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남예모,박준식,나경진,안동빈 대한이비인후과학회 2011 대한이비인후과학회지 두경부외과학 Vol.54 No.8
Thyroid hemiagenesis is an extremely rare congenital abnormality of the thyroid gland, characterized by the absence of one lobe. The true prevalence of this congenital abnormality is uncertain, because the absence of one thyroid lobe usually does not cause clinical symptoms by itself. However, several studies showed that the prevalence of this anomaly was estimated as 0.05-0.2%. Thyroid hemiagenesis is more frequently found in women, and in the left lobe. Commonly found in the remaining lobe are benign adenoma, a multinodular goiter, hyperthyroidism, chronic thyroiditis, and rarely carcinoma. We report a case of 53-year-old woman with an incidentally discovered thyroid nodule. Thyroid ultrasonography and computed tomography scan was performed in order to evaluate the nodule, and they showed the absence of the right thyroid lobe. The nodule was suspected as papillary thyroid cancer and subsequent surgery to remove it confirmed the absence of the right lobe.
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비중격 교정술 및 비갑개성형술이 수면 호흡장애 환자의 삶의 질에 미치는 영향
장현욱,정상식,남예모,김정수 대한이비인후과학회 2011 대한이비인후과학회지 두경부외과학 Vol.54 No.4
Background and Objectives Nasal obstruction is common in patients with sleep disordered breathing (SDB). Polysomnography (PSG) is a standard diagnositc tool for sleep disorders, but it can not evaluate the quality of life (QOL). We tried to assess the efficacy of the septoturbinoplasty on patients with SDB and nasal obstruction by using self reported measures that have been known as a tool for evaluating the general and disease specific QOL. Subjects and Method Thirty-five patients who had snoring and sleep apnea confirmed by PSG and symptomatic nasal obstruction caused by deviated nasal septum were enrolled. All patients underwent septoturbinoplasty to improve nasal obstruction. QOL was assessed before and 2 months after surgery. Medical Outcome Study Short Form 36 (SF-36) and Epworth Sleepiness Scale (ESS), Pittsburgh Sleep Quality Index (PSQI), Stanford Sleepiness Scale (SSS), Insomnia Severity Index (ISI), Beck Depression Inventory (K-BDI), Nasal Obstruction Symptom Evaluation (NOSE) scale were included in the measures. A statistical analysis was performed using a paired t-test. Results Snoring sound level, PSQI, ESS, ISI, and NOSE were improved significantly (p< 0.05). SSS, BDI and total SF-36 were improved but not significantly (p>0.05). Conclusion QOL in patients with SDB and nasal obstruction was improved by nasal surgery. Different kinds of self-reported measures could be more informative as they can provide pre and post treatment results with respect to psychosomatic effects in patients with SDB.
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레이저 성대 절제술을 시행한 조기 성문암 환자의 치료 결과 및 전암성 병변으로 부터의 악성 변환 관찰
안동빈,박지현,허성재,박창묵,정다정,남예모,손진호,박준식 대한이비인후과학회 2010 대한이비인후과학회지 두경부외과학 Vol.53 No.7
Background and Objectives Laser cordectomy has been widely acknowledged to have advantages for the treatment of early glottic carcinoma. This study was performed to assess the results of laser cordectomy for its oncologic safeness, time-effectiveness, and to report a few interesting precancerous cases that have progressed to glottic cancer. Subjects and Method Subjects (47) who had undergone laser cordectomy for the treatment of early glottic cancer from April 2006 to July 2009 were enrolled in this study. We analyzed the oncologic outcomes, the duration of hospital treatment after the surgery, and postoperative complications by reviewing of medical records. Results For 47 cases, the mean age was 66 years and the mean follow up period was 22.6months. The mean duration of treatment was 1.9 days. Among them, 24 cases were classified into T1a, 12 T1b, and 2 T2. Local recurrence was observed in 2 cases, so salvage treatments, such as radiation therapy or near total laryngectomy, were performed, and both of them were alive in the disease-free state. The most common complication was anterior commissure web, which was observed in 6 cases (15.8%), followed by granuloma observed in 5 cases (13.1%). Serious complications such as aspiration, respiratory distress, and dysphagia were not found in any of 47 cases. Also, we could observe 3 cases in which the precancerous glottic lesion had progressed to glottic carcinoma over a long period of time. Conclusion Laser cordectomy might be the treatment of choice for patient’s convenience because of its excellent oncologic outcomes, low morbidity, and time-effectiveness. Korean J Otorhinolaryngol-Head Neck Surg 2010;53:425-9
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