인두 이물감을 호소하는 환자에서 식도조영술과 위식도역류와의 상관관계 및 치료성적

정필섭 대한기관식도과학회 1998 大韓氣管食道科學會誌 Vol.4 No.2

Gastroesophageal reflux (GER) has been considered one of major causes in patient with globus symptom. Diagnostic methods for GER are gastroesophagoscopy, acid perfusion test esophagogram, esophageal manometry, 24-hour double probe pH-metry, and so on. According to the literature, positive rate of GER on esophagogram was reported variably from 4.7% to 45.9% and the outcome of classical treatment with antacid and prokinetic agent was reported from 70% to 84%. We reviewed the medical records of 81 patients with globus symptom. Each patient had been performed esophagogram and treated with antacid and prokinetic agent. Positive rate of GER on esophagogram was 46.9%. Complete resolution and improvement of globus symptom was 79% overally, 92% in positive group of GER rut esophgogram, and 72% in negative group. Considering aspects of time-cost and compliance of patient esophagogram is one of the screening methods of GER in patients with globus symptom. Antacid and prokinetic agent is recommended in treatment of patients with globus symptom.

양측전정기능장애에서의 전정기능검사

정필섭,김영훈,이정구 대한이비인후과학회 1996 대한이비인후과학회지 두경부외과학 Vol.39 No.12

혈소판 활성인자에 의한 상악동 점막상피의 손상에 대한 전자현미경적 변화

정필섭 대한기관식도과학회 1998 大韓氣管食道科學會誌 Vol.4 No.2

Platelet activating factor (PAP) has been known as implicating as one of potent inflammatory mediators and reported 0 be involved in inflammation and allergy. PAF induces ciliary dysfunction and epithelial damage of human paranasal sinus mucosa in vitro. However, several recent papers have reported that PAF may not readily damage the airway epithelium. The aim of this study was to investigate the ultrastructural evidence to elucidate the pathogenesis of epithelial damage induced by PAF. Sixteen $\mu\textrm{g}$ g of PAF was applied into the maxillary sinuses of 6 rabbits. Rabbits were divided into 2 subgroups along with time interval at 1st and 3rd experimental day, and sinus mucosae were taken for the histopathologic study using electron microscopy. At 1st day, epithelial cells showed no ultrastructural change. Ultrastructures of the cilia were well preserved. Subepithelial space showed no evidence of the infiltration of inflammatory cells. Intravascular platelet aggregation and swelling of endothelial cells were evident. At 3rd day, epithelial cells showed vacuolar degeneration. Fusion of cilia forming giant cilia and focal loss of cilia were evident. Eosinophils were infiltrated in subepithelial and intraepithelial space. Swelling of endothelial cells, and migration of inflammatory cells into the connective tissue were evident. This study implies that epithelial damage induced by PAF may be secondary to the cytotoxicity of mobilized eosinophils rather than direct cytotoxicity of PAF.

성인에서 편도적출술후 정맥내 동통자가조절법에 의한 동통조절 효과

정필섭 대한기관식도과학회 1998 大韓氣管食道科學會誌 Vol.4 No.2

Postoperative pain following tonsillectomy remains a significant obstacle to speedy recovery and smooth convalescence. Inadequate analgesia causes poor oral intake and influences the length of hospital stay and ability to return to normal activity. Patient Controlled Analgesia (PCA) is a method of analgesia adminstration that consists of a computer driven pump with a button that the patient may press to adminster a small dose of analgesic drug. The aim of this study was to examine whether Intravenous Patient Controlled Analgesia (IV-PCA) can reduce postoperative pain after tonsillectomy. The 100 patients undergoing tonsillectomy with general anesthesia were divided into two groups. The PCA group patients (n=80) received a mixture of nalbuphine and ketorolac by Walkmed PCA infusor during first 48 postoperative hours. In control group (n=20), the patients received oral acetoaminophen (Tyrenol) regularly and tiaprofenic acid (Surgam) intramuscularly on a p.r.n basis. Analgesic efficacy was evaluated with visual linear analogue scale (VAS) and the adverse effects were evaluated with 4 point scale. The patients of PCA group had less pain than those of control group. The adverse effects in the PCA group were nausea and vomiting. This study suggests that IV-PCA may be safe and effective method of pain control after adult tonsillectomy and is better accepted than oral or intramuscular pain medications.

갑상설관낭종에서 기원한 유두상 암종 1례

정필섭,정필상,현민환 대한기관식도과학회 1997 大韓氣管食道科學會誌 Vol.3 No.2

Thyroglossal duct cysts are the most common anomaly in thyroid development. Generally, duct cysts are benign, but 1 per cent of cases may be malignant. Tumors of the thyroglossal duct are very rare and are usually papillary thyroid carcinomas. In most cases the diagnosis is only established after excison of a clinically benign thyroglossal duct cysts. The etiology of such tumors is unclear, but do novo origin and spread from a primary thyroid gland tumor has been suggested. We reported a case of papillary carcinoma arising in a thyroglossal duct cyst treated successfully with surgical excision in 37-year-old-female.

심경부 감염과 동반된 총경동맥 가성동맥류 1례

정필섭,조정석,정필상 대한기관식도과학회 1997 大韓氣管食道科學會誌 Vol.3 No.1

The complications of deep neck infection have become much less common in the antibiotic era. The vascular complications of deep neck infection can have devasting consequences. Most commonly, the internal carotid artery is involved, although the common carotid and external carotid artery can also be affected.0 the cases of patients with a protracted course, recurrent bleeding, cranial neuropathies, or trismus, the presence of vascular complications must be considered. Appropriate imaging should be carried out to allow the localization of the infection and ascertain the status of the vessels in the neck The vascular structures can be imaged with duplex doppler or color doppler flow ultrasound to see the flow between the mass and vessels. Also angiography plays a key role in the diagnosis and management of vascular complication of deep neck infection. Prompt diagnosis and treatment of these patients is necessary to prevent significant hemmorrhagic complications. We experienced a case of pseudoaneurysm of the common carotid artery secondary to deep neck infection treated successfully with surgical excision in 45-year-old-male.

혈소판활성인자에 의해 유발된 실험적 상악동염

정필섭,이정구 대한이비인후과학회 1998 대한이비인후과학회지 두경부외과학 Vol.41 No.9

Nasopharyngeal Angiofibroma: Report of a Case Resected Using a KTP Laser

정필섭,정필상,김상준 대한비과학회 1996 Journal of rhinology Vol.3 No.2

Nasopharyngeal angiofibromas, which occur almost exclusively in the nasopharynx of adolescent boys, is an uncommon, histologically benign tumor. However, this tumor is clinically considered as malignant one because of anatomical relationship, intracranial extension, bleeding tendency during surgical procedures and frequent recurrence after treatment. Preoperative angiography is essential for the evaluation and embolization of feeding vessels helpful in minimizing bleeding during surgical procedures. We experienced a case of nasopharyngeal angiofibroma in minimizing bleeding during surgical procedures. We experienced a case of nasopharyngeal angiofibroma in 15-year-old male that was resected with good results by KTP laser surgery after superselective embolization.

혈소판활성인자의 가토 상악동 점액섬모기능에 대한 효과

정필섭,정필상 檀國大學校 出版部 1999 論文集 Vol.34 No.3

무형문화재 보유단체 분열에 대한 인식(認識)의 재고(再考)를 요(要)함 -양주별산대놀이 사례 중심-

정필섭 ( Jeon Pil-seub ) 한국공연문화학회 2021 공연문화연구 Vol.- No.43

국가중요무형문화재 양주별산대놀이는 2010년 보유단체 구성원이 두 개로 쪼개진다. 이전시기부터 진행된 단체의 내분이 폭발한 것이다. 연구주제는 그 분열을 다룬 것이다. 연구목적은 첫째, 양주별산대놀이 분쟁의 원인ㆍ전개ㆍ일단락에 대한 기록이다. 둘째, 중재에 나선 문화재청이 취한 행정조치의 적절성에 대한 검토이다. 셋째, 본 연구가 문화재청이 단체분쟁에 대처할 원칙수립에 기여함이다. 넷째, 본 연구가 여타 보유단체 분쟁해결의 참고 사례로 기능하길 바란다. 연구결론은 전승을 활성화하기 위해서는 보유단체분쟁을 해결해야 함을 행정당국이 인식하고 원칙을 세우고 대응해 가야한다는 주장이다. 그 내용은 해제에 대한 제도구성이다. 분쟁을 다루는 것도 학문의 영역이라 여긴다. 저자의 문제를 정면으로 다룬 본 연구가 학문에 기여하고 사회에 기여하길 바라며 상정한다. The members of the holding group ‘YangjuByeolsandae-nori’ (National Important Intangible Cultural Heritage) were divided into two groups in 2010. This means that the internal groupwhich has been going on since the previous period exploded. The subject of the researchis to deal with thedisruption. The first purpose of the research is to record the causeㆍdeploymentㆍending of the ‘YangjuByeolsandaeTalnori’. The second purpose of the research is to reviewthe appropriateness of the administrative measures taken by the Cultural Heritage Administrationin intervention. The thirdpurpose of the research the Cultural Heritage Administration's contribution to the establishment of principles to cope with group disruption. The fourth purpose of the researchis to serve as a reference to the resolution of the disruption of other preservation groups. The result of the research suggests that the administration should recognize that the conflict of the ownership over the group must be resolved in order to boost the overall success of the project, and must establish and respond to the principles. The content is a reconstruction of the explanation. To deal with divisions is also considered to be a field of study. The research which deals directly with the main researcher's problems is put forward in hopes of contributing to the study and contributing to society.