• Archives of Plastic Surgery
• /
• v.45 no.6
• /
• pp.504-511
• /
• 2018

Background Acellular dermal matrix (ADM) helps wound healing by stimulating angiogenesis, acting as a chemoattractant for endothelial cells, providing growth factors, and permitting a substrate for fibroblasts to attach. The current standard for using paste-type ADM (CG Paste) in wound healing is direct application over the wounds. The major concerns regarding this method are unpredictable separation from the wounds and absorption into negative-pressure wound therapy devices. This study aimed to investigate the effects of subcutaneous injection of paste-type ADM on wound healing in rats. Methods Full-thickness skin defects were created on the dorsal skin of rats. Eighteen rats were randomly divided into three groups and treated using different wound coverage methods: group A, with a saline dressing; group B, standard application of CG Paste; and group C, injection of CG Paste. On postoperative days 3, 5, 7, 10, and 14, the wound areas were analyzed morphologically. Histological and immunohistochemical tissue analyses were performed on postoperative days 3 and 7. Results Groups B and C had significantly less raw surface than group A on postoperative days 10 and 14. Collagen fiber deposition and microvessel density were significantly higher in group C than in groups A and B on postoperative days 3 and 7. Conclusions This study showed comparable effectiveness between subcutaneous injection and the conventional dressing method of paste-type ADM. Moreover, the injection of CG Paste led to improved wound healing quality through the accumulation of collagen fibers and an increase in microvessel density.

• Journal of Periodontal and Implant Science
• /
• v.25 no.2
• /
• pp.192-209
• /
• 1995

The purpose of this study was to evaluate drug-loaded biodegradable membranes for guided tissue regeneration(GTR). The membranes were made by coating mesh of polyglycolic acid(PGA) with polylactic acid(PLA) containing 10% flurbiprofen or tetracycline. The thickness of membrane was $150{\pm}30{\mu}m$, and the pore size of surface was about $8{\mu}m$ in diameter. The release of drugs from the membrane was measured in vitro. Cytotoxity test for the membrane was performed by gingival fibroblast cell culture, and the tissue response was observed after implant of membrane into the dorsal skin of the rat for 8 wks. Ability to guided tissue regeneration of membranes were tested by measuring new bone in the calvarial defects(5mm in diameter) of the rat for 5 weeks. The amount of flurbiprofen and tetracycline released from membrane were about 30-60% during 7 days. Minimal cytotoxity was observed in the membrane except 20% drug containing membrane. In histologic finding of rat dorsal skin, many inflammatory cells were observed around e-PTFE, polyglactin 910 and PLAPGA membrane after 1 or 2 weeks. PLA-PGA membrane was perforated by connective tissue after 4 or 6 weeks, and divided as a segment at 8 weeks. In bone regeneration guiding potential test, tetracycline loaded membrane was most effective (p

• Archives of Plastic Surgery
• /
• v.39 no.4
• /
• pp.360-366
• /
• 2012

Background Coverage of defects of the pretibial area remains a challenge for surgeons. The difficulty comes from the limited mobility and availability of the overlying skin and soft tissue. We applied variable pedicled perforator flaps to overcome the disadvantages of local flaps and free flaps on the pretibial area. Methods Eight patients who had the defects in the anterior tibial area were enrolled. Retrospective data were obtained on patient demographics, cause, defect location, defect size, flap dimension, originating artery, pedicle length, pedicle rotation, complication, and postoperative result. The raw surface created following the flap elevation was covered with a split thickness skin graft. Results Posterior tibial artery-based perforator flaps were used in five cases and peroneal artery-based perforator flaps in three cases. The mean age was 54.3 and the mean period of follow-up was 6 months. The average size of the flaps was 63.8 $cm^2$, with a range of 18 to 135 $cm^2$. There were no major complications. No patients had any newly developed functional deficit of the lower leg. Conclusions We suggest that pedicled perforator flaps can be an alternative treatment modality for covering pretibial defects as a simple, safe and versatile procedure.

• Archives of Reconstructive Microsurgery
• /
• v.8 no.1
• /
• pp.77-83
• /
• 1999

The skin on the dorsum of the foot is a source of the reliable thin and sensory cutaneous free tissue transplantation with or without tendon, bone and joint. A composite flap with attached vascularized tendon grafts for the combined loss of skin and tendon on the dorsum of the hand and foot offers an immediate one stage solution to this problem. The flap provides a very durable innervated tissue cover for the heel of the foot and the dorsum of the hand and an osteocutaneous transfer combined with the second metatarsal. The major dorsalis pedis artery is constant in size, but the first dorsal metatarsal artery is variable in size and location. The dorsal surface of the foot receives sensory innervation through the superficial peroneal nerve and the first web through the deep peroneal nerve. Authors had performed 5 dorsalis pedis free flap transplantation in the foot and hand at Department of Orthopedic Surgery, Chonbuk National University Hospital from August 1993 through August 1997 and followed up for the period of between 19 and 67 months until March 1999. The results were as follows 1. 5 cases dorsalis pedis free flap transfer to the foot(4 cases) and the hand(1 case) were performed and the recipient was foot dorsum and heel 2 cases each and hand dorsum 1 case. 2 All of 5 cases(100%) were survived from free flap transfer and recipient artery was dorsalis pedis artery(2 cases), anterior tibial artery(1 case), posterior tibial artery(1 case) and ulnar artery(1 case) and recipient veins were 2 in number except in the hand. 3. Long term follow up of the exterior and maceration was good and sensory recovery was poor 4. Donor site was covered with full thickness skin graft obtained from one or both inguinal areas at postoperative 3rd week and skin graft was taken good and no morbidity was showed.

• Radiation Oncology Journal
• /
• v.27 no.2
• /
• pp.103-110
• /
• 2009

Purpose: To investigate the feasibility of helical tomotherapy on a wide curved area of the skin, and its accuracy in calculating the absorbed dose in the superficial region. Materials and Methods: Two types of treatment plans were made with the cylinder-shaped 'cheese phantom'. In the first trial, 2 Gy was prescribed to a 1-cm depth from the surface. For the other trial, 2 Gy was prescribed to a 1-cm depth from the external side of the surface by 5 mm. The inner part of the phantom was completely blocked. To measure the surface dose and the depth dose profile, an EDR2 film was inserted into the phantom, while 6 TLD chips were attached to the surface. Results: The film indicated that the surface dose of the former case was 118.7 cGy and the latter case was 130.9 cGy. The TLD chips indicated that the surface dose was higher than these, but it was due to the finite thickness of the TLD chips. In the former case, 95% of the prescribed dose was obtained at a 2.1 mm depth, while the prescribed does was at 2.2 mm in the latter case. The maximum dose was about 110% of the prescribed dose. As the depth became deeper, the dose decreased rapidly. Accordingly, at a 2-cm depth, the dose was 20 % of the prescribed dose. Conclusion: Helical tomotherapy could be a useful application in the treatment of a wide area of the skin with curvature. However, for depths up to 2 mm, the planning system overestimated the superficial dose. For shallower targets, the use of a compensator such as a bolus is required.

• Journal of the Korean Applied Science and Technology
• /
• v.34 no.1
• /
• pp.116-124
• /
• 2017

A plate-type inorganic pigment complex was manufactured in a manner that treats the surface of the complex by adjusting zeta potential between talc, an inorganic pigment used as a material for color cosmetics, and hydrophobic silica. Talc, which is usually used in the prescription of color cosmetics, is a plate-type, white-colored inorganic substance with good application and spreadability to skin. Furthermore, it features excellent dispersibility and extensibility as well as outstanding heat tolerance, light stability, and chemical resistance. In general, silica contributes to durable makeup and stabilized formulation. This paper covers a process of manufacturing an inorganic pigment complex, where hydrophobic silica was applied to the surface of talc by using differences in zeta potential after the surface charges of talc and hydrophobic silica had been adjusted with cationic and anionic surfactants, respectively. The resulting inorganic pigment complex was composed of talc whose surface is coated hydrophobic silica to the thickness of $1{\mu}m$ or less, which developed an effective hydrophobic property. Zeta potential was measured to analyze the surface charge of an inorganic pigment, and FT-IR, used to check the functional group of a surfactant, was applied to treat the surface of the pigment. The surface of the inorganic pigment complex was observed employing SEM, EDS, and FIB, while its structure was confirmed with XRD and FT-IR.

• Progress in Medical Physics
• /
• v.18 no.3
• /
• pp.172-178
• /
• 2007

An ultrasonic bone densitometer has been developed by measuring speed of sound signal transmitted and received on the skin, not through the horizontal axis but through the vertical one in tissue. The SOS(speed of sound) method measuring the time difference between the ultrasound signals reflected from the both sides of surface of bone could produce more precise result compared with the BUA(broadband ultrasound attenuation) method measuring the frequency difference. Middle finger is selected to be the best measurement position in order to increase the accuracy, after due consideration that the thickness of flesh at the down part of thumb shows too much variation although the ratio of the receiving signal is higher than the other fingers. The measured value by using SOS method shows almost the same result as compared with the conventional DEXA method.

• Journal of Mechanical Science and Technology
• /
• v.14 no.6
• /
• pp.690-698
• /
• 2000

The laminar boundary layer flow and heat transfer of anisotropic fluids in the vicinity of a wedge have been examined with constant surface temperature. The similarity variables found by Falkner and Skan are employed to reduce the stream wise-dependence in the coupled nonlinear boundary layer equations. The numerical solutions are presented using the fourth-order Runge - Kutta method and the distribution of velocity, micro-rotation, shear and couple stresses and temperature across the boundary layer are plotted. These results are also compared with the corresponding flow problems for Newtonian fluid over wedges. It is found that for a constant wedge angle, the skin friction coefficient is lower for micropolar fluid, as compared to Newtonian fluid. For the case of the constant material parameter K, however, the magnitude of velocity for anisotropic fluid is greater than that of Newtonian fluid. The numerical results also show that for a constant wedge angle with a given Prandtl number, Pr = I, the effect of increasing values of K results in increasing thermal boundary layer thickness for anisotropic fluid, as compared with Newtonian fluid. For the case of the constant material parameter K, however, the heat transfer rate for anisotropic fluid is lower than that of Newtonian fluid.

• Advances in Computational Design
• /
• v.6 no.1
• /
• pp.15-30
• /
• 2021

With improvement in innovative manufacturing technologies, it became possible to fabricate any complex shaped structural design for practical applications. This allows for the fabrication of curvilinearly stiffened pressure vessels and pipes. Compared to straight stiffeners, curvilinear stiffeners have shown to have better structural performance and weight savings under certain loading conditions. In this paper, an optimization framework for designing curvilinearly stiffened composite pressure vessels and pipes is presented. NURBS are utilized to define curvilinear stiffeners over the surface of the pipe. An integrated tool using Python, Rhinoceros 3D, MSC.PATRAN and MSC.NASTRAN is implemented for performing the optimization. Rhinoceros 3D is used for creating the geometry, which later is exported to MSC.PATRAN for finite element model generation. Finally, MSC.NASTRAN is used for structural analysis. A Bi-Level Programming (BLP) optimization technique, consisting of Particle Swarm Optimization (PSO) and Gradient-Based Optimization (GBO), is used to find optimal locations of stiffeners, geometric dimensions for stiffener cross-sections and layer thickness for the composite skin. A cylindrical pipe stiffened by orthogonal and curvilinear stiffeners under torsional and bending load cases is studied. It is seen that curvilinear stiffeners can lead to a potential 10.8% weight saving in the structure as compared to the case of using straight stiffeners.

• Archives of Plastic Surgery
• /
• v.43 no.6
• /
• pp.551-558
• /
• 2016

Background Fascial free flaps have been widely used for reconstruction of the hand because they are thin. However, studies reporting objective data regarding the advantages of this approach are lacking. Thus, we report our experience with such flaps. Methods Forty-five cases of fascial free flaps between November 2006 and March 2014 were reviewed. Nine cases involving reconstructed dorsal or lateral defects were included. Four anterolateral thigh fascial free flaps and 5 lateral arm fascial free flaps were examined. Maximal flap contour was assessed by measuring reconstructed tissue thickness at the central area from the surface of the skin to below the bone in a vertical manner using ultrasonography and X-ray data. Contralateral regions were examined in the same manner and a comparative analysis was performed. A questionnaire survey regarding aesthetic satisfaction was also administered. Results All reconstructed parts had a thicker contour than the contralateral side. The average relative percentage of reconstructed tissue thickness was found to be 152% using ultrasonography and 143% using X-ray imaging. According to the aesthetic satisfaction survey, the average rate of satisfaction for patients was 62%, and satisfaction with the flap contour was 72%. Conclusions Using a fascial free flap, the reconstructed tissue was approximately $1.5{\times}$ as thick as the contour of the normal side, which led to positive responses regarding aesthetic satisfaction.