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"Injection"

Case Report

[English]
An Experience of Treatment of Solitary Bone Cyst with Topical Injection of Steroid: One Case
Ki Hong Choi, Chung Nam Kang, Jin Man Wang, Kwon Jae Rho, Kwang Sug Sim
Ihwa Ŭidae chi 1985;8(4):187-190.   Published online July 24, 2015
DOI: https://doi.org/10.12771/emj.1985.8.4.187

There are many methods for treatment of solitary bone cyst. But the recurrence rate was relatively high and beside, serious complications may be followed. Recently, simple topical of steroid into cyst was contrived and the result was know as same or even better than surgical management. A patient of solitary bone cyst who had been failed two times by surgical intervention was treated with topical steroid injection for several times. Two years following up, the result was good. No evidence of recurrency was seen and was shown good healing process

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Original Article

[English]
Effect of Injection Speed of Local Anesthetic on Hypotension during Spinal Anesthesia for Cesarean Section
Yong In Kang, Eun Chi Bang, Dong-Wook Shin, Dae Eun Kweon, Su Yeon Kim, Hyun Sook Lee, Kyung Sook Cho, Su Yeon Lee
Ewha Med J 2012;35(2):83-88.   Published online September 30, 2012
DOI: https://doi.org/10.12771/emj.2012.35.2.83
Objectives

Maternal hypotension is a common problem during cesarean section under spinal anesthesia. We evaluated the influence of injection speed of local anesthetic to subarachnoid space on maternal hypotension and level of sensory block.

Methods

Bupivacaine (0.5%) 9 mg with fentanyl 10 µg was injected to subarachnoid space either quickly (during 20 seconds, 0.1 mL/sec, n=20) or slowly (during 100 seconds, 0.02 mL/sec, n=20) in parturients scheduled for elective cesarean section. The onset and level of sensory block was checked and heart rate and blood pressure was checked by 2.5 minutes during 20 minutes. Hypotension (systolic blood pressure <100 mmHg or <70% of baseline) was treated with ephedrine.

Results

Hypotension occurred 70% of parturients with spinal anesthesia. Slow injection didn't influence on the onset and level of sensory block and didn't reduce the incidence of hypotension. But onset of hypotension was delayed.

Conclusion

Slow injection (during 100 seconds, 0.02 mL/sec) of local anesthetic delayed onset of hypotension and required less amount of ephedrine. Slow injection of local anesthetic was one of the effective methods for the cardiovascular stability during cesarean section under spinal anesthesia.

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Review Article

[English]
Review of Injection Laryngoplasty as Treatment of Voice Disorders
Sung Min Chung, Han Su Kim, Hae Sang Park
Ewha Med J 2011;34(2):13-18.   Published online September 30, 2011
DOI: https://doi.org/10.12771/emj.2011.34.2.13

In the past decade, vocal fold injection (VFI) has re-emerged as a valuable treatment modality for a variety of laryngeal disorders. It offers many advantages for the treatment of glottal insufficiency. It can avoid surgical scar and is easily performed with local anesthesia. In this article, we describe the indication of injection laryngoplasty, variable injection materials and discuss about vocal fold injection approaches.

Citations

Citations to this article as recorded by  
  • Complications of Injection Laryngoplasty
    Dong-Hyun Kim, Wonjae Cha
    Korean Journal of Otorhinolaryngology-Head and Neck Surgery.2024; 67(5): 263.     CrossRef
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  • 1 Crossref
Original Articles
[English]
A Case of Gastric Submucosal Hematoma after Epinephrine Submucosal Injection
Mi Kyung Sung, Seong Yong Woo, Byeong Ho Lee, Sung Bae An, Jang Wook Lee, Hyun Jong Oh, Suk Joon Park
Ihwa Ŭidae chi 2011;34(1):15-18.   Published online March 31, 2011
DOI: https://doi.org/10.12771/emj.2011.34.1.15

With increase of endoscopy, physical trauma including endoscopic procedure can develop gastric submucosal hematoma. Symptoms are usually abdominal pain, vomiting, fever and bloody stool due to upper GI tract obstruction and complications like intestinal obstruction or peritonitis. Diagnosis is usually made by CT, trans-esophageal sonogram and patients with no intestinal obstruction or peritonitis complications and good general condition usually recover with only conservative treatment. Authors have experienced submucosal hematoma developed after submucosal epinephrine injection with intent to uplift distal lesion in gastric polypectomy and improved with conservative treatment.

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[English]
The Piriformis Syndrome: A Case Report and Review of the Literatures
Kyu Man Shin, Do Sang Cho, Myung-Hyun Kim
Ihwa Ŭidae chi 2008;31(1):21-24.   Published online June 30, 2008
DOI: https://doi.org/10.12771/emj.2008.31.1.21
Objectives

The piriformis syndrome appears to be more common because it is often underdiagnosed and undertreated. This syndrome is caused by compression or irritation of the sciatic nerve by the piriformis muscle as it passes through the sciatic notch. This entrapment neuropathy presents as pain, numbness, paresthesias, and associated weakness in the distribution of the sciatic nerve. In this article. we present the clinical symptoms, anatomy of the piriformis muscle, and the technique and result of the injection therapy with local anesthetics and steroid.

Materials and Methods

A 72-year-old woman presented with 7 days history of severe pain in the right buttock, hip, numbness of the right thigh. Previous management had included non-steroidal anti-inflammatory drug and physical therapy in local orthopedic clinic. Her past medical history was unremarkable. Her right side buttock was tender and discomfort was increased by right hip flexion, adduction and internal rotation with pain radiating to the anterior thigh. The her leg lenghts were equal, the strenght of right hip abductors and abduction was normal. Also low back range of motion and neurological examination were normal. Radiographs of the lumbosacral spine, pelvis and the hip joint were unremarkable. The she didn't respond to conservative treatment including physcal theraphy combined with the use antiimflammatory drugs, analgesics and muscle relaxants.

Results

One week later she received an injection of 0.5% mepibacaine HCI 8cc and methyl-predanisolone(Depomedrol) 40mg into the medal right piriformis muscle. She reported that the 3 days after the injection, her right buttock pain had resolved and 7 days after the injection the pain resolved completely and she resumed normal activities and continued pain free.

Conclusion

We reviewed the literature on piriformis syndrome and its signs, symptoms and treat-ments. In an isolated piriforms syndrome, the major finding include buttock tenderness from the sacrum to the greater trochanter, piriformis tenderness on rectal or vaginal examination. The patient with piriformis syndrome usually does not have neurologic deficits Through complete history, physical and neurologic examinations, the other causes of low back pain and sciatica should be eliminated. Patients who do not respond to conservative therapy are candidates for local anesthetics and steroid injection. We injected methyl prednisolone 40mg and 0.5% mepibacaine HCl 8cc into the medial right piriformis muscle. 3 days after injection, her pains of right buttock and trochanter had resolved and 7 days after the injection, she resumed normal activites and consumed free. In order to improve the reliability of proper needle placement and allow for definite and treatment, EMG-assisted or MRI guidance may utilize.

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[English]
Therapeutic Evaluation for Intralesional Injection of Bleomycin Hydrochloride in Warts
Min-Jung Kang, Yeon-Soon Lim, Hae-Young Choi, Ki-Bum Myung
Ihwa Ŭidae chi 1999;22(2):115-122.   Published online June 30, 1999
DOI: https://doi.org/10.12771/emj.1999.22.2.115

No abstract available.

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