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측두골 전산화 단층 촬영에 의한 전상고실 골판의 형태학적 분류와 임상적 의의
이철희,이지은,상동민,김현우,이정래,조태환,이상흔 대한이비인후과학회 2002 대한이비인후과학회지 두경부외과학 Vol.45 No.2
Background and Objectives:Anterior attic bony plate (cog) is a coronally oriented bony septum which is suspended from important pathway for anterior drainage which can cause inflammation in obstructed conditions;therefore, it needs approp-riate procedure to eradicate the lesions without recurrence. We aimed to classify types of the anterior attic bony plates on the temporal bone CT and to find corelation betwen the types of the anterior attic bony plates and the development of chronic otitis media and cholesteatoma. Materials and Methods:We reviewed 264 cases of the temporal bone CT of the normal and the chronic otitis media patients, of which 64 cases were excluded as lesions could not be identified due to severe destruction and obscurity of the figure. Results:In normal ears, the incidence of the anterior attic bony plate was 67% in the plate type, 28% in the pyramid type, and 5% in the anterior type. In the diseased ear, the incidences were 40%, 44%, 16%, in the plate type, pyramid type, and anterior type, respectively and in the cholesteatoma ear, 30%, 43%, 27%, respectively. The diference of incidence was statistically significant. Conclusion:We assumed that the development of the chronic otitis media is related than in noncholesteatoma with a statistical significance. Further studies are needed to figure out the correlation between the type of the anterior attic bony plate and its clinical importance. (Korean J Otolaryngol 2002;45:122-6)
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이정래,송선희,김현우,상동민,이규엽,장희상,김정수 대한이비인후과학회 2002 대한이비인후과학회지 두경부외과학 Vol.45 No.3
Background and Objectives:An isolated sphenoid sinus lesion is a rare disorder and is difficult to diagnose for several re-treatments are needed. We experienced 17 cases of isolated sphenoid sinus lesions, including inflammatory, neoplastic, and vascular lesions, and reviewed the clinical findings, radiologic features, treatments and complications of these cases. Materials and Method:Isolated sphenoid sinus lesions were reviewed retrospectively of patients from January 1995 to July 201. Patients were identified with radiologic findings and intraoperative endoscopic findings excluding other paranasal sinus involvements. Results:The most common symptom was headache, and 13 patients (76% ) complained. Nasal symptoms ap-peared only 4 patients (23% ). Pathologic reviews showed 9 cases of acute and chronic sinusitis were 9 cases, 4 fungal sinus-itis, 2 neoplastic diseases, 1 polyp, and 1 vascular disease. We carried out medical treatment in 5 cases, and diagnostic biopsy in 3 cases, and therapeutic surgery in 10 cases. In 7 cases, complications including cranial nerve palsy were observed, and 1 patient was expired due to meningitis. Conclusion:We can diagnose isolated sphenoid sinus lesions exactly with the use of ctively. It is apparent that early recognition and rapid treatment are essential if complications are to be avoided. (Korean J Otolaryngol 2002;45:249-53)
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