• Title/Summary/Keyword: Anesthesia local

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Cutis Verticis Gyrata: A Case Report (원발성 뇌회상 피부의 치험례)

  • Park, Sung Hoon;Yang, Ho Jik;Kim, Jong Gu
    • Archives of Plastic Surgery
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    • v.33 no.4
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    • pp.503-505
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    • 2006
  • Purpose: Cutis verticis gyrata(CVG) is a morphologic syndrome, typically occurring on the scalp, characterized by varing development of permanent folds and furrows conferring a corrugated or convoluted appearance which resembles the outer surface of the cerebrum. Cutis verticis gyrata can be categorized into primary and secondary types according to various etiologic factors and associated conditions which cause disease process. Methods: We report a case of essential primary cutis verticis gyrata in a 24-year-old male who did not have any other underlying or associated conditions. Results: After we made an incision to the galea aponeurotica of patient's scalp four times under local anesthesia, we dissected along the subapponeurotic layer and adjusted the flaps each other, and then sutured the flap. Conclusion: After the operation, the clear margin disappeared and it did not recur.

Modified Eloesser's Operation and Its Result In Chronic Empuema with Poor General Condition or Chachecic State (만성 농흉에 대한 Modified Eloesser's Operation 과 그 의의)

  • 최종범
    • Journal of Chest Surgery
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    • v.12 no.2
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    • pp.82-88
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    • 1979
  • During the past 3 years, 15 patients who could not be anesthetized generally because of poor general condition or cachecic state, of 111 patients with empyema, have been treated with modified Eloesser`s operation under the local anesthesia with 2% procaine. There were 13 males and 2 females ranging from 21 years to 61 years of age. The etiology was tuberculosis [6 cases], pyogenic pneumonia [5 cases], lung abscess [1 case], post-trauma [2 cases] and malignancy[1 case]. " The over-all mortality rate was 6.7%[1 case] and cause of its death was poor oral feeding because of post-traumatic psychosis. Modified Eloesser`s operation was performed after closed tube thoracostomy and irrigation with 1% zephanon solution for over 2 weeks. And then the other operation was not performed and all patients except 1 case appeared good progression (Complete healing; 4 cases, Progressive healing 10 cases, death: 1 case).

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Selective Bronchial Suction Catheter after Resection Surgery of Lung -Case report- (폐절제술 후 선택적 기관지내 흡인도관 유치 -증례 보고-)

  • 조정수;김종원;김영대
    • Journal of Chest Surgery
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    • v.37 no.10
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    • pp.884-887
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    • 2004
  • We applied our technique of selective bronchial suctioning (SBS) for the treatment of atelectasis after resection surgery of lung in four patients with refractory atelectasis who were treated successfully. We considered that SBS using hydro-catheter insertion under local anesthesia above fourth tracheal ring is the effective technique for the treatment of refractory atelectasis when conventional respiratory therapy is not effective and a bronchoscopist is not available.

Surgical Thrombectomy in Deep Vein Thrombosis (심부 혈전 증의 외과적 혈전제거술)

  • Kim, Seong-Ho;Lee, Sang-Ho
    • Journal of Chest Surgery
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    • v.24 no.12
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    • pp.1214-1219
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    • 1991
  • From July 1988 to January 1991 six patients, aged 29 to 70 years underwent transfemoral thrombectomy for the treatment of deep vein thrombosis. Preoperative venograms showed thrombi in the following locations: calf veins[five], superficial femoral or popliteal veins [four], common femoral veins[three], and iliac veins[three], Durations of symptoms before admission were from 1 day to 20days. Operations were performed under local anesthesia and all the patients were requested for doing Valsalva maneuver during thrombectomies. All patients were received heparin pre-and postoperatively, which was switched to Coumadin for preventing of rethrombosis. One patient was transferred to other hospital 4 months after operation due to regional reason, and the remained five patients were evaluated with a mean follow-up time of 20 months. There was no evidence of postoperative pulmonary embolism. Three of five patients were clinically asymptomatic. One complained of the heaviness of involved leg in the evening, and the other had discomfort on walking Even though our cases were a few in number, we concluded that thrombectomy is a valuable treatment modality of deep vein thrombosis.

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Dermoid Cyst Anterior to the Cervical Trachea (경부 기도 전방에 발생한 유피낭종 1예)

  • Kim, Yoon-Hwan;Oh, Jang-Gun;Shin, Hyang-Mi;Kim, Young-Saeng
    • Korean Journal of Head & Neck Oncology
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    • v.25 no.2
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    • pp.160-162
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    • 2009
  • Dermoid cysts are benign neoplasm that is derived from both ectoderm and mesoderm. They may be found at various sites of the body, but are extremely rare to occur in the lower neck. We present the case of a 22-year old woman with a midline cystic mass anterior to the cervical trachea. The mass was excised under local anesthesia. Histopathologically the diagnosis was confirmed as a dermoid cyst.

Office Based Injection Laryngoplasty (성대 주입술)

  • Lee, No-Hee;Jin, Sung-Min
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.20 no.1
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    • pp.17-20
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    • 2009
  • Office based injection laryngoplasty for voice and swallow disorders is increasing steadily. In recent years, the application of injection laryngoplasty is extended to inject medicine, such as cidofovir or botox. The reason why office based injection laryngoplasty is increasing in popularity is several potential advantages when compared with other procedures. It can avoid surgical scar and is easily performed with local anesthesia. However, injection can be performed in a variety of settings, depending on several factors, including the goal of the procedure, patient comfort and anatomy, and physician skill. In this article, we describe indication of injection laryngoplasty and discuss about various techniques for procedure.

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CLINICAL ASPECT OF ARTHROCENTESIS (악관절 세척술의 임상 양상에 대한 고찰)

  • Yi, An-Na;Han, Seong-Yik;Yun, Kyoung-In
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.26 no.1
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    • pp.97-104
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    • 2000
  • The temporomandibular joint arthrocentesis is indicated the 'closed lock' due to anterior disc displacement without reduction. It can be easily carried out under local anesthesia with little complications. We performed arthrocentesis to the 24 patients, 9 patients who suffered from acute or chronic closed lock with anterior disc displacement, 2 patients from temporomandibular joint dysfunction related to systemic disease and 13 patients from joint dysfunction with pain. We present the common clinical aspect of arthrocentesis that operator can be easily faced with and possible modifications of this method.

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Modified drainage of submasseteric space abscess

  • Choi, Moon-Gi
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.43 no.3
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    • pp.197-203
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    • 2017
  • Once a submasseteric space infection is diagnosed, the key to resolving the infection is via surgical intervention to evacuate the pus. Although it is possible and occasionally practical to drain the submasseteric space via an intraoral approach, an extraoral approach may sometimes be required. Surgeons have encountered complications such as facial nerve damage during extraoral incision and drainage procedures, and they have felt that extraoral dissection was very difficult. As such, an easier and simpler technique is needed. Our department recently modified various drainage techniques for submasseteric space abscesses. Damage to the marginal branch of the facial nerve did not occur, and this technique was very simple and rapid, such that a novice physician could perform this procedure. This modified technique was possible with trismus and under local anesthesia. After intraorally checking the position of the drain, the intraoral wound is closed with an absorbable suture and the drain is fixed to the extraoral skin. When a masseteric space infection is diagnosed, multiple space involvement is ruled out, and dependent drainage is required, this modified drainage technique can be useful.

A Case of Laryngeal Rhabdomyosarcoma (후두부횡문근육종의 1례)

  • 이순철;김석도;김시원
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1981.05a
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    • pp.9.3-9
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    • 1981
  • Rhabdomyosarcomas are relatively rare and highly malignant tumors which originated from mesenchymal cells. A 50-year-old man, suffered from hoarseness for 2 months, visited to the Dept. of ENT, Seoul Red Cross Hospital. By indirect laryngoscopic examination, a sessile based whitish polypoid mass (0.5cm$\times$0.3cm) was noted at the one third portion of right true vocal cord. Under general anesthesia, local excision was performed. Biopsy revealed rhabdomyosarcoma of the embryonal type. To our knowledge, only 24 cases of laryngeal rhabdomyosarcoma have been reported in the world literature.

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Ultrasound-guided Nerve Block for Skin Grafting on Large Diabetic Ulcer of Foot and Leg: A Technical Report (광범위 당뇨병성 족부 및 하퇴부 궤양의 피부이식술에 사용된 초음파 유도 신경 차단: 술기 보고)

  • Song, Jae-Hwang;Kang, Chan;Hwang, Deuk-Soo;Hwang, Jung-Mo
    • Journal of Korean Foot and Ankle Society
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    • v.18 no.3
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    • pp.133-136
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    • 2014
  • Skin grafting is often required for diabetic ulcerative foot lesions. In skin grafting, effective regional or local anesthesia into the donor and recipient areas plays a significant role in continuous control of pain. We report on a technique of ultrasound-guided nerve block on the femoral, sciatic, and lateral femoral cutaneous nerves in large split-thickness skin grafting for ulcer of the foot and leg.