• Title/Summary/Keyword: Tree Surgery

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ORIGINAL ARTICLE - Analysis of RFA related to stabilities by types and areas of dental implants (ORIGINAL ARTICLE - 임플란트 종류 및 식립부위에 따른 안정성에 대한 RFA 분석)

  • Yi, Hee-Yong;Park, Min-Ju;Cho, Hyun-Jae;Yu, Ki-Jun;Ha, Jung-Eun;Baek, Dae-Il;Bae, Gwang-Hak
    • The Journal of the Korean dental association
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    • v.50 no.1
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    • pp.31-37
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    • 2012
  • Objective : This research compared stabilities between two types of dental implant ($SLA^{TM}$, Institut Straumann AG, Waldenburg, Switzerland and $SSII^{TM}$, Osstem co, Busan, Korea) using Osstell Mentor (Integration Diagnostics AB, Goteborg, Sweden) considering surgery methods, surgery area, diameter of implant, systemic disease, and smoking for obtaining prognosis information when installing fixture of dental implant. Materials & Methods : 206 implants of 131 patients taken by resonance frequency analysis (RFA) were determined as a final sample. Dental implants were installed as protocol of supplier by a excellent dentist who had 10 years experience about dental implants. Before connecting abutments (3 months after installation of fixture), RFA were measured twice for buccal and lingual direction to obtain average value. Results : Dental implants at mandible showed significantly higher stabilities significantly than at maxilla (p<0.001). Diameter 4.8 implants had also higher stabilities than diameter 4.1 in case of $SLA^{TM}$ implants (p<0.001). $SLA^{TM}$ implants showed more excellent stabilities than $SSII^{TM}$ implants, especially at posterior area of mandible (p=0.045) and premolar area of maxilla (p=0.032). Conclusions : This research revealed higher stabilities of $SLA^{TM}$ implants than $SSII^{TM}$ implant, especially at posterior area of mandible (p=0.045) and premolar area of maxilla (p=0.032).

A clinical pathogenetic study of broncholithiasis (기관지 결석증의 임상적 연구)

  • 김주현
    • Journal of Chest Surgery
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    • v.19 no.2
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    • pp.259-264
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    • 1986
  • Broncholithiasis is defined as a cor9ition in which a concretion is present within a bronchus or a cavity in the lung communicating with a bronchus. The usual causes of broncholithiasis are known as tuberculosis, histoplasmosis, silicosis, aspirated calculi, and a few fungal infections. It is generally accepted that the constant motion created by respiration and beating of the heart may cause the peribronchial calcified lymph node to erode into the tracheobronchial tree and to form broncholith. After the analysis of our 6 cases of broncholithiasis which were treated surgically in the Department of Thoracic Surgery, Seoul National University Hospital from 1960 to December, 1985, we could suggest that intrinsic formation of calculi should be regarded as the pathogenesis of broncholithiasis in addition to the extrinsic formation of calculi.

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Clinical study of Pulmonary Sequestration (폐격리증에 대한 임상적 고찰)

  • Ahn, Hyuk
    • Journal of Chest Surgery
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    • v.18 no.2
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    • pp.320-326
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    • 1985
  • Pulmonary sequestration occurs when some disturbance produces a cystic mass of nonfunctioning lung tissue which lacks normal communication with the tracheobronchial tree. Between 1971 and 1985, pulmonary sequestration was diagnosed in 11 patients, ranging age from 3 to 29 years. All sequestration were intralobar type. Definitive diagnosis can only be obtained by aortography and/or surgical exploration in 10 cases. The other one was confirmed by pathologic examination postoperatively. The presenting complaints were mostly recurrent local pulmonary infection, but in 2 cases mediastinal mass with respiratory symptoms was presented, and cardiac murmur was only finding in one case. Preoperative diagnostic procedure revealed 3 associated anomalies which were funnel chest, right aortic arch, and pulmonic stenosis with vascular ring. Operative treatment for sequestration was lobectomy in 10 cases, and a segmentectomy in one. There was no operative mortality, but 3 complications [empyema, B-P fistula, post-op bleeding] which were controlled by subsequent operations or conservative measure. Aortography is strongly advocated not only for its diagnostic value, but for its preoperative localization of the aberrant vessels that are the major concern to the surgeon.

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Pulmonary Sequestration: Report of 5 Cases (폐격리증-5례 보고-)

  • 조대윤
    • Journal of Chest Surgery
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    • v.15 no.1
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    • pp.27-34
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    • 1982
  • Pulmonary sequestration Is an unusual congenital malformation characterized by the presence of nonfunctioning lung tissue which usually has no communication with the normal bronchial tree and which receives its blood supply from an anomalous systemic artery instead of a pulmonary arterial branch. Two forms of pulmonary sequestration occur: Intralobar sequestration, in which the abnormal pulmonary tissue is incorporated within the normal lung and shares a common covering of visceral pleura, and extralobar sequestration, in which the abnormal pulmonary tissue is separated from the normal lung and has its own pleural investment. Since 1970, five cases of pulmonary sequestration were operated at the Department of Thoracic and Cardiovascular Surgery, College of Medicine, Seoul National University. 1. Among five cues, one was male and the others were female. 2. All were intralobar type and involved left lower lobe. 3. There was no operative mortality following left lower lobectomy and ligation of the aberrant artery.

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Primary Neurilemoma of the Trachea (기도내 발생한 원발성 신경초종)

  • Park, Yeong-Hun;No, Yun-U;Hong, Jong-Myeon
    • Journal of Chest Surgery
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    • v.29 no.10
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    • pp.1166-1169
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    • 1996
  • Neurllemomas of the tracheobroncheal tree are extremely rare. Most are located in the lower trachea, and cause chronic cough and wheezing. They usually have a very long natural history, causing symptoms only after they have attained a considerable size. Current treatment of primary intratracheal tumor is sugical removal. Recently, we experienced a case of primary intratracheal neurilemoma which was successfully treated by tracheal resection and anastomosis. We report this case with a brief review of literature.

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Use of the Free Flap for Large Defect with Bronchopleural Fistula: Case Report

  • Park, Joo Seok;Choi, Se Hoon;Kim, Eun Key
    • Archives of Reconstructive Microsurgery
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    • v.23 no.1
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    • pp.21-24
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    • 2014
  • Bronchopleural fistula is an unnatural communication between the bronchial tree and pleural space. Closure of the bronchial stump using various muscular flaps has been previously reported. There have been few reports on treatment of large defects with bronchopleural fistula accompanied by surrounding muscle injury. We report on our experience with two patients suffering from large defect with bronchopleural fistula, who were treated with free flaps. No recurrence of bronchopleural fistula was observed during follow-up.

The Surgical Management of Aspirated Foreign Bodies in Airways (기도내 이물의 외과적 처치에 관한 연구)

  • Kim, Ju-Hyeon;Kim, Sam-Hyun
    • Journal of Chest Surgery
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    • v.14 no.4
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    • pp.331-338
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    • 1981
  • The inhalation of a foreign body into the tracheobronchial tree is a child is a life-threatening accident. Forgotten foreign bodies In the airways cause chronic pulmonary infections, allergic asthma, bronchiectatic changes, and lung abscess Foreign bodies that cannot be grasped by bronchoscopic forceps should be removed by thoracotomy and bronchotomy. This report describes our experience In 16 patients who were treated to remove inhaled foreign bodies from the airways after repeated bronchoscopies had been unsuccessful from 1963 to 1981 at the department thoracic surgery of Seoul National University Hospital. The surgical procedures are as follows: 12 patients bronchotomy, 2 patient pneumonectomy, 2 patients lobectomy. In these cases, the foreign bodies are 8 metallic material, 3 plastic material, 1 bean, 1 black snail, and 3 cases of no records. Bronchotomy must be performed as soon as possible in order to avoid more advanced pathologic changes In the Involved lung, such as bronchiectasis, fibrosis or abscess.

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Esophagobronchial Fistula Associated with Esophageal Traction Diverticulum -Report of one case- (견인성 식도 게실에 동반된 식도-기관지루 -1예 보고-)

  • In, Gang-Jin;Ju, Hong-Don;Im, Seung-Pyeong
    • Journal of Chest Surgery
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    • v.23 no.3
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    • pp.600-604
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    • 1990
  • A fistulous communication between an esophageal traction diverticulum and the tracheobronchial tree appears to be of rare occurrence. This report reviews the feature of benign esophagobronchial fistula due to esophageal traction diverticulum. This 36-year-old female patient suffered from substernal pain, interscapular pain and severe paroxysmal coughing after ingestion of fluids. This patient was taken a diverticulectomy and partial resection of superior segment of right lower lobe. After the operation, there was no subjective symptoms, esophagobronchial fistula, leakage, stricture and diverticulum. The postoperative result was excellent.

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A Case of Intractable Tracheitis Treated by Heat-Moisture Exchangers in a Total Laryngectomized Patient (열가습 여과기로 치료한 후두전적출 환자의 난치성 기관염 1예)

  • Koo, Beom Mo;Moon, Seong Kyu;Kim, Seung Woo
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.31 no.2
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    • pp.87-91
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    • 2020
  • The tracheostomy directs external air into the airway tract. This process causes mucosal dryness, irritation and inflammation in the tracheo-bronchial tree. In order to prevent such problems, several methods are applied; ointment application, humidification and careful suction etc. The heat-moisture exchanger (HME) is commercially sold device that assists heating and humidification of the inhaled air. The authors experienced successful treatment outcome of intractable tracheitis caused by repetitive and vigorous intra-tracheal suction by applying HME in a total laryngectomized patient. We report an interesting and didactic case with a brief literature review.

Removal of a Left Upper Lobar Bronchial Foreign Body Using Fogarty Catheter and Rigid Bronchoscope

  • Woo, Hyunjun;Kim, Seo Young;Kwon, Seong Keun
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.33 no.1
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    • pp.37-41
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    • 2022
  • Airway foreign body aspiration in children can lead to accidental death, due to the foreign body itself or the removal procedure. Depending on its location, removal of the foreign body can be challenging. Here, we present a case of successful removal of a foreign body from the left upper lobar bronchus via ventilating bronchoscopy with a rigid bronchoscope and Fogarty arterial embolectomy catheter. Tracheobronchial foreign bodies in locations that are difficult to reach with forceps, due to an acute angle or the small diameter of the pediatric bronchial tree, can be effectively removed with a Fogarty arterial embolectomy catheter.