• Title/Summary/Keyword: Stenostic Tube

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The Management Effect of Silicone Tracheal T-tube Insertion in Tracheal Stenosis after Tracheostomy (기관절개술 후 발생한 기도 협착에서 실리콘 기관 T tube 삽입술의 치료 효과)

  • Cho, Sung-Roon;Lee, Yong-Man;Oh, Cheon-Rwan
    • Korean Journal of Bronchoesophagology
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    • v.13 no.2
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    • pp.40-44
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    • 2007
  • Background and Objectives: Most of tracheal stenosis is resulted from longstanding endotracheal tube insertion. Treatments of tracheal stenosis are divided conservative and reconstructive treatment. The propose of this study was to evaluate the effect of prosthetic tracheal T-tube insertion on tracheal stenostic patients who can not be operated invasive surgery. Subjects and Method : Nine prosthetic tracheal T-tube insertion were studied from 9 patients from January 2002 to April 2007. The effect of silastic T-tube was analyzed according to the factors that were respiratory difficulty, oxygen saturation, phonation, aspiration and significant complications. Results: Four patients were good for respiration and no complication. But five patients occur various complications. A successful group did not have cartilagenous lesions but failed group had catilagenous lesions, infection and necrosis. Conclusion: A silastic T-tube insertion was good for palliative treatment in patients without catilagenous lesions.

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The Numerical Analysis of Non-Newtonian Flow through Branched and Stenotic Tube (CFD를 이용한 분지관.협착관의 비뉴턴 유체 해석)

  • Hwang, Do-Yeon;Ki, Min-Cheol;Han, Byeong-Yun;Park, Hyung-Koo
    • 한국전산유체공학회:학술대회논문집
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    • 2008.03b
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    • pp.385-388
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    • 2008
  • The objective of this paper is simulating blood flow through the branched and stenotic tube numerically. SC-Tetra, which is one of the commercial code using FVM method, was utilized for this analysis. The flow is assumed as an incompressible laminar flow with the additional condition of non-Newtonian fluid. As the constitutive equation for the fluid viscosity, the following models were solved with governing equations ; Cross Model, Modified Cross Model, Carreau Model and Carreau-Yasuda Model. Final goal was achieved to get analytic data about shear stress, at specific points, changing the geometry with various factors like the bifurcation angle, diameter of the branches, the ratio of stenosis, and etc. The material property of blood was referred from the related papers. Furthermore, to verify results they were compared with those of the published papers. There were some discrepancies based on the different solver and the different data post-processing method. However, many parameters like the location of low shear stress, which arised from bifurcation or stenosis, and the tendency of various factors were found to be very similar.

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