• Archives of Plastic Surgery
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• v.50 no.1
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• pp.10-16
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• 2023

Background The chest wall defects can be caused by various reasons. In the case of malignant tumor resection of the chest wall, it is essential to reconstruct the chest wall to cover the vital tissue and restore the pulmonary function with prevention of paradoxical motion. With our experience, we analyzed and evaluated the results and complications of the chest wall reconstructions followed by malignant tumor resection. Methods From 2013 to 2022, we reviewed a medical record of patients who received chest reconstruction due to chest wall malignant tumor resection. The following data were retrieved: patients' demographic data, tumor type, type of operation, method of chest wall reconstruction of the soft and skeletal tissue and complications. Results There were seven males and six female patients. The causes of reconstruction were 12 primary tumors and one metastatic carcinoma. The pathological types were seven sarcomas, three invasive breast carcinoma, and three squamous cell carcinomas. The skeletal reconstruction was performed in six patients. The series of the flap were eight pedicled latissimus dorsi (LD) myocutaneous flaps, two pectoralis major myocutaneous flap, two vertical rectus abdominis myocutaneous free flap, and one LD free flap. Among all the cases, only one staged reconstruction and successful reconstruction without flail chest. Most of the complications were atelectasis. Conclusion In the case of accompanying multiple ribs and sternal defect, skeletal reconstruction would need skeletal reconstruction to prevent paradoxical chest wall motion. The flap for soft tissue defect be selected according to defect size and location of chest wall. With our experience, we recommend the reconstruction algorithm for chest wall defect due to malignant tumor resection.

• Archives of Craniofacial Surgery
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• v.10 no.2
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• pp.71-75
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• 2009

Purpose: Recently, orbital wall fracture is common injuries in the face. Facial CT is essential for the accurate diagnosis and appropriate treatment to reconstruct of the orbital wall. The objective of this study was to report the method for accurate measurement of area and shape of the bony defect in the blow-out fractures using facial CT in prior to surgery. Methods: The authors experienced 46 cases of orbital wall fractures and examined for diplopia, sensory disturbance in the area of distribution of the infraorbital nerve, and enophthalmos in the preoperation and followed 1 months after surgery, from August 2007 to May 2008. Bony defect was predicted by measuring continuous defect size from 3 mm interval facial CT. Copying from the defect model (template), we reconstructed orbital wall with resorbable sheet (Inion $CPS^{(R)}$ Inion Oy, Tampere, Finland). Results: One months after surgery using this method, 26 (100%) of the 26 patients improved in the diplopia and sensory disturbance in the area of distribution of the infraorbital nerve. Also 8 (72.7%) of the 11 patients had enophthalmos took favorable turn. Conclusion: This accurate and time-saving method is practicable for determining the location, shape and size of the bony defect. Using this method, we can reconstruct orbital wall fracture fastly and precisely.

• Journal of the Korean Society of Safety
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• v.30 no.5
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• pp.52-58
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• 2015

Although lots of safety inspection and precision safety diagnosis have been conducted on concrete retaining wall, there is no comprehensive analysis on the basis of the accumulated data associated with the statistic. Especially, the concentrated management is necessary on the evaluation items that cause critical damages for the efficient performance. In this regard, this study conducted a correlation analysis between the 18 condition evaluation items and defect index for the concrete retaining wall as well as how each item affects the final defect index as much as in the manual. As a result, correlation coefficient between sliding and overturning was 0.601, which means that they have a strong correlation, and the most influential item on defect index is the condition of drainage that scored the 0.750 correlation coefficient. In addition, as a result of regression analysis, the condition of drainage with the 0.683 correlation coefficient has a strong correlation with the defect index. If the condition evaluation items are integrated or readjusted based on the results of the statistical analysis in this study, the more efficient and accurate maintenance will be possible.

• Journal of the Korean Society for Nondestructive Testing
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• v.33 no.1
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• pp.34-39
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• 2013

In the advanced research deducted infrared thermography (IRT) test using 4 inch pipe with artificial wall-thinning defect to measure on the wall-thinned nuclear pipe components. This study conducted for defect detection condition of nuclear small-bore pipe research using deducted condition in the advanced research. Defect process is processed by change for defect length, circumferential direction angle, wall-thinning depth. In the used equipment IR camera and two halogen lamps, whose full power capacitany is 1 kW, halogen lamps and Target pipe experiment performed to the distance of the changed 1 m, 1.5 m, 2 m. To analysis of the experimental results ensure for the temperature distribution data, by this data measure for defect length. artificial defect of 4 inch pipe is high reliability in the 2 m, but small-bore pipe is in the 1.5 m from the defect clearly was detected.

• Archives of Plastic Surgery
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• v.37 no.3
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• pp.277-280
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• 2010

Purpose: The resection of locally advanced or recurred breast cancers frequently result in large chest wall defects and it leads to a great challenges to cover. Generally simple skin grafts are not a practical option for patients because of their poor cosmetic appearance and prognosis. The latissimus dorsi and rectus abdominis musculocutaneous flap have traditionally been recommended for closure of these large defects. Though the cosmetic result of reconstruction using these flaps is often excellent, but has significant drawbacks. Therefore, we thought that chest wall reconstruction using the external oblique musculocutaneous flap can be an alternative method for extensive chest wall defect related to large, locally advanced breast carcinoma. Methods & Results: We present a case of a 50-year-old Korean female, refered to our department with a left breast tumor for 10 months. CT demonstrate a large tumor on the left anterior chest wall and multiple nodules of varying size in the cervical areas and liver. FDG-PET showed areas of hot uptake throughout the left chest wall, mediastinum and liver. Biopsy was consistent with invasive ductal carcinoma (Grade III). The initial tumor was considered inoperable, so a series of chemotherapy was initiated. Though the size of the breast mass was slightly decreased, the patient continued to suffer from purulent discharge, unpleasant odor and contact bleeding of the mass, the salvage mastectomy was performed. Conclusion: We could reconstruct $23{\times}16\;cm$ sized large chest wall defect, resulting from the resection of a locally advanced breast carcinoma, using an external oblique musculocutaneous flap successfully. Immediate postoperatively checked flap was healthy. Overall result was good without any significant complications and discharged 3 weeks after operation.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.29 no.5 s.236
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• pp.734-742
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• 2005

The present study proposes the integrity evaluation model for a straight pipe with local wall thinning defect, which reflects the characteristics of training shape and loading condition in the Piping of nuclear power plant. For this purpose, a series of finite element analyses are performed under various defect geometries and loading conditions, and real pipe experiment data performed previously is employed. The model includes the effect of thinning length as well as thinning depth and width, and also it considers the combined loading effect between internal pressure and bending moment. The proposed model has been validated using the results of finite element analysis and pipe experiment data. The results indicate that the proposed model provides more reliable predictions of pipe failure than the current existing model, in terms of accuracy, consistency, and conservativeness of results.

• Journal of the Korean Society for Precision Engineering
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• v.26 no.11
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• pp.55-61
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• 2009

The wall thinning defect of nuclear power pipe is mainly occurred by the affect of the flow accelerated corrosion (FAC) of fluid. This type of defect becomes the cause of damage or destruction of in carbon steel pipes. Therefore, it is very important to measure defect which is existed not only on the welding part but also on the whole field of pipe. This study use dual-beam Shearography, which can measure the out-of-plane deformation and the in-plane deformation by using another illuminated laser beam and simple image processing technique. And this study proposes Infrared thermography, which is a two-dimensional non-contact nondestructive evaluation that can detect internal defects from the thermal distribution by the inspection of infrared light radiated from the object surface. In this paper, defect of nuclear power pipe were, measured using dual-beam shearography and infrared thermography, quantitatively evaluated by the analysis of phase map and thermal image pattern.

• Proceedings of the Korea Concrete Institute Conference
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• 1996.04a
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• pp.398-401
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• 1996

It is the aim of this study to introduce the application method for the new estimation system of deterioration caused performance decrement of exterior wall by infrared theromography. With this help of this trial test, the defect such as void and honeycomb of esveria wall can be shown easily. Espicially by selecting the weathering condition, it becomes easier to identify defect than with original image. It was confirmed that this trial monitoring system is very useful to identify the defect of exterior wall.

• Proceedings of the Korean Society of Precision Engineering Conference
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• 2008.06a
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• pp.701-702
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• 2008

• Transactions of the Korean Society of Mechanical Engineers A
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• v.31 no.10
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• pp.1017-1024
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• 2007

This study performed a series of burst tests at ambient temperature using real-scale elbow specimen containing a local wall-thinning defect at it's intrados or extrados and evaluated failure pressure of locally wall-thinned elbows. In the experiment, a 90-degree 100A, Sch. 80 standard elbow was employed, and various wall-thinning geometries, such as length, depth, and circumferential angle, were considered. From the results of experiment, the dependences of failure pressure of wall-thinned elbows on the defect geometries and locations were investigated. In addition, the reliability of existing models was examined by comparing the tests data with the results predicted from existing failure pressure evaluation models for locally wall-thinned elbow.