow fields are visualized using the schlieren method. In this study, a computational fluid dynamic solution is also compared with experimental results.

• 한국환경보건학회지
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• 제31권5호
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• pp.415-422
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• 2005

The photocatalytic decolorization of Reactive Red 2B(RR2B) was studied using immobilized photocatalyst/UV System. Two pairs of 20 W UV-B and UV-C lamps were employed as the light source. Immobilization of $TiO_2$ was carried out using sponge (as the photocatalyst body) and silicone sealant(as the binder). The effects of parameters such as the thickness, pore size of sponge photocatalyst and attached material on the reactor bottom were investigated. The results showed that the optimum thickness of sponge photocatalyst was 1 cm. Decolorization of reactor which had the bottom coated $TiO_2$ was higher than that of reactor attached aluminum plate. Decolorization of photocatalyst with large pore size(mean pore size, 3.8 mm) was higher than that of the small(mean pore size, 1.75 mm). Initial decolorization of RR2B could be descrived using the Langmuir-Hinshelwood(L-H) model and gave constant values of $0.55mg/l{\cdot}min(k)\;and\;2.65{\times}10^{-2}l/mg(K)$, respectively.

• 동력기계공학회지
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• 제10권2호
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• pp.29-35
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• 2006

Two-dimensional numerical simulation has been performed to investigate mixed convection heat transfer between inclined parallel plates with bottom-heated and top-cooled uniformly. The ratio of parallel plate length to height is 9.33, Prandtl number is 909(that of silicone oil at 298K) and Rayleigh number is 8600. In the ranges of the Reynolds number Re from 0 to 1.8 and the angle of inclination ${\theta}$ from 0 to 90 degree. The governing equations are discretized using the finite volume method. In this study, the effects of the Reynolds number, the angle of inclination, and the local and mean Nusselt numbers are presented and discussed. It is found that the periodic flow of mixed convection between inclined parallel plates is shown at $0^{\circ}{\leq}\;{\theta}<30^{\circ},\;Re<0.063$, and the flow pattern can be classified into three patterns which depend on Reynolds number and the angle of inclination. The minimum average Nusselt numbers occur at Re=0.05 regardless of the angle of inclination.

• 한국기계가공학회지
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• 제7권2호
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• pp.72-77
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• 2008

In this study, we propose and develop PDMS-based modular actuators. The microactuator which looks like a small insect uses thermal expansion power of the PDMS (polydimethylsiloxane; $sylgar^{(R)}$ 184 silicone elastomer). The PDMS-based microactuator provides a large displacement due to a high thermal expansion coefficient (approximately 310ppm). The microacruator with 1mm length $350{\mu}m$ width is optimized by using a numerical analysis. The shape of the PDMS actuatoris variously designed. They are placed at several positions to find the optimal position that provides a high transformation ratio. The PDMS-based microactuators are fabricated using a conventional micromaching technique. The fabricated microactuator is heated using a hot-plate. The actuator displacement is measured as a function of temperature from $27^{\circ}C$ to $300^{\circ}C$. The experimental results are compared to the simulation result. When heating temperature up to $300^{\circ}C$ is applied to the PDMS actuator, each V-groove-shaped joint is actuated $30{\mu}$ mat $300^{\circ}C$. Anotherdesign of the microactuator has a maximum displacement of about 656mm.

• 전기학회논문지
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• 제68권1호
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• pp.61-68
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• 2019

Only the power is converted from AC to DC, in accordance with IEC 60587 based test method, in order to develop the LSR(Liquid Silicone Rubber) insulator material for HVDC, the experiment of Inclined Plate Tracking and Erosion Resistance was conducted. A contaminant (2.5 mS/cm: ammonium chloride) was applied at a rate of 0.3 ml/min and a voltage of ${\pm}3.5kV$, and was evaluated on the basis of 60 mA/2s. The samples were prepared by dispersing LSR/Nano silica_25wt% Composites in LSR. The erosion phenomena of surface discharge and tracking due to DC polarity and negative polarity were measured by image, leakage current maximum and thermal camera. The thermal imaging camera measured the surface temperature generated by the joule heat of the leakage current due to the drying discharge and the conductive current. After the measurement, the tracking and erosion mechanisms were evaluated for erosion weight, erosion depth and erosion length. Positive and negative polarity of LSR/Nano Silica_25wt% composite Tracking and erosion results show that positive polarity is more severe than negative polarity.

• 한국음향학회지
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• 제40권6호
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• pp.587-592
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• 2021

노화 및 골다공증으로 인해 긴 뼈에서 발생하는 피질골의 두께 변화는 골절의 위험인자로 알려져 있다. 본 연구는 200 kHz의 중심주파수 및 12.7 mm의 직경을 갖는 한 쌍의 트랜스듀서와 함께 축방향 전파법을 이용하여 윗면이 2 mm 두께의 실리콘 고무층으로 덮인(1 mm부터 4 mm까지의 두께를 갖는) 아크릴판으로 제작된 7개의 연조직-골 모사 팬텀에서 피질골 두께에 대한 유도초음파 위상속도의 의존성을 고찰하였다. 모든 연조직-골 모사 팬텀에서 서로 다른 속도를 갖는 First Arriving Signal(FAS) 및 Slow Guided Wave(SGW)가 전파하는 것으로 일관되게 관찰되었다. FAS의 위상속도는 피질골 두께가 증가함에 따라 약간 감소하는 반면 SGW의 위상속도는 피질골 두께가 증가함에 따라 크게 감소하는 것으로 나타났다. FAS 및 SGW의 위상속도는 각각 실리콘 고무층을 갖지 않는 아크릴판에서 전파하는 S0 및 A0 램 모드의 위상속도와 거의 일치하는 것으로 나타났으며, 이는 아크릴판의 윗면을 덮고 있는 연조직 모사 물질(2 mm 두께의 실리콘 고무층)의 존재가 위상속도 측정에 큰 영향을 미치지 않는다는 것을 의미한다.

• Archives of Plastic Surgery
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• 제37권3호
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• pp.250-255
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• 2010

Purpose: Pincer nail is a relatively rare deformity characterized by an increase in transverse curvature along the longitudinal axis of the nail. This curvature commonly increases from proximal to distal end of nail, leading to pinching, curling, and distortion of the underlying soft tissue and resulting frequently in severe pain. Numerous surgical procedures have been reported. Preserving the width of the nail in the correction of the pincer nail is very important for functional and aesthetic reasons. We report the results of the correction of the pincer nail using autogenous dermofat graft with a good result. Methods: From May 2006 to September 2008, dermofat graft was performed in 6 patients with pincer nail. Patients were four women and two men, and the average age was 51. The affected digits were the unilateral great toes in four patients and the unilateral thumbs in two patients. Average follow-up period was 13 months. Surgical procedure was removal of nail using an elevator to avoid damage to the nail bed. An incision was created in distal portion of hyponychium. Paronychium was dissected from distal phalanx by periosteal elevator through incision of hyponychium and tunnel was made. Then dermofat grafts harvested from inguinal area were inserted into the tunnel. Finally, a silicone sheet was inserted eponychial fold for prevention of synechia. Objective assessment was evaluated by use of the width index and height index. Results: All patients reported resolution of the pain and soft tissue pinching sensation that they had before the operation. There was good adherence between the nail plate and the underlying nail bed. The nails have regrown and were corrected in a normal and flattened appearance. The width index and height index were improved. Conclusion: The autogenous dermofat graft seems to provide an effective treatment of the pincer nail with preservation of the nail matrix.