• Title/Summary/Keyword: reliable and predictable procedure

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Clinical evaluation of Intentional replantation (Original Article 2 - 의도적 재식술에 관한 임상적 고찰)

  • Jin, Myoung-Uk
    • The Journal of the Korean dental association
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    • v.48 no.4
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    • pp.288-296
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    • 2010
  • Although non-surgical endodontic procedures have high success rates, failures do occur, These can be managed by root canal re-treatment or surgical intervention. Intentional replantation is an accepted endodontic treatment procedure in which a tooth is extracted and treated outside the oral cavity and then inserted into its socket to correct an obvious radiographic or clinical endodontic failure. Intentional replantation is indicated when other endodontic treatments performed to maintain the tooth have failed, or when endodontic periradicular surgery is not feasible. Intentional replantation may be particularly useful in these cases because these difficult to access areas can be maximally treated while the tooth is out of the mouth without damaging the periodontal attachment in adjacent teeth. In conclusion, intentional replantation is a reliable and even predictable procedure, and should be considered more often as a treatment modality in our efforts to maintain the natural dentition.

Analysis of Free Flap Reconstruction of the Tongue (유리피판을 이용한 설재건술의 분석)

  • Kang, Dong Hee;Lee, Hyung Chul;Koo, Sang Hwan;Park, Seung Ha;Jung, Kwang Yoon
    • Archives of Plastic Surgery
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    • v.33 no.5
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    • pp.557-562
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    • 2006
  • Purpose: Advanced carcinoma of the tongue is a devastating disease which may cause severe speech or swallowing dysfunction. But, none to date has provided all of the complex functions of the tongue. The purpose of this study is to review our experiences with individuals who underwent glossectomy followed by reconstruction using free tissue transfer. Methods: Between February 1998 and February 2005, twenty-four patients underwent glossectomy followed by free tissue transfer reconstruction. The defects of tongue caused by partial or subtotal glossectomy were reconstructed by means of radial forearm or lateral thigh free flap with nerve innervation. Especially for the patients who underwent total glossectomy, we reconstructed deglutition muscles anatomically with nerve reinnervation, a procedure that allows the grafted muscle to maintain good tongue bulk without obvious atrophy. Results: Patients were reviewed to determine their functional outcome as it related to speech, deglutition, and aspiration. All patients achieved oral intake of a soft diet and acceptable speech. Conclusion: Although reconstruction following glossectomy using free tissue transfer is not ideal, this procedure is safe and reliable, and provides predictable results. A future challenge is the development of a surgical procedure for reconstruction of a tongue that maintains mobility and sensation using neurotized flaps.

Lateral Brow Lift: A Multi-Point Suture Fixation Technique

  • Foustanos, Andreas;Drimouras, Georgios;Panagiotopoulos, Konstantinos
    • Archives of Plastic Surgery
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    • v.42 no.5
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    • pp.580-587
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    • 2015
  • Background Descent of the lateral aspect of the brow is one of the earliest signs of aging. The purpose of this study was to describe an open surgical technique for lateral brow lifts, with the goal of achieving reliable, predictable, and long-lasting results. Methods An incision was made behind and parallel to the temporal hairline, and then extended deeper through the temporoparietal fascia to the level of the deep temporal fascia. Dissection was continued anteriorly on the surface of the deep temporal fascia and subperiosteally beyond the temporal crest, to the level of the superolateral orbital rim. Fixation of the lateral brow and tightening of the orbicularis oculi muscle was achieved with the placement of sutures that secured the tissue directly to the galea aponeurotica on the lateral aspect of the incision. An additional fixation was made between the temporoparietal fascia and the deep temporal fascia, as well as between the temporoparietal fascia and the galea aponeurotica. The excess skin in the temporal area was excised and the incision was closed. Results A total of 519 patients were included in the study. Satisfactory lateral brow elevation was obtained in most of the patients (94.41%). The following complications were observed: total relapse (n=8), partial relapse (n=21), neurapraxia of the frontal branch of the facial nerve (n=5), and limited alopecia in the temporal incision (n=9). Conclusions We consider this approach to be a safe and effective procedure, with long-lasting results.

Study on Extractable power capacity of Tidal current power farm in the Feasibility investigation (해양 조류발전단지 타당성 조사시 발전용량 산출방법에 관한 연구)

  • Jo, Chulhee;Kim, Doyoub;Chae, Kwangsu;Yim, Jinyoung
    • 한국신재생에너지학회:학술대회논문집
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    • 2010.11a
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    • pp.169.1-169.1
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    • 2010
  • Due to global warming, the need to secure an alternative resource has become the international issue. Not like other renewable energy sources, TCP is the high reliable and predictable and continuous energy source as the current pattern and speed can be predicted throughout the year. Having very strong tidal current speeds, there are many suitable site for the application of TCP (Tidal Current Power) on the west and south coastal region in Korea. The maximum current speed in the south is recorded up to 6.5m/s. Due to the high tidal current speed on the west coast of Korea, numerous tidal current projects are being planned. To extract a significant quantity of power, a tidal current farm with number of devices is required in the ocean. However, it is important to estimate the potential quantity of energy in the area. Also the realistic quantity that can be extracted is to be investigated. Based on the estimated energy production considering the number of devices and the interactional effects, system type, the water depth and etc., the cost of the development and the benefit from SMP can be estimated. The feasibility study for the 200MW tidal in Incheon, Korea has been performed recently. Based on the actual feasibility study, the procedure and the key points for the application of tidal current power farm are introduced in the paper.

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Analysis of Motion Response and Drift Force in Waves for the Floating-Type Ocean Monitoring Facilities (부유식 해상관측시설의 파랑중 운동 및 표류력 해석)

  • YOON Gil Su;KIM Yong Jig;KIM Dong Jun;KANG Shin Young
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.31 no.2
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    • pp.202-209
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    • 1998
  • A three-dimensional numerical method based on the Green's integral equation is developed to predict the motion response and drift force in waves for the ocean monitoring facilities. In this method, we use source and doublet distribution, and triangular and rectangular eliments. To eliminate the irregular frequency phenomenon, the method of improved integral equation is applied and the time-mean drift force is calculated by the method of direct pressure integration over the body surface. To conform the validity of the present numerical method, some calculations for the floating sphere are performed and it is shown that the present method provides sufficiently reliable results. As a calculation example for the real facilities, the motion response and the drift force of the vertical cylinder type ocean monitoring buoy with 2.6 m diameter and 3,77 m draft are calculated and discussed. The obtained results of motion response can be used to determine the shape and dimension of the buoy to reduce the motion response, and other data such as the effect of motion reduction due to a damper can be predictable through these motion calculations. Also, the calculation results of drift force can be used in the design procedure of mooring system to predict the maximum wave load acting on the mooring system. The present method has, in principle, no restriction in the application to the arbitrary shape facilities. So, this method can be a robust tool for the design, installation, and operation of various kinds of the floating-type ocean monitoring facilities.

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Computational estimation of the earthquake response for fibre reinforced concrete rectangular columns

  • Liu, Chanjuan;Wu, Xinling;Wakil, Karzan;Jermsittiparsert, Kittisak;Ho, Lanh Si;Alabduljabbar, Hisham;Alaskar, Abdulaziz;Alrshoudi, Fahed;Alyousef, Rayed;Mohamed, Abdeliazim Mustafa
    • Steel and Composite Structures
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    • v.34 no.5
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    • pp.743-767
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    • 2020
  • Due to the impressive flexural performance, enhanced compressive strength and more constrained crack propagation, Fibre-reinforced concrete (FRC) have been widely employed in the construction application. Majority of experimental studies have focused on the seismic behavior of FRC columns. Based on the valid experimental data obtained from the previous studies, the current study has evaluated the seismic response and compressive strength of FRC rectangular columns while following hybrid metaheuristic techniques. Due to the non-linearity of seismic data, Adaptive neuro-fuzzy inference system (ANFIS) has been incorporated with metaheuristic algorithms. 317 different datasets from FRC column tests has been applied as one database in order to determine the most influential factor on the ultimate strengths of FRC rectangular columns subjected to the simulated seismic loading. ANFIS has been used with the incorporation of Particle Swarm Optimization (PSO) and Genetic algorithm (GA). For the analysis of the attained results, Extreme learning machine (ELM) as an authentic prediction method has been concurrently used. The variable selection procedure is to choose the most dominant parameters affecting the ultimate strengths of FRC rectangular columns subjected to simulated seismic loading. Accordingly, the results have shown that ANFIS-PSO has successfully predicted the seismic lateral load with R2 = 0.857 and 0.902 for the test and train phase, respectively, nominated as the lateral load prediction estimator. On the other hand, in case of compressive strength prediction, ELM is to predict the compressive strength with R2 = 0.657 and 0.862 for test and train phase, respectively. The results have shown that the seismic lateral force trend is more predictable than the compressive strength of FRC rectangular columns, in which the best results belong to the lateral force prediction. Compressive strength prediction has illustrated a significant deviation above 40 Mpa which could be related to the considerable non-linearity and possible empirical shortcomings. Finally, employing ANFIS-GA and ANFIS-PSO techniques to evaluate the seismic response of FRC are a promising reliable approach to be replaced for high cost and time-consuming experimental tests.

One-stage Revision Anterior Cruciate Ligament Reconstruction Using Achilles Tendon Allograft (동종 아킬레스 건을 이용한 한 단계 전방 십자 인대 재 재건술)

  • Cho, Sung-Do;Ko, Sang-Hun;Park, Moon-Soo;Jung, Kwang-Hwan;Cha, Jae-Ryong;Gwak, Chang-Youl;Eo, Jin
    • Journal of the Korean Arthroscopy Society
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    • v.10 no.2
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    • pp.159-164
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    • 2006
  • Purpose: To evaluate the clinical stability and function after one-stage revision anterior cruciate ligament (ACL) reconstruction using fresh-frozen Achilles tendon allograft Materials and Methods: Thirteen patients who underwent one-stage revision ACL reconstruction using Achilles tendon allograft could be evaluated. The average time from primary procedure to revision surgery was 61.8 months. The mean follow-up period was 38.4 months. The bone defects of pre-constructed femoral and tibial tunnels were filled with calcaneal bone attached to Achilles tendon and the new femoral and tibial tunnels were created. Evaluations included the causes of failure of primary ACL reconstruction, Lysholm knee score, Lachman test, pivot shift test and KT-1000 arthrometer measurement. Results: The most common causes of failure of ACL reconstruction were poor surgical techniques in 10 cases (76.9%). Ten patients (76.9%) were good or excellent on the Lysholm score. Twelve patients (92.3%) had negative or 1+firm end Lachman test. Eleven patients (84.6%) had negative pivot shift test. Nine patients (69.2%) had less than 3 mm difference of manual maximum by KT-1000 arthrometer. Conclusion: One-stage revision ACL reconstruction with fresh-frozen Achilles tendon allograft, creating new tunnels after filling bone defects, resulted in a reliable and predictable outcome in terms of stability.

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