• Title/Summary/Keyword: 식도이물

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Endoscopic Retrieval of Esophageal Fishhooks Using Cerclage Wire: A Case Report (내시경과 Cerclage Wire를 이용한 식도내 낚시바늘 제거: 증례보고)

  • Kim, Young-Ki;Uhm, Mi-Young;Seo, Eu-Gene;Ha, Mi-Hyun;Wang, Ji-Hwan;Jeong, In-Jo;Chang, Hong-Hee;Lee, Hee-Chun;Cho, Kyu-Woan;Lee, Hyo-Jong;Yeon, Seong-Chan
    • Journal of Veterinary Clinics
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    • v.24 no.4
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    • pp.622-626
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    • 2007
  • A 1.6-year-old, intact male beagle dog was presented with three day history of odynophagia and anorexia. According to the history and radiographic findings, the patient was diagnosed with esophageal and gastric foreign body due to ingesting fishhooks. Gastroesophagoscopy revealed that one fishhook located in the thoracic esophagus cranial to the heart base and the other located in the cardia region were connected with a single fishing line. Gastrotomy was performed to remove the fishhook in the cardia region and to sever the connecting fishing line. After gastrotomy, endoscopic attempts to remove the esophageal fishhook with a three, five pronged endoscopic grasping forceps, and a biopsy were unsuccessful because the fishhook was embedded deeply in the mucosa membrane. A handmade cerclage wire(16G) shaped like a snare forceps was advanced into the esophagus while visualizing the fishhook endoscopically. The cerclage wire was used to hang and retract the foreign body. The fishhook was retracted orally, resulting in successful removal. Ten days after the operation, the patient fully recovered and was discharged.

A Case of Subglottic Foreign Body Occurred in Tooth Extraction (발치 중에 발생한 성문하 이물 1례)

  • Choi, Byoung-Kwon;Kim, Ki-Sik;Kwon, O-Sung;Seo, Jae-Bum;Lee, Jong-Bin
    • Korean Journal of Bronchoesophagology
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    • v.10 no.2
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    • pp.49-51
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    • 2004
  • The lodgement of foreign material in the larynx is potentially life thereatening as complete obstruction of this region does not leave the individual with a viable airway. In the literature review, laryngeal foreign bodies accounted for about $3\%$ of the whole foreign bodies in the air passage. This report describes a rare case of laryngeal obstruction by subglottic foreign body(tooth) occurred during tooth extraction, in which repeated Heimlich maneuver failed to expel the foreign body and aggravated airway obstruction.

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A Case of Intralaryngeal Metallic Foreign Body which Penetrated by Transcutaneous Route (경부를 관통한 후두 내 금속이물 1예)

  • 최지훈;우정수;이승훈;이흥만
    • Korean Journal of Bronchoesophagology
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    • v.9 no.1
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    • pp.92-95
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    • 2003
  • Laryngeal foreign bodies are not common among the foreign bodies of aerodigestive tract. It is relatively easy to diagnose in acute phase of entry because of a readily\ulcorner available history of intake, and signs or symptoms referable to the foreign body in the highly sensitive air passage. However, on occasion, sudden death by respiratory failure occurs due to complete obstruction of airway. Therefore, it is common and safe to remove the laryngeal foreign bodies by suspension laryngoscope under general anesthesia after tracheostomy. Recently, the authors experienced a case of metallic foreign body in larynx penetrating neck, which was removed by suspension laryngoscope under general anesthesia without any life threatening complication.

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Surgical Management of Occult Foreign Body in the Bronchus Intermedius (중간 기관지 내 이물의 수술적 치료)

  • Kim, Jae-Bum;Park, Chang-Kwon
    • Korean Journal of Bronchoesophagology
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    • v.16 no.1
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    • pp.51-54
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    • 2010
  • Occult bronchial foreign body is that long-standing foreign body lodge in bronchial tree. Occult bronchial foreign bodies arc rare in adults, whereas tracheobronchial aspiration of foreign bodies occurs commonly in children. A 65-year-old man with chronic cough, sputum production, and fever was transferred for treatment of right middle and lower lobc collapse and obstructive pneumonitis as evidenced by imaging studies. The patient was treated with right middle-lower bilobectomy because fiberoptic bronchoscopic removal of the foreign body failed. We report this case with review of literatures.

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Removal of Endotracheal Granulation Tissue and Foreign Body via Tracheostoma used by Rigid Nasal Endoscope (경성 비내시경을 이용한 기관이물 및 육아조직 제거 2례)

  • 노경섭;송영호;김광훈;안회영
    • Korean Journal of Bronchoesophagology
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    • v.7 no.2
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    • pp.174-177
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    • 2001
  • Previously, we used a rigid bronchoscope in removal of endotracheal granulation tissue and foreign body. But these method has poor visual field and difficulty in handling of the instruments, therefore there were restriction in removing the endotracheal granulation tissue and foreign body. Recently we underwent one case each of endotracheal granulation tissue and foreign body causing dyspnea and removed them by right angled forceps under visualization via nasal rigid endoscope inserted through the tracheal stoma. We suggest this method for removal of tracheal foreign body, granulation tissue and excision of tumorous condition in patients with tracheocutaneous fistula.

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Dynamic Problem in Removal of a Bronchial Foreign Body (a injection needle) (기관지이물(주사침) 적출의 역학적 문제)

  • 노관택;전병두
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1972.03a
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    • pp.3.1-3
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    • 1972
  • Authors experienced a bronchial foreign body-an injection needle at the proximal portion of reft main bronchus of a 5 years old female child. An interesting dynamic problem encountered during the removal. A human bronchial specimen lodging the foreign body will be demonstrated with consideration of the dynamic factors.

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A Case of Fish Bone Foreign Body Presenting as Tongue Mass (설부 종물로 나타난 어류골편이물 1예)

  • Ju, Young Ho;Hwang, Soo Min;Park, Sangheon;Jung, Kwang-Yoon
    • Korean Journal of Bronchoesophagology
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    • v.19 no.1
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    • pp.28-30
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    • 2013
  • Foreign bodies in the oral cavity and pharyngolarynx are frequently observed accidental cases in the otolaryngological fields. Most foreign bodies can be recognized and removable with the manipulation of endoscopes and various instruments. However, foreign bodies that penetrate the oral cavity and oropharynx to appear as a tongue mass are rare. Therefore, such cases easily can be misconceived as tongue tumor at first, so it must involve a more thorough search utilizing such aids as computed tomography. Depending on their location and size, their removal may involve surgical intervention. The authors experienced such a rare case of an elderly male patient, presenting as tongue mass. We hereby report this case along with the relevant literature.

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Diagnostic Value of Pulmonary Perfusion Scan in Patients of Airway Foreign Body (기관지 이물 환자에서 폐장관류주사(pulmonary perfusion scan)의 적용 의의)

  • 최종욱;정광윤;민헌기;황찬승;김혜정
    • Korean Journal of Bronchoesophagology
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    • v.1 no.1
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    • pp.75-81
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    • 1995
  • To evaluate the diagnostic value of pulmonary perfusion scan, we obtained 99mTc MAA per-fusion lung scan from 25 cases of airway foreign bodies. The results were as follows. 1) Significant changes in blood gases were not observed after the establishment of regional hypoperfusion caused by airway foreign body. 2) Near total or total defect was noted on perfusion scan from most of the airway foreign body. 3) There was correspondance of findings of perfusion lung scan and duration of airway foreign body. 4) After the removal of airway foreign bodies, perfusion scan abnormalities were reversed in parallel with the recovery of pulmonary blood flow. We concluded that pulmonary perfusion scan may be valuable for detection of foreign body and reversible hypoperfusion.

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A Case of Decannulation Difficulty (Decannulation Difficulty의 치험례)

  • 안회영;차창일;박경유
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1983.05a
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    • pp.14.1-14
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    • 1983
  • The most common cause of the decannulation difficulty is the trauma. This may be accidental, iatrogenic such as prolonged intubation, high tracheostomy, secondary infection, formation of granulation tissue, improper use of cannula and wide resection of anterior tracheal wall. Another common cause is psychologic dependency. Treatments may be categorized into dilatation with or without injection of steroid, dilatation and prolonged stent, luminal augmentation and resection of the stenosis with primary reanastomosis. Recently authors experienced a case of the decannulation difficulty in a 2 - year - old which was developed after tracheostomy for the removal of bronchial foreign body and was treated with a silicon T -tube stent with good result.

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A CASE OF CHOLESTEROL GRANULOMA OF THE SPHENOID SINUS (접형동에 발생한 콜레스테롤 육아종 1례)

  • 민양기;정하원;유원석
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1991.06a
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    • pp.38-38
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    • 1991
  • 콜레스테롤 육아종은 콜레스테롤 결정이 주위조직에 이물질로 작용하여 육아성 반응 및 골파괴 반응을 유발시키는 질환으로 병리조직학적으로 많은 콜레스테롤 결정이 거대세포를 가진 만성적인 염증성 침윤속에 나타나는것을 특징으로 한다. 이 병변은 아주 드물지만 특징적인 방사선적소견, 병리조직학적 소견과 임상양상으로 쉽게 진단이 된다. 두부에서는 다양한 위치에서 발견되는데 특히 함기화가 잘 된 측두골, 유양동, 고실강에서 많이 보이며 전두골, 상악골, 협골, 인상측두골 및 후두개와에서도 보고되고 있으나 부비동에 발생하는것은 특히 드물다. 부비동에서 발생한 콜레스테롤 육아종의 발생기전은 환기장애설, 배출장애설 및 출혈설 등으로 보고되고 있다. 저자들은 최근 복시와 측두통을 호소하는 50세 여자환자에서 접형동에 발생한 콜레스테롤 육아종이 우측 상안와열 (superior orbital fissure)과 경사대(clivus)를 파괴하며 전교조 (Prepontine cistern)로 확장된 1례를 경험하였기에 임상 증세, 특징적인 전산화단층 및 핵자기공명소견과 병리조직학적인 소견을 문헌 고찰과 함께 보고하는 바이다.

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