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골미전두동염의 합병증으로 발생한 상부 안와 골막하 농양 1예
노웅재,한정욱,김영호,권재환 대한이비인후과학회 부산,울산,경남 지부회 2011 임상이비인후과 Vol.22 No.1
Subperiosteal orbital abscess is one of common complications of sinusitis and can lead to exopthalmosis, diplopia or visual loss if not treated. Usually this abscess is occurred medial or inferior side of the orbital compartment due to the ethmoid or maxillary sinusitis, while orbital abscess which is located superiorly of the orbit is rare. We report our experience with subperiosteal abscess, located superiorly to the orbital compartments with orbital roof erosion, which is successfully treated by endoscopic transnasal and external approach.
외상성 시신경병증 환자에서 비내시경을 이용한 시신경 감압술 2예
노웅재,문정환,정태영,권재환 대한이비인후과학회 2010 대한이비인후과학회지 두경부외과학 Vol.53 No.4
Traumatic optic neuropathy is a complication resulting from facial trauma, with an incidence of 2% to 5%. The most widely accepted treatments include observation, high dose steroid, surgical decompression and combination therapy of steroid and surgical treatment. However, there has been no established mode of treatment and there are still debates about what the best treatment should be for the patients with optic canal fracture. We experienced two cases of traumatic optic neuropathies due to intracanalicular fracture of the optic canal after trauma. Surgical decompression was performed using an endoscope int-ranasally one day after injury as required for minimal invasive surgery. We report the results and progression of these two cases. Korean J Otorhinolaryngol-Head Neck Surg 2010;53:232-5
노웅재,박태정,권재환,문정환 대한이비인후과학회 2011 대한이비인후과학회지 두경부외과학 Vol.54 No.8
Ocular symptoms related to orbital fracture occur immediately after the fracture in most cases. However, authors experienced a delayed onset diplopia occurred 16 months after orbital floor fracture. A 19-year-old man, who had right orbital floor fracture 16 months ago, presented with diplopia of upward gaze. At the time of the fracture, no surgery was performed because the fracture was minimal and there were no particular symptoms. Physical examinations revealed a minor ocular motility restriction of upward gaze, but orbital floor showed no definite interval change on computed tomography. Severe adhesion between the orbital fat tissue and orbital floor was noted intraoperatively and the adhesion was dissected. After the operation, the patient showed remarkable improvement in diplopia and restriction of the ocular motility.
비정형 결핵성 림프절염의 악화로 오인된 경동맥 가성동맥류 1예
노웅재(Woong Jae Noh),이형신(Hyoung Shin Lee),김성원(Sung won Kim),이강대(Kang Dae Lee) 대한두경부종양학회 2017 대한두경부 종양학회지 Vol.33 No.1
경동맥에서 발생하는 가성동맥류는 비교적 드문 질환으로 주로 외상, 감염, 수술의 합병증 또는 방사선치료 후에 합병증으로 발생할 수 있다. 비정형 결핵성 림프절염에 의한 경동맥 가성동맥류는 거의 보고된 바 없으며 따라서 비정형 결핵성 림프절염이 동반된 환자에서는 급성악화에 의한 농양형성으로 오인될 수 있다. 비정형 결핵성 림프절염으로 치료중인 81세 남자 환자에서 이러한 경험을 하였기에 문헌고찰과 함께 보고하고자 한다. An 81 year-old male patient presented with rapid enlargement of left lateral neck mass, diagnosed two months earlier as cervical nontuberculous mycobacterial lymphadenitis. Abscess formation and impending rupture related to aggravation of nontuberculous mycobacterial lymphadenitis was highly suspected. Unexpectedly, blood flow was detected by Doppler ultrasonography, which indicated possible vascular mass. Computed tomography demonstrated a 6.0 cm x 4.0 cm sized enhancing mass consistent with pseudoaneurysm of internal carotid artery. The patient underwent pseudoaneurysmectomy. Surgical drainage without adequate evaluation might have led to potentially life-threatening condition. We describe this rare case with importance of imaging screening in a neck mass.
한정욱,노웅재,박태정,김보영 대한이비인후과학회 2011 대한이비인후과학회지 두경부외과학 Vol.54 No.3
Vogt-Koyanagi-Harada (VKH) syndrome is an uncommon multisystem autoimmune disease affecting the melanocytes located in the uvea, inner ear, skin, hair, and meninges. The syndrome is frequently reported by ophthalmologists since the most consistent finding is uveitis. Hearing loss, tinnitus and vertigo are the symptoms of VKH syndrome. The authors report one case of VKH syndrome with hearing loss and vertigo with related literature.
이하선관 손상으로 인한 지연성 타액누공의 복재정맥 이식을 통한 재건술 1예
장성욱,노웅재,이형신,김성원 대한이비인후과학회 부산,울산,경남 지부회 2015 임상이비인후과 Vol.26 No.2
Sharp lacerations of buccal region of the face can make multiple complications because of it’s complex anatomy, such as parotid duct, buccal branch of the facial nerve, transverse facial artery, that lies within. If the parotid gland is injured, sialocele or salivary fistula may occur, and when treatment is delayed, it can be hard to manage. In this case, we report the treatment of delayed salivary fistula that is resulted from the laceration injury on Stensen’s duct using the saphenous vein graft for reconstruction.
TnR Nasal Mesh®를 이용한 내시경적 안와내벽외향골절 정복술 2예
박근우,배교한,노웅재,정태영 대한이비인후과학회 부산,울산,경남 지부회 2020 임상이비인후과 Vol.31 No.2
Orbital blow out fractures can cause functional and cosmetic problems by prolapse or entrapment of the orbital tissue. Surgical intervention is performed to prevent limitation of gaze, diplopia and cosmetic disturbance. Implant material is used to support prolapsed orbital tissue. Implant material should be selected in consideration of multiple conditions. In this study the experiences with a new surgical material for reduction of orbital blow out fracture are presented. This report suggests TNR Nasal Mesh® can be new option for reduction of orbital blow out fracture.
김민준,김정석,노웅재,박태정,Kim, Min Joon,Kim, Jung Suk,Noh, Woong Jae,Park, Tai Jung 대한두경부종양학회 2018 대한두경부 종양학회지 Vol.34 No.1
Brachial plexus schwannomas are rare tumors. They are benign nerve sheath tumors and only about 5% of Schwannoma arise from the brachial plexus. Due to its rarity and complex anatomical location they can pose a formidable challenge to surgeons. We present a case of a young patient who presented with an supraclavicular swelling three months, that were proven to be schwannoma on histopathology.
수술 후 안구함몰을 보인 안와 외향골절 환자에서 내시경과 티타늄을 심은 다공성 폴리에틸렌을 이용한 안와성형술 1예
위재운,정태영,노웅재,권재환 대한이비인후과학회 2009 대한이비인후과학회지 두경부외과학 Vol.52 No.11
Enophthalmos means displacement of the globe into the bony orbit backward, and usually downward. In post-traumatic enophthalmos, the mechanisms that determine the globe position can be the enlargement of the orbital cavity, the herniation of orbital fat into the maxillary sinus, fat atrophy, loss of ligament support, and scar contracture. It can be reconstructed through several approaches such as transconjunctival, canthotomy, lower eye lid, coronal approach, and by using bone, cartilage, and alloplastic materials. The authors report a case of postoperative enophthalmos reconstructed through subciliary and transnasal endoscopic approaches using porous polyethylene with embedded titanium.
김석,김민준,정태영,노웅재 대한이비인후과학회 부산,울산,경남 지부회 2017 임상이비인후과 Vol.28 No.1
Herpes zoster oticus is a peripheral neuropathy mainly characterized by facial paralysis accompanied by an erythematous vesicular rash of the auricular skin. In patient of herpes zoster oticus, reactivation of varicella zoster virus invades geniculate ganglion, then the virus injures the sensory nerves innervating the ear and facial nerve. Varicella zoster virus can infect multiple cranial nerves and other sites such as mucous membrane of the tongue, palate, pharynx and larynx in the head and neck region, however herpetic laryngitis is rare. Especially, Herpes zoster oticus concomitant with herpetic laryngitis is extremely rare. The authors experienced a case of herpes zoster oticus concomitant with herpetic laryngitis in a 57-year-old woman. Herein, we report the case with a review of the literature.