글리포세이트 음독 후 발생한 후두 부식손상 1예

주연희,김진평,박정제,우승훈,Joo, Yeon-Hee,Kim, Jin-Pyeong,Park, Jung-Je,Woo, Seung-Hoon 대한후두음성언어의학회 2011 대한후두음성언어의학회지 Vol.22 No.2

Organophosphates are used as herbicides. Glyphosate is one of the acidic organophosphate solution of pH4.8-6. We experienced a case of laryngeal injury after glyphosate caustic ingestion. He had a mild respiratory distress, and a laryngeal granuloma was observed in endoscopy. He received treatment with oral steroid and PPI for two weeks, the laryngeal granuloma and respiratory distress were nearly disappeared. Therefore, we expect this case report to be helpful the therapeutic formulations in the damage of larynx due to glyphosate.

Late Metastatic Renal Cell Carcinoma Recurrence Presenting as a Maxillary Sinus Mass 12 Years after Nephrectomy: Case Report and Literature Review

주연희,전영진,조현진,김상욱 대한비과학회 2021 Journal of rhinology Vol.28 No.1

Metastasis to the sinonasal cavity is rare. Late recurrence, such as metastasis developing 10 years or more after nephrectomy, is even more rare. We present a rare case of late metastatic renal cell carcinoma (RCC) in the maxillary sinus after nephrectomy and discuss reported sinonasal metastatic RCC cases. A 64-year-old man presented with left nasal obstruction for the previous one year. He had undergone right nephrectomy to treat RCC 12 years prior. Paranasal sinus computed tomography and magnetic resolution imaging revealed a 4.6-cm-diameter mass exhibiting delayed contrast enhancement that filled the left maxillary sinus and the nasal cavity. Histologically, clear cell RCC was diagnosed. We resected the maxillary sinus tumor to resolve the nasal obstruction for palliative symptom relief. There has been no evidence of recurrence to date, 3 years postoperatively. When a patient with a history of RCC presents with a hypervascular paranasal sinus mass, metastatic RCC should be considered, despite history of nephrectomy. It is important to make an appropriate treatment plan depending on extent of metastases and location of the metastatic tumor.

비중격 피판을 이용한 안장 전결손의 내시경적 재건 1례

주연희,전시영,김대우,박경범 대한비과학회 2011 Journal of rhinology Vol.18 No.2

Cerebrospinal fluid (CSF) leakage is a possible major complication in skull base surgery. Application of the expanded endoscopic endonasal approach in skull base surgery expands the accessibility to resect skull base lesions but also increases the risk of CSF leakage due to the creation of larger dural defects in the skull base. Reconstruction of the skull base with multilayered autologous materials has been a key surgical technique. A recent advance in skull base reconstruction is nasoseptal flap, a robust reliable vascular pedicled flap supplied with the septal branch of the sphenopalatine artery. This technique has been reported to significantly decrease the risk of CSF leakage. We report a case of giant pituitary adenoma involving the suprasellar space and sphenoid sinus with a near total sellar defect. The lesion was removed using the endoscopic endonasal transsphenoidal approach, and the sellar floor was successfully reconstructed using a nasoseptal flap with no other multilayered support.

변형된 Pocket Method를 이용한 이개 재건술 2예

주연희,정승원,한규철 대한이비인후과학회 2010 대한이비인후과학회지 두경부외과학 Vol.53 No.4

Laceration and amputation of the auricle due to external injuries are common because of its location. Several choices of reconstructive surgical procedure have been introduced for amputated auricle until now. Modified pocket method is known as the one of techniques useful for a patient whose auricle was amputated with severe contamination. We report two cases of auricular reconstruction using modified pocket method in traumatic auricular amputation with a review of literatures. Korean J Otorhinolaryngol-Head Neck Surg 2010;53:241-4

경부의 열상과 동반된 윤상연골에 국한된 다발성 골절

주연희,김진평,박정제,우승훈 대한이비인후과학회 2011 대한이비인후과학회지 두경부외과학 Vol.54 No.9

Laryngeal trauma is relatively uncommon but can be possibly life-threatenning. An isolated cricoids fracture associated with neck trauma is rare. We report a case of an isolated multiple fragmented cricoid cartilage fracture that was developed in a 30-year-old man after a neck trauma. It was diagnosed by computed tomography and treated successfully.

외상 후 삼차신경 손상에 의해 Schneider 검사상 음성을 보인 후각 소실 환자 1예

주연희,박동욱,김선태,강일규 대한이비인후과학회 2011 대한이비인후과학회지 두경부외과학 Vol.54 No.5

There has been a considerable increase in the number of patients with olfactory disorder due to head and facial injuries. Conventional olfactory function evaluation methods, such as T&T olfactometer, the Schneider test and the Alinamin test have been widely used in clinical practice. Among these, the Schneider test can determine whether the patient is a malingerer. A woman who sustained head and facial injuries visited our department with the chief complaint of anosmia. The patient underwent conventional olfactory function tests, including T&T olfactometer and the Schneider test. T&T olfactometer revealed olfactory loss, but the Schneider test did not. Thus, she was diagnosed with malingering. However, her diagnosis of olfactory disorder and concurrent trigeminal nerve injury was made definite during the follow-up period. We herein report a 30-year-old female patient with olfactory disorder who was misdiagnosed with olfactory malingering based on the negative result of the Schneider test. A brief review of the literature has been included.

고등학생의 완벽주의와 진로결정 수준과의 관계에서 불안과 우유부단의 매개효과

주연희,이지연 한국청소년시설환경학회 2014 청소년시설환경 Vol.12 No.4

비부비동염의 분류, 진단 및 치료

주연희 대한의사협회 2022 대한의사협회지 Vol.65 No.5

Background: Rhinosinusitis, one of the most common conditions encountered by clinicians, affects quality of life and reduces work productivity. Despite its high prevalence and economic burden, there are considerable differences in practice regarding the management of rhinosinusitis. Based on many studies, including the updated guidelines, classifications have been subdivided, and new treatments have been added. Current Concepts: Rhinosinusitis can be classified as acute rhinosinusitis (ARS) or chronic rhinosinusitis (CRS) with a cut-off duration of 12 weeks. It is diagnosed based on subjective symptoms and objective findings on computed tomography or endoscopy. Viral infections account for the majority of the causes of ARS, with watchful waiting without antibiotics as its important initial management. Meanwhile, CRS is divided into primary and secondary CRS, which is further subdivided by anatomic distribution and endotype. Particularly, the Type 2 endotype is characterized by a high recurrence rate and high resistance to current therapies. Biologics using monoclonal antibodies could therefore be used as new therapeutic options for the treatment of primary type 2 CRS. Furthermore, given the chronicity of CRS, it is important to recognize that endoscopic sinus surgery and continuous postoperative medical treatment are important for its management. Discussion and Conclusion: Accurate diagnoses based on diagnostic criteria and subdivided classifications are necessary to determine the treatment plan and prognosis. In particular, it is important to differentiate the endotype of CRS and provide appropriate treatments to improve the patient’s symptoms and quality of life.

Two-Phase Helical Computed Tomography Study of Salivary Gland Warthin Tumors: A Radiologic Findings and Surgical Applications

주연희,김진평,박정제,우승훈 대한이비인후과학회 2014 Clinical and Experimental Otorhinolaryngology Vol.7 No.3

Objectives. The goal of this study was to define the radiologic characteristics of two-phase computed tomography (CT) of salivary gland Warthin tumors and to compare them to pleomorphic adenomas. We also aimed to provide a founda- tion for selecting a surgical method on the basis of radiologic findings. Methods. We prospectively enrolled 116 patients with parotid gland tumors, who underwent two-phase CT preoperatively. Early and delayed phase scans were obtained, with scanning delays of 30 and 120 seconds, respectively. The attenua- tion changes and enhancement patterns were analyzed. In cases when the attenuation changes were decreased, we presumed Warthin tumor preoperatively and performed extracapsular dissection. When the attenuation changes were increased, superficial parotidectomy was performed on the parotid gland tumors. We analyzed the operation times, incision sizes, complications, and recurrence rates. Results. Attenuation of Warthin tumors was decreased from early to delayed scans. The ratio of CT numbers in Warthin tu- mors was also significantly different from other tumors. Warthin tumors were diagnosed with a sensitivity of 96.1% and specificity of 97% using two-phase CT. The mean operation time was 38 minutes and the mean incision size was 36.2 mm for Warthin tumors. However, for the other parotid tumors, the average operation time was 122 minutes and the average incision size was 91.8 mm (P<0.05). Conclusion. Salivary Warthin tumor has a distinct pattern of contrast enhancement on two-phase CT, which can guide treatment decisions. The preoperative diagnosis of Warthin tumor made extracapsular dissection possible instead of superficial parotidectomy.

한영숙류 승무 구성의 철학적 고찰

주연희 한국무용교육학회 2019 韓國舞踊敎育學會誌 Vol.30 No.4

It is very important to study philosophical base of Seung Mu, in practice and trasition. Especially traditional Korean philosophy could be preferable for that purpose than foreign idea or religion. Seung Mu, which means buddhist’s dance, are ideologically based on Sam Jae monism. It means that the three basic dimensions of universe, as Heaven, Earth, Human, came out of undifferentiated Unity, makes every way of being, relationships, movements and changes, and finally recovers as completed Unity by Human dedication. This study reveals that Sam Jae monism offers structural foundation to Seumg Mu, so that through whole five acts, the performance are consturcted by the contemplated philosophic idea. With this viewpoint, this study also tried to figure out the basic components of traditional Korean idea which makes philosophical foundation of Seung Mu, with other abundant traditional Korean culture. It is very important to study philosophical base of Seung Mu, in practice and trasition. Especially traditional Korean philosophy could be preferable for that purpose than foreign idea or religion. Seung Mu, which means buddhist’s dance, are ideologically based on Sam Jae monism. It means that the three basic dimensions of universe, as Heaven, Earth, Human, came out of undifferentiated Unity, makes every way of being, relationships, movements and changes, and finally recovers as completed Unity by Human dedication. This study reveals that Sam Jae monism offers structural foundation to Seumg Mu, so that through whole five acts, the performance are consturcted by the contemplated philosophic idea. With this viewpoint, this study also tried to figure out the basic components of traditional Korean idea which makes philosophical foundation of Seung Mu, with other abundant traditional Korean culture.