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정진환,이상칠,김동우,박대송,이슬기,박철휘,염학렬,김현민,송민석,Jung, Jin-Hwan,Lee, Sang-Chil,Kim, Dong-Woo,Park, Dae-Song,Lee, Seul-Ki,Park, Chul-Hui,Yeom, Hak-Ryul,Kim, Hyeon-Min,Song, Min-Seok 대한구강악안면외과학회 2010 대한구강악안면외과학회지 Vol.36 No.1
Carcinoma ex pleomorphic adenoma is transformed at the incidence of 1-20% in pleomorphic adenoma and frequently recurred. It accounts for 10% of all malignant salivary tumors and its average age of occurrence is 60s. It will present in a large, long-standing pleomorphic adenoma or in one that was previously treated but has recurred. According to cell composition in malignant cell carcinoma, and clear cell adenocarcinoma. Most (75%) occur in parotid gland, while about 20% occur in the minor gland of the oral mucosa. The metastasis rate to regional lymph node is about 25%, and to distant organs about 33% and the 5-year survival rates are 40%. Though the treatment of the carcinoma ex pleomorphic adenoma is not established, it is treated ideally with and extensive resection, neck dissection, postoperative radiotherapy, and chemotherapy. When occurred in parotid gland, facial paralysis is reported. With a review of literatures, we report a case of carcinoma ex pleomorphic adenoma which operated with total parotidectomy and supraomohyoid neck dissection.
기저핵부 뇌실질내 출혈에 대한 수술후 뇌농양으로 오인한 다형성 교아세포종
정진환,김재민,백광흠,박용욱,김충현,오석전,Cheong, Jin Hwan,Kim, Jae Min,Bak, Koang Hum,Park, Yong Wook,Kim, Choong Hyun,Oh, Suck Jun 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.3
A 51-year-old woman presented with sudden severe headache, vomiting, and right hemiparesis at first admission. Computed tomography(CT) scans revealed an hemorrhagic density at left basal ganglia. Preoperative cerebral angiography showed no vascular lesion. Under the diagnosis of hypertensive intracerebral hemorrhage(ICH), total extirpation of hematoma was done. The postoperative neurological condition improved gradually and discharged without any neurological sequelae. Two months later, she revisited with headache, vomiting and progressive right hemiparesis. CT scans at second admission showed an irregular rim enhanced mass with central low density with surrounding edema at the initial bleeding area. Repeated craniotomy was performed and the mass was partially removed. The histopathological diagnosis of the specimen was confirmed as glioblastoma. The authors report a glioblastoma, which occurred at initial ICH site and regarded as a brain abscess with literature review.
Thread Shape Design Using Joining and Release Analysis of Bolts
정진환(Jin Hwan Jeong),이현규(Hyun-Kyu Lee),김종봉(Jong-Bong Kim),박근(Keun Park) Korean Society for Precision Engineering 2015 한국정밀공학회지 Vol.32 No.6
As the sizes of mobile phones and watch phones decrease, the joining bolt for the products should also be decreased to a miniature size. However, the miniature-sized bolt has to support sufficient joining and anti-releasing torque to keep the product fastened. In this study, the thread shapes are designed to improve anti-releasing performance of bolts. Especially, when bolt materials is stronger than nut materials, the design of thread shapes is needed, like bolt for wood, to improve the fastening capability. Through the joining and releasing analyses of bolts, the thread shapes for SUS302 bolt and Mg alloy nut are newly designed. It was shown that the newly designed bolt has 20 % higher anti-releasing torque and 35% lower torque loosening slope compared to the standard bolt.