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아데노이드 및 구개 편도 비대 또는 알레르기비염을가진 소아에서의 저신장
심주섭,김성완,최희석,김명구,조중생 대한이비인후과학회 2006 대한이비인후과학회지 두경부외과학 Vol.49 No.4
Background and Objectives:There is little data to indicate that hypertrophy of adenoid and tonsil may cause short stature. However, there is no data relating short stature to allergic rhinitis in the Korean population. The aim of this study was to investigate the effect of hypertrophy of adenoid and tonsil and allergic rhinitis on children with short stature. Subjects and Method:One hundred and ninety-one children were included in the disease group, which consisted of three groups, allergic rhinitis only (n=83), hypertrophy of adenoid and tonsil only (n=67), and combintorial of allergic rhinitis and hypertrophy of adenoid and tonsil (n=41). There were 174 pediatric patients in the control group. Growth hormone levels, thyroid function and both wrist X-rays were checked on the children with short stature in order to exclude other chief medical problems causing short stature. For the purpose of evaluating the relationship between short stature and clinical factors, allergy parameters, eosinophil partition rate and total IgE levels were checked in the allergic rhinitis group, and the size of the adenoid and tonsil were checked in the adenoid and tonsil hypertrophy group. The relationship between the incidence of short stature and above clinical factors was evaluated. Results:The incidence of short stature was significantly higher in each disease group than in the control. However, there was no statistically significant differences between each disease group. The above clinical factors were not associated with short stature.Conclusion:Hypertrophy in adenoid and tonsil and allergic rhinitis might be an independent cause of short stature. (Korean J Otolaryngol 2006;49:390-4)
만성 비부비동염에서 알레르기비염과 말초 호산구증다증의 의미
심주섭,김성완,이건희,조중생 대한이비인후과학회 2008 대한이비인후과학회지 두경부외과학 Vol.51 No.3
Chronic rhinosinusitis (CRS) frequently coexists with allergic rhinitis (AR) and nasal polyp. The eosinophil is known to play a pivotal role in allergic reaction and chronic inflammation of respiratory epithelium in paranasal sinus. Therefore, we evaluated the peripheral eosinophilia (PE) in patients with CRS and then investigated its relationship with the AR. We also investigated the correlation of the prevalence of nasal polyp with the incidence of nasal polyp and the severity of PNS CT scoring. Subjects and Method:One hundred and three CRS patients who had persisting symptoms more than 3 months and were refractory to medical management were enrolled. Thirty-six patients with AR only were selected on the basis of allergy rhinitis workup and PNS CT. PE was defined as eosinophil count of more than 4% of the peripheral differential blood count. The scoring system of PNS CT imaging was adopted from Ikeda, et al. Results:CRS with AR had the higher prevalence of PE and nasal polyp (p=0.005 and p=0.046, respectively) than non-AR. CRS with AR had the higher prevalence rate of PE than AR (p=0.001). PE was not related with the prevalence of nasal polyp in the presence of CRS with AR. Peripheral eosinophil partition rate also did not correlate with severity of PNS CT score, irrespective of AR. There was no statistical difference in PNS CT score between AR group and non-AR group, either. Conclusion:CRS with AR may be associated with nasal polyp and PE but PE itself had no relationship with the disease severity on PNS CT and prevalence of nasal polyp in the presence of CRS. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:234-9)
심주섭,김성완,차창일,조중생 대한이비인후과학회 2005 대한이비인후과학회지 두경부외과학 Vol.48 No.11
Soft tissue sarcoma of the head and neck is a rare and heterogenous group of malignant tumors. Especially, adult soft tissue sarcomas occur rarely in nasal cavity and paranasal sinus. They are, when poorly differentiated, termed as pleomorphic sarcoma, spindle cell sarcoma, or malignant fibrous histiocytoma (MFH) like tumor. The main stay of the treatment of adult soft tissue sarcomas is surgical resection with negative margin. Tumor grade, tumor size and extension of local infiltration are recognized prognostic factors, but classification of histologic type appears to have less prognostic significance. In case of uncontrolled locoregional disease, it often results in death due to intracranial extension. We report a case of a 68-year-old female with locoregional high grade pleomorphic sarcoma in the nasal cavity. This tumor was managed by wide local excision of tumor with negative margin.