• Proceedings of the KOR-BRONCHOESO Conference
• /
• 1979.05a
• /
• pp.9.2-9
• /
• 1979

Frequently, we have been noted foreign bodies in air way, which can produce different signs and symptoms needed for differential diagnosis with other diseases. Occasionally, it can be followed by some pulmonary complications and removal difficulty. Therefore it can be serious and fatal in few cases, especially in children. Three cases were evaluated with clinical and roentgenographic features of air way obstruction due to foreign bodies and discussed with previous many literatures.

• Proceedings of the KOR-BRONCHOESO Conference
• /
• 1976.06a
• /
• pp.89.2-89
• /
• 1976

Foreign body in the air way occurs most frequently in children and can produce different symptoms and signs, which may be cofused with other disease. Recently we experienced 3 cases of air way obstruction due to foreign body, and removed under general anesthesia with foreign body forceps and brief review of literature was made.

• Journal of Korean Neurosurgical Society
• /
• v.59 no.3
• /
• pp.204-213
• /
• 2016

Syndromic craniosynostosis has severe cranial stenosis and deformity, combined with hypoplastic maxillary bone and other developmental skeletal lesions. Among these various lesions, upper air way obstruction by hypoplastic maxillary bone could be the first life-threatening condition after birth. Aggressive cranial vault expansion for severely deformed cranial vaults due to multiple synostoses is necessary even in infancy, to normalize the intracranial pressure. Fronto-orbital advancement (FOA) is recommended for patients with hypoplastic anterior part of cranium induced by bicoronal and/or metopic synostoses, and posterior cranial vault expansion is recommended for those with flattening of the posterior part of the cranium by lambdoid synostosis. Although sufficient spontaneous reshaping of the cranium can be expected by expansive cranioplasty, keeping the cranial bone flap expanded sufficiently is often difficult when the initial expansion is performed during infancy. So far distraction osteogenesis (DO) is the only method to make it possible and to provide low rates of re-expansion of the cranial vault. DO is quite beneficial for both FOA and posterior cranial vault expansion, compared with the conventional methods. Associated hydrocephalus and chronic tonsillar herniation due to lambdoid synostosis can be surgically treatable. Abnormal venous drainages from the intracranial space and air way obstruction should be always considered at any surgical procedures. Neurosurgeons have to know well about the managements not only of the deformed cranial vault and the associated brain lesions but also of other multiple skeletal lesions associated with syndromic craniosynostosis, to improve treatment outcome.

• Water for future
• /
• v.5 no.2
• /
• pp.17-29
• /
• 1972

The persent study aims at finding out a means of prevention cool spell damages on the hilly areas. The irrigation plots of 24 hour stored water warm water way and warm water plots, cool water way are respectively established to find out water temperature and influnce on the growing rice plants. The results obtained are summed up as follows. 1. Warm water areas consisted of $5 m^2 Q=0.93 1{\ell}/sec$, V=31 cm/sec, S=1/1, 000, L=81.6m, B=5cm, h=6cm, t=4min 33sec, drops=9 areas, are constructed to help the water temperature of $14.5^{\circ}C$ rise to that of $21.6^{\circ}C$. This indicates lower temperature than $23^{\circ}C$ of critical water temperature in irrigation facilities by $1.45^{\circ}C$ and than $26.2^{\circ}C$ of balanced water temperature of Seoul arears by $4.6^{\circ}C$. But this does not give much influance on rice plant cultivation. 2. The rising of water temperature is influened according to the temperature, solar radiation but the water temperature changes according to the heat absorption of organized materials, weather and terraces. The difference of water temperature could be found in the first growing stage. 3. Through the warm water way of water rises to the temperature of $21.6^{\circ}C$ which also rises to the temperature of around $30^{\circ}C$ in the paddy field of submerged irrigation. The rice plants are comparatively free from prolonged cool damage, reproduction abstructive damage. 4. The water temperature in rice field in proportion to temperature influence of weather condition but the water temperature approaches to that of weather in the days of later growing stage and water temperature become lower than the air temperature in the fruit stage. 5. The water in the submreged field is $10^{\circ}C$ warmer than in the warm water way during the first growing stage period but the water temperature in the warm water way is warmer in the later growing stage period. The cool water of $14.5^{\circ}C$ is warmed to $30.1^{\circ}C$ and rice plants cultivation is free from other damages. 6. The 12% increased production or 570.98kg/10a is made cool water plot by rising the temperature of water from $14.5^{\circ}C$ to $21.6^{\circ}C$ making the water run through warm water way. 7. The damage inflicted by the cool water irrigation during the first growing stage period is the obstruction of peak tillering stage and the obstruction of heading the later growing stage period and the obstruction of fruiting and number of panides per fill.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
• /
• v.26 no.2
• /
• pp.130-132
• /
• 2015

Schwannoma of the larynx is uncommon neurogenic tumor that can cause the air way obstruction. For benign lesions, conservative surgical excision is the treatment of choice. Recently, we experienced a case of schwannoma originating from the subglottis in a 52 year old female patient. The tumor was removed successfully through endoscopic approach.

• Korean Journal of Head & Neck Oncology
• /
• v.33 no.1
• /
• pp.47-52
• /
• 2017

Anaplastic thyroid cancer is a rare disease entity consist 2% of whole thyroid cancer but once diagnosed, it is too fatal to survive. Airway obstruction is a leading cause of death in anaplastic thyroid cancer, which may be caused by both vocal cord palsy, mass effect of the cancer or direct invasion of the cancer itself to the tracheal lumen. Tracheal stent insertion can be a solution for airway compromised cases where surgical excision cannot be performed. The advantage is that the airway problem can be solved without invasive procedure. In this case, we tried expandable tracheal stent insertion for 66 years-old man with anaplastic cancer who visited ER for small amount of hemoptysis and dyspnea. There was severe tracheal narrowing and deviation due to the anaplastic thyroid cancer, ECMO (Extra Corporal Membrane Oxygenation) was used instead of a tracheal intubation for general anesthesia.

• Korean Journal of Bronchoesophagology
• /
• v.10 no.2
• /
• pp.63-67
• /
• 2004

Tracheomalacia can be a life threatening upper air way obstructive disease in an infant and vascular rings can be also a major rare cause of tracheoesophageal obstruction. These two rare entities can be combined in one patient because the vascular ring can cause secondary tracheomalacia during development of fetus. The diagnosis of this combination and adequate surgical correction is occasionally difficult. This is a report of an infant who had not diagnosed tracheomalacia associated with vascular ring until 5 months of age because of the prolonged tracheal intubation. The rigid bronchoscopic examination performed under impression of tracheomalacia revealed a concentric tracheal collapse, an unusual bronchoscopic findings of tracheomalacia, which raised a suspicion of the tracheal compression by vascular rings. The 3-D reconstructive DT aortography clearly demonstrated the double aortic arch. The patient was treated surgically by simple division of the left aortic arch and aortopexy with good result. The vascular ring such as double aortic arch should be considered during the diagnosis of tracheomalacia in infants. If the tracheomalacia is associated with vascular ring, simultaneous surgical correction should be performed.

• Journal of Chest Surgery
• /
• v.27 no.5
• /
• pp.413-417
• /
• 1994

Adenoid cystic carcinoma usually grows in the trachea or near its bifurcation and causes obstruction of the air way. We recently experienced a 33 year-old male patient who had adenoid cystic carcinoma in the left main bronchus with the chief complaint of productive cough. On the bronchoscopy, the mass obstructed the left main bronchus completely and had nodularity and increased vascularity.The trachea was shifted to the left side and the lower lobe of the left lung was atelectatic on chest X-ray and computed axial tomogram.He underwent left tracheal sleeve pneumonectomy and lymph node dissection through bilateral thoracotomy. At first,we attempted left tracheal sleeve pneumonectomy through the left thoracotomy,however, it was very difficult to perform carinoplastic procedure after sleeve resection of 2.5cm of distal trachea and 1cm of proximal right main bronchus including whole left lung because of poor operative field and difficulty in the anastomosis of the right main bronchus to the distal end of the trachea without tension.Therefore after radical resection of the left lung we made right thoracotomy,through which we could anastomosed the distal trachea and right main bronchus with 4-0 PDS interrupted suture after mobilization of the right hilum without difficulty. The tumor was confirmed to be adenoid cystic carcinoma with metastasis to subcarinal lymph node histopathologically. Postoperative course was uneventful but he needed two bronchoscopic procedure to clear distal airway of the retained bronchial secretion. He was discharged at 14 days after operation with complete recovery.

• Archives of Craniofacial Surgery
• /
• v.18 no.4
• /
• pp.223-229
• /
• 2017

The beauty of the laryngeal mask is that it forms an air tight seal enclosing the larynx rather than plugging the pharynx, and avoid airway obstruction in the oropharynx. The goal of its development was to create an intermediate form of airway management face mask and endotracheal tube. Indication for its use includes any procedure that would normally involve the use of a face mask. The laryngeal mask airway was designed as a new concept in airway management and has been gaining a firm position in anesthetic practice. Despite wide spread use the definitive role of the laryngeal mask airway is yet to be established. In some situations, such as after failed tracheal intubation or in oral surgery its use is controversial. There are several unresolved issues, for example the effect of the laryngeal mask on regurgitation and whether or not cricoids pressure prevents placement of mask. We review the techniques of insertion, details of misplacement, and complications associated with use of the laryngeal mask. We then attempt to clarify the role of laryngeal mask in air way management during anesthesia, discussing the advantages and disadvantages as well as indications and contraindications of its use in oral and maxillofacial surgery.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
• /
• v.26 no.1
• /
• pp.58-62
• /
• 2015

Xanthoma disseminatum (XD) is a benign, non-Langerhans cell histiocytosis characterized by disseminated xanthomatous lesions with face, flexures, and mucosa. Most of XD develops in mucocutaneous lesions including skin, oral cavity and pharynx, however laryngeal involvement is uncommon. While the natural course of XD is usually benign and often self-limiting, but XD develop in critical anatomical locations may result in morbidity and mortality. Localized mucous lesions in oropharynx and larynx lead to dysphagia, dyspnea and air way obstruction. The diagnosis of XD was based on clinical, histological and immunohistochemical findings. The treatment is complex and non-consensual. Local treatment with cryotherapy, radiotherapy, surgery, and carbon dioxide lasers have been attempted with various results. Systemic medication with peroxisome proliferator-activated gamma receptors, statins, fenofibrate, chlorodeoxyadenosine, cyclophosphamide, doxycycline, and cyclosporine have also been reported, but none have proven particularly successful. A 59-year-old man presented with respiratory symptoms because of laryngeal involvement of XD. We had to remove the obstructive lesion for relieving the symptoms. We experienced XD in Larynx that was rare in otorhinolaryngology. So we report this case with review of literatures.