• Title/Summary/Keyword: Dual plane

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Periareolar Dual Plane Augmentation Mammaplasty (유륜절개 이중평면 유방확대술)

  • Sim, Hyung Bo;Yoon, Sang Yup
    • Archives of Plastic Surgery
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    • v.33 no.2
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    • pp.155-160
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    • 2006
  • Although several reports have been introduced about dual plane augmentation mammaplasty, the description of periareolar approach dual plane augmentation mammaplasty was few. This article describes specific characteristics, and different classification and techniques for the periareolar dual plane breast augmentation while postoperative scars resulted from inframammary crease approach caused complaints. A total of 124 patients(248 breasts) had periareolar dual plane augmentation surgery from 1998 to 2004. Anatomic implants were used in 43 cases. Most of the patients were satisfied with the outcomes of periareolar dual plane augmentation. Periareolar dual plane augmentation mammaplasty adjusts implant and tissue relationships to ensure adequate soft-tissue coverage while optimizing implant-breast parenchymal dynamics to offer increased benefits and fewer faults compared to a single pocket location in a wide range of breast types with minimal scars. Two types of dual plane classifications are discussed in this study for the periareolar approach exclusively. The boundaries of retroglandular dissection remain constant, as the costal origin of pectoralis major are divided. Type A dual plane implies that the inferior edge of pectoralis muscle lies below the inferior areolar border, and type B dual plane implies that the inferior edge lies above the superior areolar border.

The Management of Capsular Contracture: Conversion to "Dual-Plane" Positioning through a Periareolar Approach (구형구축의 치료: 유륜절개 이중평면 전환술)

  • Sim, Hyung Bo;Wie, Hyung Gon
    • Archives of Plastic Surgery
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    • v.35 no.1
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    • pp.78-85
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    • 2008
  • Purpose: The capsular contracture has been the most common complication of augmentation with breast implant, a side effect quite difficult to treat. The latest trends in the correction of capsular contracture include total capsulectomy or conversion of implant pocket. In this study, in an attempt to correct capsular contracture, the authors performed reoperation which involved capsulectomy through peri-areolar approach and dual-plane conversion. The authors hereby report the clinical results of such correction of capsular contracture and examine the efficacy. Methods: The authors selected 46 patients who were admitted to the clinic from January 2004 to January 2007 (37 months), and performed dual-plane conversion through solely peri-areolar approach. Two types of operation were done: dual-plane conversion from subglandular plane or from submuscular plane. Results: The average follow-up time after conversion to the dual-plane position was 10 months. During the follow-up period, 83.1% of patients recovered from capsular contracture and were Baker class I, and in 10.9% the condition had relapsed into Baker class II or III contracture. Conclusion: This study has proven the effectiveness of the dual-plane conversion operation for correcting established capsular contracture after previous augmentation mammaplasty. In this study, all cases of dual-plane conversion operation was performed through peri-areolar approach, which can prevent the occurrence of visible scar on inframammary fold.

Simultaneous Periareolar Augmentation Mastopexy: Dual Plane Versus Subfascial Plane (동시 유륜절개 유방하수교정술 및 확대술: 이중평면 대 근막밑평면)

  • Sim, Hyung Bo;Yoon, Sang Yub
    • Archives of Plastic Surgery
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    • v.34 no.1
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    • pp.105-110
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    • 2007
  • Purpose: The major drawback of submuscular augmentation of the ptotic breast is a "double-bubble" deformity. If a traditional mastopexy is added to correct the ptosis, there would be additional scars. This article describes simultaneous periareolar mastopexy with dual plane or subfascial breast augmentations. Methods: A series of 81 patients with grade I or II ptosis underwent the procedure from 1999 to 2005. Out of these, dual plane augmentation was done in 71 cases and subfascial plane in 10. After periareolar skin excision, an incision is made perpendicularly down to the fascia of pectoralis. At the lower pole, all breast implants are inserted into the subfascial plane. In case of upper pole thickness of above 20 mm, we inserted the implant into the subfascial plane, whereas below 20 mm, we inserted that into the submuscular plane. Results: No major complications were noted and patients' satisfactory score was high. This technique avoids the "double-bubble" deformity and leaves a minimal periareolar scar. Conclusion: Simultaneous periareolar mastopexy/breast augmentation is useful for correction of the ptotic breast, increasing the volume of breast and providing the natural breast shape with minimal scars. We consider that subfascial plane augmentation with periareolar mastopexy to be an alternative for cases with breast upper pole thickness of at least above 20 mm.

Endoscopic Transaxillary Dual Plane Breast Augmentation (내시경을 이용한 겨드랑절개 이중평면 유방확대술)

  • Sim, Hyung Bo;Wie, Hyung Gon;Hong, Yoon Gi
    • Archives of Plastic Surgery
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    • v.35 no.5
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    • pp.545-552
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    • 2008
  • Purpose: The transaxillary approach for breast augmentation has been advocated for patients and surgeons for several decades. However, this blind technique had many disadvantages including, traumatic dissection, difficult hemostasis, displacement of implants, and ill-defined asymmetrical location of inframammary crease. In the present study, the precise endoscopic electrocautery dissection was applied to eliminate the limits of blunt dissection throughout the procedures. Methods: From December 2006 to December 2007, a total of 103 patients with an average age of 29.5 years underwent endoscopic assisted transaxillary dual plane augmentation mammoplasty. The mean implant size was 243 cc with the range between 150 and 350 cc. Through a 4 cm axillary incision, electrocautery dissection for submuscular pockets was carried out under the endoscopic control. The costal origin of pectoralis muscle was completely divided to expose subcutaneous tissue and to make type I dual plane. Results: Using the endoscopic dissection, we achieved good aesthetic results including a short recovery period, less morbidity, and symmetrical well-defined inframammary crease. Type I dual plane procedure could support the consistent inframammary fold shape and be applied to most patients without breast ptosis. Minor complications did not occur, however, four major complications of capsular contracture occurred. Conclusion: In contrast to the era of the blind techniques, endoscopic assisted transaxillary dual plane breast augmentation can now be performed effectively and reproducibly. With Its advantage, the axillary application of endoscopy for augmentation mammaplasty is useful to achieve the optimal cosmetic outcomes.

Dual-plane Stereoscopic PIV Measurement on the Lobed Jet Mixing Flow

  • SAGA Tetsuo;KOBAYASHI Toshio
    • 한국가시화정보학회:학술대회논문집
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    • 2001.12a
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    • pp.108-122
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    • 2001
  • In a continuing effect to study the mixmg enhancement by large-scale streamwise vortices in lobed mixing flows, an advanced PIV system named as dual-plane stereoscopic PIV system was used in the present study to conduct simultaneous vorticity (all three components) measurement of an air jet exhausted from a lobed nozzle. Unlike 'classical' 2-D PIV system or conventional 'single-plane' stereoscopic PIV system, the dual-plane stereoscopic PIV system used in the present study can obtain the flow velocity (all three components) fields at two spatially separated planes simultaneously. Therefore, it can provide the distributions of all the three components of vorticity vectors instantaneously and simultaneously. The evolution and interaction characteristics of the large-scale streamwise vortices and azimuthal Kelvin-Helmholtz vortices in the lobed jet mixing flow were revealed instantaneously and quantitatively from the measurement results of the dual-plane stereoscopic PIV system. The characteristics of the mixing process in the lobed jet mixing flow were analyzed based on the simultaneous measurement results of the steamwise vorticity and azimuthal Kelvin-Helmholtz vorticity distributions.

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Periareolar Subfascial Breast Augmentation: Comparison with Submuscular and Dual Plane Breast Augmentation (유륜절개 근막밑 유방확대술: 근육밑 및 이중평면 유방확대술과 비교)

  • Sim, Hyung Bo;Yoon, Sang Yub
    • Archives of Plastic Surgery
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    • v.34 no.1
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    • pp.99-104
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    • 2007
  • Purpose: Subfascial augmentation mammaplasty was introduced by Dr. Graf in 2000. Subfascial placement of breast implants for augmentation was advocated as an option that has some of the advantages of both the subpectoral and subglandular placement while minimizing the disadvantages of each. The clinical experiences of 23 breast augmentations in the subfascial placement are reported. The indications for this technique are proposed. The incidence of complications is described from clinical experiences and compared with that of other methods. Methods: From January of 2004 through December of 2005, 23 patients underwent periareolar subfascial augmentation mammaplasty. The mean postoperative follow-up time was 8 months. Results: In comparing the results of the subpectoral augmentation group(57 patients) with those of the dual plane(124 patients) and subfascial groups(23 patients), the total rate of complications didn't represented the significant difference. The benefits of this technique include avoiding hematoma(as seen in the dual plane) and muscle action(in the subpectoral), and minimizing postoperative chest pain(inherent to subpectoral), and the ability to correct ptosis. And also this subfascial technique can be used for changing the plane from submuscular to subfascial in case of the reoperations. Conclusion: We're thinking that the periareolar subfascial augmentation mammaplasty would be the very useful tool for the primary and secondary breast augmentations.

Discrete-Time Queuing Analysis of Dual-Plane ATM Switch with Synchronous Connection Control

  • Choi, Jun-Kyun
    • ETRI Journal
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    • v.19 no.4
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    • pp.326-343
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    • 1997
  • In this paper, we propose an ATM switch with the rate more than gigabits per second to cope with future broadband service environments. The basic idea is to separate the connection control flow from the data information flow inside the switch. The proposed switch has a dual-plane switch matrix with the synchronous control algorithm. The queuing behaviors of the proposed switch are shown by the discrete-time queuing analysis. Numerical analyses are taken both in the non-blocking crossbar switch and the banyan switch with internal blocking. Results show that a proposed dual-plane $16{\times}16$ switch would have the acceptable performance with maximum throughput of about 95 percent.

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Performance Analysis of Dual-Plane Nonblocking Switches under Burst Traffic (버스트 트래픽 환경에서의 이중 평면 패킷 스위치의 성능 분석)

  • 이현태;손장우
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 1999.05a
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    • pp.142-145
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    • 1999
  • In this paper, delay performances are evaluated and compared for three dual-plane switch architectures; dual input queue/dual switching plane (DQDP The terms of DQDP, DQDP-PS and DQDP-GQ were not used in [Turner88], [Lee96] and [Son97]. All these tern are designated in this letter for convenience.) switch, DQDP with plane selector (DQDP-PS) switch and DQDP based on output group queueing (DQDP-OGQ) switch. We show that under random traffic these switches give almost identical delay performances to that of the output queueing switch but under bursty traffic only the DQDP-PS and the DQDP-OGQ switches ran do.

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