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치료 전 시행된 기관절개술이 진행된 후두암에 미치는 영향
송찬일,한주희,최승호,김상윤,남순열,Song, Chan-Il,Han, Ju-Hee,Choi, Seung-Ho,Kim, Sang-Yoon,Nam, Soon-Yuhl 대한기관식도과학회 2009 大韓氣管食道科學會誌 Vol.15 No.2
Background and Objectives : Obstructive laryngeal cancers have to be managed with tracheostomy, which has been reported with increased local or stomal recurrence. Stomal recurrence after treatment of laryngeal cancer is one of the most serious issues in the management of laryngeal cancer. Prognosis of locally advanced laryngeal cancer in patients with previous tracheostomy is evaluated. Materials and Methods : Between 1996 and 2007, 174 patients with previously untreated advanced laryngeal cancer(stage III, IV) were enrolled. Overall survival(OS) and disease specific survival(DSS) according to the presence of previous tracheostomy were compared. OS and DSS of the groups with different duration from tracheostomy to treatment were compared. Results : Among 174 patients with advanced laryngeal cancer, previous tracheostomy was performed in 24 patients. Of 24 patients, there were stomal recurrences in 5 patients. DSS of previous tracheostomy group and that of the other group were statistically different(p=0.001). There was statistical significant difference between OS of groups which start treatment more than 14 days after tracheostomy and within 14 days(p=0.03). Conclusions : If possible, Previous tracheostomy should be avoided and if it is inevitable, the elective treatment should be recommended at least within 2 weeks.
미만성 파급 양상을 보이는 뇌교각 수막종 제거를 위해 시행된 경미로, 측두하와, 후두하 복합접근술 1예
정연수(Yeonsu Jeong),박영민(Young Min Park),송찬일(Chan Il Song),홍창기(Chang Ki Hong) 대한두개저학회 2021 대한두개저학회지 Vol.16 No.1
Meningioma is a slow growing tumor that mainly originates from the intracranial region, but rarely occurs at extracranial region. Once the extracranial meningioma shows diffuse and extensive involvement along the cranial nerves, surgical extirpation of the tumor becomes extremely difficult, and surgical morbidity often follows. We present a single case of en plaque meningioma extended to temporal area and parapharyngeal space, and reviewed the surgical technique for manipulation of facial nerve and postoperative cranial nerve palsy.
전정수도관 확장 증후군 환자에서 발견된 내림프낭 종양 1예
이유진(Yujin Lee),신수진(Su-Jin Shin),유지환(Ji Hwan Yoo),송찬일(Chan Il Song) 대한두개저학회 2023 대한두개저학회지 Vol.18 No.1
An endolymphatic sac tumor (ELST) is a tumor of neuroectodermal origin. Although several cases have been reported in Korea, it is known to be very rare. Clinically, it grows slowly but shows an aggressive pattern accompanied by bone destruction pathologically. As the tumor grows, it shows symptoms due to endolymphatic hydrops such as hearing loss, tinnitus, and dizziness. In this paper, we report a case in which an ELST was found in a patient suffering from profound sensorineural hearing loss, tinnitus, and dizziness, who turned out to be an enlarged vestibular aqueduct syn-drome.