• Archives of Reconstructive Microsurgery
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• v.11 no.2
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• pp.141-145
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• 2002

Rectus abdominis muscle free flap is widely used for breast reconstruction and soft tissue defect in lower leg but donor-site morbidities such as abdominal wall weakness, hernia, bulging are troublesome. Recently, to minimize donor-site morbidity, there has been a surge in interest in deep inferior epigastric perforator(DIEP) free flap preserving the anatomy of rectus abdominis muscle, fascia, and motor nerve. Between August of 1995 and September of 2002, topographic investigation of DIEP was performed during the elevation of 97 cases of TRAM free flap and 5 cases of DIEP free flap. There were 84 cases of breast reconstructions, 12 cases of lower leg reconstructions, and 6 cases of head and neck reconstruction. We could observe total 10 to 12 perforators on each rectus abdominis muscle below umbilicus. Among these, the numbers of large perforators(>1.5mm of diameter) were mean 2.1 in lateral half of rectus abdominis muscle, mean 1.2 in medial half, and mean 0.5 in linea alba and paramedian. DIEP free flap provides ample amount of well vascularized soft tissue without inclusion of any rectus abdominis muscle and fascia and minimizes donor-site morbidity. One perforator with significant flow can perfuse the whole flap. For large flap, a perforator of the medial row provides better perfusion to zone-4 than one of lateral row and, if diameter of perforator is small, $2{\sim}3$ perforators can be used. According to the condition of recipient-site, thin flap can be harvested. As DIEP free flap has many advantage, perforator topography will be useful in increasing clinical usage of DIEP free flap.

• Proceedings of the Korean Society of Agricultural Engineers Conference
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• 2005.10a
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• pp.336-342
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• 2005

Stone column or granular compaction pile have been used in widely during the several decades as a technique to reinforce soft cohesive soils and increase bearing capacity, accelerate consolidation settlement of the foundation soil. The bearing capacity of the granular compaction pile is governed mainly by the lateral confining pressure mobilized in the native soft soil to restrain bulging collapse of the granular pile. Therefore, the technique becomes unfeasible in soft, compressible clayey soils that do not provide sufficient lateral confinement. This paper presents the main results of numerical study of granular compaction pile which is partly mixed with lean concrete. 3D finite element analyses are performed with composite reinforced foundations by both granular compaction pile and partly mixed granular compaction pile with lean-mixed concrete.

• Archives of Plastic Surgery
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• v.34 no.2
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• pp.229-236
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• 2007

Purpose: Breast reconstruction with deep inferior epigastric perforator(DIEP) free flap is known to be the most advanced method of utilizing autologous tissue. The DIEP free flap method saves most of the rectus abdominis muscle as well as anterior rectus sheath. Therefore, the morbidity of the donor site is minimized and the risk of hernia is markedly decreased. Methods: We chose the internal mammary artery and its venae comitantes as recipient vessels, and deep inferior epigastric vessels as donor vessels. The number and location of the perforators derived from medial or lateral branch of deep inferior epigastric artery(DIEA) in 23 DIEP flaps were identified. Ten patients underwent evaluation of their abdominal wall function preoperatively and 6 months postoperatively by using Lacote's muscle grading system. Results: Of the 23 patients, a patient with one perforator from lateral branch of DIEA experienced partial necrosis of flap. Total flap loss occurred in one patient. Mild abdominal bulging was reported in one patient 4 months postoperatively probably because of early vigorous rehabilitational therapy for her frozen shoulder. Postoperative abdominal wall function tests in 10 patients showed almost complete recovery of muscle function upto their preoperative level of upper and lower rectus abdominis and external oblique muscle function at 6 months postoperatively. All patients have been able to resume their daily activities. Conclusion: The breast reconstruction with DIEP free flap is reliable and valuable method which provide ample soft tissue from abdomen without compromising the integrity of abdominal wall. Selection of reliable perforators is important and including more than two perforators may decrease fat necrosis and partial necrosis of flap.

• Journal of the Korean Geotechnical Society
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• v.22 no.12
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• pp.77-88
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• 2006

A series of model tests were performed to investigate the ground deformation during trench excavation for diaphragm walls. An apparatus was manufactured to observe the failure pattern of a slurry-supported trench in sandy ground. Ground deformations including settlement and lateral displacement of the surrounding ground adjacent to the trench were carefully monitored during excavation. Experimental observations indicated that the settlement of the adjacent ground increased with closing to the trench. Especially, the considerable settlement occurred at the distance which was equal to 40% of the excavation depth. And, the higher settlement was obtained when the relative density of ground was looser and the ground water table was higher. Also, the lateral wall face of excavated trench was bulged with lowering the slurry level In stages and then the upper part of trench failed finally. The envelope of ground surface settlement could be represented as a hyperbolic line and the measured settlement was smaller than those predicted by Clough and O'Rourke (1990).

• Imaging Science in Dentistry
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• v.44 no.3
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• pp.243-247
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• 2014

A 28-year-old male patient with a history of cystic fibrosis (CF) was referred to the University of Connecticut School of Dental Medicine for an evaluation of a cystic lesion in the right maxilla using cone-beam computed tomography (CBCT). CF is an autosomal recessive disease characterized by an abnormal production of viscous mucus, affecting the mucociliary clearance. The CBCT scan revealed a large cystic lesion in the right maxilla extending from the right maxillary second molar to the midline in the region of the right central incisor with a significant buccal expansion. Further evaluation revealed complete opacification of the paranasal sinuses with medial bulging of the lateral maxillary sinus walls. The maxillary and sphenoid sinuses also appeared hypoplastic. The peculiar finding seen in this case was the presence of marked sclerosis and an increase in the thickness of the adjacent bony framework. This report aimed to describe the common sinonasal findings associated with CF and its underlying pathophysiology.

• Proceedings of the Korean Geotechical Society Conference
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• 2006.03a
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• pp.838-845
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• 2006

Recently construction work in Korea, demands of favorable condition ground had been increased with industrialization acceleration and economic growth. However, because of limited land space, it was so hard to ensure favorable condition grounds that construction work proceeds until soft ground area on plans of road, railroad and industrial complex. In this case, soft ground improvement was required such as a stone column method. Stone column method, making a compaction pile using crushed stone, is a soft ground improvement method. However, stone column method is difficult to apply to the ground which is not mobilized enough lateral confine pressure because no bulging failure resistance. Hence, in present study, evaluates the stone columns reinforced by geogrid for settlement reduction and wide range of application of stone columns. Triaxial compression tests were conducted for evaluation which is about behavior characteristics of stone column on replacement rate. Then, 3-dimensional numerical analysis were conducted for application of stone column reinforced by geogrid as evaluate behavior characteristics and settlement reduction effect of stone column reinforced by geogrid on reinforcing depth change of geogrid.

• Journal of Veterinary Clinics
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• v.32 no.1
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• pp.123-126
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• 2015

A 14-year-old, male Shih-tzu was presented with glaucoma in the left eye. Menace response was negative in the left eye. On ophthalmic examination, exotropia, buphthalmos, bulging of upper lateral globe and episcleral injection was detected in the left eye. Also, there was corneal edema, corneal pigmentation and hyphema in the left eye. The pupil was difficult to observe due to corneal lesions in the left eye. On ultrasonographic examination, an amorphous large mass protruding from the region of the optic disc into the vitreous was observed in the left eye. Enucleation was performed in the left eye. Histologically, the left intraocular mass was diagnosed as glioma. Immunohistochemically, the neoplastic cells were positive to glial fibrillary acidic protein.

• Journal of the Korean Geosynthetics Society
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• v.2 no.1
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• pp.15-25
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• 2003

This paper presents the results of instrumentation of a two-level of soil-reinforced segmental retaining wall. Instrumentation items include the lateral wall displacements and the geogrid strains at several locations. The instrumentation is still long carried in order to examine long-term behavior. The result indicate that the upper wall has a significant effect on the behavior of the lower wall doubling the wall moved. The wall also exhibits significant post-construction movements that had ceased several months after the wall completed. The implication of the findings from this study was discussed in great detail.

• Archives of Craniofacial Surgery
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• v.11 no.1
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• pp.65-68
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• 2010

Purpose: Dermoid cysts are benign neoplasms that are derived from both ectoderm and mesoderm. Approximately 7 percent of all dermoid cysts occur in the head and neck, as most common sites are the lateral ends of the eyebrows, the midline in the nasal root and neck. Rarely they can be found in the frontal sinus, temporal bone, maxilla and the floor of the mouth. Dermoid cysts in the temporal fossa are extremely rare. We experienced a characteristic dermoid cyst that occupied the temporal fossa. Methods: A 16-year-old man had a progressive enlarging mass on the left eyebrow. Computerized tomographic scan showed a bulging mass in the temporal fossa, and it had the density similar to that of fat. The size of the mass was $3{\times}3{\times}2cm$, and it was composed of high density of fat with clear margin. There was no bony invasion, but the mass was fixed on bone. Results: We performed the surgery through coronal incision under general anesthesia. Because the mass was closely connected with temporal fat pads, we removed this mass with some portion of temporal fat pads, avoiding damage to the facial nerve. The postoperative course was ordinary without complication. Conclusion: The reports about dermoid cyst on the temporal fossa is uncommon. However, if there is a mass in the temporal fossa which has the density similar to that of fat in CT scan, we should consider the possibility of dermoid cyst. We suggest that excision through coronal incision with bewaring temporal fat pad can induce good result.

• The Korean Journal of Pain
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• v.11 no.2
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• pp.307-310
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• 1998

Selective lumbosacral radiculography and nerve root block techniques are very useful in determining the nerve root involved. We have done the lumbar root block to 61-year-old female who had suffered from low back pain radiating to right lower leg which was not relieved by epidural steroid injection two times. $L_5$ root block was performed under the fluoroscopic C-arm guide. When the needle was in correct position, we injected contrast medium (Isovist$^{(R)}$ - 300, Schering, Germany). After we injected 1.5 cc isovist, the S1 root was figured but L5 root was not figured. When we reinjected 1.5 cc isovist, $S_1$ root was enhanced and $L_5$ root was slightly visible due to severe disc bulging and lateral spinal stenosis.