http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Guidelines for Tracheostomy From the Korean Bronchoesophagological Society
남인철,신유섭,정우진,박민우,박성용,송창면,이영찬,전재현,이종민,강창현,박일석,김관민,선동일 대한이비인후과학회 2020 Clinical and Experimental Otorhinolaryngology Vol.13 No.4
The Korean Bronchoesophagological Society appointed a task force to develop a clinical practice guideline for tracheostomy. The task force conducted a systematic search of the Embase, Medline, Cochrane Library, and KoreaMed databases to identify relevant articles, using search terms selected according to key questions. Evidence-based recommendations for practice were ranked according to the American College of Physicians grading system. An external expert review and a Delphi questionnaire were conducted to reach a consensus regarding the recommendations. Accordingly, the committee developed 18 evidence-based recommendations, which are grouped into seven categories. These recommendations are intended to assist clinicians in performing tracheostomy and in the management of tracheostomized patients.
급성 아림프구성 백혈병 발현 이전에 발생한 백혈병의 이하선 침윤 1예
남인철,이은정,김주환,조광재 대한이비인후과학회 2010 대한이비인후과학회지 두경부외과학 Vol.53 No.9
Extramedullary leukemic infiltration rarely occurs in patients with acute lymphoblastic leukemia. An eight-year-old boy presented with a mass lesion of the left parotid gland with several palpable lymph nodes in the ipsilateral neck. The patient did not have any previous medical history. Given the suspicion of a lymphoma, an excisional biopsy of the parotid mass was performed. The preliminary pathologic result indicated myeloid sarcoma. The patient subsequently underwent bone marrow biopsy, and was finally diagnosed as acute lymphoblastic leukemia. Here we report a case of leukemic infiltration of the parotid gland as an extramedullary manifestation preceding the clinical onset of acute lymphoblastic leukemia. Korean J Otorhinolaryngol-Head Neck Surg 2010;53:585-8
남인철,김승호,김선정,임윤정 대한자기공명의과학회 2016 Investigative Magnetic Resonance Imaging Vol.20 No.4
Purpose: To evaluate the added value of diffusion weighted imaging (DWI) to computed tomography (CT) for detecting pancreatic abnormality in patients with clinically suspected acute pancreatitis (AP). Materials and Methods: 203 patients who underwent abdomen CT and subsequent DWI to do a workup for epigastric pain were analyzed. Two blinded radiologists independently performed an interval reading based on CT image sets first, then based on combined CT and DWI image sets. The diagnostic criterion on DWI was the increased signal intensity in the pancreas to that of the spleen. For quantitative analysis, the third radiologist measured ADC value of the pancreas in each patient. Results: For AP (n = 43), the sensitivity for detecting pancreatic abnormality increased, from 42% to 70% for reader 1 (P < 0.05) and from 44% to 72% for reader 2 (P < 0.05). For borderline pancreatitis (n = 42), the sensitivity also increased, from 10% to 26% for reader 1 (P < 0.05) and from 7% to 29% for reader 2 (P < 0.05). The mean ADC values (unit, × 10-3 mm2/s) were significantly different among the three groups (for AP, 1.09 ± 0.16; for borderline pancreatitis, 1.28 ± 0.2; for control, 1.46 ± 0.15, P < 0.05). Conclusion: Sensitivity for detecting pancreatic abnormality increased significantly after adding DWI to CT in patients with clinically suspected AP.
남인철 대한이비인후과학회 2015 대한이비인후과학회지 두경부외과학 Vol.58 No.8
Radioactive iodine (131I) targets the thyroid gland and has been proven to play an effective role in the treatment of differentiated thyroid cancers. However, this radioisotope is simultaneously absorbed on the salivary glands where it is concentrated and secreted into the saliva. Dose related damage to the salivary parenchyma results from the 131I irradiation. Salivary gland swelling and pain, usually involving the parotid, can be seen. The symptoms may develop immediately after a therapeutic dose of 131I and/or months later and progress in intensity with time. Prevention of the 131I-induced sialadenitis includes the use of sialagogic agents to enhance the transit time of the 131I through the salivary glands. However, many studies are not available to delineate the efficacy of this approach. Recently, amifostine has been advocated to prevent the effects of irradiation. Treatment of the varied complications that may develop encompass numerous approaches and include gland massage, sialagogic agents, duct probing, antibiotics, mouthwashes, good oral hygiene, and adequate hydration.
남인철,이동희,전범조,조광재 대한갑상선학회 2011 International Journal of Thyroidology Vol.4 No.1
Papillary carcinoma is the most common type of thyroid cancer, usually presenting as a thyroid mass. Presentation in cervical nodes alone, with no clinical suspicion of thyroid tumor, also occurs. Lymph node metastasis from papillary carcinoma of the thyroid may undergo cystic transformation. This occurrence is seldom encountered in clinical practice and in cases of microcarcinomas the diagnosis may be difficult, resulting in a delay of the correct diagnosis and of therapy for the primary tumor. We present a rare case of solitary cystic lymph node metastasis of papillary microcarcinoma of the thyroid.
Toxoplasmic Lymphadenitis of the Head and Neck Region
남인철,조영진,전범조,조광재 대한이비인후과학회 2015 대한이비인후과학회지 두경부외과학 Vol.58 No.5
Toxoplasmosis is a ubiquitous protozoan infection caused by coccidian Toxoplasma gondii. In an immunocompetent host, the primary infection is generally oligosymptomatic and self-limiting. Fewer than 10% of infected subjects are symptomatic, with lymphadenopathy as the most frequent clinical finding. Here, two cases of Toxoplasmic lymphadenitis are reported for otolaryngologists to consider the clinical findings and natural history aspects of this infection.
남인철(In Chul Nam) 대한신경모니터링학회 2021 Journal of Neuromonitoring & Neurophysiology Vol.1 No.1
Voice change after thyroidectomy is one of the most common complaints and have a significant impact on patients quality of life. Postoperative voice change may occur due to vocal cord paralysis after recurrent laryngeal nerve injury during surgery, but recently, voice change without nerve injury is getting a lot of attention, and many studies are being performed on it. Pre-operative voice evaluation is necessary for the purpose of detecting pre-existing voice abnormalities and securing a baseline data to counsel patients about their impaired voice or provide appropriate postoperative voice therapy. Post-operative voice evaluation is also important to accurately evaluate voice abnormalities and provide appropriate treatment. Techniques of voice evaluation vary from subjective measurement using questionnaires to professional analysis including acoustic and aerodynamic studies. Among various methods, it is important to properly select and implement a method available for the conditions of each institution, and refer to a specialist if it is difficult to perform professional analysis and treatment.
박시내,남인철,신지현,여상원 대한이비인후과학회 2007 대한이비인후과학회지 두경부외과학 Vol.50 No.1
Objective tinnitus which may be caused by contraction of the tensor tympani and stapedial muscles is extremely rare. We present a case of middle ear myoclonus with voluntary palatal myoclonus in a musician. Otologic examination demonstrated rhythmic pedance audiometry confirmed the motion of tympanic membrane and those movements corelated with a tinnitus perceived by the patient. Palatal myoclonic motion, voluntarily evoked by the patient, was observed by oral examination and heard by Toynbee tube objectively. Medical treatment and directive counseling were effective for voluntary palatal myoclonus. However, the main symptom of tinnitus caused by middle ear myoclonus was not changed. The patients tinnitus was cured by tympanotomy with sectioning of the tensor tympani and stapedial tendons.(Korean J Otolaryngol 2007;50:73-5)