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박범정(Bum Jung Park),주형로(Hyung Rho Joo),박일석(Il-Seok Park),김진환(Jin-Whan Kim),노영수(Young-Soo Rho) 대한두경부종양학회 2007 대한두경부 종양학회지 Vol.23 No.2
Objectives and Background :Aims of this studies are to collect and analyze the lawful restriction against cancer registration and to suggest the model promoting the cancer registry. Materials and Methods :Total 16 countries, the members of OECD, including the U.S. are evaluated. the sta-tus of cancer registration of the evaluated countries are analyzed. The legislated laws, protect the individual’s information, of the evaluated countries are analyzed. The cases any registries were impaired with the law to protect privacy are searched and analyzed. Results :All of the evaluated countries have some kinds of privacy protecting laws. For cancer registration, 11 of 16 countries implement some lawful authorities. Some of countries have experienced restriction of registration by the law of protecting individual’s health data. All countries have performed cancer registry and 6 of 16 countries have nearly 100% population-based cancer registration. Conclusions :The cancer registry has to be the national effort. The informed consent of the data subjects and the permission of any special institutes are the difference to perform the registration. So, it is necessary to legi-slate any law supporting the cancer registration and establish any independent institutes to protect the individual’s health data and support the cancer registry.
Frey씨 증후군의 진단에 있어서 Thermography의 유용성
김현수(Hyun Su Kim),박범정(Bum Jung Park) 대한두경부종양학회 2007 대한두경부 종양학회지 Vol.23 No.2
Objectives and Backgrounds :After parotidectomy, some of patients complain gustatory sweating, facial flu-shing and discomfort in the same area. A series of these symptoms are supposed to be caused by the aberrant regeneration of the secretory parasympathetic fibers to sweat glands and blood vessels of the skin following parotidectomy. In this study, we want to compare the efficacy of thermography to the Minor’s starch-iodine test for determining the presence of Frey’s syndrome. Materials and Methods :48 patients who underwent total or superficial parotidectomy from March 2002 to December 2004 were selected for this study. A subjective clinical questionnaire and the objective Minor’s starch-iodine test were performed to evaluate the incidence of this syndrome. Total 21 patients were confirmed as positive Frey’s syndrome and infrared thermography was performed for them. Result :Frey’s syndrome occurred in 21 patients(43.8%). The average temperature of parotidectomy site and normal opposite area were 27.65℃ and 26.41℃ respectively. Thermography showed temperature differ-ence in 20 patient(95.2%) and the difference of temperature was statistically significant above 1.0℃(p<0.001). The severity of symptoms were related with the difference of temperature(p<0.05). Conclusion :Thermography is useful, non-invasive, simple and quantifying method to diagnose Frey’s syn-drome. Additionally, this geographic diagnosis is available to show the accurate area for botulinum toxin injection.
최병길,김병준,최효근,박범정,Choi, Byung-Gil,Kim, Byeong-Joon,Choi, Hyo-Geun,Park, Bum-Jung 대한후두음성언어의학회 2018 대한후두음성언어의학회지 Vol.29 No.1
Background and Objectives : This study aimed to evaluate patients' subjective and objective outcomes after laryngeal microsurgery for benign vocal fold (VF) lesions, and to identify usefulness of surgical treatment. Materials and Methods : The authors reviewed the 102 patients medical records, retrospectively who received laryngeal microsurgery for benign VF lesions from January 2013 to August 2017. Subjective voice were measured using the Voice Handicap Index (VHI). Objective voice were recorded with Multi-Dimensional Voice Program (MDVP) just before surgery, and after at least 3 months of surgery. Results : Benign VF lesions were categorized as VF nodule (n=34, 33%), VF Polyp (n=47, 26%), Intracordal cyst (n=15, 15%), Reinke's edema (n=6, 6%), and VF Papilloma (n=2, 2%). Post-operative voice assessment at VHI scores showed statistically significant reductions in all of functional, physical and emotional parts (p<0.001). MDVP were showed significant improvement of Jitter (P=0.001), Shimmer (p<0.001) and Noise to Harmonic Ratio (NHR) (p=0.001). Conclusion : Laryngeal microsurgery for benign vocal fold lesions is effective treatment with statistically significant improvement at subjective and objective vocal quality assessment.
김용현(Yong Hyun Kim),남상원(Sang Won Nam),민수기(Soo Kee Min),박범정(Bum Jung Park) 대한두경부종양학회 2011 대한두경부 종양학회지 Vol.27 No.2
Liposarcoma is the second most common sarcoma of the adult life, next to malignant fibrous histiocytoma. Lipo-sarcoma in larynx and hypopharynx is extremely rare. The symptoms are variable, but it has a clinical importance because they can cause unpredictable airway obstruction, particularly during the induction of general anesthesia. A 79-year-old male patient was referred to our department for mild airway obstruction and throat discomfort. Neck CT scan showed a mass within both postcricoid area and pyriform sinus. The mass was removed via laryngeal micro-surgery. In this article, we report a case of liposarcoma of the posterior wall of hypopharynx with a review of the related literature.
김현석(Hyeon seok Kim),최효근(Hyo Geun Choi),박범정(Bum jung Park) 대한두경부종양학회 2016 대한두경부 종양학회지 Vol.32 No.1
Cervical emphysema and Spontaneous pneumomediastinum is an uncommon disease. Cervical emphysema is mainly caused by trauma or head and neck surgery. Here, we report a case of cervical emphysema and spontaneous pneumomediastinum in a 15-year-old man. This case emphasizes that cervical swelling patients with negative in-flammation findings should be scrutinized for cervical emphysema and spontaneous pneumomediastinum.
이효정(Hyo Jeong Lee),심우섭(Woo Sub Sim),이명철(Myung Chul Lee),박범정(Bum Jung Park),성명훈(Myung Whun Sung),노종렬(Jong Lyel Roh),김광현(Kwang Hyun Kim),성원진(Weon Jin Seong) 대한두경부종양학회 2002 대한두경부 종양학회지 Vol.18 No.1
Background and Objectives: To evaluate the efficacy of the neoadjuvant chemotherapy and radiation therapy in treatment of patients with advanced hypopharyngeal cancer, which is notorious for its poor prognosis and severe surgical morbidity with functional deficits. Materials and Methods: Medical records and radiologic findings of 107 patients with squamous cell carcinoma of the hypopharynx, Stage III or IV (AJCC, 1997), were retrospectively reviewed. Results: Neoadjuvant chemotherapy followed by radiation therapy showed 74% complete remission (CR) rate. The patients who did not show CR after chemotherapy had a high likelihood of treatment failure, even though they achieved CR following subsequent radiotherapy. Twenty-eight of 57 patients were able to preserve their larynges for more than three years by chemotherapy and radiation. Conclusions: This approach appeared to be as effective as radical surgery with postoperative radiation therapy without comprising of survival. To improve the cure rates, we need to develop better strategies to increase CR rates with chemotherapy and determine the best treatment option for patients who are partially or nonresponsive to chemotherapy.
김광현(Kwang Hyun Kim),성명훈()Myung Whun Sung,이효정(Hyo Jeong Lee),이동욱(Dong Wook Lee),박범정(Bum Jung Park),성원진(Weon Jin Seong),민양기(Yang Gi Min),이철희(Chul Hee Lee),이재서(Chae Seo Rhee),이상준(Sang Jun Lee),노종열(Jong L 대한두경부종양학회 2002 대한두경부 종양학회지 Vol.18 No.1
Background and Objectives: To determine if laser endoscopic microsurgery is a reliable and appropriate approach in the treatment of laryngeal carcinomas. Materials and Methods: Retrospective study of 62 patients treated with CO2 laser from June 1988 to November 2000 at Seoul National University Hospital for laryngeal squamous cell carcinoma. All patients were treated with curative intention. Fifty three untreated patients with laryngeal carcinoma (39 glottic and 14 supraglottic carcinoma patients) had primary carbon dioxide laser microsurgery. Nine radiation failure patients were treated. Postoperative radiotheray was done for 17 patients. Neck dissection was performed simultaneously for 4 supraglottic cases with cervical nodal metastasis. Mean follow-up duration was 40 months. Results: In primary laser surgery group, distribution of tumors (American Joint Committee on Cancer, 1997) were 38 cases with Tl, 13 cases with T2, 2 cases with T3. Cure rate was 88.7%(47/53) and local control rate was 92.5%(49/53). Larynx was preserved in 94%(50/53) of patients. The overall 5-year survival rate(Kaplan-Meier) was 81.5%. In radiation failure group, 56% of patients were recurred after laser surgery. Conclusion: Laser surgery could be a better treatment modality for early laryngeal cancers and selected advanced cases. Additional radiation therapy should be considered if resection margin is not satisfactory.
갑상설관 낭종에서 기원한 9세 소아의 유두 갑상선암 1예
최효근(Hyo Geun Choi),김동현(Dong Hyun Kim),김철식(Chul Sik Kim),김동훈(Dong Hoon Kim),김시환(Si Whan Kim),박범정(Bum jung Park) 대한두경부종양학회 2013 대한두경부 종양학회지 Vol.29 No.1
Thyroglossal duct cyst(TGDC) is the most common midline congenital neck mass in children. However, carcinoma arising from TGDC is very rare and most of them are found in adults. In this report, we describe a 9-year-old child presenting with TGDC, which finally turned out to be papillary thyroid carcinoma. He underwent Sistrunk operation only. We review the literature and highlight the important points of the treatment.