• 한국지반공학회:학술대회논문집
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• 한국지반공학회 2006년도 춘계 학술발표회 논문집
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• pp.362-371
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• 2006

The behaviour characteristics of Granular Compaction Pile(GCP) are mainly governed by the lateral confining pressure mobilized in the matrix soft soil to restrain the bulging failure of the granular compaction pile. The GCP method is most effective in soft soil with untrained shear strength ranging from $15\sim50\;kPa$. However, the efficiency of this method is falling down in the more compressible soil conditions, which does not provide sufficient lateral confinement. In the present study, the GCP method reinforced with uniformly graded permissible concrete is suggested for the extension of application to the soft ground. Also, large triaxial compression tests are conducted on composite- reinforced soil samples for verification of availability of the suggested method and the settlement estimation method of the reinforced GCP is proposed. Further, for the verification of a validity of the proposed method, predicted settlements are compared with results of numerical analyses. Tn addition, parametric studies are performed together with detailed analyses of relevant design parameters.

• Archives of Plastic Surgery
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• 제42권4호
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• pp.469-474
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• 2015

Background Many methods have been proposed for the correction of sunken upper eyelids. These methods include surgical treatments, such as micro-fat, dermofat, or fascia-fat grafts, or the use of alloplastic materials. Here, we present our experience of sunken upper eyelid correction involving the simple addition of anchoring the central fat pad to the medial fat pad during upper blepharoplasty. Methods We performed 74 cases of upper blepharoplasty with sunken upper eyelid correction between October 2013 and September 2014. The lateral portion of the central fat pad was partially dissected to facilitate anchoring. The medial fat pad was gently exposed and then pulled out to facilitate anchoring. After the rotation of the dissected lateral portion of the central fat pad by $180^{\circ}$ to the medial side, it was anchored spreading to the medial fat pad. Photographs taken at 6 months postoperatively were presented to three physicians for objective assessment. Of the 74 patients, 54 patients followed at 6 months postoperatively were included in this retrospective, objective assessment. Results Sunken eyelids were effectively corrected in 51 of the 54 patients, but 3 had minimal effect because preaponeurotic fat pads had been removed during previous upper blepharoplasty. In addition to correcting sunken eyelids, lateral bulging was corrected and a better definition of the lateral portion of upper lid creases was obtained. Conclusions Anchoring the central fat pad to the medial fat pad provides an effective means of correcting sunken upper eyelids during upper blepharoplasty.

• 한방재활의학과학회지
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• 제23권2호
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• pp.129-138
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• 2013

Objectives : This study investigated the relationship between straight leg raising(SLR), valsalva test and size, position of lumbar disc herniation. Methods : We took SLR and valsalva test on 105 patients with lumbar disc herniation. According to the result of MRI findings, this study classified three groups of 105 patients with lumbar disc herniation, bulging, protrusion and extrusion. According to the position of lumbar disc herniation, 72 patients that were diagnosed protrusion and extrsuion were sorted 4 groups, lateral, lateral postero-lateral, central postero-lateral, central. The association size, position of lumbar disc herniation and SLR, valsalva test were analysed. Results : The bigger size of disc herniation, the more positive result of SLR and valsalva test, the lower angle of SLR test. There was not significant association between the position of lumbar disc herniation and the angle of SLR test. Conclusions : The SLR and valsalva test is an useful physical examination to speculate about the degree of lumbar disc herniation.

• 음성과학
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• 제11권1호
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• pp.73-83
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• 2004

Electromyographic studies of the cricopharyngeus muscle using hooked wire electrodes were performed in thyroidectomized patients. The shape of the cricoid cartilage and soft tissue thickness in the postcricoid area were evaluated during pitch elevation and pitch lowering using conventional neck lateral films. The cricopharyngeus muscle simultaneously activated in the initial task of speech and continuously activated. Its activity lessened in the interrogative stress contrast of sentence terminals and increased in the pitch lowered contrast of sentence terminal. On the radiologic findings the cricoid cartilage was tilted backward during high pitched phonation and tilted forward during low pitched phonation. The soft tissue thickness of postcricoid area was thicker at the low pitch than at high pitch. At low pitch the cricoid cartilage paralleled along the vertebral column. This result suggests that the bulging of cricopharyngeus muscle in contraction induce a thickened the postcricoid area thickened, and exert pressure anteriorly exerted on the cricoid cartilage. This contraction of the cricopharyngeus muscle may result in shortening the vocal fold and lowering pitch.

• 한국지반신소재학회논문집
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• 제5권1호
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• pp.15-23
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• 2006

모래다짐말뚝 및 쇄석말뚝 공법의 경우, 연약지반의 보강, 극한지지력의 증대 및 기초지반의 압밀을 가속화시키기 위한 목적으로 지난 수십 년간 폭넓게 적용되고 있다. 쇄석말뚝공법은 비교적 강성이 크고 압축성이 작은 쇄석 등을 이용하여 다짐말뚝을 형성, 연약지반을 개량하는 공법이지만 횡방향 구속압력이 충분하게 발휘되지 않는 지반에서는 팽창파괴(bulging failure)에 대한 저항이 없어 적용이 불가능하게 된다. 따라서 본 연구에서는 쇄석말뚝의 활용도를 높이기 위해 팽창파괴 및 전단파괴 등을 방지하여 침하량을 상당부분 억제시킬 수 있는 고강도 지오그리드 보강 쇄석말뚝공법을 개발하였다. 본 공법 개발을 위해 삼축압축시험을 통하여 치환율 및 구속압력에 따른 일반적인 쇄석말뚝의 거동특성을 우선 살펴보았다. 아울러 유한요소 해석을 통한 3차원 수치해석을 시행하여 지오그리드의 종류 및 지오그리드 보강심도변화에 따른 지오그리드 보강 쇄석말뚝공법의 거동특성 및 침하저감효과를 평가함으로써 지오그리드 보강 쇄석말뚝의 적용성을 평가해 보았다.

• Archives of Plastic Surgery
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• 제44권1호
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• pp.34-41
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• 2017

Background The current indications of cardiac implantable electronic devices (CIEDs) have expanded to include young patients with serious cardiac risk factors, but CIED placement has the disadvantage of involving unsightly scarring and bulging of the chest wall. A collaborative team of cardiologists and plastic surgeons developed a technique for the subpectoral placement of CIEDs in young female patients via a transaxillary approach. Methods From July 2012 to December 2015, subpectoral CIED placement via an axillary incision was performed in 10 young female patients, with a mean age of 25.9 years and mean body mass index of $20.1kg/m^2$. In the supine position, with the patient's shoulder abducted, an approximately 5-cm linear incision was made along one of the deepest axillary creases. The submuscular plane was identified at the lateral border of the pectoralis major, and the dissection continued over the clavipectoral fascia until the subpectoral pocket could securely receive a pulse generator. Slight upward dissection also exposed an entrance to the subclavian vein, allowing the cardiology team to gain access to the vein. One patient with dilated cardiomyopathy underwent augmentation mammoplasty and CIED insertion simultaneously. Results One case of late-onset device infection occurred. All patients were highly satisfied with the results and reported that they would recommend the procedure to others. Conclusions With superior aesthetic outcomes compared to conventional methods, the subpectoral placement of CIEDs via a transaxillary approach is an effective, single-incision method to hide operative scarring and minimize bulging of the device, and is particularly beneficial for young female or lean patients.

• Archives of Plastic Surgery
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• 제35권5호
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• pp.574-580
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• 2008

Purpose: Philtral deformity is a stigma of secondary cleft lip nose. It occurs from the false arrangement of orbicularis oris muscle and the scar of previous operation. Various methods have been used to correct this deformity. We successfully corrected philtral deformity using overlapping of orbicularis oris muscle flap. Methods: From November 2000 to August 2007, we performed 39 cases of correction of philtral deformity in secondary cleft lip nose with overlapping of orbicularis oris muscle flap. Their age ranged from 5 to 53 years old. Existing scar tissue of previous operation was deepithelialized and preserved as scar flap. Lateral orbicularis oris muscle flap was elevated, advanced and overlapped upon medial muscle flap after dissection of orbicularis oris muscle of both sides. Reconstruction of philtral column was made from overlapping area by fixation of end part of lateral muscle flap to the point between philtral dimple and column. The degree of muscle flap advancement was decided by correction state of lateral muscle bulging. Correction of nostril floor depression or whistle deformity was also performed with preserved scar flap, if necessary. Results: Realignments of orbicularis oris muscle were possible in the majority of the patients and final results of philtral reconstruction were satisfactory mostly. Correction of nostril floor depression and whistle deformity was also achieved. Additional correction was performed later to 4 patients in whom insufficient reconstruction was noted. No significant complication was observed. Conclusion: More natural and symmetric philtrum was acquired with overlapping of orbicularis oris muscle flap. To the authors' knowledge, it is an easy and effective method for correction of philtral deformity through anatomical rearrangement of distorted orbicularis oris muscle with relatively simple procedure.

• Archives of Plastic Surgery
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• 제35권5호
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• pp.581-588
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• 2008

Purpose: It is generally accepted that anatomical structures of the soft tissue in Asian faces are quite different from those in Caucasian. It is presumed that these differences are due to collagen rich thick dermis and durable superficial musculo-apponeurotic system (SMAS) in Asian. We classified the aging lower eyelids and reviewed the operative procedures according to the types of aging lower eyelids in Asian. Methods: We compared preoperative and postoperative photos of 117 patients over 30 years of age, who underwent lower blepharoplasty at the Kyunghee Medical Center from January 2001 to April 2006. We classified the patients based on the degree of skin laxity, presence of nasojugal groove and malar bag, the extent of aging process. We also reviewed the operative procedures according to each type of classification. Results: We classified our patients into four types as following. Type I patients showed minimal skin-muscle excess confined to lower eyelids regardless of the facial line. For these patients, we performed only transcutaneous or transconjunctival blepharoplasty. In type II patients, nasojugal grooves were shown and skin- muscle laxity was limited to the medial side of imaginary vertical line at lateral margin of pupil. In these cases, we performed free fat graft or fat repositioning on nasojugal groove or fat removal and septal duplication confined to medial side. Type III patients displayed more advanced medial bulging and remarkable laxity over the lateral side, the same operation methods as those of type II were applied at the lateral side of the line. Type IV patients demonstrated extensive midfacial aging changes including malar bags and underwent superficial subciliary cheek lift. Conclusion: The lower eyelid aging of Asian is different from those of Caucasian. We think that our classification is useful in selection of appropriate operative procedure to address specific problems for Asian patients.

• 한국지반환경공학회 논문집
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• 제7권1호
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• pp.5-18
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• 2006

쇄석말뚝과 조립토 다짐말뚝은 연약지반의 보강, 극한지지력의 증대 및 기초 지반의 압밀을 가속화시키기 위한 목적으로 지난 수십 년 동안 폭넓게 사용되고 있다. 조립토 다짐말뚝의 극한지지력은 조립토 말뚝의 팽창파괴를 억제하기위한 지반의 횡방향 구속압에 지배된다. 한편, 조립토 다짐말뚝은 충분한 횡방향 구속압이 발휘되지 못하는 압축성 점토지반이나 연약지반에서는 그 기능을 기대하기 어려운 점이 있다. 따라서 본 연구에서는 기존 조립토 다짐말뚝과 일부 심도를 빈배합 콘크리트로 보강한 조립토 다짐말뚝에 대한 3차원 수치해석을 실시하여 그 결과를 비교, 분석하였다. 또한, 본 연구에서는 수치해석결과를 바탕으로 침하저감계수에 대한 회귀분석식이 제시되었으며, 침하저감계수에 대한 변수분석을 통해 제안된 침하저감계수 회귀식의 타당성을 검증하였다.

• Archives of Plastic Surgery
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• 제39권5호
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• pp.470-476
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• 2012

Background The whistle deformity is one of the common sequelae of secondary cleft lip deformities. Santos reported using a crossed-denuded flap for primary cleft lip repair to prevent a vermilion notching. The authors modified this technique to correct the whistle deformity, calling their version the cross-muscle flap. Methods From May 2005 to January 2011, 14 secondary unilateral cleft lip patients were treated. All suffered from a whistle deformity, which is characterized by the deficiency of the central tubercle, notching in the upper lip, and bulging on the lateral segment. The mean age of the patients was 13.8 years and the mean follow-up period was 21.8 weeks. After elevation from the lateral vermilion and medial tubercle, two muscle flaps were crossed and turned over. The authors measured the three vertical heights and compared the two height ratios before and after surgery for evaluation of the postoperative results. Results None of the patients had any notable complications and the whistle deformity was corrected in all cases. The vertical height ratios at the midline on the upper lip and the affected Cupid's bow point were increased (P<0.05). The motion of the upper lip was acceptable. Conclusions A cross muscle flap is simple and it leaves a minimal scar on the lip. We were able to reconstruct the whistle deformity in secondary unilateral cleft lip patients with a single state procedure using a cross-muscle flap.