• Title/Summary/Keyword: defect cases

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A Study on the Improvement of Defect Information Management System of Apartment House (공동주택의 하자정보관리시스템 개선을 위한 연구)

  • Jang, Hyo-Sung;Seo, Chee-Ho
    • Journal of the Korea Institute of Building Construction
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    • v.10 no.2
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    • pp.115-123
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    • 2010
  • Defects in apartments, which are one of the major residential types in Korea,produce unexpected inconvenience for their owners. If construction companiespaid more careful attention to the management of defect information, manydefects could be prevented. In this context, this study attempted to derive an improved defect information management system. First, research into cases of defects that were caused by weaknesses in the defect information management system were advanced to confirm the necessity of improving the defect information management system, and as the next step, a survey was conducted to identify problems with the current defect information management system, and the requirements of animproved system. In conclusion, an improved defect information management system will contribute to preventing defects in apartments in Korea.

Lateral Supramalleolar Fasciocutaneous Island Flap for Reconstruction of the Foot and Ankle Soft Tissue Defect (외측 복사뼈 상부 근막-피부 섬피판을 이용한 발 및 발목관절 연부조직 결손의 재건)

  • Choi, Jae Hoon;Kim, Nam Gyun;Choi, Tae Hyun;Lee, Kyung Suk;Kim, Joon Sik
    • Archives of Plastic Surgery
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    • v.33 no.6
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    • pp.784-788
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    • 2006
  • Purpose: For the reconstruction of the ankle joint as well as the soft tissue defect in the distal lower leg, a free flap or a local flap has been used, and because of the condition of patients, if a complex microvascular surgery under general anesthesia could not be performed, it could be reconstructed by using the distally based lateral supramalleolar fascio-cutaneous island flap using the perforating branch of the peroneal artery in the ankle area. Methods: The study subjects were 4 male patients between 53 years and 73 years of age. 2 cases were tissue defect in the medial malleolus area due to systemic diseases such as gouty arthritis accompanied traffic accident, diabetes mellitus foot, atherosclerotic obliterans, etc., 1 case was the defect in the pretibia area, and 1 case was the defect underneath the lateral malleolus, which was reconstructed by the distally based lateral supramalleolar fascio-cutaneous island flap. The donor area was the skin harvested from the groin, and the full thickness skin graft was performed. The size of the flap varied from $4{\times}3cm$ to $9{\times}6cm$. As the flap border, the medial side was to the tibialis anterior tendon, the lateral side was to the fibula crest, and the proximal area was less than the fibula size. Results: The consequence is that, in total 4 cases, the congestion in the flap began from 12 hours after the surgery, and the progression of congestion was ceased on the 5th day after the surgery, and finally epidermal bulla and sloughing, partial necrosis was developed. After the end of necrosis, the defect area was reconstructed successfully by the second full thickness skin graft. Conclusions: Although the distally based lateral supramalleolar fascio-cutaneous island flap has the shortcoming of requiring the second skin graft, it has the advantages that it does not require a long complex microsurgery, the flap itself is thin, it is similar to the color of the skin in the recipient area, and it does not leave a big scar in the donor area. Therefore, it is thought that for the cases who could not undergo a long complex surgery due to systemic diseases or the cases of patients whose condition of the recipient area is not suitable for microsurgery, the lateral supramalleolar fascio-cutaneous island flap is very useful for the reconstruction of the distal lower leg and the ankle joint area.

Combined Free Flap in Reconstruction of Lower Extremity with Large Soft Tissue Defect (복합 유리 피판을 이용한 광범위한 연부 조직 결손 하지의 재건)

  • Hahn, Soo-Bong;Park, Hong-Jun;Kang, Ho-Jung
    • Archives of Reconstructive Microsurgery
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    • v.8 no.2
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    • pp.120-129
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    • 1999
  • There were many difficulties in the treatment of extensive, massive, and composite defect in the lower extremity until early 1980's. Recently, microscopic reconstruction of wide soft tissue defect is popularized. But, the combined flap, which requires wide coverage of lower extremity after soft tissue sarcoma excision or traffic accident, is still challenging to the orthopaedic surgeons. We experienced 12 cases of combined scapular and latissimus dorsi flap from 1983 to 1997 in the lower extremity reconstruction of soft tissue defect with satisfactory result. There were no serious donor site complications such as functional disturbance of shoulder joint.

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Reconstruction plates used in the surgery for mandibular discontinuity defect

  • Seol, Guk-Jin;Jeon, Eun-Gyu;Lee, Jong-Sung;Choi, So-Young;Kim, Jin-Wook;Kwon, Tae-Geon;Paeng, Jun-Young
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.40 no.6
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    • pp.266-271
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    • 2014
  • Objectives: The purpose of this study was to analyze the survival rate of reconstruction plates that were used to correct mandibular discontinuity defects. Materials and Methods: We analyzed clinical and radiological data of 36 patients. Only discontinuous mandibular defect cases were included in the study. Reconstruction plate survival rate was analyzed according to age, gender, location of defect, defect size, and whether the patient underwent a bone graft procedure, coronoidectomy, and/or postoperative radiation therapy (RT). Results: Plate-related complications developed in 8 patients, 7 of which underwent plate removal. No significant differences were found in plate survival rate according to age, gender, location of defect, defect size, or whether a bone graft procedure was performed. However, there were differences in the plate survival rate that depended on whether the patient underwent coronoidectomy or postoperative RT. In the early stages ($9.25{\pm}5.10months$), plate fracture was the most common complication, but in the later stages ($35.75{\pm}17.00months$), screw loosening was the most common complication. Conclusion: It is important to establish the time-related risk of complications such as plate fracture or screw loosening. Coronoidectomy should be considered in most cases to prevent complications. Postoperative RT can affect the survival rate and hazard rate after a reconstruction plate is fitted.

Surgical Repair of Postinfarction VSD -Two Cases Report- (심근경색후 발생한 심실중격결손의 외과적 치료 -2례 보고-)

  • Lee, Yong-Hun;Choe, Pil-Jo;U, Jong-Su
    • Journal of Chest Surgery
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    • v.28 no.6
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    • pp.623-629
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    • 1995
  • Rupture of ventricular septum following myocardial infaction is one of the serious complication of coronary artery disease. The characteristic manifestations are sudden appearance of a harsh systolic murmur, precordial pain, cardiovascular collapse and permit early diagnosis. We report two cases of successful repair of postinfaction ventricular septal defect. The infarcted area was anterior wall of ventricle and VSD was placed near apex of heart in two cases all. VSD was closed with pledgetted Dacron patch and incised wall was sutured with Teflon felt and concomitant coronary artery bypass graft was done respectively .Postoperative courses were uneventful.

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Ventricular Septal Defect Associated With Patent Ductus Arteriosus -A Report Of 7 Cases- (개방성 동맥관 합병 심실중격결손증 -7례 보고-)

  • 이상호
    • Journal of Chest Surgery
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    • v.12 no.3
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    • pp.233-239
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    • 1979
  • Ventricular septal defect associated with patent ductus arteriosus is well known cardiac anomaly that can be treated successfully by operation. This anomaly is found at low frequency. Seven cases of the combined malformation were operated on during the period from 1959 to 1978 in the Department of Thoracic Surgery, Seoul National University Hospital. Right heart catheterization and retrograde aortogram can diagnose the disease correctly. Staged operation in one case and one-stage operation in 5 patients were done. In all cases of the open heart surgery the closure of the ductus was done by transpulmonary suture of the PDA opening. Among 6 patients of the open heart surgery 2 operative death [33.3%] and one late death [total 50%] were noted. Four type II and one type I and one Type IV VSDs were found. In one case the anomaly was accompanied with aortic insufficiency by herniation of the right coronary cusp through Type I VSD.

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Currarino Triad

  • Choi, Kwang-Hae;Chung, Ju-Young;Bae, Sun-Hwan;Ko, Jae-Sung;Kim, Woo-Sun;Kim, In-One;Seo, Jeong-Kee
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.2 no.1
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    • pp.104-108
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    • 1999
  • Currarino triad is a hereditary condition diagnosed when three abnormalities are noted: (1) an anorectal malformation; (2) an anterior sacral defect and (3) a presacral mass. We experienced 3 cases of Currarino triad with severe constipation. All cases had presacral mass and sacral bony defect. One case had rectovaginal fistula, other one case had holoprosencephaly. Presacral masses were lipomeningomyelocele and epidermoid or dermoid cyst. We report three cases of Currarino triad with brief review of the related literature.

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Ambiguity Analysis of Defectiveness in NASA MDP Data Sets (NASA MDP 데이터 집합의 결함도 모호성 분석)

  • Hong, Euyseok
    • Journal of Information Technology Services
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    • v.12 no.2
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    • pp.361-371
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    • 2013
  • Public domain defect data sets, such as NASA data sets which are available from the NASA MDP and PROMISE repositories, make it possible to compare the results of different defect prediction models by using the same data sets. This means that repeatable and general prediction models can be built. However, some recent studies have raised questions about the quality of two versions of NASA data set, and made new cleaned data sets by applying their data cleaning processes. We find that there are two ways in the NASA MDP versions to determine the defectiveness of a module, 0 or 1, and the two results are different in some cases. This serious problem, to our knowledge, has not been addressed in previous studies. To handle this ambiguity problem, we define two kinds of module defectiveness and two conditions that can be used to determine the ambiguous cases. We meticulously analyze 5 projects among the 13 NASA projects by using our ambiguity analysis method. The results show that JM1 and PC4 are the best projects with few ambiguous cases.

Effect of Stafne bone defect on the adjacent tooth: A review of the literature

  • Niknami, Mahdi;Parsa, Azin;Khodadadi, Zahra
    • Imaging Science in Dentistry
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    • v.52 no.2
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    • pp.165-170
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    • 2022
  • Purpose: This report presents a case of an unusual and rare presentation of Stafne bone defect (SBD) with apical resorption extending from the lower right lateral incisor to the right first premolar. A systematic search of the current literature on cases where SBD affected the adjacent teeth was conducted. Materials and Methods: From 259 identified articles, 114 studies were examined, containing 12 individuals with a mean age of 41.58 years. Ten cases in the anterior mandible and 2 in the posterior mandible were found. Results: The results of SBD varied from apical blunting to severe root resorption, and some cases showed close apical contact with the lesion or involvement of the root without any effect. Conclusion: SBD is an unusual incidental finding in the anterior region of the mandible, and unexpected behavior of the lesion, such as root resorption, must be considered.

Closure of Myelomeningocele Defects Using a Limberg Flap or Direct Repair

  • Shim, Jung-Hwan;Hwang, Na-Hyun;Yoon, Eul-Sik;Dhong, Eun-Sang;Kim, Deok-Woo;Kim, Sang-Dae
    • Archives of Plastic Surgery
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    • v.43 no.1
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    • pp.26-31
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    • 2016
  • Background The global prevalence of myelomeningocele has been reported to be 0.8-1 per 1,000 live births. Early closure of the defect is considered to be the standard of care. Various surgical methods have been reported, such as primary skin closure, local skin flaps, musculocutaneous flaps, and skin grafts. The aim of this study was to describe the clinical characteristics of myelomeningocele defects and present the surgical outcomes of recent cases of myelomeningocele at our institution. Methods Patients who underwent surgical closure of myelomeningocele at our institution from January 2004 to December 2013 were included in this study. A retrospective chart review of their medical records was performed, and comorbidities, defect size, location, surgical procedures, complications, and the final results were analyzed. Results A total of 14 patients underwent surgical closure for myelomeningocele defects. Twelve cases were closed with direct skin repair, while two cases required local skin flaps to cover the skin defects. Three cases of infection occurred, requiring incision and either drainage or removal of allogenic materials. One case of partial flap necrosis occurred, requiring secondary revision using a rotational flap and a full-thickness skin graft. Despite these complications, all wounds eventually healed completely. Conclusions Most myelomeningocele defects can be managed by direct skin repair alone. In cases of large defects, in which direct repair is not possible, local flaps may be used to cover the defect. Complications such as wound dehiscence and partial flap necrosis occurred in this study; however, all such complications were successfully managed with simple ancillary procedures.