• Title/Summary/Keyword: Mucous membrane

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Clinical Values of Cold-Heat Pattern Diagnosis by the Nasal Endoscopy for Patients with Cough (기침에 대한 비내시경을 이용한 한열변증(寒熱辨證)의 임상적 가치평가)

  • Lee, Hee-Beom;Park, Eui-Keun;Baek, Hyun-Jung;Lee, Beom-Joon;Jung, Sung-Ki;Jung, Hee-Jae
    • The Journal of Internal Korean Medicine
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    • v.35 no.3
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    • pp.274-287
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    • 2014
  • Objectives: This study was aimed to figure out an agreement between the diagnosis of nasal endoscopy and a preexisting questionnaire focusing on Cold-Heat pattern. Methods: 52 patients with cough who met the criteria filled out a pattern questionnaire and the examiner looked at their nasal cavities through nasal endoscopy. According to the checked questionnaire results, the subjects were identified by 6 patterns. After examining subject's mucous membrane of oropharynx and nasal cavity through nasal endoscopy, we classified each to the Cold or Heat group. Correlation between questionnaire and nasal endoscopy results was analyzed. Results: In diagnosing Cold-Heat, there was no significant difference by McNemar test (p=0.227) between nasal endoscopy and the questionnaire, and the two methods agreed moderately (${\kappa}=0.428$). The color of mucous membrane of oropharynx and the Cold-Heat pattern on questionnaire agreed slightly (${\kappa}=0.133$). The color of mucous membrane of nasal cavity and the Cold-Heat pattern on questionnaire agreed fairly (${\kappa}=0.384$). In the patients with cough related to upper respiratory tract, they got higher diagnosis accuracy than the patients with cough related to lower respiratory tract did. Similarly, external cough patients got higher diagnosis accuracy than internal cough patients did. Conclusions: To identify Cold or Heat, examining oropharynx and nasal cavity using nasal endoscopy is a meaningful method in patients with cough, showing that two diagnosis methods which use nasal endoscopy and questionnaire agreed moderately. Especially, it is more useful diagnosing patients with cough related to the upper respiratory tract than diagnosing the patients with cough related to the lower respiratory tract.

Intrapulmonary Enterogenous Cyst (폐내의 장관성 낭종 1례 보)

  • 서의수
    • Journal of Chest Surgery
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    • v.20 no.3
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    • pp.578-581
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    • 1987
  • A very rare form of intrapulmonary cyst is an enterogenous cyst two examples of which were described by Ward and Krahl [1942]. Microscopically, the cyst wall is lined by gastric or intestinal type of mucous membrane which may include islets of pancreatic tissue; their walls contain muscle but no cartilage. We recently experienced a case of intrapulmonary enterogenous cyst. The patient was 30-year-old-male who showed chest pain and tightness after chest trauma. Chest X-ray revealed pneumothorax in both lung field with giant bullae in left upper lung field, right 6th and 7th rib fracture. Left lower lobectomy including cyst was done and the postoperative course was uneventful.

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종양성 병변으로 인한 구강점막질환

  • Gi, U-Cheon
    • The Journal of the Korean dental association
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    • v.26 no.11 s.234
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    • pp.1008-1012
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    • 1988
  • 구강점막에 발생하는 종양성 병변으로는 대표적으로 구강점막암(oral mucous membrane cancer), 유두종(papilloma),혈관종(hemangioma), 임파관종(lymphangioma),섬유종(fibroma)등이 있는데 이들 병변들은 구강내 협점막, 치은, 경구개, 연구개, 구강저, 혀 등에 궤양이나 증식성 병소로 나타나서 동통, 출혈, 치아동요, 종창 등의 증상을 유발시킨다. 이러한 병변들에 대한 명확한 치료와 예후를 결정하기 위해서는 무엇보다도 이들 병변들에 대한 정확한 소견에 근거한 진단이 우선되어야 할 것이다. 따라서 본 장에서는 정확한 진단과 치료를 위해 이들 병변들에 대해 소개하고자 한다.

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Three Cases of A Press-Through-Pack in the Esophagus (PTP(Press-Through-Pack)에 의한 식도이물 3례)

  • 국중호;임상철;조재식
    • Korean Journal of Bronchoesophagology
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    • v.6 no.2
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    • pp.201-203
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    • 2000
  • The PTP (Press-Through-Pack) has been widely used as a packing material for tablets and capsules. But esophageal foreign bodies attributed to the PTP may cause injury to esophageal mucous membrane, potentially inducing severe complications such as hemorrhage, perforation, etc. We report three cases of PTP foreign bodies in esophagus with reference to recent literature.

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Eye Irritation, Skin Irritation and Skin Sensitization Tests for Aloewhite in Animals (Aloewhite의 안점막 및 피부에 대한 국소자극시험)

  • 김형식;곽승준;김규봉;이승기;박현선;홍채영;안미영;조태형;오선택
    • Toxicological Research
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    • v.12 no.1
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    • pp.53-58
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    • 1996
  • Eye irritation, primary skin irritation and skin sensitization tests for Aloewhite were tested in New Zealand White rabbits and Hartley guinea pig. In primary skin irritation test of male New Zealand White rabbits, body weights were not significantly changed and Primary Irritation Index (PII) was O.47, indicating Aloewhite as mildly irritating material. In ocular irritation test, any injury on iris, conjunctival membrane, and cornea in New Zealand White rabbits was not observed. No injuries of the ocular mucous membrane were also recorded. Skin sensitization was tested in guinea pig after intradermal and epicutaneous induction and graded 1 with zero % sensitization rate. These results indicate that Aloewhite was not considered to be irritant in test organs of animals.

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Effects of Inhalation Anesthetics on Mucus Secretion of Goblet Cells at Lower Respiratory Tract in Rabbits (흡입마취제가 토끼의 하부호흡기도 점액분비세포에 미치는 영향)

  • 박우대;배춘식
    • Journal of Veterinary Clinics
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    • v.16 no.2
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    • pp.339-351
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    • 1999
  • Excess secretion of goblet cell stimulated by inhalation anesthetics have side effects during operation or postoperative care. Mucosubstances, which are almost secreted by goblet cells in the epithelium of the respiratory tract, are secreted by a direct irritation of inhalation anesthetics. This study was carried out to compare the differences of mucus secretion on lower respiratory tract stimulated by ethyl ether, halothane and isoflurane. Total of 24 rabbits were used as experimental animals. The trachea and the 1st bronchi were fixed in 10% neutral buffered formalin. After embedding in paraffin, the specimens were sectioned to a thickness of 6 ${\mu}{\textrm}{m}$, and PAS-H, Alcian blue pH 2.5 and Alcian blue pH 1.0 stains were performed for the observation of the composition and the quantity of the mucus. The results were as follows; Ethyl ether and isoflurane irritated the mucous membrane of the respiratory tract. Ethyl ether irritated more than isoflurane. Halothane irritated the mucous membrane, but its effect was minimal and had little influences during operation. In the specimens stained with PAS-H, Alcian blue pH 2.5 and Alcian blue pH 1.0, the mucosubstance lining the cilia and in the goblet cells of the trachea and 1st bronchi were the strongly PAS-H reactive mucosubstances, moderately Alcian blue pH 2.5 and Alcian blue pH 1.0. The PAS-H reactive mucosubstance were polysaccharides, neutral mucopolysaccharides, mucoproteins, glycoproteins and glycolipids. Trachea was easily affected than bronchi by inhalation anesthetics. Consequently, it is suggested that because halothane does not irritates respiratory mucosal secretion, its application may be efficient to the depressed respiratory system.

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Lateral approach for maxillary sinus membrane elevation without bone materials in maxillary mucous retention cyst with immediate or delayed implant rehabilitation: case reports

  • Han, Ji-Deuk;Cho, Seong-Ho;Jang, Kuk-Won;Kim, Seong-Gwang;Kim, Jung-Han;Kim, Bok-Joo;Kim, Chul-Hun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.43 no.4
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    • pp.276-281
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    • 2017
  • This case series study demonstrates the possibility of successful implant rehabilitation without bone augmentation in the atrophic posterior maxilla with cystic lesion in the sinus. Sinus lift without bone graft using the lateral approach was performed. In one patient, the cyst was aspirated and simultaneous implantation under local anesthesia was performed, whereas the other cyst was removed under general anesthesia, and the sinus membrane was elevated in a second process, followed by implantation. In both cases, tapered 11.5-mm-long implants were utilized. With all of the implants, good stability and appropriate bone height were achieved. The mean bone level gain was 5.73 mm; adequate bone augmentation around the implants was shown, the sinus floor was moved apically, and the cyst was no longer radiologically detected. Completion of all of the treatments required an average of 12.5 months. The present study showed that sufficient bone formation and stable implantation in a maxilla of insufficient bone volume are possible through sinus lift without bone materials. The results serve to demonstrate, moreover, that surgical treatment of mucous retention cyst can facilitate rehabilitation. These techniques can reduce the risk of complications related to bone grafts, save money, and successfully treat antral cyst.

Ultrastructure of Integument of the Smooth Lumpsucker, Aptocyclus ventricosus (Pallas, 1769) (Teleostei: Cyclopteridae) (뚝지, Aptocyclus ventricosus 피부의 미세구조)

  • Jeon, Mi Ae;Kim, Hyejin;Park, Jung Jun;Kim, Jea Won;Lee, Jung Sick
    • Korean Journal of Ichthyology
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    • v.28 no.3
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    • pp.147-155
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    • 2016
  • This study describes the cell type, ultrastructure and histochemical characteristics as a preliminary study for the research on integument of the smooth lumpsucker, Aptocyclus ventricosus in accordance with the physiological and environmental changes using light and electron microscopes. The SEM revealed the presence of well-developed finger printing structure in the skin surface. The skin surface of the smooth lumpsucker showed an irregular folds in cross section of light microscope. Integument is composed of outer epidermal and inner dermal layer. The epidermal layer is a stratified layer composed of epithelial cells, mucous cells, vacuolar cells, and granular cells. Epithelial cells are classified into superficial, intermediated, and basal cell. The superficial cells were the squamous with well-developed microridges on the free surface, and the microridges were covered with glycocalyx. The mucous cells of unicellular gland were mainly distributed in the apical layer of epidermis and contained mucosal materials of neutral glycoprotein. The vacuolar cells of unicellular gland were mainly distributed in the mid and basal layer of epidermis. The proportion of mucous cells and vacuolar cells were $7.0({\pm}1.07)%$ and $40.6({\pm}3.31)%$ of epidermal area, respectively. The granular cells contained membrane bounded secretory granules with high electron density and developed cell organelles in the cytoplasm. The dermal layer was loose connective tissue layer and composed of mainly collagen fibers. It also contained blood vessels and chromatophores of melanophores and reflecting platelets.

AN HISTOPATHOLOGICAL STUDY ABOUT THE CHANGE OF SUBMANDIBULAR GLANDULAR CELL IN WHITE RAT FOLLOWING $HgCl_{2}$ INJECTION (승홍 투여가 백서 악하선 세포의 조직병리학적 변화에 미치는 영향에 관한 연구)

  • Kim, In-Su;Kim, Kyung-Wook
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.28 no.6
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    • pp.413-420
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    • 2002
  • Mercury is one of the most frequently used heavy metal in dental clinic. Mercury poisoning rises up when someone is exposed to mercury chronically. In 1818, Amalgam was used for dental restorative procedure, and after then study about mercury toxicity has begun. Clinical signs of mercury toxicity in oral & maxillofacial area were increases of salivation, metallic taste, swelling and pain of tongue, redness and ulceration of oral mucosa, and increased mobility and loss of teeth. After we injected mercury($HgCl_{2}$) into intraperitoneum of rat, studied about histopathological changes of submandibular gland cell. Experimental group was divided into two groups by amount of mercury. (Group 1 was 0.5mg/Kg of mercury injection, group 2 was 1.0mg/Kg of mercury injection.) 1. After 3days of intraperitoneal injection, black granules were observed at macrophage cell in both group. In group 2, author found hyperchromatism of nucleus, and vacuolization of cellular matrix and nucleus of acinar cell. 2. After 1week of intraperitoneal injection, author found severe vacuolization of nucleus and cellular matrix, and irregular granules around nuclear membrane at mucous cell and serous cell in both group. Vacuolization of nucleus and cellular matrix was seen at duct cell in group 2. 3. After 2weeks of intraperitoneal injection, author could found severe vacuolization of cellular matrix, and sometimes nucleus was positioned in central area of cellular matrix at mucous and serous cell in both group. Vacuolization of nucleus and cellular matrix was found at vascular endothelial cell in group 2. 4. After 4weeks of intraperitoneal injection, destruction and distortion of gland cells were distinct. Vacuolization and destruction of nucleus and cellular matrix was found at duct cell in group 2. After intraperitoneal injection of mercury, we found equanimity of mercury and destruction of cellular matrix at serous cell, mucous cell, and duct cell of submandibular gland. So, we thought that metallic taste of mercury poisoning patient would be due to excretion of saliva containing mercury.

Distribution of Substance P(SP) Immunoreactive Nerve Fibers in the Tracheal Submucosal Glands of Cats (고양이 기관점막하분비선에 있어서의 Substance P(SP)양성신경섬유의 분포)

  • ;Yuichi Majima;Yasuo Sakakura
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1993.05a
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    • pp.68-68
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    • 1993
  • Immunohistochemistry combined with electron microscopy was employed to investigate the distribution of substance P -immunoreactive(SP-IR) nerve fibers in the tracheal submucosal gland of cats. SP-IR nerve fibers were found to form network around the glands. Numerous varicosities were also detected within the basement membrane of the acini and secretory tubules. All the intraglandular varicosities showed close spatial contact with serous cells, mucous cells and myoepithelial cells. Our findings suggest that SP-induced mucus secretion from tracheal submucosal glands in cats may be caused not only by glandular contractile response of myoepithelial cells but also by direct stimulation to both serous and mucous cells.

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