• 대한구순구개열학회지
• /
• 제13권2호
• /
• pp.77-84
• /
• 2010

Vomer flap is used to repair anterior hard palate in complete cleft lip and palate patients. As the midline structure located in between the two cleft segments of hard palate, the vomer flap is very useful because of its vicinity to cleft site and their ease of execution when it is done with primary cheiloplasty simultaneously. In addition, the quality of tissue is very similar to that of the nasal mucosa with good vascularity. In cases of simultaneous repair of cleft lip with anterior palate using vomer flap, the hard palate can be repaired at the same time with primary cheiloplasty which is earlier period than other techniques. With simultaneous close of cleft lip and cleft hard palate by vomer flap, subsequent palatoplasty does not require wide dissection, and consequently chance of oronasal fistula formation will be minimized. Additionally, surgical time will be reduced and, the harmful effects on mid-facial growth will be diminished. In this article, we will introduce the comprehensive vomer flap technique with primary lip closure and review the comparative studies of the outcome of simultaneous repair of cleft lip and cleft hard palate with vomer flap.

• 한국해양공학회지
• /
• 제11권4호
• /
• pp.61-75
• /
• 1997

The social demand urges us to use some equipments and structures in high temperature environment. By this occasion, the necessity of studying the fatigue crack growth is an important aspect of new materials. However, the present situation is rarely to accumulate the fatigue data. Especially, 1Cr-1Mo-0.25V steel and 304 stainless steel have been increased to be used under the severe condition of high temperature. And so, the fatigue estimation of those materials is important and appropriate. Fatigue tests have been carried out to examine the crack initiation, growth behaviour for the small fatigue crack of 1Cr-1Mo-0.25V steel and 304 stainless steel at room temperature and 538^{\circ}C$. The remote measurement system which has many merits of checking and saving the image for detailed examination was applied to closely detect the crack length. Generally, the fatigue crack initiated in the form of multiple cracks and grew each other. And then it coalesced to become a major crack. The major crack governed the rest of the fatigue life. In the growing process, each peripheral cracks interact and grow for a certain period. After then, it coalesced and fractured. On the basis of the above experimental data for the small crack, a simulation program was developed to predict the residual life time and to estimate the integrity of machine elements and structures. At the same time, the simulation was extended to 1Cr-1Mo-0.25V steel. The simulation results have shown a good agreement to those of the experimental ones for both materials of 1Cr-1Mo-0.25V steel and 304 stainless steel with small cracks. The NASCRAC has applied to compare the fatigue life with the experimental results. And so, it can be said that the simulation program is valuable tools to the industrial fields.

• 대한관절경학회지
• /
• 제3권2호
• /
• pp.127-131
• /
• 1999

경골 과간 융기부의 견열 굴절은 비교적 드물지 않게 관찰되는 손상으로, 전위된 견열 골절편은 해부학적 정복과 견고한 고정을 필요로 한다. 그러나 관절경적 수술 방법을 포함한 대부분의 잘 알려진 수술 방법들은 비교적 복잡한 수술 기법과 정교한 수술 술기를 필요로 하며, 이에 따른 수술 시간의 지연과 수술 합병증으로 창상 감염, 조기 성장판 폐쇄 및 조기 관절 운동을 제한하는 고정력의 소실 등이 발생할 수 있다. 이에 저자들은 전외측 및 중앙부, 내측 mid-patella 입구를 사용한 관절경적 기법을 이용하여, 골편의 정복에 삽관 나사못을 사용함으로써, 비교적 짧은 수술 시간 안에 만족스런 정복과 고정을 얻을 수 있었으며, 술 후 조기에 능동적 관절 운동을 허용할 수 있었다. 또한 분쇄 골절의 경우 와셔를 사용함으로써 만족스런 고정을 얻을 수 있었다. 저자들의 방법은 수술 기법의 용이함과 금속 제거 시의 안전성, IV형 분쇄 골절에도 적용할 수 있는 점, 추가적인 피부 절개가 필요없다는 점, 성장기 소아에서 성장판의 손상 가능성을 줄일 수 있는 등의 장점이 있다고 사료된다.