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Evaluation of the donor site after the median forehead flap

  • Choi, June Seok;Bae, Yong Chan;Nam, Soo Bong;Bae, Seong Hwan;Kim, Geon Woo
    • Archives of Plastic Surgery
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    • v.45 no.3
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    • pp.259-265
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    • 2018
  • Background Forehead flaps are useful for facial reconstruction. Studies of these flaps have mostly focused on the results of the reconstruction. However, due to the scarring and changes on the forehead caused by the median forehead flap (MFF), surgeons may be reluctant to perform this flap. Research into the donor site is needed for practical purposes. Methods We examined 42 patients who underwent an MFF at Pusan National University Hospital from 1996 to 2016. Based on a retrospective chart review, we examined the occurrence of complications. We also evaluated scars on the forehead using the Vancouver Scar Scale (VSS) and assessed changes in the eyebrow position of 22 patients. Results No complications occurred in the 42 patients. The mean VSS score of the 22 patients was $2.8{\pm}0.79$. The ratio of the height of the eyebrow on each side to the distance between the medial canthi increased postoperatively, meaning that both the left and right brows were elevated slightly (P=0.026 and P=0.014). However, the symmetry between the left and right sides did not change (P=0.979). The ratio of the interbrow distance to the distance between the medial canthi decreased slightly, meaning that the interbrow distance narrowed mildly (P<0.001). Moreover, there were no noticeable changes in the brow position as seen in a photo overlay. Conclusions There were no notable complications in the forehead. Forehead scarring was acceptable. No change in brow symmetry was observed via photographic measurements and a photo overlay. Therefore, we propose that the MFF is a useful choice for minimizing scarring or deformation of the donor site.

Repeated failure of implants at the same site: a retrospective clinical study

  • Kang, Dong-Woo;Kim, So-Hyun;Choi, Yong-Hoon;Kim, Young-Kyun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.41
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    • pp.27.1-27.9
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    • 2019
  • Background: Implants are becoming the first choice of rehabilitation for tooth loss. Even though they have a high success rate, failures still occur for many reasons. The objective of this study is to analyze the reasons for recurring failure at the same site and the results of re-implantation. Methods: Thirteen patients (11 males and 2 females, mean age 60 ± 9.9 years) who experienced implant surgery failure at the same site (same tooth extraction area) two or more times in the Department of Oral and Maxillofacial Surgery, Seoul National University Bundang Hospital, between 2004 and 2017 were selected. The medical records on a type, sites, diameter, and length of implants; time and estimated cause of failure; and radiographs were reviewed. Data were collected and analyzed retrospectively, and the current statuses were evaluated. Results: A total of 14 implants experienced failure in the same site more than two times. Twelve implants were placed in the maxilla, while 2 implants were placed in the mandible. The maxillary molar area was the most common site of failure (57.1%), followed by the mandibular molar, anterior maxilla, and premolar areas (14.3% each). The first failure occurred most commonly after prosthetic treatment (35.7%) with an average period of failure of 3.8 months after loading. Ten cases were treated as immediate re-implantation, while the other 4 were delayed reimplantation after an average of 3.9 months. The second failure occurred most commonly after prosthetic treatment (42.9%), with an average of 31 months after loading; during the healing period (42.9%); and during the ongoing prosthetic period (14.3%). In 3 cases (21.4%), the treatment plan was altered to an implant bridge, while the other 11 cases underwent another implant placement procedure (78.6%). Finally, a total of 9 implants (64.3%) survived, with an average functioning period of 60 months. Conclusions: Implants can fail repeatedly at the same site due to overloading, infection, and other unspecified reasons. The age and sex of the patient and the location of implant placement seem to be associated with recurring failure. Type of implant, bone augmentation, and bone materials used are less relevant.

Patronage Orientations of Service Facilities and Clothing Purchase Behaviors: A Typology of Department Store Customer Segments (백화점 소비자의 서비스시설 이용성향과 의복구매행동: 시장세분화를 위한 유형 별 분석)

  • 신수임;박경애
    • Journal of the Korean Society of Clothing and Textiles
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    • v.24 no.4
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    • pp.571-582
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    • 2000
  • The purposes of this study were to segment department store customers based on patronage orientations of service facilities in a department store and to develop a profile of each segment using store visit behaviors, clothing purchase behaviors and demographics. A total of 453 responses collected from an on-site questionnaire survey to female department store customers was analyzed. Cluster analysis on patronage orientations of department store service facilities identified four groups including: Active patrons(27.3%); Comparison patrons(27.6%); Convenience seekers(27.3%); and Minimum patrons(17.8%). ANOVA and $\chi$$^2$ analyses revealed significant differences among the four groups on store visit behaviors(the extent of store visits and the extent of service facility visits), clothing purchase behaviors(6 store choice criteria and the extent of clothing purchase), and 5 demographic characteristics. The study developed a profile of each segment and provided marketing implications.

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A study on Trend Analysis of Housing Design in the Model House (최근 모델하우스에 나타난 주거디자인 경향분석;판교 신도시 모델하우스를 중심으로)

  • Baek, Hye-Young;Kim, Kook-Sun
    • Proceeding of Spring/Autumn Annual Conference of KHA
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    • 2006.11a
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    • pp.480-483
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    • 2006
  • The purpose of this study was to examine the spatial composition and characteristics of model houses that have recently opened in Pangyone ara. Site visit and content analysis were adopted in this study. and the studied model houses developed by nine housing were of particular interest. The major findings indicated that convenience and safety through high tech-related features, environmentally friendly features in response to the growing attention of consumers to indoor air quality, aesthetic building facade and its various floor plan, and a wide range of consumers choice for interior finishes and materials. The new trends provides a flexible wall which makes it possible to manipulate the number of rooms according to the family preference.

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Localized Primary Laryngeal Lymphoma Treated by Irradiation (원발성(原發性) 후두(候頭) 임파종(淋巴腫))

  • Kim G.E.;Suh C.O.;Kim J.H.;Kim B.S.;Lee K.K.;Kim K.M.;Hong W.P.
    • Korean Journal of Head & Neck Oncology
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    • v.1 no.1
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    • pp.81-86
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    • 1985
  • A case of primary laryngeal non-Hodgkin's lymphoma is detailed with a review of the literature, on this rare site of presentation. Histologic findings and radio-therapeutic technique are included with longterm follow-up data. Local radiotherapy is a curative treatment of choice due to longterm NED survival with preservation of voice.

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A technique for treating exposed cardiac Pacemaker (피부괴사로 노출된 심장 Pacemaker에 대한 처치 : 증례 보고)

  • Sin, Geuk-Seon;Yu, Jae-Deok;Hong, Seung-Rok
    • Journal of Chest Surgery
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    • v.17 no.1
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    • pp.125-128
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    • 1984
  • The management of the exposed cardiac pacemaker or its lead is a new challenge to the plastic surgeon. This complication is not rare. Coburn et al. [1972] reported less than 5 percent, but Sowton et al. [1974] showed that over a period of 19 years, in a series of 372 patients, the pacing system had to be removed because of local wound breakdown or infection in 10 percent of the cases. The methods used to treat exposure may vary from removal and re-introduction at anterior site to the rotation of local flaps to cover the exposed pacemaker. Recently we have experienced 6 times of migration and recurrent skin ulcerations without pyogenic infection overlying the pacemaker in one patient. We developed a new technique, anchoring the pacemaker to the clavicle by a wire through the hole of clavicle and by creating a pocket under the pectoralis major muscle. Then we would like to emphasize this operating method could be choice of treatment to prevent the migration of pacemaker and the ulceration of skin when complication of implantation of pacemaker is occurred.

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The Wind Resource Database KIER-WindJeju (제주도 풍력자원 데이터베이스 KIER-WindJeju)

  • Kim, Hyun-Goo;Lee, Jong-Nam;Jang, Moon-Seok;Kyong, Nam-Ho
    • 한국신재생에너지학회:학술대회논문집
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    • 2007.06a
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    • pp.420-422
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    • 2007
  • In order to support wind power development in Jejudo, the island of winds, the wind resource database KIER-WindJeju has been established by meteor-statistical analysis on met-mast measurements of KIER. The analysis includes tower shading, exposure category, wind profile exponent for wind speed extrapolation to hub height of wind turbine, and correlation matrix between neighboring sites to assist choice of appropriate reference site for long-term correlation. KIER-WindJeju will be provided as an add-on of Google $Earth^{TM}$ and will be used as a guideline of future wind resource assessment in Jejudo.

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A Case Report of Cardiac Fibroma (심장 섬유종 -1례 보고-)

  • Jang, Jae-Han;Kim, Min-Ho;Jo, Jung-Gu;Kim, Gong-Su
    • Journal of Chest Surgery
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    • v.29 no.1
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    • pp.99-102
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    • 1996
  • Cardiac fibroma is a rare benign tumor of the heart that occurs primarily in infants and children. Prognosis depends on size, extent and site of tumor. Cardiac fibroma may invade the conduction system, papillary muscle and outflw of inflow tract of ventricle. In these situations, its clinical course is very poor Although operative mortality is high, surgical resection is treatment of choice because lethal arrhythmia and sudden death can be developed by the fibroma. A cardiac fibroma was successfully resected from the left ventricular myocardium of a 8 years old male patient in the Department of Thoracic and Cardiovascular Surgery, Chonbuk National University Hospital.

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VERRUCOUS CARCINOMA A CASE REPORT (우췌성암종;증례보고)

  • Jang, Hyun-Seon;Kim, Su-Gwan
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.23 no.3
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    • pp.277-280
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    • 2001
  • Verrucous carcinoma is a distinctive, extremely well-differentiated, slow-growing variant of the squamous cell carcinoma. Verrucous carcinoma of the oral cavity is relatively rare. McCoy reported about 49 verrucous carcinomas of the oral cavity. McCoy reported that the most common site of occurrence was the buccal mucosa, followed by the mandibular alveolar ridge and gingiva, and that The majority of the patients were between the ages of 50 and 80 years. Although most other series of oral verrucous carcinoma show a male predominence, our case occurred in female. The role of radiation therapy in treatment of oral verrucous carcinoma is controversial, and adequate surgical excision appears to be the treatment of choice. In this paper a case of verrucous carcinoma of the buccal mucosa and a review of the literature is presented.

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A Study on The Electrical Characteristics in Ribbon by Temperature Changes (온도 변화에 따른 Ribbon의 전기적 특성에 관한 연구)

  • Woo, Sung-Cheol;Jung, Tae-Hee;Kim, Tae-Bum;Kang, Ki-Hwan;Ahn, Hyeung-Ken;Han, Deuk-Young
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 2010.06a
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    • pp.67-67
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    • 2010
  • PV module has many power loss factor in the site. Among them, one thing is series resistance. Especially interconnection ribbon resistance is one of the power loss. In this paper, we study interconnection ribbon resistance of the PV module material. In the field, high temperature can pile ribbon resistance on the PV modules. We can do better choice in the optimum use of ribbon through checking relation of ribbon dimension and resistivity. From this point of view, different solder type and dimension was treated.

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