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송도윤,노주헌 대한안과학회 2020 대한안과학회지 Vol.61 No.7
Purpose: To report a rare case of lower eyelid desmoplastic trichoepithelioma. Case summary: A 56-year-old woman presented to our clinic with a slow-growing, painless, recurrent mass located in the temporal area of the left lower eyelid margin. Surgical incision had been performed on a similar mass 4 years before. On examination, a 7 × 2-mm firm, nodular, nontender mass was palpable in the left lower eyelid. The lesion was isolated from the surrounding tissues and completely excised. Histopathologically, the excised mass showed small strands of basaloid cells, keratinous cysts, and focal calcification. These findings supported a diagnosis of eyelid desmoplastic trichoepithelioma. Conclusions: Because of its rarity and solitary features, eyelid desmoplastic trichoepithelioma can be confused with sclerosing basal cell carcinoma. Thus, the goal of surgical therapy should be complete excision; histopathological analysis should be also performed. 목적: 아래눈꺼풀에 발생한 결합조직형성 모낭상피종을 경험하였기에 이를 보고하고자 한다. 증례요약: 56세 여자 환자가 좌측 아래눈꺼풀에 발생한 종괴를 주소로 내원하였다. 과거력상 환자는 4년 전 개인 안과에서 절제술을 시행 받은 병력이 있으며, 절제 후 재발하여 통증 없이 크기가 천천히 커지는 양상을 보였다. 내원 당시 좌안 아래눈꺼풀 이측에 7 × 2 mm의 융기된 결절이 관찰되었다. 진단을 위해 절제 생검하였으며, 절제된 종괴는 주변 조직과 유착되어 있어 가능한 완전절제를 시행하였다. 절제된 종괴는 조직병리검사에서 종양세포의 좁은 띠 모양배열, 각질성 낭포 및 치밀한 결합조직 증식성 기질이 관찰되었다. 이러한 소견으로 눈꺼풀에 발생한 결합조직형성 모낭상피종으로 진단하였다. 결론: 눈꺼풀에 발생하는 결합조직형성 모낭상피종은 희소성과 산발적 특성으로 인해 반상경피증모양 기저세포암과 임상 및 병리학적으로 감별해야 할 질환이며, 수술적 절제 및 조직병리검사를 고려해야 한다.
비 내시경적 조대술로 치료한 사골동기원 안와낭종 치험 1례 : Treated by Nasal Endoscopic Marsupialization.
권신재,노주헌,이봉희 고신대학교 의학부 1997 高神大學校 醫學部 論文集 Vol.12 No.1-2
The mucocele is originated from the paranasal sinus, and commonly occured, following the dermoid cyst in frequency. The etiology is controversial, but they are thought to result from local obstruction of a sinus ostium. Most cases take the benign course. In the past, the optimal treatment of mucocele are radical operations, which is complete removal of all mucous membrane within the sinus, subsequent obliteration or collapsing, and maintaining the opening site of the sinus. But recently, nasal endoscopic drainage of orbital mucocele affords the potential for dramatically reducing operative morbidity of surgery, minimal bleeding and short operative time. Also following surgery, direct endoscopic visualization of the area enables accurate follow-up. The authors experienced a case of the mucocele which suspect that it originated from the ethmoidal sinus by considering its clinical features and orbital CT, and have been encouraged with treating it by the nasal endoscopic marsupialization. And so we report that endoscopic approach marsupialization appears to be good alternative for the treatment of orbital mucocele.
눈꺼풀테회전술과 눈꺼풀성형을 이용한 반흔성 눈꺼풀속말림의 치료
김선아,노주헌.Sun A Kim. M.D.. Ju Hun Rho. M.D. 대한안과학회 2005 대한안과학회지 Vol.46 No.2
Purpose: To report the efficacy of tarsal marginal rotation with blepharoplasty in the management of cicatricial entropion of the upper eyelid. Methods: In 9 consecutive patients, 14 eyelids with moderate cicatricial entropion of the upper eyelid were enrolled in this study. All 14 eyelids underwent tarsal margin rotation with blepharoplasty. In cases where one eyelid was involved, the fellow eyelid underwent upperlid blepharoplasty at the same time. The mean follow-up period was 17.7 months (range, 11 to 53 months). Results: In all 14 upper eyelids, the eyelashes rotated away from the surface of the eye postoperatively. There was not recurrence in 13 eyelids and the effect of correction was maintained for the follow-up period. However, in one eyelid the cicatricial entropion recurred after months. Tarsal margin rotation was repeated and there was no recurrence for 6 months. Conclusions: Tarsal margin rotation with blepharoplasty appears to be effective in managing cicatricial entropion of the upper eyelid in both functional and cosmetic aspects.
박재홍,노주헌.Jae Hong Park. MD. Joo Heon Roh. MD 대한안과학회 2013 대한안과학회지 Vol.54 No.10
Purpose: To report on the clinical manifestations, species and treatments of patients with chronic canaliculitis. Methods: From August 2003 to February 2012, 77 eyes of 77 patients who were diagnosed with chronic canaliculitis at our hospital were retrospectively analyzed. Results: The mean period from the onset of symptoms to diagnosis was 4.7 months. The most common systemic disease associated with chronic canaliculitis was diabetes (18 eyes, 23%), and 13 eyes (17%) were related to punctual plug insertion. Main symptoms consisted of epiphora with discharge and pouting punctum. In the culture results of 55 eyes, streptococci, staphylococci, and actinomyces among other bacteria were identified. Seventy-two eyes (94%) were cured with one-snip punctoplasty with curettage. Conclusions: Chronic canaliculitis is rare, and the clinical aspect can be obscured by chronic conjunctivitis, thus the diagnosis is often delayed. In patients who have systemic diseases such as diabetes or past history of punctual plug insertion, chronic canaliculitis should be differentiated by observing the punctum more closely. If the diagnosis is accurate at the time, chronic canaliculitis could be easily cured by a relatively simple procedure such as one-snip punctoplasty with curettage.
비 내시경적 조대술로 치료한 사골동기원 안와낭종 치험 1례
권신재,노주헌,이봉희 고신대학교(의대) 고신대학교 의과대학 학술지 1997 고신대학교 의과대학 학술지 Vol.12 No.1
-Abstract- The mucocele is originated from the paranasal sinus, and commonly occurred, following the dermoid cyst in frequency. The etiology is controversial, but they are thought to result from local obstruction of a sinus ostium. Most cases take the benign course. In the past, the optimal treatment of mucocele are radical operations, which is complete removal of all mucous membrane within the sinus, subsequent obliteration or collapsing, and maintaining the opening site of the sinus. But recently, nasal endoscopic drainage of orbital mucocele affords the potential for dramatically reducing operative morbidity of surgery, minimal bleeding and short operative time. Also following surgery, direct endoscopic visualization of the area enables accurate follow-up The authors experienced a case of the mucocele which suspect that it originated from the ethmoidal sinus by considering its clinical features and orbital CT, and have been encouraged with treating it by the nasal endoscopic marsupialization. And so we report that endoscopic approach marsupialization appears to be good alternative for the treatment of orbital mucocele.