• 한국강구조학회 논문집
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• 제23권4호
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• pp.405-415
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• 2011

건축물의 안전한 내진설계를 위해서는 층간변위비 뿐만 아니라 부재에 요구되는 소성변형을 평가하여야 한다. 본 연구에서는 복잡한 비선형해석 없이 탄성해석을 사용하여 강기둥-약보로 설계된 철골 특수모멘트골조의 보에 요구되는 소성변형을 평가하는 간편한 방법을 개발하였다. 개발한 방법은 탄성해석 결과를 근거로 모멘트 재분배, 기둥 단면치수 및 보 소성힌지 이동, 패널존 변형, 중력하중, 변형경화 거동 등을 고려하여 보의 소성변형각을 직접적으로 예측한다. 또한 가새골조 또는 코어벽 등 횡력 저항구조와 모멘트골조의 상호 작용인 로킹 효과 고려한다. 검증을 위하여 강기둥-약보로 설계된 6층 특수모멘트골조에 제안된 방법을 적용하여 보의 소성변형각을 예측하고, 그 결과를 비선형 해석 결과와 비교하였다. 검증 결과, 제안된 방법은 설계 변수에 따른 보의 소성변형각을 합리적으로 예측하는 것으로 나타났다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제23권5호
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• pp.461-470
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• 2001

A unhealthy 58-year-old male patient required extraction of left upper second molar due to advanced periodontitis. Lidocaine contained 1 : 100000 epinephrine for left posterior superior alveolar nerve block was administered in the mucobuccal fold above the second molar to be treated at the local private dental clinic. After four hours of posterior superior alveolar block anesthesia, patient feeled double vision and discomfort of eyeball movement. At next day, he complained difficulty of left eyeball movement, vertigo and diplopia. He was referred to our department via local clinic and department of ophthalomology of our hospital. He was treated by medication and eyeball exercise, and then follow up check. The double vision and medial rectus muscle palsy disappeared patially after 2 months of block anesthesia. We described herein an ocular complication of diplopia and inferior rectus muscle palsy after posterior superior alveolar nerve block for extraction of left upper second molar, and review the cause or origin of this case. The autonomic nervous system is presented as the logical basis for the untoward systems of ophthalmologic sign likely to diplopia and inferior rectus muscle palsy, rather then simple circulation of anesthetic solution in the vascular network.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제23권4호
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• pp.348-356
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• 2001

The factors related to relapse in 20 skeletal class III patients who performed two-jaw surgery with Le Fort I maxillary osteotomy and bilateral sagittal split ramus osteotomy was investigated. All patients were fixed with miniplate on the maxilla and three screws at each mandible. Cephalograms taken at preoperative, immediate postoperative and 8 months postoperative after surgery were traced and digitized. 1.The horizontal and vertical relapse of maxilla and mandibular chin points was within 1mm postoperatively. Compare to the preceding report concerning the mandibular set-back surgery only group, this reveals two-jaw surgery for mandibular prognathism using rigid fixation is more stable. 2.Although there was no significant relapse tendancy was observed at chin points, the screw tip land-marks moves anterio-superiorly and each side of the screws moved as a one unit. The screw tip points moved similar direction to the masticatory force and this movements might be influenced by the muscular tension to the distal segment of the mandible. 3.According to the regression analysis, the amount of horizontal and vertical movement of mandibular set-back influenced the mandibular relapse. However, direction and amount of maxillary surgical movement did not inf1uenced the maxillary and mandibular relapse.

• 한국의류학회지
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• 제19권2호
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• pp.190-202
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• 1995

The Optical Art is based on the principle of visual perception of the illusionary effects which induce psychological responses. It has influenced greatly on the Texile Design in that unique iJlusionary creativity of pattern simulates the visual sense of special movement; the dynamic psylosophy of vitalism. The Optical pattern has become a highly valued item due to its innovative effect in aesthetic direction. According to Vitor Vasarely the pioneer in this area, the integration and the inseparability of form and color which he calls 'Plastic Unity' provides the basis for the composition of infinite variety. The composition of infinite variety. The composition reveals the complex interaction between the space and form relating to order, repetition, combination and permutation. It is not simple to create optical patterns due to the extreme complexity composed by the multi-dimension and the infusion of form and color giving immensely varied movement. The purposes of this study are as follows; 1) to classify the complex processes of optical pattern on the basis of formative method. 2) to develop creative ideas for progressive contemporary textile design In this study, the analysis of applied methods is concentrated, which is based 1) on the gradual modification and on the transformation of the basic plastic elements which depend on thle direction of visual points involVing contradictory perspectives 2) on the composition varied special situations by repeating, overlapping and converging a series of idetUical units or by means of irrdiation, radiation and etc.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제34권6호
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• pp.494-497
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• 2012

Traumatic lacerations are common in the orofacial region as a result of accidents. Due to the frequent movement of the skin around the mandible, scars in that area are more likely to widen or become hypertrophic. Treatment of facial laceration was performed on three patients and followed by regular check-up. It was discovered that the scars have become hypertrophic, so steroid injections were used. The results were satisfactory with the decrease in sizes and hardnes of the scar. Facial scarring is a particularly distressing phenomenon and has always been a challenge to treat as the scars are more likely to widen or become hyphertrophied due to the frequent movement of the muscle in the facial area. We confirmed that the positive effect of steroid on hypertrophic scars. So, we suggest that proper treatment and periodic follow-up, adjuvant treatments especially steroid injection is necessary in patients with lacerations.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제14권1_2호
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• pp.40-53
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• 1992

This sutdy aimed at examining the effect of lingual frenectomy on phonation & tongue movement. Almost the patient visiting to department of oral & maxillofacial surgery for the treatment of tongue tie always complain the speech problem. Many operation was performed according to this problem. But the objective evaluation of the speech change have been deficient. The experimental group was 25 adult males. Fourteen Korean consonants & after Korean vowels was combined and seventy sound was made for speech analysis. Before & after lingual frenectomy, the speech of the above mentioned group was recorded and then analysed by the Speech Workstation computer software. And before & after operation, the lingual frenum & tongue protrusion amount vas measured. The results were as follows : 1. The pre-operative length of lingual frenum was inverse proportion with the pre-operative length of the protrusive tongue. 2. The average difference between pre & post-operative length of the protrusive tongue was about 23 mm. 3. In the comparison of consonant continuing time change, fricative consonant(r, s, h) was increased post-operatively. 4. In the comparison of the vowel frequency formant change, the "i"and "u" sound vas reliably changed. 5. There was no reliable speech changes on the other sounds.

• Archives of Plastic Surgery
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• 제50권3호
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• pp.254-263
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• 2023

Background The three-dimensional (3D) evaluation of skeletal stability after orthognathic surgery is a time-consuming and complex procedure. The complexity increases further when evaluating the surgery-first orthognathic approach (SFOA). Herein, we propose and validate a simple time-saving method of 3D analysis using a single software, demonstrating high accuracy and repeatability. Methods This retrospective cohort study included 12 patients with skeletal class 3 malocclusion who underwent bimaxillary surgery without any presurgical orthodontics. Computed tomography (CT)/cone-beam CT images of each patient were obtained at three different time points (preoperation [T0], immediately postoperation [T1], and 1 year after surgery [T2]) and reconstructed into 3D images. After automatic surface-based alignment of the three models based on the anterior cranial base, five easily located anatomical landmarks were defined to each model. A set of angular and linear measurements were automatically calculated and used to define the amount of movement (T1-T0) and the amount of relapse (T2-T1). To evaluate the reproducibility, two independent observers processed all the cases, One of them repeated the steps after 2 weeks to assess intraobserver variability. Intraclass correlation coefficients (ICCs) were calculated at a 95% confidence interval. Time required for evaluating each case was recorded. Results Both the intra- and interobserver variability showed high ICC values (more than 0.95) with low measurement variations (mean linear variations: 0.18 mm; mean angular variations: 0.25 degree). Time needed for the evaluation process ranged from 3 to 5 minutes. Conclusion This approach is time-saving, semiautomatic, and easy to learn and can be used to effectively evaluate stability after SFOA.

• 한국의류학회지
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• 제14권4호
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• pp.292-304
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• 1990

The surface change of upperarm and shoulder blade area are caused by the extensive upper limb movement, thus it is necessary to measure the amount of change for constructing the clothing. Moire photography was taken after plastic casters of upperarm and shoulder blade area was prepared. 1. For the shoulder blade area, subjects showed the same change of surface area for the various limb positions, wherease, for the upperarm only at the $0^{\circ}\;and\;180^{\circ}$ limb position, same change was observed. 2. As the movement of the upperarm was increased, surface area of axillary part was increased and that of shoulder part was decreased. 3. To make a bodice pattern, the minimum size of the back with the ease were $\frac{B}{4}$+3.13 cm R for normal wear and $\frac{B}{4}$+5.75 cm for active wear. 4. As the movement of the arm was increased, the cross section for the upperarm were changed to elliptical shape. 5. For each horizontal basic line, there was a positive correlation between the amount of change of shoulder blad area and that of upperarm area.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제29권2호
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• pp.148-156
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• 2007

Purpose: The aim of this study is the changes of upper respiratory airway space in patients with mandibular prognathism after 2-jaw orthognathic surgery in patients with skeletal classs III malocclusion. Method: We measured the lines between selected upper airway landmarks on lateral cephalometric x-ray films of skeletal class III 64 persons who had not been operated yet, were 6 months after operation. The test subjects were divided into 3 groups according to maxillary movement, as follows; maxillary advancement (MA) group, maxillary posterior impaction (MPI) group, maxillary posterior impaction and superior repositioning (MPI+MSR) group. Result: In this study, nasopharyngeal airway space in MPI+MSR group was significantly increased after operation (p<0.05). Oropharygeal and hypopharyngeal airway space in MA group and MPI group were significantly decreased after operation (p<0.05). From hyoid bone to anterior mandible point distance in MA group and MPI group were significantly decreased after operation (p<0.05). Conclusion: Oropharygeal and hypopharyngeal airway space were influenced more by mandibular set-back than maxillary movement. Maxillary movement surgery as well as mandibular setback surgery should be taken into consideration in order to minimize symptoms related to obstructive sleep apnea syndrome after operation.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제29권3호
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• pp.255-261
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• 2007

Preface: Dental implant is important method that may solve the mastication, occlusion, esthetic, temporomandibular joint, and psychologic problem in oral and maxillofacial surgery. It is ideal that all of the implant are well positioned by adequate technique. By the way it‘s not always possible because of some anatomic, physiologic factor. In this case, If the implant can be moved to adequate position, it may be possible more esthetically and implanted patients more satisfied, but the majority of Implantists and orthodontists have thought that it is not possible. However, Implant, in fact, can be moved. and thus we can overcome the limit of implantation more. The aim of the present study was to evaluate the possibility of implant movement after corticotomy. Case report: Patient missed the upper right first molar. and implantation was done after completion of socket healing. We wait six months for osseointegration. Then, corticotomy was done under local anesthesia and close coil was used for orthodontic force. After traction during 3 weeks, we find the change of implant position at horizontal plane. we can not see the degenerative change on adjacent structure and tracted implant. there is a clinical mobility on upper right second premolar that used for anchorage but it subside spontaneously at the timing of prosthetic restoration without additional treatment. Discussion: As we could have some knowledge with this experiment, we report the case of implant movement after corticotomy and suggest a method about more esthetic implant treatment with a review of literature.