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전청우,이동욱,심규화,이현석 대한이비인후과학회 2002 대한이비인후과학회지 두경부외과학 Vol.45 No.1
Lipoblastoma is a rare benign tumor of embryonal fat. This condition most often presents during childhod, before the age of 7 years, afects males more than females, and is typified by a slowly growing, usually subcutaneous mass arising in the limbs. Cases involving the head and neck are extremely rare. Our case arose in a 44-month-old male presenting with a rapidly enlar--tion. We report one case of lipoblastoma in the neck with a review of the literature. (Korean J Otolaryngol 2002;45:93-5)
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내시경적 비강 내 누낭비강문합술:비점막 피판을 이용한 개구부 폐쇄의 최소화
진홍률,신시옥,최영석,전청우,심규화 대한이비인후과학회 2003 대한이비인후과학회지 두경부외과학 Vol.46 No.12
Background and Objectives: (DCR) is not satisfactory enough compared to that of external approach because the newly made ostium is easily obstructed due to granulation tissue formed around the small ostium. The objective of this study is to describe a new technique of an endoscopic DCR which minimizes the stenosis of neo-ostium and to report its suces rate. Materials and Method:Twenty patients who had procedures were done by the same surgeon. The surgical technique includes elevation of mucosal flap, full sac exposure using diamond drill, and design of mucosal flap to cover the denuded bone and approximate with opened sac mucosa. Postoperative symptom improvement and endoscopic finding of the neo-ostium were evaluated. The mean duration of follow-up was 8 months. Results:Ninety percent sucess rate was noted without any serious complications. Obstruction of the neo-ostium with granulation tissue was observed in two patients. Conclusion=Endoscopic DCR using mucosal flap after full sac exposure gives satisfactory succes rate without any serious complications. (Korean J Otolaryngol 2003 ;46 :1040-5)
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돌발성 난청 환자에서 부신 피질 호르몬제 단독 투여와 Acyclovir동시 투여의 치료 효과 비교
신시옥,최영석,이동욱,용만강,전청우,이창수,심규화,이주연 대한이비인후과학회 2002 대한이비인후과학회지 두경부외과학 Vol.45 No.3
Background and Objectives:The idiopathic sudden sensorineural hearing loss (ISSHL) is a disease occuring instantly or hearing recovery in ISSHL, but the effects of acyclovir are stil uncertain. The purpose of this study is to evaluate the therapeutic efficacy of antiviral drug acyclovir (Zoylex) in ISSHL. Materials and Methods:One hundred thirty four ears were divided into a study (41 ears, using acyclovir and steroid) and a control (93 ears, using steroid only) groups. Prognostic rs of comparison betwen two groups. Results:The overall recovery rate of the study group (53.7%) was better than that of the control group (46.2%), but it was not statistically significant (p>0.05). The recovery rate of the study group was better than that of the control group on some prognostic factors, especially the period betwen the symptom attack and the be-ginning of treatment;however, there were no statistically significant diferences either (p 0.05). Conclusion:Therefore, no beneficial efects from combining acyclovir with prednisolone could be established in ISSHL. (Korean J Otolaryngol 2002;45:225-30)
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심규화,이동욱,추무진,신시옥,최영석,신정우,전청우,이창수 대한이비인후과학회 2002 대한이비인후과학회지 두경부외과학 Vol.45 No.3
Background and Objectives:Although the incidence of tuberculosis has decreased recently, cervical tuberculous lympha-denitis is one of the most comon causes of neck mas in Korea. Its confirmative diagnosis is not comon, especially when the presence of acid-bacilli is not proven. So, the treatment of cervical tuberculous lymphadenitis is generally carried out by clinical diagnosis, not by confirmative diagnosis. In this study, we designed to verify theusefulness of fine needle aspiration cytology (FNAC), AFB stain, Mycobacterium tuberculosis polymerase chain reaction (PCR)ectively. Materials and Methods:We underwent FNAC, AFB stain and PCR as a first stage work-up through fine needle aspiration in forty-eight patients who were suspected of cervical tuberculous lymphadenits. In patients with positive results on the first stage work-up, we treated the patients with antituberculosis chemotherapy under clinical diagnosis of tuberculosis. In patients with negative test results, we performed excisional biopsy. Also in patients who revealed positive results with no response to the antituberculosis chemotherapy, we performed an excisional biopsy too. Results:The sensitivity and spec-13.5% and 56.8 %, respectively. The specificity of PCR was 81.8%. Thirteen (59.1%) of 22 patients who revealed negative results in their first stage work-up were proven to have cervical tuberculous lymphadentis through excisional biopsy, and two of the positive results in PCR were false positive. Conclusion:In clinical diagnosis of cervical tuberculous lymphadentis, the first stage work-up used in this study is found to be useful methods which resulted 64.9% sensitivity and 81.8% spec-ld be considered positively. (Korean J Otolaryngol 2002;45:263-7)
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