• Journal of Trauma and Injury
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• v.36 no.4
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• pp.369-375
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• 2023

Purpose: The reconstruction of defects around the knee and the proximal third of the leg necessitates thin, pliable skin with a stable and sensate soft tissue cover. This study analyzed the use of a proximally based sural artery flap for the coverage of such defects. Methods: This prospective clinical interventional study involved 10 patients who had soft tissue defects over the knee and the proximal third of the leg. These patients underwent reconstruction with a proximally based sural artery flap. The study analyzed various factors including age, sex, etiology, location and presentation of the defect, defect dimensions, flap particulars, postoperative complications, and follow-up. Results: There were 10 cases, all of which involved men aged 20 to 65 years. The most common cause of injury was trauma resulting from road traffic accidents. The majority of defects were found in the proximal third of the leg, particularly on the anterolateral aspect. Defect dimensions varied from 6×3 to 15×13 cm², and extensive defects as large as 16 cm×14 cm could be covered using this flap. The size of the flaps ranged from 7×4 to 16×14 cm², and the pedicle length was 10 to 15 cm. In all cases, donor site closure was achieved with split skin grafting. This flap consistently provided a thin, pliable, stable, and durable soft tissue cover over the defect with no functional deficit and minimal donor site morbidity. Complications, including distal flap necrosis and donor site graft loss, were observed in two cases. Conclusions: The proximally based sural fasciocutaneous flap serves as the primary method for reconstructing medium to large soft tissue defects around the knee and the proximal third of the leg. This technique offers thin, reliable, sensate, and stable soft tissue coverage, and can cover larger defects with minimal complications.

• Journal of the Korean Society of Industry Convergence
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• v.25 no.2_1
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• pp.177-184
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• 2022

The automatic defect sorting function of machinery parts is being introduced to the automation of the manufacturing process. In the final stage of automation of the manufacturing process, it is necessary to apply computer vision rather than human visual judgment to determine whether there is a defect. In this paper, we introduce a deep learning method to improve the classification performance of typical mechanical parts, such as welding parts, galvanized round plugs, and electro galvanized nuts, based on the results of experiments. In the case of poor welding, the method to further increase the depth of layer of the basic deep learning model was effective, and in the case of a circular plug, the surrounding data outside the defective target area affected it, so it could be solved through an appropriate pre-processing technique. Finally, in the case of a nut plated with zinc, since it receives data from multiple cameras due to its three-dimensional structure, it is greatly affected by lighting and has a problem in that it also affects the background image. To solve this problem, methods such as two-dimensional connectivity were applied in the object segmentation preprocessing process. Although the experiments suggested that the proposed methods are effective, most of the provided good/defective images data sets are relatively small, which may cause a learning balance problem of the deep learning model, so we plan to secure more data in the future.

• Archives of Craniofacial Surgery
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• v.25 no.1
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• pp.27-30
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• 2024

Fungal sinusitis is relatively rare, but it has become more common in recent years. When fungal sinusitis invades the orbit, it can cause proptosis, chemosis, ophthalmoplegia, retroorbital pain, and vision impairment. We present a case of an extensive orbital floor defect due to invasive fungal sinusitis. A 62-year-old man with hypertension and a history of lung adenocarcinoma, presented with right-side facial pain and swelling. On admission, the serum glucose level was 347 mg/dL, and hemoglobin A1c was 11.4%. A computed tomography scan and a Waters' view X-ray showed right maxillary sinusitis with an orbital floor defect. On hospital day 3, functional endoscopic sinus surgery was performed by the otorhinolaryngology team, and an aspergilloma in necrotic inflammatory exudate obtained during exploration. On hospital day 7, orbital floor reconstruction with a Medpor Titan surgical implant was done. In principle, the management of invasive sino-orbital fungal infection often begins with surgical debridement and local irrigation with an antifungal agent. Exceptionally, in this case, debridement and immediate orbital floor reconstruction were performed to prevent enophthalmos caused by the extensive orbital floor defect. The patient underwent orbital floor reconstruction and received intravenous and oral voriconazole. Despite orbital invasion, there were no ophthalmic symptoms or sequelae.

• Archives of Craniofacial Surgery
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• v.22 no.5
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• pp.260-267
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• 2021

Background: Elastic ear cartilage is a good source of tissue for support or augmentation in plastic and reconstructive surgery. However, the amount of ear cartilage is limited and excessive use of cartilage can cause deformation of the auricular framework. This animal study investigated the potential of periosteal chondrogenesis in an ear cartilage defect model. Methods: Twelve New Zealand white rabbits were used in the present study. Four ear cartilage defects were created in both ears of each rabbit, between the central artery and marginal veins. The defects were covered with perichondrium (group 1), periosteum taken from the calvarium (group 2), or periosteum taken from the tibia (group 3). No coverage was performed in a control group (group 4). All animals were sacrificed 6 weeks later, and the ratio of neo-cartilage to defect size was measured. Results: Significant chondrogenesis occurred only in group 1 (cartilage regeneration ratio: mean±standard deviation, 0.97±0.60), whereas the cartilage regeneration ratio was substantially lower in group 2 (0.10±0.11), group 3 (0.08±0.09), and group 4 (0.08±0.14) (p= 0.004). Instead of chondrogenesis, osteogenesis was observed in the periosteal graft groups. No statistically significant differences were found in the amount of osteogenesis or chondrogenesis between groups 2 and 3. Group 4 showed fibrous tissue accumulation in the defect area. Conclusion: Periosteal grafts showed weak chondrogenic potential in an ear cartilage defect model of rabbits; instead, they exhibited osteogenesis, irrespective of their embryological origin.

• Journal of the Korea Institute of Building Construction
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• v.11 no.5
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• pp.459-467
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• 2011

The work of constructing apartment housing involves various fields of industry that are linked to each other, and is based on a design document prepared by multiple technicians and architects. Consequently, design errors, material flaws or faulty construction works can cause defects, which sometimes overlap with each other. Construction companies should repair any defects found in a completed building within a specified period of time, and to do this, should establish a business plan by efficiently predicting the cost of defect repair. As it is very difficult for companies to accurately predict the occurrence of defects, historical performance data is used as a base. For domestic apartment housing units, data on the cost of defect repair is insufficient, so there are hardly any methods that can be used to make precise predictions. Therefore, the intent of this study is to develop a model that can predict the cost of defect repair by supply type and area, based on historical performance data with ten years worth of post-completion.

• Proceedings of the Korean Institute Of Construction Engineering and Management
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• 2008.11a
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• pp.914-917
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• 2008

This paper was to discuss the case and cause of debonding defect of wood floor board in apartment house by investigating actual survey. Most frequent defect in wood floor board was debonding of floor board. Scratch, gap and crack of floor board were also found in floor board installment work. Causes of debonding of floor board is shrinkage of cement mortar beneath floor board and expansion of floor board. Haste in floor board work did not provide enough time to dry cement mortar fully, which led to continue to dry after the installment of floor board. It caused moisture movement toward wood floor board. Accordingly, Before floor board work, careful consideration on moisture condition of cement mortar and enough curing time to eliminate the effect of moisture are taken into.

• Journal of the Korean Society of Environmental Restoration Technology
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• v.23 no.3
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• pp.91-104
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• 2020

This study was conducted to analyze the characteristics of defects according to the type of block and spatial type by quantitatively examining defects occurring in block pavement in apartment complex. According to the research results, depending on the type of block, defects have occurred 1,394.3ea/100㎡ in interlocking paver blocks, 464.8ea/100㎡ in clay brick paver blocks, and 235.1ea/100㎡ in shot blasted paver blocks. By space type, the defects were occurred 1,576.0ea/100㎡ on the access road paved by interlocking paver blocks and the defects were found 1,139.6ea/100㎡ in interlocking paver blocks, 235.1ea/100㎡ in shot blasted paver blocks, and 797.1ea/100㎡ in clay brick paver blocks, on the sidewalk. Also the defects are occurred 455.6ea/100㎡ on the resting space and 403.2ea/100㎡ on the gym space paved by clay brick paver blocks. Through the size analysis of the defects in the block paver, in the case 'peeling', the largest volume of 2,539.0㎣ on the sidewalk paved with shot blasted paver blocks, and 'Subsidence' occurred at the widest area of 2,096.0㎠ on the sidewalk where interlocking paver block was constructed. The difference in defect occurrence according to the type of block is considered to be influenced by the block production process, and the space type is considered to be caused the difference in the occurrence of defects according to the cause of construction and the usage pattern of residents. This study conducted a survey on defects in block and analyzed the defect characteristic according to paver material and space type. Base on this, it is judged that it can be used as an efficient basic data for material replacement, improvement, paver planning and construction in the future.

• Journal of People, Plants, and Environment
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• v.23 no.3
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• pp.347-362
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• 2020

Background and objective: It is difficult to conclusively determine the exact cause of tree defects since multiple causes are involved such as climate change, plantation, tree quality and planting time, construction, planting base, drainage, sunshine conditions, maintenance, and microclimate. The data related to landscaping construction defects are scattered or fragmented by companies and years, but not managed systematically by the defect information management system. Most of the earlier studies associated with tree defects in apartment complexes suggested defect rates after examining tree defects in the completed construction site and proposed fragmentary and subjective conclusions about the causes of defects observed in trees with high defect rates. It is proposed to continue to conduct studies on the establishment and analysis of systematic databases to identify the exact causes of tree defects and measures to improve, and the need to accumulate systematic data in the construction process where many defects arises. This study was conducted to reduce the defects of trees planted in apartment complexes. Methods: Main factors related to tree defects were subdivided based on the results of literature review and a defect investigation at the completion site, and tree history management items were selected and subdivided during the construction stage. Results: The criteria for the preparation of subdivided items were obtained, and the tree history management checklist was written for the site under actual construction and a systematic database was established. Items that are categorized based to the causes of defects include the location of nurseries, date, tree quality, site conditions, planting techniques, microclimates, and maintenance. Conclusion: This study suggested tree history management items based on the tree defects that can be identified at the construction stage and applied them to the selected study site, which differentiates this study from earlier studies. It will be necessary to conduct a comprehensive and objective time series analysis on tree defects that occur over time by continuously monitoring and collecting data after construction.

• Journal of Chest Surgery
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• v.39 no.2 s.259
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• pp.150-153
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• 2006

Percutaneous transcatheter closure of atrial septal defects as a therapeutic alternative in appropriate patients provides superior cosmetic results, is less invasive, and allows for shorter hospital stays. Unfortunately, however, such percutaneous procedures can be associated with catastrophic procedure complications that may require immediate surgical intervention. We report a case of aorta-to-right atrial fistula two months after transcatheter occlusion of an atrial septal defect by an Amplatzer septal occluder. Revealed by dyspnea, palpitation and hemolysis, this complication needed an emergency surgical operation. The fistula between the noncoronary Valsalva sinus of the aorta and the right atrium was repaired. The atrial septal defect was closed by patch. The cause of this serious complication appears to be erosion into the aorta by the right atrial disk.

• Archives of Craniofacial Surgery
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• v.19 no.2
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• pp.94-101
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• 2018

Background: Atrophy of muscle and fat often contributes to temporal hollowing after pterional craniotomy. However, the main cause is from the bony defect. Several methods to prevent temporal hollowing have been introduced, all with specific limitations. Autologous bone grafts are most ideal for cranial defect reconstruction. The authors investigated the effectiveness of bony defect coverage and temporal augmentation using pterional craniotomy bone flap. Methods: This study was conducted in 100 patients who underwent brain tumor excision through pterional approach from 2015 to 2016. Group 1 underwent pterional craniotomy with temporal augmentation and group 2 without temporal augmentation. In group 1, after splitting the calvarial bone at the diploic space, the inner table was used for covering the bone defect and as an onlay graft for temporal augmentation. The outcome is evaluated by computed tomography at 1-year follow-up. Results: The mean operative time for temporal augmentation was 45 minutes. The mean follow-up was 12 months. The ratio of temporal thickness of operated side to non-operated side was 0.99 in group 1 and 0.44 in group 2, which was statistically different. The mean visual analogue scale score was 1.77 in group 1 and 6.85 in group 2. Conclusion: This study demonstrated a surgical technique using autologous bone graft for successfully preventing the temporal hollowing and improved patient satisfaction.