• 구강회복응용과학지
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• 제39권4호
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• pp.214-221
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• 2023

잔존 치조제의 흡수가 심하게 진행된 환자에서 안정된 의치를 제작하기 위해서는 여러가지 요소를 고려해야 한다. 그 중 하나는 중립대(Neutral zone)로, 기능하는 동안 구강 안에서 밖으로 향하는 혀의 압력과 밖에서 안으로 향하는 볼과 입술의 압력이 평형을 이루는 잠재적인 영역으로 정의된다. 만약 치조제의 흡수가 심한 경우에 통상적으로 잔존 치조제 상방에 치아를 배열한다면 치아는 기존 위치보다 설측에 위치하게 된다. 따라서 혀의 기능공간을 침범하게 되어 혀가 후방으로 위치하게 되고, 설측 변연의 봉쇄가 깨져 의치를 탈락시키는 요인으로 작용하게 된다. 또한 상·하악의 치조제를 잇는 치조정간선을 상정하고 저작력을 치조정간선에 일치시키도록 상·하악 인공치를 배열하는 것 또한 의치의 안정에 중요하다. 따라서 불량한 잔존 치조제를 지닌 환자에게 중립대 인상 및 치조제 관계 분석을 이용해 의치를 제작하여 좋은 임상 결과를 얻었기에 보고하는 바이다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제23권3호
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• pp.263-269
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• 2001

하순 및 하악골 정중열은 매우 드문 선천성 기형으로 , 하순절흔에서부터 하악은 물론 경부, 흉부까지 연장되어 다양하게 나타날 수 있으며, 원인은 확실하지 않으나 정중부로의 중배엽의 침투 실패, 하악돌기의 유합부전 그리고 외부 요인들이 논의되고 있다. 치료방법 및 시기에 관해서는 임상소견이 다양하고 증례가 드물기 때문에 많은 논란이 있어왔다. 그러나 현재의 경향은 연조직 기형은 연하 및 발음의 기능적 장애를 예방하기 위하여 가능한 조기에 치료하며, 악골고정을 위한 강선 결찰 혹은 골이식술은 사춘기 후로 미루는 추세이다. 본 교실에서는 저작 장애를 주소로 내원한 8세 여자 환자의 임상소견에서 하악골 정중열과 하순의 수술로 인한 반흔조직 및 하순에서부터 치조골을 가로지르는 섬유성 소대 등을 발견할 수 있었으며, 하악의 정중열을 장골 이식을 이용 하여 양호한 결과를 얻을 수 있었으며, 추후 하순과 순. 설측 전정의 연조직 기형은 심미성과 기능 향상을 위해 부가적인 술식이 필요하리라 생각된다.

• Journal of Oral Medicine and Pain
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• 제39권2호
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• pp.35-45
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• 2014

Many therapeutic modalities including continuous positive airway pressure, surgery, and oral appliances are used to treat patients with sleep-disordered breathing. However, there are no definitive treatment modalities for individual patients due to various causes of sleep-disordered breathing. Clinicians should have select best options for individual patients and it is quite challenging process. Oral appliances attracted clinical attention for its convenience and safety. Several designs of oral appliances are introduces such as soft palate lifter, tongue retaining device, and various appliances which aimed to mandibular advancement. Among these oral appliances, mandibular advancement devices (MADs) are considered the most excellent based on their effectiveness and patient tolerance. Although MADs are not guarantee dramatic outcome and less consistent than continuous positive airway pressure, they offer several advantages over continuous positive airway pressure and surgical methods, including non-invasiveness, silence, portability, and tolerability, simplicity. Therefore, general dental practitioner who had passed sleep dental curriculum or coursework can treat the patients with sleep problems. This article reviews the history, clinical indications, suggested mechanism of actions, various positive effects and several side effects, factors predicting a favorable outcome, determining amounts of mandibular advancement, compliance and long-term efficacy of MADs use.

• International Journal of Fluid Machinery and Systems
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• 제5권3호
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• pp.117-125
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• 2012

In the present experimental study, the authors try to clarify the characteristics of the flow around and inside a cross-flow impeller in a typical geometry, over a wide parameter range of an aspect ratio $L/D_2$. In order to eliminate the complicated casing factors, the impeller rotates in open space without any casings. As a result, by using hot wire anemometer measurements and by conventional flow visualisations with a particle image velocimetry technique, the authors show that both the outflow rate and the maximum vorticity attain the maximum for $L/D_2$ = 0.6. In order to investigate the aspect-ratio effect, we further reveal minute fluctuating pressures on an impeller end wall for a singular $L/D_2$ = 0.6. Especially in these pressure measurements, the eccentric vortex is prevented to revolute by the insertion of a tongue, in order to consider the spatial structure of flow more precisely.

• International Journal of Fluid Machinery and Systems
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• 제6권2호
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• pp.75-86
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• 2013

The effects of acoustic resonance and volute geometry on phase resonance are studied theoretically and experimentally using a centrifugal fan. One dimensional theoretical model is developed taking account of the reflection from the discharge pipe end. It was found that the phase resonance occurs, even with the effects of acoustic resonance, when the rotational speed of rotor-stator interaction pattern agrees with the sound velocity. This was confirmed by experiments with and without a silencer at the discharge pipe exit. The pressure wave measurements showed that there are certain effects of the cross-sectional area change of the volute which is neglected in the one dimensional model. To clarify the effects of area change, experiments were carried out by using a ring volute with a constant area. It was demonstrated that the phase resonance occurs for both interaction modes travelling towards/away from the volute. The amplitude of travelling wave grows towards the volute exit for the modes rotating towards the volute exit, in the same direction as the impeller. However, a standing wave is developed in the volute for the modes rotating away from the volute exit in the opposite direction as the impeller, as a result of the interaction of a growing wave while travelling towards the tongue and a reflected wave away from the tongue.

• 구강회복응용과학지
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• 제34권3호
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• pp.239-245
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• 2018

만약 혀 절제술로 인해 식괴의 형성 및 이동에 장애가 생기는 경우, 식괴가 기도를 막거나 기도로 흡인되는 연하장애가 발생할 수 있으며, 이런 경우에 구개 증대 보철물은 도움이 될 수 있다. 구강암으로 인해 부분 혀 절제술을 받은 후 음식물을 삼키기 어렵다는 주소로 내원한 환자에게 혀의 기능 운동을 인기한 상악의 연마면 인상채득을 통해 구개 증대 보철개념을 활용한 상악 총의치를 제작하여, 구개-혀 접촉 압력을 증가시켜서 연하 및 발음에 양호한 결과를 얻을 수 있었다.

• Archives of Plastic Surgery
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• 제36권1호
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• pp.80-83
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• 2009

Purpose: Isolated hypoglossal nerve palsy is a rare manifestation of various underlying disease. This article presents a rare complication of general anesthesia associated with an surgical procedure on a case of zygomatic fracture. Methods: An 18-year-old female patient was referred to our department by painful swelling on her left zygomatic area after the traffic accident. Left zygomatic complex fracture was identified on the simple x-ray and facial bone CT scan, and the fracture was treated with open reduction and internal fixation under general anesthesia. On the first postoperative day, she complained of difficulty in swallowing solid food, dysarthria and deviated tongue to her right side. There was no abnormal findings on the neurological examination, brain MRI and routine chemistry. She was diagnosed with transient hypoglossal nerve palsy and dexamethasone with multi-vitamins was administrated intravenously for 5 days. Results: The symptoms were completely resolved by the ninth postoperative day and the patient was discharged without any other complications. Conclusion: The hypoglossal(cranial nerve XII)nerve supplies motor innervation to all of the ipsilateral extrinsic and intrinsic tongue muscles. The hypoglossal nerve damage may caused by the compression between the airway and the hyoid bone during the endotracheal intubation, and direct trauma due to excessive pressure or neck extension. We described a rare case of unintended injury to hypoglossal nerve and care must be taken not to cause the hypoglossal nerve damage especially in facial plastic surgery with excessive neck extension under general anesthesia.

• 구강회복응용과학지
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• 제17권2호
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• pp.107-112
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• 2001

The prosthodontic treatment of severely resorbed edentulous patients has been one of the frustrating areas due to extensive loss of tissues. The integrated neuromuscular balance among tongue, lip, and cheek is compromised. The retention, stability, and support are the three major factors to influence the clinical outcome. Fish described a denture as having three surface, with each surface playing an independent and important role in the over all fit, stability, and comfort of the denture. He recommended that the polished surface should be a series of inclines so that pressure from muscular activity will retain dentures. Within the denture space there is an area that has been termed the neutral zone. The neutral zone is that area in the mouth where, during function, the forces of the tongue pressing outward are neutralized by the forces of the cheeks and lips pressing inward. According to Jacobson and Krol, neuromuscular control interacts to provide retention and the relationship of polished surface of denture base to the surrounding muscular structure of orofacial capsule facilitates the stability and retention. This neutral zone concept has been demonstrated with various modification by a number of authors. The theory used to develop the denture base contours is based on the belief that the muscle should functionally mold not only the border but the entire polished surface. Lott and Walsh reported the clinical success on complete mandibular dentures with application of neutral zone concept. A number of studies demonstrated that denture stability and retention are more dependent on correct position of the teeth and correct contour of external surfaces of the denture in a severely resorbed alveolar ridge. This article presents a prosthodontic approach to treatment of a edentulous patient using neutral zone technique to improve the retention and stability of the prosthesis.

• 해양환경안전학회지
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• 제23권1호
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• pp.104-111
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• 2017

본 연구는 원심펌프 내부 유동장 특성에 대한 시뮬레이션 및 시각화에 중점을 둔다. 3D 수치해석은 Reynolds Average Navier-stock 코드를 k-${\varepsilon}$ 표준 2차방정식 난류 모델로 처리하여 수행하였다. 시뮬레이션은 흡입측, 임펠러, 토출측 영역에서 조도로 인한 마찰 손실과 임펠러 웨어링에서 체적 손실을 포함한다. 해석과 실험사이의 성능곡선 비교결과 최대 5 %의 작은 차이를 보이며 동일한 추세를 나타냈다. 최고 효율점에서 속도 벡터는 고르게 나타났지만 비 설계점에서는 현저한 변화가 나타났고, 텅 부근의 임펠러 유로토출부에서 강력한 재순환 영역이 나타났다. 비교적 일정한 압력분포가 텅 부근임에도 불구하고 임펠러 주위에 관찰되었다. 볼류트 내에서 기하학적으로 인해 형성된 나선형 와류가 이 영역에서 유동장이 상대적으로 난류이고 불안정하다는 것을 증명하였다.

• 에너지공학
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• 제10권4호
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• pp.335-341
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• 2001

펌프에서는 회전차와 케이싱의 간섭에 의해 압력 펄스가 발생하게 되는데, 이러한 압력 펄스가 펌프의 배관계와 공진을 형성하게 되면 큰 진동 및 소음을 일으켜 문제를 야기시킬수 있다. 따라서 본 연구에서는 단단·한쪽흡입형 벌류트 펌프를 대상으로 하여 펌프성능에 영향을 미치는 인자 가운데 회전차 외경과 흡입경을 고정하고, 깃의 입·출구각과 깃 수를 단계적으로 변화시켜 이에 따른 압력펄스의 변화와 배관계와 공진현상 조건을 실험적으로 규명하였는데, 배관계의 진동은 토출량 및 펌프의 회전수보다 배관 및 회전차의 형상에 크게 영향을 받음을 알았다.