• 제목/요약/키워드: primary wall

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Orbital wall restoring surgery with primary orbital wall fragments in blowout fracture

  • Kang, Dong Hee
    • 대한두개안면성형외과학회지
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    • 제20권6호
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    • pp.347-353
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    • 2019
  • Most orbital surgeons believe that it's difficult to restore the primary orbital wall to its previous position and that the orbital wall is so thin that cannot be firmly its primary position. Therefore, orbital wall fractures generally have been reconstructed by replacing the bony defect with a synthetic implant. Although synthetic implants have sufficient strength to maintain their shape and position in the orbital cavity, replacement surgery has some drawbacks due to the residual permanent implants. In previous studies, the author has reported an orbital wall restoring technique in which the primary orbital wall fragment was restored to its prior position through a combination of the transorbital and transantral approaches. Simple straight and curved elevators were introduced transnasally to restore the orbital wall and to maintain temporary extraorbital support in the maxillary and ethmoid sinus. A transconjunctival approach provided sufficient space for implant insertion, while the transnasal approach enabled restoration of the herniated soft tissue back into the orbit. Fracture defect was reduced by restoring the primary orbital wall fragment to its primary position, making it possible to use relatively small size implant, furthermore, extraorbital support from both sinuses decreased the incidence of implant displacement. The author could recreate a natural shape of the orbit with the patient's own orbital bone fragments with this dual approach and effectively restored the orbital volume and shape. This procedure has the advantages for retrieving the orbital contents and restoring the primary orbital wall to its prior position.

식도종양과 흉벽종양의 이중성 원발종양 1례 (A Case of Esophageal Carcinoma and Chest Wall Carcinoma(Double Primary Cancer))

  • 정진용;연성모;주은정;유홍균
    • 대한기관식도과학회지
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    • 제4권1호
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    • pp.105-111
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    • 1998
  • Double primary cancer is a rare disease in which two cancers occur in an individual independently. As prolonged survival of patients with malignant tumors is expected in the future due to advances in methods of treatment, the chance of double primary cancer will be increased. We experienced one case of double primary cancer which was developed in esophagus and chest wall. A 72 year-old male visited our hospital complaining of epigastric discomfort and right chest wall mass. We studied esophagus, chest wall, and other organs including gastrointestinal tract by various methods to exclude the cancer of other sites and could diagnose squamous cell carcinoma of mid-esophagus and adenocarcinoma of chest wall. The patient underwent esophagogastrostomy following esophagectomy and wide-resection of chest wall tumor. The postoperative course was uneventful.

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Orbital wall restoration with primary bone fragments in complex orbital fractures: A preliminary study

  • Jung, Joo Sung;Kang, Dong Hee;Lim, Nam Kyu;Kim, Hyonsurk
    • 대한두개안면성형외과학회지
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    • 제21권3호
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    • pp.156-160
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    • 2020
  • Background: We have reported orbital wall restoration surgery with primary orbital wall fragment in pure blowout fractures using a combination of transorbital and transnasal approach in pure blow out fractures. However, this method was thought to be difficult to use for complex orbital wall fractures, since the sharp screw tip that fixate the maxillary wall increases the risk of balloon ruptures. In this study, we reviewed 23 cases of complex orbital fractures that underwent orbital wall restoration surgery with primary orbital wall fragment and evaluated the result. Methods: A retrospective review was conducted of 23 patients with complex orbital fracture who underwent orbital restoration surgery with primary orbital wall fragments between 2012 and 2019. The patients underwent orbital wall restoration surgery with primary orbital wall fragment with temporary balloon support. The surgical results were evaluated by the Naugle scale and a comparison of preoperative and postoperative orbital volume ratio. Complex fracture type, type of screw used for fixation and complications such as balloon rupture were also investigated. Results: There were 23 patients with complex orbital fracture that used transnasal balloon technique for restoration. 17 cases had a successful outcome with no complications, three patients had postoperative balloon rupture, two patients had soft-tissue infection, and one patient had balloon malposition. Conclusion: The orbital wall restoration technique with temporary balloon support can produce favorable results when done correctly even in complex orbital wall fracture. Seventeen cases had favorable results, six cases had postoperative complications thus additional procedure seems necessary to complement this method.

ALC 패널 커튼월용 부품 Primary Anchor의 해석적 연구 (An Analytical Study on Primary Anchor Unit for ALC Panel Curtain-wall)

  • 윤명호;유창현
    • 복합신소재구조학회 논문집
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    • 제2권1호
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    • pp.8-14
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    • 2011
  • 본 연구는 Primary Anchor의 비선형 유한요소해석을 통해 구조적 성능을 파악하는데 목적이 있다. Primary Anchor Unit은 ALC 패널 커튼월과 RC 슬래브 또는 주골조 사이에 연결장치로 사용할 수 있다. 항복강도, 초기강성과 최대하중과 같은 구조적 특성을 구하고 자세히 비교분석하였다.

학교 교실의 용도별 색채분포 및 색채계획에 관한 연구 (A Study on The Color Examination and Color Planning in the Different Type of Classroom)

  • 김은정;김기환
    • 한국실내디자인학회:학술대회논문집
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    • 한국실내디자인학회 2003년도 춘계학술발표대회 논문집
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    • pp.65-68
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    • 2003
  • The purpose of this study is examine the color planning in the different type of classroom to establish interior color planning. This study also uses environmental planning and practical use of basic data for color planning to future school facilities. The summary of this study is as followed. The primary school and middle school classrooms as well as the open space classrooms floor color recommended of brown and the primary school wall color is light yellow, middle school wall color is light yellow and brown. The high school classroom color is recommended brown and wall color to light yellow and green system. The recommended floor color of primary school which includes in computer room and language study room, library of the multi-purpose of media room recommended are gray, brown and pink. The recommended wall color in primary school is light gray. The middle school floor color propose gray and light brown and wall recommended color is light brown, gray, ivory with the high school the computer room, language study room and library. The floor color is recommended gray, green and the wall propose blue. Moreover, recognize that importance of color effectiveness in school interior facilities considering with Interior covering material in class room.

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원발성 흉벽종양 (Primary Tumors of the Chest Wall)

  • 마중성;최병우;유회성
    • Journal of Chest Surgery
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    • 제7권1호
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    • pp.61-66
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    • 1974
  • Primary tumors of the chest wall are rare than those of other portions of the body. Soft tissue tumors of the chest wall, though these are benign or malignant, should not be paid special attentions about their management than other soft tissue tumors of the body. Thoracic skeletal tumors, however, have some problems in the treatment because of defect in chest wall leading to herniation of lung and paradoxical movement of thoracic cage. The authors experienced 10 case of primary chest wall tumors at the department of thoracic and cardiovascular surgery, the national medical center, during last 15 years. Five of 10 cases were soft tissue tumors, and they were 2 case of lipoma and each one case of myxosarcoma and leiomyosarcoma. Among 5 bone tumors there no cases of sternal tumor, and their histopathological diagnosis were each one of fibrous dysplasia, giant cell tumor, osteochondroma, Ewing`s sarcoma and osteogenic sarcoma. Wide excision, though it was palliative one in certain case, was performed in 9 cases and only diagnostic incisional biopsy in one case, There were no postoperative deaths during admission to the hospital and all cases were missed during short term follow up after discharge from the hospital.

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폐 전이를 동반한 원발성 흉벽 평활근육종 - 1례 보고 - (Primary Leiomyosarcoma of the Left Lower Posterior Chest wall with Lung Metastasis - One Case Report -)

  • 김대현;김범식;박주철;조규석
    • Journal of Chest Surgery
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    • 제35권10호
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    • pp.764-767
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    • 2002
  • 폐 전이를 동반한 원발성 흉벽 평활근육종은 매우 드물다. 43세 남자 환자가 특별한 증상없이 좌측 후 하흉벽에 서서히 커지는 단단한 종괴를 주소로 내원하였다. 흥부 컴퓨터 단층촬영 소견 상 우측 폐에 다발성전이를 동반한 좌측 후 하 흉벽의 종양이 관찰되었다. 좌측 후 하 흉벽 종양에 대해 시행한 세침 검사상 조직학적으로 횡문근육종 소견을 보였다. 좌측 후 하 흉벽 종양을 일괄 절제하고 우측 폐의 다발성 결절들을 절제하여 얻은 병리학적 소견상 다발성 우측 폐 전이를 동반한 좌측 후 하 흥벽의 원발성 평활근육종으로 진단되었고 항암 치료를 추가로 계획하였다.

흉벽에 발생한 종양 -흉벽 재건술 4례- (Reconstruction of Thoracic Wall Defect in Tumors of Chest Wall -Report of Four Cases-)

  • 이선희;김세화;이홍균
    • Journal of Chest Surgery
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    • 제8권1호
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    • pp.29-36
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    • 1975
  • We have experienced 49 cases of tumors of chest wall at St. Mary`s Hospital from Jan. 1963 to Dec.1974. In four cases of them, the reconstruction of chest wall defects performed. 1] Out of 49 cases of tumors of the chest wall, 27 cases were benign tumors, 14 cases metastatic malignant tumors, and 8 cases primary malignant tumors. 2] Twenty-six cases [50%] of tumors of the chest wall were on the bony cage. Among them benign tumors were 9 cases [35%], metastatic malignant tumors 14 cases [53%], and primary malignant tumors 3 cases [12%]. Of these, 24 cases were located on the ribs and 2 cases on the sternum.3] The malignant tumors of bony chest wall were excised in en bloc resection including involved ribs. The wide defects of bony chest wall were reconstructed by means of displacement of neighboring ribs and mobilized diaphragm, in the two osteogenic sarcomas of rib, and of prosthesis with silastic sheets in one rhabdomyosarcoma and one metastatic adenocarcinoma of lung.

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흉벽종양 (Chest wall tumors [131 cases])

  • 조규석;박주철;유세영
    • Journal of Chest Surgery
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    • 제17권3호
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    • pp.516-521
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    • 1984
  • We have experienced 131 cases of chest wall tumor, from April 1974 to April 1984 at the Kyung Hee University hospital. We analyzed 131 cases of chest wall tumors, 59 cases were primary chest wall tumors and 72 cases were secondary chest wall tumors. The results were following; 1.Of primary benign chest wall tumors [56], lipomas were most common and located mainly in the scapular area [37/56]. 2.Of secondary malignant chest wall tumors [72], which originated from hung tumors were most common [27/72], & breast [8/72], liver [8/72], prostate [6/72] & stomach [3/72] were followed lowed in orders. 3.We excluded out the Rib tuberculosis.

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단열처리 유도배수에 의한 기존 2-Arch 터널의 누수방지 사례 (A Leakage Prevention Case of Primary 2-Arch Tunnel due to Heat Insulated Drainage)

  • 강인규;류정수;김태수
    • 한국방재학회:학술대회논문집
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    • 한국방재학회 2007년도 정기총회 및 학술발표대회
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    • pp.561-564
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    • 2007
  • This case was successfully constructed as a leakage prevention case of primary 2-arch tunnel located in Anyang, Gyungkido. The leakage of primary 2-arch tunnel was observed at middle wall of tunnel and girder of tunnel. Such a leakage of primary 2-arch tunnel generally occurred due to the damage of the waterproof membrane constructed on the middle wall during the blasting works of right and left tunnel after construction of the middle wall. As the leakage, icicles hanged from girder of tunnel in the winter. In such phenomenon, the risk of the traffic accident in the tunnel was high. In this case, leakage prevention works were successfully constructed using the heat insulated drainage.

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