• Archives of Plastic Surgery
• /
• v.33 no.2
• /
• pp.161-167
• /
• 2006

After total glossectomy, recovery of swallowing and speech function can greatly improve quality of life. The reconstructed tongue must be thick enough to contact with the hard palate for articulation. If the free flap is denervation, it may procede to have atrophy postoperatively. Therefor it is difficult to maintain the tongue volume for a long period of time. To resolve this problem, we have used a innervated rectus abdominis musculocutaneous flap and maintaining the volume through a neurorrhaphy. 7 patients underwent immediate reconstruction using a reinnervated rectus abdominis musculocutaneous free flap in which included intercostal nerve was anastomosed to the remaining hypoglossal nerve. The reinnervated rectus abdominis musculocutaneous free flap has provided good tongue contour with sufficient bulk and shown no obvious atrophy in all patients even though postoperative 9 months later. Considering swallowing and articulation, we concluded that reinnervated rectus abdominis musculocutaneous flap is a viable method after total glossectomy

• Archives of Reconstructive Microsurgery
• /
• v.11 no.2
• /
• pp.162-166
• /
• 2002

The anterolateral thigh free flap was first reported by Song et al. in 1984 as a fasciocutaneous flap based on septocutaneous or musculocutaneous perforators of the lateral femoral circumflex vessel. It only becomes popular recently through confirmation of additional anatomy. For reconstruction of Achilles area defect, a thin flap is required to improve aesthetic and functional results. The anterolateral thigh free flap is relatively thin and can provide large skin area. It can be a useful option for reconstruction of Achilles area defect based on these characters. Since March 2002, we have successfully transferred 4 anterolateral thigh free flaps to reconstruct Achilles area defects and have attained good range of motion in this region. The anterolateral thigh free flap has many advantages and can be used for the reconstruction of Achilles tendon area defect.

• Journal of the Society of Naval Architects of Korea
• /
• v.41 no.1
• /
• pp.70-74
• /
• 2004

Model tests for a stern flap have been performed to decrease the resistance of a large warship and to optimize the flap. Stern flaps and wedges of fast crafts are studied to apply to a large vessel in terms of speed-length ratio. The model tests of the flap has been carried out to find the effects of the design parameters, i.e. length and angie on resistance decrease. This work concludes that the optimized stern flap reduced resistance not only at the high speed by 9％ but also at the cruising speed.

• Korean Journal of Bronchoesophagology
• /
• v.3 no.2
• /
• pp.307-312
• /
• 1997

Reconstruction of the pharyngoesophagus is one of the most difficult challenges in head and neck surgery. The goals of pharyngoesophageal reconstruction include restoration of a person's ability to swallow and to speak with minimal morbidity, but no current reconstruction modality is clearly best. Following its first introduction as fasciocutaneous flap by Yang in 1981, the forearm flap based on radial artery has become recognized as a very reliable and relatively easy one to use. The forearm flap has thin, pliable and predominantly hairless skin and scant subcutaneous layer In addition, its vascular pedicle is long and of large caliber, which greatly increases the chance of successful revascularization. The forearm flap shows the potentiality for better functional rehabilitation in swallowing and speech as well as the possibility of three dimensional reconstruction. We experienced a case of radial forearm free flap for the reconstruction in a patient with the hypopharyngeal stricture. The early return of oral feeding was possible and successfully enough to return to the normal daily activity.

• Proceeding of EDISON Challenge
• /
• 2016.11a
• /
• pp.23-26
• /
• 2016

Gurney Flap은 자동차의 스포일러 부분에 장착되는 고속주행용 Flap으로써 항공기에는 제한적으로 사용되고 있다. 매우 짧게 설치되는 특성이 있기 때문에 Flap의 길이를 항공기의 기준으로 10%로 증가시켜 Flap으로써의 역할을 확인해 보고자 실험을 진행하였다. Gurney Flap을 장착한 형상 3가지 모두 기본형의 NACA0012형상보다는 양력과 항력이 모두 증가하는 형상을 보였다. 양항비의 경우는 항력의 증가로 인해서 NACA0012에 비해서 모두 감소하는 것으로 나타났다. Gurney Flap은 고양력장치로 사용하기에는 다소 무리가 있지만, Dogfight와 같이 고항력장치를 사용하는 경우에는 좋은 성능을 기대할 수 있다.

• Proceeding of EDISON Challenge
• /
• 2013.04a
• /
• pp.437-441
• /
• 2013

항공기의 날개에 걸리게 되는 하중은 설계단계에서 고정되기 때문에 이륙과 착륙 같은 특수한 상황에서는 Flap이나 슬렛 등의 고양력 장치를 이용하여 날개 단면 형상을 변화시킴으로서 양력계수의 변화를 유도하고 그에 따라 각 임무별 최적의 공력 성능을 제공할 수 있게 된다. 따라서 본 논문은 에어포일의 보다 효율적인 양력을 위해 slotted flap사이에 양력 향상 Tab을 설치하여 EDISON-CFD을 이용하여 분석하였다. 그리고 그 효과와 익형에 얻어지는 양력계수를 비교하였다. 에어포일의 Slotted Flap에 양력 향상 Tab의 유무에 따른 유동 장을 분석하여 양력을 수치 해석 적으로 비교해 보았다. 결과에서 얻어진 상수를 비교하였고 양력 향상 Tab의 효과를 분석해 보았다.

• Archives of Reconstructive Microsurgery
• /
• v.19 no.2
• /
• pp.112-119
• /
• 2010

The anterolateral thigh flap is a reliable and versatile flap. It has been extensively used for soft tissue reconstruction because minimal donor site morbidity is attractive feature of this flap. It can be harvested as a cutaneous, fasciocutaneous, muscluocutaneous flap. We can be used to form as desired shape and thickness. But variation of vascular anatomy make difficult for many surgeons. We review of vascular anatomy of the anterolateral thigh to be easier access to surgery. With understanding anatomic variation, it allows you to take advantage of this surgery using little more variable form.

• Proceeding of EDISON Challenge
• /
• 2016.03a
• /
• pp.619-621
• /
• 2016

자동차 주행 중 차 문이 열리는 경우에 운전자가 조향을 유지하는 채로 대응하기란 쉽지 않고, 이것이 방치될 경우 대형사고로 이어질 가능성이 생긴다. 따라서 이를 기계적 또는 역학적으로 해결해야 할 필요성이 있으며, 본 연구에서는 고양력 장치중의 하나인 gurney flap을 응용하여 항력 발생장치로 이용함으로써 자동차 문이 더 빨리 닫힐 수 있는지에 대한 연구를 진행하였다. 해석 결과, 문 모서리에 flap, 특히 판형 flap을 장착하였을 때, 그렇지 않았을 때보다 2배에 가까운 항력상승 효과가 나타남을 확인하였다.

• Korean Journal of Head & Neck Oncology
• /
• v.23 no.1
• /
• pp.26-31
• /
• 2007

Background and Objectives：Microvascular free flap reconstruction has been revolutionized in last two decades, and became a standard option in the reconstruction of head and neck defects. We intended to review our experiences of 51 microvascular free flap for head and neck defects during 5-year period and to analyze the types of flaps according to primary sites, success and complication rates. Subjects and Methods：From Oct. 2001 through Dec. 2005, fifty one free flap reconstructions were performed in forty nine patients at ENT department of Soonchunhyang university bucheon hospital. Primary sites, pathology, T-stage, operative time, time interval of oral feeding, and various reconstructive factors such as recipient and donor vessels, free flap related complications, failure rates and salvage rates were retrospectively analyzed. The relation between complication rates and preoperative risk factors were statistically analyzed. Results：Methods of reconstruction were radial forearm free flap(RFFF)(n=28, 54.9%), anterolateral thigh free flaps(n=9, ALTFF)(17.6%), rectus abdominis free flap(n=7, RAFF)(13.7%), jejunal free flap(n=5, JFF)(9.8%), and miscellanous(n=2, 4.0%) in order. In free flap related complications, failure of free flap occurred in seven cases(13.7%) and pharyngocutaneous fistula occurred in five cases(9.8%) among fifty one free flaps. The overall success rate of free flaps was 86.3%. Salvage of free flaps was possible only one among eight cases(12.5%). In positive preoperative risk factor groups, failure of free flap was higher than in negative risk factor group. However, it was not statistically significant. Conclusion：We confirmed that free flap reconstructions are highly versatile and reliable options for use in the reconstruction of various soft tissue defects of the head and neck. Free flaps have gained great popularity given its versatility, ability for a two-team approach, and minimal donor site morbidity. However, complications related to microvascular surgery may be overcome by increased surgical experience and by intensive flap monitoring in early postoperative period.

• Maxillofacial Plastic and Reconstructive Surgery
• /
• v.35 no.5
• /
• pp.277-283
• /
• 2013

Purpose: Well vascularized pectoralis major myocutaneous flap (PMMF) had been a commonly used versatile flap in reconstructive oromaxillofacial surgery since the 1970s. However, after the advent of microvascular surgery in the 1980s, the PMMF was used less frequently. But, to date, PMMF has been useful and has some advantages such as covering wide defects, covering vital structures, back-up procedure in cases of free flap failure, and reconstruction for radiotherapy patients. The purpose of this study is to evaluate the role, indication, complications, functional, and aesthetic results of this flap in the era of free flap with a literature and chart review. Methods: A retrospective study was conducted of 16 oral cancer patients undergoing reconstructive surgery with PMMF for reconstruction of defects from 2001 to 2012 at Kyungpook National University Hospital. The male to female ratio was 10:6, with a mean age of 63 years (16~79 years). Basic demographic data, previous treatment history, indications, dimension of the flap, site of reconstruction, postoperative complications, and patients' final status were systemically analyzed from chart review. Results: The pathology of the disease included squamous cell carcinoma in the majority of cases (n=14). The remaining cases were fibrosarcoma and mucoepidermoid carcinoma. Of the 16 PMMF reconstructions, 13 flaps were applied as primary reconstructive procedures, whereas three flaps were; salvage; procedures (vascularized free flap failure). Twelve patients had complications such as wound dehiscence, infection, hematoma, fistula, flap bulkiness, and partial flap necrosis. The higher complication rates showed an association with utilization of the flap in preoperative radiotherapy cases. However, all patients were discharged without failure. Conclusion: In reconstructive oromaxillofacial surgery, the PMMF is still a useful flap for huge defects. In addition, the PMMF can be used as a salvage procedure after vascularized free flap failure and reconstruction for patients with a history of preoperative radiotherapy.