1.Facial Nerve Paralysis after General Anesthesia: A case report .
Young Jung YOON ; Hun Gil YIM ; Han Suck KIM ; Hong Youl KIM ; In Bae LEE
Korean Journal of Anesthesiology 1998;34(5):1055-1059
A 42-year-old male was scheduled for left fronto-temporo-parietal craniotomy and subdural hematoma removal under general anesthesia. The past history was diabetes mellitus, hypertension, and chronic alcoholism. He was moderately obese, short neck, and deep drowsy. After rapid sequence induction with fentanyl, thiopental sodium and succinylcholine, anesthesia was maintained with nitrous oxide-oxygen-isoflurane. His head was fixed on horseshoe head rest with right side tilted. Throughout the 4 hours of anesthesia, cardiovascular and respiratory variables remained within normal limit. After extubation, upper respiratory obstruction developed, presumably as the result of the tongue's falling back against the posterior pharyngeal wall. This was only partly corrected by insertion of a rubber oral airway, but it was fully relieved when the lower jaw was lifted forward by bilateral digital pressure applied behind the angles of the mandible about ten minutes. At the intensive care unit, left partial facial nerve paresis developed with mild weakness of the right corner of the mouth, and striking right parotid swelling and tenderness. The parotid swelling receded over 2 weeks, and the paresis resolved over 3 weeks to complete recovery.
Adult
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Alcoholism
;
Anesthesia
;
Anesthesia, General*
;
Craniotomy
;
Diabetes Mellitus
;
Facial Nerve*
;
Fentanyl
;
Head
;
Hematoma, Subdural
;
Humans
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Hypertension
;
Intensive Care Units
;
Jaw
;
Male
;
Mandible
;
Mouth
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Neck
;
Paralysis*
;
Paresis
;
Rubber
;
Strikes, Employee
;
Succinylcholine
;
Thiopental
2.Sensitivity and Specificity of Screening Mammographies and Ultrasonographies Performed in Women at Seven Health Promotion Centers for One year.
Hyun Sung KIM ; Bong Joo KANG ; Jae Hee LEE ; Hyeon Woo YIM ; Seung Eun JUNG ; Byung Gil CHOI ; Hyun Suk KIM ; Eun Suk CHA ; Sung Hun KIM ; Na Young JUNG ; Chang Suk PARK ; In Young WHANG
Journal of the Korean Society of Medical Ultrasound 2010;29(1):1-5
PURPOSE: We wanted to evaluate the sensitivity and specificity of screening mammography and ultrasonography for breast examinations and we assessed the clinical usefulness of breast ultrasound for cancer screening. MATERIALS AND METHODS: Of all the women who visited the health promotion center of seven medical institutions from Mar 2004 to Feb 2005, we compared the sensitivity and specificity between a single use of mammography and mammography with ultrasonography for the patients who underwent both mammography and ultrasonography. Here, the reference criteria were the follow-up and the histopathology, which were performed after one year. RESULTS: A total of 1123 patients underwent both mammography and ultrasonography and they could be followed up for a year. For the 1123 patients who underwent both mammography and ultrasonography, the sensitivity and specificity of a single use of mammography were 14.3% and 86.9%, respectively. The sensitivity and specificity of mammography with ultrasonography were 85.7% and 85.9%, respectively. These results showed that the sensitivity was significantly increased when mammography was combined with ultrasonography (< 0.05). CONCLUSION: The sensitivity was improved for the cases that underwent both mammography and ultrasonography.
Breast
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Early Detection of Cancer
;
Female
;
Follow-Up Studies
;
Health Promotion
;
Humans
;
Mammography
;
Mass Screening
;
Sensitivity and Specificity*