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원발성 빈 안장 증후군에 동반한 뇌척수액 비루의 내시경적 치험 1예
지준혁,박석원,한민석,이은경 대한이비인후과학회 2011 대한이비인후과학회지 두경부외과학 Vol.54 No.10
The empty sella syndrome is defined as the herniation of a subarachnoid space within the sella, with a flat-pressed pituitary gland accompanying hormonal problems or cerebrospinal fluid (CSF) rhinorrhea. CSF rhinorrhea is rare in the primary empty sella syndrome. We report a case of primary empty sella syndrome with CSF rhinorrhea in a 57 year-old woman. The CSF rhinorrhea was treated successfully by endoscopic transnasal transsphenoidal approach.
조절되지 않은 당뇨병 환자에서 발생한 양측성 벨 마비 환자 1예
지준혁,송재준,조창건,김보해 대한이비인후과학회 2012 대한이비인후과학회지 두경부외과학 Vol.55 No.7
Bilateral facial palsy is uncommon and it accounts for 0.3-2.0% of the facial palsy cases. In contrast to unilateral facial palsy, bilateral facial palsy may occur in association with a variety of neurological, infectious, neoplastic, traumatic, metabolic or degenerative disorders. Diabetes has been associated with bilateral facial palsy. Diabetes is more common among patients with bilateral facial palsy. But the correlation between diabetics and bilateral facial palsy is unclear. Herein, we report a case of a 66 year-old woman with bilateral Bell’s palsy associated with uncontrolled diabetes mellitus.
조창건,지준혁,이은경,김보해,송재준 대한이비인후과학회 부산,울산,경남 지부회 2013 임상이비인후과 Vol.24 No.1
Background and Objectives:The mechanism of subjective tinnitus was not identified clearly. The goal of this study is to evaluate the somatization symptoms in subjective tinnitus patients and to define the relationship be-tween tinnitus and somatization symptoms. Materials and Methods:A total of 107 patients who were diagnosed as subjective tinnitus were included. Somatization subscales from Symptoms Check List-90-Revision (SCL-90-R) were administered to patients for the evaluation of somatization symptoms. Tinnitus handicap inventory and the subjective patterns of tinnitus by visual analogue scales were also assessed. Correlation analysis between somati-zation scores, THI scores and the VAS scores were performed. Results:Among the total number of tinnitus pa-tients, there were 18 patients (16.8%) over mild somatization symptoms. Significant correlation between somati-zation scores and THI scores was observed, especially in the moderate or severe tinnitus group. The results of relationship between somatization scores and 4 items of VAS scores, loudness and effect on life of tinnitus were significantly related to the somatization scores. Conclusions:We found the positive correlation between subjec-tive tinnitus and somatization symptoms. Subjective tinnitus may be a somatization symptom and it seems neces-sary to consider somatization disorder in management of tinnitus patients.
권성근(Seong Keun Kwon),지준혁(Jun Hyuk Chi) 대한두경부종양학회 2010 대한두경부 종양학회지 Vol.26 No.2
Actinomycosis is an unusual granulomatous infection caused by gram-positive anaerobic bacteria called Ac-tinomyces species(predominantly Actinomyces israelii), which is a common and normally nonpathogenic orga-nism found in the nose and throat. The three major clinical presentations of actinomycosis include the cervico-facial(the most common, 55%), thoracic, and abdominopelvic region. Actinomycosis typically has a chronic, in-dolent course characterized by swelling and induration of the soft tissues and eventual spontaneous drainage through multiple sinus tracts. Actinomycosis is difficult to diagnose because of variable presentation mimicking neo-plasm and fastidious nature of the organism in culture. We present a case of actinomycosis in the parotid tip area which was mistaken for a salivary tumor.