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찔레버섯 중독으로 인한 급성 구개편도염 및 아데노이드염 2예
하일우,장진순,전병훈,최익수 대한이비인후과학회 2010 대한이비인후과학회지 두경부외과학 Vol.53 No.12
It is said, arguably, that a Phylloporia ribis is effective on epilepsy and a range of malignancies. That’s why the Korean traditional or alternative medicine sector often takes advantage of that. Nevertheless, to the best of authors’ knowledge, there’s no report about toxicities. Re-cently, the researchers encountered two patients, a 52-year-old female and her 28-year-old son, who boiled a Phylloporia ribis and drank its extract seven days before the visit. Both star-ted to experience sore throat 6 days later, accompanied by chills. The complete blood cell te-sts revealed that they were suffering from acute tonsillitis, with leukopenia and thrombocy-topenia. Korean J Otorhinolaryngol-Head Neck Surg 2010;53:787-90
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전신 마취를 위한 기관내 삽관이 술 후 음성 변화에 미치는 영향과 관여 인자
하일우,김문철,이상준,김애리,장진순,전병훈,최익수 대한이비인후과학회 2011 대한이비인후과학회지 두경부외과학 Vol.54 No.2
Background and Objectives Reliable studies about the impact of short-term intubation, particularly as part of general anesthesia, are scarce. That scarcity led to the following research objectives. First of all, we tried to find out how often and why voice change last more than 72 hours after intubation conducted for general anesthesia. Subjects and Method The study enrolled 80 patients who were due to undergo general anesthesia at the Seoul Paik Hospital from Aug. 2009 to May 2010. The patients were examined through stroboscopic examination and voice analysis before surgery. Three days after the surgery, the same tests were performed again to single out patients whose results were abnormal; thus a proportion could be calculated. The other objective was to determine the factors involved with voice change. This was done according to the Mallampati classification, using the images from laryngoscopy and compiling records of cuff pressure, cuff volume, tube size, duration of intubations, and the number of intubation trials. Results 7.5% of the patients suffered from voice change longer than 3 days. Three factors, namely, cuff pressure, duration of anesthesia and patient age demonstrated statistically significant relationships among them. Conclusion The results indicate that there is a need for patients scheduled to face general anesthesia to receive sufficient explanation about the possible postoperative voice change that could last longer than 3 days. Furthermore, surgeons and anesthesiologists need to cooperate closely by taking the patient age, duration of anesthesia and cuff pressure into account in order to limit postoperative voice change to the minimum extent.
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하인두암의 치료방법에서 Docetaxel과 Platinum을 이용한 선행항암화학요법의 효과분석
김종승,이경석,황병언,임상호,유순호,하일우,이은정,홍기환,양윤수 대한이비인후과학회 2010 대한이비인후과학회지 두경부외과학 Vol.53 No.11
Background and Objectives The aim of this study was to determine the efficacy of induction chemotherapy with docetaxel and platinum in patients with hypopharyngeal carcinoma. Subjects and Method The medical records of 66 patients who were diagnosed with hypopharyngeal carcinoma at our department from January 1996 to December 2008 were reviewed and retrospectively analyzed. The patients were divided into four groups according to treatment method: Group I was treated with radiation and induction chemotherapy consist of docetaxel and platinum (27); Group II was treated with surgery and induction chemotherapy consist of docetaxel and platinum (28), Group III was treated with radiation and induction chemotherapy consist of 5-FU and platinum (9) and Group IV was treated with surgery and induction chemotherapy consist of 5-FU and platinum (2). A total of 186 chemotherapy cycles were administered to patients and most of the patients received at least 2 cycles. Results The T-stage distribution at diagnosis was 7.5%, 42.4%, 28.8%, and 21.2% for T1, T2, T3, and T4, respectively. The N-stage distribution at diagnosis was 48.5%, 22.7%, 10.6%, 15.2%, and 9.1% for N0, N1, N2a, N2b, and N2c, respectively. The overall 3-year survival rate was 44.3%. The 3-year survival rate of each group was 42.6% in Group I, 54.8% in Group II, and 11.1% in Group III. There was no significant difference in survival between Groups I and III (p=0.074). There was no difference in sex, age, and N stage for 3-year survival rate. Conclusion Although any valid conclusions could not be drawn because of the small number of patients examined here, induction chemotherapy consisting of docetaxel and platinum may improve the outcome of patients with hypopharyngeal carcinoma. Korean J Otorhinolaryngol-Head Neck Surg 2010;53:706-11
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