• Title/Summary/Keyword: fixation order

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Endotracheal Intubation Using Submandibular Approach for Maxillofacial Trauma Patients: Report of 2 Cases

  • Youn, Gap-Hee;Ryu, Sun-Youl;Oh, Hee-Kyun;Park, Hong-Ju;Jung, Seunggon;Jeong, Seongtae;Kook, Min-Suk
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.14 no.4
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    • pp.227-232
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    • 2014
  • The indication for submandibular intubation is the requirement for intraoperative maxillomandibular fixation (MMF) in the presence of injuries that preclude nasotracheal intubation. Thus, We reported 2 cased of endotracheal intubations via submandibular approach that is applicable in patients with skull base fractures for a reliable general anesthesia. Endotracheal intubation via submandibular approach was applied during general anesthetic procedures for open reduction in three patients with Le Fort II, III or nasoorbitoethmoid (NOE) fractures. No complications due to submandibular intubation, such as infection, postoperative scarring, nerve injury, hematoma, bleeding, or orocutaneous fistula, were observed following submandibular intubation. Endotracheal intubation via submandibular approach is effective in patients with skull base fractures. In our method, the tube connector is removed in orotracheal intubation in order to avoiding the tube removal or displacement. The advantages of this method are very simple, safe, and to provide the good operation field.

Broken Mayfield Head Clamp

  • Lee, Tae-Hoon;Kim, Sang-Jin;Cho, Do-Sang
    • Journal of Korean Neurosurgical Society
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    • v.45 no.5
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    • pp.306-308
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    • 2009
  • The Mayfield head clamp is the most frequently used head clamp system in the field of neurosurgery. In many cases, surgery is performed with complete reliance on the safety of the MHC. However, we experienced an extremely rare case in which the MHC accidentally broke while installing this system for immobilization of the head and neck. This is a case report with a brief review of the literature. The patient was a 58-year-old female who was scheduled to undergo cervical laminoplasty under the diagnosis of degenerative spondylotic cervical stenosis. In an attempt to install an MHC, we fixed three pins in the scalp; however, the arm of the MHC system broke when force was applied from both directions. Fortunately, the patient remained in a stable position and did not sustain an injury to the head or neck. Fixation was performed using another MHC, and the surgery was performed successfully. The patient was discharged after surgery with no specific complications related to the MHC system. The authors experienced an extremely rare case of MHC breakage during application and report the importance of properly managing and maintaining the instruments in order to prevent fatal injury.

A Study On Shape Design of Implant Systems For Bone Fracture Operations By Using Finite Element Method (유한요소법을 이용한 골절치료용 임플란트 시스템 형상설계에 관한 연구)

  • Cho, Ji-Hyun;Seo, Keum-Hee;Seo, Tae-il
    • Journal of the Korean Society of Manufacturing Technology Engineers
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    • v.21 no.3
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    • pp.425-432
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    • 2012
  • This paper investigates shape design processes of two implant systems for bone fracture treatment ; Bone plate and Interlocking nail system. These systems can directly fix fractured human bones by surgical operations. The bone plates consist of various shaped plates and implant screws for fixation of fractured human bones with various manual instruments allowing to handle them. The material corresponds to titanium alloy Ti6Al4V because it is harmless material for human body as well as significantly rigid. This system has to be suitably rigid as well as manually bended in orthopedic surgery operations. The Interlocking nail system is a kind of nail implanted inside fractured human bones. The shapes of these systems have to be suitably designed in order to endure various loads as well as avoid any damages. If various shaped prototypes would be fabricated and tested to design the optimal shapes, optimal shapes could be obtained but very long time and expensive costs must be required. In this paper finite element method was applied into these systems. Under various boundary conditions a series of structural analysis was conducted by using ANSYS. Finally important shape factors could be determined on the basis of the analysis results.

Biological Removal of Nitrogen Oxides from Combustion Flue Gases (연소배가스 중 질소산화물(NOx) 제거를 위한 생물학적 기술)

  • Lee, Ki-Say
    • Applied Chemistry for Engineering
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    • v.21 no.3
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    • pp.243-251
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    • 2010
  • Nitrogen oxides (NOx) in combustion flue gas are currently mitigated by chemical processes such as catalytic reduction, absorption and adsorption. However, development of environmentally sustainable biological processes is necessary in the near future. In this paper, the up-to-dated R&D trend of biological methodologies regarding NOx removal was reviewed, and their advantages and disadvantages were discussed. The principles and applications of bacterial system including nitrification and denitrification and photosynthetic microalgae system were compared. In order to enhance biological treatment rate and performance, the insoluble nitric oxide (NO) should be first absorbed using a proper solubilization agent, and then microbial degradation or fixation is to be followed. The use of microalgal system has a good prospect because it can fix $CO_2$ and NOx simultaneously and requires no additional carbon for energy source.

4 Electrical Resistivity Probe for Investigating soft offshore soils (해안연약 지반 조사를 위한 4전극 전기비저항 프로브)

  • Kim, Joon-Han;Yoon, Hyung-Koo;Bae, Myeong-Ho;Jung, Soon-Hyuck;Lee, Jong-Sub
    • Proceedings of the Korean Geotechical Society Conference
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    • 2009.03a
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    • pp.464-475
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    • 2009
  • Electrical resistivity can be used for porosity estimation. In order to improve previously developed ERCP(Electrical Resistivity Cone Probe), 4ERP(4 Electrical Resistivity Probe), which has Wenner array at the tip of probes, has been developed. In properties of current flow Wenner array measures electrical properties of undisturbed area during penetration and relatively correct measurements are guaranteed without polarization. Furthermore, Wenner array equation can estimate electrical resistivity without extra calibration. 4ERP is developed into 2 types, penetration and fixation. Penetration type has wedge-shaped tip. Considering disturbance minimization, fixed type has plane tip. Fixed type 4ERP in consolidation cell measure electrical resistivity increment along porosity decrease, and penetration type 4ERP measured resistivity profile along the depth in chamber. Applying Archie's law, porosity profile was estimated with electrical resistivity. The tests result suggests that 4ERP can be new site investigation equipment with little disturbance.

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Application on Microwave Energy in the Preparation of Fish Samples for Electron Microscopic Observation

  • Kim Soo Jin;Oh Hae Keun;Song Young-Hwan;Chung Hyun-Do;Kim Young-Tae;Park Nam-Kyu;Choi Tae-Jin
    • Fisheries and Aquatic Sciences
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    • v.1 no.2
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    • pp.187-191
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    • 1998
  • Chemotherapy can not be applied for the control of fish viral diseases because viruses depend on host machinery for their replication. Although new control strategies including vaccination are under development, avoidance of virus introduction by rapid and correct diagnosis is the best way of fish viral disease control. Although observation of virus particles with an electron microscope is an easy method for virus detection, it take a few days for the sample preparation. In order to shorten the sample preparation time, microwave radiation was applied in the procedure. With this method, 15 seconds was enough for fixation of virus infected fish samples or cultured cells inoculated with infectious hematopoietic necrosis virus, which takes 2-4 hours with routine methods. Also four minutes was enough for polymerization of embedding resin which takes 24-48 hours with routine methods. Samples prepared with microwave were good enough for direct electron microscopic observation and immunogold labeling assay.

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Bony Fragment Excision Followed by Multiple Drilling and Fragment Fixation Using Bio-absorbable Pins for Bilateral Osteochondral Fracture of the Lateral Talar Dome: A Case Report (양측 족관절에 발생한 외측 거골원개 골연골의 골절에 대한 골편제거 후 다발성 천공술 및 생흡수성 핀을 이용한 골편고정: 증례 보고)

  • Lee, Yong Jae;Suh, Jin Soo;Choi, Jun Young
    • Journal of Korean Foot and Ankle Society
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    • v.23 no.4
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    • pp.201-207
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    • 2019
  • An osteochondral fracture is considered to be an injury involving the cartilage and subchondral bone. Acute traumatic osteochondral fractures can be related to joint instability because abnormal joint motion causes shearing and rotatory stress. Acute osteochondral fractures are frequently missed or misdiagnosed as a pure soft tissue injury. Thus, surgeons' proactive attention is highly required as articular cartilage has limited potential for self-repair and these lesions may develop osteoarthritis. In order to minimize the progression of post-traumatic osteoarthritis, it is important to properly identify and treat osteochondral fractures. Yet, little is known about the operative management of acute osteochondral fractures of the talus. We report here on a case of a middle-aged male with acute osteochondral fractures of the bilateral lateral talar dome. We applied different operative methods on each side with regard to fragment size and stability. A favorable clinical outcome was obtained at 18 months follow-up.

Reconstruction of Mandibular Bone Defect Using a Titanium Mesh with Autogenous Particulate Cortical Bone Graft by an Intraoral Approach: A Case Report (구강내 접근으로 자가 분쇄 피질골과 Titanium Mesh를 이용한 광범위한 하악골 골결손부 재건: 증례보고)

  • Choi, Seok-Tai;Leem, Dae-Ho
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.34 no.6
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    • pp.466-472
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    • 2012
  • The loss of mandibular continuity due to trauma, neoplasm, or infection results in major esthetic and biologic compromise. The reconstruction of the mandibular bone defect still poses a challenge to oral and maxillofacial surgeons. There have been a number of variety graft materials. Among them, free block bone graft with rigid fixation has been widely used. However, cases using free block bone grafts may lead to a marked invasion of the donor site, mal-union, and absorption of the block bone. In this respect, particulate cortical bone using a titanium mesh tray can be an effective alternative option in order to achieve a proper bone contour and good oral rehabilitation. We have developed an intraoral approach for the mandibular reconstruction method using a titanium mesh tray with autogenous particulate cortical bone graft.

Research on Light Reflection Effect of the Optical Micro Pattern Using Ultra-Precision Technology (초정밀가공 기술을 이용한 광학 마이크로패턴의 광 반사 효과에 관한 연구)

  • Yoo, Chun-Kun;Yoon, Chul-Yong;Hyun, Dong-Hun
    • Journal of the Korean Society of Manufacturing Technology Engineers
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    • v.18 no.6
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    • pp.621-628
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    • 2009
  • Because the Ultra-Precision Technology increase its competitiveness in the field of the design, precision of processing technology, confidence and fixation degree are major considerations. According to Pattern shapes using these processing technologies, Light Reflection has influence on the sense of sight about human being. Based on background of these studies, we draw a plan about a round workpiece using a 3D design program and analyze the effect on Light Reflection changing a pattern angle and a source of light through SPEOS program in this research. We make Pattern form as V-Shape, and compare the area distributed by Light Reflection by classifying angle into 4 and analyze changes according to a source of light. In order to measure and evaluate the data from simulation analysis we has manufactured Diamond Tool and has processed Pattern precision using a Ultra-Precision Machine. Based on the result of this study, we forecast that the field of design will achieve rapid growth due to Ultra-Precision Technology in the world market.

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A Study on Plasma Sprayed Porous Super Austenitic Stainless Steel Coating for Improvement of Bone Ingrowth (Bone ingrowth 향상을 위해 플라즈마 용사된 초내식성 오스테나이트 스테인리스강의 다공성 코팅층에 대한 연구)

  • 오근택;박용수
    • Journal of the Korean institute of surface engineering
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    • v.29 no.2
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    • pp.81-92
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    • 1996
  • The cementless fixation of bone ingrowth by porous coatings on artificial hip joint prostheses are replacing polymethylmethacrylate(PMMA) bone cement fixations. However, the major interests in the field of porous metal coating are environmental corrosivity accelerated by metal ion release, deterioration in the mechanical property of the coating, and the mechanical failure of the coatings as well as the substrate. Therefore, the selection of right materials for coatings and the development of porous coating techniques must be accomplished. Because of the existing problems in Ti and Ti alloys which are used extensively, this study is focused on the plasma spraying technique for coating on super stainless steel substrate. In order to determine the optimum conditions which satisfy the requirement for the porous coatings, under the plasma spraying, we selected the experimental parameters which extensively influenced on the characteristics of the coating through the pre-examination. Spray distance has been selected among 120, 160, and 200mm and primary gas flow rate among 70, 100, and 130 SCFH. Current and secondary gas($H_2$) flow rate was fixed at 400A, and 15 SCFH respectively. To understand the characteristics of the coatings, surface morphology, cross-sectional micro-structure, surface roughness, residual stress, and corrosion resistance were elucidated and the best conditions for the bone ingrowth improvement on artificial hip joint prostheses were found.

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