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이용선,김정은,위성준,임상균 대한이비인후과학회 2007 대한이비인후과학회지 두경부외과학 Vol.50 No.2
Anhidrotic ectodermal dysplasia is a rare genetic disorder characterized by absence or diminished numbers of structures derived from the ectoderm, and it is reported to be inherited as an x-linked recessive trait. It is recognized clinicaly by anhidrosis, hypo-trichosis, anodontia or reduced numbers of teth with deformed shape and characteristic facial features. In addition, otolaryn-gological manifestations include atrophic rhinitis, sensorineural hearing loss, and conductive hearing los and satyr ear, among n be followed to make a reasonable future plans for the pediatric patient. A 2-month-old infant was refered with symptoms of intermittent nasal obstruction and crust formation in both nasal cavities. The nasal endoscope demonstrated atrophic changes of nasal mucosa and radiologic study showed an unerupted conical shaped tooth. The diagnosis of anhidrotic ectodermal dysplasia was confirmed with the finger impresion test that revealed deficiency of sweat pores. We report a case of anhidrotic ectodermal dysplasia with a review of the literature. ;50 :174-7)
비 내시경을 이용한 경비강 접근법 및 항진균제 병합요법으로 치유한 비 대뇌성 국균증 1예
장한성,김민식,위성준,이남수 대한이비인후과학회 2002 대한이비인후과학회지 두경부외과학 Vol.45 No.2
The rhinocerebral aspergillosis invading sinuses and CNS is known to be a fatal desease in immunocompromised patients. The management principle of rhinocerebral aspergillosis is often by extensive surgical removal through craniotomy com-bined with amphotericin B therapy, and endoscopic removal had not been reported until now. We report in this study a case of rhinocerebral aspergillosis invading the left frontal sinus and the left frontal lobe which were treated by the combination therapy of endoscopic removal and antifungal agents. (Korean J Otolaryngol 2002;45:182-6)
조승호,이종우,박영학,위성준 대한후두음성언어의학회 2001 대한후두음성언어의학회지 Vol.12 No.1
The mucosal bridge of the vocal fold is an arch of mucosa, formed by some portion of the vocal fold mucosa which is detached in various extension and length. The etiology is uncertain but some is related to vocal sulcus. Because it affects the voice with variable impact, it must be differentiated from functional voice disorder. We report a case of a mucosal bridge of vocal fold with a vocal polyp treated by microlaryngeal surgery and voice therapy.
김성식,김영수,이종우,위성준 대한이비인후과학회 2002 대한이비인후과학회지 두경부외과학 Vol.45 No.3
Osteoblastoma is a benign bone tumor which commonly occurs in the vertebral column and the long bone of extremities, although the paranasal sinus involvement is very rare. We are reporting a case of benign osteoblastoma of the ethmoid sinus extending maxillary sinus and nasal cavity in a 66-year-old man who presented with progressive exophthalmos and intractable epiphora. The tumor was successfully removed via extended medial maxillectomy through lateral rhinotomy approach. Histologic features showed the central zone of edematous vascular fibrous tissue with scattered trabeculae of osteoid surrounded by the outer layer of dense mature bone. A differential diagnosis is necessary for various kinds of fibro-osseous lesions such as osteoid osteoma, ossifying fibroma and fibrous dysplasia. (Korean J Otolaryngol 2002;45:296-9)
임상균,주은정,강기석,위성준,강정한,박정미 대한이비인후과학회 2005 대한이비인후과학회지 두경부외과학 Vol.48 No.9
Background and Objectives:Epistaxis is a frequently seen disease in the field of otorhinolaryngology. However, many patients have to revisit the hospital because of the failure of the initial treatment, in which cases, the inconvenience is greater due to more severe bleeding. We studied epistaxis patients who visited our service during the last 10 years to analyze the causes of visits and the possible countermeasures. Subjects and Method:We studied retrospectively the clinical cases of 616 emmergency patients and 65 patients admitted for the treatment of epistaxis during the last 10 years, from August 1995 to July 2004. The group I, 505 patients (74.2%), improved with only one treatment. The group II, 176 patients (25.8%), showed refractory epistaxis following the initial treatment. Results:In the group I, Kisselbach’s area (68.1%) was the most common site to be treated, followed by Woodruff’s area (13.5%), anterior end of inferior turbinate (8.3%), and superior portion of septum (2.0%). In the group II, the most frequent area to be treated was Woodruff’s area (46.0%), followed by Kisselbach’s area (31.8%), superior portion of septum (4.6%), anterior end of inferior turbinate (4.0%). Conclusion:The most important factor in the failure of primary care was because the precise area of bleeding was not found at the time of initial treatment. Therefore, it is important that we must check the areas by endoscope carefully to decrease the failure of initial treatment of epistaxis.