• Maxillofacial Plastic and Reconstructive Surgery
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• 제33권6호
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• pp.525-528
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• 2011

A deep circumflex iliac artery (DCIA) flap is usually used for reconstruction in oral and maxillo-facial surgery department since introduced by O'Brien in 1975. Various flap designs are possible for osteomusculocutaneous, musculocutaneous, musculosseous and vascularized bone types. Iliac crest shape is similar to contour of mandible. Moreover, though a fibular flap has only 15~20 mm of cutting plane width, a DCIA flap contains much more bone amount, making this a similar reconstruction compare with normal mandible. A 68 year-old male with squamous cell carcinoma on the anterior floor of the mouth had an impression with T2N0Mx and the treatment procedure was DCIA reconstruction after wide resection and marginal mandibulectomy, with both supraomohyoid neck dissection. We present an experience of DCIA flap for reconstruction with a literature review.

• 한국의학물리학회:학술대회논문집
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• 한국의학물리학회 2002년도 Proceedings
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• pp.439-441
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• 2002

The aim of this study is to reconstruct the 3D target volume from multiple projection images. It was assumed that we were already aware of the target position exactly, and all processes were performed in Target Coordinates whose origin was the center of the target. We used six projections: two projections were used to make a Reconstruction Box and four projections were for image acquisition. Reconstruction Box was made up of voxels of 3D matrix. Projection images were transformed into 3D volume in this virtual box using geometrical based back-projection method. Algorithm was applied to an ellipsoid model and horse-shoe shaped model. Projection images were created using C program language by geometrical method and reconstruction was also accomplished using C program language and Matlab(The Mathwork Inc., USA). For ellipsoid model, reconstructed volume was slightly overestimated but target shape and position was proved to be correct. For horse-shoe shaped model, reconstructed volume was somewhat different from original target model but there was a considerable improvement in target volume determination.

• 대한치과의사협회지
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• 제49권9호
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• pp.520-526
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• 2011

Vascularized iliac crest flap include bone tissue of good quality and quantity for mandible segmental defect. Even if fibular flap can contain longer bone tissue, iliac crest has esthetic shape for mandible body reconstruction and large height for implant. Conventional vascularized iliac crest osteomyocutaneous flap is too bulky for reconstruction of intraoral soft tissue defect. But modified flap can reduce soft tissue volume, so is good for functional reconstruction of oral mucosa. It takes only one month for completely replace oral mucosa. The final mucosal texture is much better than other skin paddle flap, especially for implant prosthesis. Donor site morbidity of this method looks same level or less with other modalities functionally and socially. In case of oral mucosa-mandible combined defect, vascularized iliac crest with internal oblique muscle flap shows good outcomes for hard and soft tissue.

• 대한치과의사협회지
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• 제52권10호
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• pp.615-622
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• 2014

Oral cancer ablation surgery results in tissue defects with functional loss. Accompanying neck dissection results in facial nerve weakness and dysmorphic changes. To minimize the complications after oral cancer surgery, accurate dissection without damaging facial nerve and vital structures are mandatory. Marginal mandibular branch of facial nerve should be dissected or contained in the superficial layer of deep cervical fascia to minimized facial palsy after operation. Reconstruction after cancer ablations is routine procedures and free flap reconstruction is the most commonly used. Radial forearm free flap is the most versatile flap to reconstruct soft tissue defects and it is easy to design according to the defect size and shape. However, donor site scar and secondary skin graft from thigh result in unesthetic and cumbersome wounds. Double layered collagen graft in the donor site could reduce secondary donor site for skin graft. In conclusion, oral and maxillofacial surgeon should know the exact anatomy of the face and neck during neck dissection. Radial forearm free flap is most versatile flap for soft tissue reconstruction and double collagen graft can reduce postoperative scar and there is no need for secondary skin graft.

• Archives of Plastic Surgery
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• 제48권2호
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• pp.179-184
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• 2021

Women attach great importance to the presence of a three-dimensional nipple upon completion of the breast reconstruction process. To meet patients' expectations, nipple-areolar complex reconstruction should achieve symmetry in position, size, shape, texture, and color, as well as minimizing donor-site morbidity. However, it is well known that regardless of the reconstructive technique, loss of nipple projection can be reasonably expected. We developed and evaluated a quick, simple, and innovative technique using injectable Integra Flowable Wound Matrix to increase nipple projection after reconstruction. Twenty breast cancer patients who underwent nipple reconstruction resulting in unsatisfactory projection were enrolled in our retrospective study. Nipple projection was measured at the time of surgery and after 6 and 12 months. A visual analogue scale was used to assess patients' satisfaction. Our technique yielded reliable results in terms of the long-lasting maintenance of nipple projection. This method is high-priced, but cost-effective, since one kit may suffice for three patients. Furthermore, our patients were very appreciative of this technique as a single-step, minimally invasive, painless procedure with no reported necessity of re-intervention.

• 전자공학회논문지B
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• 제32B권8호
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• pp.1127-1136
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• 1995

In this paper, a morphological shape decomposition method is proposed for the purpose of pattern recognition and image compression. In the method, a structuring element that geometrical characteristics is more similar to the shape function is preselected. The shape is decomposed into the primitive elements corresponding to the structuring element. A gray scale image also is transformed into 8 bit plane images for the hierarchical reconstruction required in image communication systems. The shape in each bitplane is decomposed to the proposed method. Through the experiment. it is proved that the description error is reduced and the coding efficiency is improved.

• 한국가시화정보학회:학술대회논문집
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• 한국가시화정보학회 2002년도 추계학술대회 논문집
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• pp.15-18
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• 2002

We propose an image based three-dimensional shape determination system. The shape, and thus the three-dimensional coordinate information of the 3-D object, is determined solely from captured images of the 3-D object from a prescribed set of viewpoints. The approach is based on the shape from silhouette (SFS) technique and the efficacy of the SFS method is tested using a sample data set. This system may be used to visualize the 3-D object efficiently, or to quickly generate initial CAD data for reverse engineering purposes. The proposed system potentially may be used in three dimensional design applications such as 3-D animation and 3-D games.

• Archives of Plastic Surgery
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• 제32권2호
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• pp.183-188
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• 2005

Defect on the temporal area caused by, surgical ablation of a tumor or an infection should be reconstructed immediately to prevent potentially life-threatening complications such as meningitis and cerebrospinal fluid leakage. The defect on the temporal area usually presents as a typical 'cone-shape'. Successful reconstruction requires sufficient volume of well-vascularized soft tissue to cover the exposed bone and dura. From 1994 through 2003, the authors applied rectus abdominis free flap for the reconstruction of the temporal defect from 1994 through 2003. There were 10 patients with a mean age of 52.1 years. Of these 10 patients, external auditory canal cancer was present in four patients, temporal bone cancer in two, parotid gland cancer in one and three patients were reconstructed after debridement of infection(destructive chronic otitis media). All the free flaps survived, and flap-related complications did not occur. Compared to a local flap, the rectus abdominis free flap can provide sufficient volume of well-vascularized tissue to cover the large defect and can be well-tolerated during an adjuvant radiation therapy. The long and flat muscle can be easily molded to fit in to the 'cone-shape' temporal defect without dead space. It is also preferred because of the low donor site morbidity, a large skin island and an excellent vascular pedicle. Two-team approach without position change is possible. In conclusion, the authors think that rectus abdominis free flap should be considered as one of the most useful method for the reconstruction of a cone-shaped temporal defect.

• 전자공학회논문지CI
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• 제42권6호
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• pp.93-100
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• 2005

본 논문에서는 3차원 형상 재구성을 위하여 기존 복셀 칼라링 기법의 색상 일관성에 대한 문턱값 문제를 해결하기 위한 새로운 복셀 칼라링 기법을 제안하였다. 제안 기법에서는 중심카메라의 광선분위에 있는 내부 복셀의 색상 일광성을 비교함으로써 최적의 문턱값을 결정하였다. 즉, 표면 복셀에 대한 색상 일관성과 내부 복셀의 색상 일관성 값을 비교함으로써 표면 복셀에 대한 최적의 문턱값을 찾아가도록 하였다. 또한 그래프 절단 기법을 적용하여 주위 복셀을 제거함으로써 표면 잡음을 감소시켰다. 제안된 방법은 기존의 알고리듬보다 빠르고 정확하게 3차원형상을 재구성 할 수 있었다.

• Archives of Plastic Surgery
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• 제51권1호
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• pp.62-66
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• 2024

Gestational gigantomastia is characterized by the rapid growth of breasts during pregnancy. The treatment method of gestational gigantomastia is unclear; if the medical treatment is ineffective, surgery is considered. However, sufficient research on which method is best to perform breast reconstruction for the gestational gigantomastia patient has not yet been conducted. Our patient was young and had aesthetic needs; thus, we did not recommend modified radical mastectomy. However, it was difficult for the patient to consider active reconstruction using an implant or autologous tissue because of the expected complications and economic problems. The patient had a thin body shape and very large breasts compared with the trunk. Therefore, breast volume was not significantly required after reconstruction. Additionally, we expected that a considerable portion of skin would remain after mastectomy as a tubular-shaped breast. It was expected that the Goldilocks technique would be sufficient to meet the patient's volume needs. Therefore, we proceeded with total mastectomy and reconstruction using the Goldilocks procedure. No complications were recorded after the operation; most of the patient's discomfort was resolved, and the shape and size of the breasts were satisfactory.