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林相喆 中央醫學社 1968 中央醫學 Vol.14 No.3
The phage hemagglutination is excellently formed by the bacterial substance extracted by boiling at the pH 6.0~9.0. The phage hemagglutination, however, by the bacterial substance extracted by boiling at the strong acid and alkali-pH and treating at 50°C and 37°C for 2 days is almost negligible. The phage adsorbing rate, at 0°C and 37°C, to sensitized red cells is the highest when the bacterial substance is extracted by boiling at the pH 5.0~10.0. The pH for extracting has some influences on the phage inactivating activity of bacterial substance while the temperature is generally not. The effective bacterial substance is well extracted in the non-electrolyte. The red cell sensitization of bacterial substance, however, does not occur in the non-electrolyte. A indirect bacterial hemagglutination can be recognized in the reaction of higher concentration of anti-phage serum and sensitized red cells.
Laryngopharyngoscope를 이용한 후두개곡낭종의 치료
임상철,조재식 대한기관식도과학회 2000 大韓氣管食道科學會誌 Vol.6 No.2
Cystic lesion which is located in vallecular area is sometimes symptomatic and need surgey. But surgical route to this area is divided external approach into internal one. Internal approach via transoral route with suspension laryngoscope can avoid disadvantages of external approach but conventional laryngoscope is not suitable for this type of procedure. We used Steiner laryngopha-ryngoscope in surgery for vallecular cyst and we could excise cyst easily. Of 20 cases, complete excision was tried in 18 cases and marsupialization in 2 cases. Recurrence was 1 case. We suggest that surgery using laryngopharyngoscope is effective in treating cyst which is located in vallecular area.
임상철,박호영,최정섭 대한기관식도과학회 1996 大韓氣管食道科學會誌 Vol.2 No.2
Cystic lesions of the neck are frequently encountered on clinical basis. The usual differential diagnosis includes branchial cleft, cystic hygroma, dermoid cyst, tuberculous lymphadenitis, benign detached goiterous thyroid cyst, and Cavitation epidermoid carcinoma. Most of cysts are benign and malignant cysts are rare. The most common form of cystic malignancy in the lateral neck is cystic degeneration of epidermoid carcinoma metastatic to cervical lymph nodes. Cystic neoplasia may result from malingnant changes occurring within the wall of a previously benign cyst Complete head and neck examination on the primary focus is important Especially, when palpation of thyroid is negative, thyroid carcinoma is easily overlooked. Recently, we experienced papillary carcinoma of the thyroid seen as lateral neck cyst. So we report this case with review of literatures.
술전색전술과 경상악법을 이용한 비인강 혈관섬유종의 치료
임상철 대한기관식도과학회 1996 大韓氣管食道科學會誌 Vol.2 No.1
Nasopharyngeal angiofibroma is rare highly vascular tumor and occurs almost exclusively in adolescent boy. This tumor is histologically benign but clinically malignant because of massive bleeding, destruction of surrounding tissue, difficulty in surgical access and recurrence. Preoperative embolization is required to decrease bleeding during operation Surgical method varies according to staging of angiofibroma. Recently, we had experienced a case of angiofibroma that was resected by transmaxillary approach after preoperative embolization.
임상철,조재식 대한기관식도과학회 1996 大韓氣管食道科學會誌 Vol.2 No.2
Most of bronchial foreign bodies can be removed by ventilation bronchoscopy through transoral route but sometimes, ventilation bronchoscopy through tracheostomy is helpful procedure. Recently, we have experienced a case of bronchial foreign body which could be easily removed by nasal endoscopy and Blakesley forcep instead of bronchoscopy. So we report this case with a review of literatures.
임상철,장일권,임성철,박경옥 대한기관식도과학회 1998 大韓氣管食道科學會誌 Vol.4 No.1
Relapsing polychondritis is a rare disesase involving any cartilaginous structure of entire body and is characterized by recurrent episode of inflammation and degeneration of cartilage and most commonly involve ear, nose, larynx, trachea, ribs, Eustachian tube, etc. Its signs and symptoms are recurrent swelling of auricle, saddle nose deformity, polyarthralgia, hoarseness and dyspnea, audiovestibular disturbance and cardiovascular abnormality, etc. Characteristic histologic findings are loss of normal basophilic staining of cartilage, perichondrial inflammatory infiltration with plamsa cells, lymphocytes and neutrophils, and finality, destruction of cartilage and replacement with scar tissue. Our case had saddle nose deformity, arthralgia, tracheal collapse, hearig loss and positive histologic finding but no auricular perichnodritis. Her major problem was airway. obstruction due to tracheal collapse. This case was diagnosed with relapsing polychondritis according to the Damiani's criteria. This case indicates that any patients complaining of airway obstruction have to be examined systemically.