• 대한기관식도과학회지
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• 제4권1호
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• pp.79-84
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• 1998

Benign symmetric lipomatosis was initially described in 1846 by Sir Benjamin Brodie. In 1888, Otto Madelung presented 33 cases of benign symmetric lipomatosis and described the classic“horse collar”cervical distribution of the lipomatous tissue. Launois and Bensaude described benign symmetric lipomatosis as a distint syndrome characterized by a diffuse, symmetric, fatty accumulation in the cervical region. This disease is rare condition affecting mostly middle aged alcoholic men and associated with many systemic diseases such as diabetes mellitus, hyperuricemia, renal tubular acidosis, liver enzyme abnormality etc. The condition does not spontaneously involute and surgical excision is the only proven method of treatment, and recurrence is frequent. We experienced six patients of benign symmetric lipomatosis who underwent surgical excision via collar incision which afford wide exposure of the entire cervical area. We report them with the review of literature.

• Journal of Chest Surgery
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• 제31권8호
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• pp.799-803
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• 1998

대상 및 방법: 1981년 3월부터 1996년 7월 까지 본원에서 치험한 원발성 기관 종양은 14례로, 평균 연령은 45.9세 였으며, 남녀비는 1:1.8이였다. 결과: 14례중 9례가 악성이었으며, 선양낭성암이 5례로 가장 많았다. 대부분의 환자에서 단순흉부촬영 및 기관지 내시경, 전산화 단층촬영을 시행하였고 대부분의 종양은 중하부에 위치하였다. 수술적접근을 위해 기관을 편의상 상부, 중부, 하부기관으로 분류하였으며, 각각의 위치에 맞게 경부 칼라절개, 경부 칼라절개 및 부분적 정중 흉골 절개, 우측 개흉술, 그리고 정중 흉골 절개 및 후두 박리술을 시행하였다. 수술후에 문합부위 파열 및 그로인한 기도폐쇄,설골 상부 박리후에 후두부 부종으로 사망한 례가 각각 1례씩 있었으며, 추적관찰중 진단후 8개월만에 사망한 1례를 제외한 전환자는 추적기간중 비교적 양호한 임상 경과를 밟았다.

• 복식문화연구
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• 제29권3호
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• pp.388-405
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• 2021

This study classifies the compositional methods of power shoulder jackets from 1980 to the present. It analyzes the relevance of jacket details according to how the power shoulder changes and its compositional methods by era. The research subdivides shoulder compositional techniques into seven, based on shoulder variation, sleeve variation, and the body and sleeve combination. The researcher investigates the frequency and trends of composing shoulders and analyzes details pertaining to the silhouette, jacket length, collar shape, and front closure. The most common method of shoulder composition is an angular shoulder variation. The others are a rounded shoulder variation, puffed sleeve, sleeve variation using pattern incision, raglan and kimono sleeves, and a shoulder variation that expanded the angle and width. The frequency differs slightly for each era. The relationship between shoulder compositional methods and details of power shoulder jackets is statistically significant, showing period-related differences. The homogeneity analysis results reveal that the shoulder composition of power shoulder jackets, the times, and details fall into distinct groups. This analysis shows that the silhouette, length, collar, and front closure of the power shoulder jacket differ depending on the power shoulder's compositional methods. Moreover, the shape of the power shoulder jacket is distinctly different. One can use this data to help develop the power shoulder jacket design by reflecting the details of shoulder compositional methods and changing trends over time.

• Journal of Chest Surgery
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• 제44권4호
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• pp.311-313
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• 2011

Hemangiomas that arise in cervical esophagus are extremely rare, representing 3.3% of all benign esophageal tumors. Although endoscopic mucosal resection (EMR) and potassium titanyl phosphate/yttrium aluminum garnet (KTP/YAG) laser therapy have been used with success for small tumors, the safety and efficacy in the case of large tumors remains uncertain. We report the successful resection of cervical esophageal hemangioma through a cervical esophagotomy in a patient with thyroid cancer who needed a cervical collar incision.

• Journal of Chest Surgery
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• 제25권6호
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• pp.588-592
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• 1992

Recently we have experienced one case of long tracheal stenosis which developed after pulmonary tuberculosis. The patient was 32 years old woman, 165cm in height. She complained severe dyspnea and headache. We could hear the inspiratory wheezing sound and stridor without stethoscope. Preoperative tracheogram and chest CT scan showed long tracheal stenosis from the posterior portion of clavicular head to the upper portion of carina and right main bronchus. Under the general anesthesia, the stenotic segment, about 7.5cm, was resected and end to and anastomosis was performed successfully through the right anterolateral thoracotomy and supraclavicular collar incision. Her postoperative course was uneventful and the patient has remained well till now.

• 대한두개안면성형외과학회지
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• 제21권5호
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• pp.305-308
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• 2020

Madelung's disease (MD) otherwise known as Launois-Bensaude syndrome, multiple symmetrical lipomatosis, or benign symmetric lipomatosis, is a rare disease characterized by abnormal diffuse lipomatosis in proximal upper limbs and neck. Here, we report a rare case of MD. A 66-year-old man presented with massive growth of soft tissues in the cervico-occipital region of more than 2 years duration. Physical examination showed diffuse enlargement of the anterior neck (Madelung's collar) and three huge humps at the posterior neck. Under a diagnosis of MD, lipectomy via a single anterior transverse incision and liposuction were performed. This rare case report may be helpful for assessing patients with abnormal diffuse lipomatosis in the neck and proximal upper limbs.

• Journal of Chest Surgery
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• 제21권2호
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• pp.389-394
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• 1988

The patient was 22-year old male who had been suffered from labored breathing. Computerized tomography, tracheoscopy, tracheogram disclosed tracheal obstruction by external mass compression on Tl level, which ranged 4.Oem in the length and approximately 4mm in diameter on tracheogram. Under the local anesthesia, tracheostomy was done to prevent intraoperative airway obstruction. And general anesthesia, low collar incision 8z extended median sternotomy was made and nearly total thyroidectomy was performed. After the circumferential resection of the obstructed segment approximately 4cm in length[7 tracheal rings], direct end-to-end anastomosis of trachea was performed. Postoperatively, the patient`s neck was maintained in flexion state to reduce tension of anastomotic site. Postoperatively. medical therapy[Comthyroid k Calcium lactate] and radiotherapy were done. At present, 2-months after operation, he lives well.

• Journal of Chest Surgery
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• 제36권6호
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• pp.439-443
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• 2003

특별한 원인 없이 하부후두나 상부기관의 협착이 나타날 수 있는데, 이를 특발성 기관 협착증(Idiopathic Tracheal Stenosis)이라 한다. 이러한 특발성 기관 협착증는 젊은 여성에게 나타나는 성대하부의 원형섬유성 협착을 보이는 드문 질병이다. 이에 대한 치료는 질병의 원인이나 경과가 밝혀지지 않아 보존적 원칙에 따르는 것이 일반적이었으나, 최근 들어 외과적인 절제와 재건술이 많이 시행되고 있으며 좋은 결과를 보고하고 있다. 3예 모두 여성 환자로 호흡곤란을 주소로 내원하였고, 2예는 기관지천식 진단하에 수년간 내과적 치료를 받은 병력이 있었다. 모든 환자에 있어서 경부 및 흉부 전산화단층촬영과 기관지내시경으로 기관 협착증을 진단하였고, 협착의 위치에 따라 성문하 협착(Subglottic Stenosis) 2예는 경부 칼라 절개술을 통하여 성문하 절제(Subglottic resection)를 시행하였고 기관 원위부 협착 1예는 우측 후외측 개흉술을 통하여 기관절제 및 단단 문합을 시행하였으나 문합부의 감염에 의한 재협착으로 기관내 스텐트 삽입 후 경부 칼라절개와 정중흉골절개로 모든 기관을 노출한 재수술로 성공적인 치료를 하였기에 보고하는 바이다.

• Parasites, Hosts and Diseases
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• 제52권5호
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• pp.513-520
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• 2014

Three echinostome species, i.e., Patagifer bilobus, Petasiger neocomense, and Saakotrema metatestis, are newly recorded in the trematode fauna of the Republic of Korea. They were recovered from 3 species of migratory birds (Platalea minor, Podiceps cristatus, and Egretta garzetta), which were donated by the Wildlife Center of Chungbuk (WCC) and the Conservation Genome Resource Bank for Korean Wildlife (CGRB). Only 1 P. bilobus specimen was recovered from the intestine of a black-faced spoonbill (P. minor), and characterized by the bilobed head crown with a deep dorsal incision and 54 collar spines. Twenty P. neocomense were recovered from the intestine of a great crested grebe (P. cristatus), and they had a well-developed head crown with 19 spines and 2 testes obliquely located at the posterior middle of the body. Total 70 S. metatestis were collected from the bursa of Fabricius of 1 little egret (E. garzetta). It is characterized by stout tegumental spines covered in the entire leaf-shaped body, posterior extension of the uterus, presence of the uroproct and a well-developed head crown with 12 pairs of collar spines on each side. By the present study, these 3 echinostome species are newly added to the trematode fauna in Korea.

• 한국의류산업학회지
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• 제18권5호
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• pp.677-684
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• 2016

This study was done for the proposal for improvement for junior sportswear which is substitutable as uniforms in the form of elementary school and physical education uniforms by analyzing detailed features through investigation. Accordingly, we developed a prototype design for physical education uniforms as a symbol of the school to enhance the aesthetic and functional satisfaction. The results are as follows. When we developed physical education uniforms, we put activity on our first priority while taking the improvement in both aesthetic and functional aspects into consideration. In addition, we tried to make sure the uniforms reflect the refined and trendy elements to meet students needs to satisfy their aesthetic sense in dress. Reflecting the improvement proposals and preferences of the students, six different prototype designs were developed and evaluated on the basis of two concepts of "new basic" and "trendy". The highest ranking, the physical education uniforms design 1 is based on new basic concept and characterized with slim fit considering activity which will be worn as fall/winter physical education uniforms. Design 1 uses ottoman functional knit as a fabric material which is not only students favorite but also good in both flexibility and warmth. Top with style of high-neckline collar and full open zip-up is simplified with the incision lines and detail. It is a set-in sleeve design in which blue and yellow collars signifying school color are properly placed along with the incision lines in harmony.