• Title/Summary/Keyword: Neck injury

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A Study on the Key Performance Factors of Passenger Airbag and Injury Risk Prediction Technique Development (동승석 에어백 핵심 성능 인자 및 상해위험도 예측 기법 개발에 대한 연구)

  • Park, Dongkyou
    • Transactions of the Korean Society of Automotive Engineers
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    • v.21 no.5
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    • pp.130-135
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    • 2013
  • Until now, passenger airbag design is based on the referred car design and many repetitive crash tests have been done to meet the crash performance. In this paper, it was suggested a new design process of passenger airbag. First, key performance factors were determined by analyzing the injury risk effectiveness of each performance factor. And it was made a relationship between injury risk and performance factor by using the response surface model. By using this one, it can be predicted the injury risk of head and neck. Predicted injury risk of optimal design was obtained through this injury risk prediction model and it was verified by FE analysis result within 18% error of head and 9% error of neck. It was shown that a target crash performance can be met by controlling the key performance factors only.

A case of deep neck infection resulting from intubation-induced hypopharyngeal injury (기관내 삽관으로 발생한 하인두 천공에 기인한 심경부 감염 1례)

  • Kim, Min-Soo;Seo, Hyung-Seok;Lim, Hye-Jin;Jung, Jae-Ho;Lee, Kang-Jin;Kang, Jae-Goo
    • Korean Journal of Bronchoesophagology
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    • v.14 no.2
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    • pp.57-63
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    • 2008
  • Hypopharyngeal perforation secondary to tracheal intubation is rare, but may result in severe airway complications that include retropharyngeal abscess, pneumothorax, pneumonia, mediastinitis and death. The most common site of hypopharyngeal perforation is the pyriform sinus and the region of the cricopharyngeus muscle. We report a 62-year old man with intubation-induced hypopharyngeal injury presenting as deep neck infection. The patient presented with dyspnea and pain on the neck. Neck CT scan identified fluid and air collection on the neck from the hyoid bone to the thoracic inlet level. Despite of delayed diagnosis, we successfully operated him by using strap muscle myofascial transposition flap. The patient was followed up for 3 months without any complications.

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Wound Probing in Neck Trauma Patients (경부 손상 환자에서의 상처 탐침)

  • Ye, Jin Bong;Sul, Young Hoon;Mun, Yun Su;Go, Seung Je;Kwon, Oh Sang;Ku, Gwan Woo;Lee, Min Koo
    • Journal of Trauma and Injury
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    • v.28 no.3
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    • pp.198-201
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    • 2015
  • Neck trauma is a relatively uncommon but can be a life-threatening injury. Several guidelines for neck trauma is established to recommend a proper management such as no clamping of bleeding vessels, no probing of wounds, Trendelenberg position for preventing venous air embolism. Here, we present a regretful case of 49-year-old man with neck trauma presenting undesired bleeding after probing of wound, and then discuss about treatment guildeline for neck trauma with a review.

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Results of Tonsillectomy Using Harmonic Scalpel (하모닉 스칼펠을 사용한 편도 절제술의 결과 분석)

  • Min, Hyun-Jin;Choi, Eun-Chang;Kim, Se-Heon
    • Korean Journal of Head & Neck Oncology
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    • v.24 no.2
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    • pp.179-183
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    • 2008
  • Objective:To evaluate efficacy and postoperative morbidity in tonsillectomy using the harmonic scalpel vs conventional electrocautery. Materials and Methods:1) We compared intra-operative bleeding and operation time and analyzed the degree of pain, oral feeding and the ability to return to normal activities from the questionnaire. 2) Animal study:Using rats, we made each linear wound with harmonic scalpel or electrocautery, then compare the width of thermal injury area with trichrome stain. Result:Harmonic scalpel tonsillectomy had significant advantages over electrocautery tonsillectomy in terms of post operative pain, oral diet tolerance and the time of return to normal life. In addition, it increased patients’ overall satisfaction with the surgery. In animal study, it was found that the thermal injury was less severe in the wound caused by harmonic scalpel than by electrocautery. Conclusion:Harmonic scalpel tonsillectomy decreases the thermal injury of the adjacent tissue, thus it has advantages over electrocautery in post tonsillectomy morbidity.

Laryngotracheal stenosis in burn patients with inhalation injury (흡인화상환자에서 발생하는 후두 및 기관 협착)

  • Park Il-Seok;Chang Jai-Hyuk;Kim Beom Gyu;Kim Yong Bok;Rho Young Soo;Ahn Hwoe Young;Kim Jong Hyun
    • Korean Journal of Bronchoesophagology
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    • v.11 no.1
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    • pp.10-14
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    • 2005
  • Background and Objectives : Laryngotracheal stenosis in bum patients with inhalation have features distinct from other stenosis after intubation or tracheostomy. However few studies have been reported and the incidence was reported variable. The purpose of this study is to evaluate the clinical manifestation and the incidence of laryngotracheal stenosis in bum patients with inhalation. Methods We retrospectively analyzed 138 bum Patients diagnosed inhalation injury who admitted to Hangang Sacred Heart Hospital from July 2002 to June 2004. Result : 5 patients were developed laryngotracheal stenosis. The incidence of Laryngotracheal stenosis in bum patients with inhalation was $3\%$. Symptom developed early in 2 patients, late in 3 patients.4 patients required trachostomy as initial airway support. The location of stenosis is subglottic region except 1 patient. Montgomery T-tube was inserted in 3 patients, and Single-stage laryngotracheal reconstruction was performed in 1 patient. Conclusion Incidence of laryngotracheal stenosis in our study is lower than other reports due to late presentation of symptom and early discharge after acute bum stage. Inhalation injury may lead to severe complication and sequelae, therefore physicians should be have a awareness for early diagnosis and all burn patients who have a history of inhalation injury should be followed closely.

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Effect of Myofacial Release and Cryotherapy in Acute Whiplash Injury

  • Park, Si Eun;Lee, Joon Hee;Wang, Jung San;Choi, Yoo Rim;Park, Joo Hyun;Lee, Ju Hwan;Choi, Young Duk;Hwang, Hyun Sook;Kim, Soon Hee
    • Journal of International Academy of Physical Therapy Research
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    • v.5 no.1
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    • pp.647-651
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    • 2014
  • The purpose of this study is to provide the case of influence of myofacial release(MFR) and cryotherapy in acute whiplash injury. The subjects were consisted of 3 adults(2 males, 1 female) who had been diagnosed with whiplash injury. The performance period was 1 weeks, 6 times and 1 time is 40min(MFR: 20min, cryotherapy: 20min). We measured neck pain(Visual analogue scale, VAS) and cervical alignment(cervical curvature & line of gravity). All measurements of each subject were measured at pre-treatment and post-treatment. The results are listed below. The neck pain(VAS) index decreased from 7.54cm to 4.11cm. The cervical curvature increased from $23.62^{\circ}$ to $29.76^{\circ}$. The line of gravity decreased from 8.03mm to 3.66mm. Based on the results, it can be suggested that both MFR and cryotherapy can be used to neck pain and alignment in acute whiplash injury.

A Study on the Evaluation of Head Restraint System in Domestic Cars (국내생산차량의 시트 머리구속장치 평가에 관한 연구)

  • 조휘창;박인송;김영은
    • Transactions of the Korean Society of Automotive Engineers
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    • v.12 no.1
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    • pp.99-105
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    • 2004
  • The car seat head restraint is used for neck injury(whiplash injury) prevention in rear end impacts. The purpose of this study was to evaluate the seat head restraints for the total number of 34 domestic cars. H-POINT machine and HRMD(head restraint measuring device) were applied to measure backset(the distance between head and seat head restraint) and height(height gap between head and seat head restraint). For tendency study of driver's head position, we took the 320 driver's pictures in the street. As results, There were only five percent drivers in good and acceptable zone. For car seat head restraint system, the results was 9 cars for good zone, 10 cars for acceptable zone, 9 cars for marginal zone and 6 cars for poor zone were evaluated. For a precise evaluation the of whiplash injury, detailed FE neck model will be developed and the clinical database should be constructed for model validation.

Penetrating Neck Trauma: A Case of Spinal Cord Injury by Embedded Scissor (척수 손상을 일으킨 경부 가위 관통상)

  • Kim, Seon Hee;Choi, Sun Woo;Park, Sung Jin;Yeo, Kwang Hee;Kim, Chang-Wan;Lee, Sang Bong;Kim, Ho Hyun;Park, Chan-Yong;Kim, Jae Hun;Hwang, Jung Joo;Cho, Hyun Min
    • Journal of Trauma and Injury
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    • v.28 no.2
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    • pp.71-74
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    • 2015
  • Penetrating neck trauma involving spinal cord injury is relatively uncommon, but can be life-threatening. We report a case of 59-year-old female who presented with hypotension after stab injury self-inflicted with a scissor to her neck. Although Open removal of the scissor and control of bleeding were successfully done, penetration of spinal cord resulted in a neurologic impairment.

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Development f head-neck complex dummy for experimental study (실험적 해석을 위한 머리-목 형태의 더미 개발)

  • Kim, Yeong-Eun;Nam, Dae-Hun;Koh, Chang-Hun
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.21 no.7
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    • pp.1058-1072
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    • 1997
  • A head-neck complex dummy, for measuring brain pressure and reaction force in the cervical spine was developed for experimental study related in injury mechanism. Dummy comprised aluminium-casted head with water filled cavity for simulating brain and mechanical neck assembled with six motion segments. Several kinds of experiments (compression, bending, cyclic modulus, relaxation and constant velocity profile) for the developed mechanical neck showed that this neck model is biomechanically reliable compared with in-vitro test results. As an application of developed head-neck complex dummy, shock absorbing properties of protective helmet was chosen. The experiments showed that the maximum pressure increment of brain after impact was tolerable compared with the guide line for mild brain injury pressure (25psi). Constrast to this results, the reaction force in the neck was high enough to produce failure in the cervical spine.