• 대한두개안면성형외과학회지
• /
• 제22권5호
• /
• pp.268-275
• /
• 2021

Background: The study aimed to evaluate nasal reconstruction techniques customized for Asians. The currently available nasal reconstruction guidelines are based on Caucasian patients, and their applicability is limited in Asian patients due to differences in anatomical and structural features. Methods: A retrospective analysis was performed of the medical records of 76 patients who underwent nasal reconstruction at a single center between January 2010 and June 2020. A comprehensive evaluation was conducted of patients' baseline demographics and clinical characteristics, including age, sex, medical history, defect size and location, reconstructive procedure, pathological diagnosis, postoperative complications, and recurrence. Results: In 59 cases (77%), nasal defects resulted from tumor ablation, and the remaining 17 cases involved post-traumatic (20%) and infection-induced (3%) tissue damage. The most common defect location was the alae, followed by the sidewalls, tip, and dorsum. Forehead flaps were the most commonly used reconstructive technique, followed by nasolabial advancement flaps, rotation flaps, and skin grafts. Each procedure was applied considering aspects of structural anatomy and healing physiology specific to Asians. Complications included nasal deformity, hypertrophic scarring, secondary infection, and partial flap necrosis, but no cases required additional surgical procedures. Tumors recurred in two cases, but tumor recurrence did not significantly affect flap integrity. Conclusion: Nasal reconstruction techniques applied considering Asians' facial features resulted in fewer postoperative complications and higher patient satisfaction than the approaches that are currently in widespread use. Therefore, this study is expected to serve as an essential reference for establishing treatment guidelines for nasal reconstruction in Asians.

• Archives of Hand and Microsurgery
• /
• 제23권4호
• /
• pp.290-295
• /
• 2018

저자는 종아리동맥의 천공지를 이용하여 발목을 재건하려는 중 천공지가 절단되어 비복신경과 복재정맥만 보존된 피판의 성공적인 생존을 경험하였다. 24세 아시안 남성에서 전신마취 하에 종아리 동맥 천공지, 복재정맥, 비복신경을 확인하고 보존하고 피판을 회전시키는 과정에서 종아리 동맥 천공지의 절단이 발생하였다. 천공지의 손상에도 불구하고 피판의 경계에서 혈행이 확인되었다. 수술 후 환자는 특이 합병증 없이 회복되었고, 미용적인 결과와 기능적인 결과에서 모두 만족스러웠다. 몇몇 연구에서 비복신경과 동반하는 혈행을 보고하고 있다. 결과적으로, 종아리 동맥의 천공지 없이 비복신경과 동반하는 동맥의 혈류만으로도 충분한 혈액 공급이 가능하였다. 따라서 어느 환경에서나 그리고 어느 부위에서나 피판의 천공지뿐만 아니라 신경-혈관을 보존하는 것이 중요하다.

• 대한두경부종양학회지
• /
• 제40권1호
• /
• pp.49-53
• /
• 2024

Dermatofibrosarcoma protuberans (DFSP) is a rare soft tissue sarcoma, with an incidence of about 0.8% to 5% per million people per year, accounting for 1% of soft tissue sarcomas. In its early stage, DFSP is typically found as a violet or pinkish macule or patch, and it can develop into a palpable mass with ulceration or bleeding. The standard treatment for DFSP is wide local excision of the tumor with a 2- to 3-cm negative margin, and radiation therapy or chemotherapy can be conducted with surgical treatment. A 35-year-old man had a palpable mass on the left side of his occipital scalp without color change, ulceration, or bleeding, which typically are present in malignancy. A magnetic resonance imaging (MRI) scan showed a 3-cm homogenous enhanced mass without adhesion between the scalp and the mass. Unexpectedly, a biopsy revealed the round mass to be DFSP. A wide excision and rotation of the scalp flap were performed. The patient recovered without any complications and received adjuvant radiotherapy at a dose of 60 Gray (Gy) for six weeks. There was no recurrence through six months of follow-up. Here we report this unique case of DFSP with atypical presentation.

• 한국공간구조학회논문집
• /
• 제8권2호
• /
• pp.85-93
• /
• 2008

본 연구는 철근콘크리트 특수모멘트골조(SMF)내 보-기둥 접합부의 비탄성 회전능력에 대한 연구결과를 조사한 것이다. 모든 실험체들은 ACI 318-02에 정의된 설계 및 세부지침에 따라 특수모멘트골조로 분류되었다. AISC(2002)기준에서 모멘트골조의 접합부에 대한 내진성능의 만족 기준을 이용하여 보-기둥 접합부를 평가하였다. 총 39개의 실험체들에 대해 자세하게 조사되었다. 특수모멘트골조에 대한 내진설계기준을 만족하는 대부분의 접합부들은 3%의 소성회전까지 휨강도의 심각한 감소 없이 연성이 유지되었다. 이는 특수모멘트골조 접합부들에 대한 엄격한 콘크리트 내진설계 규정에 따른 것으로 조사되었다. 접합부내의 횡방향 보의 존재는 보-기둥 접합부의 구속력과 전단에 대한 저항성을 증가시킨 것으로 조사되었다 접합부 전단응력에 대한 ACI 328-02 제한조건을 만족하는 모든 특수모멘트골조의 접합부들은 요구되는 내진성능을 만족하는 것으로 나타났다.

• 한국지진공학회:학술대회논문집
• /
• 한국지진공학회 2002년도 춘계 학술발표회 논문집
• /
• pp.306-316
• /
• 2002

This paper summarizes the results of full-scale cyclic seismic testing on four RBS (reduced beam section) steel moment connections. Key test variables were web bolting vs. welding and strong vs. medium PZ (panel zone) strength. The specimen with medium PZ strength was specially designed to mobilize energy dissipation from both the PZ and RBS region in a balanced way; the aim was to reduce the requirement of expensive doubler plates. Both strong and medium PZ specimens with web-welding were able to provide sufficient connection rotation capacity required of special moment frames, whereas specimens with web-bolting showed inferior performance due to the premature brittle fracture of the beam flange across the weld access hole. In contrast to the case of web-welded specimens, the web-bolted specimens could not transfer the actual plastic moment of the original (or unreduced) beam section to the column. If a quality welding for the beam-to-column joint is made as in this study, the fracture-prone area tends to move into the beam flange base metal within the weld access hole. Analytical study was also conducted to understand the observed base metal fracture from the engineering mechanics point of view.

• 한국분말재료학회지
• /
• 제22권1호
• /
• pp.6-9
• /
• 2015

In this study, the behavior of densification of copper powders during high-pressure torsion (HPT) at room temperature is investigated using the finite element method. The simulation results show that the center of the workpiece is the first to reach the true density of copper during the compressive stage because the pressure is higher at the center than the periphery. Subsequently, whole workpiece reaches true density after compression due to the high pressure. In addition, the effective strain is increased along the radius during torsional stage. After one rotation, the periphery shows that the effective strain is increased up to 25, which is extensive deformation. These high pressure and severe strain do not only play a key role in consolidation of copper powders but also make the matrix harder by grain refinement.

• Steel and Composite Structures
• /
• 제36권4호
• /
• pp.427-446
• /
• 2020

This paper carries out the progressive collapse analysis of stainless steel composite beam-to-column joint sub-models and moment-resisting frames under column removal scenarios. The static flexural response of composite joint sub-models with damaged columns was initially explored via finite element methods, which was validated by independent experimental results and discussed in terms of moment-rotation relationships, plastic hinge behaviour and catenary actions. Simplified finite element methods were then proposed and applied to the frame analysis which aimed to elaborate the progressive collapse response at the frame level. Nonlinear static and dynamic analysis were employed to evaluate the dynamic increase factor (DIF) for stainless steel composite frames. The results suggest that the catenary action effect plays an important role in preventing the damaged structure from dramatic collapse. The beam-to-column joints could be critical components that influence the capacity of composite frames and dominate the determination of dynamic increase factor. The current design guidance is non-conservative to provide proper DIF for stainless steel composite frames, and thus new DIF curves are expected to be proposed.

• 대한기계학회논문집
• /
• 제15권1호
• /
• pp.190-200
• /
• 1991

본 연구에서는 고온에 노출되는 열-점소성 거동의 해석을 위해 소성유동, 크 리프, 응력풀림(stress relaxation)등의 거동을 동시에 다룰 수 있는 통일구성방정식 모델에 대해 논하고 적절한 모델을 선정한다. 이 모델은 미소변형이론에 근거한 것 이므로 구조물의 거동을 소변형률(small strain)과 소회전(small rotation)의 범위내 로 가정하여 해석한다.선정된 모델에 대해서 시간변화율 형태의 방정식으로부터 유 한요소법을 통한 수치화와 사용된 구성방정식을 효율적으로 처리할 수 있는 수치해석 법상의 알고리듬을 제안한다. 제안된 알고리즘을 사용하여 유한요소법 전산코드를 적상하고, 작성된 코드를 이용하여 고온에서 하중을 받는 단순보와 국부적으로 심한 가열을 받는 구조물에 적용하여 고전적인 구성방정식으로 복합적인 해석이 어려웠던 열-점소성 거동을 효과적으로 해석할 수 있음을 보인다. 본 논문은 응력해석에 주안 점을 두었으므로 열해석에 관한 상세한 논의는 가급적 생략하기로 한다.

• Steel and Composite Structures
• /
• 제10권5호
• /
• pp.385-414
• /
• 2010

In current European Standard EN 1993, the moment-rotation characteristics of beam-to-column joints made from steel with a yield stress > 460MPa are obtained from elastic design procedures. The strength of the joint basic components, such as the column web subject to local transverse compression, is thus limited to the yield resistance rather than the plastic resistance. With the recent developments of higher strength steel grades, the need for these restrictions should be revisited. However, as the strength of the steel is increased, the buckling characteristics become more significant and thus instability phenomena may govern the design. This paper summarizes a comprehensive set of finite element parametric studies pertaining to the strength behaviour of high-strength steel unstiffened I-columns in transverse compression. The paper outlines the implementation and validation of a three-dimensional finite element model and presents the relevant numerical test results. The finite element predictions are evaluated against the strength values anticipated by the EN 1993 for conventional steel columns and recommendations are made for revising the specifications.

• 대한용접접합학회:학술대회논문집
• /
• 대한용접접합학회 2002년도 Proceedings of the International Welding/Joining Conference-Korea
• /
• pp.493-498
• /
• 2002

Friction stir welding (FSW) is a relatively new solid-state joining process which can homogenize the heterogeneous microstructure by intensely plastic deformation arising from the rotation of the welding tool. The present study applied the FSW to an A356 aluminum (AI) alloy with the as-cast heterogeneous microstructure in the T6 temper condition, and examined an effect of microstructure on mechanical properties in the weld. The base material consisted of Al matrix with a high density of strengthening precipitates, large eutectic silicon and a lot of porosities. The FSW led to fragment of the eutectic silicon, extinction of the porosities and dissolution of the strengthening precipitates in the Al alloy. The dissolution of strengthening precipitates reduced the hardness of the weld around the weld center and the transverse ultimate tensile strength of the weld. Longitudinal tensile specimen containing only the stir zone showed the roughly same strength as the base material and a much larger elongation. Moreover, Charpy impact tests indicated that the stir zone had remarkably the higher absorbed energy than the base material. The higher mechanical properties of the stir zone were attributed to a homogenization of the as-cast heterogeneous microstructure by FSW.