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Rubber-Tipped Jones Tube를 이용한 결막누낭비강문합술
정윤재,위형곤,김진,손병규,김한균 대한성형외과학회 2002 Archives of Plastic Surgery Vol.29 No.3
One of the problems of conjunctivodacryocystorhinostomy which employs the conventional Jones tube is that the end of Jones tube has to be manipulated by the surgeon so that the tube resides within the nasal cavity while not touching the middle turbinate and the nasal septum. As a result, for most of the patients who have high nasal septal deviation, paradoxical curvature, or middle turbinate hypertrophy, there wasn't enough room within the nasal cavity where one end of Jones tube could rest. Such patients required either septoplasty or turbinectomy before they underwent conjunctivodacryocystorhinostomy.In order to overcome such a problem, the authors connected a 4 Fr. rubber tube to the conventional Jones tube, and helped the end of the tube to reside within the nasal cavity regardless of the anatomical variation of either the nasal septum or the middle turbinate. When such modified procedure is used, the conventional Jones tube will make contact with the conjunctiva, lacrimal sac, and the nasal mucosa while the rubber tube remained afloat within the nasal conjunctiva. Such modification helps the tube to reside within the nasal cavity without foreign body reactions and granulation tissue complications, and there is no need to change tubes in order to make up for the loss of tube length due to post operative tissue contracture. Between April 2000 and August 2001, the authors performed conjunctivodacryo cystorhinostomy with rubber-tipped Jones tube on 8 patients with nasolacrimal duct obstruction, and obtained satisfactory results without complications.
Outcomes of Ultrasound-Guided Extracorporeal Shock Wave Therapy for Painful Stump Neuroma
정윤재,박원용,전종현,문정현,조윤수,전아영,장기언,서정훈 대한재활의학회 2014 Annals of Rehabilitation Medicine Vol.38 No.4
Objective To investigate the effect of extracorporeal shock wave therapy (ESWT) on painful stump neuroma.Methods Thirty patients with stump neuroma at the distal end of an amputation site were assigned randomly to the ESWT group (n=15) and the transcutaneous electrical nerve stimulation (TENS)+desensitization+pharmacological treatment group (n=15). For 3 weeks, the ESWT group received a weekly session involving 1,500 pulses at 0.10 mJ/mm2, while the control group was treated 10 times each, 40 minutes per day with TENS and desensitization treatment, and daily medication for 3 weeks. ESWT stimulation was given by focusing on the area at the neuroma site clearly identified by ultrasound.Results The changes in the McGill pain questionnaire were 38.8±9.0 prior to treatment and 11.8±3.1 following the treatment. The corresponding values for the control group were 37.2±7.7 and 28.5±10.3. The changes between groups were significantly different (p=0.035). The change in visual analog scale prior to and after treatment was 7.0±1.5 and 2.8±0.8 in the ESWT group, respectively, and 7.2±1.4 and 5.8±2.0 in the control group. These changes between the groups were also significantly different (p=0.010). The outcome in the pain rating scale also showed significant differences between groups (p<0.001). Changes in neuroma size and pain pressure threshold (lb/cm2) were not significantly different between groups (p>0.05).Conclusion The study findings imply that ESWT for stump neuroma is superior to conventional therapy.
치아 교정 브라켓 부착면의 응력 및 변형에 대한 유한요소 연구
정윤재,S. Ranjit,김원태 한국기계기술학회 2015 한국기계기술학회 학술대회논문집 Vol.2015 No.03
Orthodontic is important to apply the optimal orthodontic force. The orthodontic bracket is deformed and the stress caused by tension and torsion of the wire. In this study, using the ANSYS the material that is currently widely used in orthodontic bracket material of stainless steel, ceramic, titanium, polycarbonate, by applying the nitinol analyzed the strain and the stress distribution on the bracket side. Simulation results on the stress distribution and deformation, and it was found a difference of each material.