비중격 및 상순에 발생한 심상성 Lupus 1 치험례

구수권,노환중,고한진,왕수건,전경명 대한이비인후과학회 1988 대한이비인후과학회지 두경부외과학 Vol.31 No.5

후두전적출후 기관식도 누공술을 이용한 음성재활환자의 발성기전에 관한 연구

구수권,이상화,전경명,왕수건,고의경,김학진,이석홍,양병곤 대한이비인후과학회 1998 대한이비인후과학회지 두경부외과학 Vol.41 No.3

비전정부에 발생한 사마귀양 암종(우상암) 1예

구수권,김현규,한철우,김태헌 대한이비인후과학회 2006 대한이비인후과학회지 두경부외과학 Vol.49 No.8

Verrucous carcinoma, an atypical variant of squamous cell carcinoma that is well-differentiated, is known to invade locally withrare metastasis. It was first reported by Ackerman in 1948 and has been reported in the areas of the head and neck and theexternal genitalia. A case of endonasal verrucous carcinoma was first reported by Krause. Cases of the sinus were reported tohave occurred in the ostium of maxillary sinus and frontal sinus, and there has also been a reported case of a verrucouscarcinoma that invaded the subnasal, which originated from the hard palate. However, no such case of verrucous carcinomainvasion originating from the nasal vestibule has been reported. Verrucous carcinomas are often clinically malignant, yet pathohistologicallybenign, thus, unlike most squamous cell carcinomas, they are of a low-risk group with rare metastasis, fewrecurrences, and good prognosis with proper treatment. In some cases of verrucous carcinoma treated with radiotherapy, anaplasticvariations occur, thus surgical removal is known to be the treatment of choice. The authors report a recent case of verrucouscarcinoma that originated from the nasal vestibule which was surgically removed and treated with adjuvant radiotherapy. (Korean JOtolaryngol 2006;49:849-51)

알레르기 질환의 건강증진과 예방

구수권 대한비과학회 2008 Journal of rhinology Vol.15 No.2

The prevalence of allergic diseases have been increasing over the last few decades. These diseases have become a global public health problem and a burden to health care resources. Allergen exposure in the high risk group is one of the numerous factors contributing to the developing and worsening allergic diseases. Thus, prevention is a very important strategy in treating allergic diseases. This review focuses on environmental risk factors and possible preventive methods in combating allergic diseases. The prevalence of allergic diseases have been increasing over the last few decades. These diseases have become a global public health problem and a burden to health care resources. Allergen exposure in the high risk group is one of the numerous factors contributing to the developing and worsening allergic diseases. Thus, prevention is a very important strategy in treating allergic diseases. This review focuses on environmental risk factors and possible preventive methods in combating allergic diseases.

내시경을 이용한 비중격성형술의 후향적 분석

구수권,최장원,김양재,김영중 대한이비인후과학회 2012 대한이비인후과학회지 두경부외과학 Vol.55 No.9

Background and Objectives We reviewed retrospective data of patients who underwent endoscopic septoplasty over 5 years and provide clinical information about endoscopic septoplasty. Subjects and Method The medical records of patients who underwent endoscopic septoplasty were reviewed retrospectively for clinical symptoms, surgical methods, intraoperative technique, operation time, postoperative complications and results. Results Nasal obstruction was the most common presenting symptom. Among patients, endoscopic septoplasty alone was performed in 290 cases. Among 290 cases, 57 cases were of broad based septal defection, 13 cases septal deflection with septal spur, 16 cases isolated septal spur and 4 cases limited posterior septal deflection. The mean operation time was 32.48 ±2.76 minutes. No major complication occurred in the immediate postoperative period. Minor complications included septal hematoma (3.79%) and postoperative hemorrhage (1.03%). Sixty-five patients received statistically validated measures of Visual Analog Scale (VAS) at 1 month and 6 months after surgery. VAS score decreased statistically from 7.75 to 0.81 at 6 mon-ths after operation (p<0.05). Conclusion Endoscopic septoplasty is a relatively safe and effective technique used to treat various types of septal pathology such as classical septal deviation, septal spur and isolated septal deflection. Endoscopy with video imaging system is valuable for education.

소아 알레르기 비염의 최신지견

구수권 대한이비인후과학회 부산,울산,경남 지부회 2010 임상이비인후과 Vol.21 No.1

A Case of Nasal Swell Body (Septal Turbinate) Combined with Pneumatization of Perpendicular Plate of the Ethmoid Bone

구수권,정성훈,문지승,손현이 대한비과학회 2016 Journal of rhinology Vol.23 No.1

The “nasal swell body” (NSB) or septal turbinate is a distinct structure of the anterior nasal septum that is observed on endoscopic and radiographic examination. It is primarily a glandular rather than a venous formation that is comprised of septal cartilage, bone, and thick mucosal lining. It is commonly found in patients with symptoms of chronic sinusitis and allergic rhinitis, and is linked to septal deviation. Space occupying lesions of the septum such as tumors, mucoceles, and pneumatization of the septum can lead to anatomical and functional disorders such as nasal obstruction and sinusitis, while more serious clinical conditions can develop when these lesions are combined with the NSB. Recently, there has been emphasis on the functional aspects of the NSB. It is especially being emphasized for clinicians to pay attention to the NSB and its connection with the stuffy nose. We report an interesting case of the NSB combined with pneumatization of the perpendicular plate of the ethmoid bone causing severe nasal obstruction and repetitive sinusitis along with a literature review.

성별에 따른 폐쇄성 수면무호흡 환자의 비교

구수권,송창윤,김현규,한철우,이상화,전경명 대한이비인후과학회 2004 대한이비인후과학회지 두경부외과학 Vol.47 No.12

Background and Objectives:OSA (obstructive slep apnea) is considered a disorder that occurs predominantly in men. A thorough understanding of the sex diference in OSA can help the medical community in consultation, diagnosis and treatment ment of OSA. Subjects and Method:Three hundred and sixteen patients (47 women and 269 men), diagnosed as having OSA based on polysomnography (PSG) in the sleep disorder clinic between July 1994 and December 2002, were evaluated retrospectively. Results:Female patients were older and had les severe OSA than men. In the group of patients showing the postmenopausal age; there were no diference with respect to obesity, except for the severe group. In the group of patients having the same age and obesity, males had more severe apnea, but females tended to have severe apnea over the age of 50. In terms of subjective symptoms, male patients noted more severe OSA symptom, daytime fatigue, attention deficiency than female patients, who noted morning headache and depression more often than their counterpart. Conclusion:Female patients acount this gender disparity.

수면무호흡증 환자에서 시행한 구개근 절제술의 임상적 안전성

구수권,명남숙,최장원,김양재,권순복 대한비과학회 2012 Journal of rhinology Vol.19 No.2

Background and Objectives: The purpose of this study was to analyze clinical safety of PMR(Palatal Muscle Resection) in obstructive sleep apnea patients. Materials and Methods : Fourteen Patients underwent only PMR were reviewed retrospectively. ESS(Epworth Sleepiness Scale) was analyzed after PMR surgery to assess surgical results. Visual Analogue Scale were reviewed to evaluate postoperative pain. Eustachian tube function test, voice analysis, and measurement of forced expiration power were done after two months of surgery. Results : ESS were improved after PMR. There were little postoperative pain. There was no significant change is observed vowel sounds except /u/ nor postoperative nasalization in voice, Eustachian tube dysfunction and change of expiration power. Conclusion : PMR may be regarded clinically safe surgery in obstructive sleep apnea patient.

caviA Study on Voice Change after Septoplasty with Turbinoplasty

구수권,권순복,김영준,정성훈,문지승 대한이비인후과학회 2016 대한이비인후과학회지 두경부외과학 Vol.59 No.5

Background and Objectives Septoplasty with turbinoplasty has the potential to affect voice because it alters the vocal tract. We conducted a study to evaluate the postoperative voice changes and aid using subjective and objective data regarding the effect of surgery. Subjects and Method To rule out gender bias, only 23 male patients were enrolled. Voice change was analyzed by a subjective test through a questionnaire and an objective test through acoustic analysis. During each recording session, the subject uttered the words [^m ma: the Korean word for “mother”] and [Nu Na: the Korean word for “sister”]. We then analyzed the nasal consonant ([m] in [^m ma]), the nasalized vowel ([a] in [^m ma] and [a] in [Nu Na]), and the intensity of nasal sound. ResultsZZIn the subjective study, 73.9% of patients reported an improvement in the quality of voice after surgery. Most of the patients reported a reduction in twang. In the objective study, there was a tendency for increased formant frequencies in the nasal consonant, and F1 of [m] in [^m ma] was increased significantly (p=0.003). There was also a tendency for decreased formant frequencies in the nasalized vowel, F2 of [a] in [^m ma] and F1 of [a] in [Nu Na] were decreased significantly (p<0.001), and there was an increase in the intensity of nasal sound, [^m ma] (p=0.009) and [Nu Na] (p=0.013). Conclusion Nasal sound became clearer with reduced twang after surgery. It is important to keep the phonetic aspect in mind when patients are undergoing septoplasty with turbinoplasty. Korean J Otorhinolaryngol-Head Neck Surg 2016;59(5):377-82