• Title/Summary/Keyword: Carina

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Tracheoplasty with Rib Cartilage Flap for Congenital Tracheal Stenosis -A Case Report- (선천성 기관 협착환자에서 늑연골 절편을 이용한 기관성형술 1례)

  • 이형민
    • Journal of Chest Surgery
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    • v.27 no.5
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    • pp.407-412
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    • 1994
  • Congenital long-segment tracheal stenosis which involves nearly entire trachea and carina is very rare disease, but leads to life threatening obstruction in infancy and childhood. Symptoms are ranged from stridor and wheezing to severe cyanosis and respiratory failure. Routine chest X-ray is somewhat helpful to diagnose it, but definitive diagnosis can be made by bronchoscopy or tracheogram for severely narrowed tracheal lumen.Recently, we experienced a case of congenital tracheal stenois, type 1 by Cantrell classification with carinal involvement. After costal cartilage was designed as oval shaped flap and covered with pericardium, anterior and posterior augmentation was done with prepared costal cartilage.This patient died of respiratory failure at 13 days postoperatively, probably due to sustaining obstruction in association in with failure to make a sufficient widening at carinal level.Important issues in the management of congenital tracheal stenosis are rapid diagnosis, selection of appropriate surgical procedure, and detailed anesthetic schedule.In the future, more biocompatible material and more effective surgical procedures should be studied to reduce the surgical mortality and morbidity of the complicated tracheal stenosis.

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Radiographic analysis of the management of tooth extractions in head and neck-irradiated patients: a case series

  • Oliveira, Samanta V.;Vellei, Renata S.;Heguedusch, Daniele;Domaneschi, Carina;Costa, Claudio;Gallo, Camila de Barros
    • Imaging Science in Dentistry
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    • v.51 no.3
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    • pp.323-328
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    • 2021
  • Tooth extraction after head and neck radiotherapy exposes patients to an increased risk for osteoradionecrosis of the jaw. This study reports the results of a radiographic analysis of bone neoformation after tooth extraction in a case series of patients who underwent radiation therapy. No patients developed osteoradionecrosis within a follow-up of 1 year. Complete mucosal repair was observed 30 days after surgery, while no sign of bone formation was observed 2 months after the dental extractions. Pixel intensity and fractal dimension image analyses only showed significant bone formation 12 months after the tooth extractions. These surgical procedures must follow a strict protocol that includes antibiotic prophylaxis and therapy and complete wound closure, since bone formation at the alveolar socket occurs at a slower pace in patients who have undergone head and neck radiotherapy.

Three Newly Recorded Species of the Genus Dohrniphora (Diptera: Phoridae) from Korea

  • Lee, Jun-Ho;Kim, Sam-Kyu
    • Animal Systematics, Evolution and Diversity
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    • v.36 no.4
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    • pp.296-303
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    • 2020
  • Three species of the genus Dohrniphora, viz., D. cornuta, D. malaysiae, and D. prescherweberae were newly recorded from Korea. These newly recorded species can be easily identified by the characteristic that inner face of male hind femur equipped with a group of peg-like stout setae on basal sensory area. Peg-like setae are arranged perpendicularly in D. cornuta whereas linear in D. malaysiae and somewhat arched in D. prescherweberae. Also, concave area near the peg-like setae is also well developed in male which is smooth in D. cornuta, on the other hand, there is well developed distal carina in D. malaysiae and with groups of microtrichia in D. prescherweberae. In this study, detailed descriptions with photographs of three newly recorded species and a key to males of all Korean Dohrniphora species are provided.

A new record of Pseudoleucon japonicus(Crustacea: Cumacea: Leuconidae) from Korea

  • Kim, Sung-Hyun;Lee, Chang-Mok
    • Journal of Species Research
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    • v.10 no.1
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    • pp.72-77
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    • 2021
  • Only four species of leuconids have been recorded in Korea, all belonging to the genera Eudorella Norman, 1867 and Nippoleucon Watling, 1991. In this study, Pseudoleucon japonicus Gamô, 1964 belonging to family Leuconidae Sars, 1878 is newly recorded for Korean cumacean fauna. Also, for the first time, the male of the species is fully described and illustrated. The specimens were collected from the exclusive economic zone (EEZ) in the western sea (Yellow Sea) of Korea, with a rectangular dredge during 2007-2008. This species is characterized by the following features: the carapace has strong serrations on the antero-lateral margin and a pair of short oblique ridges on the side surface; the ridges begin near the end of frontal lobe and merge with the dorsal median carina; the appendages, such as antenna 1, pereopod 2 and uropod have a lot of simple setae decorated with a bundle of hairs at the end. The present study represents the first record on the genus Pseudoleucon Zimmer, 1903 from Korea.

New record of genus Amphirhachis Townes(Hymenoptera: Ichneumonidae: Banchinae) from South Korea

  • Kang, Gyu Won;Lee, Jong Wook
    • Journal of Species Research
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    • v.11 no.1
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    • pp.67-70
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    • 2022
  • One of the small genera of the tribe Atrophini (subfamily Banchinae), the genus Amphirhachis, has been reported seven species in the world. Among them, four species (Amphirhachis fasciata, A. nigripalpis, A. rubriventris and A. tertia) from Oriental region, and four species(Amphirhachis fujiei, A. miyabi, A. nigra and A. tertia) from Eastern Palaearctic region. Unfortunately, there are no records in South Korea yet. This genus is easily distinguished from other genera of Atrophini following: clypeus strongly convex near side; posterior transverse carina of propodeum represented by a weak or faint vertical ridge at apex on each side; ovipositor sheath shorter than metasoma. In this study, the genus Amphirhachis is recorded for the first time with a newly recorded species (Amphirhachis tertia) from South Korea. New data on the taxonomy and distribution of Amphirhachis tertia are given. We also provide diagnosis and digital images of a newly recorded genus and species.

MIRIS Paα Galactic Plane Survey: The results in l = 276°-296°

  • Kim, Il-Joong;Pyo, Jeonghyun;Jeong, Woong-Seob
    • The Bulletin of The Korean Astronomical Society
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    • v.45 no.1
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    • pp.58.1-58.1
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    • 2020
  • The Multipupose InfraRed Imaging System (MIRIS) Paα Galactic Plane Survey (MIPAPS) covers the whole Galactic plane with the latitude range of -3° < b < +3°. Next to the first result in l = 96°-116° (Cepheus), we present the results in l = 276°-296° (Carina). This region with the direction toward the inner Galaxy, has much higher extinction but much more Paα-emitting sources than Cepheus. We list up the detected Paα sources, and compare them with the WISE H II region catalog (there are 308 H II regions and candidates in this region) and VPHAS+ Hα image. By detecting the Paα and Hα recombination lines, 71 H II region candidates are newly confirmed as definite H II regions, out of which 53 H II regions are detected at Paα. For the Paα-detected sources, we measure the Paα and Hα fluxes and estimate the E(B-V) color excesses for the extended sources.

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Hydroporus uenoi (Coleoptera: Dytiscidae: Hydroporinae) New to Korea, with Mitochondrial DNA Sequence

  • Dae-Hyun Lee;Sang Woo Jung
    • Animal Systematics, Evolution and Diversity
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    • v.39 no.3
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    • pp.118-122
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    • 2023
  • The genus Hydroporus Clairville is the most diverse group belonging to the subfamily Hydroporinae in the family Dytiscidae. However, members of this group have not been recorded in the Korean peninsula. The genus Hydroporus Clairville is characterized by the following features: body glabrous to distinctly setose; elytra and ventral surface mainly piceous to black; epipleuron lacking a carina on humeral angle; metacoxal process conjointly with hind margin straight or slightly angulate medially. We collected the high mountain wetland and identified the species of Hydroporus uenoi Nakane based on male genitalia for the first time. A habitus photo, a redescription, mitochondrial DNA sequence, illustrations of the aedeagus of species, and habitat information are provided.

Clinical Evaluation on Transbronchial Needle Aspiration (TBNA) of Subcarinal Lymph Node in Lung Cancer (폐암에서 기관 분기부하 림프절의 경기관지 침흡인 세포검사에 관한 연구)

  • Kang, Yu-Ho;Choi, In-Seon;Jung, Ik-Ju;Park, Jai-Hee;Lee, Shin-Seok;Lee, Min-Su;Kim, Young-Cheol;Park, Kyung-Ok;Jung, Sang-Woo
    • Tuberculosis and Respiratory Diseases
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    • v.40 no.2
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    • pp.177-184
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    • 1993
  • Background: Accurate staging of bronchogenic carcinoma is important in determining resectability and metastasis of tumor to the subcarinal nodes is generally believed to indicate poor prognosis. The technique of Transbronchial needle aspiration (TBNA) has offered a safe & effective way to asscess mediastinal lymph node involvement in the staging of lung cancer. We performed TBNA in patients who were suspected lung cancer to evaluate the clinical usefulness of the TBNA. Method: TBNA of the subcarinal lymph node was performed at the time of initial diagnostic bronchoscopy in 60 patients with suspected lung cancer, and 42 cases of histologically proved bronchogenic cancer were analized. Results: The frequency of adequate samples by transbronchial needle aspiration (TBNA) was 81% and the positive rate of malignant cells by TBNA was 14.7%. There were no differences in positive rates by tumor cell types. In patients with thickened carina on bronchoscopy, the TBNA was positive in 33.3% as compared to 5.3% of normal carina on bronchoscopy, and the difference was statistically significant (p<0.05). In patients with enlarged subcarinal lymph node on chest CT, the positive rate of malignant cells (50.0%) was higher than that of normal sized subcarinal lymph node on chest CT (4.8%) (p<0.01). There were no specific complications in the TBNA procedure. Conclusion: TBNA is a relatively safe procedure and it offers the possibility of avoiding the cost and morbidity of surgical staging in patients especially whose carina is thickened on bronchoscopy and whose subcarinal LN was enlarged on chest CT.

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Surgical Repair of a Traumatic Tracheobronchial Injury in a Pediatric Patient Assisted with Venoarterial Extracorporeal Membrane Oxygenation

  • Suh, Jee Won;Shin, Hong Ju;Lee, Chang Young;Song, Seung Hwan;Narm, Kyoung Sik;Lee, Jin Gu
    • Journal of Chest Surgery
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    • v.50 no.5
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    • pp.403-406
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    • 2017
  • Tracheobronchial rupture due to blunt chest trauma is a rare but life-threatening injury in the pediatric population. Computed tomography (CT) is not always reliable in the management of these patients. An additional concern is that ventilation may be disrupted during surgical repair of these injuries. This report presents the case of a 4 -year-old boy with an injury to the lower trachea and carina due to blunt force trauma that was missed on the initial CT scan. During surgery, he was administered venoarterial extracorporeal membrane oxygenation (ECMO). Although ECMO is not generally used in children, this case demonstrated that the short-term use of ECMO during pediatric surgery is safe and can prevent intraoperative desaturation.

An Exclusive Right Thoracic Approach for Cancer of The Middle Third of the Esophagus -A Case Report- (우측개흉(右側開胸)으로 수술치료(手術治療)한 식도중간부위(食道中間部位)의 악성종양(惡性腫揚) -일례(一例) 보고(報告)-)

  • Lee, Nam-Soo
    • Journal of Chest Surgery
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    • v.9 no.2
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    • pp.293-297
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    • 1976
  • One mid-esophageal carcinoma underwent esophagogastrectomy using an exclusive right thoracic approach entailing mobilization of the stomach through the esophageal hiatus. 62 year old male farmer was admitted with chief complaints of dysphagia and weight loss of 5 Kg. for 6 months, and regurgitation after soft meal for one week prior to this admission. Preoperative esophagogram revealed stricture with fungating mass at the level of the carina, which was diagnosed as squamous cell carcinoma at the time of esophagoscopic biopsy about 33 cm from incisor. Bronchoscopy revealed no invasive lesion or carinal fixation, and laboratory examinations were excellent for operative intervention. An exclusive right thoracic approach through right 5th rib bed was made for radical esophagectomy, mobilization of the stomach through the esophageal hiatus and primary esophagectomy. Postoperative recovery was uneventful except increased bronchial secretion due to senile emphysema, and follow up for 5 months after esophagectomy revealed good functioning esophagus with mild epigastric fullness after meal. Exclusive right thoracic approach for radical esophagectomy seems to be the procedure of choice in selected cases.

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