• 제목/요약/키워드: Epiglottis

검색결과 50건 처리시간 0.017초

기경팔맥(奇經八脈)의 생리적 특성에 대한 고찰 -『난경(難經)·이십칠난(二十七難)』"맥유기경팔맥자(脈有奇經八脈者), 부구어이십경(不拘於十二經)"에 대한 해석을 중심으로- (A Study on the physiological characteristics of Eight Extra Meridians - Focused on the interpretation of "There are Eight Extra Meridians and they don't be arrested by Twelve Regular Meridians" in Nanjing 27Nan -)

  • 류정아;정창현
    • 대한한의학원전학회지
    • /
    • 제26권4호
    • /
    • pp.71-87
    • /
    • 2013
  • Subject : The physiological characteristic of Eight Extra Meridians. Objective : This study research physiological characteristic of Eight Extra Meridians that differentiate from the physiological characteristic of Twelve Regular Meridians. Method : First, we researched the meaning of "There are Eight Extra Meridians and they don't be arrested by Twelve Regular Meridians" in Nanjing 27Nan compared with the contents of regular Meridians circulation in Huangdineijing. Second, we studied on the origin of Eight Extra Meridians and researched their route. Third, from these researches we drew some physiological characteristics of Eight Extra Meridians. Conclusion : In Huangdineijing, the regular Meridians circulation include the route of Governor Meridian, Conception Meridian, and Heel Meridian. So the sentence in Nanjing 27Nan is contradictory to the contents of Huangdineijing. The origin of Eight Extra Meridians could be found in Huangdineijing. The collateral Meridians of the Uterus and Epiglottis Meridian are specifically formulated to supplying for the Uterus or Epiglottis. Eight Extra Meridians have third qualities of Meridian, collateral Meridian, and the solid viscera keep the Essence Gi, so named 'Extra'. And they have an intimate association with Extraordinary Organs. They place at the middle axis of human body, thus do higher physiological function that control and regulate the function of Twelve Regular Meridians and Five Viscera & six Bowels for adaptation to the environment.

후두개 유표피낭종 1례 (A Case of Epiglottic Epidermoid Cyst)

  • 이종원;김성남;김성곤;권영춘;양한모
    • 대한기관식도과학회:학술대회논문집
    • /
    • 대한기관식도과학회 1977년도 제11차 학술대회연제 순서 및 초록
    • /
    • pp.7.3-8
    • /
    • 1977
  • 이비인후과 영역에서 유표피낭종이 구강내에서 흔히 발생하지는 않으나 만약 존재한다면 보통 하악과 설골사이에 위치한다. 더구나 후두개에 발생한 유표피낭종은 드물게 보는 것으로서 최근 저자들은 후두개의 후두면에 발생한 유표피낭종 1례를 경험하고 경설골 인두절개술을 이용하여 종물에 접근하여 조대술을 시행한 후 성공적으로 치료된 1례를 보고하는 바이다. 환자는 46세된 남자로서 입원 이년전부터 간헐적인 인두통, 8개월부터 사성 및 1개월여의 호흡곤란을 주소로 내원하였다. 간접 후두경 검사로 후두개의 우측 후두면에 둥글고 표면이 매끄러우며 탄력성이 있고 그 크기가 구난 크기인 종물을 발견 할 수 있었다. 생검조직검사 결과 상피세포성 폴립으로 판명되어 입원하고 경설골 인두절개술을 이용하여 낭종의 조대술을 실시하였다. 술후 조직검사 결과 유표피낭종으로 판명되었고 경과가 양호하여 아무런 후유증 또는 합병증이 없이 퇴원하였기에 보고한다.

  • PDF

수면무호흡증 환자에서 Mandibular Repositioning Device가 Airway size와 Airway Collapsibility에 미치는 효과 (Effect of Mandibular Repositioning Device on Airway Size and Airway Collapsibility in Obstructive Sleep Apnea Syndrome : Cine CT during Sleep)

  • 홍승봉;경승현;한현정;나동규;손영익;박영철
    • 수면정신생리
    • /
    • 제6권2호
    • /
    • pp.110-115
    • /
    • 1999
  • 목 적: 수면무호흡증 환자들에서 수면 중 구강내 기구의 착용이 수면 중 기도의 크기와 airway collapsibility에 미치는 영향을 알아보기 위하여. 방 법: 9명의 폐쇄성 수면무호흡(obstructive sleep apnea) 환자들에서 구강내 기구를 착용하기 전과 후에 수면다원검사와 axial airway CT를 시행하였다. 상기도의 다섯 곳(retropalatal-high, retropalatal-low, retroglossal, epiglottis, hypopharynx levels)에서 axial CT를 시행하였는데, 각 위치에서 수면무호흡 상태에서 하나의 axial CT image를 얻고, 정상적인 수면호흡 중에 1초 간격으로 10장의 axial CT images를 연속적으로 얻었다. 이와 같은 방법으로 구강내 기구를 착용하기 전과 후에 airway CT를 각각 2회 실시하였다. 각 CT 영상에서 기도의 횡단면적(cross-sectional area)을 측정하여서 구강내 기구의 착용 전과 후에서 기도 횡단면적의 최소 크기, 최대 크기 및 airway collapsibility의 측정치를 비교하여 유의한 변화가 있는지 알아보았다. 결 과: 수면무호흡 중에 가장 흔하게 좁아지는 부위는 retropalatal-low level이었다. 정상 수면호흡 중에 retropalatallow level의 최소 기도면적이 구강내 기구에 의하여 유의하게 넓어졌다(p=0.011). 평균 airway collapsibility는 retropalatal-low level에서 가장 높았다. 구강내 기구는 retropalatal-low level(p=0.021) 뿐만아니라 epiglottis level(p=0.038)에서도 유의하게 airway collapsibility를 감소시켰다. 결 론: 이상의 결과를 종합하여 보면 구강내 기구는 일부 환자에서 수면 중 기도의 최소면적을 넓히고, airway collapsibility를 낮추어서 수면무호흡을 예방할 수 있음을 시사한다.

  • PDF

후두부에 발생한 과오종 1예 (A Case of Hamartoma Arising in the Larynx)

  • 김보해;권성근
    • 대한후두음성언어의학회지
    • /
    • 제23권2호
    • /
    • pp.133-136
    • /
    • 2012
  • Hamartoma is benign pathologic lesion that looks like a neoplasm. But actually hamartoma is derived from congenital developmental errors of mature tissue. That is a focal overgrowth of normal tissue components. Hamartomas have been reported as arising anywhere in the body, but rarely has it been found in the head and neck region. Above all, laryngeal hamartoma has been described few times. We report an unusual case of hamartoma located in the larynx. Epiglottis mass was found incidentally by gastrofibroscopic examination. After the mass was excised by $CO_2$ laser, pathologic diagnosis has confirmed the mass as hamartoma.

  • PDF

German shepherd에서 발생한 기관 골.연골형성증 (Cases of Tracheopathia Osteochondroplastica in German shepherd)

  • 한정희;김준기;서강문
    • 한국임상수의학회지
    • /
    • 제17권1호
    • /
    • pp.129-133
    • /
    • 2000
  • Based on pathological findings, 5 German shepherds, revealed a mean age of 7.6 years, showing no clinical signs were diagnosed as tracheopathia osteochondroplastica(TOC). Grossly, multiple small-sizecd nodules, appeared as cobble-stones, on the cartilage rings situated in the anterior trachea and the mucosal surface of the epiglottis were showed. Numerous tiny nodules were scattered on the pleural surface of the lung. The vascular walls of the heart were irregular and coarse apearance with calcification. Histopathologically, nodules in the trachea represented an irregular expansion of the underlying tracheal ring with protrusion into the submucosa and consisted of proliferated and calcified cartilage and bone with marrow spaces containing numbers of hematopoietic cells. Pulmonary calcinosis and calcification of the vascular walls of the heart were observed. Our observations suggested that TOC arises form eccondroses and exostoses of the tracheal cartilage rings.

  • PDF

후두개절제환자에서 시술한 인두위문합술 -1예 보고- (Pharyngogastrostomy in an Epiglottectomized Patient -A Case Report-)

  • 송요준;김종환
    • Journal of Chest Surgery
    • /
    • 제7권2호
    • /
    • pp.175-178
    • /
    • 1974
  • The patient was 21-year old male who had gastrostomy and tracheostomy after swallowing lye-stuff in July 1971. He could restore his normal voice and breathing after removal of his destructed epiglottis obstructing his upper airway two years later. Pharyngogastrostomy was performed in Nov 1973. The esophagus which was totally obliterated in its full length was removed and the stomach was brought high up to the level of pharynx where it was anastomosed to the posterior wall of pharynx. His postoperative course was temporarily complicated by aspiration of small food into trachea which could be completely relieved with training, and he is doing his normal life quite well on the follow-up.

  • PDF

Diagnosis of Laryngeal Cyst using Respiratory Endoscopy in Hanwoo Cattle with Chronic Bronchopneumonia

  • Ro, Younghye;Choi, Woojae;Kim, Hoyung;Kim, Danil
    • 한국임상수의학회지
    • /
    • 제35권2호
    • /
    • pp.57-59
    • /
    • 2018
  • A seven-month-old Hanwoo steer was presented immediately after transport with respiratory symptoms including a nasal discharge, depression, and anorexia. Though repeated treatments, bronchopneumonia had not been improved and had persisted for 10 months. Then, obstructive breath sound was heard. A cyst adjacent to the epiglottis could be observed with respiratory endoscopy. Consequently, chronic bronchopneumonia induced laryngeal cyst formation, resulting in obstructive dyspnea. And respiratory endoscopy may be useful for differentiating the causes of dyspnea in bovine clinical practice.

흥미 있는 기도 이물 3 례 (Interesting Foreign Bodies in the air way.)

  • 박옥희;천만희;조중환
    • 대한기관식도과학회:학술대회논문집
    • /
    • 대한기관식도과학회 1982년도 제16차 학술대회연제순서 및 초록
    • /
    • pp.7.1-7
    • /
    • 1982
  • 흥미 있는 기도 이물 3 례를 치험하였기에 보고하는 바이다. 예 1 ) 10세 남아에서 볼펜 용수철이 1 년간 우측 하엽기관지에 들어 있어 녹이 슬어 둘로 나누어져 있었던 예 . 예 2 ) 6개월 여아에서 콩이 우측 상엽과 중엽 기관지구에 걸쳐 있어 우측 상엽과 중엽에 완전 무기폐를 초래하였던 예. 예 3 ) 11 개월 남아에서 양말 고정 철사가 epiqlottis와 hypopharynx에 1 개월간 걸려 있었던 예.

  • PDF

한우(韓牛) 송아지의 이안체(二顔體) (Diprosopus in a Korean native calf)

  • 김종섭
    • 대한수의학회지
    • /
    • 제30권4호
    • /
    • pp.395-400
    • /
    • 1990
  • A female Korean native calf with diprosopus was examined macroscopically and radiographically. Anterior head duplication (diprosopus) was observed and all structures caudal to it were normal. She had two complete mouths, four eyes and three ears. Single tongue was present in each oral cavity. The two tongues were joined at their base just posterior to the single epiglottis. Both oral cavities led jointly into a common pharynx and one esophagus. One laryngeal cavity communicated with one common trachea. The lower jaws were immobile because of overlapping mandibular rami. The atlas was complete, and two anterior articular cavities articulated with the lateral condyles of the occipital bones of each skull. The cerebrums were fused each other at their caudal portion, and the giri and sulci were underdeveloped. The cerebellums were also completely fused, and they had not characteristic appearance of the vermis. The spinal cord showed normal appearance.

  • PDF

후두부분절제술 후 음성 결과 (Voice Outcome after Partial Laryngectomy)

  • 선동일
    • 대한후두음성언어의학회지
    • /
    • 제19권1호
    • /
    • pp.16-20
    • /
    • 2008
  • Excising part or all part of a larynx as a cancer operation results in changes that transgress anatomic, physiologic, psychologic, and social priciples. The quality of life of a patient's life after any given cancer surgery usually is regarded as a second-priority consideration after oncologic safety. With laryngeal surgery, excision of malignant disease typically results in change that significantly influence an individual for the duration of his or her life. Nonetheless, with appropriate rehabilitation the surgical side effects can be minimized to allow for an excellent quality of life. Successful conservation surgery for laryngeal cancer requires careful interdependent selection for patients, lesions and procedure. The technical goal is to minimize trauma to uninvolved tissue and to wisely utilized local tissues or tree flap for reconstruction, while insuring for oncologically sound procedure. Rehabilitation should aim to produce a glottal sound source if possible, however voice therapy to promote false vocal fold vibration and arytenoid to epiglottis source of vibration can produce very satisfactory phonatory results.

  • PDF