• Journal of Audiology & Otology
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• 제25권3호
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• pp.159-162
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• 2021

Temporal bone trauma can cause hearing loss and in case of prolonged conductive hearing loss, traumatic ossicular injury should be considered. Separation of the incudostapedial joint is the most common lesion, and stapediovestibular dislocation is relatively rare but can easily cause perilymphatic fistula. Here, we report a very rare case of external stapediovestibular dislocation after trauma, ending up with successful surgical outcome. A 27-year-old man with non-progressive hearing loss on the right side since childhood visited the clinic. Audiogram showed a conductive hearing loss with air-bone gap of 55 dB on the right side. Temporal bone CT revealed the disruption of ossicular chain. An exploratory tympanotomy identified multiple ossicular disruptions including external stapediovestibular dislocation with shiny fibrous membrane sealing the oval window. Ossicular chain reconstruction was performed using the total ossicular replacement prosthesis of titanium. A postoperative audiogram showed a recovery of air-bone gap less than 10 dB. To the best of our knowledge, this is the first case of external long-standing stapediovestibular dislocation, with oval window completely sealed with fibrous membrane, ending up with successful hearing recovery by surgery. This case would help dealing with such condition which can be encountered in the clinic.

• 대한청각학회지
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• 제25권3호
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• pp.159-162
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• 2021

Temporal bone trauma can cause hearing loss and in case of prolonged conductive hearing loss, traumatic ossicular injury should be considered. Separation of the incudostapedial joint is the most common lesion, and stapediovestibular dislocation is relatively rare but can easily cause perilymphatic fistula. Here, we report a very rare case of external stapediovestibular dislocation after trauma, ending up with successful surgical outcome. A 27-year-old man with non-progressive hearing loss on the right side since childhood visited the clinic. Audiogram showed a conductive hearing loss with air-bone gap of 55 dB on the right side. Temporal bone CT revealed the disruption of ossicular chain. An exploratory tympanotomy identified multiple ossicular disruptions including external stapediovestibular dislocation with shiny fibrous membrane sealing the oval window. Ossicular chain reconstruction was performed using the total ossicular replacement prosthesis of titanium. A postoperative audiogram showed a recovery of air-bone gap less than 10 dB. To the best of our knowledge, this is the first case of external long-standing stapediovestibular dislocation, with oval window completely sealed with fibrous membrane, ending up with successful hearing recovery by surgery. This case would help dealing with such condition which can be encountered in the clinic.

• International Journal of Korean Welding Society
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• 제3권1호
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• pp.34-38
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• 2003

It has been used many kinds of horizontal butt-welding methods at block-to-block erection stage in shipbuilding companies. For examples, some companies use conventional FCAW process with one side or both sides groove joint welding, others use carriage with torch holder type mechanized welding method. Although lots of efforts were done until now, some problems in quality and productivity still remain in ship's hull welding. In this study, we have attempted to raise productivity and quality on horizontal position of welding with following 3 items. 1) Prepare groove condition with no root gap for making easy fit-up work. 2) Develop improved MAG (100% $CO_2$ gas shielding) welding process with solid wire for making sound root bead from one side. 3) Develop and apply quite new automatic welding carriage. The stability of new welding process was confirmed by conducting mechanical tests of weldments to verify the soundness of weldments.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제12권2호
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• pp.82-87
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• 1990

저자등은 1989 년 8 월부터 1990 년 5 월까지 서울대학교병원 구강악안면외과에 내원한 악관절질환 환자중 5 명에 대해 7 개의 관절에서 후이개접근법을 이용하여 악관절 성형술, 하악 과두 골절정복술과 자가진피 이식술 혹은 측두근막 피판이식술을 병행한 악관절 형성술(gap arthroplasty)등을 시행한 예를 보고하였다. 국내에서 보편적으로 널리 사용되지 않았던 후이개접근법에 대하여 그 응용범위와 적용예를 통하여 악관절 영역의 수술시 심미적으로 가장 뛰어난 한가지 접근 방법으로서 긍정적으로 선택될 수 있는 수술방법으로 문헌고찰과 함께 보고하는 바이다.

• 한국생산제조학회지
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• 제18권6호
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• pp.652-657
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• 2009

MPW(Magnetic Pulse Welding) is a technologies for welding of metals by means of repulsive force on account of the interaction between electro-magnetic field of coil and current induced in outer pipe. These MPW is one of the most useful welding process of welding ability of the dissimilar metal in which cylindrical materials, such as pipe, tube. As the quality of a weld joint is strongly influenced by process parameters during the welding process and the success of the welding to evaluated according to the leakage pressure. Generally, the process parameters is magnetic pressure, the gap between outer pipe and inner pipe, and the ratio of thickness to diameter of pipe(D/T) in MPW. Therefore, the goal of this study was to explain the effect of parameters on the weld joint leakage pressure. For these purposes, FFD(Fractional Factorial Design) were used for the experiment. The measured data were analyzed by regression analysis and verification experiments with random condition were conducted to confirm the suggested experimental model.

• Steel and Composite Structures
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• 제32권3호
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• pp.337-346
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• 2019

The present paper tries to contribute fill the gap of application of the component method to tubular connections. For this purpose, one typical joint configuration in which just one component can be considered as active has been studied. These joints were selected as symmetrically loaded welded connections in which the beam width was the same as the column width. This focused the study on the component 'side walls of rectangular hollow sections (RHS) in tension/compression'. It should be one of the main components to be considered in welded unstiffened joints between I beams and RHS columns. Many experimental tests on double-sided I-beam-to-RHS-column joint with a width ratio 1 have been carried out by the authors and a finite element (FE) model was validated with their results. Then, some different analytical approaches for the component stiffness and strength have been assessed. Finally, the stiffness proposals have been compared with some FE simulations on I-beam-to-RHS-column joints. This work finally proposes the most adequate equations that were found for the stiffness and strength characterization of the component 'side walls of RHS in tension/compression' to be applied in a further unified global proposal for the application of the component method to RHS.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제23권1호
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• pp.95-102
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• 2001

Temporomandibular ankylosis is defined as a situation in which the condyle is fused to the fossa by bone or fibrous tissue. Conditons such as trauma, infection, or systemic disease may predispose to various types of ankylosis, bringing about different levels of limitation in mandibular movement. Most patients with temporomandibular ankylosis are associated with limitation of maximal mouth opening, deviation of the chin toward the affected side, impaired occlusion, chronic pain, compromised oral hygiene, severe facial asymmetry & impeded mandibular molar eruption occurring in childhood. Several techniques to release ankylosis have been described in the literature, showing variable and often unsatisfactory results. The most frequently used operations are gap arthroplasty, interpositional arthroplasty, and exicision and joint reconstruction with autogenous or alloplastic materials. We have managed the two patients of TMJ ankylosis. They had previously TMJ surgery and we treated with gap arthroplasty & active physial therapy. We have obtained favorable results and report these cases with literatures review.

• Journal of Welding and Joining
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• 제23권6호
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• pp.49-54
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• 2005

Inner Structured and Bonded(ISB) panel, a kind of metallic sandwich panel, consists of two thin skin plates bonded to a micro-patterned inner structure. Its overall thickness is $1\~3mm$and it has attractive properties such as ultra-lightweight, high efficiency in stiffness-to-weight and strength-to-weight ratio. In many previous studies, resistance welding, brazing and adhesive bonding are studied for joining the panel. However these methods did not consider productivity, but focused on structural characteristics of joined panels, so that the joining process is very complicated and expensive. In this paper, a new joining process with resistance welding is developed. Curved surface electrodes are used to consider the productivity and the stopper is used between electrodes during welding time to maintain the shape of inner structure. Welding time, gap of electrodes and distance between welding points are selected as the process parameters. By measuring the tensile load with respect to the variation of welding time and gap of electrodes, proper welding conditions are studied. Welding time is proper between 1.5-2.5cycle. If welding time is too long, then inner structures are damaged by overheating. Gap of electrode should be shorter than threshold value fur joint strength, when total thickness of inner structure and skin plate is 3.3mm, the threshold distance is 3.0mm.

• 대한치과교정학회지
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• 제49권6호
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• pp.413-426
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• 2019

This study was performed to describe the longitudinal management of recurrent temporomandibular joint (TMJ) ankylosis from infancy to adulthood in perspective of surgical and orthodontic treatment. A 2-year-old girl was referred with chief complaints of restricted mouth opening and micrognathia due to bilateral TMJ ankylosis. For stage I treatment during early childhood (6 years old), high condylectomy and interpositional arthroplasty were performed. However, TMJ ankylosis recurred and symptoms of obstructive sleep apnea (OSA) developed. For stage II treatment during early adolescence (12 years old), gap arthroplasty, coronoidectomy, bilateral mandibular distraction osteogenesis, and orthodontic treatment with extraction of the four first premolars were performed. However, TMJ ankylosis recurred. Because the OSA symptoms reappeared, she began to use a continuous positive airway pressure device. For stage III treatment after completion of growth (20 years old), low condylectomy, coronoidectomy, reconstruction of the bilateral TMJs with artificial prostheses along with counterclockwise rotational advancement of the mandible, genioglossus advancement, and orthodontic treatment were performed. After stage III treatment, the amount of mouth opening exhibited a significant increase. Mandibular advancement and ramus lengthening resulted in significant improvement in the facial profile, Class I relationships, and normal overbite/overjet. The OSA symptoms were also relieved. These outcomes were stable at the one-year follow-up visit. Since the treatment modalities for TMJ ankylosis differ according to the duration of ankylosis, patient age, and degree of deformity, the treatment flowchart suggested in this report could be used as an effective guideline for determining the appropriate timing and methods for the treatment of TMJ ankylosis.

• 대한방사선기술학회지:방사선기술과학
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• 제47권2호
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• pp.87-95
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• 2024

Most knee axial radiographs, known as sunrise and skyline view, were performed with the patient in the prone position. The authors tried to address some of the shortcomings of conventional radiography by developing a new radiography method, K-RAD. According to previous research, the K-RAD method showed a wider patellar-femoral joint space than conventional radiography and provided a clear patellar hemi-lateral image with a constant gap between the femoral trochlear groove and tibial tuberosity. The authors worked with an orthopedic specialist to perform radiography using the K-RAD method rather than using existing methods, and as a result, the two knees were aligned correctly and a clear image of the patellar-femoral joint space was created. The authors propose the K-RAD method for knee axial radiography because the K-RAD method provides a sense of stability to the patient and provides images with high diagnostic value.