• Title/Summary/Keyword: Thorax

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A CASE REPORT OF MEDIASTINITIS FROM ODONTOGENIC INFECTION (치성감염에서 기원한 종격염의 치험례)

  • Bang, Seok-Jun;Hwang, Jae-Hong;Lee, Seung-Yeop;Lee, Chang-Jin;Jeon, In-Seong;Yun, Gyu-Ho
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.19 no.4
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    • pp.399-405
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    • 1997
  • Mediastinum is the space located between the right & left lung lobes in the center of the thorax, and contains many vital organs such as heart, aorta, trachea, esophagus, vagus nerve, lymphatics. So the infection of mediastinal space causes a serious and potentially fatal process. Like other infections, surgical drainage, aggressive antibiotic therapy and supportive care are recommended for optimal outcome. Airway management in the presence of the neck, glottic edema, elevation of the tongue is a formidible problem especially in the case from odontogenic origin. We have recently encountered such a case resulting in a number of local and systemic complications.

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An Intra abdominal Pulmonary Sequestration Containing Congenital Cystic Adenomatoid Malformation (Congenital, Cystic Adenomatoid Malformation을 보이는 복강내 폐분리증)

  • Lee, Suk-Koo;Lee, Woo-Yong;Kim, Hyun-Hahk
    • Advances in pediatric surgery
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    • v.2 no.2
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    • pp.138-142
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    • 1996
  • Pulmonary sequestration is a complex anomaly involving the pulmonary parenchymal tissue and its vasculature. It presents as a cystic mass of nonfunctional lung tissue without communication with the tracheobronchial system. Usually, it receives blood supply from anomalous systemic vessels. Therefore, preoperative diagnosis of the pulmonary sequestration is difficult, especially when it is located in the abdomen and combined with congenital cystic adenomatoid malformation(CCAM). We encountered such a mass(CCAM type 2) detected prenatally by ultrasonography. It was a kidney bean shaped, pinkish mass straddling the thorax and abdomen on the right side. Because of the sonographic appearance, neuroblastoma was diagnosed preoperatively. The mass was completely extirpated without difficulty.

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Visualization of blood sucking phenomena of a female mosquito (암 모기 흡혈과정 가시화)

  • Kim, Bo-Heum;Lee, Sang-Joon
    • 한국가시화정보학회:학술대회논문집
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    • 2007.11a
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    • pp.114-115
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    • 2007
  • As a carrier of malaria and sneak of blood, mosquitoes are regarded as an unpleasant insect. However, there are novel phenomena that happen inside a mosquito. Among them, we focused on the blood sucking function of a female mosquito. The main objective of this study was to investigate the mosquito's pumping mechanism in order to resolve the problem encountered when we inject or transport biologic fluids into a micro-chip. To analyze the pumping mechanism, we visualized the blood sucking process inside a female mosquito. Flow characteristics of blood flow in a proboscis were investigated experimentally using a micro-PIV velocity field measurement technique. The anatomical variation of head, thorax, abdomen which work as pumps and valves, was visualized using the syncrotron X-ray micro-imaging technique.

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Thymic Radioiodine Uptake Mimicking Metastatic Papillary Carcinoma in the Anterior Mediastinum (갑상선암 환자에서 전종격동의 전이성 암처럼 보이는 흉선의 방사성옥소 섭취)

  • Park, Chan-H.;Lee, Myoung-Hoon
    • The Korean Journal of Nuclear Medicine
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    • v.36 no.1
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    • pp.87-89
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    • 2002
  • A 30 year-old female patient with papillary thyroid carcinoma received her fifth radioiodine ablation therapy after the subtotal thyroidectomy. The scan, which was peformed one week after the last therapy, revealed residual uptake in the thyroid bed and uptake in the anterior mediastinum suggesting metastasis. However, further evaluation of the thorax with chest CT and camera-based FDG PET confirmed normal thymus without metastatic focus. Occasionally thymus remains intact in adult and has avidity for I-131 and FDG. Therefore, normal thymus (instead of metastasis) should be considered in patients with well differentiated thyroid carcinoma and anterior mediastinal radioiodine uptake.

Application of Wide Latitude Film to Radiographic Diagnosis in Small Animal (소동물 X-선 진단에 있어서 광범위 관용도 필림의 이용에 관하여)

  • Choi Min-Cheol
    • Journal of Veterinary Clinics
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    • v.9 no.2
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    • pp.473-481
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    • 1992
  • To elucidate the applicability of the wide latitude X-ray film for radiographic diagnosis and treatment of diseases in small animals, the quality of the wide latitude film was compared with that of the standard latitude film which is commonly used in veterinary clinic. The images of head, neck, thorax, abdomen, extremities and joints were radiographed with the wide latitude and standard latitude film in fourteen dogs. In soft tissues such as abdominal organs, lung, skin, mammary glands, the clearer and higher contrast of the image was observed on the wide latitude film. And these advantages were more apparent in pneumoeritoneography. Therefore. it can be suggested that the wide latitude film is practically useful for the evaluation of the images of soft tissues, and also can be used on hard tissue radiography with the same quality as the standard latitude film.

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Surgical Therapy of Airway Compression with Severe Kyphoscoliosis (심한 척추기형을 동반한 기도협착의 수술적 교정 1례)

  • 조현민;이누가;이두연
    • Journal of Chest Surgery
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    • v.35 no.11
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    • pp.839-841
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    • 2002
  • Generally, patients who have airway compression with severe kyphoscoliosis can be improved through surgery for the thoracolumbar deformity. However, abnormal thoracic configuration due to severe kyphoscoliosis can cause respiratory distress secondary to severe compression of central airway in uncorrectable case. We tried to elevate the chest wall and obtained relatively good result in case of airway compression with abnormal thoracic configuration which was difficult to correct.

Malignant Hemangiopericytoma of the Chest Wall (흉벽에 발생한 원발성 악성 혈관주위세포증)

  • 박인규
    • Journal of Chest Surgery
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    • v.33 no.10
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    • pp.843-846
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    • 2000
  • Primary hemangiopericytoma of chest wall is very rate and only a few cases have ever been reported. The tumor aries from the capillary pericyte of Zimmerman. It is a highly vascular slow growing tumor which can be calssified as both malignant and benign varieties. We report a case of a 66 year-old man in whom recurrent hemangiopericytoma was treated by complete surgical excision. In October 1993 he had received surgical excision of hemangiopericytoma on posterior chest wall. For more than 6 years after the operation he was in good condition until a recurrent mass was found on the chest X-ray. The patient was discharged 9 days after the operation and is receiving radiotherapy.

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Massive Spontaneous Diaphragmatic Rupture Induced by a Squatting Position

  • Kim, Su Wan;Lee, Seogjae
    • Journal of Chest Surgery
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    • v.46 no.3
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    • pp.230-233
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    • 2013
  • While a diaphragmatic rupture commonly results from trauma to the abdomen and chest, a spontaneous diaphragmatic rupture is very rare. A 68-year-old male presented with chest pain that had originated while doing farm work in a squatting position. Images revealed a 5 cm defect of the left diaphragmatic dome, and the entire stomach was displaced into the thorax. The diaphragmatic defect was round and half had a well-demarcated margin. The remaining fragile tissue was completely excised and was closed primarily. The patient was uneventfully discharged and resumed with a normal diet 10 days after the operation.

Prediction of Thoracic Injury of Older Occupant from Belt Loading (벨트 하중에 따른 고령운전자의 흉곽 상해 예측)

  • Han, In-Seok;Kim, Young-Eun
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.33 no.8
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    • pp.799-806
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    • 2009
  • Thoracic injury from restraint loading is the principle causative factor of death, which was shown to be particularly significant for older drivers. To characterize thoracic response to belt loading of older drivers, detailed finite element models of the adult and aged thorax were developed. The geometry of the 50th percentile adult male was chosen for the adult FE model. The thoracic FE model was validated against data obtained from results of PMHS pendulum impact tests. The quantified patterns of age-related shape and well-established material changes were applied to the adult model to develop the aged model. Belt force and chest deflection were applied to the developed two types of models. Rib and clavicle fracture risk obviously increased in the aged model. This finding showed that larger rib angle and reduced material properties of the ribcage produced more higher risk of injury in the older driver.

A case of thanatophoric dysplasia type I with an R248C mutation in the $FGFR3$ gene

  • Noe, Eun-Jung;Yoo, Han-Wook;Kim, Kwang-Nam;Lee, So-Yeon
    • Clinical and Experimental Pediatrics
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    • v.53 no.12
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    • pp.1022-1025
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    • 2010
  • Thanatophoric dysplasia (TD) is a short-limb neonatal dwarfism syndrome that is usually lethal in the perinatal period. It is characterized by shortening of the limbs, severely small thorax, large head with a prominent forehead, macrocephaly, curved femur, and flattened vertebral bodies. These malformations result from the mutation in fibroblast growth factor receptor 3 (FGFR-3) gene which is located on the short arm of chromosome 4. A definite diagnosis should be established by molecular genetic analysis to find out the abnormal mutations in the $FGFR3$ gene. We confirmed by detection of a R248C mutation in the $FGFR3$ gene in DNA analysis.