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원태빈 대한이비인후과학회 2013 대한이비인후과학회지 두경부외과학 Vol.56 No.1
Obstructive sleep apnea is a manifestation of upper airway instability leading to upper airway collapse during sleep. Current diagnostic testing with polysomnography provides information regarding the number of apneas and hypopneas but does not provide any information regarding the level of pharyngeal narrowing or collapse. The identification of the site of obstruction is essential in choosing the appropriate treatment, especially when surgical intervention is considered. In this review we present contemporary methods for localizing obstructive sites with emphasis on two promising airway evaluation modalities. Sleep videofluoroscopy and sleep en-doscopy. Further understanding of the obstructive events occurring during sleep with precise evaluation of the sites of obstruction will eventually guide tailored surgical treatment with improved surgical outcomes
김서영,원태빈 대한이비인후과학회 2022 대한이비인후과학회지 두경부외과학 Vol.65 No.11
Inverted papilloma is a common, benign sinonasal tumor with a known high rate of recurrence. To prevent recurrences, complete excision of inverted papilloma is essential. In completeexcision, especially, identifying the attachment site of the tumor and managing the sitemeticulously is important. In this study, we introduce two surgical methods for complete excisionof inverted papilloma that can reduce the recurrence rate: the prelacrimal approach andthe ‘origin site cauterization and drilling (painting and washing)’ approach.
진홍률,원태빈 대한비과학회 2008 Journal of rhinology Vol.15 No.1
Septoplasty is one of the most commonly performed operations in Otolaryngology. It is often considered an easy operation. Yet it is still accompanied by a relatively high rate of failure and complications. It is definitely not an operation in which one surgical technique can suffice for all circumstances. Rather it requires a variety of techniques in accordance to the various septal pathologies in order to achieve a favorable outcome. This study provides a comprehensive review of septoplasty including current concepts, historical background, classification, updated surgical techniques, and management of complications. In particular, the surgical techniques that ensure a successful correction and minimal complications are highlighted. Septoplasty is one of the most commonly performed operations in Otolaryngology. It is often considered an easy operation. Yet it is still accompanied by a relatively high rate of failure and complications. It is definitely not an operation in which one surgical technique can suffice for all circumstances. Rather it requires a variety of techniques in accordance to the various septal pathologies in order to achieve a favorable outcome. This study provides a comprehensive review of septoplasty including current concepts, historical background, classification, updated surgical techniques, and management of complications. In particular, the surgical techniques that ensure a successful correction and minimal complications are highlighted.
아라키돈산 대사산물 및 산화질소에 의한 비점막 섬모운동조절의 신호전달체계 규명
심우섭,원태빈,이재서,이철희,민양기 대한이비인후과학회 2006 대한이비인후과학회지 두경부외과학 Vol.49 No.5
Background and Objectives:Mucociliary movement of respiratory ciliated epithelium is one of important protective mechanismsin the upper respiratory airway. It is well known that methacholine induces a ciliostimulation. This study designed to investigatethe regulatory mechanism of methacholine induced ciliostimulation. Materials and Method:We investigated in vitroeffect of methacholine, aβ-methyl ester of acetylcholine, and nitric oxide on ciliary beat frequency (CBF) of nasal septal mucosaof SD rat. CBF was measured using a video computerized analysis system. Results:Methacholine (10-6 mol/L) increased CBFupto 6 hours with a maximum increase of 44%. Diclofenac inhibited the ciliostimulatory effect of methacholine completely. LNAMEinhibited the increase in CBF by methacholine significantly (p<.05). Conclusion:The results suggest that ciliostimulatoryeffects by methacholine in airway epithelium involves prostaglandin pathway and may be regulated by nitric oxide.(Korean J Otolaryngol 2006;49:517-21)
조성우,원태빈 대한이비인후과학회 2020 대한이비인후과학회지 두경부외과학 Vol.63 No.2
Osteoradionecrosis of the skull base (SB-ORN) is a serious potentially lethal complication after radiotherapy in the head and neck region and is therefore considered one of the most challenging clinical entities among skull base lesions. Management options includes nasal irrigation, medications such as systemic antibiotics and anti-inflammatory drugs, hyperbaric oxygen therapy, and surgical debridement. Despite these efforts treatment outcomes are associated with a poor prognosis. Recent studies have shown an increased disease control rate with a more aggressive surgical approach including sequestrectomy. One of the main factors associated with poor prognosis is involvement of the internal carotid artery near the skull base. Spontaneous carotid rupture is frequently associated with death and/or severe morbidity and also poses risk of profuse bleeding during surgery. In this article we will deliver a comprehensive review of SB-ORN, including pathophysiology, clinical features, and an update in treatment strategy.
비강 피판을 사용한 비인두-구인두 협착의 성공적인 치료 2예
김준곤,김영철,원태빈 대한이비인후과학회 2021 대한이비인후과학회지 두경부외과학 Vol.64 No.12
Naso-oropharyngeal stenosis is an uncommon but serious complication after naso-oropharyngealsurgery. Surgical failure and re-stenosis are common. We report two cases of severe nasooropharyngealstenosis, which were successfully treated with the use of nasal pedicled flaps.