• Archives of Plastic Surgery
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• 제36권5호
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• pp.629-636
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• 2009

Purposes: Wide scars occurring on the lower face and neck are a source of both functional and esthetic problems. Consequently, we can use skin grafts, pedicled flaps, free flaps, and tissue expansion for the reconstruction of this area. Compared with other reconstruction techniques, tissue expansion is advantageous in that it enables the maintenance of a color and texture similar to that of the adjacent tissue. However, the conventional method of tissue expansion has been reported to lead to an unnatural cervicomental angle and to the deformity of adjacent structures. We have therefore made efforts to prevent these problems through the use of several operative procedures. Methods: Forty-one patients with lower facial and cervical scars underwent tissue expansion. The tissue expansion was performed using a rectangular-shaped Nagosil$^{(R)}$ tissue expansion device. On insertion of the tissue expander, the intermediate area of superficial fat layer was dissected and then the tissue expander was inserted to make a flap that was as thin as possible. In advancement of the flap, a capsule-formed by the tissue expander-was used for the interrupted fixed suture of the flap to the fascia of the platysma muscle of the neck. This procedure was performed multiple times and also performed between the flap and the periosteum of the mandible, such that the tension was removed during the suture of the flap margin. Finally, the patients were fitted with a Jobst$^{(R)}$ facial garment in order to stabilize the operation site at least twelve months. Results: The most prevalent location of the scar was the cheek (15 cases), followed by the chin in 14 cases and the neck in 12 cases. The mean size of scar was $55.7{\pm}39.4cm^2$. Conclusions: Using our procedures, we have experienced no significant deformities and have also achieved a more natural cervicomental angle in the patients.

• 한국컴퓨터정보학회논문지
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• 제25권6호
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• pp.183-191
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• 2020

본 연구에서는 커스터마이징 시스템 개발을 위한 신한복 치마 패턴 개발의 기초자료를 얻기 위해 신한복 브랜드의 치마 패턴을 비교 분석하고자 하였다. 신한복 6개 브랜드의 패턴을 분석하여 가상착의를 시킨 후 외관평가와 의복압 및 공극량을 평가하였다. 시판 신한복 브랜드 A, B, C, D, E, F의 허리치마 패턴을 분석한 결과, 같은 디자인의 free 사이즈 치마임에도 불구하고 각기 다른 치수로 제작되는 것으로 나타났다. 허리치마의 패턴은 기존의 한복과 같이 평면적인 패턴으로 구성되었다. 외관평가 결과 앞면, 옆면, 뒷면 모든 평가항목에서 6개 브랜드의 패턴 간에 유의미한 차이가 있는 것으로 평가되었다. 외관평가 모든 항목에서 B 브랜드의 허리치마가 우수한 것으로 평가되었다. 의복압을 알아보기 위해 색분포도와 공극량을 살펴본 결과, 허리에 둘러서 착용하는 허리치마의 특성상 대부분의 부위에서 공극량이 큰 것으로 나타나 의복압이 낮은 것으로 평가되었다. 본 연구에서는 신한복 활성화에 따른 치수 및 패턴 규격화를 위한 기초자료를 제안하며, B브랜드 패턴을 기본으로 한 통일된 패턴개발이 이루어져야 할 것으로 생각된다.