http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
부비동내시경 수술 후 발생한 지연성 허혈성 시신경병증 1예
신준순,최윤석,조병한,장태영 대한이비인후과학회 2004 대한이비인후과학회지 두경부외과학 Vol.47 No.12
(endo-scopic sinus surgery). This injury may cause severe postoperative orbital complications. These have been widely reported from mild orbital hematoma to devastating visual los. Despite technological advances with a skillful surgeon, ES still carries potential risks of direct injury to the orbital contents and optic nerve, which may cause blindness. In our case, the disturbance in visual acuity neuropathy folowing ESS, which may be presumed to cause the delayed onset blindness postoperatively.
갑상선 수술시 우연히 절제된 부갑상선과 저칼슘혈증과의 관계
김재원,신준순,최정석,주영채,김영모 대한이비인후과학회 2004 대한이비인후과학회지 두경부외과학 Vol.47 No.8
Background and Objectives:Preservation of parathyroid gland during thyroid surgery is important to prevent postoperative hypocalcemia. We evaluated the incidence of unintentional parathyroidectomy during thyroid surgery and postoperative hypocalcemia, and their clinical relationships. Materials and Method:136 patients who had undergone thyroid surgery were retrospectively followed. We reviewed the pathology specimens to determine the incidence of unintentional removal of parathyroid tissue and inquired the incidence of postoperative hypocalcemia according to the pathology of tumor, the extent of surgery, and the locations of the parathyroid tissues. Results:27 patients (19.9%) had pathology reports showing parathyroid tissue contained within the thyroidectomy specimen. Unintentional parathyroidectomy was less correlated with postoperative transient hypocalcemia statistically. The postoperative transient hypocalcemia was more frequent after total thyroidectomy for malignant thyroid tumor than hemithyroidectomy for benign thyroid tumor. Most parathyroid tissues were found in extracapsular locations. Conclusion: Unintentional parathyroidectomy was reported in 19.9% of the thyroidectomies in our studies. More meticulous dissection of thyroid capsule may be needed, especially during total thyroidectomy for malignant thyroid tumor.
만성 부비동염 환자에서의 중비도와 상악동의 배양균주의 연관성
장태영,신준순,최윤석 대한이비인후과학회 2004 대한이비인후과학회지 두경부외과학 Vol.47 No.5
Background and Objectives:The identification of specific pathogens for chronic sinusitis is important for antibiotic treatment. middle meatal cultures can replace maxillary sinus cultures as a noninvasive alternative. Materials and Method:Twenty-two patients with chronic sinusitis, who didnt respond to medical therapy and recieved endoscopic sinus surgery were selected. We collected preoperative middle meatal samples and intraoperative maxillary sinus samples from twenty two patients under end-oscopic visualization using strile cotton swabs. Results:In 18 of the 22 samples (82% )correlated well with the intraoperative maxillary sinus cultures. In both middle meatus and maxillary sinus samples, most frequently encountered microorganism was Staphylococus aureus. Conclusion:Noninvasive middle meatal cultures correlate well with maxillary sinus cultures, and can be confidently used as an alternative.
조정일,신준순,김영모,장근욱 대한이비인후과학회 2003 대한이비인후과학회지 두경부외과학 Vol.46 No.2
After intraoral tumor resection, various reconstructive surgeries have been used to repair the defect. Before the selection of procedure, we should consider the size of defect, the difficulty of operative procedure, operation time and viability of flap, donor the necessary tissue, especially, with the lesions of palatine arch, retromolar trigone, tonsillar fossa, and posterior third of the floor of the mouth. We got favorable cosmetic and functional results in two patients who underwent reconstruction with palatal island flaps for intraoral defect. This paper represents the versatility of the palatal island flap for intraoral reconstruction and to in-troduce our clinical experiences. (Korean J Otolaryngol 203 ;46 :173-6)
김영모(Young Mo Kim),박선기(Sun Ki Park),신준순(Jun Sun Shin),전용선(Yong Sun Jeon),한창준(Chang Jun Han),조정일(Jung Il Cho) 대한두경부종양학회 2002 대한두경부 종양학회지 Vol.18 No.1
Background and Objectives: Recently the tenn 'papillary microcarcinoma' has been proposed to designate carcinoma of 10 mm or less in diameter. In some cases, cervical lymph node metastasis preceding the occurrence of the primary tumor may be the first and sole manifestation of the disease. The objective of this study is to assess the clinical features of cervical metastasis in papillary microcarcinoma of thyroid glands. Materials and Methods: 9 cases with papillary microcarcinoma with neck metastasis were analyzed retrospectively. 5 cases are men and 4 are women. All patients complained of painless, movable neck mass. The symptom had been present from 1 month to 36 months. We reviewed clinical history, imaging studies, the results of fine needle aspiration, the surgical method, the pathologic results. Results: In 9 cases, no abnormalities of the thyroid gland were shown by imaging studies and thyroid scan. 3 cases were diagnosed by fine needle aspiration cytology. the others were not. Total thyroidectomy and neck dissection were performed in 9 cases and then pathology reports showed 2 case of multiple, 2 case of contralateral single and 5 cases of unilateral single thyroid microcarcinoma. They have no recurrence during follow-up period. Conclusions: Cervical metastasis from papillary microcarcinoma is variable clinical manifestation. The diagnosis of cervical metastasis from papillary microcarcinoma should be considered in patient with neck mass. We recommend total thyroidectomy with neck dissection and postoperative radioactive iodine ablation therapy in neck metastasis from papillary thyroid microcarcinoma.