• The Journal of Internal Korean Medicine
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• v.14 no.2
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• pp.1-19
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• 1993

This study was carried out to investigate the effects of Gooboeum extract on the inhibitory contractile action of acetylcholine in the control and sensitized rat. The results were obtained as follows: 1. The acetylcholine contractile force of the trachea smooth muscle with epithelium was significantly relaxed by Gooboeum. 2. Dose-response of acetylcholine from the trachea smooth muscle pretreated Gooboeum was not changed. 3. Effect of Gooboeum on the inhibitory contractile action of trachea smooth muscle pretreated propranolol was not significantly inhibited. 4. The inhibitory contractile action of acetylcholine of trachea smooth muscle pretreated indomethacin was not significantly changed by Gooboeum. 5. Effects of Gooboeum extract on the inhibitory contractile action of acetylcholine of trachea smooth muscle pretreated methylene blue was not significant. 6. The contractile force of acetylcholine of the trachea smooth muscle without epithelium was significantly inhibited by Gooboeum. 7. Dose-response of acetylcholine of the trachea smooth muscle pretreated Gooboeum was not significant. 8. Effects of Gooboeum extract on the inhibitory contractile action of acetylcholine of the trachea smooth muscle pretreated propranolol was significantly inhibited. 9. Effects of Gooboeum extract on the inhibitory contractile action of acetylcholine of the trachea smooth muscle pretreated indomethacin decreased. 10. Effects of Gooboeum extract on the inhibitory contractile action of acetylcholine of the trachea smooth muscle pretreated methylene blue was not significant.

• Journal of Chest Surgery
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• v.32 no.10
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• pp.951-953
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• 1999

Leiomyoma is extremely rare benign tumor of the trachea. A case of leiomyoma of the trachea is described in a 36-year-old man. The patient had a brief history of asthma-like symptoms. Computed tomography of the chest revealed the ovoid lower trachea mass, which was occupying about 80% of the tracheal lumen. At fiberoptic bronchoscopy highly vascularized round mass was seen on the membranous portion of the lower trachea. The tumor was excised by segmental sleeve resection and end-to-end anastomosis of the trachea was performed. Postoperative course was uneventful and bronchoscopic findings showed clear healing of the anastomotic site.

• Korean Journal of Bronchoesophagology
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• v.6 no.2
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• pp.209-212
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• 2000

Leiomyoma of the trachea is extremely rare but important to recognize early because they are curable. A case of leiomyoma of the trachea is described in 340-year-Old woman. She was admitted for dyspnea, coughing and sputum for 3 years. Under the impression of asthma she was treated but not improved. Chest CT showed an intraluminal tracheal mass just above the carina. Fiberoptic bronchoscopy revealed a round intraluminal mass on the membranous portion of trachea 4cm above the carina. The tumor was excised by wedge resection and end-to-end anastomosis of the trachea was performed. The pathologic examination revealed leiomyoma of the trachea. We report a case of leiomyoma of the trachea which was successfully resected.

• Journal of Chest Surgery
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• v.15 no.2
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• pp.139-147
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• 1982

In case of segmental injury of trachea, the primary repair is very difficult, because the trachea is fixed in place without movability from the surrounding tissue. In addition to special anatomical situation of trachea, any ideal artificial prosthesis for tracheal replacement is not still appeared. Many authors proposed several procedures for the tracheal repair, but satisfactory results were few. Among the proposed procedures end to end anastomosis of trachea was noted superior when both ends of trachea could be approximated by mobilization of upper and lower injured trachea. The author's experiment was designed to determine the effect about decreased tension on trachea when the hyoid bone was released downward from the surrounding muscular structures. The experimental dogs were divided into two groups, suprahyoid releasing group (SH R) and control group of intact hyoid. SH R group was subdivided into two groups accord ing to he degree of tension. The experimental results were as follow; 1. SH R group: In view of X-ray, the distance between the angle of mandible and the displaced hyoid bone was lengthened downward. And it's range was from 1.3cm (38%) minimally to 2.7cm(108%) maximally. 2. Control group: The distance between the angle of mandible and hyoid was same in both pre and postoperation. As the result of this experiment study, the suprahyoid release technique seems to be the efficient method that enable of release the trachea maximally. And it should be expected that the SH R technique is applicable clinically.

• The Journal of Internal Korean Medicine
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• v.11 no.1
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• pp.165-177
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• 1990

In order to study the effects of HWA GAE SAN known clinically for their effects of treatment for cough and asthma, the study was carried out to investigate the effect of HWA GAE SAN extract on the contractile force of isolated guinea pig trachea smooth muscle and elucidate its mechanism. The results were obtained as follows. 1. Preparation of isolated guinea pig trachea smooth muscle was suspended in the oxygeneted Kreb's Henseleit bicarbonate buffer solution at $37^{\circ}C$ and recorded the developed tension by the drug with the isometric transducer (Nacro F-60). The restin tension was approximately 0.5g. 2. The trachea smooth muscle in normal state showed a significant atony to the increase of density of HWA GAE SAN. 3. The atonic effect of the trachea smooth muscle was restricted after prescription of Pyrilamine& Cyproheptadine. Hireceptor broker, which were prearranged. 4. After 5, 15, 50& $150{\mu}l/ml$ of HWA GAE SAN were prescribed, the atony of trachea smooth muscle was caused by Histamine. 5. After 50& $150{\mu}l/ml$ of HWA GAE SAN were prescribed, the atony of trachea smooth muscle was remarkably dwindled which was caused by Acetylcholine. 6. After $150{\mu}l/ml$ of HWA GAE SAN were prescribed, the atony of trachea smooth muscle was remarkably dwindled which was caused by 5-Hydroxytryptamine.

• Journal of Chest Surgery
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• v.10 no.1
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• pp.17-24
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• 1977

The present treatment of respiratory failure, using cuffed endotracheal and tracheostomy tube has produced, apparently with increasing frequency, three lesions which have serious ceminical manifestations such as tracheal stenosis, tracheomalasia, and localized tracheal erosion. Extensive resection and reconstruction of the trachea must be necessary because conservative treatment has generally failed in the fully developed stenotic lesion. of the mediastinal trachea following extensive resection is best accomplished by direct anastomosis of the patient`s own tracheobronchial tissue. Any replacement of the mediastinal trachea must be air tight and laterally rigid, and must heal dependably. A variety of materials has been used for substitution following circumferential excision of tracheal segments within the mediastinum. These attempts have often failed because of early leak or late stenosis. We have successfully performed circumferential resection and primary end-to-end anastomosis of the trachea for 4 cases of post-intubation tracheal stenosis located a few centimeter below the tracheostomy stoma in the period of 3 years between 1974 and 1976. The lesion in one patient was found in the upper trachea which was approached anteriorly through a cervicomediastinal incision with division of the upper sternum. Other three located in the lower half of the trachea were operated through a high transthoracic incision with appropriate hilar mobilization in addition to cervical flexion for the development of the cervical trachea into the mediastinum. There were no hospital death, but suture line granulations occurred in two patients were managed by bronchoscopic removal of granulations without difficulties.

• The Journal of Internal Korean Medicine
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• v.13 no.1
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• pp.70-79
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• 1992

This study was carried out to investigate the effect of Yeemosan extract on the contractile force of the isolated guinea pig trachea smooth muscle and elucidate its mechanism. The results were obtained as follows: 1. The contractile response of the trachea smooth muscle of isolated guinea pig to acetylcholine was significantly inhibited by Yeemosan. 2. The contractile response of the trachea smooth muscle of isolated guinea pig pretreated propranolol was significantly inhibited by Yeemosan. 3. Effects of Yeemosan extract on the contractile response of the isolated guineapig trachea smooth muscle pretreated methylene blue was not significant. 4. The contractile response of the trachea smooth muscle of isolated guinea pig to prostaglandin $F2{\alpha)$ was significantly inhibited by Yeemosan. 5. Effects of prostaglandin $F2{\alpha)$ on the contractile response of the isolated guinea pig trachea smooth muscle pretreated Yeemosan was not significant. According to the above results. it was suggested that the contractile response mechanism of the guinea pig trachea smooth muscle to Yeemosan was related to sympathetic nervous system receptor and other mechanism should have further study.

• The Journal of Internal Korean Medicine
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• v.13 no.1
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• pp.99-109
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• 1992

In order to study the effects of Yunpaejaesueum known clinically for their effects of treatment for cough and asthma, the study was carried out to investigate the effect of Yunpaejaesueum extract on the contractile force of the isolated guinea pig trachea smooth muscle and elucidate its mechanism. The results were obtained as follows: 1. The isolated trachea smooth muscle of guinea pig was suspended in the organ bath with oxygenated Kreb's Henseleite bicarbonate buffer solution at $37^{\circ}C$, and the developed tension by the drug was recorded with isometric transducer(Nacro F-60). The resting tension was approximately 0.5g. 2. The isolated trachea smooth muscle of guinea pig was remakably relaxed by the administration of Yunpaejaesueum. 3. Yunpaejaesueum is significantly inhibited the contractile response of histimine 10-4 M in isolated guinea pig trachea smooth muscle. 4. Yunpaejaesueum is significantly inhibited the contractile response of acetylcholine 10-4 M in isolated guinea pig trachea smooth muscle. 5. Yunpaejaesueum is significantly inhibited the contractile response of 5-hydroxytryptamine 10-4 M in isolated guinea pig trachea smooth muscle. 6. Yunpaejaesueum is significantly inhibited the contractile response of prostaglandin F2a 10-7 M in isolated guinea pig trachea smooth muscle.

• The Journal of Internal Korean Medicine
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• v.13 no.1
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• pp.34-45
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• 1992

This study was carried out to investigate the effect of Shihogigiltang extract on the contractile force of the isolated guinea pig trachea smooth muscle and elucidate its mechanism. The results were obtained as follows: 1. The isolated trachea smooth muscle was suspended in the organ bath with oxygenated Kreb's Henseleit bicarbonate buffer solution at $37^{\circ}C$, and the developed tension by the drug was recorded with isometric transducer(Nacro F-60). The resting tension was approximately 0.5g. 2. The trachea smooth muscle of the isoiated guinea pig was significantly relaxed by the administration of Shihogigiltang extract. 3. ShihogigiItang significantly inhibited the contractile response of histamine 10-4 M is isolated guinea pig trachea smooth muscle. 4. The contractile response of the trachea smooth muscle of the isolated guinea pig by acetylcholine 10-4 M was significantly inhibited by Shihogigiltang extract. 5. The contractile response of the trachea smooth muscle of the isolated guinea pig by 5-hydorxytryptamine 10-4 M was significantly inhibited by Shihngigiltang extract. 6. The contractile response of the trachea smooth muscle of the isolated guinea pig by prostaglandin $F2\;{\alpha}$ 10-7 M was significantly inhibited by Shihngigiltang extract.

• The Journal of Internal Korean Medicine
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• v.12 no.2
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• pp.30-43
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• 1991

Mahwangsan is used in the treatment of asthma due to wind and cold(風寒喘). This study was carried out to investigate the effect of Mahwangsan extract and each drug composing it on the contractile force of the isolated guinea pig trachea muscle and elucidate its mechanism. The results were obtained as follows; 1. The isolated trachea smooth muscle of guinea pig was signifi-cantly relaxed by the administration of Mahwangsan extract. 2. The contractile response of the isolated trachea smooth muscle of guinea pig to histamine was significantly inhibited by the administration of Mahwangsan extract. 3. The contractile response of the isolated trachea smooth muscle of guinea pig to histamine was significantly inhibited by the administraction of Herba Ephedrae, Cortex Cinnamoni, Flos Farfarae, Fructus Chebulae and Semen Armeniacae extract. 4. The contractile response of the isolated trachea smooth muscle of guinea pig to acetylcholine was significantly inhibited by the administration of Mahwangsan extract. 5. The contractile response of the isolated trachea smooth muscle of guinea pig to acetylcholine was significantly inhibited by the administration of Herba Ephedrae, Flos Farfarae, Fructus Chebulae and Semen Armeniacae extract. 6. The contractile response of the isolated trachea smooth muscle of guinea pig to 5-hydroxytryptamine was significantly inhibited by the administration of Mahwangsan extract. 7. The contractile response of the isolated trachea smooth muscle of guinea pig to 5-hydroxytryptamine was significantly inhibited by the administration of Herba Ephedrae, Flos Farfarae, Fructus Chebulae and Semen Armeniacae extract.