• Maxillofacial Plastic and Reconstructive Surgery
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• 제34권5호
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• pp.320-325
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• 2012

Purpose: The purpose of this study was to evaluate the stability of the total setback of maxilla. It also discussed the surgical considerations of the procedure. Methods: The study consisted of 15 patients (mean age, $25.53{\pm}5.71$) who were treated with total setback Le Fort I osteotomy (with or without additional posterior maxillary impaction). The cone beam computed tomography was obtained before surgery (T0), 3~4 days after surgery (T1), and 6 months after surgery (T2). The surgical changes as well as the relapse of reference points in relation to the reference planes were statistically analyzed. Results: The mean maxillary setback was 2.35 mm. There were posterior movements of A-point ($0.73{\pm}0.83$ mm) during T2-T1. An opening of the nasolabial angle (mean $12.58^{\circ}$) was noted. Conclusion: Total maxillary setback allows combining satisfactory functional and cosmetic results for a number of carefully selected patients.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제42권
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• pp.7.1-7.8
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• 2020

Maxillomandibular advancement (MMA) is effective for the treatment of obstructive sleep apnea (OSA). In previous studies, the airway was increased in the anteroposterior and transverse dimensions after MMA. However, the effect of the opposite of mandibular movement (mandibular setback) on the airway is still controversial. Mandibular setback surgery has been suggested to be one of the risk factors in the development of sleep apnea. Previous studies have found that mandibular setback surgery could reduce the total airway volume and posterior airway space significantly in both the one-jaw and two-jaw surgery groups. However, a direct cause-and-effect relationship between the mandibular setback and development of sleep apnea has not been clearly established. Moreover, there are only a few reported cases of postoperative OSA development after mandibular setback surgery. These findings may be attributed to a fundamental difference in demographic variables such as age, sex, and body mass index (BMI) between patients with mandibular prognathism and patients with OSA. Another possibility is that the site of obstruction or pattern of obstruction may be different between the awake and sleep status in patients with OSA and mandibular prognathism. In a case-controlled study, information including the BMI and other presurgical conditions potentially related to OSA should be considered when evaluating the airway. In conclusion, the preoperative evaluation and management of co-morbid conditions would be essential for the prevention of OSA after mandibular setback surgery despite its low incidence.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제41권5호
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• pp.224-231
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• 2015

Objectives: The purpose of this study was to evaluate changes in the pharyngeal airway space and hyoid bone position after mandibular setback surgery with bilateral sagittal split ramus osteotomy (BSSRO) and to analyze the correlation between the amount of mandibular setback and the amount of change in pharyngeal airway space or hyoid bone position. Materials and Methods: From January 2010 to February 2013, a total of 30 patients who were diagnosed with skeletal class III malocclusion and underwent the same surgery (BSSRO) and fixation method in the Division of Oral and Maxillofacial Surgery, Department of Dentistry at the Ajou University School of Medicine (Suwon, Korea) were included in this study. Lateral cephalograms of the 30 patients were assessed preoperatively (T1), immediately postoperatively (T2), and 6 months postoperatively (T3) to investigate the significance of changes by time and the correlation between the amount of mandibular setback and the amount of change in the airway space and hyoid bone position. Results: Three regions of the nasopharynx, oropharynx, and hypopharynx were measured and only the oropharynx showed a statistically significant decrease (P<0.01). A significant posterior and inferior displacement of the hyoid bone was found 6 months after surgery (P<0.01). Analysis of the correlation between the amount of mandibular setback and the amount of final change in the airway space and hyoid bone position with Pearson's correlation showed no significant correlation. Conclusion: In this study, the oropharynx significantly decreased after mandibular setback surgery, and changes in the surrounding structures were identified through posteroinferior movement of the hyoid bone during long-term follow-up. Therefore, postoperative obstructive sleep apnea should be considered in patients who plan to undergo mandibular setback surgery, and necessary modifications to the treatment plan should also be considered.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제40권
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• pp.33.1-33.11
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• 2018

Background: Bimaxillary orthognathic surgery with maxillomandibular setback is often accompanied by changes in airway space. We analyzed the changes in airway space before and after surgery and assessed their association with obstructive sleep apnea. Methods: This study is based on the cohort of 13 adult patients (9 males, 4 females, average age 23.85 years) who underwent bimaxillary orthognathic surgery with maxillomandibular setback. We performed computed tomography and portable polysomnography before and after the surgery to assess changes in airway space and Apnea-Hypopnea Index (AHI) values (total, supine, non-supine). Results: The oropharyngeal airway volume decreased by 29% after the surgery, which was statistically significant (p < .05). The upper airway volume and hypopharyngeal airway volume were decreased, but not significantly (4 and 19%, respectively). The changes in airway surface area were statistically significant at all levels examined (p < .05). Changes in the maximum anteroposterior width of the airway were also significant at all levels (p < .05). However, the changes in maximum lateral width were only statistically significant at C2 level (p < .05). AHI values were increased after the surgery but not significantly at any position. Conclusions: Although bimaxillary surgery with maxillomandibular setback significantly reduces the airway space, it does not affect AHI values or induce obstructive sleep apnea.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제42권
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• pp.27.1-27.9
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• 2020

Background: Mandibular setback surgery can change the position of the mandible which improves occlusion and facial profile. Surgical movement of the mandible affects the base of the tongue, hyoid bone, and associated tissues, resulting in changes in the pharyngeal airway space. The aim of this study was to analyze the 3-dimensional (3D) changes in the hyoid bone and tongue positions and oropharyngeal airway space after mandibular setback surgery. Methods: A total of 30 pairs of cone-beam computed tomography (CBCT) images taken before and 1 month after surgery were analyzed by measuring changes in the hyoid bone and tongue positions and oropharyngeal airway space. The CBCT images were reoriented using InVivo 5.3 software (Anatomage, San Jose, USA) and landmarks were assigned to establish coordinates in a three-dimensional plane. The mean age of the patients was 21.7 years and the mean amount of mandibular setback was 5.94 mm measured from the B-point. Results: The hyoid bone showed significant posterior and inferior displacement (P < 0.001, P < 0.001, respectively). Significant superior and posterior movements of the tongue were observed (P < 0.05, P < 0.05, respectively). Regarding the velopharyngeal and glossopharyngeal spaces, there were significant reductions in the volume and minimal cross-sectional area (P < 0.001). The anteroposterior and transverse widths of the minimal cross-sectional area were decreased (P < 0.001, P < 0.001, respectively). In addition, the amount of mandibular setback positively correlated with the amount of posterior and inferior movement of the hyoid bone (P < 0.05, P < 0.05, respectively). Conclusion: There were significant changes in the hyoid bone, tongue, and airway space after mandibular setback surgery.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제26권2호
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• pp.164-171
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• 2000

Purpose : This study was aimed at measuring the changes in the hyoid bone position, tongue position, and pharyngeal airway space in subjects with mandibular setback osteotomies. Methods : Twenty patients were evaluated retrospectively for their changes in pharyngeal airway space, tongue and hyoid bone positions. All patients underwent surgical mandibular setback using bilateral sagittal split osteotomies. The cephalometric analysis was performed preoperatively, and 1 week, 3-6 months, and 1 year postoperatively. Result : The hyoid bone moved inferiorly and posteriorly immediately after surgery, and it returned to the preoperative position during follow-up period. The nasopharyngeal airway space was not significantly changed after surgery. A considerable decrease in the oropharyngeal and hypopharyngeal airway spaces following mandibular setback surgery was found. The upper and lower tongue was posteriorly repositioned immediately after surgery. During follow-up period, the hypopharyngeal airway space and lower tongue posture returned to the preoperative positions, but the oropharyngeal airway space and upper tongue posture were not significantly changed. The position of pogonion remarkably changed to backward immediately after surgery, but slightly anterior advancement was found during follow-up period. Conclusion : Immediately after mandibular setback surgery, the oropharyngeal and hypopharyngeal airway spaces obviously decreased due to posterior and inferior repositions of the tongue and hyoid bone. During follow-up period, lower tongue and hyoid bone returned to the preoperative positions, it was related to advancement of the pogonion in this period. The narrowing of the oropharyngeal airway space and posterior movement of the upper tongue posture were relatively permanent after mandibular setback surgery. We suspected this phenomenon had an influence on maintaining the total volume of oral cavity against mandibular setback.

• 한국공간구조학회논문집
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• 제13권1호
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• pp.79-86
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• 2013

For most of recent tall buildings, one characteristic is that their building shapes vary with height such as taper and setback, and this implies that the distribution of their structural components may also vary with height. Because of these structural variations, although the sectional shapes of these buildings are symmetric, it is difficult to say whether or not they are structurally symmetric. The acceleration responses of structurally asymmetric tall buildings are larger than those of non-eccentric buildings, thus raising the possibility of problems during strong winds and typhoons. This paper describes wind tunnel tests carried out using building models with height variations and acceleration response analyses, and discusses the resulting response characteristics. For tapered and setback buildings, although the across-wind accelerations are larger than those of a square building, the total root-mean-square accelerations remain small because of smaller along-wind and torsional rms accelerations. And it was found that the effects of statistical couplings between along-wind force and other two forces are negligible.

• 신재생에너지
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• 제9권4호
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• pp.13-18
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• 2013

Wind turbines should generally be installed at a certain distance from a road to ensure passengers' safety. In Korea, there is no clear guidance as the Ministry of Environment first proposed a road setback distance of 400 m in the Onshore Wind Farm Siting Guidelines draft proposed in July 2012, and then modified it to 1.5 times the height of the wind turbine in October of the same year. This study analyzed the dynamic range of onshore wind resource potential according to how the road setback distance is set using the Korea Wind Atlas with 100m spatial resolution made by the Korea Institute of Energy Research, the transportation network of the Ministry of Construction and Transportation, and the forest road network of the Korea Forestry Service. Owing to the geographical characteristics of Korea, where mountainous terrain accounts for 70% of the total territory, the wind resource potential within 1 km from forest roads are estimated to be 14.3 GW, 14% of Korea's total wind resource potential. In addition, the construction distance of new road for transporting wind turbines from the existing road to a wind farm site is estimated as less than 2 km. Given the limited wind resource potential and geographical constraints, an assessment system that can maximize wind resource utilization and ensure road safety at the same time, and which takes into account the regional characteristics instead of applying the fixed road setback distance across-the-road, is required.

• 한국식품영양과학회지
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• 제34권7호
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• pp.1098-1102
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• 2005

일반 백미를 분무수세한 후 건조하여 제조한 무세미와 부산물로 생성된 무세미 쇄립의 이화학적 특성 및 오염미생물을 분석하였다. 무세미 쌀가루는 명도와 황색도가 원료쌀에 비해 다소 낮았고 수분흡수지 수(WAI)와 수분용해지수(WSI)는 원료쌀에 비해 높게 나타났으며 무세미 쇄립에서 gel consistency가 다소 높게 나타났다. 무세미 쌀가루는 amylo-graph 최고점도와 breakdown이 높았으며 setback은 가장 낮은 반면에 무세미 쇄립은 최고점도와 breakdown이 낮았으며 setback이 높은 것으로 나타났다. 무세미의 DSC 측정결과 호화개시온도와 호화최고온도가 원료쌀에 비해 약간 감소하는 경향이었으며 호화엔탈피는 다소 높게 나타났다. 무세미는 원료쌀에 비해 total bacteria, yeast-like strain의 수가 감소하여 쌀 표면 미생물의 세척 효과에 따른 미생물의 오염정도가 낮았다.

• Food Science and Biotechnology
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• 제16권3호
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• pp.485-488
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• 2007

Plentiful amount of spent yeast has been produced as a by-product from breweries. ${\beta}-Glucan$ was prepared from the spent brewer's yeast in a crude form with hot water extraction and subsequent enzymatic treatment. The crude ${\beta}-glucan$ preparation consisted of mainly glucan (53% of total wt), containing approximately 35% ${\beta}-glucan$ content of total weight. The effects of crude ${\beta}-glucan$ substitution (1-9%) on pasting properties of wheat flour and starch were determined using a Rapid Visco-Analyzer (RVA). Incorporation of yeast ${\beta}-glucan$ into wheat flour and starch significantly decreased peak and [mal viscosities, but slightly increased setback viscosity. The setback viscosity was considerably higher in starch/${\beta}-glucan$ suspension than in flour/${\beta}-glucan$ suspension. It was suggested that preparation of yeast ${\beta}-glucan$ into aqueous dispersion might affect pasting behaviors of wheat flour and starch.