• 제목/요약/키워드: Nasal Cavity

검색결과 363건 처리시간 0.021초

비강 및 부비동에 발생한 거대란 반전성유두종 1예 (A Case of the Inverted Papilloma of the Nose and Paranasal Sinuses)

  • 김정래;권평중;김중환
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1981년도 제15차 학술대회연제순서 및 초록
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    • pp.12.4-12
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    • 1981
  • 비강 및 부비동에 발생하는 반전성유두종은 극히 드문 양성종양으로 1854년 Ward가 처음으로 보고하였으며 이후 여러학자들에 의하여 본증이 논의되어왔으나 우리나라에서는 그 보고례가 몇례 없었다. 비강 및 부비동에 발생하는 반전성유두종은 진성종양으로 비용과 현저히 다르며 제거후에도 재발하는 경우가 많고 드물긴 하지만 악성으로 변하는 경우가 있다. 일단 반전성유두종으로 밝혀지게 되면 가능한 한 광범위하게 제거해줘야되며 계속적인 추적조사가 필요하다. 최근 저자들은 비출혈, 비폐색, 취각장애, 두통을 주소로 내원한 64세된 여자환자에서 좌측 상악등에 압박괴사를 초래한 반전성유두종 1례를 치험하였기에 문헌고찰과 아울러 보고하는 바이다.

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소아 알레르기성 비염에 대한 동.서의학적 고찰 (A Literature Study of Allergic Rhinitis for Children)

  • 이경임;김윤희;김연진
    • 대한한방소아과학회지
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    • 제16권2호
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    • pp.111-128
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    • 2002
  • Objectives : The aim of this study was to investigate the classification methods of the cause of Allergic Rhinitis for Children. Methods : We surveyed the oriental & western medical book concerning the Allergic Rhinitis for Children. Results : 1. The Oriental medicine, Allergic Rhinitis is belong to the BiGu, BunChe and the symptoms are watery rhinorrhea, sneezing and nasal obstruction. 2. The cause of disease is the weak of lung, spleen and kidney, and invasion in to nasal cavity of Poong Han etc a wrong air. 3. In children, the cause of disease is the weak of lung and spleen. and the aim of the treatment is helping the vital energy and expelling the vice.

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양 폐충 감염증에 의한 전신 호산구 침윤증 (Systemic Eosinophil Infiltration by Ovine Lungworm Infection)

  • 김옥진
    • 한국수의병리학회지
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    • 제6권1호
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    • pp.7-9
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    • 2002
  • Case 1 was showed severe caughing and nasal discharge, who was one of 5-month-old 18 male sheep taking inspection for MCF experiment. Pathological examination of case 1 was conducted. Macroscopic observations were the foamy sticky fluids in nasal and tracheal cavity, the grey spots with 2-4 mm diameter on the surface of lung. Histopathological observations were severe eosinophil and other round cell infiltration in general organs including lung, trachea, small intestine, large intestine, liver. Also, in the lung, there were parasite-cutting lesions in some alveolar spaces and bronchioles. Following these observations, case 1 was diagnosed as ovine lungworm infection.

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Langenbeck씨 수술법에 의한 구개총상치험례 (A CASE OF PALATAL GUNSHOT WOUND OPERATED BY LANGENBECK METHOD)

  • 유광희;심영섭;용호택
    • 대한치과의사협회지
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    • 제13권7호
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    • pp.629-632
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    • 1975
  • The clinical investigation and operation procedure were described on the gunshot wound which involved on soft, hard palate and nasal cavity. The patient, 19 years old, female, admitted in Han Yang Medical Center with clinical diagnosis of maxillofacial injuries on Nov. 1973. No Significant signs include of airway obstruction, Oro-nasal bleeding were revealed only exception of rupture and perforation on the soft, hard palate. For closure and reduction of destructed palatal wound, operation was done in out patient dental clinic under local anesthesia by means of Langenbeck method. And to control of post-operative inflammation and reactive swelling, administration of accurate antibiotics and physical therapy were performed for 5 days after operation. On the 10th day after administration, patient was discharged with satisfactory result of operation.

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외과적 급속상악확장술 후 악골 및 치아의 위치 변화에 대한 연구 (A STUDY OF SKELETAL AND DENTAL CHANGES AFTER SURGICALLYASSISTED RAPID MAXILLARY EXPANSION)

  • 한창훈;국민석;박홍주;오희균
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제31권5호
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    • pp.390-398
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    • 2005
  • Purpose: The aim of this study was to evaluate the skeletal and dentoalveolar dimensional changes following surgically-assisted rapid maxillary expansion (SARME). Patients & methods: Thirteen adults who had been treated by SARME for transverse maxillary deficiency from May 2000 to December 2003 were evaluated. The SARME procedure was the subtotal Le Fort I osteotomy combined with pterygomaxillary separation and anterior midpalatal osteotomy. Dental study casts and posteroanterior cephalometric radiographs were taken before operation, after removal of expansion device, and follow up period. Nasal cavity width, skeletal and dentoalveolar parameters were measured pre- and post-operatively. Results: 1. Mean nasal cavity width was increased 12%$(0{\sim}21%)$ of total expansion after retention. 2. Mean maxillary interdental width was increased 70%$(47{\sim}99%)$, 95%$(84{\sim}115%)$, and 77%$(57{\sim}94%)$ of total expansion in the canine, the first premolar, and the first molar region, respectively after retention. 3. Mean maxillary alveolar bone width was increased 66%$(42{\sim}84%)$, 74%$(42{\sim}94%)$, and 57%$(31{\sim}78%)$ of total expansion in the canine, the first premolar, and the first molar region, respectively after retention. 4. Mean palatal vault depth was decreased 1.3 mm ($0.5{\sim}2.0$ mm) after retention. 5. Mean interdental and alveolar bone width of the mandibular canine and intermolar width of mandible were slight increased as maxilla was expanded after retention. 6. There were statistical differences between preoperative and postoperative values of nasal cavity, all maxillary interdental and interalveolar widths, palatal vault depth, mandibular interdental and interalveolar width of canine(paired t-test, p<0.05). 7. The maxillary interdental and alveolar bone width were decreased approximately 25% of total expansion by relapse at follow up period. Conclusion: In conclusion, most amounts of maxillary interdental expansions were acquired with the expansion of the maxilla by SARME. For preventing the relapse, approximately 25% of the overexpansion was needed.

상악절제술로 인한 경구개 결손 환자에서의 closed hollow obturator 제작 증례 (Fabrication of closed hollow obturator for hard palate defect patient undergone maxillectomy)

  • 장우형;임현필;윤귀덕;박찬;양홍서
    • 대한치과보철학회지
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    • 제58권1호
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    • pp.30-34
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    • 2020
  • 경구개, 상악동, 또는 협측 점막이나 비강에 존재하는 종양이 생긴 경우 이를 제거하기 위해 상악 절제술을 행한다. 종양의 크기나 범위에 따라서 그 절제 부위는 달라지며, 이로 인해 해부학적 경계가 없어지기도 하며 발음 장애나 연하 장애가 발생한다. 이렇게 해부학적 구조가 결손되거나 개방된 경우, 이 때 발생한 공간을 닫고 결손된 부위를 보호하기 위해 폐색장치(Obturator)를 착용한다. 폐색장치를 성공적으로 재건하는 것은 굉장히 까다로운 작업이다. 폐색장치를 제작함에 있어 치아의 상태와 수, 남아있는 지지 영역 그리고 결손 부위의 범위나 정도 등이 큰 영향을 끼친다. 이러한 요소들이 불리하다면 보철물 제작 시 그 예후는 불확실하다. 완성된 폐색장치는 환자의 구강 내에서 충분한 유지력을 지녀야 하며, 동시에 절제술을 시행한 주변 조직과 지지 영역에 자극을 주어선 안된다. 본 증례는 55세 여환으로 광범위한 상악 절제술을 시행하여 소수의 잔존치아만이 남았고, 상악 보철물 제작 시 유지력이 불리할 것으로 보였다. 이에 무게를 감소시킨 hollow한 폐쇄형 폐색장치(Closed hollow obturator)를 제작하였고, 결과적으로 보다 나은 밀폐 효과와 적응도를 보였기에 보고하는 바이다.

실험용(實驗用) 마우스의 Mycoplamsa감염(感染) 실태(實態)와 분리주(分離株)의 항생제(抗生劑) 감수성(感受性)에 관한 연구(硏究) (Studies on Mycoplasma Infection of Laboratory Mice and Antibiotic Susceptibility against Isolates)

  • 정유열;조성룡;이학철
    • 대한수의학회지
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    • 제26권2호
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    • pp.283-292
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    • 1986
  • Isolation and identification of Mycoplasma were performed to clarify Mycoplasma infection of mice fed by conventional feeding at two ($K_1$, $K_2$) institutes in Korea. The twenty mice to be tested were randomly sampled from each of 10 breeding colonies in respective institute. Identification of the Mycoplasma strains isolated from the nasal cavity, lung and synovia of mice was made according to the morphology of colonies, biological and biochemical properties with special reference to M. pulmonis, M. arthrotodis and M. neurolyticum. In addition, growth inhibition test was performed using hyperimmune rabbit antisera to the strain PG-22 of M. pulmonis, the strain PG-6 of M, arthritidis and the strain PG-28 of M. neurolyticum and also differentiation of isolates from L-form bacteria was dont by Dieses staining and culture method with passage of the isolates on liquid media eliminated antibacterial drug. On the other hand, a total of 13 strains out of the 44 isolated M. pulmonis from mice was investigated for their susceptibility against 16 antibiotics in vitro. The antibiotic sensitivity test was made using $3{\times}10^4$ organisms/0.3ml on each plate(90mm diameter) with antibiotic mono-or tri-disk. The results obtained are summarized as follows: 1. Out of 20 mice from 10 breeding colonies in Kl institute, mycoplasma-like strains from the nasal cavity of 16 mice(80%) and from the lung of 8 mice(40%) were isolated, while out of 20 mice in K2 institute, M-like strains were isolated from the nasal cavity of 14 mice(70%) and from the lung of 6 mice(30%). However, no mycoplasma-like organisms were isolated from the synovia of the 40 mice examined. All the 44 strains isolated were identified as the organisms of M. pulmonis. 2. Out of the 16 antibiotics tested, penicillin, oleandomycin and bacitracin showed no activity against all the 13 M. pulmonis strains. On the contrary, lincomycin, clindamycin, chloramphenicol, tetracycline, minocycline, kanamycin, gentamycin and tobramycin showed high activity with three different antibiotic concentration of tridisk, but amikasin and spiramycin showed intermediate activity. Other antibiotics such as polymyxin B and colistin showed low activity, while erythromycin showed lower activity than others.

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시클로덱스트린과의 포접에 의한 케토코나졸의 비점막 흡수증가 (Enhanced Nasal Absorption of Ketoconazole by Inclusion with Cyclodextrin)

  • 박기배;서보연;안홍직;노현구;온윤성;이광표
    • Journal of Pharmaceutical Investigation
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    • 제24권2호
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    • pp.95-104
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    • 1994
  • Inclusion complexes of ketoconazole(KT) with ${\alpha}^_$, ${\beta}^_$cyclodextrin(CD) and $dimethy1-{\beta}-cyclodextrin$ (CD) and $dimethy1-{\beta}-cyclodextrin(DM{\beta}CD)$ as nasal absorption enhancer were prepared in 1: 2 molar ratios by freeze-drying and solvent evaporation methods. In order to compare with the intrinsic absorptivity of KT in the jejunum(J) and the nasal cavity(N), the in situ simultaneous perfusion method was employed. The in situ recirculation study revealed that KT-CD inclusion complexes with the greater stability constant and the faster dissolution rate proportionally increased the absorption of KT in the J and N of rats. The rank order of apparent KT permeability$(P_{app}\;:\;cm/sec\;{\time}\;1O^{-5}{\pm}S.E.)$, corrected by surface area of absorption, was $5.10{\pm}0.3(N,\; KT-DM{\beta}CD)$ )> $4.13{\pm}0.4(N,\;KT-{\beta}-CD)$ )> $3.52{\pm}0.2(N,\;KT-{\alpha}-CD)$ )> $2.76{\pm}0.3(J,\; KT-DM{\beta}CD)$ )> $2.61{\pm}0.5(J,\;KT-{\beta}-CD)$ )> $2.42{\pm}0.4(J,\;KT-{\alpha}-CD)$ at pH 4.0. The in crease in permeability of $KT-DM{\beta}CD$ inclusion complex was 2.6 folds in the J and 4.5 folds in the N when the perfusing solution was changed from the buffer(pH 4.0) to saline. The absorption rate of $KT-DM{\beta}CD$ inclusion complex after nasal administration was more rapid than those of ketoconazole alone and $KT-DM{\beta}CD$ inclusion complex after oral administration to rats. In comparision with an oral administration of ketoconazole suspension in corn oil, the relative bioavailability was calculated 137.3% for the oral and 195.0% for nasal $KT-DM{\beta}CD$ inclusion complex in rats. The present results suggest that $KT-DM{\beta}CD$ inclusion complex may serve as a potential nasal absorption enhancer for the nasal delivery of ketoconazole.

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환자의 비강으로부터 분리된 메티실린 내성 황색 포도알균의 분자 아형 분석 (Molecular Subtyping of Methicillin-Resistant Staphylococcus aureus Isolated from Patients' Nasal Cavity)

  • 김상하;박성배;박희철;김준성;김정호;이지영;임재원;김영권;김성현
    • 대한임상검사과학회지
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    • 제52권2호
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    • pp.128-135
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    • 2020
  • 본 연구에서는 환자의 비강으로부터 분리 배양된 총 39건의 MRSA 분리 배양 균주를 이용해 mecA 유전자 검출, SCCmec typing과 mec complex typing을 분석해 보고자 하였다. 임상 환자의 비강으로부터 분리 배양된 MRSA 총 39주 중 SCCmec type-II가 24건, type-II/IVa가 2건, type-II/V가 1건, type-IVa가 1건, not-typeable이 11건으로 분석되었으며, mec complex type A가 29건, not-typeable이 10건이었으며, type B는 없는 것으로 분석 되었다. 결론적으로, 환자의 비강으로부터 분리된 MRSA 분리 배양 균주 중 SCCmec type-II와 mec complex type A 아형이 가장 많이 분포하고 있었으며, 이 결과는 의료기관 획득 MRSA에 관한 다른 연구결과와 유사한 결과를 나타냈다. 이후 환자의 비강으로부터 분리 배양된 not-typeable 아형의 MRSA 균주를 대상으로 국내에서 발견되는 새로운 MRSA 아형 규명에 관한 추가 연구가 필요할 뿐만 아니라, MRSA 분리 배양 균주의 아형을 분석함으로써 그 분자적 특성을 분석한 결과를 바탕으로 병원 감염관리를 위한 기초자료를 제공할 수 것으로 사료된다.