連體節で現れる「という」と「는」の對照硏究

金普仁(김보인) 한국일본어학회 2011 日本語學硏究 Vol.0 No.30

본 연구는、연체절에서 나타나는 일본어의「という」와 한국어의「는」에 주목하여, 인용구문에서 양형식이 어떠한 차이점과 유사점으로 나타나고 있는지를 관찰하였다. 조사 자료로서는, 일한 대역 코파스를 이용하여, 양형식의 대응관계를 살펴보았다. 그 결과, 다음과 같은 차이점과 유사점을 알 수 있었다. (1) 먼저, 인용구문이라는 것은 직접인용과 간접인용 두 가지로서 쓰이는 것을 말하는데,「는」에서도「という」에서도、직접·간접인용으로서 사용되는 것은 같았으나,「という」에는 그 구별이 없는 것에 반하여,「는」에는 구별이 가능한 것을 알 수 있었다. 예를 들어,「는」의 선행하는 종결어미에 따라 구별이 가능한데,「라는」은 직접·간접인용에서도 사용되지만,「는」은 간접인용에서만 사용되고 있다는 것을 알 수 있었다. (2) 이와 같은 인용구문을 寺村(1992)의「內の關係」라는 구조에 적용하여 보면, 양형식이 유사점을 가지고 있는 것을 알 수 있었다. 「內の關係」에서는「という」도「는」도 삽입되지 않지만, 인간명사 등의 명사가 후접하면「という」도「는」도 삽입이 가능하게 되며, 이 경우에는「전문(傳聞)」의 의미가 나타난다는 것을 알게 되었다. 즉, 원래는「內の關係」에서「という」나「는」을 삽입되지 않는 것이지만, 양형식의 삽입에 의하여、「內の關係」에서 성립되지 않는 구조가 가능하게 된 것이다.

노인에서의 구강인두 연하장애

김보해,정은재 대한연하장애학회 2016 대한연하장애학회지 Vol.6 No.2

Dysphagia is difficulty of effect movement of the bolus from the mouth to the stomach. From and anatomical standpoints, dysphagia is typically classified as oropharyngeal dysphagia (OPD) and esophageal dysphagia (ED). In general, OPD is more highly prevalent condition compared with ED, and associated with severe complications such as malnutrition, dehydration and aspiration pneumonia. These complications are fatal especially in the elderly. Therefore, for preventing severe complications, appropriate and prompt management should be provided to dysphagia patients. However, the decrease of swallowing function is considered as a part of natural aging process. This condition is called as presbyphagia. Although Presbyphagia refers to characteristic changes in the process of swallowing of healthy elderly, it can be a risk factor of dysphagia. With this in mind, for avoiding overdiagnosis or underdiagnosis of dysphagia, we should distinguish among presbyphagia, dysphagia and other related diagnoses. For this reason, understanding about physiology of normal swallowing and natural changes of swallows by aging are essential for physicians. Hence, this review discusses the normal swallow, senile changes of swallow, and dysphagia especially in OPD. (JKDS 2016;6:49-53)

코로나-19 대유행시대의 후두경 검사

김보해,임윤성 대한후두음성언어의학회 2022 대한후두음성언어의학회지 Vol.33 No.3

The coronavirus disease 2019 (COVID-19) pandemic has taken a toll on human lives and health systems worldwide and is still affecting all medical practices years later. In particular, much medical staff had to sacrifice in areas where the medical system was overloaded in the early stages of the outbreak and the resulting shortage of medical resources. In the future, another pandemic disease seems to emerge, which should threaten otolaryngologists inevitably. It is necessary to understand viral aerosolization and practice recommendations for COVID-19. These can guarantee the most effective treatment for the patients during the pandemic and protect the safety of our medical staff and patients.

후두부에 발생한 과오종 1예

김보해,권성근,Kim, Bo Hae,Kwon, Seong Keun 대한후두음성언어의학회 2012 대한후두음성언어의학회지 Vol.23 No.2

Hamartoma is benign pathologic lesion that looks like a neoplasm. But actually hamartoma is derived from congenital developmental errors of mature tissue. That is a focal overgrowth of normal tissue components. Hamartomas have been reported as arising anywhere in the body, but rarely has it been found in the head and neck region. Above all, laryngeal hamartoma has been described few times. We report an unusual case of hamartoma located in the larynx. Epiglottis mass was found incidentally by gastrofibroscopic examination. After the mass was excised by $CO_2$ laser, pathologic diagnosis has confirmed the mass as hamartoma.

Aspiration Patterns Observed in Patients With Free Flap Reconstruction Following T3 and T4 Tongue and Oropharyngeal Cancer Surgery: A Fiberoptic Endoscopic Evaluation of Swallowing

김보해,정은재,노영수 대한이비인후과학회 2022 대한이비인후과학회지 두경부외과학 Vol.65 No.3

Background and Objectives The objectives of this study were to investigate the aspirationpatterns in patients with T3 and T4 oral and oropharyngeal cancers after free flap reconstructionfollowing primary tumor resection and determine the effect of tongue base resection onaspiration patterns in these patients. Subjects and Method The aspiration pattern was evaluated via fiberoptic endoscopic evaluationof swallowing and classified into three groups based on the timing of aspiration in relationto the swallowing process. More than two types of aspiration patterns observed simultaneouslyin a patient suggested combined aspiration pattern. Results The major pattern of aspiration in 31 patients with oral cavity cancer was aspirationafter swallowing in the group with base of tongue (BOT) preserved (83.3%, 10/12) and combinedaspiration in the group with BOT resection (63.2%, 12/19), showing a significant differencein aspiration pattern between the two groups (p<0.001). In oropharyngeal malignancies,the major pattern of aspiration was aspiration after swallowing in both BOT-preserving(87.5%, 21/24) and BOT-resecting groups (75.0%, 9/12), showing a significant difference inaspiration pattern between the two groups (p=0.031). Conclusion The most common pattern observed in the advanced T stage tongue cancer patientsafter glossectomy was aspiration after swallowing. Resection of BOT greater than 25%in the tongue and oropharyngeal cancer was a significant factor causing the combined type ofaspiration.

従属節の外形的な要素における「という」の使用可否

金普仁(김보인) 동아시아일본학회 2013 일본문화연구 Vol.46 No.-

본고는 연체절에서 나타나는 「という」와 「다는」이 종속절의 외형적인 요소에 있어서 사용여부가 어떻게 다른지에 대해 분석을 시도하였다. 테라무라(1992)는 「という」구문의 진술도 레벨을 5단계로 나누고, 종속절의 진술도가 높으면 높을수록 「という」는 사용되며(레벨1), 진술도가 낮을수록(레벨5) 사용되지 않는다고 지적하고 있다. 실제예의분석 결과, 추량을 나타내는 모달리티 형식에서는 주절의 주체에게 있어서 종속절의 사태가 확언할 수 없는 경우, 「という」의 「사용」이 보였으며, 추량가능한 정보이면 「という」가 아닌 다른 형태(연체절을 취하지 않는)로 나타나고 있었다. 또한, 어떤 사태에 대해 확언할 수 있는 단정표현의 「ダ」가 종속절의 술부에 위치할 경우, 종속절의 형태를 보면 명사와 형용동사라는 두 가지 형태가 전접(前接)하고 있는 것을 알게 되었다. 명사가 전접할 때는 외형적인 성질에 따라서 진술도가 높아지며, 「という」를 사용하고 있는 것이 검증되었다. 이러한 진술도와 종속절의 외형적 요소에 대한 분석을 「다는」에 적용시켜 보면, 종속절의 진술도의 정도에 따라서, 진술도 레벨의 고저에 관계없이, 「다는」은 사용 빈도가 높다는 것이 검증되었다. 하지만, 일본어에서는 모달리티 형식이 종속절에 나타나면 「という」가 「사용」되는 것에 반하여, 「다는」은 모달리티 형식에서도 「불사용」되거나, 「ダ」에 대응하는 「이다」와 「하다」가 「인」, 「한」과 같이 활용되기 때문에 「다는」은 불사용 되고 있다는 점이 다르게 나타나고 있었다.

Comparison of Treatment Outcomes for T3 Glottic Squamous Cell Carcinoma: A Meta-Analysis

김보해,박성준,정우진,안순현 대한이비인후과학회 2018 Clinical and Experimental Otorhinolaryngology Vol.11 No.1

Objectives. This study compared the survival outcomes, local control rate, and laryngeal preservation rate of various treatment strategies in the treatment of T3 squamous cell carcinoma of the glottis using proportional meta-analyses. Methods. Twenty-five retrospective case-series studies were included in these analyses. Treatment strategies were classified as total laryngectomy (TL), open partial laryngectomy (PL), transoral laser microsurgery (TLM), chemo-radiation therapy (CRT), and radiation therapy (RT) alone. Results. The overall survival rate and disease-specific survival rate among laryngeal preservation treatments did not differ from the overall survival rate of TL. However, the local control rate was lower with RT than TL and PL, and laryngeal preservation rates of TLM and CRT were higher than RT alone. Conclusion. Consideration of preservation of laryngeal function is necessary when treating T3 glottic squamous cell carcinoma. PL, TLM, and, CRT are considered more appropriate initial laryngeal preservation strategies if available.

A Case of Proliferative Myositis Arising from the Sternocleidomastoid Muscles: Diagnosis and Treatment

김보해,장욱,김상우,정우진 대한이비인후과학회 2020 대한이비인후과학회지 두경부외과학 Vol.63 No.11

We describe here diagnosis treatment of a case that rose from the sternocleidomastoid muscleand was treated without surgical excision. A 56-year-old man presented with a rapidly growing,painless and not well-circumscribed mass at the right side of the neck. We diagnosed thistumor as proliferative myositis (PM) based on the typical findings from ultrasonography, computedtomography, and core-needle biopsy, and treated it without surgical excision. Herein wereport a successful diagnosis and treatment process of a case of PM, which was followed-upwith ultrasonography.

하마종의 병태생리와 치료

김보해,유윤종,정영호 대한이비인후과학회 2016 대한이비인후과학회지 두경부외과학 Vol.59 No.5

Ranulas are pseudocysts on the floor of the mouth resulting from the retention or extravasation of saliva from the sublingual gland (SLG). The etiology of ranulas is unknown, but they have been associated with local trauma or previous surgery. The anatomic variation of the ductal system of the SLG such as Bartholin’s duct might be a possible cause of ranulas. Treatment modalities range from conservative to various surgical techniques, including sclerotherapy, marsupialization, excision of the ranulas with or without excision of the SLG and botox injection. Recently, less invasive treatment modality such as micro-marsupialization has been introduced. It was able to easily and safely treat the ranulas. But it also has the possibility of recurrence, especially in cases having anatomic variation of the ductal system of the SLG. A definitive and reliable treatment choice is surgical resection of the SLG with or without marsupialization than other, more conservative treatments. Korean J Otorhinolaryngol-Head Neck Surg 2016;59(5):339-45

양측 비순낭 1예

김보해,박석원 대한이비인후과학회 부산,울산,경남 지부회 2012 임상이비인후과 Vol.23 No.1

Nasolabial cyst is a quite rare nonodontogenic and developmental cyst, also called nasoalveolar cyst or Klestadt’s cyst. This cyst occurs usually unilaterally. Therefore, cases of bilateral nasolabial cysts are even rarer. Case of bilateral occurrence have been seldom reported even in world-wide literatures. We report a case of 61-year-old woman with bilateral nasolabial cysts which were found with CT scan and excised with simultaneous bilateral sublabial approaches