• Title/Summary/Keyword: 양측성

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Management Principles of Bilateral Vocal Fold Immobility (양측성 성대 마비의 치료 원칙)

  • Kim, Tae-Wook;Son, Young-Ik
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.20 no.2
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    • pp.118-125
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    • 2009
  • Bilateral vocal fold immobility (BVFI) is a challenging condition which may result from diverse etiologies including vocal fold paralysis, synkinesis, cricoarytenoid joint fixation, and interarytenoid scar. Most patients present with dyspnea and stridor, but sometimes with a breathy dysphonia. Careful history taking, laryngoscopic evaluation under general anesthesia or awaken status, laryngeal EMG, and imaging studies with CT and/or MRI are helpful for providing a precise diagnosis and planning appropriate managements. In children, congenital neurological disorder is one of the most common etiologies, and spontaneous recovery has been reported in more than 50% of cases. Therefore, observation for more than 6 months while securing the upper airway with tracheostomy if needed is a generally accepted rule before deciding any destructive procedure to be undertaken. In children with advanced posterior glottic stenosis, laryngotracheal reconstruction with rib cartilage graft should be considered. In contrast to children, BVFI most commonly occurs as sequalae of surgical complication in adults. Diverse static or dynamic procedures can be applied; posterior cordotomy, vocal fold lateralization, endoscopic or open arytenoidectomy, arytenoid abduction, and reinnervation, electrical laryngeal pacing, which need to be carefully selected according to each patient's needs and pathophysiology of BVFI.

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A Case of Bilateral Lung Volume Reduction Surgery in Severe Emphysema (심한 폐기종 환자에서의 양측성 폐용적 감축술 1예)

  • Kang, Nam-Young;Park, Jae-Seuk;Lee, Myeung-In;Ha, Dong-Yeol;Jee, Young-Koo;Lee, Kye-Young;Kim, Keun-Yeol;Seo, Pil-Weon
    • Tuberculosis and Respiratory Diseases
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    • v.45 no.3
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    • pp.630-635
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    • 1998
  • Lung volume reduction surgery, resecting the most severely affected regions of emphysema, was designed to improve quality of life for selected patients with severe emphysema We report a case of a 72 year old severe emphysema patient who received bilateral lung volume reduction surgery and showed marked improvement of quality of life and lung function.

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Primary Pulmonary Malignant Melanoma Presenting as Bilateral Multiple Subsolid Nodules: A Case Report (다수의 양측성 반고형결절들로 발현한 원발성 폐 악성 흑색종: 증례 보고)

  • Eun Gyu Soh;Ji Young Rho;Sooyeon Jeong;Se Ri Kang;Keum Ha Choi
    • Journal of the Korean Society of Radiology
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    • v.83 no.2
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    • pp.387-393
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    • 2022
  • Primary pulmonary malignant melanoma is an extremely rare type of melanoma. The radiologic features of primary pulmonary malignant melanoma are nonspecific; however, it almost always presents as a well-demarcated round or lobulated solitary solid nodule or mass. Herein, we report the case of a 78-year-old male with primary pulmonary malignant melanoma that was mistaken for primary pulmonary adenocarcinoma with lepidic growth and was seen as bilateral multiple subsolid nodules on CT.

Diffuse Nodular Interstitial Infiltrations with Bilateral Hilar Lymphadenopathy (양측 폐문 림프절 종대를 동반한 간질성 결절성 폐침윤)

  • Yoon, Jae Ho;Yeo, Chang Dong;Shin, Eun Joong;Song, So Hyang;Kim, Chi Hong;Moon, Hwa Sik;Song, Jeong Sup;Park, Sung Hak
    • Tuberculosis and Respiratory Diseases
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    • v.61 no.3
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    • pp.294-298
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    • 2006
  • Lymphocytic interstitial pneumonia(LIP) is an uncommon condition in which the alveolar septa and extra-alveolar interstitial space are markedly expanded by small lymphocytes, plasma cells and histiocytes. Chest radiographs generally show nonspecific patterns with the most common pattern showing bibasilar reticular or reticulonodular infiltrates. Hilar or mediastinal lymphadenopathy and pleural effusions are usually absent. We encountered a 42-year-old female patient who was admitted to hospital because of exertional dyspnea and palpitation. The chest X-ray showed an enlarged bilateral hilar shadow and diffusely increased bronchovascular markings in both lung fields. The chest CT showed diffuse nodular infiltrations with mild septal thickening and combined patchy ground glass opacity in both lungs, and conglomerated mediastinal and bilateral hilar lymphadenopathy. A diagnosis of LIP was made from the tissue pathology taken by a thoracoscopic lung biopsy. The patient showed clinical and radiographic improvement after 3 months of treatment with prednisolone. We report a case of LIP presenting as diffuse nodular interstitial infiltrations with multiple mediastinal and bilateral hilar lymphadenopathy.

Comparison of Brain Connectivity in Mental Practice and Physical Performance of Bilateral Upper Extremity Function in a Healthy Adult: A Case Study (건강한 성인의 양측상지기능의 상상훈련과 신체적 수행의 대뇌 연결성 비교: 사례 연구)

  • Jeong, Eun-Hwa;Kim, Hee
    • Therapeutic Science for Rehabilitation
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    • v.8 no.1
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    • pp.41-50
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    • 2019
  • Objective: The purpose of this study was to investigate whether there is a difference in the brain connectivity in mental practice and physical performance of training bilateral upper extremity function. Method: The subject performed activities involving mental tasks and physical exercise for bilateral upper extremity functioning during each phase of EEG measurements. The subject performed a symmetrical task(lifting a box and placing it back) that involved moving both arms at the same time and an asymmetrical task(opening and closing a bottle cap) in order to perform functional tasks. EEG electrodes were attached to Fp1, Fp2, F3, F4, T3, T4, P3, and P4. Data analysis was performed using Cross-Line Mapping for correlational analyses between EEG electrode pairs. Conclusion: This study found that the brain connectivity patterns of symmetrical and asymmetric upper extremity tasks have similar patterns for the motor and sensory area, and that the correlation of the physical practice is generally higher than that of the mental practice.

Bilateral Localized Tenosynovial Giant Cell Tumor Causing Patellofemoral Pain Syndrome (슬개대퇴 통증 증후군을 초래한 양측성 건활막 거대세포종)

  • Chung, Whan-Yong;Shin, Sung-Chul;Yi, Sang-Yeop;Sung, Seung-Yong
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.6
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    • pp.525-529
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    • 2021
  • A localized tenosynovial giant cell tumor rarely affects the bilateral knee joint compared to the diffuse form. Only a few cases can be found in the literature, and there is no case report of the bilateral localized form of giant cell tumor causing patellofemoral pain syndrome in Korea. This study experienced a case of bilateral localized giant cell tumor, causing patellofemoral pain syndrome. The tumor was excised arthroscopically and confirmed pathologically. This paper reports this case with a review of the relevant literature.

A Case of Bilateral Tonsillar Cancer Discovered in Metastatic Carcinoma of Unknown Origin (원발미상의 경부 전이암에서 발견된 양측 편도암 1예)

  • Choi, Jeong-Seok;Lim, Jae-Yol;Han, Chang-Dok;Kim, Young-Mo
    • Korean Journal of Head & Neck Oncology
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    • v.28 no.1
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    • pp.16-18
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    • 2012
  • Ipsilateral tonsillectomy and panendoscopy-guided biopsy following imaging studies are considered a standard procedure in the search for a primary origin in patients with cervical metastatic carcinoma of unknown origin(MUO). However, many authors recommended bilateral tonsillectomy for the determination of the primary site of a MUO, because cervical metastasis may occur contralateral to tonsillar carcinoma. The authors attempted to address the clinical implications of using routine bilateral tonsillectomy to determine the primary site of MUOs based on a case report of cervical MUO that was finally diagnosed as a bilateral synchronous tonsillar carcinoma with cervical metastasis after a diagnostic work-up that included bilateral tonsillectomy.

2019년 북미 관계 주요 내용

  • Min, Jeong-Won;Jang, Hwi
    • KDI북한경제리뷰
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    • v.21 no.11
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    • pp.46-56
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    • 2019
  • 2018년 싱가포르에서 북미 정상회담이라는 역사적인 이벤트가 성사되었다. 2019년 1월 1일, 김정은 북한 국무위원장이 "미국 대통령과 언제든 또다시 마주 앉을 용의가 있다"는 신년사를 발표했고 트럼프 대통령이 이에 화답하며 이후 양측 간 실무 협상이 이뤄졌다. 그 결과 2월 말, 양국 정상은 베트남 하노이 2차 정상회담에서 마주할 수 있었다. 그러나 회담은 별다른 성과 없이 결렬됐다. 6월에는 갑작스러운 남-북-미 DMZ 회동이 이뤄졌으나 북한이 갑작스레 수차례 미사일 도발을 감행하며 북미 관계는 다시 교착 상태에 빠지게 됐다. 이후 10월에는 북한 비핵화 협상을 위한 북미 양측의 실무접촉이 스웨덴 스톡홀름에서 진행됐지만 이 또한 뚜렷한 성과를 도출하지 못했다. 양측 모두 현재까지 제3차 북미 정상회담에 대한 가능성은 열어놓은 상태다. 본 경제자료에서는 2019년 북미관계 주요 내용을 정리하고자 한다. 첫 번째 장에서는 하노이 제2차 북미정상회담의 과정과 내용을 정리한다. 두 번째 장에서는 하노이 회담 이후 북미 관계를 살펴보고 남북미 정상 판문점 회동의 과정을 정리해 본다. 세 번째 장에서는 스톡홀름 북미 실무협상 전 북한의 미사일 발사와 함께 실무협상 전개의 주요사항을 정리한다. 본 자료는 다양한 언론 보도를 근거로 재구성하여 제공한다

Retinoblastoma: Result of Radiotherapy (망막아세포종의 방사선치료 성적)

  • Kim, Il-Han;Kim, Jong-Hoon;Park, Charn-Il
    • Radiation Oncology Journal
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    • v.8 no.2
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    • pp.169-176
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    • 1990
  • Radiotherapy result was analyzed in 23 children with retinoblastoma treated in Seoul National University Hospital from 1980 to 1987. Three ($17\%$) had bilateral tumor at diagnosis. Among 20 children with unilateral retinoblastoma 13 children got radiotherapy after enucleation, 2 were treated with radiotherapy alone, and 5 were delivered with radiotherapy after relapse. Of 15 non-recurrent unilateral tumors, there were 5 stage II children, 8 stage III, and 2 stage IV by staging system proposed by St. Jude Children's Research Hospital. Chemotherapy was combined when resection margin of the optic nerve was positive or when malignant cell was found in CSF. Of 12 children who completed radiotherapy, local or distant failure was not found but 2 cases of relapse at the contralateral retina were observed. Their 5 year survival rate was $82.2\%$. Another case of contralateral relapse was detected in children who was treated with radiotherapy alone. Thus overall frequency of the bilateral disease was $33\%$. Prognosis of recurrent tumors were so poor that no cases of CR was obtained and that 3 year survival rate was $20\%$. Two of 3 bilateral cases at diagnosis were in NED status. Complication were sunken orbit only. Result of radiotherapy was so good in early stage or small bulk tumor that treatment delay after diagnosis must not be allowed.

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A Case Report on Tibial Crest Transposition for Treatment of Congenital Bilateral Patellar Luxation in Male Calf (송아지의 선천성 양측성 슬개골 탈구에 대한 수술 1예)

  • Kwun Hae-Byeng;Lee Jeong-Kuk
    • Journal of the korean veterinary medical association
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    • v.29 no.3
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    • pp.131-136
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    • 1993
  • The Tibial crest transposition operate on a 1.5 months old male calf for congenital bilateral patellar luxation. After this operation the luxative patellar was reduction. This case is very rare in large animal sugery but the result of surgery was very eff

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