• 제목/요약/키워드: Tracheal diseases

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기관결핵에 의한 급성 기관폐쇄 (Acute Tracheal Obstruction due to Endotracheal Tuberculosis)

  • 손주웅;박명재
    • Tuberculosis and Respiratory Diseases
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    • 제64권3호
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    • pp.206-209
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    • 2008
  • 기관지결핵에 의한 기도폐쇄, 협착은 기관지결핵 치료 초기보다는 치료 도중 또는 치료 후기에 주로 발생하는 합병증이다. 23세 여자환자가 기관결핵을 진단받고 항결핵제 치료 시작 2주 후 급성으로 악화된 심한 기침, 호흡곤란으로 병원에 왔다. 시행한 기관지내시경에서 용종과 같은 기관종괴가 기관 내에서 호흡에 따라 상, 하 운동을 하면서 호기 시에 기도폐쇄를 일으켰고 이 종괴는 기관지 내시경을 통해 성공적으로 제거되었다. 기관결핵의 치료경과 중 발생한 드물게 보이는 형태의 급성 기도폐쇄로 사료되어 문헌고찰과 함께 보고한다.

기관(氣管) 상피세포 생리 및 약리 실험모델로서의 공기-액체 접면 일차배양법 연구 (Studies on the Air-Liquid Interface Culture as an Experimental Model for Physiology and Pharmacology of Tracheal Epithelial Cells)

  • 이충재;이재흔;석정호;허강민
    • Biomolecules & Therapeutics
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    • 제10권4호
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    • pp.281-286
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    • 2002
  • In this study, we intended to get a preliminary data for establishing rat tracheal surface epithelial(RTSE) cell culture system as an experimental model for physiology and pharmacology of tracheal epithelial cells. Primary culture on the membrane support and application of the air-liquid interface system at the level of cell layer were performed. The cell growth rate and mucin production rate were measured according to the days in culture. The results were as follows: this culture system was found to manifest mucocilliary differentiation of rat tracheal epithelial cells, the cells were confluent and the quantity of produced and released mucin was highest on culture day 9, the mucin was mainly released to the apical side and tbe free $^3{H}$-glucosamine which was not incorporated to process of synthesis of mucin was left on the basolateral side. Taken together, we suggest that air-liquid interface culture system can be used as a substitute for immersion culture system and as an experimental model for in vivo mucus-hypersecretory diseases.

악성 난소암에서 전이된 기관 종양 1예 (A Case of Metastatic Tracheal Tumor From Ovarian Carcinoma)

  • 최천웅;유지홍;오혜림;조용선;강홍모
    • Tuberculosis and Respiratory Diseases
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    • 제50권4호
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    • pp.499-503
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    • 2001
  • 저자들은 7년 전 난소암으로 치료받고, 최근 호흡곤란이 발생하여 기관지 천식으로 오인된 환자가 흉부전산화단층촬영과 기관지내시경, 경기관지 조직검사를 통해 난소암으로부터 전이된 기관 종양으로 진단받은 1예를 경험하였기에 보고하는 바이다.

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Epidemiology of Nasopharyngeal Cancers in Iran: A 6-year Report

  • Safavi, Ali;Raad, Nasim;Raad, Neda;Ghorbani, Jahangir
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권10호
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    • pp.4447-4450
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    • 2015
  • Background: Nasopharyngeal cancer is a disease with distinct ethnic and geographical distribution. The aim of this review was to describe the epidemiological characteristics of nasopharyngeal cancer in Iran from 2004 to 2009 because no systematic study has been performed to evaluate the trends of its incidence yet. Materials and Methods: The data were derived from the databases of the National Cancer Data System Registry in the period of 2004-2009. Nasopharyngeal cancers were classified according to the International Classification of Diseases for Oncology. Incidence rates and trends were calculated and evaluated by gender, age decade, and histopathology types. Results: A total of 1,637 nasopharyngeal cancers were registered in Iran from 2004 to 2009 giving an incidence of 0.38 per 100,000. The male-to-female ratio was 2.08:1. The trend of incidence was found to have increased, with a significant increase observed in males. Undifferentiated carcinoma was the most common histopathology type in all the age decades. Conclusions: Because the incidence of nasopharyngeal cancers in Iran has increased, especially in males, further studies are recommended for understanding of the etiological factors involved in the rise of the disease.

기관성 기관지 (Tracheal Bronchus)의 임상경험 (A Clinical Experience of Tracheal Bronchus)

  • 원준희;박재용;강태경;박기수;김연재;김창호;정태훈
    • Tuberculosis and Respiratory Diseases
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    • 제45권3호
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    • pp.583-586
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    • 1998
  • 기관성 기관지는 기관분기부 상부의 기관에 이소성 기관지가 존재하는 기관지 기형으로 대부분 특별한 증상없이 기관지내시경검사 혹은 기관지조영술시에 우연히 발견되고 특별한 치료가 필요 없다. 그러나 반복적인 폐렴, 기관지확장증 등이 동반된 경우에는 수술적 치료가 필요하다.

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Successful Treatment of Tracheal Invasion Caused by Thyroid Cancer Using Endotracheal Tube Balloon Inflation under Flexible Bronchoscopic Guidance

  • Han, Yang-Hee;Jung, Bock-Hyun;Kwon, Jun Sung;Lim, Jaemin
    • Tuberculosis and Respiratory Diseases
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    • 제77권5호
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    • pp.215-218
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    • 2014
  • Tracheal invasion is an uncommon complication of thyroid cancer, but it can cause respiratory failure. A rigid bronchoscope may be used to help relieve airway obstruction, but general anesthesia is usually required. Tracheal balloon dilatation and stent insertion can be performed without general anesthesia, but complete airway obstruction during balloon inflation may be dangerous in some patients. Additionally, placement of the stent adjacent to the vocal cords can be technically challenging. An 86-year-old female patient with tracheal invasion resulting from thyroid cancer was admitted to our hospital because of worsening dyspnea. Due to the patient's refusal of general anesthesia and the interventional radiologist's difficulty in completing endotracheal stenting, we performed endotracheal tube balloon dilatation and argon plasma coagulation. We have successfully treated tracheal obstruction in the patient with thyroid cancer by using endotracheal tube balloon inflation and a flexible bronchoscope without general anesthesia or airway obstruction during balloon inflation.

A Case of Symptomatic Tracheal Diverticulum and Surgical Resection as a Treatment Modality

  • Lee, Shin-Young;Joo, Seok;Lee, Geun Dong;Ham, Seok Jin;Park, Chul Hwan;Lee, Sungsoo
    • Journal of Chest Surgery
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    • 제49권5호
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    • pp.405-407
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    • 2016
  • Tracheal diverticulum is often diagnosed incidentally and, due to its rarity, there is no standard treatment. It is a benign entity, but has the potential to cause specific symptoms, such as chronic upper respiratory infection and chronic cough. Symptomatic tracheal diverticulum can be medically treated, but likelihood of recurrence is high. We report a case of surgical resection of symptomatic tracheal diverticulum to prevent recurrence.

스텐트 삽입술 후 수술적 절제술로 치료한 특발성 기관 협착증 1예 (A Case of Idiopathic Tracheal Stenosis Treated with Tracheal Resection After a Retrievable Stent Insertion)

  • 이형노;조혜진;이종우;신승수;오윤정;박광주;황성철;최호;이기범
    • Tuberculosis and Respiratory Diseases
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    • 제53권4호
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    • pp.450-456
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    • 2002
  • 심한 호흡부전을 보인 특발성 기관 협착증 환자에서 풍선 확장술 및 기관 스텐트 삽입술을 시행하여 호흡을 안정시킨 후 수술적 절제 및 문합술을 시행하였다.

Guinea Pig 기도상피세포가 기도 평활근 수축에 미치는 영향 (Influence of the Epithelium on the Contraction of Guinea Pig Isolated Tracheal Smooth Muscle)

  • 권오정;조상헌;박인원;김영환;한성구;심영수;김건열;한용철;서석효;김기환
    • Tuberculosis and Respiratory Diseases
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    • 제38권1호
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    • pp.8-15
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    • 1991
  • It has been well known that the integrity of airway epithelium is important in development of bronchial hyperreactivity and bronchial asthma. But the mechanisms involved are still unclear. To evaluate that airway epithelium is able to modulate the contraction of guinea pig tracheal smooth muscle, we investigated the responsiveness of intact and epithelium-denuded tracheal strips to histamine and acetylcholine. And to evaluate whether cyclooxgenase products play a role in this modulatory mechanism, we also investigated the effect of indomethacin pretreatment on the tracheal responsiveness to histamine. Results were as follows: 1) In guinea pig tracheal smooth muscle the presence of airway epithelium significantly reduced the response to histamine. 2) In the presence of indomethacin dose-response curves and $EC_{50}$ values were similar between intact and epithelium-denuded tracheal strips, that is, indomethacin abolished the influence of epithelium on the contracion of tracheal smooth muscle. 3) The response of tracheal smooth muscle to acetylcholine was similar both in the presence and absence of epithelium. These results suggest that airway epithelium of guinea pig may generate an inhibitory signal to decrease the response of tracheal smooth muscle to histamine and cyclooxygenase products may contrbute to the modulation of airway epithelium on the contracion of tracheal smooth muscle.

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성문하 확장과 단단문합술을 동시에 이용한 기관 및 성문하 협착증 치험 2례 (Treatment of Laryngotracheal Stenosis: Combined Cricoid Augmentation by Autologous Cartilage and Laryngotracheal Anastomosis)

  • 정동학;김병훈;조정일;김영진
    • 대한기관식도과학회지
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    • 제3권1호
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    • pp.148-153
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    • 1997
  • Laryngotracheal stenosis is one of the most troublesome diseases in the Em field. Subglottic stenosis can be treated by a cricoid augmentation with rib cartilage. In case of tracheal stenosis, the treatment of choice is by tracheal end-to-end anastomosis after resection of the stenotic site. However, in case of subglottic stenosis combined with tracheal stenosis, it is hard to manage. Even though several methods(such as thyrotracheal anastomosis) have been tried, they have some limitations too much excision of normal trachea and too much pulling up of the trachea after resection of the stenotic lesion. The authors have managed two cases of laryngotracheal stenosis as an anterior and posterior subglottic augmentation with an autologous cartilage graft and laryngotracheal anastomosis. The first few weeks after the operation, we could do a decannulation successfully, but in one case the patient developed restenosis. Even though one case was unsuccessful, the authors believe that this method could be used in the treatment of laryngotracheal stenosis.

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