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김동익(Dong Ik Kim),김영호(Young Ho Kim),김시찬(Shi Chan Kim),김은서(Eun Seo Kim),최은창(Eun Chang Choi) 대한두경부종양학회 1996 대한두경부 종양학회지 Vol.12 No.2
Head and neck arteriovenous malformation usually forms huge mass, cause profuse bleeding or potenially compromise the airway. This bleeding is vulnerable to be uncontrollable and lifethreatening. Sometimes it has a high mortality. Although surgical resection is possible in some cases, the morbidity such as a defects of soft tissue is very high and its reconstruction is very difficult. The authors report an 11 year old female patient in whom occlusion of arteriovenous malformation with glue after transcutaneous embolization made a satisfactory results. At the beginning, she was transferred for massive oral bleeding. The bleeding was persistent and it was not possible to remove the packing in spite of many times of embolizations through feeding arteries. The massive bleeding trom the left upper alveolar mucosa compromised the airway and tracheotomy was done. Whenever the hypovolemic shock was occurred in a short time, blood transfusion and cardiopulmonary resucitation were done. To embolize the vascular mass of arteriovenous malformation, as a final trial before operation, the spinal needle was administered through the left upper gingiva under the fluoroscopy. The glue was injected on the target. The bleeding was stopped and we have noticed the absence of nidus on follow-up angiography after 3 weeks. We experienced that some cases of arteriovenous malformation in head & neck revealing the bleeding could be treated with transcutaneous embolization instead of surgical resection.
김시찬 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2
A 33-year-old woman was admitted to the hospital with a sudden onset of hearing loss in her right ear. Audiometry showed a sloping-type sensorinerural hearing loss with a pure-tone average of 95 dB in the right ear. Intravenous infusion of steroid, heparin and dextran were administered. The tachypnea and dyspnea developed 2 days later. A chest radiograph revealed pulmonary edema with bilateral perihilar infiltrates. After interruption of dextran, subsequent supportive treatment relieved chest symptoms without any sequelae. The treatment with dextran in the pregnant woman with sudden deafness should be cautiously performed.
Multiple Auditory Steady-State Response(MASTER)을 이용한 유소아의 청력검사
이학선,김시찬 한국음성과학회 2004 음성과학 Vol.11 No.4
This study was done to compare thresholds between those of Auditory Brainstem Response (ABR) with clicks or tonebursts and Multiple Auditory Steady-State Response (MASTER). The results would give a promising tool for evaluating frequency-specific hearing sensitivity in infants or young children. The correlation coefficient value between the click ABR thresholds and MASTER thresholds at carrier frequencies, 500, 1,000, 2,000 Hz, and 4,000 Hz was obtained at Pearson 0.91, 0.94, 0.93, and 0.91.