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주준범,유승주,이석기,양진석,강창일,남순열,김상윤 대한이비인후과학회 2002 대한이비인후과학회지 두경부외과학 Vol.45 No.9
:The parapharyngeal tumors are rare and treated mostly by surgical removal. The preoperative diagnosis of parapharyngeal tumors is very important because the surgical removal of neurogenic tumor, which is the main mass in the parapharyngeal space, can induce severe complications. There are many diagnostic tols for parapharyngeal tumors and their effectiveness are variable. In this study, we focused on the diagnostic accuracy of each diagnostic tool. Subjects and Method:Diagnostic tols used were computed tomography (CT), magnetic resonance imaging (MRI), ultrasonography (US), and fine needle aspiration biopsy (FNAB). Results:The diagnostic acuracy of MRI, CT and US was 68.2%, 51.6% and 42.8%, res-pectively. The sensitivity (83% ) and specificity (87.5%) of FNAB for neurogenic tumor are higher than those of MRI (75%, 50% ). Conclusion:These results suggest that FNAB is the most precise and reliable diagnostic tool and MRI is the most reasonable and effective imaging study. (Korean J Otolaryngol 2002;45:902-5)
주준범,홍석중,강보현,김영진,유승주,김상윤,남순열 대한기관식도과학회 2001 大韓氣管食道科學會誌 Vol.7 No.1
Background and Objectives: Larynx granuloma is a exophytic inflammatory mass and may result from gastroesophageal reflux disease and a traumatic or prolonged endotracheal intubation. There has been a controversy in the treatment of larynx granuloma. Our aim of study is to know the results of the conservative management and surgery for larynx granuloma. Materials and Methods : We have reviewed and analyzed medical records of 71 Patients who were diagnosed and treated as larynx granuloma in Asan medical center from 1989 to 2000 retrospectively. And questionnaires on present patient's status were answered via telephone. Results : Forty four cases were treated by conservative management and 29 cases were treated by surgery. The total Percentages of improvement after treatment were 85.7 o/o after conservative management and 75.9% after surgery. In intubation granuloma percentages of improvement were 86.4% after conservative management and 73% after surgery. In contact granuloma percentages of improvement were 85% after conservative management and 78.5% after surgery. Conclusion : Resolution and treatment periods are longer in contact granuloma compared to intubation granuloma in the groups of conservative management. (P<0.05) There is no significant difference of their outcome between conservative management and surgery. (P>0.05) Although this study is retrospective, conservative management is the first treatment in the management of larynx granuloma.
경찰병원에 이명, 난청을 주소로 내원한 현역 경찰관의 청각학적 고찰
정혜원,주준범,조주은,김종양 대한이비인후과학회 부산,울산,경남 지부회 2012 임상이비인후과 Vol.23 No.1
There is a lack of data about police officers’s hearing thresholds in Korea. We evaluate audiometric study in police officers who visit national police hospital to complain of tinnitus or hearing disturbance. Materials and Methods:We undertook a retrospective study using review of medical records. We divided 3 groups to age (I : 31-40, II : 41-50, III : 51-59), determined the thresholds of hearing according to frequency and site in each group. Results:The hearing was significantly worse in left side than right side at 6 kHz in group III (p<0.05). All groups showed the hearing threshold was below 30 dB at 125 Hz, 250 Hz, 500 Hz, 1k Hz, 2k Hz, and above 35 dB at 4, 6, 8 kHz at both side. The hearing threshold was increasing according to age. The hearing threshold was significantly worse at all the frequencies in group III than group I (p<0.05). Conclusion:Police officers who visit national police hospital to complain of tinnitus or hearing disturbance had both high frequencies hearing loss and tinnitus. Hearing loss was worse according to age-related acoustic trauma. Further research and prevention of hearing loss should be needed. 이명과 난청을 주소로 내원한 현역 경찰관들은 양측고주파수 영역의 난청과 이명을 가지고 있으며, 청력 역치는 나이가 들수록 증가하였다. 난청과 이명의 주요 원인일 수 있는 음향외상에 대한 예방과 연구가 필요하다.
서민철,주준범,남순열 대한후두음성언어의학회 2000 대한후두음성언어의학회지 Vol.11 No.1
Background and Objectives : Hormonal treatments which have an androgenic effect have the potential to cause vocal changes. The changes in vocal fold structure and voice quality are considered to be irreversible. To date, studies have documeted subjective vocal changes or documented single cases without detailed, baseline voice assessments. Materials and Methods : We have performed objective voice analyses of 20 women who were treated with androgenic hormones for endometriosis and compared the results with those of normal control women. Results : The averages of fundamental frequency were 194.7${\pm}$28.2 in study group, 207.0${\pm}$14.1 in control group. The means of closed quotient which were measured with electroglottography were 45.13${\pm}$2.06 in study group, 45.1${\pm}$3.03 in control group. Results of acoustic analysis are as follows. The averages of jitter were 0.95${\pm}$0.46 in study group, 1.10${\pm}$0.65 in control group. The means of shimmer were 2.44${\pm}$0.60 in study group, 2.32${\pm}$1.09 in control group. The averages of noise to harmonic ratio were 0.13${\pm}$0.028 in study group, 0.15$\pm$0.18 in control group. Conclusion : Although there were no statistically meaningful differences between the two groups, we could detect the masculinizing tendency of the therapeutic hormones of endomentriosiss(lowering of fundamental frequency). Given the availability of objective voice assessments today and the continued use of these potent hormones, comprehensive voice assessment and vocal monitoring would appear vital for women commencing hormonal treatment.
이호일,주준범,조주은,김종양 대한이비인후과학회 부산,울산,경남 지부회 2010 임상이비인후과 Vol.21 No.1
Characteristically, pyogenic granuloma of the tongue is more common on the lateral side of the tongue. The reasons for this are unclear, but may be related to trauma from adjacent teeth or dentures. This article was prompted by the presentation of one patient with lesion in the midline of the anterior surface of the dorsum of the tongue. The lesion was successfully removed surgically, and histology revealed them to be pyogenic granuloma. There has been no evidence of recurrence in the 6 months of the follow-up period.
이호일,정혜원,주준범,조주은,김종양 대한이비인후과학회 2010 대한이비인후과학회지 두경부외과학 Vol.53 No.8
Background and Objectives Hump resection by osteotome or rasp is a commonly used surgical technique in hump correction. However, during this procedure, the structure of the osseous-cartilaginous framework is altered and may lead to an open roof deformity or dorsal irregularity. So we preserved the hump as much as possible, and then augmented the radix with silicone. We compared this result to that of the hump resection group. Subjects and Method We retrospectively studied 21 patients who underwent rhinoplasty with hump correction. We classified the patients into two groups by operation technique; hump preservation and hump resection. The result of surgery was evaluated by comparing nasal measurements on pre and postoperative photos. Patient’s satisfaction about cosmetic results were investigated using the visual analogue scale (VAS). All results were statistically tested. Results The hump preservation group (N=13) had 12 cases (92.3%) of isolated hump type and one pseudo hump type (7.7%), whereas the hump resection group (N=8) had 5 cases (62.5%) of generalized hump type and 3 isolated hump type (37.5%). The preoperative nasofrontal angle in hump preservation (129.4°±10.6) was significantly lower than that in the hump resection group (139.3°±8.2). The nasion/nasal tip depth ratio in the hump preservation group (0.22±0.1) was also lower than that in the hump resection group (0.29±0.1) preoperatively;but there was no significant difference between the two groups. VAS was improved significantly in both groups after surgery. Conclusion Hump preservation and radix augmentation can be an effective and less complicated surgery for patients who have an acute nasofrontal angle with an isolated hump. Korean J Otorhinolaryngol-Head Neck Surg 2010;53:486-90