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후비강에서 발생한 저등급의 섬유점액성 육종: 증례 보고 및 문헌 고찰
손정협,이기진,조경래 대한이비인후과학회 2018 대한이비인후과학회지 두경부외과학 Vol.61 No.11
Low-grade fibromyxoid sarcoma (LGFMS), a soft tissue tumor that has high recurrence andmetastasizing potential, rarely occurs in the head and neck region. Therefore, the treatmentfor LGFMS in the facial area is challenging in terms of cosmetic and functional maintenance. The authors report a case of LGFMS in the posterior nasal cavity. It was completely removed inparallel with the nasal endoscopic and oral approach, but the lower margin was closed by preservingthe soft palate. The patient is well without any recurrence or metastasis after 5 yearsof follow-up.
70세 이상 고령 환자에서 부비동 내시경 수술의 효과 및 안전성에 대한 연구
손정협,조경래 대한이비인후과학회 2019 대한이비인후과학회지 두경부외과학 Vol.62 No.2
Background and Objectives Chronic rhinosinusitis (CRS) is common in the elderly. There are increasing evidence that endoscopic sinus surgery (ESS) can be used to manage geriatric patients safely, although there are still concerns about complications after ESS. Therefore, the clinical effect and the safety of ESS in old patients was evaluated in the present study. Subjects and Method Retrospective observational studies were performed based on medical records of patients over the age of 70 and who underwent ESS for CRS from January 2009 to December 2017. The clinical effect of ESS was assessed by comparing the sino-nasal outcome test (SNOT-22) scores before and 3 months after surgery. The safety of the operation was evaluated by the occurrence of postoperative major surgical (skull base, orbital and hemorrhage) and medical (ventricular fibrillation, ischemic attack, primary cardiac arrest, cerebrovascular accident, pneumonia, other organ failure and death) complications. Results Seventy three subjects were enrolled in this study. Bilateral disease was observed in 37 cases (50.7%), and CRS with nasal polyp was found in 31 cases (42.5%). Eight patients (11.0%) had revision cases. The majority (93.2%) had at least one comorbid condition and got prescribed related medicine (87.7%). There was a significant decrease in SNOT-22 score after surgery. Furthermore, there were no major surgical or medical complications except two cases with epistaxis. Conclusion CRS in geriatric patients can also be treated effectively and safely by ESS as it is done for younger adults. However, as the incidence of comorbidities is high in elderly subjects, it is important to evaluate the risk factors preoperatively.
손정협,김현정 대한이비인후과학회 부산,울산,경남 지부회 2018 임상이비인후과 Vol.29 No.2
Pleomorphic liposarcoma is extremely rare in the head and neck region. It can be diagnosed by identifying multivacuolated lipoblast with pleomorphism. Most studies have reported that pleomorphic liposarcoma shows an aggressive behavior with poor prognosis. The treatment of choice is wide resection to ensure negative margin. The authors report a case of pleomorphic liposarcoma in a 67-year-old female, who was treated with primary resection of tumor and postoperative radiation therapy. The patient is well without any recurrence or metastasis after 1 year of follow-up.
손정협,조경래 대한이비인후과학회 부산,울산,경남 지부회 2018 임상이비인후과 Vol.29 No.2
Warthin’s tumor is the second most common benign tumor of the parotid gland, which consists of epithelial and lymphoid components. Malignant change is known to be extremely rare. In Korean literature, only a case of low grade adenocarcinoma arising from Warthin’s tumor was reported. For squamous cell carcinoma, there has never been reported in Korea. The authors report a case of squamous cell carcinoma arising from Warthin’s tumor in a 77-year-old male, who was treated with primary resection. The patient is well without any recurrence or metastasis after 15 months of follow-up
손정협,조경래 대한비과학회 2018 Journal of rhinology Vol.25 No.2
Epithelioid hemangioendothelioma is a rare vascular tumor with intermediate malignity and metastasis risk. It presents epithelioidcells with intracytoplasmic vacuoles and low mitotic activity. Its vascular nature can be confirmed by immunohistochemicalstudies (vimentin, CD31, CD34, and factor VIII). It is extremely rare in the nasal cavity, with only one case reported on themiddle turbinate in Korea. The authors present a case of epithelioid hemangioendothelioma on the choana with a size of 2mm,which easily coult have been misdiagnosed as a blood clot.
손정협,권창윤,조경래,김현정 대한이비인후과학회 부산,울산,경남 지부회 2017 임상이비인후과 Vol.28 No.2
Neurilemmoma is a tumorous lesion that arises from the neural sheath of peripheral nerves, autonomic nerves, or cranial nerves. Neurilemmoma on the nasolabial area is very rare and only 1 case was reported in the Korean literature. The authors experienced one case of round and elastic mass occurs from the nasolabial area. It was diagnosed as an infected nasolabial cyst. The pathologic diagnosis after surgical removal was proved as neurilemmoma. We report an unusual case with a review of literatures.
심경부 감염환자의 수술적 치료 결정의 예측인자로서 C-반응단백과 고혈압의 의의: 후향적 코호트 연구
손정협,김보영,조경래 대한이비인후과학회 2018 대한이비인후과학회지 두경부외과학 Vol.61 No.9
Background and Objectives In clinical settings, some deep neck infections may be managedby conservative treatment but some still require surgical treatment. In this study, we useunivariate and multivariate analysis to discuss whether or not there are significant differencesbetween conservative treatment and surgical treatment on patients with deep neck infections. Subjects and Method We conducted a retrospective analysis using medical records of 88patients with deep neck infections from January 2010 to December 2015. Among 88 patients,56 patients were managed by conservative treatment with antibiotics and 32 patients weremanaged by surgical treatment via transcervical approach with antibiotics. As for data analysis,Mann-Whitney U test and multiple logistic regression analysis was used. Results Age, duration from symptom onset to hospitalization, hospital days, incidence ofunderlying disease, white blood cell count, erythrocyte sedimentation rate, and C-reactive protein(CRP) were found higher in the surgical treatment group than in the conservative treatmentgroup. But there was no statistical significance except for the incidence of high blood pressureand CRP. Conclusion CRP and incidence of high blood pressure were significant predictive factorsfor choosing the surgical treatment in deep neck infection. Contrary to our expectations, the incidenceof diabetes mellitus was not a significant factor that determined the treatment optionsfor the patients with deep neck infection.
증례 보고 : 치과 보형물에 의한 식도나 기도 이물의 치료
손정협,박안나,권창윤,유영삼 대한이비인후과학회 부산,울산,경남 지부회 2016 임상이비인후과 Vol.27 No.2
Denture foreign body is relatively common in the elderly. Loss of sensation in oral cavity and pharynx or poor motor control may increase the risk of foreign body ingestion in denture wearers. The authors present three cases with denture foreign body ingestion in esophagus or bronchus. The two cases occurred after emergent intubation in pneumonia patients, while one of them was diagnosed 4 days later due to the negligence in follow up radiologic images. The other case happened in a drunken state and the patient didn’t notice for 2 months. Suspicion after history taking and careful examination with endoscope or radiography is mandatory in early diagnosis and quick treatment.
호흡 곤란과 삼킴 곤란 증상을 보인 후인두의 제2 새기형 1예
손정협,김강현 대한이비인후과학회 2016 대한이비인후과학회지 두경부외과학 Vol.59 No.8
The authors report the clinical features of a huge retropharyngeal second branchial cyst in a 53-year-old woman. The patient showed acute exacerbation of dyspnea and dysphagia. On endoscopic examination and computed tomography (CT), a cyst-like lesion narrowing the oropharynx was observed in the right retropharyngeal space. However, a retropharyngeal abscess was also suspected on some CT images. A cystic mass was found and removed completely via exploration by trans-oral approach. According to the literature review, a branchial cleft anomaly mimicking retropharyngeal abscess is very rare. Korean J Otorhinolaryngol-Head Neck Surg 2016;59(8):628-32