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건상검진상 발견된 Killian-Jamieson Diverticulum 1예
선상우,정재현,이은상,이승원,Seon, Sang Woo,Jung, Jae hyun,Lee, Eunsang,Lee, Seung Won 대한후두음성언어의학회 2016 대한후두음성언어의학회지 Vol.27 No.2
A Killian-Jamieson diverticulum (KJD) is an unfamillar and unusual cervical esophageal diverticulum. This diverticulum originates on the anterolateral aspect of the esophagus through the Killian-Jamieson's area that is formed between cricopharyngeal muscle and the lateral to longitudinal esophageal muscle. Recently, we experienced a patient who was found outpouching lesion on lateral side of left esophagus on the duodenoscopy. Then, a barium esophagography performed and in left lateral position demonstrated a left-sided diverticulum with a frontal projection, highly suggestive of a KJD. There are two ways of surgical approach to manage the KJD. First is external approach, another one is endoscopic approach. In common, external approach has been recommended for the treatment of KJD because of concern of nerve injury. We present a case of KJD that underwent external approach and sternocleidomastoid muscle flap in the management of KJD.
코막힘으로 인해 양압기에 적응하지 못한 폐쇄성수면무호흡증 환자에서 시행된 코수술 1례
정재현,선상우,홍승노,최지호,Jung, Jae Hyun,Seon, Sang Woo,Hong, Seung-No,Choi, Ji Ho 대한수면의학회 2016 수면·정신생리 Vol.23 No.2
Positive airway pressure (PAP) is currently recommended as a primary treatment for obstructive sleep apnea syndrome (OSAS) and positively affects various subjective and objective parameters related to OSAS, such as the apnea-hypopnea index, excessive daytime sleepiness, and blood pressure. However, PAP also exhibits various adverse effects, including skin breakdown, pressure intolerance, claustrophobia, unintentional mask removal, mouth leaks, and dryness. Especially, unintentional mask removal due to nasal obstruction may result in poor PAP compliance. A 47-year-old male patient with severe OSAS who had low PAP compliance due to nasal obstruction underwent nasal surgery. After the surgery, nasal obstruction was corrected and the patient experienced improved PAP compliance (from 30.4% to 86.7%). This case demonstrates that nasal surgery may be useful for improving PAP compliance in OSAS patients with nasal obstruction.
레이저 스페클 전단간섭법을 이용한 압력용기 내부결함의 측정 가능한 결함 크기의 평가
김경석(Kyeong-Suk Kim),선상우(Sang-Woo Seon),최태호(Tae-Ho Choi),강찬근(Chan-Geun Kang),나만균(Man-Gyun Na),정현철(Hyun-Chul Jung) 한국비파괴검사학회 2014 한국비파괴검사학회지 Vol.34 No.2
최근 압력용기가 다양한 산업분야에서 사용되고 있다. 압력용기의 내부 또는 외부에 결함이 발생하면 대형 사고를 유발하게 된다. 압력용기의 외부에 발생하는 결함은 육안검사를 통해 어느 정도 해결이 가능하지만, 압력용기 내부에 발생하는 결함은 육안검사로는 측정하기 어렵다. 이러한 형태의 결함을 측정하기 위해서는 비파괴검사가 적합하다. 전단간섭법은 광계측을 이용한 비파괴검사법 중 하나이며, 비접촉식으로 전체 측정영역에 대해 실시간으로 한 번의 실험을 통해 결함을 측정할 수 있다는 장점을 지니고 있다. 본 논문에서는 레이저 스페클 전단간섭법을 이용하여 측정할 수 있는 압력용기의 내부에 존재하는 결함 크기를 평가하였다. ASTM A53 Gr.B 재질로 제작된 압력용기 시험편 내부에 인위적인 결함을 가공하고 공압을 이용하여 압력용기에 내압을 가하여 결함을 측정하였다. 실험을 통해 0.2 MPa의 압력차에서도 압력용기의 원래 두께의 25 %의 깊이로 발생한 결함까지는 측정 가능함을 확인하였다. Pressure vessels are used in various industrial fields. If a defect occurs on the inner or outer surface of a pressure vessel, it may cause a massive accident. A defect on the outer surface can be detected by visual inspection. However, a defect on the inner surface is generally impossible to detect with visual inspection. Nondestructive testing can be used to detect this type of defect. Laser speckle shearing interferometry is one nondestructive testing method that can optically detect a defect; its advantages include noncontact, full field, and real time inspection. This study evaluated the detectable size for an internal defect of a pressure vessel. The material of the pressure vessel was ASTM A53 Gr.B. The internal defect was detected when the pressure vessel was loaded by internal pressure controlled by a pneumatic system. The internal pressure was controlled from 0.2 MPa to 0.6 MPa in increments of 0.2 MPa. The results confirmed that an internal defect with a 25 % defect depth could be detected even at 0.2 MPa pressure variation.