1.Retrograde Endotracheal Intubation Using Epidural Catheter.
In Bae LEE ; Hong Youl KIM ; Dong Ki LEE
Korean Journal of Anesthesiology 1987;20(6):853-857
Since in 1963 Waters first described the techniques of guiede blind tracheal intubation to solve the problem of difficult in airway maintenance in patients who have deformity of the upper jaw, several methods are recommended to overcome a difficult intubation. We experienced successful retrograde endotracheal intubation without significant complications as follows. Using loca anethesia, 16G Tuohy needle was passed through the anterior wall of the trachea 1.5 to 2.0 cm below the cricoid cartilage in the midline. The needle was directd upward foward the larynx and the epidural catheter was insertedc through it and advanced retrograde between the vocal cords and into mouth or nose. The endotracheal tube was threaded over the catheter and the proximal end of the catheter was clamps by kelly forceps. By keeping the catheter taut and coincidently pulling back, the tube was adnvanced in to trachea.
Catheters*
;
Congenital Abnormalities
;
Cricoid Cartilage
;
Humans
;
Intubation
;
Intubation, Intratracheal*
;
Jaw
;
Larynx
;
Mouth
;
Needles
;
Nose
;
Surgical Instruments
;
Trachea
;
Vocal Cords
2.Retrograde Endotracheal Intubation Using Epidural Catheter.
In Bae LEE ; Hong Youl KIM ; Dong Ki LEE
Korean Journal of Anesthesiology 1987;20(6):853-857
Since in 1963 Waters first described the techniques of guiede blind tracheal intubation to solve the problem of difficult in airway maintenance in patients who have deformity of the upper jaw, several methods are recommended to overcome a difficult intubation. We experienced successful retrograde endotracheal intubation without significant complications as follows. Using loca anethesia, 16G Tuohy needle was passed through the anterior wall of the trachea 1.5 to 2.0 cm below the cricoid cartilage in the midline. The needle was directd upward foward the larynx and the epidural catheter was insertedc through it and advanced retrograde between the vocal cords and into mouth or nose. The endotracheal tube was threaded over the catheter and the proximal end of the catheter was clamps by kelly forceps. By keeping the catheter taut and coincidently pulling back, the tube was adnvanced in to trachea.
Catheters*
;
Congenital Abnormalities
;
Cricoid Cartilage
;
Humans
;
Intubation
;
Intubation, Intratracheal*
;
Jaw
;
Larynx
;
Mouth
;
Needles
;
Nose
;
Surgical Instruments
;
Trachea
;
Vocal Cords
3.Expression of Transglutaminase K in Several Skin Diseases.
Tae Won KIM ; Ki Beom SHUR ; Jeung Hoon LEE ; Jang Kyu PARK ; Soo Youl KIM
Korean Journal of Dermatology 1998;36(3):399-406
To understand the role of Transglutaminase K(TGase K) in skin diseases, the expression of TGase K protein was studied in hyperkeratotic inflammatory skin diseases, and in several different kinds of benign and malignant skin tumors. Immunohistochemistry was used to detect the TGase K protein with a new anti-human TGase K polyclonal antibody. This antibody showed the same immuno- histochemical staining pattern as in previously published immunofluorescence data with the exception that the immunohistochemical stain showed a slightly weaker stain in the granular layer. However, the staining intensity was decreased in psoriasis, which is opposite for results obtained with the widely used TGase K monoclonal antibody B.C1. In other hyperkeratotic inflammatory skin diseases, like pityriasis rubra pilaria, lichen planus, and pityriasis rosea, the staining patterns were similar while the staining intensity was decreased, compared to normal epidermis. Squamous cell carcinoma showed a diffuse staining pattern in tumor cells with a small intensity increase in well differentiated tumor cells. However, in actinic keratosis and Bowen's disease, which are thought to be precursors of squamous cell carcinoma, the staining intensity was weak. The tumor cells of basal cell carcinoma, malignant melanoma, and seborrheic keratosis showed a weak staining intensity.
Bowen's Disease
;
Carcinoma, Basal Cell
;
Carcinoma, Squamous Cell
;
Epidermis
;
External Fixators
;
Fluorescent Antibody Technique
;
Immunohistochemistry
;
Keratosis, Actinic
;
Keratosis, Seborrheic
;
Lichen Planus
;
Melanoma
;
Pityriasis
;
Pityriasis Rosea
;
Psoriasis
;
Skin Diseases*
;
Skin*
4.A Case of Hunter's Syndrome With Ivory-colored Papules.
Ki Soon NAM ; Jung Youl LEE ; Kyu Uang WHANG ; Young Keun KIM
Annals of Dermatology 1996;8(4):278-281
We report a case of Hunter' s syndrome with characteristic nodules on the upper back. The patient was a 7-year-old Korean boy who presented with ivory-colored papules and nodules on both sides of the scapula, pectoral regions and lateral aspects of the upper arms. These lesione are regarded as pathognomonic cutaneous markers for Hunter s syndrome. He also presented with truncal hypertrichosis, retarded growth, short neck, round face, claw like contractures of hands, multiple joint contractures, and a clear cornea. Severely elevated glycosaminoglycan levels were present in the patient s urine samples. The patient s 5-year-old brother had similar clinical features.
Animals
;
Arm
;
Child
;
Child, Preschool
;
Contracture
;
Cornea
;
Hand
;
Hoof and Claw
;
Humans
;
Hypertrichosis
;
Joints
;
Male
;
Mucopolysaccharidosis II*
;
Neck
;
Scapula
;
Siblings
5.The variation of mandibular pattern and cranial base angle in craniofacial malocclusion.
Ki Youl KWON ; Ki Soo LEE ; Kyu Rim CHUNG
Korean Journal of Orthodontics 1986;16(1):107-118
This study was designed to investigate the variation of mandibular pattern and cranial base and their association in the craniofacial malocclusion. The material was the 165 cephalometric radiographs taken from craniofacial malocclusion. The sample was devided into two groups by age child group aged from 10 to 13 years and adult group aged over 18 years, and each group was devided into 3 types of malocclusion, class I, Class II div. 1 and Class III malocclusion. Child group consist of 35 samples and adult group consist of 20 samples in each malocclusion type. Various angular and linear measurements on the cephalometric radiographs were recorded and statistically analyzed. The results of the study were as follows, 1. The cranial base angle was largest in Class II div, 1 malocclusion and smallest in Class III malocclusion 2. The anterior cranial base length was largest in Class II div 1 malocclusion but posterior cranial base length did not show statistical difference 3. The mandibular body length of Class III malocclusion was larger than those of Class I and Class II div 1 malocclusion in the adult group but did not shown difference in the child group. The ramus height of Class III malocclusion was larger than those of Class I and Class II div 1 malocclusion in the child and adult group, but there were no difference between Class I and Class II div, 1 malocclusion. 4. The mandibular position was showed low correlation with the cranial base angele.
Adult
;
Child
;
Humans
;
Malocclusion*
;
Skull Base*
6.A Case of Rhino-orbito-Cerebral Mucormycosis Presenting with Recurrent Transient Ischemic Attacks(TIAs).
Woo Youl KANG ; Ju Hun LEE ; Young Hee SUNG ; Il Soo CHOI ; Hong Ki SONG ; Byung Chul LEE
Journal of the Korean Geriatrics Society 2002;6(3):239-242
Rhino-orbito-cerebral muconnycosis is an uncommon fatal fringal infection, almost exclusively seen in diabetic or other itnmunocompromised patients. Recurrent transient ischemic attacks(TIAs) as initial presenting sign of rhino-orbito-cerebral mycormycosis has not been reported to our knowledge. We report a patient with muconnycosis unusually presenting with recurrent TIAs, followed by central retinal artery occlusion, multiple cranial nerve palsies, and then cerebral infarction in the territory of middle cerebral artery.
Cerebral Infarction
;
Cranial Nerve Diseases
;
Humans
;
Middle Cerebral Artery
;
Mucormycosis*
;
Retinal Artery Occlusion
7.Clinical Apects Following Local Recurrence of Urothelial Tumor in Patients with Orthotopic Neobladder.
Sae Woong KIM ; Ji Youl LEE ; Jun Sung KI ; Seung Ju LEE ; Yong Hyun CHO ; Moon Soo YOON
Korean Journal of Urology 2000;41(12):1522-1527
No abstract available.
Humans
;
Recurrence*
8.Anesthesia for Thymectomy in Patient with Myasthenia Gravis - Two cases report.
Young Gyou KIM ; Hong Youl KIM ; Dong Ki LEE
Korean Journal of Anesthesiology 1988;21(4):674-678
Malignant hyperthermia is an inherited disorder of skeletal muscle, characterized by temperature elevation, muscle destruction, muscle rigidity and high oxygen consumption, etc. It is triggered by anesthetic agents, usually potent inhalation anesthetics and succinylcholine. It is fatal in the majority of cases unless early diagnosis andtreatment are performed. We experienced a case of malignant hyperthermia after general anesthesia with succinylcholine and halothane. The case is presented of an 11 year old male weighing 35.5kg. He had developed the strabismus one year prior, but he was relatively healthy and had no considerable past or family history. He underwent surgery for correction of the strabismus under N2O-O2-halothane anesthesia with induction by thiopental and succinycholine. Approximtely 25 minutes after induction tachycardia developed, followed by severe arrhythmia with unstable BP, temperature elevation and cyanosis. About 30 minutes after induction, anesthesia was stopped and aggressive emergency management was performed. Unfortunately, the patient died 4 hours and 30 minutes after induction. We discuss this case and review the history, incidence, etiology, pathophysiology, symptoms, diagnosis, pervention and treatment.
Anesthesia*
;
Anesthesia, General
;
Anesthetics
;
Anesthetics, Inhalation
;
Arrhythmias, Cardiac
;
Child
;
Cyanosis
;
Diagnosis
;
Early Diagnosis
;
Emergencies
;
Halothane
;
Humans
;
Incidence
;
Male
;
Malignant Hyperthermia
;
Muscle Rigidity
;
Muscle, Skeletal
;
Myasthenia Gravis*
;
Oxygen Consumption
;
Strabismus
;
Succinylcholine
;
Tachycardia
;
Thiopental
;
Thymectomy*
9.Modified Neuroleptanesthesia using Diazepam-Pentazocine with N2O .
Hong Youl KIM ; Dong Ki LEE ; Young Hyo PARK
Korean Journal of Anesthesiology 1975;8(1):63-66
From April 1974, we have performed modified neurcleptanesthesia with diazepam-pentazocine N2O in 60 cases. These patients were given diazepam, 0.3 mg/kg, and pentazocine, 1 0 mg/kg, intravenously. Endotracheal intubation was performed in all cases after a sleep dose of thiopental or N2O by mask, with an adequate dose of succinylcholine. Anesthesia was maintained with N2O-O2, suplemented with muscle relaxants. During the operation, we gave an additional dose of diazepam or pentazocine, if needed. The results were as follows: Respiratory depression was observed after the administration of diazepam and pentazocine, but this depression disappeared in the early postoperative recovery period. 2. Recovery from anesthesia was rapid and smocth. Almost all patients awakened within 5 minutes after discontinuance of N2O admir.istration. 3. Analgesia and sedation extended well into the postoperative period, minimizing the need for narcotics. 4 Postoperative nausea and vomiting appeared in only 7% of cases. 5 Circulagory stability was marked during and after operation, being particulary valuable in the elderly and poor risk patients.
Aged
;
Analgesia
;
Anesthesia
;
Depression
;
Diazepam
;
Humans
;
Intubation, Intratracheal
;
Masks
;
Narcotics
;
Pentazocine
;
Postoperative Nausea and Vomiting
;
Postoperative Period
;
Respiratory Insufficiency
;
Succinylcholine
;
Thiopental
10.Clinical Study of Postintubation Sore Throat .
Chang Kil PARK ; Hong Youl KIM ; Young Hyo PARK ; Dong Ki LEE
Korean Journal of Anesthesiology 1976;9(2):197-202
Sore throat is undoubtedly the commonest complication noted after endotracheal intubation. We studied the incidence and factors affecting sore throat in 120 patients requiring orotracheal intubation for surgery from November, 1975 to June, 1976 at Seoul Red Cross Hospital. The following conclusions were obtained: 1) The incidence of sore throat was 36% 2) There was no correlation between sore throat and patient age. 3) No correlation between sore throat and sex was observed. 4) The incidence was low in poor general condition among patients. 5) It was more common after prolonged intubation. 6) It was least common in major operations such as abdominal surgery and most common in minor operations such as for extremities. 7) Less than 8 ml of air in the cuff did not affect significantly incidence of sore throat. 8ml Mild and moderate sore throat were more common (86%) than severe one. 9) Sore throat disappeared within 48 hours without any specific therapy(97.7%).
Clinical Study*
;
Extremities
;
Humans
;
Incidence
;
Intubation
;
Intubation, Intratracheal
;
Pharyngitis*
;
Red Cross
;
Seoul