Vascular Leiomyoma of the Nasal Floor: The Risk of Misdiagnosis

인승민,이기일,안홍건,홍성란,김종엽 대한비과학회 2019 Journal of rhinology Vol.26 No.2

Vascular leiomyoma (VL) is a rare tumor, particularly in the sinonasal region. The etiology of VL is unclear and there are a numberof theories regarding how VL develops. To date, approximately 20 cases of VL have been reported in the sinonasal area. Thisis the first reported case of VL in the right nasal floor. We present the case of an adult patient with mild nasal obstruction anddiscomfort. Preoperative examination failed to accurately diagnose the patient with VL. Transnasal endoscopic resection was performed. There were no complications or recurrence postoperatively.

비중격의 전기소작술 후 발생한 안장코 1예

인승민,김종엽 대한이비인후과학회 2018 대한이비인후과학회지 두경부외과학 Vol.61 No.10

Electrocautery of nasal septum is a very common treatment of epistaxis in Otorhinolaryngology. However, serious complications of electrocautery are rare. We encountered a 52-year-oldfemale patient who presented with nosebleeds. A definite focus of bleeding was identified bynasal endoscopy, thus electrocautery by bipolar diathermy was performed in the area of Kisselbach’splexus of nasal septum. There were no abnormal findings in the nasal septum duringthe three weeks of outpatient visit. However, the patient noticed a depression near the tip ofher nose 12 weeks later. Saddle nose deformity after electrocautery has not yet reported in theliterature. Therefore, we present this case with a brief review of literature

가역적 성대마비의 원인이 된 비활성 부갑상선 선종 1예

정도영,인승민,김연수 대한이비인후과학회 부산,울산,경남 지부회 2016 임상이비인후과 Vol.27 No.2

Parathyroid adenoma is the most common cause of primary hyperparathyroidism with symptoms of fatigue, bone pain, abdominal pain, weakness, dyspepsia, and skeletal bone disease. However, vocal cord paralysis caused by parathyroid adenoma is extremely rare. A 72-year-old male presented with intermittent voice change for 10 years. Laryngeal endoscopy showed right vocal cord paralysis. Computed tomography revealed a 4 mm sized lesion behind of right thyroid. Fine needle aspiration was undertaken and the histology result was a parathyroid adenoma. We excised the parathyroid adenoma adjacent to the right recurrent laryngeal nerve. After excision of parathyroid adenoma, vocal cord paralysis has returned to normal. The patient is under observation for 6 months without recurrence. We report our experience of one rare case of parathyroid adenoma as a cause of vocal cord paralysis.

알레르기성 비염환자의 원인항원에 대한 임상적 고찰

최종철,정윤영,인승민,이종욱 건양대학교 의과대학 2003 건양의대학술지 Vol.3 No.2

소음부서 근로자의 선별청력검사로서 자동화된변조이음향방사의 유용성

이원상,유신영,인승민,최종철,김종엽,오정훈 대한이비인후과학회 2006 대한이비인후과학회지 두경부외과학 Vol.49 No.4

Background and Objectives:Automated DPOAE (Distortion product otoacoustic emission) was tested on workers exposed to a noisy environmnent to determine its feasibility as a screening test for noise-induced hearing loss. Subjects and Method: Sensitivity and specificity were analyzed for in both automated DPOAE and Pure tone audiometry conducted on 300 subjects working in a noisy environment. Of these subjects, a subgroup of 40 workers who were available for a follow-up study underwent the same experiment again a year later, and the results were compared with the first one. Results:In terms of the frequency of automated DPOAE, it was noted that it showed 91% sensitivity with a 9% false negative rate. The pass rate according to the period of service indicated statistical significance, although the results of a 1 year follow-up experiment did not indicate statistical significance. Conclusion:The automated DPOAE seems feasible to use as a screening test when frequency and adjusted reference criteria are considered. (Korean J Otolaryngol 2006;49:366-70)

콜라겐(Collagen) 이식술을 이용한 이관개방증의 치험 1예

유신영,김종엽,인승민,조용성 대한이비인후과학회 2006 대한이비인후과학회지 두경부외과학 Vol.49 No.2

The patulous eustachian tube is not a common otorhinolaryngological disease, for which a standard therapy is not established yet. It is considered benign, but symptoms affecting the patient should not be overlooked or ignored. Using an acellular dermal graft (Collagen), we gained positive results in treating a patient, and thus report this case with a review of the literature. (Korean J Otolaryngol 2006;49:213-5)

비중격 만곡 환자 연골에서 외상 유무 및 시기에 따른 조직학적 변화

최종철,김종엽,박병건,인승민,김범경 대한이비인후과학회 2006 대한이비인후과학회지 두경부외과학 Vol.49 No.6

Background and Objectives:The histologic difference of the traumatic nasal septal cartilage from that of non-traumatic has not been extensively studied. The aim of this study was to identify histologic difference in the nasal septal cartilage between traumatic and non-traumatic nasal septal deviation and to find its implication for surgical intervention. Subjects and Method: Nasal septal cartilage was obtained from 23 patients who had undergone septoplasty or septorhinoplasty for the nasal septal deviation. The septal cartilage without trauma (7 patients, Group I) and with the history of the trauma at the age under 10-15 years old (8 patients, Group II), and over 25 years old (8 patients, Group III) between May 2003 to February 2005 were included in this study. An approximately 11 cm sized piece of the septal cartilage was harvested from the site deviated the most. The histologic difference of the septal cartilage by hematoxylineosin staining under a light microscope was performed. Results:The chondrocyte densities were significantly higher in the convex side than in the concave side of the septal cartilage in Group I, II, III. Especially, the increased chondrocyte ratio (convex/concave) were more evident in the septal cartilage traumatized at the age of 10 to 15 years, and the cartilage plate was thicker than the other groups (p<0.001). Also, dystrophic changes of the chondrocytes as representing the chondrocyte differentiation and chondroblast ratio (convex/concave) were significantly higher in the group II than in the other groups (p<0.005). Conclusion:This study demonstrated that age dependent changes in septal cartilage with nasal trauma showed distinctive histologic characteristics. We suggest that these observations will help determine surgicaltreatment modality for cases of nasal septal deviations with and without trauma. (Korean J Otolaryngol 2006;49:629-35)

빈 안장 증후군에 발생한 뇌척수액 비루 1예

최종철,김종엽,박병건,인승민 대한이비인후과학회 2006 대한이비인후과학회지 두경부외과학 Vol.49 No.2

The empty sella syndrome is defined as the intrasella herniation of the chiasmal cistern resulting from a congenitally incompetent diaphragma sellae. In idiopathic or primary empty sella syndrome, sella remodelling occurs as a result of an anatomical variation in the diaphragma sella. The secondary empty sella syndrome occurs following surgery or irradiation of an intrasellar lesion. Empty sella syndrome is known to be rarely associated with Cerebrospinal fluid (CSF) rhinorrhea. We experienced a case of secondary empty sella symdrome with CSF rhinorrhea in a 56-year old female who complained of persistent rhinorrhea through the roof of the sphenoid sinus after brain surgery due to meningioma. The CSF rhinorrhea was treated successfully with transseptal trans-sphenoidal approach. (Korean J Otolaryngol 2006;49:216-20)

Effectiveness of the TnR Nasal Mesh® for the Correction of Caudal Septal Deviation

이기일,안홍근,김종엽,인승민 대한이비인후과학회 부산,울산,경남 지부회 2020 임상이비인후과 Vol.31 No.2

The correction of caudal septal deviation is difficult, simply because of the intrinsic memory of the septal cartilage. We conducted a case series analysis of the effectiveness of the TnR Nasal Mesh® . This case study enrolled 3 male patients with severe caudal septal deviation. All surgical procedures were performed using endonasal septoplasty via bilateral flap elevation. Pre- and post-operative analyses of subjective symptoms were performed using the Visual Analog Scale (VAS). Nasal patency was evaluated using the objective findings of semi-quantitative endoscopy and acoustic rhinometry before and after surgery. The patients exhibited subjective and objective improvement in VAS scores, endoscopic, and acoustic rhinometry results. No significant complications were observed. We verified the clinical effectiveness of TnR Nasal Mesh® for caudal septal correction without the external open approach. We suggest that septal batten grafting with the alloplastic TnR Nasal Mesh® can be an alternative method for caudal septal correction.

위축성 비염 환자에서 이차적으로 발생한 비강내 결절외 NK/T 세포 림프종 1예

오정현,배경희,안정현,인승민 대한이비인후과학회 2014 대한이비인후과학회지 두경부외과학 Vol.57 No.1

Extranodal NK/T cell lymphoma, nasal type, is a rare non-Hodgkin lymphoma originating in the nasal cavity or in the paranasal sinuses. Atrophic rhinitis is a debilitating chronic nasal mucosal disease of unknown etiology. However, there have not been any reports on the occurrence of nasal NK/T cell lymphoma in patients with atrophic rhinitis. We experienced a case of the extranodal NK/T cell lymphoma in the left nasal cavity, which had been misdiagnosed as atrophic rhinitis in a 39-year-old female. Thus, we report this rare case with a review of the literature. Korean J Otorhinolaryngol-Head Neck Surg 2014;57:42-5