• 제목/요약/키워드: flap design

검색결과 230건 처리시간 0.033초

A Scientometric Analysis of 20 Years of Research on Breast Reconstruction Surgery: A Guide for Research Design and Journal Selection

  • Moghimi, Mehrdad;Fathi, Mehdi;Marashi, Ali;Kamani, Freshteh;Habibi, Gholamreza;Hirbod-Mobarakeh, Armin;Ghaemi, Marjan;Hosseinian-Sarajehlou, Mahdi
    • Archives of Plastic Surgery
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    • 제40권2호
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    • pp.109-115
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    • 2013
  • Background Breast reconstruction refers to the rebuilding of a woman's breast using autologous tissue or prosthetic material to form a natural-looking breast. It is increasingly offered to women undergoing mastectomy for breast cancer. However, there is no systematic analysis available for the expanding area of research on breast reconstruction. Methods A bibliometric method was used to obtain a view of the scientific production about breast reconstruction by data extracted from the Institute for Scientific Information (ISI). Specific parameters were retrieved from the ISI. Articles about breast reconstruction were analyzed to obtain a view of the topic's structure, history, and document relationships using HistCite software. Trends in the most influential publications and authors were analyzed. Results The number of articles was constantly increasing. Most highly cited articles described the methods of flap construction in the surgery. Other highly cited articles discussed the psychological or emotional aspects of breast reconstruction, skin sparing mastectomy, and breast reconstruction in the irradiated breast. Conclusions This was the first breast reconstruction scientometric analysis, representing the characteristics of papers and the trends of scientific production. A constant increase in the number of breast reconstruction papers and also the increasing number of citations shows that there is an increasing interest in this area of medical science. It seems that most of the research in this field is focused on the technical aspects of surgery.

Prevention of Implant Malposition in Inframammary Augmentation Mammaplasty

  • Kim, Yoon Ji;Kim, Yang Woo;Cheon, Young Woo
    • Archives of Plastic Surgery
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    • 제41권4호
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    • pp.407-413
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    • 2014
  • Background Implant malposition can produce unsatisfactory aesthetic results after breast augmentation. The goal of this article is to identify aspects of the preoperative surgical planning and intraoperative flap fixation that can prevent implant malposition. Methods This study examined 36 patients who underwent primary dual plane breast augmentation through an inframammary incision between September 1, 2012 and January 31, 2013. Before the surgery, preoperative evaluation and design using the Randquist formula were performed. Each patient was evaluated retrospectively for nipple position relative to the breast implant and breast contour, using standardized preoperative and postoperative photographs. The average follow-up period was 10 months. Results Seven of 72 breasts were identified as having implant malposition. These malpositions were divided into two groups. In relation to the new breast mound, six breasts had an inferiorly positioned and one breast had a superiorly positioned nipple-areolar complex. Two of these seven breasts were accompanied with an unsatisfactory breast contour. Conclusions We identified two main causes of implant malposition after inframammary augmentation mammaplasty. One cause was an incorrect preoperatively designed nipple to inframammary fold (N-IMF) distance. The breast skin and parenchyma quality, such as an extremely tight envelope, should be considered. If an extremely tight envelope is found, the preoperatively designed new N-IMF distance should be increased. The other main cause of malposition is failure of the fascial suture from Scarpa's fascia to the perichondrium through an inframammary incision. As well, when this fixation is performed, it should be performed directly downward to the perichondrium, rather than slanted in a cranial or caudal direction.

플래퍼 패션이 현대(現代) 패션에 미친 영향(影響) (The Influences of Flapper Fashion on Modern Fashion)

  • 박혜원;조규화
    • 패션비즈니스
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    • 제2권3호
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    • pp.55-72
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    • 1998
  • The purpose of this study is for consideration of the flapper fashion (1924-1928) in Jazz Age (1919-1929) of America and the influences of it on modern fashion. This study is started from the latest fashion trend which is pursuing it's inspiration into the Jazz Age, the 20s. The etimology of 'flapper' was based on mines is 'flap' such as 'flutter of skirt hemline', 'hands', 'arms', 'wings' and a slang which was applied to young women from 1830. In 20th century it has meant not only new American women but also their fashion and attitude. The designs of flapper fashion were expressed by simplicity, functionality, nudity and rhythm. Simplicity was the best value of this time and the simple image was considered the smartest. Functionality was represented by straight boyish style and loose baggy silhouette that was related to free dome. Nudity was expressed by revealing of legs, arms, backs in shapes and see-through by materials. It was related to sexual attraction and point to youth. Rhythm of flapper fashion expressed optical effect of movement. Using of light material was deep related to freedom of flappers, speed, rhythmical Jazz and dancing. The influences of flapper fashion were giving an opportunity that changed fashion leader from high class to young popular group and simple design of flapper fashion effected to modernization and popularization of American apparel business. And it influenced American casual fashion which was known as brightness, youth and openhearted mood. So flapper fashion can be reganded as the starting point of the street fashion of the 20th century.

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선박안정성 향상을 위한 횡동요 방지 장치 개발에 관한 연구 (A Study on Development of an Anti-Rolling System for the Ship Stability Improvement)

  • 김영복;이권순;김준효;채규훈
    • 해양환경안전학회지
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    • 제11권1호
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    • pp.23-28
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    • 2005
  • 선박 횡동요는 물적 손실을 초래할 뿐만 아니라, 승선자의 거주성, 안전성 및 작업능률을 저하시키는 가장 큰 요인이 된다. 횡동요억제를 위한 많은 연구는 다양한 형태의 장치개발이라는 결과를 가져왔으며 상당한 효과를 얻고 있다. 지금까지 개발 된 대부분의 장치는 그 성능을 고려하지 야더라도 특수한 목적의 선박을 대상으로 설치$\cdot$운영되고 있으며, 고가이고 복잡하여 설치 상에도 많은 문제점을 안고 있다. 따라서 본 논문에서는 선박의 선미측에 설치한 플랩을 이용하여 운항중인 선박의 횡동요 억제에 관해 고찰하고 있다. 본 장치는 중$\cdot$소형의 선박에도 쉽게 설치하여 운용이 용이할 뿐만 아니라, 적절한 제어시스템 구축으로 피칭운동도 제어할 수 있는 장점이 있다. 본 논문에서는 이러한 장치를 설치한 선박에 대해 실험적 기법을 이용하여 모델링을 행하고 시뮬레이션을 통해 장치의 횡동요 억제효과를 검증하고 있다.

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심하게 위축된 하악 구치부에 치조제 분할술과 블록형 골이식술을 이용한 임플란트 식립: 4년 관찰 증례보고 (Implant placement in severely atrophic mandible using alveolar ridge splitting procedure and small block bone graft: A case report of 4-year follow-up)

  • 김나홍;방주혁;이동운
    • 대한심미치과학회지
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    • 제28권2호
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    • pp.64-73
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    • 2019
  • 심한 치조골의 위축과 흡수로 인한 형태학적 변화는 임플란트의 성공적인 식립과 임플란트의 골유착에 영향을 미친다. 이를 극복하기 위한 다양한 골증대술 중 치조제분할술은 좁은 치조골 폭을 성공적으로 증대시키는 수술방법으로 보고되었다. 또한 다양하게 개발되는 임플란트 디자인과 치조제 팽창 기구 등은 심하게 흡수된 위축된 하악부위에서도 협측골 파절을 최소화할 수 있다. 가철성 부분의치의 사용으로 심하게 흡수된 하악 구치부에 치조제 분할술과 최소 크기의 블록형 골이식술을 이용해 한개의 스크류로 수용부의 고정을 획득한 후 동시적 접근법을 이용한 골이식 증례를 보고 하고자 한다. 보철과와 치주과의 협업으로 환자의 기능과 심미를 회복해준 증례로 사료된다.

Treatment efficacy of gingival recession defects associated with non-carious cervical lesions: a systematic review

  • Oliveira, Livia Maria Lopes de;Souza, Camila Agra;Cunha, Sinara;Siqueira, Rafael;Vajgel, Bruna de Carvalho Farias;Cimoes, Renata
    • Journal of Periodontal and Implant Science
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    • 제52권2호
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    • pp.91-115
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    • 2022
  • Purpose: This systematic review aimed to compare the efficacy, defined in terms of the mean percentage of root coverage (mRC), of surgical treatment approaches combined with adhesive restorations of non-carious cervical lesions (NCCLs) to that of root coverage alone in patients with a single gingival recession (GR) and NCCL. Methods: A literature search was conducted to identify longitudinal studies reporting the mRC following treatment for the correction of GR defects associated with NCCLs using a combination of surgical and restorative techniques in systemically and periodontally healthy patients. Results: The search resulted in the retrieval of 12,409 records. Seven publications met the inclusion criteria for the qualitative synthesis of data. The mRCs ranged from 69% to 97%. In the medium term, the gingival margin position was more stable when a connective tissue graft (CTG) was used, independently of whether restoration of teeth with NCCLs was performed. Conclusions: The strength of the evidence was limited by methodological heterogeneity in terms of study design as well as the unit and period of analysis, which precluded a metaanalysis. Although no definitive conclusion could be drawn due to the lack of sufficient evidence to estimate the effectiveness of the interventions, CTG-based procedures contributed to gingival margin stability regardless of the performance of restoration to treat NCCLs.

패러포일 투하 시스템의 궤적 추종 제어기의 설계 (Design of Trajectory Following Controller for Parafoil Airdrop System)

  • 양빈;최선영;이정태;임동근;황정원;박승엽
    • 한국항행학회논문지
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    • 제18권3호
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    • pp.215-222
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    • 2014
  • 본 논문은 패러포일 투하 시스템을 설계하고 분석하는데 있다. 패러포일 시스템의 6-자유도(6-DOF) 모델을 새우고, 비선형 모델 예측 제어와 PID 제어 방법이 펄럭 편 요각을 제어하기 위해 각각 적용되었다. 펄럭 편 요각의 오버슈트 시간 및 세팅 시간의 결과를 비교하면서 PID제어 방법을 사용하는 것으로부터 펄럭 편 요각이 좀 더 안정화 되는 것을 확인하였다. 그런 다음 MATLAB에 의해 수행된 궤적 추종 효과의 시뮬레이션 결과에 의해 궤적 추종 제어기가 설계되었다. 패러포일 궤적의 측 방향 오차가 그것의 측 방향 편차 제어 방법에 의해 제거 될 수 있었다. 참고로 측 방향 편차는 현재 경로계획의 보간법에 의해 얻어졌다. 그리고 설계된 궤적을 사용하면서, 풍 외란을 추가하는 것으로부터 궤적 추종 시스템이 시뮬레이션 되었다. 시뮬레이션 결과는 풍외란이 PID로 제어되는 펄럭 편 요각 변화에 의해 제거됨으로써 설계된 궤적에 아주 만족하였다.

백서의 상악 구치 주위골의 피질골 절단술 후 치아이동의 영향 (THE EFFECTS OF TOOTH MOVEMENT AFTER CORTICOTOMY ON THE SURROUNDING BONE OF UPPER MOLAR IN RATS)

  • 이승연;박수현;박용희;이원
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제33권6호
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    • pp.684-689
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    • 2007
  • The aim of this study is to examine the change of the osteoclastic activity in the surrounding bone with or without tooth movement after corticotomy by histologic study. Eighteen male Sprague Dawley rats with an average body weight of 300 g(range 250-350 g) were used. The rats were divided into three groups of six animals. They were operated corticotomy-assisted tooth movement and killed after 1 week, 2 weeks, and 3 weeks after tooth movement. Corticotomy was done in the surrounding of the both upper first molar. A split mouth design was used by referring to the contralateral side as control. After flap suturing, the upper left first molar was moved anteriorly by closed coil spring. The force applied was 1 N. The average of tooth movement of the 1 week group was $0.24{\pm}0.09mm,\;0.20{\pm}0.26mm$ in 2 weeks group and $0.41{\pm}0.39mm$ in 3 weeks group, respectively. The difference between the 1 week and the 2 weeks groups was very small to compare with the 3 weeks group. In the treatment group, the average numbers of cells that positively reacted to TRAP were 14.5 in the 1 week group, 12.0 in the 2 weeks group, and 6.0 in the 3 weeks group. In the control group, the numbers were 8.3 in the 1 week group, 12.8 in the 2 week group, and 1.5 in the 3 week group, respectively. The amount of tooth movement of the 3 week group was about twice as large as those of the 1 week and 2 week groups. From the standpoint of histology, the average number of cells that positively reacted to TRAP was initially larger in the treatment group than in the control group, similar in both group in 2 weeks, and became less in the treatment group in 3 weeks. Additionally, in the control group, their activity of osteoclast was higher in 2 weeks than in 1 week, and decreased rapidly in 3 weeks.

The influence of root surface distance to alveolar bone and periodontal ligament on periodontal wound healing

  • Montevecchi, Marco;Parrilli, Annapaola;Fini, Milena;Gatto, Maria Rosaria;Muttini, Aurelio;Checchi, Luigi
    • Journal of Periodontal and Implant Science
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    • 제46권5호
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    • pp.303-319
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    • 2016
  • Purpose: The purpose of this animal study was to perform a 3-dimensional micro-computed tomography (micro-CT) analysis in order to investigate the influence of root surface distance to the alveolar bone and the periodontal ligament on periodontal wound healing after a guided tissue regeneration (GTR) procedure. Methods: Three adult Sus scrofa domesticus specimens were used. The study sample included 6 teeth, corresponding to 2 third mandibular incisors from each animal. After coronectomy, a circumferential bone defect was created in each tooth by means of calibrated piezoelectric inserts. The experimental defects had depths of 3 mm, 5 mm, 7 mm, 9 mm, and 11 mm, with a constant width of 2 mm. One tooth with no defect was used as a control. The defects were covered with a bioresorbable membrane and protected with a flap. After 6 months, the animals were euthanised and tissue blocks were harvested and preserved for micro-CT analysis. Results: New alveolar bone was consistently present in all experimental defects. Signs of root resorption were observed in all samples, with the extent of resorption directly correlated to the vertical extent of the defect; the medial third of the root was the most commonly affected area. Signs of ankylosis were recorded in the defects that were 3 mm and 7 mm in depth. Density and other indicators of bone quality decreased with increasing defect depth. Conclusions: After a GTR procedure, the periodontal ligament and the alveolar bone appeared to compete in periodontal wound healing. Moreover, the observed decrease in bone quality indicators suggests that intrabony defects beyond a critical size cannot be regenerated. This finding may be relevant for the clinical application of periodontal regeneration, since it implies that GTR has a dimensional limit.

용해(龍海) 발해 왕실고분 출토 유물에 관한 고찰 (A Study on the Costume Relics Excavated from Royal Family's Ancient Tombs of Balhae at the Runghai Sites)

  • 전현실;강순제
    • 복식
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    • 제61권10호
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    • pp.72-88
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    • 2011
  • This study is about the costume relics that were excavated from M10 of the 6th site, M13 and M14 of the 8th site among all the Runghai(龍海) ancient tomb sites that were known as the royal family's tombs of Balhae, which were built from the late 8th century to the early 9th century. These costume relics were also introduced in the academic journal of Chinese archaeology(考古) 6 in 2009. The summary of the results that focused on finding features of the costume relics and its meaning were as follows: 1. Male and female statues, both of which were excavated from the Runghai ancient tomb sites, had the shape and composition of the government official's costumes such as the Danryeong(團領), Bokdu, and Gwadae. The female's hairstyle and accessories were quite similar to other costume relics of Balhae. In particular, the male statues wearing the Danryeong and Bokdu were considered as the normal figures of government officials of Balhaeafter the mid 8th century. 2. The female statue wearing the male attire is considered as a maid, and we can confirm that women dressing up like a man was a popular trend in Tang(唐), and this trend was introduced to Balhae. 3. The back flap(垂脚) of Bokdu that the male statue is wearing in M10 of the 6th site, has a shape that has not been found in the ancient relics of both Balhae and Tang. Therefore, it is considered as a unique shape of Bokdu of Balhae. However, it needs to be observed more and discussed in the future. 4. In regards to the Gwadae, the outside of the Gwadae is decorated with jade and has an embossed carving that is gold inside. The Gwadae of the Runghaisites has a unique design and it is distinguished from other ancient relics. 5. The gold trefoil crown and the leather conical hat that were found in M14 of the 8th site can be seen as the basic composition of official's hats in ancient Korea. Also, the motif of the gold trefoil is closely related to Anthemion that is often seen in the relics of the Three Kingdom period. Thus, we can assume according to this important finding that the style of ancient Korea official's hats came from either the king or a royal family of Balhae after the mid 8th century.