• Journal of Chest Surgery
• /
• v.54 no.1
• /
• pp.75-78
• /
• 2021

Minimally invasive cryoablation is often considered for lung tumor patients with high surgical risk or inoperable metastatic lung tumors. Cryoablation is a type of thermal percutaneous ablation in which argon and helium gases are delivered via a cryoprobe to induce tissue freezing and necrosis. We report the case of a 23-year-old woman who had suffered from multiple pulmonary endometriosis with frequent intermittent hemoptysis during menstruation for 6 years prior to her visit. She was treated with cryoablation at our hospital, and since her treatment, she has been doing well with no hemoptysis for at least 6 months. Although endometriosis is a benign lung disease, cryoablation is an ideal and effective treatment option for patients with multiple endometriosis.

• Progress in Superconductivity and Cryogenics
• /
• v.9 no.4
• /
• pp.46-49
• /
• 2007

This paper describes the sensitive cooling performance change of J-T refrigerator for cryosurgical probe due to its working fluid. The analytical results of using 50 bar nitrous oxide are compared with the case of 300 bar argon. Bio-heat equation is numerically solved to investigate the effect of the probe temperature and the cooling power of the J-T refrigerator. The refrigerator using 50 bar nitrous oxide has larger cooling power above 185 K than the one with 300 bar argon, which enables fast cooling at early stage of cryosurgery, but the biological tissue away from the probe tends to be cooled slowly after the probe reaches its lowest operating temperature. When the repeated freeze-thaw cycle is employed for main tissue destruction mechanism, using high pressure nitrous oxide is more advantageous than argon if the freezing operation is within 2-3 minutes. The probe with high pressure argon is more suitable for the case of longer freeze-thaw cycle with fewer repetitions.

• Progress in Superconductivity and Cryogenics
• /
• v.10 no.4
• /
• pp.38-42
• /
• 2008

Miniature J-T cryocooler using nitrogen or argon has been widely adopted in cooling infrared sensor for space/military application and cryosurgery. Argon or nitrogen, however, has relatively low specific cooling power compared to nitrous oxide, but the ultimate operating temperature is much lower than nitrous oxide. On the other hand, nitrous oxide has large specific cooling power, but the operating temperature is limited to its boiling point (>183K). To compromise the different characteristics of these gases, the performance of miniature J-T cryocooler using argon and nitrous oxide mixture is investigated in this paper. Three different compositions of mixture (25/75, 50/50, and 75/25 molar fraction) are blended and tested. The results are compared with the experiments of pure argon and pure nitrous oxide. The experimental results show some encouraging potentiality of mixed refrigerant J-T cryocooler. The critical clogging problem, however, was observed with argon and nitrous oxide mixture, and the lowest achievable temperature with this mixture was limited to the freezing point of nitrous oxide. The paper discusses detailed clogging process of the mixture and suggests an alternative.

• Maxillofacial Plastic and Reconstructive Surgery
• /
• v.18 no.3
• /
• pp.443-447
• /
• 1996

Angiolymphoid hyperplasia with eosinophilia(ALHE) is an uncommon, benign vascular proliferation with the background of a stroma which is heavily infiltrated by lymphocytes and eosinophils and includes lymphatic follicles with prominent germinal centers. ALHE primarily involves the skin and subcutis in head and neck as various forms of nodules. There has been considerable controversy about the relationship between ALHE and Kimura's disease. Kimura's disease, originally reported by Kimura et el., is an unusual granulation with proliferation of lymphoid tissue. Wells and Whimster published the first report describing a condition that resembled Kimura's disease and designated it as ALHE. For a time being two lesions are thought to be same lesion, but recently they are considered as two different entities, histopathologically. The cause of this disease remains unknown, and physicians have used a variety of treatment modalities including cryosurgery, steriod therapy, electrodesiccation, curettage, radiotherapy, laser therapy and surgical excision. But any treatment modality leaves problem of recurrence because the lesion is not well encapsulated. Being poorly encapsulated, the lesion's remnants are apt to be left and this markes some problems : recurrence and possible adjacent organ injury. In this case we misdiagnosed the lesion as well encapsulated benign mass. We performed excisional biopsy and experienced prolonged operation time and unwanted mentalis muscle injury. We think that the importance of poor encapsulation of ALHE should be stressed. So we report our experience with literature review.

• Journal of Chest Surgery
• /
• v.50 no.1
• /
• pp.41-43
• /
• 2017

A 38-year-old female patient with a history of tetralogy of Fallot repair at 10 years of age underwent pulmonary valve replacement with a mechanical prosthesis, tricuspid annuloplasty, and right ventricular outflow tract cryoablation due to pulmonary regurgitation, tricuspid regurgitation, and multiple premature ventricular contractions with sustained ventricular tachycardia. After surgery, she had an uneventful postoperative course with arrhythmia monitoring. She was discharged without incident, and a follow-up Holter examination showed a decrease in the number of ventricular ectopic beats from 702 to 41.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
• /
• v.26 no.1
• /
• pp.54-57
• /
• 2015

Hemangioma is one of the most common benign neoplasm, which occurs about 50% in head and neck region, but laryngeal hemangioma is relatively rare. Hemangioma occurred in larynx can be treated by surgical removal, cryosurgery, and steroid injection. Transoral CO2 laser micorsurgery has been known as useful method for the treatment of laryngeal hemangioma. We have experienced a 54-years old male patient of hemangioma originated in arytenoid area. This mass was removed via transoral approach with 'en bloc' resection by CO2 laser. We report this case regarding the treatment and prognosis of laryngeal hemangioma with review of literatures.

• Progress in Superconductivity and Cryogenics
• /
• v.11 no.1
• /
• pp.55-59
• /
• 2009

Miniature Joule-Thomson refrigerators have been widely used for rapid cooling of infrared detectors, probes of cryosurgery, thermal cameras, missile homing head and guidance system, due to their special features of simple configuration, compact structure and rapid cool-down characteristics. The thermodynamic performance of J-T refrigerator highly depends on the hydraulic and heat transfer characteristics of the recuperative heat exchanger. The typical recuperative heat exchanger of the J-T refrigerator has the double helical tube and fin configuration. In this study, effectiveness-NTU approach was adopted to predict the thermodynamic behaviors of the heat exchanger for the J-T refrigerator. The thermodynamic properties from the REFPROP were used to account the real gas effects of the gas. The results show the effect of the operating conditions on the performance of the heat exchanger and refrigerator for the given heat exchanger. The influences of mass flow rate and the supply pressure on the effectiveness of heat exchanger and the ideal cooling capacity are discussed in details.

• Journal of Biomedical Engineering Research
• /
• v.27 no.6
• /
• pp.337-342
• /
• 2006

We have developed a noncontact temperature sensor using a silver halide optical fiber. The infrared collimator and focus head are connected both ends of a silver halide optical fiber with SMA connectors and used to collimate radiations of a heat source and to focus them to infrared sensors such as a pyroelectric sensor and a thermopile sensor, respectively. The relation ships between the temperatures of a heat source and the output signals of the infrared sensors are determined to measure the surface temperature of a heat source. The measurable temperature range is from 25 to $60^{\circ}C$. It is expected that a noncontact temperature sensor using a silver halide optical fiber can be developed for medical usages such as temperature monitoring during hyperthermia, cryosurgery, laser surgery and diagnostic procedure based on the results of this study.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.49 no.1
• /
• pp.113-120
• /
• 2022

Oral mucocele is a common exophytic lesion resulting from the accumulation of saliva due to pathological changes in the minor salivary glands. It is typically asymptomatic and painless and characterized by semipermeable, fluctuant nodules. General treatment methods for mucocele include surgical excision, marsupialization, cryosurgery, and steroid injection. This case report presents the treatment of oral mucocele using micro-marsupialization and a tying method as minimally invasive techniques rather than surgical treatment. Based on this case report, it is suggested that micro-marsupialization and the tying method can be used as alternative methods for the treatment of oral mucocele infants and children with behavioral control problems.

• Journal of Chest Surgery
• /
• v.47 no.4
• /
• pp.367-372
• /
• 2014

Background: We compared the mid-term results of the Cox maze IV procedure using argon-based cryoablation with a procedure using $N_2O$-based cryoablation. Methods: From May 2006 to June 2012, 138 patients (mean age, $58.2{\pm}11.0$ years) underwent the Cox maze IV procedure. Eighty-five patients underwent the maze procedure using an $N_2O$-based cryoprobe (group N), and 53 patients underwent the maze procedure using an argon-based cryoprobe (group A). Bipolar radiofrequency ablation was concomitantly used in 131 patients. The presence of atrial fibrillation immediately, 6 months, 1 year, and 2 years after surgery was compared. Results: Early mortality occurred in 6 patients (4.3%). There were no differences in early mortality or postoperative complications between the two groups. Nineteen of 115 patients (16.5%) remained in atrial fibrillation at postoperative 12 months (14 of 80 patients (17.5%) in group N and 5 of 35 patients (14.3%) in group A, p=0.669). There were no differences in the number of patients who remained in atrial fibrillation at any of the time periods except in the immediate postoperative period. A multivariable analysis revealed that the energy source of cryoablation was not associated with the presence of atrial fibrillation at 1 year (p=0.862) and that a fine F wave (<0.1 mV) was the only risk factor predicting the presence of atrial fibrillation at 1 year (p<0.001, odds ratio=20.287). Conclusion: The Cox maze IV procedure using an argon-based cryoprobe was safe and effective compared with the maze procedure using an $N_2O$-based cryoprobe in terms of operative outcomes and the restoration of sinus rhythm for up to 2 years after surgery.