• 제목/요약/키워드: Head Removal

검색결과 275건 처리시간 0.022초

노인에서 발생한 타액선의 해면상 혈관종 2예 (Two Cases of Cavernous Hemangioma in the Salivary Gland in Old Ages)

  • 여장옥;이창희;이선욱;이상혁
    • 대한두경부종양학회지
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    • 제26권1호
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    • pp.33-36
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    • 2010
  • Non-lymphoid mesenchymal neoplasms of salivary gland origin are rare, accounting for 1.4% of major salivary gland tumors. Of this group 30% were hemangiomas. Hemangiomas are the most common benign tumors in children, but are rare in old ages. 90% of hemangiomas arise in the first three decades of life. Hemangiomas are classified as capillary(including juvenile type), cavernous, or mixed in type. Salivary gland hemangioma is more common in the parotid(90%) and extremely rare in submandibular gland. We present two adult patients, 69 and 60 years of age, who were referred for palpable mass in the parotid area and submandibular area, respectively. After surgical removal of the lesion, histopathologic examination showed characteristic feature of cavernous hemangioma. The rarity of such a lesion in these locations in old ages have prompted this case report.

두경부암 환자에서 기도 흡인의 예방과 치료를 위한 수술 전략 (Surgical Strategies for Prevention and Treatment of Airway Aspiration in Head and Neck Cancer Patients)

  • 백민관;김동영
    • 대한후두음성언어의학회지
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    • 제29권1호
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    • pp.9-13
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    • 2018
  • Postoperative airway aspiration is not uncommon in patients with head and neck cancer. Airway aspiration has serious consequences, such as swallowing disorders, nutrition-related health problem, or reducing the quality of life due to maintenance of tracheal or nasogastric tubes. The postoperative oropharyngeal defect due to the surgery may interfere with normal swallowing reflex, or the laryngeal dysfunction caused by radiation therapy may cause severe airway aspiration, which may lead to complications such as dyspnea and pneumonia. Complete removal of the disease is also important in the treatment of head and neck cancer, but it is necessary to select a method to avoid and predict the occurrence of airway aspiration according to the treatment method. The most important factor to prevent airway aspiration after surgery is to preserve the proper volume of the oropharynx and to preserve at least one of the cricoarytenoid joint function. It is also the most effective way to reduce additional complications by seeking appropriate surgical treatment according to airway aspiration status. The purpose of this study is to review the operative methods that can induce airway aspiration and consider the prevention and treatment strategy through review of the literature.

경구강 악하선 절제술 후 발생한 반대측 설하신경 마비 1례 (A Case of Contralateral Hypoglossal Nerve Palsy after Peroral Resection of Submandibular Gland)

  • 반원우;반명진;이치규;박재홍
    • 대한두경부종양학회지
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    • 제32권1호
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    • pp.41-44
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    • 2016
  • The resection of submandibular gland is usually performed via trascervical, transoral approach. The authors suspected the stenosis of Wharton's duct of 54 years old female patient after transoral removal of submandibular stone and the resection of submandibular gland was decided. Because of cosmetic need, the resection was performed transorally. The operation was completed successfully without any injury to unilateral lingual nerve or hypoglossal nerve but contralateral paralysis of hypoglossal nerve was seen. In our knowledge, this is the first report of contralateral hypoglossal nerve palsy during transoral resection of submandibular gland.

부갑상선 선종으로 오인된 흉선종 환자 1예 (A Case of Thymoma Mimicking Parathyroid Adenoma)

  • 박상헌;황수민;박민우;정광윤
    • 대한두경부종양학회지
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    • 제29권2호
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    • pp.68-70
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    • 2013
  • Thymoma is the most common anterior mediastinal mass in adult, and arises from thymic epithelial cells which includes consists various proportions of epithelial and lymphocytic aspect. Thymic epithelial cell arises from the ventral wings of the third and fourth branchial pouches in the embryo, and these cells are considered tumorous condition of thymoma. Surgical resection is main treatment of thymoma. And adjuvant chemotherapy or radiation is considered due to postoperative pathologic diagnosis. We experienced a tumor which located from left anterior neck along superior mediastinum on chest radiograph incidentally and diagnosed parathyroid adenoma clinically. After surgical removal, final pathologic report was thymoma. Here, we present the case with a review of the related literatures.

유양동과 후두개와에 위치하는 선천성 진주종의 경유양동 조대술을 통한 치료 (Congenital Cholesteatoma of Mastoid Temporal Bone and Posterior Cranial Fossa Treated with Transmastoid Marsupialization)

  • 성충만;양형채;조용범;장철호
    • Korean Journal of Otorhinolaryngology-Head and Neck Surgery
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    • 제61권12호
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    • pp.710-713
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    • 2018
  • A congenital cholesteatoma is a benign mass formed from the keratinizing stratified squamous epithelium. It usually occurs in young children's anterosuperior part of the middle ear. A congenital cholesteatoma which originates from mastoid temporal bone or expands to posterior cranial fossa is rare. Standard treatment of an intracranial cholesteatoma is surgical removal with craniotomy. A 69-year-old woman was diagnosed with a congenital cholesteatoma of mastoid temporal bone that expanded to the posterior cranial fossa, which was successfully treated with transmastoid marsupialization without craniotomy. This is a first documented case of a congenital cholesteatoma of mastoid temporal bone that expanded to posterior cranial fossa, which was successfully treated with transmastoid marsupialization without craniotomy.

두경부 말초신경초종의 임상적 고찰 (A Clinical Analysis of Peripheral Nerve Sheath Tumors in the Head and Neck Region)

  • 강석영;신명철;유한석;이용섭;박철원;태경
    • 대한두경부종양학회지
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    • 제24권2호
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    • pp.174-178
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    • 2008
  • Background and Objectives:Peripheral nerve sheath tumors(PNSTs) are uncommon neoplasm in the head and neck region. The treatment of PNSTs is surgical removal, but excision cause neurologic complications. This study was performed to evaluate the proper diagnosis and treatment of PNSTs with our experiences. Subjects and Method:During the period from October 1994 to July 2007, 58 patients were diagonised with PNSTs in head and neck region. We reviewed medical records and imaging study retrospectively. Result:95%(55/58) of the PNSTs in head and neck were benign;5%(3/58) were malignant peripheralnerve sheath tumors(MPNSTs). 63%(37/58) were neurilemoma, 20%(17/20) were neurofibroma, 2%(1/58) was perineuroma. 55 patients underwent surgery. 80%(45/55) of cases were treated with excision. Enucleation was performed in 7(14%) patients. All cases of benign neurogenic tumors showed no recurrence. Among 3 of MPNSTs 2 patients were Von Recklinghausen’s disease and expired with regional recurrence and lung metastasis. Conclusion:The benign PNSTs can be treated with enucleation if possible and observation can be another choice to minimize neurologic sequele.

A Study on Pressure Distribution for Uniform Polishing of Sapphire Substrate

  • Park, Chul jin;Jeong, Haedo;Lee, Sangjik;Kim, Doyeon;Kim, Hyoungjae
    • Tribology and Lubricants
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    • 제32권2호
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    • pp.61-66
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    • 2016
  • Total thickness variation (TTV), BOW, and surface roughness are essential characteristics for high quality sapphire substrates. Many researchers have attempted to increase removal rate by controlling the key process parameters like pressure and velocity owing to the high cost of consumables in sapphire chemical mechanical polishing (CMP). In case of the pressure approach, increased pressure owing to higher deviation of pressure over the wafer leads to significant degradation of the TTV. In this study, the authors focused on reducing TTV under the high-pressure conditions. When the production equipment polishes multiple wafers attached on a carrier, higher loads seem to be concentrated around the leading edge of the head; this occurs because of frictional force generated by the combination of table rotation and the height of the gimbal of the polishing head. We believe the skewed pressure distribution during polishing to be the main reason of within-wafer non-uniformity (WIWNU). The insertion of a hub ring between the polishing head and substrate carrier helped reduce the pressure deviation. Adjusting the location of the hub ring enables tuning of the pressure distribution. The results indicated that the position of the hub ring strongly affected the removal profile, which confirmed that the position of the hub ring changes the pressure distribution. Furthermore, we analyzed the deformation of the head via finite element method (FEM) to verify the pressure non-uniformity over the contact area Based on experiment and FEM results, we determined the optimal position of hub ring for achieving uniform polishing of the substrate.

흡입성능 향상을 위한 복합가공기용 복합헤드 설계 (Design of Composite Head for Compound Processing Machine on the Improved Suction Performance)

  • 김성;최영석;김효영;김태곤;이석우;김진혁
    • 한국수소및신에너지학회논문집
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    • 제31권1호
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    • pp.144-150
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    • 2020
  • This paper presents a numerical study on the design of composite head geometry used for compound processing machine. In order to achieve an optimum composite head geometry and to explain the interactions between the different geometric configurations, three dimensional computational fluid dynamics and design of experiment methods have been applied. From the 2k factorial design results, the most important design variable was found and the performance of the composite head was improved compared to the reference model.

피열부에 발생한 해면상 혈관종 1예 (A Case of Cavernous Hemangioma Occurred in Arytenoid)

  • 김태환;김소연;이상혁;진성민
    • 대한후두음성언어의학회지
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    • 제26권1호
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    • pp.54-57
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    • 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.

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C-arm 방사선 투영법을 이용한 식도 점막 하 이물 제거 (Removal of Esophageal Submucosal Foreign Body Under C-arm Fluoroscopic Guidance)

  • 김희진;김효상;차원재;성명훈;하정훈
    • 대한기관식도과학회지
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    • 제19권1호
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    • pp.15-18
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    • 2013
  • Esophageal foreign body is common condition for visit emergency room, and most of them were successfully removed with endoscopy. However, in case of esophageal foreign body impaction, it can be difficult to localize the foreign body. We report a 29-year old man with esophageal foreign body impaction. We successfully localized and removed the esophageal submucosal foreign body using rigid endoscopy under C-arm guidance, avoiding more invasive procedure. The patient was followed up without any complication.

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