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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,조정일,최상학,김대형,양태용,장근욱 대한이비인후과학회 2003 대한이비인후과학회지 두경부외과학 Vol.46 No.5
Background and Objectives:There are controversies in the management of tuberculous cervical lymphadenitis in spite of clinical efficacies of surgery and antituberculous chemotherapy. Materials and Methods:Fourty patients who had been pathologicaly confirmed to have cervical tuberculous lymphadenitis were analyzed retrospectively. We clasified them into 4 groups according to CT findings and checked their clinical and laborotary findings, as well as eficacies of treatment used. Results:The Type 4 was the most comon. All patients were treated with antituberculous medication. In Type 1 and 2, 11 patients among 13 patients were treated with antituberculous medication alone, whereas in Type 3 and 4, 21 patients among 27 patients were treated with the combined method of surgery and antituberculous medication. Most complicated cases were Type 3 and 4, where two cases had recurence, but most of the cases had local wound problems. All of these complicated cases had recovered to nearly normal state. Two recurent cases were treated with the combined methods completely. Conclusion:For of treatment. For cases that fall into type 3 and 4 tuberculous cervical lymphadenopathy, the combined method of surgery and antituberculous medication can be the first choice of treatment. For the initial treatment of type 3, 4, applying antituberculous medication for a period of 1-2 months before surgical intervention would be a more effective treatment. (Korean J Otolaryngol 2003 ;46 :426-31)