• Korean Journal of Bronchoesophagology
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• v.7 no.1
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• pp.14-18
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• 2001

Background and Objectives： Vegetable Foreign bodies (VFB) in the bronchial tree may be complicated by fragmentation, slippage and impaction during the removal with forceps. This study is to evaluate the safety and efficacy for the technique of removing VFB from the bronchial tree in infants and early childhood using Fogarty balloon catheter. Materials and methods : The subjects consisted of 18 infants and early childhood (7-22 months old) with VFB in the bronchial tree from January 1991 through October 1998. The authors first attempted removal of VFB with forceps and if that failed, removed VFB with Fogarty arterial embolectomy catheter under the ventilating bronchoscopy and general anesthesia. Results: We removed 6 VFB with forceps. could not remove anymore, and so removed 12 VFB with Fogarty catheter. In 8 VFB of less than 24 hours, we could remove 6 VFB with forceps and 2 VFB which could not be removed with forceps were removed with Fogarty catheter. In 10 VFB of more than 24 hours, we could not remove with forceps and removed with Fogarty catheter. Conclusions : VFB in the bronchial tree of infants and early childhood can usually be removed with forceps. But we think that Fogarty balloon catheter technique is a easy, safe method for the removal of bronchial VFB of more than 24 hours, fragmentation, impaction, lower bronchus and too round or slippery to remove with forceps in infants and early childhood.

• Tuberculosis and Respiratory Diseases
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• v.42 no.5
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• pp.772-776
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• 1995

Aspiration of foreign body, a clinical problem seen more commonly in the pediatric age group, is infrequently seen in the adult population. Although rigid bronchoscopy has been the mainstay of treatment, recently, easier manipulation, greater range of visulization, flexibility, topical anesthesia has made flexible bronchoscopy of choice for dealing with aspirated foreign body in adult. Operation increase morbidity and mortality, delay foreigh body removal. A 41-year old male was admitted to this hospital due to aspiration of pushpin. He showed high opaque density protruding in the orifice of right lower lobar bronchus. We report a case of foreign body removal by flexible bronchoscopy with brief review of the literature.

• Tuberculosis and Respiratory Diseases
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• v.43 no.2
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• pp.243-250
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• 1996

Granular cell tumor(GCT) of tracheobronchial tree is a rare neoplasm comprising approximately 6-10% of all GCT and about 1.6% of all benign tumors of the tracheobronchial tree. Since the first observation of GCT in the bronchus by Kramer in the late 1930s, less than 100 cases have been reported in tracheobronchial tree, and probably no such case have been published in Korea yet. Here we report an experience concerning 53 year-old women with an active pulmonary tuberculosis, who also was diagnosed to have a bronchial GCT on bronchoscopy and immunohistochemistry of the specimens.

• Tuberculosis and Respiratory Diseases
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• v.45 no.2
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• pp.451-456
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• 1998

Bronchial atresia is a rare congenital anomaly characterized by a bronchocele resulting from a mucus-filled, blindly-terminating segmental or lobal bronchus, and hyperinflation of the obstructed segment of lung. Characteristically, the patient is young and asymptomatic but has an abnormal chest roentgenogram. The only physical finding may be decreased breathing sounds over the affected parenchyma. We experienced a case of bronchial atresia with mucocele in adult So we report it with a review of the literature.

• Tuberculosis and Respiratory Diseases
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• v.38 no.2
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• pp.186-193
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• 1991

Three cases of double primary lung cancer occured synchronously are reported with brief review of literature. The incidence of multiple primary lung cancer relatively rare but may become increasingly prevalent as early detection techinque and cancer therapy has improved. The patients were a 67, 69, and 65-year-old men with doulbe primary lung cancer of different cell type or same cell type with other bronchus origin (squamous cell+small cell, squamous cell+squamous cell, squamous cell+bronchioloaveolar cell) were identified with flexible bronchofiberoscopic biopsies. More careful diagnostic evaluation and management are thought to be necessary.

• Tuberculosis and Respiratory Diseases
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• v.55 no.3
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• pp.297-302
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• 2003

Background : Airway obstruction due to blood clot occurs unusually but in a variety of clinical settings. Initial efforts for removal of the endobronchial blood clot involve flexible bronchoscopic evaluation with saline lavage and suctioning and then forceps extraction. If unsuccessful, further options include rigid bronchoscopy, Fogarty catheter dislogement of the clot, and topical thrombolytic agents. The several successful uses of endobronchial streptokinase or urokinase to dissolve an endobronchial blood clot have been previously reported, but not yet in Korea. Herein we describe a 51-year old man with superior vena cava thrombosis secondary to Behcet's disease who experienced life threatening airway obstruction after hemoptysis due to a large organized blood clot in left main bronchus. Urokinase(260,000 U), injected through a fiberoptic bronchoscope, totally dissolved the clot. No complications occurred.

• Proceedings of the KOR-BRONCHOESO Conference
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• 1981.05a
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• pp.5.1-5
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• 1981

We have recently removed five interesting foreign bodies successfully. Case 1. A broken tracheostomy outer cannular tube in the right main bronchus of a 7 year old boy. Case 2. An acupuncture needle in the trachea of a fifty-one year old man. Case 3. A fish hook with thread in the second isthmus of esophagus of a 10 month old girl. Case 4. An opened safety pin (sharp point toward cephalad) in the third isthmus of esophagus of a sixteen year old boy. Case 5. A big lead bullet which went through soft tissue below right mastoid tip and lodged at the mid-point between right mastoid process and foramen magnum(skull base) of a twenty year old boy, was removed surgically uneventfully.

• Journal of Environmental Health Sciences
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• v.27 no.2
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• pp.1-9
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• 2001

This study was carried out to investigate the microbial characteristics of the urban air pollution in the subway stations, streets, department stores, wholesale markets, underground shopping centers, buildings, parks, houses and apartments in the Seoul and the suburbs area. Total cell count, total mold count and the presence of opportunistic pathogens(Streptococcus pneumoniae, Klebsiella pneumoniae, Aspergillus spp., Penicillium spp.) were evaluated determine the microbial air quality. Total cell count and mold count of indoor air in the houses and apartments were 2.9$\times$10$^2$-6.3$\times$10$^2$cfu/㎥ and 60-1.8$\times$10$^2$cfu/㎥, respectively, and the department stores and wholesale markets had much lower cell count than the houses and apartments. Ground level of commercial stations were 2.6 fold higher than the general subway stations, and Apergillus spp. and Penicillium spp. which could cause the bronchus and lung diseases were detected 17 sampling site out of 45. Dust were collected from the commercial facilities and houses, and total cell and mold count of the dust were 4.3$\times$10$^3$-1.7$\times$10$^{6}$ cfu/g and 2.3$\times$10$^3$-6.5 $\times$10$^4$cfu/g, respectively. Therefore the dust might be one of the main reservoir of microorganims.

• Tuberculosis and Respiratory Diseases
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• v.61 no.1
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• pp.60-64
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• 2006

Pulmonary aspergillosis presents as the following three different types depending on the immune status of the host: invasive aspergillosis, allergic bronchopulmonary aspergillosis (ABPA), and aspergilloma. Aspergilloma develops as a result of an aspergillus growth inside a pre-existing lung cavity. However, endobronchial aspergilloma without a lung parenchymal lesion is quite rare. We encountered a case of endobronchial aspergilloma that developed in a healthy 75 year-old woman that led to necrotizing pneumonia of the right lower lobe. The chief complaints were fever, cough and yellowish sputum. The chest film revealed haziness with cavity-like shadows on the right lower lobe, and the chest CT scan showed endobronchial calcified density in the basal bronchus of the right lower lobe with peribronchial lymph node enlargement. Bronchoscopy revealed an obstruction of the basal orifice of the right lower lobe by blackish stone-like material, and the aspergilloma was confirmed by the bronchoscopic biopsy. The pneumonia improved after bronchoscopic removal of this lesion. We report this case along with a review of the relevant literature.

• Journal of Chest Surgery
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• v.25 no.7
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• pp.711-715
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• 1992

Massive hemoptysis is defined as pulmonary hemorrhage of more than 600ml to 800ml within 24hours. Among the many causes, the most common include pulmonary tuberculosis, abscess, bronchiectasis, cystic fibrosis bronchial carcinoma. Most acute episodes of hemoptysis last less than 24 hours and gradually subside. However, when the hem-optysis is massive, it carries a mortality rate of 50% to 100%. It is generally agreed that surgery is the treatment of choice for patients with massive hemoptysis. We had the one case of 39 year-old male with recurrent massive hemoptysis. In the past history, he had pulmonary tuberculosis 20 years ago but no chest trauma, Previous chest CT showed well defined cavitary lesion with calcification on RUL Under the bronchoscope finding, we indentified active bleeding from right upper lobe bronchus without end-obronchial lesion. Therefore, emergency thoracotomy was done with impression of hem-optysis due to pulmonary tuberculosis. But operative findings were as follows ; the 4th fractured rib was impacted into the lung parenchyme with severe adhesion and middle lobe was not inflated. So, Upper and middle lobectomy were performed. He was diagnosed finally by operative and pathological findings as massive hemoptysis due to impaction of fractured rib into the lung parenchyme and discharged without complication.