• Maxillofacial Plastic and Reconstructive Surgery
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• 제15권1호
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• pp.7-10
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• 1993

The final purpose of oral & maxillofacial trauma is functional & esthetic repair. Nowadays, severe trauma involving with the head & neck trauma is increasing. After these trauma occurs, the patients develop similar signs & symptoms with the postoperative healing period, as like thurst, hypertention, excitability, disorientation, convulsion, et al. Because SIADH which is one of important complications after head trauma, shows similar clinical features after operation, we should pay attention to detect it. SIADH shows characteristic laboratory findings, as like hyponatremia, urine hyperosmolality, increased plasma ADH level, continued renal excretion of sodium, so we can easily distinguish it from postoperative conditions. This paper reports two cases, one was the case of the mandibular fracture and cerebral contusion, which included permanent SIADH. The other was the case of the multiple teeth injury and cerebral contusion, which was transient SIADH. We treated them with water restriction, hypertonic saline, and diuretics.

• Archives of Reconstructive Microsurgery
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• 제11권1호
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• pp.47-52
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• 2002

One of the most common problems in cord injury is pressure sores. In the early stage of pressure sores, the wound can be covered by advancing or transpositioning a local myocutaneous flap. However, it can be a great challenge to treat end-stage paraplegic patient who underwent multiple prior flaps, where continuous treatment is needed to prevent recurrent pressure sore due to infection and metabolic drain. In these patients, a local myocutaneous flap may be very difficult for coverage of the wounds. Therefore, hemipelvectomy may be considered. The authors performed a hemipelvectomy on a 33 year-old male paraplegic patient who presented with multiple, large wounds seen in end-stage pressure sores. He had a compression fracture of the lumber spine 9 years ago during a motor vehicle accident. After a wide exicision of the wound, the anterior flap was used as a fillet-flap for reconstruction. On the sixth day postoperatively, secondary repair was done due to wound dehiscence and the postoperative results have been satisfactory thus far.

• Journal of Chest Surgery
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• 제18권3호
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• pp.497-505
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• 1985

Bronchoplastic techniques represent the ideal surgical therapy for benign endobronchial tumors as well as tumors of low-grade malignant potential, such as bronchial adenomas, and for repair of traumatic airway injuries and benign strictures. This approach is also applicable to a select group of patients with carcinoma of the lung, with long-term survival being comparable to that achieved by standard pneumonectomy. Five bronchoplastic procedures were performed at Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital during 7 months periods from Dec. 1984 to Jun. 1985. Of the 5 patients, 3 patients were male and 2 patients were female and ages ranged from 8 years to 55 years old. The final diagnoses of 5 patients were as followed; traumatic bronchostenosis, endobronchial tuberculoma, carcinoid tumor, tuberculous bronchostenosis and traumatic bronchial fracture. Operative procedures of 5 patients were as followed; resection and end-to-end anastomosis of right main bronchus, left lower lobectomy and wedge resection of bronchus, left upper sleeve lobectomy, right middle and lower sleeve lobectomy and resection and end-to-end anastomosis of left main bronchus. And 2 lungs and 3 lobes could be preserved by these bronchoplastic procedures. There was no post-operative complication or mortality and all patients are being followed up without specific problem.

• 비파괴검사학회지
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• 제31권1호
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• pp.53-61
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• 2011

본 연구는 편측 노치가 삽입된 A16061-T6 알루미늄 합금 평판 시편에 대해 유리섬유강화플라스틱(GFRP) 복합재 패치의 적층수를 변수로 하여 보수히고, 인장 하중에 따른 시편의 손상 과정을 음향방출법(acoustic emission, AE)으로 실시간 분석하였다. AE 에너지 발생률(AE energy rate), hit 발생률(hit rate), AE 진폭(AE amplitude) 거통과 파형 및 1차 중심주파수(1st peak frequency)의 대역을 조사하여, 시편 파괴시 알루미늄 크랙(Al cracking), 섬유 파단(fiber breakage), 수지 균열(resin cracking), 층간 분리(delamination)로 분류하였다. 시편의 변위를 음향방출 특성에 따라 구간(region) I, II, III으로 나눌 수 있었으며, 패치 자체가 실제 파괴되는 구간인 구간 II를 세부적으로 분석하여 패치의 적층수에 따른 AE 특성 차이를 구하였다.

• Structural Engineering and Mechanics
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• 제61권3호
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• pp.325-334
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• 2017

In the present study, a numerical model for probability analysis of optimal design of fatigue non-uniform crack growth behaviour of a cracked aluminium 2024 T3 plate repaired with a bonded composite patch is investigated. The proposed 3D numerical model has advanced in literatures, which gathers in a unique study: problems of reliability, optimization, fatigue, cracks and repair of plates subjected to tensile loadings. To achieve this aim, a finite element modelling is carried out to determine the evolution of the stress intensity factor at the crack tip Paris law is used to predict the fatigue life for a give n crack. To have an optimal volume of our patch satisfied the practical fatigue life, a procedure of optimization is proposed. Finally, the probabilistic analysis is performed in order to a show that optimized patch design is influenced by uncertainties related to mechanical and geometrical properties during the manufacturing process.

• Journal of Korean Neurosurgical Society
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• 제53권5호
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• pp.300-302
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• 2013

Reports of traumatic leptomeningeal cysts (TLMC) are rare in adults. The standard treatment approach is craniectomy with careful exposure of the intact dural edges, followed by duroplasty. However, occasionally, the location of the TLMC makes achieving watertight duroplasty impossible. Herein, we report the case of a 28-year-old male who presented with a soft growing mass on the vertex of his head 16 months after the head trauma. Upon enhanced CT examination, a bony defect involving both the inner and outer table of the cranium was observed close to the sagittal sinus, and a well-defined cystic mass, 5 cm in diameter, was nested within the defect. The risks associated with extension craniotomy were high because the lesion was located superficial to the sagittal sinus, we opted to use fibrinogen-based collagen fleece (TachoCombR$^{(R)}$) to repair the dural defect. Two months after surgery, the patient remained asymptomatic with a good cosmetic result. In cases like ours, when the defect is near the major sinuses and the risk of rupturing the sinus during watertight dural closure is high, fibrinogen-based collagen fleece (TachoCombR$^{(R)}$) is an effective alternative approach to standard dural suture techniques.

• 한국재난정보학회 논문집
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• 제9권4호
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• pp.392-399
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• 2013

본 연구에서는 기존구조물에 대한 보수와 복구에 보강을 위하여 복합재료의 사용이 증가하고 있는 상황에서 방재의 개념에도 부합하는 탄소섬유보강재를 이용하여 기존금속재와 접합(접착방식)을 통한 강도증진효과를 연구하였다. 특히 실험을 통하여 강-탄소섬유보강재로 이루어진 복합재 거동을 파악하였으며 여기에 적절한 시험을 위한 새로운 형태의 시험편을 제작하였다. 접합재로 레진을 도포하는 방법을 달리하고 거동을 비교하기 위하여 표면처리가 다른 시험편을 각각 고려하여 시험한 결과 강성보강효과는 물론 일체거동의 특성이 잘 나타남을 알 수 있었다.

• 한국구조물진단유지관리공학회 논문집
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• 제6권2호
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• pp.135-143
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• 2002

This study is to investigate its use by applying stainless steel wire mash reinforcement method of construction, which is newly developed, on the high strength concrete beam mixed with polymer-steel fiber. In this test, it is investigated and observed such as follows: the ultimate load, the initial flexure crack load, the initial diagonal tension crack load, the relation between load and deflection, load-strain relation, and also crack growth and fracture aspect by increasing load. The results of this test are; first, the stainless steel wire showed some useful reinforcement effects in multiplying the steel's resisting force of moment to the tensile force of beam or slab: second, the promoting strength and internal force was made in the process of the integration at the same reaction by using the penetrating polymer-mortar with an excellent durability and physical property. On the basis of this results, because such instances in applying stainless steel wire Mash reinforcement method of construction have been few so far, through the experimental investigation such as this test over and over again, the efficient and useful method must be developed for the practice.

• 한국콘크리트학회:학술대회논문집
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• 한국콘크리트학회 2000년도 가을 학술발표회 논문집(II)
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• pp.1031-1036
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• 2000

In this study, a numerical simulation that can effectively predict the strengthening effect of repaired aged RC structures is developed using the axial deformation link elements. In repaired structures, concrete and interface are modeled as quasi-brittle materials. An elastic-perfectly plastic constitutive relationship is introduced for reinforcing bars. Also, a linear-elastic relationship for repair materials such as FRP or CFS. Structural deterioration in terms of corrosion of steel rebar is considered. The interfacial property between steel and concrete which is reduced by corrosion of steel rebar is obtained by comparing numerical results with experimental results of pull out tests. Obtained values are used in repaired reinforced concrete structures under flexural loading conditions. To investigate strengthening effect of the structures repaired with carbon fiber sheet(CFS), repaired and unrepaired RC structures are analyzed numerically. From analysis, rip-off, debonding and rupture failure mechanisms of interface between substrate and CFS can be determined. Finally, strengthening effect according to the variation of interfacial material properties is investigated, and it is shown that interfacial material properties have influence on the mechanical behavior of repaired structure systems Therefore, the developed numerical method using axial deformation link elements can use for determining the strengthening effects and failure mechanism of repaired aged RC structure.

• 대한조선학회논문집
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• 제46권2호
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• pp.203-217
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• 2009

The researches on the development of composite material propeller with outstanding damping effects have been actively attempted for the reduction of radiation noise of underwater vehicle propeller. Composite material suitable for the flexible propeller has the following advantages, such as high specific strength and specific stiffness, low thermal expansion coefficient, high resistance against environmental deterioration, low possibility of corrosion due to cavitation, nonoccurrence of rapid fracture due to fatigue, easy molding of complicated shape, easy repair maintenance and low production costs, etc. For the confirmation of optimal fiber array structures of composite material for the production of the flexible propeller blades, in this study, mechanical characteristics of its specimens according to materials were obtained and structural characteristics of propeller blade were also examined according to materials and stacking fiber arrays.