• Korean Journal of Head & Neck Oncology
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• v.7 no.2
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• pp.92-98
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• 1991

Numerous mycoutaneous island flaps or free flaps have been used to reconstruct a defect which resulted from the wide resection of tumor mass in head and neck region. Since the curative resection of tumor usually include muscles and bones as well as skin and mucosa, the anatomical and functional restoration of the defect depend on which and what amount of tissues were provided to cover the defect; good aesthetic appearance subsequently follows the result. Furthermore, a simultaneous neck nodes dissection usually results in exposure of major neck vessels., which should be protected with sufficient padding. The ideal method to reconstruct a defect in the head and neck region requires a sufficient coverage by muscle layer with good vascularity, a wide arc of rotation, and minimization of donor site defect. The pectoralis major myocutaneous flap which was first decribed by Ariyan and lateral trapezius myocutaneous flap by Demergasso meet these criteria. We describe the use of these myocutaneous flaps in reconstruction of mandible and oral cavity.

• Archives of Reconstructive Microsurgery
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• v.25 no.1
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• pp.1-6
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• 2016

Purpose: The external ear is a common area of trauma on the body prone to exposure of ultraviolet light, which can lead to skin cancer. Thus, variable techniques have been developed and used for reconstruction of the external ear. The aim of this study is to review the surgical method, its area of application, as well as advantages and pitfalls of reconstruction of the external ear with inferior based retroauricular flaps. Materials and Methods: Eight patients underwent external ear reconstruction with inferior based retroauricular flap for external ear defects in our institute from September 2012 to June 2015. According to the area of the defect, patients were classified as middle 1/3 (n=4), inferior 1/3 (n=2), superior auroculo-cephalic sulcus (n=1), and external auditory canal (n=1). Results: All of the flaps survived the operation and there was no marginal necrosis. Mean size of the defect was $2.8{\times}1.8cm$ and mean size of the retroauricular flap was $5{\times}2cm$. For insetting of the flap, a subcutaneous tunneling technique was used in 6 cases and rotation without subcutaneous tunneling was used in 2 cases. Transient paresthesia occurred in 3 cases. Two cases recovered within 3 months but one case did not recover until 6 months. Conclusion: The inferior based retroauricular flap is an available technique in external ear reconstruction with one stage operation.

• Steel and Composite Structures
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• v.24 no.4
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• pp.441-453
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• 2017

In Y-shaped eccentrically braced frame fabricated with high strength steel (Y-HSS-EBF), link uses conventional steel while other structural members use high strength steel. Cyclic test for a 1:2 length scaled one-bay and one-story Y-HSS-EBF specimen and shake table test for a 1:2 length scaled three-story Y-HSS-EBF specimen were carried out to research the seismic performance of Y-HSS-EBF. These include the failure mode, load-bearing capacity, ductility, energy dissipation capacity, dynamic properties, acceleration responses, displacement responses, and dynamic strain responses. The test results indicated that the one-bay and one-story Y-HSS-EBF specimen had good load-bearing capacity and ductility capacity. The three-story specimen cumulative structural damage and deformation increased, while its stiffness decreased. There was no plastic deformation observed in the braces, beams, or columns in the three-story Y-HSS-EBF specimen, and there was no danger of collapse during the seismic loads. The designed shear link dissipated the energy via shear deformation during the seismic loads. When the specimen was fractured, the maximum link plastic rotation angle was higher than 0.08 rad for the shear link in AISC341-10. The Y-HSS-EBF is a safe dual system with reliable hysteretic behaviors and seismic performance.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.39
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• pp.24.1-24.6
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• 2017

Background: Tunneled transposition of the facial artery myomucosal (FAMM) island flap on the lingual side of the mandible has been reported for intraoral as well as oropharyngeal reconstruction. This modified technique overcomes the limitations of short range and dentition and further confirms the flexibility of the flap. This paper presents a case of reconstructing secondary soft palatal defect due to flap necrosis following two-flap palatoplasty in irradiated patient with lingually transposed facial artery myomucosal island flap. Case presentation: The authors successfully reconstructed secondary soft palatal defect due to flap necrosis following two-flap palatoplasty in an irradiated 59-year-old female patient with tunnelized-facial artery myomucosal island flap (t-FAMMIF). Conclusions: Islanding and tunneling modification extends the versatility of the FAMM flap in the reconstruction of soft palatal defects post tumor excision and even after radiation, giving a great range of rotation and eliminating the need for revision in a second stage procedure. The authors thus highly recommend this versatile flap for the reconstruction of small and medium-sized oral defects.

• Archives of Plastic Surgery
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• v.46 no.5
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• pp.480-483
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• 2019

Repairing surgical defects of the nose is still challenging due to its tridimensional shape and its aesthetic concern. Difficulty in reconstructing nasal subunits lies in their contour, skin texture and limited availability of adjacent skin. For lower nasal dorsum and supra-tip regions, we design a new combined local flap as existing local flaps may give disappointing results. This combination flap was performed on two patients for reconstruction of the lower nasal dorsum area after basal cell carcinoma excision. Size of the excision ranged from 20 to 25 mm diameter and safe margins were obtained. The defects were reconstructed with a local flap that combined a rotation nasal flank flap and a V-Y advancement nasolabial flap. Excision and reconstruction were performed in a one-stage surgery under intravenous sedation and local anesthesia. There were no postoperative complications and no flap loss occurred. Aesthetic and functional results after 6 months postoperatively were satisfying without modification of nasal shape. This flap is reliable and offers interesting functional and aesthetic outcomes. It can be considered as a new reconstruction alternative for supra-tip and lower nasal dorsum skin defects performed in a one-stage procedure under local anesthesia.

• Steel and Composite Structures
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• v.31 no.3
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• pp.303-317
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• 2019

This paper presents a finite element model for predicting the behaviour of high-strength steel bolted beam-to-column joints under monotonic loading. The developed numerical model considers the effects of material nonlinearities and geometric nonlinearities. The accuracy of the developed model is examined by comparing the predicted results with independent experimental results. It is demonstrated that the proposed model accurately predicts the ultimate flexural resistances and moment-rotation curves for high-strength steel bolted beam-to-column joints. Mechanical performance of three joint configurations with various design details is examined. A parametric study is carried out to investigate the effects of key design parameters on the behaviour of bolted beam-to-column joints with double-extended endplates. The plastic flexural capacities of the beam-to-column joints from the experimental programme and numerical analysis are compared with the current codes of practice. It is found that the initial stiffness and plastic flexural resistance of the high-strength steel beam-to-column joints are overestimated. Proper modifications need to be conducted to ensure the current analytical method can be safely used for the bolted beam-to-column joints with high-performance materials.

• Structural Engineering and Mechanics
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• v.84 no.2
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• pp.285-293
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• 2022

Lumped damage mechanics (LDM) is a recent nonlinear theory with several applications to civil engineering structures, such as reinforced concrete and steel buildings. LDM apply key concepts of classic fracture and damage mechanics on plastic hinges. Therefore, the lumped damage models are quite successful in reproduce actual structural behaviour using concepts well-known by engineers in practice, such as ultimate moment and first cracking moment of reinforced concrete elements. So far, lumped damage models are based in the strain energy equivalence hypothesis, which is one of the fictitious states where the intact material behaviour depends on a damage variable. However, there are other possibilities, such as the energy equivalence hypothesis. Such possibilities should be explored, in order to pursue unique advantages as well as extend the LDM framework. Therewith, a lumped damage model based on the energy equivalence hypothesis is proposed in this paper. The proposed model was idealised for reinforced concrete structures, where a damage variable accounts for concrete cracking and the plastic rotation represents reinforcement yielding. The obtained results show that the proposed model is quite accurate compared to experimental responses.

• Journal of the Korean Society of Marine Environment & Safety
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• v.18 no.3
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• pp.273-278
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• 2012

The use of Al alloys instead of fiber-reinforced plastic(FRP) in ship construction has increased because of the advantages of Al-alloy ships, including high speed, increased load capacity, and ease of recycling. This paper describes the effects of probe diameter on the optimum friction stir welding conditions of 5456-H116 alloy for leisure ship, measured by a tensile test. In friction stir welding using a probe diameter of 5 mm under various travel and rotation speed conditions, the best performance was achieved with a travel speed of 61 mm/min. Using a probe diameter of 6 mm, rotation speeds of 170-210 rpm, and a travel speed of 15 mm/min produced a rough surface and voids because of insufficient heat input produced by the low rotation speed. At 500-800 rpm, chips were observed, although there were no voids, and the weld surface was excellent. However, at 1100-2500 rpm, many chips were produced due to excessive heat input. Heat effects were very evident on the bottom. For a travel speed of 15 mm/min, heat input caused by friction increased as the rotation speed increased. The mechanical characteristics were degraded by accelerated softening due to increasing heat input.

• Journal of the Korean Wood Science and Technology
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• v.35 no.3
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• pp.10-21
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• 2007

It is necessary to study about moment performance of glulam-dowel connections which had been applied rotation. To analyze and predict the moment performance, angled to grain load was replaced with parallel to grain load and perpendicular to grain load. The dowel bending strength and dowel bearing strength were tested. And tensile strength test for connections of two different end distances was performed. Specimens of rotation test were composed with different drift pin numbers and drift pin arrangement. Connection deformation was occurred by plastic behavior of drift pin after yield when tensile load applied at connection. And the absorbing drift pin deflection by end distance continued the connection deformation. When rotation applied at connection that 2 drift pins were arranged parallel to grain (b2h), it showed similar performance with tensile perpendicular to grain. And connection that 2 drift pins were arranged perpendicular to grain (b2v) showed similar performance with tensile parallel to grain. Connection capacity that 4 drift pins were arranged rectangular (b4) showed 1.7 times as strong as connection that 2 drift pins were arranged parallel to grain (b2h). These results agreed predicted values and it is available that rotation replaced with tensile load.

• Archives of Plastic Surgery
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• v.38 no.6
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• pp.894-898
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• 2011

Purpose: Coverage of full-thickness large flank defect is a challenging procedure for plastic surgeons. Some authors have reported external oblique turnover muscle flap with skin grafting, inferiorly based rectus abdominis musculocutaneous flap, and two independent pedicled perforator flaps for flank reconstruction. But these flaps can cover only certain portions of the flank and may not be helpful for larger or more lateral defects. We report a case of large flank defect after resection of extraskeletal Ewing's sarcoma which is successfully reconstructed with reverse latissimus dorsi myocutaneous flap. Methods: A 24-year-old male patient had $13.0{\times}7.0{\times}14.0$ cm sized Ewing's sarcoma on his right flank area. Department of chest surgery and general surgery operation team resected the mass with 5.0 cm safety margin. Tenth, eleventh and twelfth ribs, latissimus dorsi muscle, internal and external oblique muscles and peritoneum were partially resected. The peritoneal defect was repaired with double layer of Prolene mesh by general surgeons. $24{\times}25$ cm sized soft tissue defect was noted and the authors designed reverse latissimus dorsi myocutaneous flap with $21{\times}10$ cm sized skin island on right back area. To achieve sufficient arc of rotation, the cephalic border of the origin of latissimus dorsi muscle was divided, and during this procedure, ninth intercostal vessels were also divided. The thoracodorsal vessels were ligated for 15 minutes before divided to validate sufficient vascular supply of the flap by intercostal arteries. Results: Mild congestion was found on distal portion of the skin island on the next day of operation but improved in two days with conservative management. Stitches were removed in postoperative 3 weeks. The flap was totally viable. Conclusion: The authors reconstructed large soft tissue defect on right flank area successfully with reverse latissimus dorsi myocutaneous flap even though ninth intercostal vessel that partially nourishes the flap was divided. The reverse latissimus dorsi myocutaneous flap can be used for coverage of large soft tissue defects on flank area as well as lower back area.