• 제목/요약/키워드: nasal disease

검색결과 242건 처리시간 0.019초

Successful High Flow Nasal Oxygen Therapy for Excessive Dynamic Airway Collapse: A Case Report

  • Park, Jisoo;Lee, Yeon Joo;Kim, Se Joong;Park, Jong Sun;Yoon, Ho Il;Lee, Jae Ho;Lee, Choon-Taek;Cho, Young-Jae
    • Tuberculosis and Respiratory Diseases
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    • 제78권4호
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    • pp.455-458
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    • 2015
  • Excessive dynamic airway collapse (EDAC) is a disease entity of excessive reduction of the central airway diameter during exhalation, without cartilage collapse. An 80-year-old female presented with generalized edema and dyspnea at our hospital. The patient was in a state of acute decompensated heart failure due to pneumonia with respiratory failure. We accordingly managed the patient with renal replacement therapy, mechanical ventilation and antibiotics. Bronchoscopy confirmed the diagnosis of EDAC. We scheduled extubation after the improvement of pneumonia and heart condition. However, extubation failure occurred due to hypercapnic respiratory failure with poor expectoration. Her EDAC was improved in response to high flow nasal oxygen therapy (HFNOT). Subsequently, the patient was stabilized and transferred to the general ward. HFNOT, which generates physiologic positive end expiratory pressure (PEEP) effects, could be an alternative and effective management of EDAC. Further research and clinical trials are needed to demonstrate the therapeutic effect of HFNOT on EDAC.

Anti-inflammatory Effects of Low-frequency Stimulator using Superposition of Alternating Microcurrent Wave in the Animal Models

  • Kim, Yoo-Jeong;Lee, Seong gwang;Go, Shin Jee;An, Suyeon;Kim, Ye eun;Kim, Ye in;Hyun, Kyung-Yae;Cho, Dong Shik;Choi, Go-Eun
    • 대한의생명과학회지
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    • 제27권2호
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    • pp.99-104
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    • 2021
  • Treatment techniques that affect homeostasis by non-invasive regulation in peripheral organs will advance disease research. Here, we demonstrate a non-invasive method of conditioning within an organ using a low-frequency stimulator superposition of alternating microcurrent wave in stages. It is first applied to the inflammatory response in H3N2-infected sinusitis mice. To check the progress of the treatment, mice were sacrificed every week for 3 weeks, nasal tissue was removed, and the inflammatory response was investigated through H & E staining. The low-frequency stimulation treatment group was found to alleviate the proliferation of epithelial cells and invasion of inflammatory cells compared to the control group as the passage of treatment time. The reduction of inflammatory cytokines in the nasal lavage fluid was observed in H3N2-infected sinusitis mice treated with of low-frequency stimulation using superposition of alternating microcurrent wave compared to H3N2-infected sinusitis mice after 3 weeks. These data demonstrate that low-frequency stimulation device in the form of using alternating current wave superposition on within organs provides a new method to regulate specific physiological functions. Therefore, it is necessary to prove the inhibitory effect of low-frequency stimulation using alternating current wave superposition on inflammatory diseases by various methods through further studies and clinical studies.

Oral mucormycosis in an 18-month-old child: a rare case report with a literature review

  • Kalaskar, Ritesh Rambharos;Kalaskar, Ashita Ritesh;Ganvir, Sindhu
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제42권2호
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    • pp.105-110
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    • 2016
  • Oral mucormycosis is a fungal infection observed mainly in elderly immunocompromised patients. In rare instances, the disease occurs in healthy individuals and those patients that are below preschool age. Although this condition mainly involves the maxilla, it may also manifest in any part of the oral cavity based on the source of infection. Mucormycosis of the maxilla spreads rapidly, leading to necrosis of the palatal bone and palatal perforation. Such patients are usually rehabilitated using bone grafting or free flap surgeries. However, when surgeries are delayed, palatal prosthesis is an interim treatment modality that can prevent nasal regurgitation and aspiration of food or fluids. Palatal prostheses also help with mastication, speech, and swallowing. The present case describes a rare case of oral mucormycosis in an 18-month-old male involving the maxilla that was managed by palatal prosthesis.

히드로겔을 이용한 약물수송시스템 (Hydrogels for Drug Delivery System:-Colon-Specific Delivery-)

  • 박기동;정서영;김영하
    • Journal of Pharmaceutical Investigation
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    • 제22권4호
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    • pp.251-266
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    • 1992
  • A major problem with the peptide-based drugs is that these drugs must generally be administered by injection. Therefore, there is considerable research interest in alternative routes of delivery, such as buccal, nasal, gastrointestinal route and etc. Site-specific drug delivery to the colon, as an alternative to parenteral drug delivery, is of interest for the delivery of peptide-based drugs as well as the delivery of low molecular weight drugs for the treatment of colonic disease, This review describes some considerations of colon-specific drug delivery using hydrogels.

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Provil과 cerrobend을 이용한 electron 차폐물 제작 (The Fabrication of Internal Shielding using Provil and Cerrobend)

  • 김종화;이강현;손정혜
    • 대한방사선치료학회지
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    • 제8권1호
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    • pp.37-39
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    • 1996
  • The skin cancer is a highly curable disease which frequently occurs in the head and neck region exposed to the sun. When the eyelid is treated usually eye shield made of lead is used to protect the eyeball as a internal shield. For the same reason on internal shield should be used when the nose is treated when electron to protect the nasal mucosa. Our hospital made an internal shield for the treatment of the skin cancer on the nose using provil and cerrobend. The characteristics of the internal shield were examined.

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Dento-maxillofacial Abnormalities Caused by Radiotherapy and Chemotherapy

  • Park Cheol-Woo;Hwang Eui-Hwan;Lee Sang-Rae
    • Imaging Science in Dentistry
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    • 제30권4호
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    • pp.287-292
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    • 2000
  • A case of dento-maxillofacial abnormality involving a 10-year-old male patient with a history of esthesioneuro-blastoma is presented. This patient had been treated with 54 Gy /sup 60/Co-gamma-radiation to the nasal cavity for 6 weeks and 6 cycles of combination chemotherapy of Cyclophosphamide, Cisplatin, Adriamycin, VM-26 (Tenipo-side), and DTIC (Dacarbazine) when he was 16 months of age. Five years after cessation of cancer therapy, he was disease free and transferred for extensive dental care to Kyung Hee University Dental Hospital. A clinical and radiologic follow-up over last 4 years showed root stunting, premature closure of the root apices, microdontia, developmental arrest, small crowns, and partial anodontia. Maxillofacial morphology evaluated by cephalometric analysis showed deficiency of maxillary development.

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Palatal lift를 이용한 비인강폐쇄부전환자의 임상적 치험례 (A CLINICAL STUDY OF PALATAL LIFT FOR TREATMENT OF VELOPHARYNGEAL INCOMPETENCY)

  • 윤보근;고승오;신효근
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제27권1호
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    • pp.92-96
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    • 2001
  • Velopharyngeal function refers to the combined activity of the soft palate and pharynx in closing and opening the velopharyngeal port to the required degree. In normal speech, various muscles of palate & pharynx function as sphincter and occlude the oropharynx from the nasopharynx during the production of oral consonant sounds. Inadequate velopharyngeal function caused by neurologic disorder - cerebral apoplexy, regressive diseases - disseminated sclerosis, Parkinson's disease, congenital deformity - cleft palate, cerebral palsy and etc. may result in abnormal speech characterized by hypernasality, nasal emission and decreased intelligibility of speech due to weak consonant production. In our study, we constructed speech aids prosthesis - Palatal lift in acquired idiophathic VPI patient and assessed velopharyngeal function with various diagnostic instruments which can evaluate the speech characteristics objectively.

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성대에 발생한 화농성 육아종 1예 (A Case of Pyogenic Granuloma of Vocal Cords)

  • 박경호;유영화;김수환;조승호
    • 대한기관식도과학회지
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    • 제9권2호
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    • pp.74-77
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    • 2003
  • Pyogenic granuloma is very uncommon disease. It is a benign, elevated, and capillary-rich lesion occupying on the skin and mucous membranes, and is a reactive lesion, an overgrowth of granulation tissue. And this lesion may grow rapidly and can recur frequently. Pyogenic granuloma usually occurs on the lip, tongue, oral mucosa, and nasal mucosa. But, pyogenic granuloma of vocal cords is very rare. Recently, we experienced a case of pyogenic granuloma of a 48-year-old man who had been presented with hoarseness for 3 months. He was diagnosed pyogenic granuloma after laryngeal microscopic surgery. So we report this rare case with review of literatures.

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만성 폐색성 폐질환의 동반된 위암환자에서의 일측 내장신경차단 (Unilateral Splanchnic Nerve Block for Gastric Cancer Pain Patients with Orthopnea)

  • 김정자;윤덕미;오흥근
    • The Korean Journal of Pain
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    • 제4권1호
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    • pp.42-46
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    • 1991
  • Splanchnic nerve block with neurolytics has been used to control the upper abdominal cancer pain. This gastric cancer case with severe chronic obstructive pulmonary disease complained of upper abdominal pain, severe dyspnea and orthopnea. He maintained a sitting position most of the time with nasal oxygen inhalation because he could not remain in a supine or prone position. We performed the unilateral splanchnic nerve alcohol block under right lateral position at the T12 and L1 vertebral level. For a short time after the block, he required oxygen inhalation therapy. Three months after unilateral alcohol block, he is still alive without severe abdominal pain and severe dyspnea.

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