• Title/Summary/Keyword: TRAM Flap

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A Validation Study on Structural Load Analyses of TiltRotors in Wind Tunnel (풍동 시험용 틸트로터의 구조 하중 해석의 검증 연구)

  • Ui-Jin Hwang;Jae-Sang Park;Myeong-Kyu Lee
    • Journal of Aerospace System Engineering
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    • v.17 no.2
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    • pp.45-55
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    • 2023
  • This study conducted aeromechanics modeling and structural load analyses of Tilt Rotor Aeroacoustic Model (TRAM), a 25% scaled V-22 tiltrotor model used in wind tunnel tests. A rotorcraft comprehensive analysis code, CAMRAD II, was used. Analysis results of this study in low-speed forward flights were compared with DNW test and previous analysis results. Blade flap bending moments were in good agreement with measured data. Mean values and oscillatory loads for lead-lag bending and torsion moments were slightly different from measured data. However, when mean values were removed, results of structural loads for one rotor revolution were moderately compared with wind tunnel tests and previous analyses. Total forces and half peak-to-peak forces of the pitch link reasonably well matched with previous analysis results and measured data. Finally, harmonic magnitudes of blade structural loads were investigated.

Cadever dissection and Dynamic CT for Vascular Anatomy of Rectus Abdominis Muscle (배곧은근의 혈관 주행에 관한 시신해부 및 컴퓨터단층촬영)

  • Son, Daegu;Park, Byungju;Kim, Jinhan;Choi, Taehyun;Kim, Junhyung;Han, Kihwan
    • Archives of Plastic Surgery
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    • v.35 no.6
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    • pp.663-668
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    • 2008
  • Purpose: Pedicled transverse rectus abdominis myocutaneous(TRAM) flap has been a gold standard for breast reconstruction and one of surgical techniques preferred by many surgeons. The authors examined the course of deep epigastric artery focusing on distance from margins of rectus abdominis to pedicle and location of choke vessels to get minimal muscles during pedicled TRAM flap operation. Methods: Eleven rectus abdominis muscle from nine cadavers were used in this study. Rectus abdominis was separated from the cadavers, deep inferior and superior epigastric artery were isolated and then 8 anatomical landmarks in medial and lateral margins of rectus abdominis were designated. Distance to a pedicle meeting first horizontally was measured and vertical location from umbilicus to choke vessel was determined. In addition, 32 rectus abdominis images of 16 women(average age: 37.2 years old) from 64 channel abdomen dynamic computerized tomography were also examined with the same anatomical landmarks with those of cadavers. Results: Average distance from four landmarks on lateral margin of rectus abdominis to pedicle was 1.9 - 3.4cm and 1.8 - 3.8 cm on medial margin. Choke vessel was located between middle and inferior tendinous intersection in all cases and average distance between two tendinous intersection was 6.7 - 7.0 cm on medial margin and 6.2 cm on lateral margin. Location of inferior tendinous intersection was on umbilicus or superior of it in all cases and its average distance from umbilicus was 1.8 - 5.6 cm on medial margin and 2.7 - 6.2 cm on lateral margin. Conclusion: Distance from medial and lateral margins of rectus abdominis muscle to pedicle was the shortest in inferior tendinous intersection and that was averagely 1.8 cm on medial margin and 1.9 cm in average on lateral margin. All choke vessels were located between middle and inferior tendinous intersection.

Anatomical Study for Vascular Distribution of the Perforator of Deep Inferior Epigastric Artery in Koreans (한국인에 있어 깊은아래배벽동맥(Deep Inferior Epigastric Artery)의 천공지(Perforator)에 관한 해부학적 연구)

  • Kim, Jee Hoon;Lee, Paik Kwon;Rhie, Jong Won;Kim, Deog Im;Han, Seung Ho
    • Archives of Plastic Surgery
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    • v.35 no.1
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    • pp.28-35
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    • 2008
  • Purpose: The pedicle of transverse rectus abdominis myocutaneous(TRAM) flap and deep inferior epigastric arterial perforator flap is deep inferior epigastic artery (DIEA) and accurate anatomic knowledge about perforator of DIEA is very important for the elevation of these flap. The authors investigated a detailed vascular network of perforator of DIEA in Koreans. Methods: 24 fresh cadavers were studied. Among them, 15 were examined based on the plain X-ray examination for the distribution and location of perforator of DIEA. And 9 fresh cadavers were examined based on the 3-dimensional computed tomography(CT) study for the distance between ending point of perforator of DIEA and mother artery, the distance between most medial mother artery and midline, the distance between most lateral mother artery and midline, and the running type of perforators of DIEA. Results: Based on the plain X-ray examination, suitable(external diameter$${\geq_-}0.5mm$$) perforators of DIEA are located between the level of umbilicus and 8 cm below it. Based on the 3D-CT study, average distance between the ending point of perforator of DIEA and the mother artery is 30.26 mm on the left, 28.62 mm on the right, respectively. The average distance between most medial mother artery and midline is 17.13 mm on the left, 15.76 mm on the right, respectively. The average distance between most lateral mother artery and midline is 56.31 mm on the left, 50.90 mm on the right, respectively. The main running course of suitable perforators of DIEA is type a, which is a direct musculocutaneous perforator vessel from main vascular axis passing outward to join the subdermal plexus, directly. Conclusion: 3-dimensional computed tomography study as well as plain X-ray examination provided more accurate and detail informations about perforators of DIEA in Koreans. These informations will help us understand the detailed vascular anatomy and operation with ease and safe in the lower abdomen of Koreans.

The Role of Breast Care Center in the Breast Reconstruction (유방재건에서의 유방센터의 역할)

  • Minn, Kyung Won;Park, Jin Hong;Park, Gul Gyoo
    • Archives of Plastic Surgery
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    • v.34 no.5
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    • pp.617-621
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    • 2007
  • Purpose: With the necessity of comprehensive care for the breast cancer patients, Breast Care Center of our hospital started to work in March 2004. This study examined the 3-year execution of Breast Care Center. The role of Breast Care Center was evaluated in aspect of clinical activities in quality and quantity. Methods: A retrospective review was carried out from 2001 to 2007 with breast cancer patients. The number and type of breast cancer surgery and breast reconstruction procedure were compared before and after Breast Care Center's foundation. Time required for the diagnosis and treatment was also compared. Regression analysis and T-test were used to identify the statistical significance. Results: The number of breast cancer surgery did not statistically increase compared with progressive increase of breast cancer. QUART(quadrantectomy, axillary dissection, radiotherapy) procedure statistically significantly increased and MRM(Modified Radical Mastectomy) procedure decreased for breast cancer surgery after foundation of Breast Care Center. The number of breast reconstruction procedures statistically significantly increased. The number of immediate TRAM free flap (Transverse Rectus Abdominal muscle free flap) procedures has grown 3.8 times after foundation of Breast Care Center. The time required for diagnosis and treatment was also shortened. Conclusion: After foundation of Breast Care Center, the number of breast reconstruction surgery increased, while the counselling time in breast reconstruction was reduced. Breast Care Center provided a prompt and comprehensive care to the breast cancer patients through the multidisciplinary therapeutic approaches.

Experimental Investigation of Noise Generation from the Inter-coach Spacing of a High-speed Train (고속열차의 차간 공간에서 발생하는 소음 특성의 시험적 규명)

  • Choi, Sung-Hoon;Park, Choon-Soo;Park, Jun-Hong;Kim, Sang-Soo
    • Journal of the Korean Society for Railway
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    • v.10 no.6
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    • pp.786-791
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    • 2007
  • Aerodynamically generated noise is dominant when the train speed approaches 300km/h. This noise sources is caused by the turbulent flow separations or vortex shedding from the train structure. Experiments were performed to investigate the characteristics of aerodynamic noise sources generated from exterior of the KTX trains and HSR-350x, especially from the inter-coach spacing. Measurements of both the inside and outside of the cabin are carried out to investigate the characteristics of the noise. Effect of the size of the mud-flap has been investigated through an wind tunnel test and it has been found that the low frequency noise is strongly dependent on the size of the gap. Also performed is an array measurement to locate different noise sources from the high-speed train. spectral characteristics of exterior noise sources are examined.

Secondary reduction mammaplasty using different pedicle from the initial pedicle : Report of two cases (일차 수술과 다른 혈관경을 이용한 이차 유방 축소술: 증례 보고)

  • Kim, Kyu Nam;Lee, Taik Jong;Kim, Eun Key;Kim, Tae Gon
    • Archives of Plastic Surgery
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    • v.36 no.6
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    • pp.784-787
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    • 2009
  • Purpose: Reduction mammaplasty is one of the most commonly performed operations in plastic surgery. Although secondary surgery is occasionally required for minor aesthetic problems or for treatment of the complications of the primary surgery, there are no clear operative guidelines of management. We report here two cases of secondary reduction mammaplasty using differrent pedicle from the initial ones. Methods: One case of secondary reduction mammaplasty were performed using medial pedicle after central (19 years) pedicle reduction mammaplasty because of subsequent breast ptosis and asymmetry. The other case were performed using medial pedicle after superior (4 years) pedicle reduction mammaplasty with contralateral immediate breast reconstruction with TRAM flap because of subsequent breast ptosis and asymmetry. Care was taken to include sufficient width of pedicle and adequate soft tissue attachment beneath the nipple - areolar complex. Results: There was no significant complication such as nipple - areolar necrosis or fat necrosis. The results were well maintained throughout the follow - up period. Conclusion: Medial pedicle reduction mammaplasty can be safely performed after central or superior pedicle reduction mammaplasty when sufficient width of pedicle and adequate soft tissue attachment beneath the nipple - areolar complex are maintained.