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성인 만성 부비동염에서 내시경적 부비동 수술 전·후의 증상 호전도와 음향비강통기도 검사 결과
김용대,김재열,장근영,이형중,송시연,윤석근 영남대학교 의과대학 2002 Yeungnam University Journal of Medicine Vol.19 No.1
Background: Chronic paranasal sinusitis is one of the most common disease in the otorhinolaryngologic field. Endoscopic sinus surgery is treatment of choice in chronic paranasal sinusitis. The aim of this study was to evaluate objective and subjective treatment outcomes of endoscopic sinus surgery in adult chronic paransal sinusitis with or without polyp. Materials and Methods: We reviewed 84 adult patients underwent endoscopic sinus surgery by one surgeon from June 1999 to June 2000, prospectively. We analyzed preoperative and postoperative subjective symptom scores and acoustic rhinometric results. Results: Fifty cases were male and thirty four cases female. The average age was of 33 year-old (range: 17 to 66 years). There was significantly improvement of symptom scores in postoperative 3 months and 6 months compared with preoperative symptom scores. There was significantly increased postoperative total volume of nasal cavity. When we compared high score group with low score group, there was statistically significant improvement of symptom scores between preoperative stage and postoperative 3 months in radiologic grading group. Conclusion: Endoscopic sinus surgery is considered to be effective for the treatment of chronic paranasal sinusitis. It seems to be helpful to employ subjective symptom score system and objective total volume change of nasal cavity through acoustic rhinometric test to analyze effectiveness of endoscopic sinus surgery. In this study, the most important preoperative factor of sinus surgery outcomes is radiologic grading system.
이인수,유복종,김희택,Lee, In-su,You, Bok-Jong,Kim, Hee-Taek 대한한방안이비인후피부과학회 2004 한방안이비인후피부과학회지 Vol.17 No.3
Obective : This study was designed to investigated clinical features and frequent parts of chronic paranasal sinusitis Method : The ratio of male and female, the distribution of symptoms, the frequent parts of paranasal sinusitis on PNS images were investigated in 26 patients who visited Department of otorhinolaryngology Semyung university Oriental medical hostipal during from march, 2004 to october, 2004. Results: 1. The ratio of male and female was 1:1.5 and the teens were high rate of age group 2. The results reveal1he most common symptoms as follows ; nasal stuffiness(28.1$\%$), rhinorrhea26.5$\%$), laryngopharyngial disorder(14$\%$). 3. The frequent parts of paranasal sinusitis on PNS images were ethmodial sinus, maxillary sinus, fronal sinus in good order. 4. 87.5$\%$ of patients show effective result in medical treatment Conclusion: We suggest that this results form the foundation of objectification of medical treatment of paranasal sinusitis
나기상,정진욱 충남대학교 의과대학 지역사회의학연구소 1997 충남의대잡지 Vol.24 No.2
With the increasing use of endoscopic techniques for evaluation and surgical treatment of the paranasal sinuses, ostiomeatal unit computed tomographic (OMU CT) scanning for radiographic evaluation of sinuses is becoming more widely used. In this study, We reviewed OMU CT of 100 cases(200 sides) of chronic paranasal sinusitis patients in order to classify the pattern of sinusitis and to determine the prevalence of anatomic variations. The most frequently affected sinus in anterior ethmoid and ethmoid sinus disease is associated with mucosal abnormalties in secondary sinuses. Based on our staging system, type Ⅲ(30.0%) was most common, and followed by stage Ⅱ(27.5%) and stage Ⅰ(16.0%). The uncinate process is most frequently inserted into the lamina papyracea (50.0%) and the most frequent type of olfactory fossa was type Ⅱ(48.0%). The prevalence of agger nasi cell was 81.5%, and those of Haller's cell, Onodi cell, concha bullosa, and septal deviation were 33.0%, 28.0%, 30.5%, and 12.0% respectively. Maxillary sinus and frontal sinus were hypoplastic in 6.0% and 20.5% of patients and chonchal and presellar pneumatitization of sphenoid sinus was 5.0% and 11.0%.
김승우,강재호,김윤정,김춘동 대한비과학회 2008 Journal of rhinology Vol.15 No.1
Cholesterol granuloma is a chronic inflammatory process associated with foreign body reaction to hemorrhage-related cholesterol crystal. It occurs most commonly in the middle ear cavity and the mastoid air cell complex. Sinonasal cholesterol granuloma is very rare, and there have been only 37 reported cases in the English literature so far. In this study, we examined a 61-year-old man suffering from bilateral orbital pain, headache and diplopia for 2 years. He had underwent a bilateral Caldwell-Luc operation 15 years ago. The brain MRI findings revealed 3 different cystic mass involving the bilateral sphenoid sinuses, and left ethmoid and maxillary sinuses. The patient was referred from the department of neurology, and the PNS CT findings were similar to the brain MRI. In the nasal endoscopic finding, there was a hard bilateral submucosal mass in the middle meatus. We planned an endoscopic sinus surgery for the mass, diagnosed as mucocele. The mass was accompanied by a greenish fluid and yellowish crystal in the left side of the lesion and dark reddish matter on the opposite site. Bone defects were observed in the left lamina papyracea and the intersinus septum of sphenoid sinus. The pathology was confirmed as a typical cholesterol granuloma. There is no recurrence during the last 18 months. We report this case of multiple cholesterol granuloma of the paranasal sinuses for the first time with literatures review. Cholesterol granuloma is a chronic inflammatory process associated with foreign body reaction to hemorrhage-related cholesterol crystal. It occurs most commonly in the middle ear cavity and the mastoid air cell complex. Sinonasal cholesterol granuloma is very rare, and there have been only 37 reported cases in the English literature so far. In this study, we examined a 61-year-old man suffering from bilateral orbital pain, headache and diplopia for 2 years. He had underwent a bilateral Caldwell-Luc operation 15 years ago. The brain MRI findings revealed 3 different cystic mass involving the bilateral sphenoid sinuses, and left ethmoid and maxillary sinuses. The patient was referred from the department of neurology, and the PNS CT findings were similar to the brain MRI. In the nasal endoscopic finding, there was a hard bilateral submucosal mass in the middle meatus. We planned an endoscopic sinus surgery for the mass, diagnosed as mucocele. The mass was accompanied by a greenish fluid and yellowish crystal in the left side of the lesion and dark reddish matter on the opposite site. Bone defects were observed in the left lamina papyracea and the intersinus septum of sphenoid sinus. The pathology was confirmed as a typical cholesterol granuloma. There is no recurrence during the last 18 months. We report this case of multiple cholesterol granuloma of the paranasal sinuses for the first time with literatures review.