• Title/Summary/Keyword: bronchus

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Circumferential Resection and End to End Anastomosis of Mediastinal Trachea for Long Tracheal Stenosis (주기관 긴 협착증 환자의 수술 치험)

  • 유정훈
    • Journal of Chest Surgery
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    • v.25 no.6
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    • pp.588-592
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    • 1992
  • Recently we have experienced one case of long tracheal stenosis which developed after pulmonary tuberculosis. The patient was 32 years old woman, 165cm in height. She complained severe dyspnea and headache. We could hear the inspiratory wheezing sound and stridor without stethoscope. Preoperative tracheogram and chest CT scan showed long tracheal stenosis from the posterior portion of clavicular head to the upper portion of carina and right main bronchus. Under the general anesthesia, the stenotic segment, about 7.5cm, was resected and end to and anastomosis was performed successfully through the right anterolateral thoracotomy and supraclavicular collar incision. Her postoperative course was uneventful and the patient has remained well till now.

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A Case of Primary Endobronchial Neurilemmoma Without Intraspinal Extension

  • Kim, Mi-Young;Kim, Hyun-Ji;Kim, Ah-Lim;Kim, Hyeong-Seok;Shin, Hyun-Woong;Jeong, Seung-Wook
    • Journal of Yeungnam Medical Science
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    • v.29 no.1
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    • pp.54-57
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    • 2012
  • Neurilemmoma is a benign and slowly growing neurogenic tumor. Intrathoracic neurilemmoma often develops in the chest wall and posterior mediastinum, but endobronchial neurilemmoma is extremely rare. The diagnosis of endobronchial neurilemmoma with preoperative imaging findings is challenging and is usually made via postoperative pathological examination. These authors encountered a case of primary endobronchial neurilemmoma in a 52-year-old woman who had no symptoms. A $3.0{\times}2.6$ cm mass in the right lower lobe projecting into the mediobasal segmental bronchus was shown in the results of the contrast-enhanced computed tomography (CT) and magnetic resonance imaging (MRI) of the chest. Benign neurilemmoma was confirmed via bronchoscopic biopsy, and surgical resection (sleeve bronchial excision and end-to-end anastomosis) was performed.

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Adenoid cystic carcinoma presenting as an ulcer on the floor of the mouth: a rare case report

  • Khan, Saba;Agwani, Khalid;Bhargava, Puneet;Kumar, Sreeja P.
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.40 no.5
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    • pp.253-257
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    • 2014
  • Adenoid cystic carcinoma is a rare epithelial tumour, and comprises about 1% of all malignant tumours of the oral and maxillofacial region. It is a malignant tumour which may develop in the trachea, bronchus, lungs or mammary glands, in addition to the head and neck region. Occurrences in the head and neck are mostly detected in the major salivary gland, oral cavity, pharynx and paranasal sinus where it presents as a slow growing firm nodular swelling. The aim of the article is to highlight the unique presentation of adenoid cystic carcinoma as a solitary ulcer on the floor of the mouth.

A Case of Broncho-Paraspinal Fistula Induced by Metallic Devices : Delayed Complication of Thoracic Spinal Surgery

  • Son, Seung-Nam;Kang, Dong-Ho;Choi, Dae-Seub;Choi, Nack-Cheon
    • Journal of Korean Neurosurgical Society
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    • v.50 no.1
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    • pp.64-67
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    • 2011
  • We present a case report of a 45-year-old woman with spontaneous pneumocephalus accompanied by pneumorrhachis of the thoracic spine, which is a very rare condition generally associated with trauma and thoracic or spinal surgery. The patient had undergone an operation about 10 years earlier to treat a giant cell tumor of the thoracic spine. During the operation, a metallic device was installed, which destroyed the bronchus and caused the formation of a broncho-paraspinal fistula. This is the suspected cause of her pneumocephalus and pneumorrhachis. To our knowledge, this is a very rare case of pneumocephalus accompanied by pneumorrhachis induced by metallic device, and when considering the length of time after surgery these complications presented are also exceptional.

Surgical Treatment of Pulmonary Aspergillosis (폐국균증의 외과적 치료)

  • 하종곤
    • Journal of Chest Surgery
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    • v.24 no.1
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    • pp.41-47
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    • 1991
  • From January, 1980, to August, 1989, 23 patients underwent thoracotomy for treatment of pulmonary aspergillosis on the Department of Thoracic and Cardiovascular Surgery, School of Medicine, Keimyung University. There were 12 male and 11 female patients ranging from 23 years to 61 years old[mean age, 40.7 years]. The main clinical symptoms were hemoptysis[91.3%], cough[65.2%], chest pain[34.5%]. Sixteen patients[69.6%] had simple aspergilloma and 7[30.4%] had complex aspergilloma. The most common indication for operation was a hemoptysis, indeterminate mass, chronic cough, or obstructed bronchus. Anatomical location of lesion was mainly located upper lobe [82.6%] and most of cases were managed by lobectomy. Postoperative pathologic findings showed that 13 case[56.5%] were combined with tuberculosis, two were combined with bronchiectasis and two were combined with lung tumor, but 6 cases were not combined with other disease. Early complications occurred in 33.5% of patients with simple aspergilloma and in 85.7% of patients with complex aspergilloma. But there was no hospital death.

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Surgical Treatment of Immotile Cilia Syndrome Associated with Kartagener`s Syndrome (Report of one case) (Kartagener 증후군을 동반한 Immotile Cilia Syndrome 의 외과적 치험 1례)

  • Kim, Ju-Hyeon;Park, Seung-Il
    • Journal of Chest Surgery
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    • v.21 no.2
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    • pp.383-388
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    • 1988
  • Immotile cilia syndrome is a congenital structural abnormality of cilia. The structural abnormality is lack of dynein arm or defective radial spoke or microtubular transposition. In this syndrome, ciliary movement is completely absent or dyskinetic and half of this syndrome shows Kartagener`s triad. We report a 13-year-old girl who had immotile cilia syndrome with Kartagener`s triad. She had been suffering from frequent respiratory infection, hemoptysis, large amount of sputum, and sinusitis. Bronchography revealed tubular bronchiectasis in right lower lobe and that lobe was resected for treatment of bronchiectasis. Histological examination of resected bronchus showed chronic bronchiectasis and electronmicroscopically complete lack of both inner and outer dynein arms. Hospital course was uneventful and symptoms were much improved.

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Mucoepidermoid Carcinoma of the Right Lower Lobe Bronchus - A case report- (우하엽 기관지에서 발생한 점막 표피양 종양의 수술 치험 -1예 보고-)

  • 김연수;김욱성;장우익;주미;류지윤
    • Journal of Chest Surgery
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    • v.37 no.11
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    • pp.955-958
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    • 2004
  • Mucoepidermoid carcinoma is an uncommon lesion that accounts for approximately 1% of primary malignant bronchial gland tumors and less than 0.2% of all lung neoplasm. This tumor presents with symptoms of bronchial irritation or obstruction. Distant metastasis is uncommon, therefore complete surgical resection is the treatment of choice. The prognosis of tumor correlates with on the histologic grade of tumor. We experienced mucoepidermoid carcinoma in a 15 year-old girl with symptoms of cough and blood tinged sputum. The patient underwent successful removal of tumor by bilobectomy via explorothoracotomy after chest CT and bronchoscopic biopsy.

Coincident finding of bronchopneumonia by Pasteurella multocida, Bordetella bronchiseptica and Klebsiellosis in muskrat (사향쥐에서 Pasteurella multocida 및 Bordetella bronchiseptica에 의한 bronchopneumonia와 Klebsiellosis의 동시감염 증례)

  • Park, Mi-Young;Jeon, Oh-Sook;Cho, Yun-Kyoung;Choi, Kyung-Mook;Woo, Jong-Tae
    • Korean Journal of Veterinary Service
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    • v.32 no.2
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    • pp.165-169
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    • 2009
  • Suppuratives bronchopneumonia was found in a 3-month old domestic muskrat (Ondatra zibethicus). Dead muskrat showed hemorrhagic nasal discharge, severe hemorrhage and consolidation were observed in the lungs in necropsy. Histologically, severe polymorphic neutrophils and alveolar macrophages were infiltrated in the bronchus, bronchioles, alveoli. P. multocida and B. bronchiseptica were identified from the lungs, Klebsiella was isolated from the cecum. We demonstrated those organisms by biochemical test and confirmed P. multocida capsular type A by means of polymerase chain reaction (PCR).

Surgical Treatment of Broncholithiasis (기관지 결석증의 외과적 치료)

  • 김주현
    • Journal of Chest Surgery
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    • v.25 no.1
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    • pp.112-116
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    • 1992
  • I clinically analysed 13 cases of broncholithiasis which treated surgically and found only four cases of broncholithiasis caused by the erosion of the peribronchial lymph node named by extrinsic formation[Group II], and nine cases of broncholithiasis caused by intrinsic formation[group I] which indicates that no evidence of the erosion of the calcified per-ibronchial lymph node into the bronchial tree was found. This study is performed to see any differences between two groups regarding presenting symptoms, locations of broncholith, preoperative diagnosis, a history of pulmonary tuberculosis, a procedure of operation, and chemical compositions of broncholiths from both groups. There was no difference between two groups in the presenting symptoms, the procedure of operation, and chemical compositions of broncholiths. The broncholits from group two is located in the right middle lobe bronchus, and the broncholiths of group one were distributed at various bronchi, In group one, only five cases out of nine had preoperative diagnosis[55.5%], but in group two, all four had preoperative diagnosis. All cases had good postoperative courses without any complication and recurrences.

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Bronchial Adenoma (Cylindroma): Report of One Case (기관지선종의 치험 1례 보고)

  • Kim, Hong-Yong;Kim, Hong-Yong;Lee, Yeong-Gyun
    • Journal of Chest Surgery
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    • v.5 no.1
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    • pp.9-12
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    • 1972
  • Bronchial adenoma,especially adenocystic carcinoma [cylindroma] of the tracheobronchial tree is relatlvely rare in incidence. This is the report of one case of cylindroma in a 28 year old female,surgically treated at the Deparment of Thoracic Surgery,Seoul National University Hospital. The tumor was located at the left main bronchus and completely obstructing the bronchial lumen.Left pneumonecromy was performed because of the irreversible bronchiectatic and fibrotic changes of the entire left lung.

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