http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
한명월,김성태,최승호,김상윤,남순열,Han, Myung-Woul,Kim, Seong-Tae,Choi, Seung-Ho,Kim, Sang-Yoon,Nam, Soon-Yuhl 대한후두음성언어의학회 2009 대한후두음성언어의학회지 Vol.20 No.1
Background and Objectives: In patients with asthma, increased obstruction and resistance of airway result in impairment in the generation of voice. Allergy and nasal polyposis, which are frequently observed in patients with asthma, are other factors that affect the vocal performance. Bronchodilators and steroids are commonly used in the treatment of asthma, and these agents also have been reported to be associated with voice changes. The aim of this study is to evaluate the voice quality in patients with mild to-moderate asthma by subjective and objective methods. Materials and Methods: A total of 36 patients with asthma established in the Department of Respiratory Medicine were included in this study. 23 were women and 13 were men, with a mean age of 51.7 years. The average duration of asthma was 77.0 months. All patients had mild-to moderate asthma. Acoustic and aerodynamic analyses were performed and the movements of the vocal cords were examined by videolaryngostroboscopy (VLS). Voice Handicap Index (VHI) and GRABS scales were used for subjective evaluations. Results: 50% of patients suffered from dysphonia and FO was 119.3${\pm}$23.7 Hz in male and 198.2${\pm}$18.4 Hz in female patients. There were no significant differences in average shimmer and NHR between females (4.90${\pm}$2.95% ; 0.1O${\pm}$0.04 dB) and males (4.64${\pm}$2.45% ; 0.20${\pm}$0.15 dB). However, the value of jitter was greater for females (2.60${\pm}$1.92%) than for males (1.21${\pm}$0.84%). The VHI score was above the normal limit in 35%, and VLS findings were shown diverse abnormality in 89% asthmatics from mucosal change to hyperfunction of supragottis and contact granuloma. But duration of illness and steroid dose did not correlate with these findings. Conclusion: Subjective and objective abnormality was shown in more than 50% of asthmatic patients. We suggest that persons who suffer from asthma should be examined for possible voice disorders by laryngologist. Additionally, appropriate medical care and voice therapy should be provided for those who have voice disorders associated with asthma.
정재훈,한명월,노종렬,최승호,김상윤,남순열,Jung, Jae Hoon,Han, Myung Woul,Roh, Jong-Lyel,Choi, Seung-Ho,Kim, Sang Yoon,Nam, Soon Yuhl 대한기관식도과학회 2012 大韓氣管食道科學會誌 Vol.18 No.1
Carcinoma arising in a thyroglossal duct cyst is a not common disease. It is detected in approximately 1% of thyroglossal duct cyst, therefore the clinical manifestation of the patient with carcinoma is undistinguishable from the common cystic lesion. Clinically, it may be confounded with a benign lesion and diagnosed after operation. The mainstream of treatment is the Sistrunk operation, however, there is no definite agreement regarding further treatment in addition to an excision of the cyst. The role of total thyroidectomy and the radioactive iodine therapy have been discussed for adjuvant treatment. We have experienced four cases of papillary carcinoma arising in thyroglossal duct cyst. In the three of the cases, the patients underwent Sistrunk operation, while the other one had additional total thyroidectomy and postoperative radioactive iodine therapy. There was no complication in the perioperative period and no signs of recurrence or metastasis during follow-up period.
갑상선암 수술 후 재발한 경부림프절의 위치 확인에 있어서 초음파 유도하 참숯 현탁액 표식의 유용성: 예비보고
이종철,한명월,이정현,노종렬,남순열,김상윤,최승호,Lee, Jong Cheol,Han, Myung Woul,Lee, Jeong Hyun,Roh, Jong-Lyel,Nam, Soon Yuhl,Kim, Sang Yoon,Choi, Seung-Ho 대한기관식도과학회 2011 大韓氣管食道科學會誌 Vol.17 No.1
Objectives The high sensitivity of ultrasound and thyroglobulin determination for follow-up of differentiated thyroid cancer allows early detection of nonpalpable recurrences. Intraoperative localization of these small foci in previously dissected necks is a surgical challenge. We assessed the safety and effectiveness of ultrasound-guided tattooing (US-tattoo) with a charcoal suspension for localizing nonpalpable cervical recurrences after thyroidectomy for thyroid cancer. Subjects and Methods Between March 2009 and December 2010, we retrospectively reviewed 19 patients who underwent US-tattoo with injection of a charcoal suspension for recurrent thyroid papillary cancer on central neck compartment after thyroidectomy. All patients underwent the surgical dissection after US-tattoo. The complications and effectiveness of US-tattoo were evaluated. Results The technical success rate of US-tattoo for suspicious lesions was 100%. There was no complication with regard to US-tattoo. During surgery, all but one tattooed lesions were detected by surgeons. On final pathologic reports, all recurrence lesions but two cases were successfully removed. Conclusion Preoperative US-tattoo is a safe and effective method for successful reoperation of central neck compartment recurrences after thyroidectomy.
송형용,한명월,최승호,김상윤,남순열,Song, Hyoung-Yong,Han, Myung-Woul,Choi, Seung-Ho,Kim, Sang-Yoon,Nam, Soon-Yuhl 대한후두음성언어의학회 2009 대한후두음성언어의학회지 Vol.20 No.2
Background and Objectives: Recurrent respiratory papillomatosis (RRP) is difficult to treat because of its tendency to recur and spread throughout the aerodigestive tract. We aimed to estimate the effect of intralesional injections of cidofovir in patients with RRP. Materials and Method: Within the period from January 2003 to July 2007, 13 patients aged 2 to 61 years were treated with intralesional injections of cidofovir combined with surgical excision of RRP. Cidofovir was injected intralesionaly at a concentration of 5 mg/cc after complete removal of the papilloma with $CO_2$ laser or microdebrider. We evaluated the effect of intralesional cidofovir therapy by comparing pre-treatment mean interval of recurrence with post-treatment interval of recurrence. Results: Of 13 patients, two patients showed complete response during follow up period and four patients showed partial response. Seven patients did not respond to cidofovir at all. Mean pre-treatment mean interval of recurrence was 9 months and mean post-treatment interval of recurrence was 13.1 months (p=0.039). There was a statistical significance between the injected dose of cidofovir and post-treatment interval of recurrence (p=0.009). There were no local or systemic side effects caused by cidofovir. Conculsion : Intralesional injection of cidofovir seems to have a potential of a safe and effective adjuvant therapy of RRP. There was a positive correlation between the injected dose of cidofovir and patient clinical outcomes so that administration of higher doses and more frequency of injections should be needed to reduce recurrence. Further study regarding injection therapy regimen for RRP is required.
한주희,한명월,남순열,Han, Ju-Hee,Han, Myung-Woul,Nam, Soon-Yuhl 대한후두음성언어의학회 2009 대한후두음성언어의학회지 Vol.20 No.2
Vocal fold paralysis continues to be a dominant topic in laryngology. This review article discusses the management principle of patients suffering from unilateral vocal fold paralysis. There are currently some main methods ; voice therapy ; injection laryngoplasty ; laryngeal framework surgery ; reinnervation procedures.
경부 재발 갑상선 유두암 환자에서 혈청 갑상선글로불린의 임상적 의의
이하나(Ha Na Lee),한명월(Myung Woul Han),이호준(Ho Jun Lee),노종렬(Jong-Lyel Roh),남순열(Soon Yuhl Nam),김상윤(Sang Yoon Kim),최승호(Seung-Ho Choi) 대한두경부종양학회 2011 대한두경부 종양학회지 Vol.27 No.1
Background and Objectives:Serum stimulated thyroglobulin(stim Tg) was well-known for useful marker in detecting of recurrent or persistent papillary thyroid cancer after total thyroidectomy. Serum stim Tg level may be possibly related with recurrent tumor volume, but rarely studied. The purpose of this study was to ex-amine the relationship between preoperative serum stim Tg level and recurrent tumor burden and to find addi-tional clinical usefulness of stim Tg more than to detect a recurrence. Material and Methods:From January 2000 to December 2009, 40 patients who were operated due to neck recurrence of papillary thyroid cancer af-ter total thyroidectomy were enrolled. All patients had preoperative stim Tg. We compared the clinical corre-lation of stim Tg and other variables to influence the preoperative stim Tg levels. Results:Preoperative stim Tg levels weren’t correlated with site of recurrence, number of metastasis, maximal size, and presence of ex-tra-capsular spread. But considerable increase of stim Tg more than 50ng/mL was identified in recurrence of lateral neck. Patients who have higher stim Tg level after surgery tend to be have higher preoperative stim Tg level. Conclusion:stim Tg was not elevated in 7.5% of recurrent PTC patients. Thus, other diagnostic modali-ties such as US may be important for these patients. If preoperative stim Tg was more than 50ng/mL, it may sug-gest recurrence in lateral neck and have less possibility to achieve postoperative biochemical remission.
단일공 다빈치로봇을 이용하여 헤어라인 절개를 통한 일차성 부갑상선 증대증 수술 1예
장재원(Jae Won Jang),한명월(Myung Woul Han) 대한신경모니터링학회 2023 Journal of Neuromonitoring & Neurophysiology Vol.3 No.2
The da Vinci single port(SP) robotic system features a single arm design that may be particularly suitable for procedures requiring long and narrow working spaces, such as thyroidectomy. Recent advances in preoperative localization studies and the increasing demand for scarless surgery have spurred research into remote surgical techniques for parathyroid surgery. The hairline approach appears to offer the most convenient and safest access to the neck. In this paper, we share our preliminary experience with SP robotic parathyroidectomy, employing only a hairline incision, in one patient with primary hyperparathyroidism. The operation lasted 35 minutes and the console time was 15 minutes. There were no postoperative complications. The SP robot parathyroidectomy using a hairline incision is a viable and safe, providing improved surgical exposure and instrument manipulation.