초증상으로 연하장애를 호소한 두부형 파상풍 환자 1예

오경호,주영호,권도영,홍석진,권순영,Oh, Kyoung-Ho,Ju, Young-Ho,Kwon, Do-Young,Hong, Seok-Jin,Kwon, Soon-Young 대한기관식도과학회 2010 大韓氣管食道科學會誌 Vol.16 No.2

Tetanus is a life-threatening infection that is rare in the developed country. Because of the rarity: of the disease, the clinician may be unfamiliar with the clinical presentation and unsuspecting of the diagnosis. However, tetanus can rapidly progress into lethal muscle spasms accompanied by respiratory insufficiency, and it has a mortality of 15 to 30%. The most common presenting symptom was trismus, followed by neck pain, dysphagia, generalized pain and facial muscle contractions. Dysphagia is a common symptom of tetanus, but not common as an initial symptom, the correct diagnosis and adequate therapy are likely to be delayed. Treatment involves administration of penicillin, tetanus immune-globulin, debridement of wounds, aggressive supportive care, and initiation of active immunization. We report an elderly woman presenting with dysphagia as an initial symptom of tetanus with review of literature.

JPEG2000 CODEC을 위한 산술 부호화기의 VLSI 설계

오경호(Kyoung-ho Oh),이경민(Kyoung-min Lee),김영민(Young-min Kim) 한국통신학회 2002 한국통신학회 학술대회논문집 Vol.2002 No.11

JPEG2000 CODEC을 위한 Entropy 코딩 알고리즘의 VLSI 설계

이경민,오경호,정일환,김영민,Lee, Kyoung-Min,Oh, Kyoung-Ho,Jung, Il-Hwan,Kim, Young-Min 한국통신학회 2004 韓國通信學會論文誌 Vol.29 No.1C

본 논문은 차세대 정지영상 압축방식인 JPEG2000 코덱의 엔트로피 코딩 알고리즘의 하드웨어적 구조를 제안하고, 설계하였다. 구현된 엔트로피 코더는 컨텍스트 기반의 산술부호화기로서 컨텍스트 추출부(CE)와 산술부호화기(AC)로 구성된다. CE는 각 코팅패스에서 코딩에 참여하지 않는 샘플은 skipping 함으로써 동작속도를 향상시켰으며, AC는 MQ coder에 기반을 둔 산술부호화기로서, 곱셈과 나눗셈 연산대신 단순 가감산과 shift 연산망을 이용하여 구조를 단순화하고 연산량을 줄임으로써 동작속도를 향상시켰다. 설계된 엔트로피 코더는 VHDL 모델링후 Xilinx FPGA technology를 이용하여 합성한 후 동작을 검증하였으며, 30MHz의 동작속도를 보인다. In this paper, we design an efficient VLSI architecture of entropy coding algorithm in JPEG2000. Entropy coder is a context-based binary arithmetic encoder, and composed of a Context Extractor(CE) and an Arithmetic Coder(AC). We speed-up CE by skipping no-operation bits in coding passes, and AC is to be performed based on MQ coder. Because of using Qe value associated with each allowed context and probability estimation, MQ coder is a multiplication free coder that reduces computation loads and makes simple the structure of arithmetic coder. We have developed and synthesized the VHDL models of CE and AC pairs using Xilinx FPGA technology. The proposed architecture operates up to 30MHz.

성대용종환자에서 후두미세수술시에 수술부위에 Triamcinolone 국소주입이 음성에 미치는 영향에 대한 연구

유준,오경호,윤희철,이도영,우정수,백승국,정광윤,권순영,Yoo, Jun,Oh, Kyung Ho,Yoon, Hee Chul,Lee, Doh Young,Woo, Jeung soo,Baek, Seung Kuk,Jung, Kwang Yoon,Kwon, Soon Young 대한후두음성언어의학회 2015 대한후두음성언어의학회지 Vol.26 No.2

Background and Objective : Laryngeal microscopic surgery (LMS) is popular method to treat for vocal polyp. There is not always the improvement of the voice after operation. Many methods have been developed for better outcome of the surgery. The purpose of this study is to investigate the effect of the triamcinolone injection at vocal cord during LMS. Materials and Methods : The medical records of 28 patients, received LMS under diagnosis of vocal polyp, were retrospectively reviewed. The patients were divided into two groups depending on whether triamcinolone injected or not (case group : Triamcinolone-injected group, control group : Triamcinolone-not injected group). The quality of voice was evaluated by GRBAS scale, fundamental frequency (Fo), jitter, shimmer and NHR (Noise to harmonic ratio) at previous operation, 4 weeks after operation, 8 weeks after operation. Each voice analysis factor was compared between case group and control group by Independent t-test. Results : The mean differences of each voice analysis factor. The mean difference of Jitter, Shimmer, NHR in case group were lower than in control group, and mean difference of GRBAS scale in case group were higher than in control group. These differences were not significant (p>0.05). Conclusion : Though there was a tendency of better voice outcome in patients of triamcinolone-injection, it may not be concluded that the triamcinolone injection is helpful for better voice outcome in surgery of vocal polyp due to statistical insignificance.

후두미세수술 전후 성대 용종의 크기 및 위치가 음성의 질의 변화에 미치는 영향

한원규,김민수,오경호,우정수,정광윤,권순영,Han, Won Gue,Kim, Min-Su,Oh, Kyung Ho,Woo, Jeung Soo,Jung, Kwang Yoon,Kwon, Soon Young 대한후두음성언어의학회 2016 대한후두음성언어의학회지 Vol.27 No.2

Background and Objectives : Vocal polyps are caused by inflammation induced by stress or irritation. Many patients with vocal polyps complain voice discomfort. For vocal polyps, surgery such as laryngeal microsurgery has been the mainstay of management. We analyzed the clinical features of vocal polyps, and how the size and location of vocal polyps affect the outcomes of surgery. Methods : We retrospectively reviewed 42 patients from March 2014 to December 2015, who were diagnosed as unilateral single vocal polyp. When we operated on a vocal polyp with laryngeal microscopy, we measured their size and location. The quality of voice was evaluated by GRABS scale, jitter, shimmer, NHR (noise to harmonic ratio), MPT (maximum phonation time), and VHI (voice handicap index) before operation and 4 weeks after operation. Results : When we divided the patients into large-sized vocal polyp group (the longest length >3 mm) and small-sized vocal polyp group (the longest length ${\leq}3mm$), all parameter differences tend to be greater at large sized vocal polyp. However, these differences were not statistically significant (p>0.05). When we divided into two groups depending on the volume of vocal polyp, no distinct tendency was found. When we compared the location (anterior, mid and posterior) of vocal polyp with the improvement of voice quality, more change was found at mid portion vocal polyp, except the difference of VHI. However, these differences were also not statistically significant (p>0.05). Conclusion : All parameter differences tend to be greater at large vocal polyp and polyp of the mid location.

Predictors of Distant Metastasis in Adenoid Cystic Cancer of Salivary Gland

김강우,김연수,오경호,박민우,조재구,백승국,우정수,정광윤,권순영,Kim, Kang Woo,Kim, Yeon Soo,Oh, Kyoung Ho,Park, Min Woo,Cho, Jae-Gu,Baek, Seung-Kuk,Woo, Jeong-Soo,Jung, Kwang-Yoon,Kwon, Soon Young The Korean Society for Head and Neck Oncology 2014 대한두경부 종양학회지 Vol.30 No.1

배경 및 목적 타액선 선양낭성암종은 느린 성장 속도와 늦은 원격 전이를 특징으로 하는 드문 상피성종양이다. 본 연구는 다양한 임상 병리학적 변수를 통해 선양낭성암종의 원격 전이에 영향을 주는 인자를 조사하고자 하였다. 대상 및 방법 1999년 10월부터 2011년 12월까지 본원 이비인후과에서 타액선 선양낭성암종으로 진단되어 치료 받은 44명(남자 19명, 여자 25명)을 대상으로 원격전이를 유발하는 위험 인자를 조사하였다. 8명의 환자는 배제 기준에 따라 제외하였다. 환자의 평균 연령은 54세였다. 환자의 병리 보고서, 종양의 크기, T 병기, 수술 절제연의 종양 존재 유무, 신경 조직 침습, 림프절 전이가 조사되었다. 결 과 15명의 환자가 원격전이가 있었으며 21명은 원격 전이가 없었다. 원격 전이를 유발할 수 있는 여러 인자들을 비교하였을 때, 원격 전이는 수술 절제연의 종양 세포 잔존(p=0.014), 종양의 크기(p=0.038), 진행된 T 병기(p=0.024)가 통계적으로 유의하게 연관성이 있었다. 림프절 전이와 신경 조직 침습은 원격 전이와 연관이 없었다. 결 론 종양의 크기, 진행된 T 병기, 수술 후 절제연의 종양 세포 잔존은 원격 전이의 예측 인자로 생각된다. 따라서 이에 해당하는 환자의 경우 더욱 철저한 관리 및 경과 관찰을 요한다.

기관식도 누공에 대한 후두미세수술 접근하 재건술: 증례 보고 및 문헌 검토

한문수,염건휘,오경호,권순영,Han, Mun Soo,Yum, Gunhwee,Oh, Kyung Ho,Kwon, Soon Young 대한후두음성언어의학회 2020 대한후두음성언어의학회지 Vol.31 No.2

Patients with tracheoesophageal fistula show signs of aspiration, possibly leading to pneumonia, which could be fatal to bed-ridden patients. Tracheoesophageal fistula occurs as a complication of intubation, tracheostomy tube insertion and nasogastric tube insertion. Possible etiology is pressure and ischemic necrosis given by tracheostomy tube and nasogastric tube to trachea and esophagus; or in some cases, larynx and hypopharynx. Meanwhile, for repair of tracheoesophageal fistula, transcervical approach can be considered but takes relatively long operation time and is not appropriate for patients with underlying diseases. We report a case of tracheoesophageal fistula complicated several years after tracheostomy tube and nasogastric tube insertion who came to medical attention with signs of aspiration. Authors successfully performed repair of the fistula under laryngeal microsurgery approach without skin incision and dissection, and thereby report the experience with review of literature.

낭성 림프관종으로 오인한 전장 낭종 환자 1예

주재우(Jae Woo Joo),오경호(Kyung Ho Oh),권순영(Soon Young Kwon) 대한두경부종양학회 2017 대한두경부 종양학회지 Vol.33 No.2

Foregut cystic developmental malformations are rare developmental anomalies. It is important to diagnose the diseases and manage them properly because these cysts may generate feeding or respiratory difficulties depending on the size and location of the lesions. A newborn was referred for a congenital cervical swelling to our clinic on the second day of his life. Neck SONO and MRI showed an about 6cm sized cystic mass at left submandibular area. Aspirations and sclerotherapies were done repeatedly due to recurred cystic mass. Under the suspicious of cystic hygroma, the mass and submandibular gland were excised. Histologically, it was a benign cyst including gastrointestinal and bronchogenic mucosa and pancreatic tissue. Foregut cyst was suggested for the final diagnosis and the patient was discharged at 9 days after the operation without a complication. He has visited our out-patient department. Although several image studies have been introduced to find out foregut cyst, it is difficult to go through differential diagnosis because of similarity of other benign tumor. Further studies for early diagnosis of cervical foregut cyst are needed for preventing possible related problems.

갑상선암 및 난소암 병력을 가진 좌측 경부 종물을 주소로 내원한 환자 1례에 대한 증례 보고

정용준(Yong Jun Jeong),오경호(Kyoung Ho Oh),권순영(Soon Young Kwon) 대한두경부종양학회 2020 대한두경부 종양학회지 Vol.36 No.2

Ovarian cancer is common malignant disease with high mortality in the female. However, lymph node metastasis in the head and neck of ovarian cancer is very rare than in para-aortic, pelvic lymph node. A 49-year-old female patient came to our clinic with a left neck mass. After total thyroidectomy and left selective neck dissection for the cervical neck level II, III, IV, V, VI for ovarian cancer and thyroid cancer, she had already undergone chemotherapy (Paclitaxel+Carboplatin) 18 month ago. CT scan showed only lymph node enlargement in left neck level II. Positron emission tomography-computed tomography (PET-CT) revealed a hypermetabolic lesion in same area but no other hypermetabolic lesion, especially in the pelvic and abdominal cavity. Fine needle aspiration cytology revealed metastatic carcinoma. The serum level of CA-125 was elevated to 43.8U/mL, whereas other tumor markers (CA 19-9, CEA) were in the normal range. She underwent a revision of selective neck lymph node dissection for the cervical neck levels I, II, and III, and on the review of surgical pathology, metastatic carcinoma was suspected. Thus, we performed immunohistochemical staining for the tissue; as a result, it was finally diagnosed as metastatic ovarian cancer (positive for CK7, ER and PR, and negative for CK20). Adjuvant chemotherapy (Paclitaxel+Carboplatin) was planned on the tumor board, and the patient successfully received chemotherapy.

Predictors of Distant Metastasis in Adenoid Cystic Cancer of Salivary Gland

Kang Woo Kim(김강우),Yeon Soo Kim(김연수),Kyoung Ho Oh(오경호),Min Woo Park(박민우),Jae-Gu Cho(조재구),Seung-Kuk Baek(백승국),Jeong-Soo Woo(우정수),Kwang-Yoon Jung(정광윤),Soon Young Kwon(권순영) 대한두경부종양학회 2014 대한두경부 종양학회지 Vol.30 No.1

배경 및 목적 타액선 선양낭성암종은 느린 성장 속도와 늦은 원격 전이를 특징으로 하는 드문 상피성종양이다. 본 연구는 다양한 임상 병리학적 변수를 통해 선양낭성암종의 원격 전이에 영향을 주는 인자를 조사하고자 하였다. 대상 및 방법 1999년 10월부터 2011년 12월까지 본원 이비인후과에서 타액선 선양낭성암종으로 진단되어 치료 받은 44명(남자 19명, 여자 25명)을 대상으로 원격전이를 유발하는 위험 인자를 조사하였다. 8명의 환자는 배제 기준에 따라 제외하였다. 환자의 평균 연령은 54세였다. 환자의 병리 보고서, 종양의 크기, T 병기, 수술 절제연의 종양 존재 유무, 신경 조직 침습, 림프절 전이가 조사되었다. 결 과 15명의 환자가 원격전이가 있었으며 21명은 원격 전이가 없었다. 원격 전이를 유발할 수 있는 여러 인자들을 비교 하였을 때, 원격 전이는 수술 절제연의 종양 세포 잔존(p=0.014), 종양의 크기(p=0.038), 진행된 T 병기(p=0.024) 가 통계적으로 유의하게 연관성이 있었다. 림프절 전이와 신경 조직 침습은 원격 전이와 연관이 없었다. 결 론 종양의 크기, 진행된 T 병기, 수술 후 절제연의 종양 세포 잔존은 원격 전이의 예측 인자로 생각된다. 따라서 이에 해당하는 환자의 경우 더욱 철저한 관리 및 경과 관찰을 요한다.