癌患者에서 體重減少와 로젵形成 T-淋巴球間의 關係에 關한 硏究

金鎭福(Jin Pok Kim),朴在甲(Jae Gahb Park),金鍾男(Chong Nahm Kim) 대한외과학회 1976 Annals of Surgical Treatment and Research Vol.18 No.7

만성 화농성 중이염의 세균학적 고찰

김종남,정성민,유동주,김성민,김영주 최신의학사 1990 最新醫學 Vol.33 No.12

이성 뇌농양의 치험 1례 : Report of a Case

김종남,유동주,김성민,김영주 梨花女子大學校 醫科大學 醫科學硏究所 1991 EMJ (Ewha medical journal) Vol.14 No.2

The patient was 30 year old male having longstanding otitis media on left ear since childhood. Although he had taken radical mastoidectomy(Lt.), brain abscess was developed 14 days after operation. So, emergency craniotomy with total resection of brain abscess was performed in neurosurgery department and abscess was healed well. Postoperative course was relatively good and he was discharged on 63th postoperative day.

이명환자의 순음청력검사에 대한 임상적 고찰

김종남,조정란 梨花女子大學校 醫科大學 醫科學硏究所 1981 EMJ (Ewha medical journal) Vol.4 No.3

The author present statistical observation of 111 cases of tinnitus with pure tone audiometry from Jan. 1, 1978 to Dec. 31, 1980 in department of otolaryngology, EWHA Womans University Hospital. The result were as follow: 1. Male to female ratio was as 1.1: 1 and peak age incidence was in the age group 21 to 30. 2. Most frequent duration for tinnitus was 1 month to 1 year. 3. Patient who complained tinnitus was only 10.0% in cases of tinnitus and patient who complained tinnitus with hearing impairment was 72.1% in the cases of tinnitus. 4. The affected site in the tinnitus, in order of frequency were; Both ears 38.8% Left ear 32.4% Right ear 28.8% 5. The drum finding, in order of frequency were; Intact 40.3% Retraction 41.6% Perforation 11.0% 6. The degree of hearing loss in audiometry were; Normal 26.0% Moderate severe 23.5% Moderate 20.8% 7. The classification of hearing loss were Sensorineural 28.6% Mixed 27.8% Conductive 15.7% 8. The shape of hearing impairments were High tone loss 46.9% Flat 30.2% Low tone loss 13.6% Mid tone loss 9.3% 9. The occurence of C5 dip was 15.8% in cases of tinnitus

편도적출 환자에 대한 임상적 고찰 : 병소감염에 대하여

金鍾男 梨花女子大學校 韓國生活科學硏究院 1978 韓國生活科學硏究院 論叢 Vol.21 No.-

편도선의 기능에 대하여 오래 전부터 많은 연구가 시행되었고, 문제되고 있으나 현금까지 편도적출의 찬반에 대한 과제는 풀지 못하고 있다. 이러한 논란은 과거 편도적출이 무조건 시행되어 인체에 해를 미치게 됐을 때 이야기로, 그후 1930년 경부터는 비판적으로 되었고, 1940년 경부터는 편도적출의 적응증을 엄정함이 마땅하다고 주장하게 되었다. 구개편도는 감염소로서 만성 또는 급성편도염을 일으킬 뿐 아니라 그 면역학적 기능과 더불어 선염 및 류마티스성 병변 등을 초래하는데 중요한 역할을 하고 있는 조직이며, 편도를 침범하는 가장 흔한 용혈성 연쇄상구균의 감염으로 발생되는 병소감염의 개념은 오래 전부터 논의되었던 것으로서 현재는 의학적 상식으로 되어 있다. 저자는 만성편도염으로 인한 병소감염의 이환율에 대하여 조사한 결과 소아군에서 18예(9.8%), 성인군에서 32예(13.6%)를 차지하였으나 이들 모두가 신장, 관절, 심장 등 중요한 장기들로 질병을 일으키며 장기치료 및 만성질환으로 이행되므로 일단 염증을 일으킨 편도선은 완전히 적출해야 됨을 문헌고찰과 더불어 보고하는 바이다. A long and sometimes acrimonious debate has been conducted during the past 60 years about the contribution of tonsils to streptococcal and other respiratory infections. For the first few decades of the twentieth century, most authorities^1-8) believed in the routine removal of “diseased tonsils”, and, despite occasional dissents,^9-12) tonsillectomy became a common procedure, reportedly reaching its peak occurrences in 1931.^13) During the 1930's the value of the routine operation was more often denied^14-21) than defended^22-25) in the results of investigated surveys. For the past few decades, tonsillectomy has have been performed less frequently than before, but conflicting views have persisted in the opinions held by practitioners and in further investigations that found tonsillectomy to be either beneficial^26-30) or valueless and possibly harmful.^31-35) This is the clinical analysis for focal infection in 418 tonsillectomized cases during the last 5 years, from 1972 to 1975, at Ewha Womans University Hospital. The following results were obtained: 1. Among 183 cases in the children group: Incidence of 2ndary infection was 72 (39.3%). 2. Among 235 cases in the adult group: Incidence of 2ndary infection was 96 (40.8%). 3. The most common surrounding organ infection was chronic maxillary sinusitis (38.8%) in the children group. 4. The most common surrounding organ infection was chronic hypertrophic rhinitis (29.7%) in the adult group. 5. The most common focal infection was glomerulonephritis (50%) in the children group. 6. The most common focal infection was rheumatoid arthritis (46.9%) in the adult group.

純音聽力檢査에 依한 聽力障碍者의 臨床的 考察

金鍾男 梨花女子大學校 韓國生活科學硏究院 1980 韓國生活科學硏究院 論叢 Vol.26 No.-

청각장애자의 사회생활 적응력을 파악하고 사회생활 부적합 한계를 결정하는데 필요한 순응청력검사의 목적은 난청의 유무와 더불어 그 질적·양적인 정도를 정확히 파악하여 질환의 예후판정치료의 선택이 가능하고, 재차의 검사로써 치료의 효과를 판정할 수 있다. 우리나라의 경우 난청의 원인이 대부분 염증성으로 기인된 바 난청의 조기진단 및 치료를 위한 청력검사는 난청환자에 대해서 수술적 요법으로 해결하고자 하는 노력이 우선적으로 절실히 요망되며, 아울러 난청의 예방을 위해서 더욱 많은 연구와 관심을 가져야 할 것이다. The author presents slinical and statistical observation of 469 cases with systom of hearing impairments in whom the disease was confirmed by either way of clinical or audiologic findings from Jan. 1, 1978 to Jan. 30, 1980 in dept. of otolaryngology, Ewha Womans University Hospital. The results were as follows; 1. Male to female ratio was as 2:1, and peak incidence was in the age group of 21 to 30. 2. The picture of drum findings in the hearing impairments, in order of frequency were; Normal 47.4% Central perforation 12.5% Total perforation 9.6% Marginal perforation 3.1% Attic perforation 1.4% 3. The degree of hearing impairments were; In normal drum findings-moderate to profound hearing loss was 43.7% In central perforation-moderate to hearing loss was 28.7% 4. Classification of hearing loss was conductive 41.4%, mixed 30.7% and sensorineural 19.6% 5. The shape of hearing impairments, in order of frequency were; High tone loss; 32.9% Flat; 31.4% Low tone loss; 23.8% 6. The occurrence rate of accompanying otoneurologic symptoms was 12.8% in cases of hearing impairments. 7. The cocurrence of C_5 dip was 0.6% in cases of hearing impairments.

상악동 점막기능 및 상악동염에 관한 방사선학적연구

김종남 고려대학교 의과대학 1972 고려대 의대 잡지 Vol.9 No.2

This study was undertaken to observe the ciliary function of the mucosa of normal and pathological maxillary sinuses following instillation of radioactive chromium into the maxillary sinuses in 111 normal cases (bilateral) and 30 pathological cases. Fifty microcuries of chromium-51 was introduced into the maxillary sinuses through the lateral bony wall of the inferior meatus, and then radioactivity was measured with scintillation counter over the antrum 1 hr, 3, 6, 24, 48, 72, 96, 120, 144, 168, 192, 216 hours after instillation. The radioactivity measured at various time periods was expressed as a ratio to the radioactivity determined at the time of instillation of ^(51)Cr. The results obtained are summarized as follows: 1) There was significant difference between normal and pathologic groups in rate of radioactivity at various time periods. The excretion of radioisotope was significantly prolonged in pathological group. 2) The data obtained with radioisotope study correlated more closely with severity of the destruction of the ciliary epithelium than the roentgenological picture of the antrum. 3) For the determination of maxillary sinus function, the method empolying radioactive isotope was more accurate and simple than serial radiographic examination of the antrum after instillation of contrast media. The dose of radiation exposed to the patient was also much less with the former method than with the latter.

거대 함치성 낭종 1례

김종남,박상일,이재연,조윤희 梨花女子大學校 醫科大學 醫科學硏究所 1998 EMJ (Ewha medical journal) Vol.21 No.3

Dentigerous cyst represents cystic enlargement of the follicle of an impacted tooth. It is the sites of predilection mirror the favored sites if impacted teeth : mandibular third molars, maxillary third molars, and maxillary canines. These cysts are most prevalent in the second to fourth decades. Most cysts are asymmetric and are discovered on routine dental radiographs, but large examples can cause displacement or resorption of adjacent teeth and infection. Microscopical examination discloses a stratified squamous epithelium covering a fibrocollagenous cyst wall. In this case, authors present a case of huge dentigerous cyst on right piriform fossa across the midline that enucleated successfully through the right gingivobuccal approach.

이비인후 종양의 통계적 고찰

金鍾男 梨花女子大學校 韓國生活科學硏究院 1977 韓國生活科學硏究院 論叢 Vol.19 No.-

이비인후과 영역의 악성종양은 인접된 조직으로 전이가 빠르고, 치명율이 높지만 조기진단으로 70~80%의 치료가 가능한 경우가 있으므로, 조기진단이 절실히 요구되고 있다. 최근 두경부의 악성종양은 조기진단과 아울러 수술적 요법, 방사선 요법 및 화학 요법 등 적절한 치료 방법의 병용으로 획기적인 발전을 일으키고 연구되고 있으나, 조기진단에 대한 인식을 새롭게 함으로써, 생검환자의 통계를 통하여 진단에 도움이 되고자 본 연구에서 이비인후과 종양환자의 연령, 성별 발생 분포 및 병리조직적 소견을 분류하여 그 발생빈도를 연구하여 국내문헌과 외국문헌을 비교 고찰하여 보고하는 바이다. This is the histopathological analysis of tumors of E.N.T. field confirmed by biopsy during the last 10 years, from 1966 to 1975 at Ewha Womans University Hospital. The following results were obtained: (1) Among 255 cases of biopsy, tumors;147(57.6%), inflammations; 108(42.4%). In tumors, benign tumors; 108(42.4%) and malignant tumors; 39(15.3%). (2) The most common histopathological type of benign non-neoplastic tumors was polyp with the incidence of 32.9%. (3) he most common histopathological type of benign neoplastic tumors was papilloma with the incidence of 50% and then was hemangioma and capillary hemangioma. (4) The most common histopathological type of malignant tumors was squamous cell carcinoma with the incidence of 59% and then was malignant lymphoma and adenocarcinoma. (5) The histopathological analysis for aural leisions was inavailable because of the size of data.

만성 부비동염에서 부비동 내시경수술후 기간별 추적 조사 -수술전 전산화 단층촬영 분류와 수술후 경과기간에 따른 분석-

김종남,홍순관,박미향 대한이비인후과학회 1998 대한이비인후과학회지 두경부외과학 Vol.41 No.2