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재발성 호흡기 유두종증의 임상양상과 중합효소반응을 이용한 유두종 바이러스의 검출
공수근,왕수건,이병주,고의경,전경명,안회영 대한이비인후과학회 2002 대한이비인후과학회지 두경부외과학 Vol.45 No.1
Background and Objectives:Recurrent laryngeal papillomatosis (RRP) have been divided into juvenile or aggresive forms, and adult or non-agresive forms. This study attempted to characterize these two forms of RRP in our series and to detect human papilloma virus (HPV) using polymerase chain reaction (PCR). Materials and Method:Authors reviewed the re-cords of 60 patients treated for RRP over a 16-year period from 1983 to 1999 at the Department of otolaryngology, Pusan state, number of operation, agressivenes, outcome of treatment and complications after operation. Twenty-thre parafine-mbedded tissues were selected to PCR using type-specific primer pairs. Results:1) Subglottic extension, tracheotomy, time of operation and agresivenes were more comon in juvenile form than the adult form. 2) The multiple type was also co-mon in the adult form. 3) Non-agresive and single types showed better response for treatment. 4) There are no signifi-cant differences of cure rate acording to age and treatment modality, but preoperative α-interferon therapy showed more effective in the case of compromised airway. 5) HPV type 6, 11 in 10 cases (43.5 %) were detected out of 23 cases. Most detected cases were non-improvement group. Conclusion:The significant difference of treatment results are found in com-parison betwen agresive and non-agresive forms and α-interferon may be an effective therapy for aggressive respira-tory papillomatosis. HPV subtype may be related to the prognosis factor. (Korean J Otolaryngol 2002;45:69-75)
두부외상 후 고도 난청으로 발현된 와우내 신경초종 1예
공수근,우창기,박성환,고의경 대한이비인후과학회 부산,울산,경남 지부회 2011 임상이비인후과 Vol.22 No.1
Intralabyrinthine schwannoma is a rare tumor arising from perineural Schwan cells of 8th cranial nerve. Intracochlear schwannoma(ICS) arising from cochlear nerve can have various type of sensoryneural hearing loss(SNHL) without vestibular symptoms. Hearing loss type of ICS was mostly progressive(48%), but sudden hearing loss was described in 15%.1) The authors experienced a case of ICS expressed by severe sudden SNHL after head trauma. We report this case with a review of the literature.
김화빈,공수근,오세준 대한이비인후과학회 부산,울산,경남 지부회 2023 임상이비인후과 Vol.34 No.4
Patulous eustachian tube (PET ), a disorder of the eustachian tube (ET ) occurs when the ET remains open in resting state. Patients with PET may experience symptoms such as aural fullness, autophony of voice or breathing sound. It is not challenging to diagnose PET due to the characteristic symptoms, which are relieved in the recumbent position. The term “Masked PET” refers to a condition that symptoms of PET do not manifest until after middle ear surgery, as they were initially masked by conductive hearing loss. In this report, we present a patient who developed symptoms of PET after successful tympanoplasty, resulting in hearing improved. Based on this case, we suggest that all operators consider the possibility of the “masked PET” condition and explain it to the patient in advance to avoid situation of disappointment after surgery.
고의경,공수근,박성환,위찬은,고진영,이덕규,이일우 대한이비인후과학회 부산,울산,경남 지부회 2011 임상이비인후과 Vol.22 No.2
Backgrounds and Objectives:Recently congenital cholesteatoma of middle ear has been diagnosed in earlier stage and its clinical manifestation has showed changed clinical manifestation, comparing that of reported literature. Aim of this study were to elucidate of clinical finding, extent of the cholesteatoma, staging, operative procedure and rate of postoperative recurrence in congenital middle ear cholesteatoma. Materials and Methods:47 cases of congenital cholesteatoma had been treated in Department of Otorhinolaryngolgy of Pusan National University Hospital from 1997 to October of 2010 and were reviewd retrospectively. Results:Congenital cholesteatoma showed male preponderance, and had diagnosed incidentaly (46.8%) and most common symptom was hearing loss. Most were found in tympanum only (70.2%) and more found in posterior portion than in anterior portion. Rate of each stage is similar distribution in stage I, II, III, IV. Recurrence rate showed 14.9%. Conclusions:Early diagnosis and early intervention is important to avoid recurrence and morbidity.
최성원,공수근,고의경,오세준 대한이비인후과학회 2018 대한이비인후과학회지 두경부외과학 Vol.61 No.8
Posterior semicircular canal dehiscence represents a third-window lesion manifesting as hearingloss with vestibular dysfunction. Computed tomography findings of a dehiscent posteriorcanal can be verified with increased vestibular evoked myogenic potential responses as in otherthird-window lesions. The jugular bulb is the bulbiform connection between the sigmoid sinusand the internal jugular vein at the skull base. High jugular bulb can erode into inner earstructures. According to the literature review, there has been no case report about posteriorsemicircular canal dehiscence caused by high jugular bulb in Asia. Therefore, the authors reporta case with a review of literature. Korean
박지환,공수근,고의경,오세준 대한이비인후과학회 2018 대한이비인후과학회지 두경부외과학 Vol.61 No.1
Angioleiomyoma is a benign tumor which arises from vascular smooth muscle. It originates primarily in the upper and lower extremities, but several isolated cases have been described. Although angioleiomyoma has a benign nature, there is a potential risk of malignant change and recurrence in case of incomplete resection. We acknowledge that venous type angioleiomyoma on the posterior surface of auricle has not been reported in the Korean literature. We report a rare case of 49-year-old male who had angioleiomyoma originating from the auricle along with a literature review. Korean J Otorhinolaryngol-Head Neck Surg 2018;61(1):52-5
김지아,공수근 대한이비인후과학회 부산,울산,경남 지부회 2022 임상이비인후과 Vol.33 No.4
The patients with Eustachian tube disorder could complain of various symptoms, such as earfullness, tinnitus, hearing disturbance, otalgia, or autophony. It is important to accurately diagnose the disease and choose appropriate treatment method to prevent further complaints or complications from the disorder. For all types of Eustachian tube dysfunction, conservative therapy should be the first choice, especially when duration of the symptom is short or transient. Even if the symptoms do not improve and persist, surgical therapy could be considered. For the dilatory Eustachian tube dysfunction, surgical therapy includes ventilation tube insertion, adenoidectomy, and balloon Eustachian tuboplasty. For the patulous eustachian tube dysfunction, there are various surgical methods: ventilation tube insertion, mass loading on the tympanic membrane, invasive Eustachian tuboplasty, injection to nasopharyngeal Eustachian tube orifice, trans-tympanic or trans-nasal catheter insertion, and trans-tympanic silicone plug insertion. It is important to select the appropriate treatment methods according to the degree of improvement of symptoms.