• Title/Summary/Keyword: T-tube

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A technique for insertion of a long T-tube in tracheal stenosis (기관 협착에서 Long T-tube의 삽입 방법)

  • 백만종
    • Journal of Chest Surgery
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    • v.26 no.8
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    • pp.664-666
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    • 1993
  • A technique for insertion of a long silicone T-tube in patient with critical stenosis and high-risk resection and primary anastomosis of long segment of the distal trachea is presented. It was not easy to insert a long T-tube by existing methods because of flexibility of a T-tube and tightness of stenosis. So we used a silastic endotracheal tube and guiding wire as stylet of a T-tube. During insertion, ventilation was normally maintained through the lumen of endotracheal tube. This provided rapid relief from airway obstruction and asphyxation and is a easy, safe and effective method to restore patency of the major airways.

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Custom-Made T-Tube Designed by 3-D Reconstruction Technique, a Preliminary Study (삼차원 재건 기술을 이용한 맞춤형 몽고메리 T-Tube의 제작에 관한 예비 연구)

  • Yoo, Young-Sam
    • Korean Journal of Bronchoesophagology
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    • v.16 no.2
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    • pp.131-137
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    • 2010
  • Background: Montgomery T-tube is widely used to maintain airway in many cases. Market-available tubes are not always fit to the trachea of each patient and need some modification such as trimming. Complications do happen in prolonged use like tracheostomy tubes. To overcome above limitations, we designed custom-made T-tube using CT data with the aid of 3D reconstruction software. Material and Method: Boundaries were extracted from neck CT data of normal person and processed by surface rendering methods. Real laryngotracheal model and tracheal inner surface-mimicking tube model were made with plaster and rubber. The main tube was designed by accumulation of circles or simple closed curves made from boundaries. Stomal tube was made by accumulation of squares due to limitation of software. Measurement data of tracheal lumen were used to custom-made T-tubes. Tracheal lumen residing portion (vertical limb) was made like circular cylinder or simple closed curved cylinder. Stomal portion (horizontal limb) was designed like square cylinder. Results: Custom made T-tube with cylindric vertical limb and horizontal limb of square cylinder was designed. Conclusion: CT data was helpful in making custom made T-tube with 3D reconstruction technique. If suitable materials are available, commercial T-tube can be printed out from 3D printers.

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A numerical study on the flow characteristics and condensed water inflow in the Venturi tube with T-branch tube (T-분지관이 부착된 벤튜리관의 유동특성과 응축수 유입에 대한 수치해석 연구)

  • Kim, S.I.;Park, S.H.;Hwang, J.G.
    • Journal of the Korean Society of Industry Convergence
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    • v.22 no.2
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    • pp.173-181
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    • 2019
  • This study was carried out numerically to investigate the flow characteristics in the Venturi tube with $90^{\circ}$ T-branch tube and the inflow of condensed water into the Venturi tube from the branch tube. In this study, the diameter of the branch tube(1, 2, 3mm) and the neck diameter of the Venturi tube(0.3, 0.9, 1.5mm) were varied. The flow rate of the water at the Venturi tube inlet is 80cc/min and the water temperature is 288K. The condensed water temperature at the branch tube inlet is 355K. It was found that the velocity and pressure of the fluid near the branch point in the Venturi tube were more dependent on the diameter of the Venturi tube than the diameter of the branch tube. The temperature of the mixed water at the exit of the Venturi tube was the highest when the Venturi tube's neck diameter is 0.9mm and the branch tube diameter is 2mm. This means that the condensed water is flowing well through the branch tube.

The Management Effect of Silicone Tracheal T-tube Insertion in Tracheal Stenosis after Tracheostomy (기관절개술 후 발생한 기도 협착에서 실리콘 기관 T tube 삽입술의 치료 효과)

  • Cho, Sung-Roon;Lee, Yong-Man;Oh, Cheon-Rwan
    • Korean Journal of Bronchoesophagology
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    • v.13 no.2
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    • pp.40-44
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    • 2007
  • Background and Objectives: Most of tracheal stenosis is resulted from longstanding endotracheal tube insertion. Treatments of tracheal stenosis are divided conservative and reconstructive treatment. The propose of this study was to evaluate the effect of prosthetic tracheal T-tube insertion on tracheal stenostic patients who can not be operated invasive surgery. Subjects and Method : Nine prosthetic tracheal T-tube insertion were studied from 9 patients from January 2002 to April 2007. The effect of silastic T-tube was analyzed according to the factors that were respiratory difficulty, oxygen saturation, phonation, aspiration and significant complications. Results: Four patients were good for respiration and no complication. But five patients occur various complications. A successful group did not have cartilagenous lesions but failed group had catilagenous lesions, infection and necrosis. Conclusion: A silastic T-tube insertion was good for palliative treatment in patients without catilagenous lesions.

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Treatment of Tracheal Stenosis Using Silicone T-tube (기관협착증에 대한 Silicone T-tube의 치료경험)

  • 이종원;정종진;조용범
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1981.05a
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    • pp.4.3-5
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    • 1981
  • The Silicone tracheal T-tube was designed to maintain an adequate tracheal airway as well as to provide support in the stenotic reconstituted or reconstructed trachea. This report is our experiences with using silicone T-tube which were successfully used to two cases with extensive laryngotracheal trauma, and one case with decannulation difficulty for 9 months. Authors strongly believe that silicone T-tube is an excellent device out of consideration for our experienced cases, though many techniques have been applied for the treatments of tracheal problems.

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A Study on the Characteristics of Aluminum Tube Hydroformed Products (알루미늄 튜브를 이용한 액압성형품 특성연구)

  • Yi, Hyae-Kyung;Lee, Gun-Yeop;Lee, Sung-Mun;Lee, Young-Seon;Moon, Young-Hoon
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.32 no.11
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    • pp.1010-1015
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    • 2008
  • In this study, the characteristics of aluminum tube hydroformed products at different extrusion type and heat treatment conditions were investigated. For the investigation, as-extruded, full annealed and T6-treated Al 6061 tubes at different extrusion type were prepared. To evaluate the hydroformability, free bulge test was performed at room temperature to $300^{\circ}C$. Also mechanical properties of hydroformed products at various pre- and post-heat treatments were estimated by hexagonal prototype hydroforming test at $250^{\circ}C$. And the tensile test specimens were obtained from hexagonal prototype hydroformed tube. As a results, hydroformability of full annealed tube is $5{\sim}8%$ higher than that of extruded and T6-treated tube. The tensile strength and elongation of T6-post heat treated indirect extrusion tube were more than 330MPa and 12%, respectively. However, T6 pre treated hydroformed product represents high strength, 330MPa and low elongation, 8%. Therefore, Hydroformability of Al6061 tube showed similar value for both extrusion types. However flow stress of direct tube showed $20{\sim}50MPa$ lower value than indirect tube.

Effect of Flow Direction on Two-Phase Flow Distribution of Refrigerants at a T-Junction

  • Tae Sang-Jin;Cho Keum-Nam
    • Journal of Mechanical Science and Technology
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    • v.20 no.5
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    • pp.717-727
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    • 2006
  • The present study experimentally investigated the effect of flow direction and other flow parameters on two-phase flow distribution of refrigerants at a T-junction, and also suggested a prediction model for refrigerant in a T-junction by modifying previous model for air-water flow. R-22, R-134a, and R-410A were used as test refrigerants. As geometric parameters, the direction of the inlet or branch tube and the tube diameter ratio of branch to inlet tube were chosen. The measured data were compared with the values predicted by the models developed for air-water or steam-water mixture in the literature. We propose a modified model for application to the reduced T-junction and vertical tube orientation. Among the geometric parameters, the branch tube direction showed the biggest sensitivity to the mass flow rate ratio for the gas phase, while the inlet quality showed the biggest sensitivity to the mass flow rate ratio among the inlet flow parameters.

Experimental Study on Boiling Heat Transfer of the Tubes with Sintered Metal Surface for Freon-11 (냉매의 소결금속관 표면에서의 비등 열전달에 관한 실험적 연구)

  • Park C. J.;Mun B. S.;seo J. Y.
    • The Magazine of the Society of Air-Conditioning and Refrigerating Engineers of Korea
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    • v.10 no.3
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    • pp.220-227
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    • 1981
  • The purpose of this paper is to investigate the potential ability of sintered metal tube to promote heat transfer. In the experiment for Freon - 11, the boiling heat transfer on the sintered metal tube of bronze element is investigated and compared with that of the bronze tube (bare tube) atmospheric pressure. The experimental results are obtained as follows : 1) For sintered metal tubes of bronze element with particle diameters which ranges from $79({\mu})\;to\;461({\mu})$ and bare tube, boiling characteristic curves are expressed as : a) Sintered metal tube $$q{\propto}{\Delta}T^{1.05\~1.373}$$ b) Brae tube $$q{\propto}{\Delta}T^{3.096}$$ 2) Compared with that of the bare tube at low temperature difference$({\Delta}T_{sat})$, boiling heat transfer coefficient of the sintered bronze tube are relatively high. 3) There is tendency that curves of boiling heat transfer coefficients of sintered ·bronze tube and bare tube approach each other at rather high temperature difference. It is due to the increasing rate of the former heat transfer coefficient along with temperature difference is smaller than that of the latter. 4) Referring to particle diameter, optimum condition, i. e. , maximum heat transfer coefficient is found to be at approximately 2 mm thickness of sintered layer with $D_p=150({\mu})$.

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Posterior Cricoid Split with Costal Cartilage Grafting and T-tube Stenting for Treatment of Subglottic Stenosis (성문하협착증에서 윤상연골절개 및 윤상연골 후벽 늑연골 이식술과 T-tube stenting)

  • Sohn, Jin-Ho
    • Korean Journal of Bronchoesophagology
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    • v.5 no.2
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    • pp.182-190
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    • 1999
  • OBJECTIVES : To determine the results of posterior cricoid split with costal cartilage graft in the treatment of moderate and severe subglottic stenosis in adults, and to assess the effect of T-tube as a stent in this surgery. PATIENTS AND METHODS : Four adults with moderate and severe subglottic stenosis who underwent posterior cricoid split with costal cartilage graft from 1994 to 1995. Three patients were male and one was female. All of the patients had acquired subglottic stenosis, 2 of whom had a bilateral vocal folds paralysis. The surgical procedure we used included a cricoid lamina split with costal cartilage grafting and T-tube stenting. Arytenoidectomy was a added in 2 patients with bilateral vocal folds paralysis. RESULTS : Three of the 4 patients underwent decannulation, and 1 is still undergoing treatment. 3 patients who underwent decannulation demonstrated marked improvement in their symptoms of airway obstruction and good postoperative voice quality. CONCLUSIONS : The posterior cricoidotomy lumen augmentation with costal cartilage grafting is a safe and effective technique for the treatment of moderate and severe subglottic stenosis in adults and T-tube is a good alternative stenting material for this procedure.

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Hydroformability and mechanical properties of A16061 tubes on different extrusion type (알루미늄 6061 압출재의 제조공정에 따른 온간액압성형성과 기계적 특성 연구)

  • Yi, H.K.;Jang, J.H.;Kwon, S.O.;Lee, Y.S.;Moon, Y.H.
    • Proceedings of the Korean Society for Technology of Plasticity Conference
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    • 2007.05a
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    • pp.254-257
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    • 2007
  • In this study, hydroformability and mechanical properties of pre- and post- heat treated Al6061 tubes at different extrusion type were investigated. For the investigation, as-extruded, full annealed and T6-treated Al 6061 tubes at different extrusion type were prepared. To evaluate the hydroformability, uni-axial tensile test and free bulge test were performed at room temperature and $200^{\circ}C$. Also mechanical properties of hydroformed part at various pre- and post-heat treatments were estimated by tensile test. And the tensile test specimens were obtained from hexagonal prototype hydroformed tube at $200^{\circ}C$. As for the heat treatment, hydroformability of full annealed tube is 25% higher than that of extruded tube. The tensile strength and elongation were more than 330MPa and 12%, respectively, when hydroformed part was post-T6 treated after hydroforming of pre- full annealed tube. However, hydroformed part using T6 pre treated tube represents high strength and low elongation, 8%. Therefore, the T6 treatment after hydroforming for as-extruded tube is cost-effective. Hydroformability of Al6061 tube showed similar value for both extrusion types. But flow stress of seam tube showed $20{\sim}50MPa$ lower value.

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