• 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.

• Korean Journal of Bronchoesophagology
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• v.9 no.1
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• pp.101-104
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• 2003

One of major problem in endotracheal intubation for general anesthesia is intrathoracic tracheal obstruction induced by tumor such as, intrathoracic goiter and malignant lymphoma etc. Small amount of secretion or hemorrhage and mild tracheal edema may cause aggravation of tracheal obstruction during endotracheal intubation. Also, it is too difficult to perform the emergency tracheostomy in middle tracheal obstruction. We tried to perform femorofemoral cardiopulmonary bypass without endotracheal intubation for induction of general anesthesia in case of middle tracheal obstruction and We reported with review of literature.

• Proceedings of the KOR-BRONCHOESO Conference
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• 1979.05a
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• pp.5.1-5
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• 1979

Fibrous dysplasia of the temporal bone is a extremely rare condition in otological field with a total of 11 cases in the English literature so far. Authors experienced a case in 18 year old boy with complete obliteration of the external auditory canal and long standing keratosis obturance. The purpose of this paper is to discuss principles and methods of canalplasty and meatoplasty with literature review and presentation of authors case.

• Proceedings of the KOR-BRONCHOESO Conference
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• 2003.09a
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• pp.113-113
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• 2003

성문과 성문하부의 기도 폐쇄는 위치 정도 원인 기간 등은 환자에 따라 다르고 그 치료방법 역시 다양하다. 주 원인으로는 기관내 삽관, 각종 외상 및 화상 등 을 들 수 있다. 이러한 질환의 치료 목적은, 기관내 튜브나 기관 캐뉼러 를 통하지 않고 비강을 통하여 자연스럽게 호흡할 수 있도록 기도를 유지 하면서 발성이 가능하고 기고 흡인 없이 연하가 가능하도록 하며 기침 반사가 원활하게 되도록 하는데 있다. 치료목적의 달성을 위하여 협착의 경우, 단계 즉 초기 단계 또는 성숙단계 여부, 위치, 정도, 범위 환자의 연령 전신상태 등을 술전에 잘 평가하고 수술도중의 소견과 술자의 경험이나 기호에 따라 적절한 치료법을 선택하여 치료해야 한다. 후두 외상에 의한 기도 문제는 다른 외상에 비해 흔하지 않은데 이는 연골의 유연성과 후두의 가동성 그리고 후두가 하악과 흉골사이에 위치하여 외상시 보호받게 되는 해부학적 특성에 기인한다. 여러 요인으로 인하여 진단이 늦어질 수도 있는데 이러한 경우 심각한 증상이 초래 되거나 치료가 의 시기가 지나 후두 또는 기관 협착, 발성장애등의 후유증이 유발 될 수 있다.

• Proceedings of the KOR-BRONCHOESO Conference
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• 1983.05a
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• pp.17.3-17
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• 1983

Foreign bodies in the paranasal sinuses are not commonly observed. Recently, we have observed an interesting case of metalic foreign body (a fragment of bullet) which remained in the posterior part of the left ethmoid sinus for about 30 years, and report here now with a review of literature.

• Proceedings of the KOR-BRONCHOESO Conference
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• 1983.05a
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• pp.9.1-9
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• 1983

By the technological improvement of bronchoscopy, radiology, and biochemical analysis, the broncholithiasis can be easily diagnosed. But because of its low incidence it has been frequently overlooked in the differential diagnosis of bronchial obstruction, thereby losing the opportunity of early detection and causing complications which are mandatory to surgical intervention. The authors had a case of broncholithiasis which was diagnosed by radiological study of chest and fiberoptic bronchoscopy, and was removed under rigid bronchoscopy.

• Proceedings of the KOR-BRONCHOESO Conference
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• 1983.05a
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• pp.17.1-17
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• 1983

Osteomas of the external auditory canal are considered clinically to be discrete, pedunculated bone lesions arising along the tympanosquamous suture. They are benign lesions but often are slowly progressive growth in size which eventually resulted in obstruction of the external auditory canal when this occurs the patient will complain of deafness. Exostoses, similar to the osteoma, are broad based elevations of bone usually multiple and bilaterally symmetric, involving the tympanic bone. Recently, the authors have experienced a case of osteoma of the external auditory canal, and so report with some reviews of the literatures.

• Proceedings of the KOR-BRONCHOESO Conference
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• 1983.05a
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• pp.17.4-17
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• 1983

According to Teed, the first report of oseoma in the literature was by Veiga in 1586. There was no satisfactory explanation of its etiology. True osteomas may occur in the mastoid and temporal bone, but they are relatively rare. These tumors are benign, slow growing and composed predominantly of mature bone. Treatment is indicated for symptomatic osteoma. The authors experienced a case of osteoma of the temporal bone which had revealed a progressive posterior auriular swelling, obstructed bony ear canal, chronic ear discharge and hearing loss for about 18 yrs in right side.

• Proceedings of the KOR-BRONCHOESO Conference
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• 1991.06a
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• pp.25-25
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• 1991

최근 교통사고의 증가, 심폐술의 보편화 및 보조호흡을 필요로 하는 환자의 증가에 따라 경구적 혹은 기관절개술을 통해 기관내 삽관을 장기간 유치하는 경우가 많아져서 이에 따른 합병증으로 기관협착증의 빈도가 높아지게 되었다. 기관내 삽관후 기관협착증을 초래하는데에는 관의 외경, 삽관시 외상, 삽관유치기간, 기계적 보조호흡시 관의 이동, cuff 의 압력 등의 요인이 작용한다. 이러한 요인에 의해 기관내 삽관을 장기간 유치시 기관점막에 대한 지속적인 압박으로 점막하부의 압박괴사 및 혈관의 폐쇄로 인해 기관연골의 무혈성 괴사를 초래하여 환상의 기관협착이 병발하게 된다. 기관협착증에 대한 치료방법으로서는 여러 가지가 있으나 환상의 기관협착증인 경우는 협착부위의 절제 및 단단문합술을 시행하고 절제부위가 광범위한 경우는 release technique 을 이용하여 문합부위의 장력을 줄여주는 것이 효과적인 치료방법으로 알려져 있다. 저자들은 최근 기관내 삽관후에 병발한 환상기관협착증 3례(다발성 골절 1례, 기관지 천식 1례, 약물중독 1례)에 대해 기관절제 및 단단문합술을 경험하였기에 보고하고자 한다.

• Proceedings of the KOR-BRONCHOESO Conference
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• 1981.05a
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• pp.13.1-13
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• 1981

Acute osteomyelitis of the maxilla with orbital cellulitis is occasionally seen secondary to a buccal infection, dental infection or necrotic process of the maxillary antrum. A case of acute osteomyelitis of the maxilla with orbital cellulitis in 5 years old boy has recently been experienced and cured by immediate incision and drainage combined with adequate antibiotics therapy. This paper was attempted to report the case with a brief review of reference.