• Archives of Plastic Surgery
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• v.50 no.6
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• pp.573-577
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• 2023

Pachyonychia congenita is a rare genetic disorder characterized by hypertrophic nail plates, hyperkeratotic nail beds, and thickened hyponychium of the fingers and toes, impairing manual dexterity and resulting in poor aesthetics. The current body of literature describes various treatment modalities, but no singular approach has been defined as the gold standard. In this case, the authors employed different surgical techniques for treating pachyonychia congenita to evaluate the most effective approach. A 3-year-old boy presented with hypertrophic nail growth involving all digits of both hands and feet. Three surgical procedures were performed on the patient's fingers and toes using germinal matrix excision (GME) alone, GME plus partial sterile matrix excision (pSME), or GME plus complete sterile matrix excision (cSME). The digits treated with GME + cSME exhibited no recurrence of nail growth. Those treated with GME alone exhibited recurrence of hypertrophic nail growth, although their growth slowed. Excision of GME + cSME prevented recurrence of hypertrophic nails, while GME alone or with pSME led to slower-growing hypertrophic nails. Complete excision of the germinal and sterile matrices with skin graft closure may be a definitive treatment for pachyonychia congenita, but further studies are needed to validate these findings.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.12 no.1
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• pp.193-201
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• 1990

This is a case report of a florid osseous dysplasia occurred in the left posterior region of the mandible in a 60-year-old female. Florid osseous sysplasia is a distinct clincial pathologic entity representing an exuberant variant of osseous dysplasia, defined by Robinson to be a abnormal reaction of bone to irritation or stimulation. The treatment was performed with partial mandibulectomy and immediate reconstruction with metal plate and iliac bone graft. The patient did well postoperatively and has shown no sign of recurrence or complication during the 6 month postoperative period.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.20 no.3
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• pp.207-213
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• 1998

Purpose : This study attempted to relate the incidence of fractures at the mandibular angle with the presence and state of eruption of lower third molars, and to find out the real risk factors for angle fractures in the states of lower third molars. Materials and Methods : Medical records and radiographs of 395 patients with mandibular fractures were retrospectively reviewed. The presence and states of third molars were assessed for each patients and related to the occurrence of angle and other mandibular fractures. Results : Of 395 patients with mandibular fractures, 142 had angle fractures. The incidence of angle fractures was found to be significantly greater when partial erupted lower third molars were present and it had a definite role for risk factors for angle fractures. But there were no clear relationship between the incidence of angle fracrtures and states of without, fully erupted lower third molars. Furthermore, the states of patial and unerupted lower third molar had an effect on bony segment displacement. Conclusions : This study provides clinical evidence to suggest that patial erupted third molar teeth weaken the mandibular angle both quantitatively and qualitatively.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.15 no.1
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• pp.1-6
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• 1993

The maxillary squamous cell carcinoma is major part of maxillary malignant tumor. The treatment of maxillary malignancy tumor is the maxillectomy in combination with radiation therapy and chemorherapy. When tumor invasion is occured to the orbit, orbital exenteration is required. But if the periosteum of the orbital floor is intact, the orbit can be preserved. There are many orbital floor reconstruction materials for the prevention of ptosis of the orbital content. The patients on this paper were diagnosised as squamous cell carcinoma on maxilla, we performed the partial maxillectomy including the orbital floor, and we used temporalis muscle-coronoid process flap for the reconstruction of the orbital floor after partial maxillectomy and obtained good esthetic and functional results, as followed. 1. We obtained sufficient flap width for defect of orbital floor. 2. It permits good blood supply and no necessary other donor site. 3. It gives a solid base for the support the globe and the orbital floor. 4. It gives minimal postoperative morphorogical defect and functional disturbance.

• Steel and Composite Structures
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• v.34 no.3
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• pp.321-332
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• 2020

The loss of composite action at the hogging moment zone for a continuous composite girder reduces the girder stiffness and strength. This paper presents an experimental investigation of the use of an ultra-high performance concrete (UHPC) slab at the hogging moment zone and a normal concrete (NC) slab at the sagging moment zone. The testing was conducted to verify the level of loading at which composite action is maintained at the hogging moment zone. Four two-span continuous composite girders were tested. The thickness of the UHPC varied between a half and a full depth of slab. The degree of shear connection at the hogging moment zone varied between full and partial. The experimental results confirmed the effectiveness of the UHPC slab to enhance the girder stiffness and maintain the composite action at the hogging moment zone at a load level much higher than the upper service load limit. To a lesser degree enhanced performance was also noted for the smaller thickness of the UHPC slab and partial shear connection at the hogging moment zone. Plastic analysis was conducted to evaluate the ultimate capacity of the girder which yielded a conservative estimation. Finite element (FE) modeling evaluated the girder performance numerically and yielded satisfactory results. The results indicated that composite action at the hogging moment zone is maintained for the degree of shear connection taken as 50% of the full composite action and use of UHPC as half depth of slab thickness.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.37
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• pp.42.1-42.5
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• 2015

In the field of oral-maxillofacial surgery, vascular malformations present in various forms. Abnormalities in the size of the tongue by vascular malformations can cause mandibular prognathism and skeletal deformity. The risk in surgical treatment for patients with vascular malformation is high, due to bleeding from vascular lesions. We report a rare case of macroglossia that was treated by partial glossectomy, resulting in an improvement in the swallowing and mastication functions in the patient. A 25-year-old male patient with severe open-bite and mandibular prognathism presented to our department for the management of macroglossia. The patient had a difficulty in food intake because of the large tongue. Orthognathic surgery was not indicated because the patient had severe jaw bone destruction and alveolar bone resorption. Therefore, the patient underwent partial glossectomy under general anesthesia. There was severe hemorrhaging during the surgery, but the bleeding was controlled by local procedures.

• Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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• 2003.11a
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• pp.189-195
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• 2003

This paper represents an identification procedure for leading mechanism of a car A/V system which is composed of a DC motor and a set of plastic gears. In addition, we studied dominant noise source of rattle noise generated by external forced vibration as a car drives. we made a dynamometer to produce stationary operation on loading mechanism of A/V system because noise generated by actual loading mechanism is non-stationary signal. operating the dynamometer setup at various motor speeds, sound pressure spectra are measured and the results are analyzed. its dominant noise source is also identified by using a sound Intensity technique. we made use of multi-dimensional spectral analysis to rind a dominant rattle noise. this method is so useful to eliminate coherence between vibration sources and helps us obtain coherent output spectrum of individual vibration source which make a rattle noise.

• Journal of Korean Society of Steel Construction
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• v.20 no.6
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• pp.817-827
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• 2008

The seismic performance of a column splice fabricated with PJP (partial joint penetration) welds for special moment frames was experimentally evaluated in this study. The steel materials that were used for the specimens included SHN490 and SN490 steel, or the newly developed structural steel for seismic application. Fabricating the column splice with PJP welds is highly attractive from the perspective of reducing the welding cost and the construction time. PJP welds in column splices are viewed apprehensively, however, because several tests have shown that PJP welds in thick members tend to become brittle under tensile loads. The column splices in this testing program were designed for the expected plastic moment of the column that current seismic codes typically require. The design strength of partial-penetration welded joints was determined according to the 2005 AISC-LRFD Specification. Three-point loading was applied monotonically, using a universal testing machine, such thatthe column splice joints were subjected to pure tension. The test results showed that the PJP welded splices, if designed properly, can develop a strength exceeding that of the actual plastic moment of the column. The specimen made of the SM490 rolled section, however, showed a brittle fracture at the splice soon after achieving the actual plastic moment of the column. The tensile coupon test results also showed that the material properties of SM490 steel are more unpredictable. Overall, although the test data are limited, the SHN490 and SN490 steel specimens showed a superior and reliable performance.

• Archives of Plastic Surgery
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• v.37 no.5
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• pp.644-649
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• 2010

Purpose: As the mean life expectancy of people has been prolonged, and the elderly people who participate in the production activities has been increasing, it is expected that the demand on the replantation of amputated digits in elderly patients would increase. But, there are few studies about the replantation of amputated digits in elderly patients. Therefore, we report treatment outcomes of replantation of amputated digits in elderly patients. Methods: From 1998 to 2008, the replantation was performed in 51 completely amputated digits of 33 patients aged 60 years or older. We performed the replantation in the usual manner. Under the brachial plexus block, the surgical procedures carried out in the following sequence: internal fixation using Kirschner wire, tenorrhaphy, arteriorrhaphy, neurorrhaphy and venorrhaphy. If the arterial ends could not be approximated without tension, a vein graft was performed. Results: Of a total of 51 digits, 46 digits (90%) survived. 13 patients (40%) had underlying medical problem preoperatively. But, in all the patients, there were no postoperative medical complications. As the postoperative surgical complications, excluding five cases of the total necrosis of digit, there were three cases of venous congestion, two cases of arterial insufficiency, seven cases of infection and 16 cases of partial necrosis. Conclusion: Age alone does not affect the survival of replanted digits. Type of injury is the most important factor that affects the survival of replanted digits.

• Archives of Plastic Surgery
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• v.39 no.2
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• pp.126-129
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• 2012

Background : Facial capillary malformations (CMs) rarely recede; they often become darker and raised in proportion to their growth. These malformations may hypertrophy in adulthood, resulting in increased disfigurement and dysfunction. Laser treatment is considered a first-line therapy for focal CMs, but thick wide lesions, which are accompanied by hypertrophy and have a well-circumscribed nodularity, may be treated with surgical excision and reconstruction. Methods : We retrospectively reviewed the records of 25 consecutive patients who had undergone complete or partial excisions of facial capillary malformations in our unit. After the excisions, the defects that encompassed their facial aesthetic units were subsequently covered by various methods, including primary closures, local flaps, expanded flaps, split-thickness skin grafts, and full thickness skin grafts. Results : The data demonstrated satisfactory results and reliability. Our patients were treated without significant complications, and all of the patients were moderately or fully satisfied with the outcome of their surgeries. Conclusions : Among the many reconstructive options for adult patients with facial capillary malformations, thick split-thickness skin grafts can be a good choice for the coverage of widely excised wounds.