• Title/Summary/Keyword: Trimming Technique

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Usefulness of Microscopic Procedures in Composite Grafts for Fingertip Injuries

  • Jo, Dong In;Song, Yu Kwan;Kim, Cheol Keun;Kim, Jin Young;Kim, Soon Heum
    • Archives of Reconstructive Microsurgery
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    • v.26 no.1
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    • pp.9-13
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    • 2017
  • Purpose: Fingertip amputations are the most common type of upper limb amputations. Composite grafting is a simple and cost-effective technique. Although many factors have investigated the success of composite grafting, the success rate is not high. Therefore, this study was conducted to investigate whether the microscopic procedure process during composite grafts improves the success rate. Materials and Methods: Thirteen cases of unreplantable fingertip amputation underwent a microscopic resection procedure for composite graft in the operating room. The principle of the procedure was to remove the least devitalized tissue, maximize the clean tissue preservation and exact trimming of the acral vessel and to remove as many foreign bodies as possible. Results: All fingertips in the thirteen patients survived completely without additional procedures. Conclusion: Composite grafting allows for the preservation of length while avoiding the donor site morbidity of locoregional flaps. Most composite grafts are performed as quickly as possible in a gross environment. However, we take noticed the microscopic resection. This process is thought to increase the survival rate for the following reasons. First, the minimal resection will maximize the junction surface area and increase serum imbibition. Second, sophisticated trimming of injured distal vessels will increase the likelihood of inosculation. Third, accurate foreign body removal will reduce the probability of infection and make it possible to increase the concentration and efficiency in a microscopic environment. Although there is a need for more research into the mechanisms, we recommend using a composite graft under the microscopic environment.

An Algorithm for Labia Minora Reduction Based on a Review of Anatomical, Configurational, and Individual Considerations

  • Maurits Lange;J. Joris Hage;Refaat B. Karim;Frederic Amant
    • Archives of Plastic Surgery
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    • v.50 no.1
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    • pp.17-25
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    • 2023
  • A variety of reduction labiaplasty techniques have been introduced to date, but no single technique will offer the optimal solution for every patient. Rather, the technique should be chosen based on anatomical, configurational, and technical considerations, as well as on patients' personal preferences regarded maintenance of the labial rim, maintenance of labial sensitivity, and prevention of iatrogenic thickening of the labium. We reviewed, defined, and assessed labial configurational variety, neurovascular supply, reduction techniques, and patient's preferences as the considerations relevant to the choice of labiaplasty technique. Based on this review, an algorithm was constructed that leads to a choice of reduction technique through five decisions to be made regarding (1) resection or (partial) retention of the labial free rim, (2) the measure of required labial width reduction, (3) labial vascular status, (4) prevention of iatrogenic labial thickening, and (5) preservation of labial sensibility. The choice of techniques includes edge trimming, central spindle form de-epithelialization or full-thickness resection, and three modifications of the wedge resection or de-epithelialization technique. These three modifications comprised a modified anterior resection or de-epithelialization combined with posterior flap transposition, a custom flask resection or de-epithelialization, and a modified posterior wedge resection or de-epithelialization combined with anterior flap transposition. Use of the five decisional steps and the inclusion of modifications of all three conventional reduction techniques offer an improved algorithm for the choice of labioplasty technique.

Multi Stage Simulations for Autobody Member Part (자동차 멤버 부품의 다공정 성형해석)

  • Park C.D.;Kim B.M.;Chung W.J.
    • Transactions of Materials Processing
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    • v.15 no.4 s.85
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    • pp.281-288
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    • 2006
  • Most of automobile member parts experience severe springback problems because of their complicated shape and high yielding strength. Now it becomes imperative to develop an effective method to resolve these problems. However, there remain several obstacles to get accurate estimation of dimensional shape. Especially the effective algorithms to simulate sheet metal forming processes including drawing, trimming, flanging and springback is demanded for the multi stage simulation of automobile member parts. In this study, for the purpose of accurate springback calculation, a simulation program which is robust in springback analysis is developed. Favorable enhancement in computation time for springback analysis by using latest equation solving technique and robust solution convergence by continuation method are achieved with the program. In analysis, the multi processes of rear side member are simulated to verify the system. For the evaluation of springback accuracy practically, all conditions including boundary conditions for springback analysis and inspection conditions for dimensional accuracy are applied. The springback results of simulations show good agreement with the experiments.

Sensor signal processing device for USN application and general purpose (USN응용과 범용목적에 적용가능한 센서 신호처리기)

  • Park, Chan-Won;Kim, Il-Hwan;Chun, Sam-Sug
    • Journal of Sensor Science and Technology
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    • v.19 no.3
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    • pp.230-237
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    • 2010
  • In sensor signal conditioning and processing, offset and drift characteristics of an operational amplifier are an important factor when the amplifier is used for a precise sensor signal amplifier. In order to use it in high accuracy, an expensive trimming or a complex compensation circuit is required. This paper presents the improved sensor signal conditioning and processing device for ubiquitous sensor network(USN) application or general purpose by developing a hardware of the circuit for reducing the offset voltage and drift characteristics, and a software for its control and sensor signal processing. We realize better offset voltage and drift characteristics of the signal conditioning circuit using low cost operational amplifiers. The experimental results show that this technique is effective in improving the performance of the sensor signal processing device.

A Study on the Aesthetic Characteristics of Korean Knit Fashion (니트 패션의 미적 특성에 관한 연구 - 패션 잡지에 나타난 국내 니트 디자인을 중심으로 -)

  • Choi, Hae-Joo
    • Journal of the Korea Fashion and Costume Design Association
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    • v.10 no.3
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    • pp.61-71
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    • 2008
  • Knit wear with comfortable feeling of wearing and various coordinations gives new values to the modern people, who seek activities and individualities, and the demand for knit wear is on the rise. This article aims to analyze the aesthetic characteristics of Korean knit fashion. Fashion photographs from leading monthly fashion magazines in Korea from 2005 to 2007 had been analyzed. The knitting techniques, and designing characteristics and aesthetic values of Korean knit fashion had been studied. The major conclusions of the study are the following: 1. Korean knit fashion applies various knitting techniques. The knitting techniques used in Korean knit fashion are hand-knitting technique, crochet techniques, lace techniques, plain stitch, rib stitch, and purl stitch technique. 2. Decorations by trimming and matching with different textile materials are used more frequently than decorations by knit material itself. Decorating methods include fringes, spangle, beads, Rhine stone, motif and embroidery decorating. Matching with different textile materials made contrasting decoration effect. 3. Patterms by knitting structure and by arranging colors are applied. Cubic effect by knitting structure patterns, and geometric patterns by arranging colors are emphasized. 4. The formative feature beauties are natural beauty, feminine beauty, and decorative beauty. Korean knit fashion has developed creative and decorative designs through various knitting techniques and decorating techniques. As individual activities may be increased in the future, the designs and applications of knit fashion may be diversified.

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Development of Cultural Products using Quilting Technique - Focused on the colored tread quilting technique - (누비기법을 응용한 문화상품 디자인 개발 연구 - 색실누비기법을 중심으로 -)

  • Oh, Ga-Young;Kim, Jong-Ho
    • Journal of the Korean Society of Costume
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    • v.60 no.10
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    • pp.80-87
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    • 2010
  • The purpose of this study is to develop cultural products containing Korean beauty with modern sense by applying quilting with dyed threat among Korean traditional quilting works. Quilting with dyed thread using various colored thread expresses curve, straight and oblique lines harmoniously, is mainly used to make household goods such as a pouch, a spectacle case and a quilting pocket and a circular pattern, a cross pattern and a geometric pattern are shown in this kind of quilting. As for sewing method, half backstitch and full backstitch are used, and products made by this method are pouches stuffing pads in cotton or silk and quilting it finely to make patterns with various colored threads of stuffing cotton between linings and spectacle cases, a packet of needles and case of spoon and chopsticks which give various feelings according to arrangement of colors. Design of cultural products by applying the beauty of curves of hanbok, sleave-seam of jeogori, trimming line of dangeui. We expect that various cultural products with Korean traditional beauty and modern convenience will be developed continually by introducing the artistic strength of quilting with dyed thread to practical life.

Custom-Made T-Tube Designed by 3-D Reconstruction Technique, a Preliminary Study (삼차원 재건 기술을 이용한 맞춤형 몽고메리 T-Tube의 제작에 관한 예비 연구)

  • Yoo, Young-Sam
    • Korean Journal of Bronchoesophagology
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    • v.16 no.2
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    • pp.131-137
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    • 2010
  • Background: Montgomery T-tube is widely used to maintain airway in many cases. Market-available tubes are not always fit to the trachea of each patient and need some modification such as trimming. Complications do happen in prolonged use like tracheostomy tubes. To overcome above limitations, we designed custom-made T-tube using CT data with the aid of 3D reconstruction software. Material and Method: Boundaries were extracted from neck CT data of normal person and processed by surface rendering methods. Real laryngotracheal model and tracheal inner surface-mimicking tube model were made with plaster and rubber. The main tube was designed by accumulation of circles or simple closed curves made from boundaries. Stomal tube was made by accumulation of squares due to limitation of software. Measurement data of tracheal lumen were used to custom-made T-tubes. Tracheal lumen residing portion (vertical limb) was made like circular cylinder or simple closed curved cylinder. Stomal portion (horizontal limb) was designed like square cylinder. Results: Custom made T-tube with cylindric vertical limb and horizontal limb of square cylinder was designed. Conclusion: CT data was helpful in making custom made T-tube with 3D reconstruction technique. If suitable materials are available, commercial T-tube can be printed out from 3D printers.

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Treatment of Blepharoptosis by the Advancement Procedure of the Müller's Muscle-Levator Aponeurosis Composite Flap (뮐러근과 올림근널힘줄로 구성된 복합피판의 전진술에 의한 눈꺼풀처짐의 치료)

  • Baik, Bong Soo;Suhk, Jeong Hoon;Choi, Won Suk;Yang, Wan Suk
    • Archives of Plastic Surgery
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    • v.36 no.2
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    • pp.211-220
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    • 2009
  • Purpose: Even in a small levator resection for blepharoptosis, 10 ~ 13 mm of $M{\ddot{u}}ller^{\prime}s$ muscle and levator aponeurosis is resected. To solve the problem, $M{\ddot{u}}ller^{\prime}s$ muscle was detached from the superior tarsal border and conjunctiva, and the muscle with overlying levator aponeurosis was advanced on the upper tarsus as a composite flap. The purpose of this study was to evaluate the effectiveness of the $M{\ddot{u}}ller^{\prime}s$ muscle - levator aponeurosis complex advancement technique for the correction of blepharoptosis. Methods: Between 2003 and 2008, 107 patients(183 eyes) underwent the advancement procedure of the $M{\ddot{u}}ller^{\prime}s$ muscle - levator aponeurosis composite flap for blepharoptosis. The advanced composite flap was fixed 3 mm below the superior tarsal border and 2 ~ 3 mm of distal flap stump was left after trimming up to 5 mm. The results of the operations were evaluated. Results: The mean age of the patients was 35.2 years and 83 patients(145 eyes) were followed up for a mean of 16.7 months. 128 eyes (88.3%) showed a normal level of upper eyelid margin (MRD1 4.1 ~ 5.0 mm) or less than 1 mm ptosis (MRD1 3.1 ~ 4.0 mm). 10 eyes(6.9%) showed 1 ~ 2 mm ptosis (MRD1 2.1 ~ 3.0 mm). 7 eyes(4.8%) showed more than 2 mm ptosis which required secondary correction. About 80% of the 183 eyes needed no trimming of the flap stump with 5 ~ 6 mm of composite flap advancement and 20% had about 3 mm of the flap stump trimmed with 8 ~ 9 mm of composite flap advancement(shortening of the levator complex). Conclusion: $M{\ddot{u}}ller^{\prime}s$ muscle - levator aponeurosis complex advancement technique offers several advantages: There is no, or minimal, sacrifice of the normally functioning $M{\ddot{u}}ller^{\prime}s$ muscle; it is more physiological; it is reproducible and it is predictable - with gratifying results for blepharoptosis.

The study of Wedding Dress by Applying the Pattern of Traditional Wedding Dress - Focused on Lotus flower, Arabesque, Peony Patterns - (전통혼례복 문양을 응용한 웨딩드레스에 관한 연구 - 연화문, 당초문, 모란문 중심으로 -)

  • Jang, Moon-Hee;Hong, Jung-Min
    • Journal of the Korean Society of Fashion and Beauty
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    • v.6 no.2
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    • pp.97-103
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    • 2008
  • This research thesis is designed to put Korean traditional and unique wedding dress with a greater significance and value than any other dress into application right for the global and contemporary trend, as part of a bid to show Korean traditional beauty. To do it, this thesis has attempted to add the traditional beauty to Korean inherent wedding dress and contemporary wedding dress, with the use of various traditional beauty elements, such as the line firm, materials and color based on the research on wedding dress, such as, 'Wonsam' or 'Unlined Jacket, and 'Long-sleeve Red Silk Jacket', and 'Dangeu' or 'Court Suit' that women wore in the Joseon Dynasty. To recreate Korean traditional beauty of line this research thesis has firstly put into the application the sleeve of 'Wonsam' or 'Unlined Jacket' and the form of a large section of 'Wonsam' of 'Unlined Jacket', and 'Doreyon Line' or 'Trimming Line' of 'Dangeu' or 'Court Suit' as wedding dress that women wore in the Joseon Dynasty. Secondly, this thesis has applied lotus and peony patterns out of traditional ones inlaid with 'Long-Sleeve Silk Jacket' into the contemporary wedding dress to develop a creative and special design. Thirdly, regarding the expressive pattern technique, this thesis has designed the repetitive rhythmical pattern with the use of beading technique and embroidery technique, which makes needle work picture and pattern in fabric. Lastly, it can demonstrate the original and distinct Korean style in application of western wedding dress into traditional and contemporary dress, by devising two collections of dress art pieces.

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GLASS FIBER REINFORCED STRIP CROWN IN PRIMARY TEETH (강화형 strip crown의 사용)

  • Kim, Dae-Eop
    • Journal of the korean academy of Pediatric Dentistry
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    • v.32 no.1
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    • pp.132-135
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    • 2005
  • The purpose of this study was to propose the modified strip crown technique for esthetic restoration of primary anterior teeth using glass fibers. Celluloid crown form(3M, USA), Z100(P shade, 3M, USA). Aeliteflo(Bisco Inc., USA), and Clearfil SE Bond(Kuraray Medical Inc., Japan) were used for this technique. Mesh type of glass fiber(TESCERA Fiber Mesh, Bisco Inc, USA) was used for reinforcing material. After trimming the celluloid crown form, resin adhesive and flowable resin were applied on the pre-shaped glass fiber mesh. That mesh was placed on the lingual surface of inside of celluloid crown form and followed by light activation. Composite resin was filled into the celluloid crown form and put it on a prepared tooth and then light activated and finished the margin. The new modified strip crown technique can provide esthetics and increased durability for restoration of primary anterior teeth.

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