• Title/Summary/Keyword: Obliteration

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Successful Obliteration of Unclippable Large and Giant Middle Cerebral Artery Aneurysms Following Extracranial-Intracranial Bypass and Distal Clip Application

  • Yoon, Won-Ki;Jung, Young-Jin;Ahn, Jae-Sung;Kwun, Byung-Duk
    • Journal of Korean Neurosurgical Society
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    • v.48 no.3
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    • pp.259-262
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    • 2010
  • Large to giant middle cerebral artery aneurysm is a challenging disease, especially when incorporating important perforating arteries. Surgical risk increases by perforator infarction and anatomical complexity. In this clinical setting, extensive consideration of surgical options is needed. The two cases described here were unruptured and had rather stable wall. Because of their large and giant size, hardness and incorporated arteries, it was not affordable to isolate them by means of clipping or trapping. The procedure as the alternative to conventional treatment modalities, extracranial-intracranial bypass followed by clipping of only the efferent artery successfully treated the aneurysms.

Treatment of Fungal Empyema Combined with Osteoradionecrosis by Thoracoplasty and Myocutaneous Flap Transposition

  • Lee, Joon Seok;Park, In Kyu;Park, Samina;Hyun, Kwan Yong;Kang, Chang Hyun;Kim, Young Tae
    • Journal of Chest Surgery
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    • v.51 no.4
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    • pp.273-276
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    • 2018
  • We report the rare case of a 58-year-old woman who was diagnosed with fungal empyema thoracis combined with osteoradionecrosis. After 32 months of home care followed by open window thoracostomy, thoracoplasty with serratus anterior muscle transposition and a latissimus dorsi myocutaneous flap was performed successfully. Although thoracoplasty is now rarely indicated, it is still the treatment of choice for the complete obliteration of thoracic spaces.

Endovascular Treatment of Blood Blister-Like Aneurysms Using Multiple Self-Expanding Stents

  • Kim, Young-Woo;Park, Ik-Seong;Baik, Min-Woo;Jo, Kwang-Wook
    • Journal of Korean Neurosurgical Society
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    • v.49 no.2
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    • pp.116-119
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    • 2011
  • The surgical as well as endovascular treatment of blood-blister-like aneursysms (BBAs) is extremely difficult because of these pathological natures, such as small and the fragile necks. The optimal treatment of BBAs has remained uncertain. Stents are known to divert blood flow and induce thrombosis of intracranial aneurysms. We report 3 cases of successful obliteration of BBAs after multiple stents placement.

AIM ORTHODONTIC CASE REPORT OF MILWAUKEE BRACE WEARER (Milwaukee brace 장착자(裝着者)의 교정치험례(橋正治驗例))

  • Nahm, Dong-Seok;Son, Woo-Sung
    • The korean journal of orthodontics
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    • v.14 no.1
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    • pp.39-45
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    • 1984
  • 10years and 8 months old patient, who had been wearing Milwaukee brace for 5 months, was treated by multibanded system without extract on. She complianed severe protrusion and interdental spacing of upper anterior teeth. Cephalometric analysis revealed short anterior facial height, infraclusion of the lower first molars and severe profrusion of upper and lower anterior teeth. During orthodontic treatment Milwaukee brace was replaced by TLSO, so the orthopedic force on the dentofacial region was eliminated. After 2 years and 3 months, she gained raised bite, increased interincisal angle, salient reduction in the protrusion of upper central incisals with agreeable overjet, complete obliteration of interdental spacing and reduction of protrusion of upper and lower lips.

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Patent Omphalomesenteric Duct Remnants - Report of 4 Cases - (개방성 제장간막관 기형4예 보고)

  • Lee, Woo-Yong;Lee, Suk-Koo;Kim, Hyun-Hahk
    • Advances in pediatric surgery
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    • v.3 no.2
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    • pp.148-151
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    • 1997
  • The omphalomesenteric duct normally obliterates by the sixth week of intrauterine life. Incomplete obliteration results in various abnormalities which may be apparent in the newborn infant. These include fistula resembling ileum, a prolapsed loop of intestine through the umblicus and a fistula draining intestinal contents. The tract may contain ectopic tissue of stomach, colon or pancreas. Although this malformation should be recognizable at birth, 40 % of patients are not treated until after the first month of life. In the past 28 months since the Samsung Medical Center opened its doors to public, the authors have treated 4 cases of patent omphalomesenteric duct remnant including one case of T-shaped total prolapse of the duct and adjacent ileum. These cases will be discussed and the literature reviewed.

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Early Stage Loeffler's Endocarditis Detected by Transthoracic Echocardiography

  • Kang, Min Kyu;Park, Won Jong;Jung, Sung Yun;Kim, Su Mi;Kwon, Tae Hun;Ryu, Young Ha;Son, Jang Won;Shin, Dong Gu
    • Journal of Yeungnam Medical Science
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    • v.29 no.2
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    • pp.118-120
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    • 2012
  • Loeffler's endocarditis involves progressive eosinophilic infiltration of the endocardium, which leads to apical thrombotic obliteration of the ventricle and endomyocardial fibrosis, that may finally represent a characteristic feature of restrictive cardiomyopathy. This paper presents a case of a 44-year-old male with symptoms of dyspnea and peripheral hypereosinophilia, who was diagnosed with early stage Loeffler's endocarditis via multicardiac imaging modalities.

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A Clinical Study for the Empyema (114 cases) (농흉의 임상적 고찰 (114례))

  • 이동준
    • Journal of Chest Surgery
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    • v.7 no.1
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    • pp.47-60
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    • 1974
  • During the past 10 years 114 patients with empyema have been treated in hospital of Chonnam University. There were 87 males and 27 females ranging from 20 days to 70 years of age. The etiology was pyogenic pneumonia in 36.7%, tuberculosis in 22.7%, paragonimiasis in 8.8%, post-thoracotomy in 5.4%, post-trauma in 4.4%, lung abscess in 3.5%, malignancy in 3.5%, post-esophageal operation in 1.8%, and sterile in 10.5%. The over-all mortality rate was 2% [3 patients]. The majority of deaths occurred in patients with associated systemic illness [liver cirrhosis in I, and renal tuberculosis in I] and resistant tuberculosis for anti-tuberculosis drugs in one patient. Adequate drainage and obliteration of the pleural space continues to be the most important aspect of treatment and can frequently be achieved by closed chest tube thoracostomy in acute empyema especially in children. The more chronic thick-walled or loculated cavities require open drainage [open window therapy], decortication, thoracoplasty, sterilization, and myoplasty for closure of tracheobronchial fistula.

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Treatment of 5 Branchial Cleft Fistulas with Chemical Cauterization (화학 소작술로 치료한 새성 기형 5례)

  • 연제엽;정지성;이동욱
    • Korean Journal of Bronchoesophagology
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    • v.9 no.2
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    • pp.56-59
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    • 2003
  • Branchial cleft fistula is one of the most common congenital neck masses. Most of the branchial cleft fistula patients complain of reucrrent neck infection or abscesses even with appropriate previous treatment. The traditional treatment of these patients was agreed to be a complete surgical removal of whole fistula tract with infection control. However this surgical treatment has risks of injuring important major vessels o. nerves adjacent to the track and difficulties in dealing with previous recurrent infections and scars of previous procedures such as drainage or incomplete surgical excision. Today, obliteration of internal opening with chemical or electrical cauterization has been introduced as a new way of treating branchial anomaly with a less invasive procedure. In this article, we reports 5 cases of branchial anomalies treated with TCA(trichloroacetic acid) chemical cauterization.

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Fibrous Dysplasia of the Temporal Bone (측두골섬유성리형성증)

  • 김종선;우훈영;백만기
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1979.05a
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    • pp.5.1-5
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    • 1979
  • Fibrous dysplasia of the temporal bone is a extremely rare condition in otological field with a total of 11 cases in the English literature so far. Authors experienced a case in 18 year old boy with complete obliteration of the external auditory canal and long standing keratosis obturance. The purpose of this paper is to discuss principles and methods of canalplasty and meatoplasty with literature review and presentation of authors case.

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A Case of Acquired Nasopharyngeal Stenosis (후천성 비인두 협착증 1례)

  • Chung, Young-Jun;Lim, Eun-Seok
    • Korean Journal of Bronchoesophagology
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    • v.13 no.1
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    • pp.43-46
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    • 2007
  • Nasopharyngeal stenosis is an obliteration of the normal communication between the nasopharynx and the oropharynx resulting from the fusion of the tonsillar pillars and soft palate to the posterior pharyngeal wall. It is a rare but serious problem. The most common etiology is currently the surgical trauma associated with uvulopalatopharyngoplasty or adenotonsillectomy. It can range in severity from a thin band to a complete obstructing cicatrix, Symptoms vary from mild hyponasal speech to almost complete nasal obstruction with oral breathing, We present a case of a 16 year-old male with nasopharyngeal stenosis after radiofrequency-assisted adenoidectomy in this paper. This patient was managed by synechiolysis, obturator and buccal mucosal graft.

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