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이성대상포진에서 성상신경차단술의 치료 효과에 대한 고찰
배창훈,이석춘,최영호,천승민,백운회,정은채,송시연,김용대 대한이비인후과학회 2006 대한이비인후과학회지 두경부외과학 Vol.49 No.11
Background and Objectives:Facial palsy of herpes zoster oticus has rapid onset, is usually severe in degree, and poorer inprognosis than Bells palsy. In the past, herpes zoster oticus has usually been treated with acyclovir and steroid, but recently,applying stellate ganglion block for herpes zoster oticus has been recognized as an additional treatment that may improvefacial palsy. This study was designed to evaluate the effect of stellate ganglion block on herpes zoster oticus. Subjects andMethod:We reviewed retrospectively the medical records of 30 patients with herpes zoster oticus who were treated withacyclovir, steroid and stellate ganglion block between January 1995 and December 2004. The follow-up period was at leastover than 6 months. Results:All patients suffered from otalgia, vesicle, and facial palsy. The average degree of House-Brackmann classification on admission was 3.26 in the complete recovery patients and 4.61 in the incomplete recovery patients.Seventeen patients were completely recovered from facial palsy (56.7%), and 13 showed residual facial palsy 13 patients(43.3%). The poor prognosis may be related with early onset of facial palsy, high degree of House-Brackmann classificationon admission and high degenerative ratio on electroneurography of facial nerve. Conclusion:The additional treatment ofstellate ganglion block in herpes zoster oticus may not be effective on improving the complete recovery rate and prognosis.(Korean J Otolaryngol 2006;49:1065-70)
배창훈,천승민,이석춘,정은채,백운회,최성원,최윤석,김용대,송시연 대한이비인후과학회 2007 대한이비인후과학회지 두경부외과학 Vol.50 No.8
Background and Objectives:Recent advances in medical management, along with increased life span, have contributed to the increased oportunity for detecting multiple primary malignancy (MPM)and clinical characteristics of MPM in the head and neck region. Subjects and Method:We reviewed retrospectively the med-ical records of 984 patients with malignant tumors of head and neck who had been diagnosed histopathologicaly and treated be-tween August 1985 to July 2005. Results:Seventy patients (7.11%) were diagnosed as having MPM (double, n= 66;triple, n= 4). This group consisted of 67 men and 3 women (p<0.01). Twenty-five patients (36% ) had synchronous double primary malig-nancy (SDPM) and 45 patients (64% ) had metachronous double primary malignancy (MDPM). The hypopharynx was the most fre-quently involved site of the index tumor. The most common index tumors were squamous cell carcinoma histopathologically. Second primary malignancies were found in esophagus, stomach and lung. Fifty-five patients were found with first primary ma-lignancy in head and neck, and 25 were with second primary malignancy. The patients with first and second primary malignancy (average of survival 11.1 months) was very por. Patients with MPM have high cigaretes smoking and alcohol drinking habit. Conclusion:Patients with head and neck malignancies will require care-ful folow up for prevention, early detection, and the treatment of second primary malignancy. (Korean J Otorhinolaryngol Head Neck Surg 2007 ;50 :694-8)
비부비동 반전성 유두종의 전산화 단층촬영상과 자기공명영상의 분석
배창훈 ( Chang Hoon Bai ),서영중 ( Young Jung Seo ),이석춘 ( Seok Choon Lee ),천승민 ( Seung Min Chen ),백운회 ( Un Hoi Baek ),정은채 ( Eun Chae Jung ),송시연 ( Si Youn Song ),김용대 ( Yong Dae Kim ) 영남대학교 기초/임상의학연구소 2005 Yeungnam University Journal of Medicine Vol.22 No.2
Background: Computed tomography (CT) is commonly used to evaluate the degree of sinus involvement in cases of inverted papilloma (IP). However, CT cannot differentiate tumor from adjacent inflammatory mucosa or retained secretions. By contrast, magnetic resonance imaging (MRI) has been reported to be useful in distinguishing IP from paranasal sinusitis. This study investigated whether preoperative assessment with MRI and CT accurately predict the extent of IP.1) Materials and methods: CT and MRI were retrospectively reviewed in 9 cases of IP. Patients were categorized into stages based on CT and MRI findings, according to the staging system proposed by Krouse. The involvement of IP in each sinus was also assessed. Results: Differentiation of IP from inflammatory disease may be more successful in routine cases where the inflammatory mucosa has low signal intensity on T1-weighted images and very high signal intensity on T2-weighted images. CT imaging could not differentiate tumor from adjacent inflammatory mucosa or retained secretions. Conclusion: Preoperative MRI of IP can predict the location and extent of the tumor involvement in the paranasal sinuses and sometimes predicts malignant changes.