경비강 접근법으로 조대술을 시행한 비구개관낭 2예

박찬흠,이정우,이준호,홍석민 대한이비인후과학회 2012 대한이비인후과학회지 두경부외과학 Vol.55 No.4

Nasopalatine duct cyst is a common cystic lesion of nonodontogenic origin of the maxilla. Diagnosis was made on the basis of physical examination and radiological findings. Generally, the treatment of choice for nasopalatine duct cyst is the enucleation of the cystic tissue. Recently, we performed marsupialization via trans-nasal approach in two cases. Both patients exhibited no evidence of recurrence and showed good results. Thus, we report two cases of nasopalatine duct cysts with a literature review.

소아 비골 환자에서 폐쇄골절 교정술 후 결과의 임상적, 방사선학적 분석

박찬흠,김덕영,전진형,정기남,홍성주,김흥철,남의철 대한이비인후과학회 2005 대한이비인후과학회지 두경부외과학 Vol.48 No.1

Background and Objectives:It has generally been accepted that closed reduction is the management of nasal fracture in children. But proper management is still confusing and clinical and adiological evaluation about long term results have yet to be determined. The purpose of this study is to determine which closed reduction method for nasal bone fractures in children is effective when considering clinical and radiological aspects. Materials and Method:We analysed the medical records of 35 children with nasal bone fractures up to the age of 15, who were operated by closed reduction between 2000 and 2002. We evaluated postoperative satisfaction of doctors and patients and postoperative CT scan score (Motomura et al 2001) of 14 children over more than at least 2 postoperative years. Results:A peak incidence ages ranged from 13 to 15 years. The most frequent cause was sports injuries. The degree of postoperative satisfaction and postoperative CT scan score was favorable. Conclusion:In management of nasal fracture in children, closed reduction is effective and satisfactory when clinical and radiological aspects are considered. (Korean J Otolaryngol 2005;48:34-9)

엉겅퀴와 흰민들레 혼합 투여에 의한 급성 알코올성 간손상과 위염 억제효과

박찬흠,김동휘,Takako Yokozawa,신유수 한국약용작물학회 2018 한국약용작물학술대회 발표집 Vol.2018 No.10

Background : Excess alcohol consumption can lead to alcoholic liver damage and gastritis. Korean thistle (Cirsium japonicum var. maackii) has been reported that it’s administration protective from liver from lipid accumulation and toxicity. Also, Korean dandelion (Taraxacum coreanum Nakai) has been traditionally used for treating various inflammation-related diseases including ethanol-induced gastritis. In this study, we aimed to determine whether the combination treatment of Korean thistle and Korean dandelion could regulate alcoholic liver damage and gastritis in mice. Methods and Results : Seven-week-old mice were treated with ethanol (5 g/㎏ of body weight) by gavage every 12 h for a total of three doses to induce acute liver damage and gastritis. Ethanol extract of Korean thistle, Korean dandelion or combination was gavaged simultaneously with ethanol for three doses. The results showed that the combination treatment of Korean thistle and Korean dandelion significantly inhibited alcohol-induced increase of serum alanine transaminase and aspartate transaminase levels, liver weight, and hepatic caspase-3 expressions. Hepatic histopathological changes induced by alcohol were also remarkably improved by the combination treatment. The combination treatment inhibited alcohol-induced Morphological changes of gastritis and attenuated the expressions of pro-inflammatory protein, such as inducible nitric oxide synthase. Conclusion : The results of our study suggest that the combination treatment of Korean thistle and dandelion may simultaneously alleviate acute alcohol-induced gastritis and liver damage.

인체의 융비술에 사용된 Gore-Tex ? 조직학적 변화

박찬흠,김덕영,주형로,전진형,최영희,허원실,문형진,정동학 대한이비인후과학회 2005 대한이비인후과학회지 두경부외과학 Vol.48 No.2

Background and Objectives:tological changes have been caried out only in animal models. The purpose of this study is to investigate histological changes of Gore-Tex used in nasal augmentation in human. Subjects and Methods:Gore-Tex of 24 patients who underwent nasal aug-mentation using Gore-Tex (non-reinforced shets) 2- 36 months ago and had re-operated for the sole cosmetic problems was obtained. Histologic examination was performed from specimens including Gore-Tex and the surounding soft tisue with light Results:Histologically, connective tisue ingrowth was observed in all specimen. But the degree of foreign body reaction and colagen deposit varied from specimen to specimen and had no relationship with the dura-tion. Neovascularization was observed from specimen whose duration was longer than 12 months and degenerative calcification was observed from 36 month old specimen. Conclusion:Unlike the findings of previous reports, individual diferences and an implant to be used in human.

개방성 비골 골절의 치료

박찬흠 대한비과학회 2005 Journal of rhinology Vol.12 No.2

비중격 확장 이식편(Septal Extension Grafts)을 이용한비첨부 성형술

박찬흠,이수옥,홍석중 대한이비인후과학회 2005 대한이비인후과학회지 두경부외과학 Vol.48 No.10

Background and Objectives:Nasal tip plasty is one of the most important and difficult part of rhinoplasty. Controlling the projection, shape and rotation of nasal tip is a difficult procedure especially in Asians who have a thick skin and weak cartilages. The purpose of our study is to investigate the usefulness of septal extension graft (SEG) in controlling the tip shape. Subjects and Method:We retrospectively studied 20 patients who underwent rhinoplasty including tip surgery with SEG. Five patients were operated by transcolumellar open approach and 15 patients by intranasal approach. Columellar strut was used together with SEG in all patients to control the tip projection. The result of surgery was evaluated by comparing nasal measurements on photographs taken preoperatively and postoperatively. Doctors and patients satisfaction were investigated after minimal 6 months later using visual analogue scale. All results were statistically tested. Results:The increment of tip projection was 10% in males and 5% in females and the increment of nasolabial angle were 4.4°in males and 8.1°in females. Most of the patients showed prominent tip projection and good cosmetic results. However, some patients complained indurations of upper caudal septum. Conclusion:SEGs are a reliable method of controlling tip projection and rotation in patients who need prominent tip projection

후 이개부 진피 지방을 이용한 비성형술

박찬흠 대한비과학회 2005 Journal of rhinology Vol.12 No.1

구개편도 호지킨스 림프종 1예

박찬흠,정기남,최경찬,송헌호 대한이비인후과학회 2005 대한이비인후과학회지 두경부외과학 Vol.48 No.10

Most lymphoma occurs within the lymph node. A small portion of the lymphoma can have extranodal involvements such as the oral cavity, oropharynx, nasopharynx, paranasal sinuses, and larynx, etc. Especially, Hodgkins lymphoma with primary manifestation in the palatine tonsil is an extremely rare entity and seldom documented in the literature. Recently, we experienced a case of palatine tonsil mass as a first symptom of Hodgkins lymphoma. The patient underwent a surgical excision and radiotherapy. The authors report the first case of Hodgkins lymphoma of the palatine tonsil in Korea with a review of literature.

진균성 부비동염이 합병된 구강 상악동 누공 1예

박찬흠 대한비과학회 2007 Journal of rhinology Vol.14 No.1

새집증후군이 비점막과 비증상에 미치는 영향

박찬흠,고영길,이준호,홍석민,이정우 대한이비인후과학회 2011 대한이비인후과학회지 두경부외과학 Vol.54 No.4

Background and Objectives Concerns about the quality of indoor air have increased recently. However, there has not been any significant research conducted concerning the patterns of histologic and organic changes induced in humans by indoor air pollution. The aim of the study is to investigate the organic changes of nasal mucosa and nasal symptoms due to exposed concentrations of indoor air pollution. Subjects and Method We studied fourteen people from four families, all of whom had plans to move into new apartments. We measured the quantities of indoor air pollution before their move, one week after moving in, and then one month after the move. Other clinical tests such as an acoustic rhinometry, olfactory tests and nasal smears were performed. Results Mean concentrations of Total Volatile Organic Chemicals (TVOCs) and aldehydes showed an increase after moving into the new apartments. Post-move acoustic rhinometry, Connecticut Chemosensory Clinical Research Center (CCCRC) test and endoscopic findings showed a decrease in nasal function and patency. Additionally, in nasal smears, eosinophils with bilobulated nuclei were observed, and eosinophil count showed a pattern of increase. Conclusion High concentrations of indoor air pollutants could induce organic changes of the nasal cavities and cause the recession of olfactory function. Due to indoor air pollutants, hypersensitivity of nasal mucosa was induced, and histological changes of nasal mucosa as well as hematological changes were observed. These indicate that indoor air pollution impinges on the nasal mucosa and cause nasal symptoms.