• Title/Summary/Keyword: two-staged

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Simultaneous Glossectomy with Orthognathic Surgery for Mandibular Prognathism

  • Jung, Young-Wook;On, Sung-Woon;Chung, Kyu-Rhim;Song, Seung-Il
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.36 no.5
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    • pp.214-218
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    • 2014
  • Macroglossia can create dental and skeletal instability after orthodontic treatment or orthognathic surgery for mandibular prognathism. In relevant literature, partial glossectomy is suggested for a good post-treatment prognosis. Most of the published partial glossectomy cases are two-staged surgery, because of concern about postoperative airway obstruction. As orthognathic surgical techniques and fixation method develop, however, concerns about postoperative airway obstruction have lessened. In this case, mandibular setback surgery and partial glossectomy were performed simultaneously, leading to stable recovery without any postoperative respiratory problems. After surgical technique to preserve the tongue tip, we achieved good outcomes without postoperative side effects of lingual hypoesthesia, pronunciation disorder and dyskinesia. We report this case with a literature review.

Reconstruction of Defect after Treatment of Bisphosphonate-related Osteonecrois of the Jaw with Staged Iliac Bone Graft

  • Ahn, Kyo-Jin;Kim, Young-Kyun;Yun, Pil-Young
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.36 no.2
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    • pp.57-61
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    • 2014
  • Bisphosphonate is used widely for osteoporosis treatment, but a rising concern is the risk of osteonecrosis after long-term bisphosphonate use. Such cases are increasing, suggesting a need for research to prevent and treat bisphosphonate-related osteonecrosis of jaws. A 63-year-old female took bisphosphonate (Fosamax$^{(R)}$) for four years for treatment of osteoporosis and stopped medication two months ago because of unhealed wound. She was treated with marginal mandibulectomy maintaining the inferior border, and a metal plate was placed to prevent mandible fracture. Four months after the mandibulectomy, mandible reconstruction surgery using iliac bone and allograft was done. Six months after reconstruction, implant placement and treatment with an overdenture was done without complications. This study presents a case with a successful result.

An Elementary Study on the Combustion Mechanism of Levitated Droplet Clusters by Ultrasonic Wave (초음파를 이용한 부상유적군의 연소기구에 관한 기초연구)

  • Jung, Jin-Do;Kim, Seung-Mo
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.27 no.8
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    • pp.1191-1199
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    • 2003
  • This paper describes to observe the combustion process of only one droplet cluster. In this study, liquid fuel was atomized by ultrasonic wave to form an acoustically levitated droplet cluster. In order to elucidate the detailed structure of burning process of the droplet cluster, laser tomography method was applied. Time-series planar images of fuel droplets were processed and diameter of the each droplet was calculated based on the Mie-scattering theory. Using these data, the modified droplet group combustion number was estimated in time-series. As the result, when the internal droplet group combustion occur, the modified group combustion number dose not decrease monotonically, but show a tow-staged decreasing process. In all case of combustion process, combustion reactions were measured two types that combustion speed was fast and slow. It was casued by difference of concentration degree and droplet size distribution.

Numerical Analysis for the Flow Field past a Two-Staged Conical Orifice (이단 원추형 오리피스를 지니는 유동장에 대한 수치해석)

  • Kim, Yeon-Soo;Kim, You-Gon
    • Proceedings of the KSME Conference
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    • 2001.06e
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    • pp.499-505
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    • 2001
  • The objective of the paper was to measure the pressure drop and to investigate the recirculation region of the conical orifices used in Kwang-yang Iron & Steel Company. The flow field with water used as a working fluid was the turbulent flow for Reynolds number of $2{\times}10^4$. The effective parameters for the pressure drop and the recirculation region were the conical orifice's inclined angle (${\theta}$) against the wall, the interval(L) between orifices, the relative angle of rotation(${\alpha}$) of the orifices, the shape of the orifice's hole(circle, rectangle, triangle) having the same area. It was found that the shape of the orifice's hole affected the pressure drop and the flow field a lot, But the other parameters did not make much differences to the pressure drop. The PISO algorithm with FLUENT code was employed.

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Ultrastructural Study on the Oocyte Maturation of Swordtail (Xiphophorus hellerii) (송사리과 Swordtail (Xiphophorus hellerii)의 난모세포 성숙과정에 관한 미세구조 연구)

  • Hwang, Woo-Sub;Kim, Wan-Jong;Reu, Dong-Suck
    • Applied Microscopy
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    • v.28 no.3
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    • pp.263-271
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    • 1998
  • Oocyte maturation of the swordtail (Kiphophorus hellerii) was investigated by light and electron microscopy. In the ovary of the swordtail, various staged oocytes were observed, Mature oocytes were located in ovarian cortex, meanwhile immature ones were positioned in ovarian medulla. The oocyte was surrounded by several structures or cells such as chorion, follicle cells, follicular theaca and ovarian epithelium, respectively, from the inside toward outside. Growing and maturing oocytes healed numerous microvilli which interconnected the oocyte and the follicle cells to communicate each other. The mature oocyte had the electron dense chorion which appeared to be ultrastructure of two layers and contained pore canals. Oocyte maturation was characterized by not only the enlarged cell size and well differentiated cell organelles, brit also the increases of fat droplets, pinocytotic vesicles and yolk granules.

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Congenital Esophageal Atresia with Tracheoesophageal Fistula - A Case Report - (선천성 식도폐쇄 및 간식도루 1례 보)

  • 손동섭
    • Journal of Chest Surgery
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    • v.20 no.3
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    • pp.565-569
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    • 1987
  • The first description of the pathologic anatomy of esophageal atresia was presented by Duration in 1670, it was not successfully treated until 1939 when the first two survivors of staged correction were described by Ladd and Levin. In 1941 Haight and Towsley performed the first successful primary repair. Recently we were experienced a case of esophageal atresia with tracheoesophageal fistula an infant patient who presented the symptoms of vomiting and dyspnea. The diagnosis was made by the esophagography with Diagnosis. The operation was performed extrapleurally through 4th intercostal space after gastrostomy. The fistula was closed by triple ligation and the upper pouch was then brought into apposition with the presenting surface of the lower esophageal segment and an end to side anastomosis was fashioned with a single layer of sutures. Operative patient tolerated all the operative procedure well in spite of postoperative respiratory complication and recovered uneventfully, permitted feeding on 9th postoperative day after esophagography.

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Surgical Repair of Esophageal Atresia with Tracheoesophageal Fistula - Report of Three Cases - (선천성 식도 폐쇄및 기관식도루 수술치험 3례)

  • 허강배
    • Journal of Chest Surgery
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    • v.25 no.9
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    • pp.891-899
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    • 1992
  • Esophageal atresia with tracheoesophageal fistula may occur as separate, but usually occur in combination. First described by Thomas Gibson in 1696, esophageal atresia was not successfully treated until 1939 when the first two survivors of staged correction were described by Ladd and Leven. In 1941, Haight and Towsley performed the first successful one-stage primary repair. We report three cases of esophageal atresia with tracheoesophageal fistula of which were treated with one-stage surgical repair method. The operation was performed tra-nspleurally through right 4th intercostal space. The fistula in the trachea was closed with interrupted 5-O prolene sutures and esophagoesophageal anastomosis was performed with 3-O prolene single layer sutures in all cases. All patients tolerated the operative procedures and recovered uneventfully. On follow-up study, anastomotic stricture was developed in one patients, so esophageal dilatation was performed for it with the Griintzig balloon catheter and the result was satisfactory. The other patients were well-being without any complication.

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A Study on Low-NOx Combustion in an Oil Burner for an Industrial Boiler (산업 보일러용 오일버너에서의 저 NOx 연소 연구)

  • Shin, Myung-Chul;Kim, Se-Won;Park, Ju-Won;Bang, Byeong-Ryeol;Yang, Won;Go, Young-Gun
    • Journal of the Korean Society of Combustion
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    • v.14 no.1
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    • pp.19-24
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    • 2009
  • A novel low NOx oil burner of 0.7 MW (for a 1 ton steam/hr industrial boiler) was designed and tested to investigate the combustion characteristics through in-flame measurement and flue gas analysis. Flame shape was observed by CCD camera and $CH^*/{C_2}^*$ radical distribution in the flame were observed, along with measurement of flue gas composition such as NOx and CO, for various heat inputs, excess airs and pressure of the fuel spary nozzles. The flame showed the two-zone structure: fuel-rich and fuel-lean zone, which was very favorable for the low-NOx combustion, and the NOx emission for haevy oil combustion was significantly reduced to < 150 ppm at 4 % $O_2$, compared with the NOx level of a conventional heavy oil burner.

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Performance Evaluation of a Multistage-Cyclone Pre-heating Calciner and a Rotary Kiln Calciner: Case of a Cement Process (다단사이클론 예열소성로와 로터리킬른 소성로의 성능 모형평가: 시멘트공정사례)

  • Eom, Taegyu;Choi, Sangmin
    • Journal of the Korean Society of Combustion
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    • v.20 no.2
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    • pp.14-27
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    • 2015
  • Calcination, which represents thermal decomposition of $CaCO_3$, is the key reaction in a cement process. Some reactions including heating-up also take place simultaneously in the calcination reactors. Basic thermal performance and dimensions of the reactors in two cases, which are a rotary kiln wih a four-stage cyclone pre-heater and a simple single rotary kiln, were compared. To employ the heat transfer, mass transfer and reaction rate as well as calcination, one-dimensional modeling was conducted in each case. Some simplification about the reactors was described, however, the reliable Nusselt number and heat transfer coefficients on the reactors were used to make results reliable.

Staging in Vestibular Schwannoma Surgery : A Modified Technique

  • Kim, Eal-Maan;Nam, Sung-Il
    • Journal of Korean Neurosurgical Society
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    • v.43 no.1
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    • pp.57-60
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    • 2008
  • The authors herein propose the staged excision as a novel strategy to preserve facial nerve and minimize complication during microsurgery of large vestibular schwannoma (VS). At the first stage, for reducing mass effect on the brain stem and cerebellum, subtotal tumor resection was performed via a retrosigmoid craniotomy without intervention of meatal portion of tumor. With total resection of the remaining tumor, the facial nerve was decompressed and delineated during the second stage translabyrinthine approach at a later date. A 38-year-old female who underwent the staging operation for resection of her huge VS is illustrated.