• Journal of Chest Surgery
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• 제26권8호
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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.

• 대한기관식도과학회지
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• 제16권2호
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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.

• 한국산업융합학회 논문집
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• 제22권2호
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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.

• 대한기관식도과학회지
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• 제13권2호
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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.

• 대한기관식도과학회:학술대회논문집
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• 대한기관식도과학회 1981년도 제15차 학술대회연제순서 및 초록
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• pp.4.3-5
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• 1981

최근 병원 각과에 있어서 기관내 삽관 혹은 기관절개에 의한 장기간에 걸친 호흡관리 증례가 증가하고있다. 이는 장기간의 호흡관리상의 문제점으로서 삽관 그 자체 혹은 Cuff에 의한 조직손상으로 후두 및 기관에 협착을 일으키게 하고 있다는 것은 주지의 사실이다. Meclelland는 기관절개를 받은 389례중 14례(3.6%)가 기관삽관발거곤란증을 일으켰고, 우리나라에서도 홍등은 기관절개를 받은 1514례중 23례(1.5%)가 기관협착을 일으켰다고 보고하고 있다. 교통사고와 산업재해등에 의한 후두 및 기관손상도 증가의 경향을 보이고 있다. 이러한 후두 및 기관손상에 의한 협착에 대하여 과거 여러가지 요법이 있었다. 즉 보존적 치료법과 수술적 치료법으로 나눌 수 있는데 최근에 주목되고 있는 Silicone T-tube은 기도를 적절히 유지하고 재건한 기관을 지탱하여 주기 위해서 고안된 것이다. 최근에 저자들은 2례의 후두 및 기관외상 환자와 9개월 간의 기관 Cannula 발거곤란증 1례에 대하여 Silicone T-tube를 사용하며 좋은 결과를 얻었기에 문헌적 고찰과 함께 보고하는 바이다.

• 대한기계학회논문집A
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• 제32권11호
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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.

• Journal of Mechanical Science and Technology
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• 제20권5호
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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.

• 대한설비공학회지:설비저널
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• 제10권3호
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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 $D_p=150({\mu})$.

• 대한기관식도과학회지
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• 제5권2호
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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.

• 한국소성가공학회:학술대회논문집
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• 한국소성가공학회 2007년도 춘계학술대회 논문집
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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.