• Title/Summary/Keyword: Complete removal

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OSSIFYING FIBROMA OF THE MAXILLARY SINUS : A CASE REPORT (상악동에 발생한 골화성 섬유종 : 증례보고)

  • Moon, Chul-Woong;Kim, Su-Gwan;Kim, Hak-Kyun;Kim, Moon-Soo;Ha, Jeong-Wan;Choi, Dong-Kook;Kim, Young-Jong;Yoon, Jung-Hoon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.27 no.5
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    • pp.478-481
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    • 2005
  • Ossifying fibroma is a rare, benign, fibro-osseous tumor of mesenchymal origin. It develops mainly in the mandible, where it is usually slow growing and asymptomatic, whereas in the maxilla and paranasal sinus, it is more aggressive. The vast majority are located in the posterior region of the mandible; however, ossifying fibroma involving the maxillary sinus is uncommon. It may reach a very large size and cause facial asymmetry. It shows a female predilection, and most cases are seen in the third and fourth decades of life. Radiographically, ossifying fibroma is radiolucent or radiopaque depending on the amount of calcification. Histologically, the tumor consists of a cementum-like or bony mass. Ossifying fibroma shares many histopathologic features with fibrous dysplasia. Their radiographic features may help to separate these entities when pathological differentiation is uncertain. It is important to differentiate ossifying fibroma from fibrous dysplasia. The treatment of ossifying fibroma involves its complete removal using curettage, enucleation, excision, or en bloc resection. This case report presents an unusual case of ossifying fibroma of the maxillary sinus. We describe a Caldwell-Luc operation with a lateral window approach for excision of an ossifying fibroma of the maxillary sinus.

Biological Perchlorate Reduction in Municipal Sewage (도시하수에서 생물학적 퍼클로레이트의 환원)

  • Choi, Hyeoksun
    • Journal of Korean Society of Environmental Engineers
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    • v.35 no.9
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    • pp.675-680
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    • 2013
  • This research was done to evaluate the potential for destruction of perchlorate in municipal sewage. Laboratory experiments were conducted in flasks containing 3 liters of raw sewage. Sewage was mixed with defined amount of perchlorate and various additives. Perchlorate reduction in sewage did occur, but was quite variable, ranging from 0 to 72% over 72 hour. Addition of even a small amount of perchlorate acclimated biomass (167 mg/L SS) significantly reduced the lag and resulted in complete perchlorate removal. Perchlorate reduction in sewage-brine mixtures was inhibited when the dissolved oxygen level was greater than 2 mg/L, and when the mixture salinity was relatively high (conductivity = 14 mS with equivalent TDS = 8 g/L). When nitrate ($NO_3{^-}$) was present with perchlorate in the laboratory flask tests of sewage-brine mixtures, nitrate reduction proceeded first. A significant amount of nitrite ($NO_2{^-}$) accumulated in the sewage-brine mixtures, accounting for about 66% of initial nitrate nitrogen ($NO_3$-N).

Clinical Experiences of Arteriovenous Fistula on The Face (안면부에 발생한 동정맥루의 치험례)

  • Choi, Soo Jong;Oh, Heung Chan;Bae, Yong Chan;Nam, Su Bong;Moon, Jae Sul;Oh, Chang Keun;Kim, Chang Won
    • Archives of Plastic Surgery
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    • v.34 no.3
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    • pp.399-402
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    • 2007
  • Purpose: Arteriovenous fistula is one of high flow vascular malformations. Recently, arteriovenous fistula has been regarded as one of the type of arteriovenous malformations. The patients were diagnosed as arteriovenous malformation Schobinger clinical stage II. Even though arteriovenous fistula rarely occurs on head and neck, treatment of that is difficult due to frequent recurrence. In treating the arteriovenous fistula, chemical embolization, surgical excision and other treatment modalities were used, but the results were not satisfactory. The authors experienced three cases of arteriovenous fistula and treated them with surgical excision. Methods: In cases, warmth, enlargement, pulsation, thrill, and bruit were found. For the accurate evaluation before the operation, angiography and MRI were checked in advance. Incision was made on the site of pulsation. The artery and vein connected to the arteriovenous fistula were dissected widely, individually ligated, and divided. And then the entire mass was totally removed. Results: All surgical sites were healed well without complications and there was no evidence of recurrence in all cases up to for 2 years of follow-up examination. Conclusion: The arteriovenous fistula on face is a very rare disease and has difficulties in treatment. The authors experienced three cases of arteriovenous fistula with complete surgical removal and no recurrence was found in all cases.

Pain Control for Hydrofluoric Acid Chemical Burn Using EMLA® creams (EMLA® 연고를 이용한 불산 화학 화상의 통증 조절)

  • Choi, Hwan Jun;Song, Jin Woo;Choi, Chang Yong
    • Archives of Plastic Surgery
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    • v.36 no.1
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    • pp.113-117
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    • 2009
  • Purpose: Although Hydrofluoric acid(HF) is not a strong acid when compared to other hydrogen halides, it is a feared corrosive and is particularly dangerous at higher concentrations. HF burns are characterized by symptoms, often delayed and localized with diluted HF solutions, to include erythema, edema and severe pain. Pain, a well known symptom following exposure to calcium binding. And, EMLA$^{(R)}$ cream is a topical formulation based upon the eutectic mixture of lidocaine and prilocaine and is used in clinical settings to provide pain relief undergoing superficial surgical procedures. The aim of this study is to evaluate effects of EMLA$^{(R)}$ cream, pain - control dressing on the treatment for HF injury wound. Methods: From June 2007 to June 2008, this study was carried out with 10 patients who had HF partial thickness burns. We were applied topically EMLA$^{(R)}$ cream to injured wound with vaseline gauze and 10% calcium gluconate wet gauze dressings. As a principle, in the emergency treatment, partial or complete removal of the bullae along with copious washing with normal saline was done, depending on the degree of HF invasion of the distal digital extremities. The effect of dressing was investigated by visual analogue pain scale. Results: We therefore reviewed 10 cases of HF - induced pain and pain relief treatment principle. The 10 cases who came to the hospital nearly immediately after the injury healed completely without sequelae and EMLA$^{(R)}$ related complications. Conclusion: Proper initial treatment of HF burns are important, if not promptly recognized and properly treated, for produce serious injury. Topical EMLA$^{(R)}$ cream remain a powerful, new advancement for minimizing HF - related pain during dressing procedures. When used appropriately, topical EMLA$^{(R)}$ cream can provide a safe and effective alternative to other forms of HF - pain control treatment.

Performance Enhancement of Anaerobic Treatment of Waste Sludge by Chemical Pretreatment (화학적 전처리를 통한 혐기성 슬러지 처리효율의 향상)

  • 허준무;박종안;손부순
    • Journal of environmental and Sanitary engineering
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    • v.13 no.1
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    • pp.16-25
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    • 1998
  • Laboratory-scale experiment using anaerobic fluidized bed reactor was carried out to investigate the prehydrolysis step with caustic soda on the treatment efficiency of anaerobic sludge treatment, since the overall rate-limiting step for the complete anaerobic digestion of sludge was the hydrolysis step by extracellular bacterial enzymes of insoluble polymeric molecules. Reactors received a sludge which had not been pretreated, a 50-50 mixture of pretreated and untreated sludge, and the fully pretreated sludge. Hydraulic retention time of 10, 5, 2.5 days and 1 day were applied with an respective equivalent organic loading rate of 1.17, 2.23, 4.17, 11.24 gCOD/L/d. Reactor with the untreated sludge did not archieve adequate digestion even at the HRT of 5 days, and reactor, which received the 50-50 mixture, operated well at the HRT of 5 days, but began to show signs of unstable digestion at the HRT of 2.5 days. While, reactor, which was fed the hydrolyzed sludge, operated reasonably well at the 2.5 days, but was showing somewhat decrease in removal efficiencies. Results, therefore, have substantiated that the limiting reaction in the anaerobic treatment process is hydrolysis. The soluble COD did not significantly accumulate in the reactor as organic acid form, even when they were highly stressed. It was believed that this resistance to a build-up of organic acids and soluble COD behavior was mainly due to the maintenance of the methane bacteria in the fixed-film system which prevents washout as the organic loading increased. The anaerobic fluidized bed reactor was therefore effective for the digestion of waste activated sludge at short HRT.

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A Clinical Study of the Medistinal Tumors and Cysts -27 cases analysis (종격동 종양 및 낭종 27례에 대한 임상적 고찰)

  • 장진우;황상원
    • Journal of Chest Surgery
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    • v.30 no.4
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    • pp.408-412
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    • 1997
  • We have experienced 27 cases of primary medistinal tumors and cyst from April, 1986 to April 1996. At Masan Samsung General Hospital. The results of the anslysed were as follows 1. Of 27 medistinal tumors and c,pests, 9 patients were male and 18 patients were female(m : f= 1 : 2) 2. The most common chief complaint was chest discomfort or pain(8 cases 30 %) and 17 patients(63%) were asymptomatic. 3. The most common primary medistinal tumor was Neurogenic tumor in 9 cases(33 %) followed by Thymoma in 7 cases(26 %), teratoma in 6 cases(22 %) 4. The incidence of malignancy of all case was 3 cases(11 %), all cases were symptomatic and the most common malignancy was malig. thymoma(3 cases,43 %) 5. The anterior mediastinum was the most common tumor location with 15 cases(56 %) followed by posterior 11(41 %) and middle mediastinum 1(4 %). Anterior mediastinum tumors were predominantly thymomas and teratoma and posterior mediastinal tumors were neurogenic tumors 6. Complete removal of tumor was achieved in 26 cases(96 %) and open biopsy was done on 1 case 7. Postoperative complications were continued lumbar shunt drainage in 1 case and wound infection in 1 case 8. There was no case of postoperative mortality and good clinical course in surgically completely rejected cases

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Treatment for Hydrofluoric Acid Chemical Burn Using Acticoat® (Acticoat®를 이용한 불산에 의한 화학 화상의 치료)

  • Choi, Hwan Jun;Wee, Syeo Young;Choi, Chang Yong
    • Archives of Plastic Surgery
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    • v.35 no.4
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    • pp.407-412
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    • 2008
  • Purpose: Hydrofluoric acid(HF) is one of the most dangerous mineral acids with the dissociated fluoride ions. The initial corrosive burn is caused by free hydrogen ion, and the second and more severe burn is caused by penetration of fluoride ions into subcutaneous tissues. Silver is a cation producing dressing, an effective antimicrobial agent, but older silver-containing formulations are rapidly inactivated by wound environment, requiring frequent replenishment. But, $Acticoat^{(R)}$ is a relatively new form of silver dressing which helps avoid the problems of earlier agents. The aim of this study is to evaluate effects of $Acticoat^{(R)}$, silver-containing dressing on the treatment for HF injury wound. Methods: From september 2006 to september 2007, the study was carried out with 10 patients who had HF partial thickness burns. $Acticoat^{(R)}$ dressing and 10% calcium gluconate wet gauze dressings in 10 cases. As a principle, in the emergency treatment, partial or complete removal of the nail and early bullectomy along with copious washing with normal saline was done, depending on the degree of HF invasion of the wound. Wound was dressed with $Acticoat^{(R)}$ and 10% calcium gluconate solution. The effect of dressing was investgated by serial bacterial culture and wound exudates assessment. Results: We therefore reviewed 10 cases of HF-induced chemical burns and treatment principle. The 10 cases who came to the hospital nearly immediately after the injury healed completely without sequelae. Conclusion: As the industrial sector develops, the use of HF is increasing more and more, leading to increased incidences of HF-induced chemical burns. The education of patients regarding this subject should be empathized accordingly. In conclusion, $Acticoat^{(R)}$ dressing is a better choice for HF partial thickness burn injuries because of shorter healing time, less pain and more comfortable dressing.

To Establish Selecting Criteria for Retest which is Efficient at Reliability Improvement and Turn around time: In Thyroglobulin Assay (Thyroglobulin 검사 시 재검선별 및 결과보고절차마련)

  • Kim, Ji-Na;Park, Kwang-Seo;Won, Woo-Jae
    • The Korean Journal of Nuclear Medicine Technology
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    • v.18 no.1
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    • pp.145-148
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    • 2014
  • Purpose: Serum thyroglobulin (Tg) determination has been reported to be a sensitive indicator of persistent or recurrent differentiated thyroid cancer (DTC) after total thyroidetectomy. In patients free of metastasese and recurrences after a complete thyroidectomy and radioiodine removal for DTC, the Tg is usually <1 ng/mL or can no longer be detected even with TSH stimulation. Therefore, report in low Tg levels and selecting criteria for retest is very important. The purpose of this study was to establish selecting criteria for retest which is efficient at reliability improvement and Turn around time (TAT). Materials and Methods: Sera from 137 patients with DTC were divided into two groups as first(<1.0 ng/mL or >4.0 ng/mL) and second(1.0-4.0 ng/mL). In case of group(<1.0 ng/mL) is in patient free of metastases and recurrences, >4.0 ng/ml is low coefficient of variation (CV%) at internal quality control and good linearity at standard curve. Therefore first group began with Delta/Panic check (D/P) and second group surveyed with the latest results. In that the latest results were <1.0 ng/ml, we checked the thyroxin withdrawal. Finally selected specimen retested with raw specimen. Results: In first group, we was able to reduce the retest rate(30.8% to 7.7%). and In second group, 40% to 5%. The total retest rate was 7.3%. Conclusion: If using the selecting criteria for retest, is helpful to accuracy and quickness of the result report.

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IATROGENIC CHEMICAL BURN ON FACIAL SKIN BY 37% PHOSPHORIC ACID ETCHANT (37% 인산 부식제에 의해 발생한 안면피부의 화학 화상)

  • Park, Jong-Hyun;Shin, Hye-Jin;Park, Se-Hee;Kim, Jin-Woo;Cho, Kyung-Mo
    • Restorative Dentistry and Endodontics
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    • v.34 no.1
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    • pp.38-41
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    • 2009
  • When we use the total-etch dentin adhesive system for composite resin restorations, gel or liquid acid etchant such as 37% phosphoric acid is commonly used. Thirty seven percentage phosphoric acid is very powerful erosive agent, and can cause severe harmful effects when it contacts with an oral mucosa and facial skin. This case describes iatrogenic chemical burn on facial skin caused by phosphoric acid which was happened during composite resin restorative procedure. Chemical burn by acid etchant can be evoked by careless handling of remnant and syringe. In order to prevent these iatrogenic injuries, we should check the complete removal of the etching agent both in intra and extra-oral environments after etching and rinsing procedure and it is necessary to use of the rubber dam or isolation instruments. If accidental burn were occurred. immediate wash with copious water. And bring the patient to the dermatologist as soon as possible.

The Characteristics of Sour Gas Decomposition by Microwave (Microwave에 의한 산성가스 분해 특성)

  • Kim, Dong-Sik;Kim, Jae-Surl;Lee, Dong-Kyu
    • Applied Chemistry for Engineering
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    • v.7 no.6
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    • pp.1027-1033
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    • 1996
  • Under the Irradiation of the radiofrequency wave, the dipole materials vibrate as microwavic phase change. This causes friction between adjacent molecules and enables an unique charateristics of interior heating of the materials. When dipole gases are adsorbed inside of a solid radiofrequency wave absorber, the gases can be decomposed easily by the microwave energy. The decomposition of sour gases was successfully tested in this manner to develop a sour gas removal process from the combustion flue gas. The standard gas bearing NO and $SO_2$ was passed through and microwave was applied on the calcined char bed as the wave absorber and the gas adsorbent. It was found that more then 95% of NO and 70 % of $SO_2$ was decomposed to the environmentally clean elements during the passage through the 20 gram char bed under the microwave impingement. The surface area and the porosity of char increased because the oxygen radicals produced from decomposed gas attacked carbon in the char capillaries and formed $CO_2$. For a lower concentration of sour gas, general cases in the commercial combustion processes, almost complete decomposion is believed possible and this method is surely expected to be useful for the prevention of air pollutions.

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