• Title/Summary/Keyword: complex fracture

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A CLINICAL STUDY ON NASO-ORBITO-ETHMOIDAL FRACTURES (비-안와-사골 복합골절에 관한 임상적 연구)

  • Kim, Soo-Nam;Lee, Dong-Keun;Min, Seung-Ki;Oh, Sung-Hwan;Choi, Moon-Gi;Park, Hwa-Kyu
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.21 no.3
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    • pp.277-283
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    • 1999
  • This study was aimed at furnishing the data of Naso-orbito-ethmoidal fractures and aiding treatmenting Naso-orbito-ethmoidal fractures A 5-year review of Naso-orbito-ethmoidal fractures and concomitant injuries is presented. The patients were treated in the Dept. of Oral and Maxillofacial Surgery of Wankwang University Hospital from Jan. 1, 1993 to Dec. 31, 1997. The results were as followes: Male predominated over female by a ratio of 4.6 : 1. The most common reasons is traffic accident(88.2%). The elapsed time from injury to operation is average 9.2 days, and the mean admission days were 79 days and removal of plates were average 217.3 days. The most associated facial bone fractures is Zygomatico-Maxillary complex fracture(20%). Associated injuries were neurologic injury(29.4%), orthopedic injury(23.5%), opthalmologic injury(17.6%), body injury(5.8%), neuropsychologic injury(5.8%) and otolaryngologic injury(5.8%) in this order. The most injured teeth were upper and lower incisors. The intubation methods for surgery were orotracheal(29.57%), submental(29.5%), and nasotracheal technique(41%). Most patients had complications, that were post-traumatic telecanthus, nasal depression, scar formation. This results suggest that early diagnosis and treatment is prerequisits to satisfactory result. Aggressive management of NOE fracture with direct or bicoronal exposure with aid of CT is now an accepted norm.

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Delayed Reduction of Facial Bone Fractures (정복 시기가 지난 안면골 골절의 수술적 교정)

  • Lee, Kyu-Seop;Park, Jae Beom;Song, Seung Han;Oh, Sang Ha;Kang, Nak Heon
    • Archives of Craniofacial Surgery
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    • v.14 no.2
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    • pp.119-123
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    • 2013
  • Except for special situations, it is generally agreed that best results in the treatment of facial fractures is expected if reduction is done within the first 2 or 3 weeks after injury. We reduced facial bone fractures at 4 to 7 weeks after trauma. A 44-year-old female patient underwent open reduction for her right zygomaticomaxillary complex fracture at 7 weeks after injury. A 59-year-old female patient underwent surgery for the right mandible body and left parasymphysis fractures at 4 weeks after injury. Using traditional approaches, granulation tissue and callus were removed from the fracture sites, and malunited fracture lines were separated by a small osteotome. We reduced the displaced fractured zygoma and mandible to their normal anatomical positions and fixed them using titanium plates. No complications such as asymmetry, malunion, malocclusion, or trismus were seen. Unfavorable asymmetric facial contours were corrected, and we obtained good occlusion with favorable bony alignment. The functional and aesthetic outcomes were satisfactory. Through removal the callus and limited osteotomy, a successful approach to the previously fractured line was possible, and an exact correction with symmetry was obtained. This method can be a good option for obtaining good mobility and clinical results in treating delayed facial bone fractures.

A Study on the Mechanical Properties of Al2O3 Cutting Tools by DLP-based 3D Printing (DLP 기반 3D 프린팅으로 제조된 Al2O3 절삭공구의 기계적 물성 연구)

  • Lee, Hyun-Been;Lee, Hye-Ji;Kim, Kyung-Ho;Kim, Kyung-Min;Ryu, Sung-Soo;Han, Yoonsoo
    • Journal of Powder Materials
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    • v.26 no.6
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    • pp.508-514
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    • 2019
  • In the development of advanced ceramic tools, material improvements and design freedom are critical in improving tool performance. However, in the die press molding method, many factors limit tool design and make it difficult to develop innovative advanced tools. Ceramic 3D printing facilitates the production of prototype samples for advanced tool development and the creation of complex tooling products. Furthermore, it is possible to respond to mass production requirements by reflecting the needs of the tool industry, which can be characterized by small quantities of various products. However, many problems remain in ensuring the reliability of ceramic tools for industrial use. In this study, alumina inserts, a representative ceramic tool, was manufactured using the digital light process (DLP), a 3D printing method. Alumina inserts prepared by 3D printing are pressurelessly sintered under the same conditions as coupon-type specimens prepared by press molding. After sintering, a hot isostatic pressing (HIP) treatment is performed to investigate the effects of relative density and microstructure changes on hardness and fracture toughness. Alumina inserts prepared by 3D printing show lower relative densities than coupon specimens prepared by powder molding but indicate similar hardness and higher fracture toughness values.

Analysis of Benchmark Test Model for Evaluation of Damage Characteristics of Rock Mass near Radioactive Waste Repository (방사성폐기물 처분장 주변 암반의 손상 특성 고찰을 위한 벤치마크 시험 모델 해석)

  • Lee, Hee-Suk
    • Tunnel and Underground Space
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    • v.17 no.1 s.66
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    • pp.32-42
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    • 2007
  • Severe damage can occur around deposition holes due to complex interaction of thermo-hydro-mechanical (THM) loading during the long term operation of high level radioactive waste repository. Many candidate sites for repository are located in crystalline rock mass, therefore mechanism of damage follows the form of brittle fracture and failure. This paper briefly introduces major outcomes from 15 years international collaborative project, DECOVALEX, and presents major study results for current ongoing benchmark test study from DECOVALEX-THMC, to evaluate the effect of THM loading to rock mass in excavation damaged zone (EDZ) near deposition holes. Through benchmark test model by simplifying THM loading to boundary loading obtained numerical results are compared, and discrete fracture interaction after up to 1 million years operation is discussed.

On-Line Monitoring of Microscopic Fracture Behavior of Concrete Using Acoustic Emission (음향방출을 이용한 콘크리트 부재의 미시적 파괴특성의 온라인 모니터링)

  • Lee, Joon-Hyun;Lee, Jin-Kyung;Yoon, Dong-Jin
    • Journal of the Korean Society for Nondestructive Testing
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    • v.19 no.1
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    • pp.25-33
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    • 1999
  • Since concrete is an inhomogeneous material consisting of larger aggregates and sand embedded in a cement paste matrix, it relatively shows a complex failure mechanism. In order to assure the reliability of concrete structure. microscopic fracture behavior and internal damage progress of concrete under the loading should be fully understood. In this study, an acoustic emission(AE) technique has been used to clarify microscopic failure mechanism and their corresponding AE signal characteristics of concrete under three-point bending test. In addition 2-dimensional AE source location has been performed to monitor the progress of an internal damage and the successive crack growth behavior during the loading. The relationship between AE signal characteristics and microscopic fracture mechanism is discussed.

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An Anthropometric and Three-Dimensional Computed Tomographic Evaluation of Two-Point Fixation of Zygomatic Complex Fractures

  • Jo, Taehee;Kim, Junhyung
    • Archives of Plastic Surgery
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    • v.41 no.5
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    • pp.493-499
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    • 2014
  • Background Maintaining stability and restoring the aesthetic appearance are the fundamental goals when managing zygomatic fractures. We aimed to evaluate the stability and anthropometric outcomes of zygomatic fracture patients who underwent two-point fixation involving the infraorbital rim and zygomaticomaxillary buttress via the transconjunctival and gingivobuccal approaches without any skin incisions. Methods We examined 15 zygomatic fracture patients who underwent two-point fixation during a 3-year period. Stability was evaluated using three-dimensional facial bone computed tomography. Superoinferior and anteroposterior displacement of the zygoma was quantified. The aesthetic appearance of the periorbital region was evaluated using indirect anthropometry with standardized clinical photographs. The ratios between the eye fissure height and width, and lower iris coverage ratio were used to evaluate aesthetical changes. The bony displacement and aesthetic ratios were analyzed using Wilcoxon or Friedman tests. The correlation between the preoperative zygoma position and anthropometric values was analyzed. Results The positions of the zygoma were similar to those on the contralateral side at the long-term follow-up. The preoperative anthropometric measurements on the fractured side differed from those on the contralateral side, although these values were close to the normal values at the long-term follow-up. Furthermore, we noted that the anteroposterior displacement strongly positively correlated with the lower iris coverage rate (Spearman's coefficient=0.678, P=0.005). Conclusions Two-point fixation of zygomatic fractures achieved stable outcomes on long-term follow-up, and also appeared to be reliable in restoring the aesthetic appearance of the periorbital region.

Analysis Study on Influence that the Center Hole Notch of CFRP with Laminated Structure Affects (적층구조를 가진 CFRP의 중앙 노치구멍이 미치는 영향에 관한 해석적 연구)

  • Park, Jae-Woong;Kim, Eundo;Cho, Jae-Ung
    • Journal of the Korea Convergence Society
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    • v.9 no.2
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    • pp.177-182
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    • 2018
  • In this paper, the fracture behaviour at CFRP laminated structure due to the vertical falling impact of the fight drone frame composed of CFRP was investigated through the analytical study. As CFRP consists of fiber differently from the existing plastic material, the fracture behaviour becoms complex. So, the preceding study is important through the analytical study before this experiment. By comparing with the existing study model at the same condition as the result of this study, the applied stress value is shown to decrease greatly at the analysis model with the center notch hole of the laminated CFRP drone frame. On the basis of this study result, the esthetic sense can be shown as the foundation data about the notch hole of drone frame are grafted onto the convergence technique.

A Study on Flow Variation with Geometrical Characteristics of Fault Zones Using Three-dimensional Discrete Fracture Network (3차원 이산 균열망 모형을 이용한 단층지역의 기하학적 특성에 따른 흐름 변화에 관한 연구)

  • Jeong, Woo Chang
    • Proceedings of the Korea Water Resources Association Conference
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    • 2016.05a
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    • pp.326-326
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    • 2016
  • The fault can be defined, in a geological context, as a rupture plane showing a significant displacement generated in the case that the local tectonic stress exceeds a threshold of rupture along a particular plane in a rock mass. The hydrogeological properties of this fault can be varied with the spatial distribution and the connectivity of void spaces in a fault. When the formation of fault includes the process of the creation and the destruction of void spaces, a complex relation between the displacement along the fault and the variation of void spaces. In this study, the variation of flow with the geometrical characteristics of the fault is simulated and analyzed by using the three-dimensional discrete fracture network model. Three different geometrical characteristics of the faults are considered in this study: 1) simple hydraulic conductive plane, 2) damaged zone, and 3) relay structure of faults.

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Management of complicated crown fracture by tooth fragment reattachment with fiber post: a case report (섬유 강화형 포스트를 이용한 치관 파절된 치아의 재부착: 증례보고)

  • Kim, Yu-Ri;Jung, Kyoung-Hwa;Son, Sung-Ae;Park, Jeong-Kil
    • Journal of Dental Rehabilitation and Applied Science
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    • v.37 no.4
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    • pp.251-258
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    • 2021
  • Dental trauma is very common in children and relatively young people, with the line of treatment depending on the time elapsed, age of the child, and tooth maturity. If the fractured segment is available and there is close approximation of the segment to the remaining tooth, reattachment of the fractured segment is a feasible option. This treatment offers several advantages, including the reestablishment of function, aesthetics, shape, shine and surface texture, in addition to the original contour and alignment of the teeth. The following cases present two different complex crown fracture cases that were treated using tooth fragment reattachment with fiber-reinforced composite post.

Oral symptom experiences in adolescents among multicultural families according to the parental nationality: The 16th Korean youth health behavior survey (부모의 국적에 따른 다문화가정 청소년의 구강 증상 경험: 제16차 청소년건강행태조사)

  • Ja-Hea Yoo;Min-Young Lee;Young-Suk Kim
    • Journal of Korean society of Dental Hygiene
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    • v.23 no.1
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    • pp.73-82
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    • 2023
  • Objectives: This study aimed to evaluate the oral symptoms experiences of Korean adolescents among multicultural families. Methods: Data on 985 participants from the 16th Korea Youth Risk Behavior Web-based Survey were collected and analyzed using complex sample descriptive statistics. Results: The foreign-born mother, foreign-born parents, and foreign-born father rates were 77.2%, 17.3%, and 5.4%, respectively. The toothache, gingival bleeding, tooth fracture, and tooth sensitivity experience rates were 21.3%, 18.8%, 13.3%, and 30.4%, respectively. The tooth fracture rate was highest in the foreign-born parents group (24.6%). The toothache odds ratio (OR) was 1.71 (95% CI: 1.24-2.37) times higher in girls. The foreign-born mother group was 2.47 (95% CI: 1.09-5.60) times higher than that of the foreign-born father or both parents foreign-born groups. The smoking group was 2.03 (95% CI: 1.20-3.43) times higher than that of the non-smoking group. The gingival bleeding OR was 5.11 (95% CI: 1.80-14.53) times higher in the lowest economic status group. The tooth fracture OR was 3.44 (95% CI: 1.01-11.70) times higher in the lowest economic status group. The tooth sensitivity OR was 1.53 (95% CI: 1.14-2.04) times higher in girls. Conclusions: It is necessary to establish a program to promote oral health of adolescents from multicultural families.