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최병윤,이등호,전성환,방정환 대한이비인후과학회 2006 대한이비인후과학회지 두경부외과학 Vol.49 No.8
Mumps virus infections usually involve the parotid glands. It usually spreads from a human reservoir by airborne droplet ofinfected saliva. Therefore, early proper diagnosis and isolation of patients can help to inhibit dissemination of the disease.Diagnosis of mumps virus infection is mainly dependent on clinical inspection, palpation of the parotid and laboratory tests,because most mumps virus infections involve the parotid gland. Isolated submandibular gland involvement in mumps is rareand presents diagnostic challenge. We report unusual consecutive cases of mumps virus infections in two patients who werebrothers, for whom bilateral submandibular glands were found to be involved paring parotid glands. These cases instruct usnot to exclude mumps virus infection even in isolated uni/bilateral submandibular gland swelling. (Korean J Otolaryngol2006;49:862-5)
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문준환,최호영,이등호,전성환,Moon Jun Hwan,Choi Ho Young,Lee Deung Ho,Jun Sung Hwan 대한기관식도과학회 2005 大韓氣管食道科學會誌 Vol.11 No.1
Deep neck infections mean infection in the potential spaces and facial planes of the neck, either abscess formation or cellulitis. Deep neck infections are caused by dental, salivary gland, pharyngeal and tonsillar infections. Sometimes, deep neck infection may be caused by tuberculosis in case of immunodefiecient patients. Acquired immunodeficiency syndrome(AIDS) is a disease associated with defective cell-mediated immunity after infected with human immunodeficiency virus(HIV). The chance of opportunistic infection in patients of AIDS increases as the level of immunodeficienty progresses. Human immunodeficiency virus infection is the most single significant risk factor for progression of pulmonary tuberculosis to extrapulmonary sites. In patients infected with HIV, the rate of extrapulomonary tuberculosis rises upto $60\%$. We report a case of a 47 year old male patient with AIDS associated with deep neck infection by tuberculosis.
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최병윤,전성환,이등호,방정환 대한이비인후과학회 2006 대한이비인후과학회지 두경부외과학 Vol.49 No.11
Keloids are fibrous overgrowth resulting from abnormal wound healing processes at the site of cutaneous injury. It extendsbeyond the confines of the original wound, begins later after injury, and does not regress with time contrary to hypertrophic scar.The gold standard has not been established in the treatment of keloids, yet. Excision of keloid alone showed a high rate ofrecurrence (45-100%). Recently, we have experienced two keloidal masses in the auricle (one on helix, the other on lobule),which were treated with surgery and adjuvant steroid injection. We developed an anteriorly-based skin flap from the skincovering of the keloidal mass and used it for several reasons. We also used triamcinolone injection after the surgery. In this paper,we are presenting the result of these cases with a review of literature. (Korean J Otolaryngol 2006;49:1104-8)
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신철,노호상,문성욱,최호영,이등호,강제구,김효열,이종혁 대한이비인후과학회 2004 대한이비인후과학회지 두경부외과학 Vol.47 No.4
Background and Objectives:Peritonsillar abscess (PTA) is a collection of pus lateral to tonsil and is located betwen the fibrous capsule of the palatine tonsil, usualy at its upper pole, and the superior to the pharyngeal constrictor muscle. It frequently occurs as a complication of acute tonsillitis. Bacteriology including clinical characteristics in PTA were evaluated. Subjects and Method:2001 were entered into the study. Each patient was asked to answer a questionnaire for clinical aspects of PTA. Needle aspirations were performed and pus was drained in all cases. Bacterial susceptibility to ampicillin, cephazoline, ciprofloxacin, erythromycin, tetracyclin, and vancomycin was tested on the ioslated bacteria. Results:Among 61 cases, aerobes were isolated in 15 cases (24.6%) and anaerobes in 16 cases (26.2%). There was no significant diference in the culture positive rate of aerobes (p= 0.767) and anaerobes (p= 1.0) betwen antibiotics-medicated patients and nonmedicated patients. Among the cultured organisms, peptostreptococus was the most comon and the second most comon was β-hemolytic streptococcus. However, α-hemo-lytic streptococcus, an important pathogen considered in the previous study, was detected at 1.6%. Conclusion:Antibiotics medication was not a significant factor in culture positive rate in our study. Peptostreptococus as an anaerobe and β-hemolytic positive rate of α-hemolytic streptoccus.
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류재영,최호영,신철,이등호 대한이비인후과학회 2004 대한이비인후과학회지 두경부외과학 Vol.47 No.9
Since Mikulicz’s description of symptomless hypertrophy of the salivary gland and lacrimal gland, the term, Mikulicz syndrome, has been used to describe enlargement of the salivary gland with or without lacrimal gland involvement occurring in leukemia, lymphosarcoma, sarcoidosis, tuberculosis syphilis, etc. However, there are still a tremendous amount of confusion in the application of the term, Mikulicz syndrome. In Korea, there has been no reported case of Mikulicz syndrome to date. Internationally, it is also extremely rare to spot a reported case of the disease originating primarily from submandibular glands. We would like to report a case in which a 56 year old female patient was reported to have the disease;she was diagnosed initially as benign lymphoepithelial lesion (BLL) by submandibular biopsy, but later confirmed by lacrimal gland biopsy to have mucosa associated lymphoid tissue (MALT).
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강제구,류재영,문준환,이등호,최호영,전성환 대한이비인후과학회 2005 대한이비인후과학회지 두경부외과학 Vol.48 No.5
Background and Objectives:Caudal septal deformities are surgically challenging disorders. A number of corrective programs have been described with variable success. Causes of frequent failure in correction of the caudal deformities have been conservatism and unrealistic dependence on incisional method such as cross hatching, and limited comprehension of the extrinsic and intrinsic forces causing caudal deformities. We reviewed and evaluated the surgical techniques for correction of the caudal septal deformities performed at our institution. Subjects and Method:A retrospective study was performed on 24 patients who underwent septal surgeries for severe caudal septal deformities between Feb 2001 to May 2004. With open approach, all deforming forces around the caudal septum were released and definite intraoperative correction was possible. Results:All 24 patients showed definite improvement in terms of functional and anesthetic outcomes. Potential complications related with structural instability as well as other inherent complications of nasal surgery have not been encountered. Conclusion:For successful correction of the caudal septal deformities, completed exposure and releasing all the extrinsic forces around the caudal deformities via open rhinoplasty approach is desirable to avoid frequent recurrences.
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