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비익 강화 이식, Flaring Suture를 활용한 동적 외비밸브 허탈 교정 사례
안태림,김상훈,김용완 대한이비인후과학회 부산,울산,경남 지부회 2024 임상이비인후과 Vol.35 No.1
Various factors contribute to nasal congestion. Therefore, a meticulous physical examination including sinus endoscopy and visual inspection is needed. Amongst, evaluating nasal valve function plays an important role. If diagnosed with valve dysfunction, surgical correction of nasal valve is required, especially when the nasal symptom persists after septoplasty. Various surgical techniques are adopted, depending on anatomical structure, the patient’s specific aesthetic needs, and surgeon’s preference. This article introduces a case of surgical treatment of dynamic nasal valve collapse with alar batten graft and alar flaring suture.
후각질환에서 부데소나이드 비강세척 또는 비강 내 스테로이드 스프레이의 효과
김보수,안현우,안태림,김상훈,박영준,백무진,김미라,이석환,김용완 대한이비인후과학회 부산,울산,경남 지부회 2023 임상이비인후과 Vol.34 No.3
Background and Objectives: Oral steroid medication is known to be effective in the treatment of olfactory dysfunc- tion, but long-term steroid use can lead to serious complications such as high blood pressure, diabetes, and gastric ulcers. In this study, the authors aimed to investigate the effects of oral steroid medication with nasal spray and budesonide nasal irrigation alone or nasal spray alone on olfactory disorders. Materials and Methods: A total of 222 patients of anosmia or hyposmia had been treated in Department of Otorhinolaryngology of Haeundae Paik Hospi- tal from March 2010 to December 2022 and were reviewed retrospectively. First, they underwent a 2-week course of oral steroid medication with nasal spray, followed by a pre- and post-treatment with the Korean version of the Sniffin' Sticks (KVSS)-II olfactory assessment. 41 patients finished the first treatment and were divided into two groups. Group 1 (25 patients) used nasal spray alone once a day, while Group 2 (19 patients) underwent budesonide nasal irrigation twice a day. Results: The KVSS-II scores for 41 patients who received the first treatment showed statistically significant improvement (12.6±6.4 to 17.1±5.4, p=0.000). The Group 1 experienced a statistically non-significant decrease in the KVSS-II scores (17.8±5.6 to 15.4±6.5, p=0.140). The KVSS-II scores in Group 2 showed improvement but there was no statistical significance (14.4±4.5 to 16.3±5.4, p=0.326). Conclusion: Using nasal spray alongside oral steroid medication demonstrated statistically significant effects on olfactory disorders. However, using nasal spray alone or budesonide nasal irrigation alone did not show statistically significant results.
안현우,백무진,김미라,이석환,김보수,안태림,김상훈,김용완 대한이비인후과학회 2023 대한이비인후과학회지 두경부외과학 Vol.66 No.8
Background and Objectives One of the common causes of chronic bacterial sinusitis isodontogenic infection, which has recently attracted attention and many studies are being con-ducted. However, studies on the relationship between chronic fungal sinusitis and odontogenicinfection, which are commonly encountered in clinical practice, are still lacking. In this study,we investigated the association between chronic fungal sinusitis, odontogenic infection anddental implant. Subjects and Method We retrospectively reviewed medical records and paranasal sinus(PNS) CT scans of 198 patients who were treated in our institution for maxillary fungal sinus-itis between March 2010 and October 2020. Results We defined two groups of maxillary sinuses (MS) according to the presence of fun-gal ball (fungal group; n=204 vs. normal group; n=192). Fungal sinusitis was diagnosed in all204 cases of the fungal group. In the normal group, the mean MS volume was 17.0±6.2 mL,and in the fungal group, the mean MS volume was 13.8±5.2 mL. The volumes of MS were sta-tistically small in the fungal group ( p<0.001). In 141 (69.1%) of 204 sinuses in the fungal group,findings suggestive of odontogenic infection were confirmed on the PNS CT scans and werestatistically significant ( p<0.001, odds ratio=2.537). Of 204 sinuses in the fungal group, 26(12.7%) had dental implants and were not statistically significant ( p=0.107, odds ratio=1.724). Conclusion This study suggests odontogenic infection to be a risk factor for developingfungal sinusitis in the ipsilateral maxillary sinus.