비중격 및 상순에 발생한 심상성 Lupus 1 치험례

구수권,노환중,고한진,왕수건,전경명 대한이비인후과학회 1988 대한이비인후과학회지 두경부외과학 Vol.31 No.5

성별에 따른 폐쇄성 수면무호흡 환자의 비교

구수권,송창윤,김현규,한철우,이상화,전경명 대한이비인후과학회 2004 대한이비인후과학회지 두경부외과학 Vol.47 No.12

Background and Objectives:OSA (obstructive slep apnea) is considered a disorder that occurs predominantly in men. A thorough understanding of the sex diference in OSA can help the medical community in consultation, diagnosis and treatment ment of OSA. Subjects and Method:Three hundred and sixteen patients (47 women and 269 men), diagnosed as having OSA based on polysomnography (PSG) in the sleep disorder clinic between July 1994 and December 2002, were evaluated retrospectively. Results:Female patients were older and had les severe OSA than men. In the group of patients showing the postmenopausal age; there were no diference with respect to obesity, except for the severe group. In the group of patients having the same age and obesity, males had more severe apnea, but females tended to have severe apnea over the age of 50. In terms of subjective symptoms, male patients noted more severe OSA symptom, daytime fatigue, attention deficiency than female patients, who noted morning headache and depression more often than their counterpart. Conclusion:Female patients acount this gender disparity.

수면무호흡증 환자에서 시행한 구개근 절제술의 임상적 안전성

구수권,명남숙,최장원,김양재,권순복 대한비과학회 2012 Journal of rhinology Vol.19 No.2

Background and Objectives: The purpose of this study was to analyze clinical safety of PMR(Palatal Muscle Resection) in obstructive sleep apnea patients. Materials and Methods : Fourteen Patients underwent only PMR were reviewed retrospectively. ESS(Epworth Sleepiness Scale) was analyzed after PMR surgery to assess surgical results. Visual Analogue Scale were reviewed to evaluate postoperative pain. Eustachian tube function test, voice analysis, and measurement of forced expiration power were done after two months of surgery. Results : ESS were improved after PMR. There were little postoperative pain. There was no significant change is observed vowel sounds except /u/ nor postoperative nasalization in voice, Eustachian tube dysfunction and change of expiration power. Conclusion : PMR may be regarded clinically safe surgery in obstructive sleep apnea patient.

caviA Study on Voice Change after Septoplasty with Turbinoplasty

구수권,권순복,김영준,정성훈,문지승 대한이비인후과학회 2016 대한이비인후과학회지 두경부외과학 Vol.59 No.5

Background and Objectives Septoplasty with turbinoplasty has the potential to affect voice because it alters the vocal tract. We conducted a study to evaluate the postoperative voice changes and aid using subjective and objective data regarding the effect of surgery. Subjects and Method To rule out gender bias, only 23 male patients were enrolled. Voice change was analyzed by a subjective test through a questionnaire and an objective test through acoustic analysis. During each recording session, the subject uttered the words [^m ma: the Korean word for “mother”] and [Nu Na: the Korean word for “sister”]. We then analyzed the nasal consonant ([m] in [^m ma]), the nasalized vowel ([a] in [^m ma] and [a] in [Nu Na]), and the intensity of nasal sound. ResultsZZIn the subjective study, 73.9% of patients reported an improvement in the quality of voice after surgery. Most of the patients reported a reduction in twang. In the objective study, there was a tendency for increased formant frequencies in the nasal consonant, and F1 of [m] in [^m ma] was increased significantly (p=0.003). There was also a tendency for decreased formant frequencies in the nasalized vowel, F2 of [a] in [^m ma] and F1 of [a] in [Nu Na] were decreased significantly (p<0.001), and there was an increase in the intensity of nasal sound, [^m ma] (p=0.009) and [Nu Na] (p=0.013). Conclusion Nasal sound became clearer with reduced twang after surgery. It is important to keep the phonetic aspect in mind when patients are undergoing septoplasty with turbinoplasty. Korean J Otorhinolaryngol-Head Neck Surg 2016;59(5):377-82

Cholesterol Granuloma of Nasal Septum

구수권,김영준,정성훈,손현이 대한비과학회 2015 Journal of rhinology Vol.22 No.1

Cholesterol granulomas are inflammatory deposits commonly found in the mastoid antrum and air cells of temporal bone. They rarely occur in the nose. Here, we report an extremely rare case of cholesterol granuloma in the nasal septum, and include a short literature review. The clinical characteristics, pathology, and surgical treatment are also discussed.

편도 및 아데노이드 비대증이 소아의 인성과 행동에 미치는 영향

구수권,고의경,최치훈,송창윤,김현규,이창헌,전경명 대한이비인후과학회 2003 대한이비인후과학회지 두경부외과학 Vol.46 No.11

Background and Objectives:Although childrens personality and behavior change caused by adenotonsillar hypertrophy have been thought to significantly relate with childrens growth and learning capability, it has not been substantiated by any available standarized assesment. We aim to uncover the impact of adenotonsillar hypertrophy on childrens personality and behavior by K-CBCL (Korean Child Behavior Checklist) and KPI-C (Korean Personality Inventory for Children). Materials and Method:Children aged 5 through 15 years old, a total of 33 (M:18 F:15) who were scheduled for T & A (dectomy), were studied. The control group consisted of 42 healthy children (M:22 F:20) of the same age. Two standard questionnaires, K-CBCL and KPI-C, were given to the parents of the children to complete and then a statistical analysis caried out by a clinical psychologist for interpretation (p<0.05, by SPS v10.0). Results:According to K-CBCL, internalizing problems and total behavior problems were of statistical significance for the patient group compared to healthy children (p<0.05). KPI-C test revealed statistical significance on ERS ( ), ANX (anxiety), SOM (somatization) and FAM (familial relationship)(p<0.05). In both groups, the results betwen gender were quite different. In female patient group, the total behavior problems were indicated, while in the male patient group, the total behavior problem, internalizing problem as well as somatic complaints were indicated. Especially, indications of ERS and SOM were of statistical significance (p<0.05). Conclusion:Children with adenotonsillar hypertrophy have dificulty in adaptation, and lack the ability to respond to situation, (Korean J Otolaryngol 203 ;46 :959-64)

Relationships of Direction and Degree of Nasal Septum Deviation with Nasal Floor Morphology

구수권,박근형,고태경,이호병,지창록 대한이비인후과학회 부산,울산,경남 지부회 2020 임상이비인후과 Vol.31 No.2

Background and Objectives: Nasal septum deviation can affect nasal bone growth and facial morphology. We used computed tomography image to clarify the relationships between nasal septal deviation and nasal floor morphology in Koreans. Materials and Methods: From 2006 to 2016, CT images of 687 patients of nasal septal deviation and 100 of non-nasal septal deviation were retrospectively analyzed. Relationship between nasal septum and nasal floor was analyzed on 271 subjects whose nasal septum and nasal floor are both deviated. Only cephalocaudal C-shape was analysed, based on the Guyuron classification . The angle of the nasal floor measured at three vertical reference planes were used to assess the relationships with angle of nasal septal deviation. Results: The number of patients with nasal floor deviation was 39.4% in nasal septal deviation group and 17.0% in control group, respectively; nasal floor was more uneven when nasal septum deviated (p<0.001). In 271 patients with both nasal septum and floor deviation, the mean angles of nasal septum and nasal floor were 11.24° and 5.60° respectively. The direction of nasal floor was significantly deviated in the opposite to nasal septum (28% : 72%, p<0.01) in both sex. But the degree of asymmetry of the nasal floor was not significantly correlated with the degree of nasal septal deviation. Conclusions: Nasal floor asymmetry occurred in the opposite direction to nasal septal deviation in 72% of patients. In patients with nasal septal deviation during growth, facial growth may occur asymmetrically, which is an important consideration during treatment of nasal septal deviation.

내시경을 이용한 비중격성형술의 후향적 분석

구수권,최장원,김양재,김영중 대한이비인후과학회 2012 대한이비인후과학회지 두경부외과학 Vol.55 No.9

Background and Objectives We reviewed retrospective data of patients who underwent endoscopic septoplasty over 5 years and provide clinical information about endoscopic septoplasty. Subjects and Method The medical records of patients who underwent endoscopic septoplasty were reviewed retrospectively for clinical symptoms, surgical methods, intraoperative technique, operation time, postoperative complications and results. Results Nasal obstruction was the most common presenting symptom. Among patients, endoscopic septoplasty alone was performed in 290 cases. Among 290 cases, 57 cases were of broad based septal defection, 13 cases septal deflection with septal spur, 16 cases isolated septal spur and 4 cases limited posterior septal deflection. The mean operation time was 32.48 ±2.76 minutes. No major complication occurred in the immediate postoperative period. Minor complications included septal hematoma (3.79%) and postoperative hemorrhage (1.03%). Sixty-five patients received statistically validated measures of Visual Analog Scale (VAS) at 1 month and 6 months after surgery. VAS score decreased statistically from 7.75 to 0.81 at 6 mon-ths after operation (p<0.05). Conclusion Endoscopic septoplasty is a relatively safe and effective technique used to treat various types of septal pathology such as classical septal deviation, septal spur and isolated septal deflection. Endoscopy with video imaging system is valuable for education.

A Case of Nasal Swell Body (Septal Turbinate) Combined with Pneumatization of Perpendicular Plate of the Ethmoid Bone

구수권,정성훈,문지승,손현이 대한비과학회 2016 Journal of rhinology Vol.23 No.1

The “nasal swell body” (NSB) or septal turbinate is a distinct structure of the anterior nasal septum that is observed on endoscopic and radiographic examination. It is primarily a glandular rather than a venous formation that is comprised of septal cartilage, bone, and thick mucosal lining. It is commonly found in patients with symptoms of chronic sinusitis and allergic rhinitis, and is linked to septal deviation. Space occupying lesions of the septum such as tumors, mucoceles, and pneumatization of the septum can lead to anatomical and functional disorders such as nasal obstruction and sinusitis, while more serious clinical conditions can develop when these lesions are combined with the NSB. Recently, there has been emphasis on the functional aspects of the NSB. It is especially being emphasized for clinicians to pay attention to the NSB and its connection with the stuffy nose. We report an interesting case of the NSB combined with pneumatization of the perpendicular plate of the ethmoid bone causing severe nasal obstruction and repetitive sinusitis along with a literature review.

후두전적출후 기관식도 누공술을 이용한 음성재활환자의 발성기전에 관한 연구

구수권,이상화,전경명,왕수건,고의경,김학진,이석홍,양병곤 대한이비인후과학회 1998 대한이비인후과학회지 두경부외과학 Vol.41 No.3