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오정훈 대한이비인후과학회 2016 대한이비인후과학회지 두경부외과학 Vol.59 No.6
The complexity of the auricle makes its reconstruction technically difficult, owing to the convexities and concavities of the underlying cartilage with its tightly adherent and thin overlying skin. This article gives an overview of the current practice in the field of auricular reconstruction. The majority of surgeons who perform auricular reconstruction continues to employ the well-established techniques developed by Brent and Nagata. Surgery takes between two and four stages, with the initial stage being construction of a framework of autogenous rib cartilage which is implanted into a subcutaneous pocket. Several modifications of these techniques have been reported. Understanding the various treatment options and having sufficient practice to increase the surgeon’s skills are crucial to providing the patients with the best outcomes possible. Korean J Otorhinolaryngol-Head Neck Surg 2016;59(6):419-23
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골수이형성 증후군의 백혈병성 변화 환자에서 발생한 비강의 골수성 육종 1예
이동후,박성율,박하영,박성국 대한이비인후과학회 2020 대한이비인후과학회지 두경부외과학 Vol.63 No.2
Myeloid sarcoma is characterized by the presence of myeloid blasts at an extramedullar site that disrupts the normal architecture of the organ. Many of these cases are associated with acute myeloid leukemia, chronic myeloid leukemia, myelodysplastic syndrome, or occur in de novo. It occurs most commonly in skin, lymph node, gastrointestinal tract, bone, soft tissue but, rarely in head and neck; especially in nasal cavity. Therefore, it is often misdiagnosed as a different disease: most commonly as lymphoma. Here we report a rare case of myeloid sarcoma in the nasal cavity that occurred in a patient with leukemic transformation with myelodysplastic syndrome, provided with literature review.
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김건호,강희정,이송재,송창면,지용배,태경 대한이비인후과학회 2019 대한이비인후과학회지 두경부외과학 Vol.62 No.11
Background and Objectives Infectious mononucleosis is mainly caused by Epstein-Barrvirus infection and it presents sore throat, fever, tonsillar enlargement with exudate, cervicallymphadenopathy, hepatosplenomegaly, and etc. Therefore, it is often misdiagnosed with acutetonsillitis. The aim of this study was to evaluate the clinical characteristics of patients with infectiousmononucleosis and recent changes. Subjects and Method From January 2008 to December 2017, we retrospectively studied 83patients who were diagnosed with infectious mononucleosis. We evaluated the patients’ clinicalcharacteristics such as sex, age, onset of disease, the department first visited, period of hospitalstay, symptoms, signs, the results of serologic test, and complications. Results Among 83 patients, 41 were male and 42 were female. The mean age was 16.1±7.28,with the oldest patient being 38 years old and the youngest patient being 2 years old. The proportionof patients older than 25 years was 10.8%. The most common symptom was sore throat(77%), followed by fever (67%), upper respiratory infection symptoms such as cough, sputum,rhinorrhea (37%), abdominal pain (16%), neck mass or neck pain (13%), and headache (4%). The most common sign was tonsillar enlargement (85%), followed by tonsillar white patch(68%), hepatosplenomegaly (67%), and cervical lymphadenopathy (60%). Complication occurredin 2 patients with mild jaundice, and there was no critical complication. The departmentpatients first visited was mostly otolaryngology (61%), followed by pediatrics (21%),gastroenterology (9%), and others (6%). Conclusion Patients with infectious mononucleosis mostly appeared to have fever, pharyngitisor cervical lymphadenitis, and the complication rate was low. The primary infection ageof infectious mononucleosis tended to increase in recent years. In adult patients, cervical lymphadenitiswas less, and white blood cell count and the proportion of lymphocyte was lowercompared to pediatric patients.
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최성원,공수근,고의경,오세준 대한이비인후과학회 2018 대한이비인후과학회지 두경부외과학 Vol.61 No.8
Posterior semicircular canal dehiscence represents a third-window lesion manifesting as hearingloss with vestibular dysfunction. Computed tomography findings of a dehiscent posteriorcanal can be verified with increased vestibular evoked myogenic potential responses as in otherthird-window lesions. The jugular bulb is the bulbiform connection between the sigmoid sinusand the internal jugular vein at the skull base. High jugular bulb can erode into inner earstructures. According to the literature review, there has been no case report about posteriorsemicircular canal dehiscence caused by high jugular bulb in Asia. Therefore, the authors reporta case with a review of literature. Korean
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정선민,박상규,서희원,지용배 대한이비인후과학회 2019 대한이비인후과학회지 두경부외과학 Vol.62 No.5
Tuberculous spondylitis, also known as Pott’s disease, is a disease involving the spine withprogressive destruction. It most commonly involves the thoracic and lumbosacral spine andmay result in severe deformity or neurologic deficit. Although cervical spine involvement israre, it can cause life threatening event. Recently, 70-year-old man presented with progressivedyspnea and dysphagia. Physical examination and radiologic studies showed a huge retropharyngealabscess with bony erosion and sclerotic change at the adjacent cervical spine. After incisionand drainage, it was finally confirmed as a tuberculous abscess. Herein, we report our experiencewith literature review. Korean
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신규하,강주창,권계원,안윤숙 대한이비인후과학회 2020 대한이비인후과학회지 두경부외과학 Vol.63 No.11
Solitary fibrous tumor (SFT) is a rare benign spindle-cell neoplasm, most often found in thepleura. Recently, it has been reported to appear throughout the body but rarely in head andneck region. Tumors in the external auditory canal, in particular, have been very rarely reported. We experienced a case of a 55-year-old male with a 6-month history of progressive swellingfrom the orifice of left external auditory canal. The tumor was round, well circumscribed,almost completely obstructing the left external auditory canal. On the enhanced temporalbone CT and enhanced paranasal sinus MRI, a 2.0×1.7 cm sized mass was observed at the leftexternal auditory canal. He was treated with surgical excision under general anesthesia. Histopathologicexamination confirmed the diagnosis of SFT. This case report presents a rarecase of a SFT arising in the external auditory canal.
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