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최소영,차왕운,송커다모,최명수 대한이비인후과학회 2017 대한이비인후과학회지 두경부외과학 Vol.60 No.5
Sarcoidosis is a chronic granulomatous disease, involving multisystem, confirmed by the presence of non-caseating granulomas. Sinonasal involvement in sarcoidosis is rare and difficult to diagnose since the symptoms of nasal obstruction and rhinitis are nonspecific. The diagnosis of sarcoidosis begins with clinical suspicion, followed by with imaging, and finally confirmed with tissue biopsy. In this study, we report a case of sarcoidosis of the nasal septum, which was early confirmed by a biopsy of the nasal septum and hilar lymph node. Korean J Otorhinolaryngol-Head Neck Surg 2017;60(5):248-51
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최소영,김지대,차왕운,이호윤,장동식,김아영,최명수 대한이비인후과학회 2016 대한이비인후과학회지 두경부외과학 Vol.59 No.9
Background and Objectives The parotid abscess is a rare disease. It occurs mainly in patients with poor oral hygiene, dehydration, and immune compromised. This study aims to analyze clinical presentations of the parotid abscess treated with ultrasonography and fluoroscopy guided percutaneous drainage. Subjects and Method A retrospective review of medical records were carried out for nine patients with parotid abscess treated with percutaneous drainage during the period from March 2007 to May 2013. Results Of the nine patients identified with parotid abscess, there were seven males and two females who were in the age range of 41 to 85 years (mean age of 61.8). The mean level of the serum amylase was 167.4 IU/L (ranging from 52 to 343). Of the nine patients, two were found with intra-parotid cystic tumor, one was infected with the Tuberculosis, and six were found with an unidentifed parenchymal infection. All except one patient were improved after percutaneous drainage. One patient, who suffered underlying diabetes, chronic renal failure and liver cirrhosis, died due to sepsis that rapidly progressed from parotid abscess despite percutaneous drainage. The mean period of hospitalization was 16.1 days. Bacteria isolations resulted in identification for 4 patients (44.4%). Conclusion Parotid abscess could be successfully treated with ultrasonography and fluoroscopy guided percutaneous drainage unless it involved multiple regions or progressing rapidly. Korean J Otorhinolaryngol-Head Neck Surg 2016;59(9):655-60
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목청소를 하는 인두이물감 환자에게 외래에서 시행하는 상담의 효과
장동식,박노선,차왕운,최명수 대한이비인후과학회 부산,울산,경남 지부회 2015 임상이비인후과 Vol.26 No.1
Background and Objectives:Recently, an extraesophageal reflux has been known as leading cause of the globus pharyngeus, maximal acid suppression therapy has been the center of the treatment. However, there are di\-verse potential causes causing globus symptom, some patients may not be beneficial of the acid suppression therapy. We aimed this study to evaluate the effect of office-based consultation to avoid throat clearing that can commonly encounter in globus patients. Subjects and Methods:From October 2013 to August 2014, 70 globus patients having throat clearing were enrolled. Patients were randomly assigned to 2 groups prospectively. The treatment outcomes were compared between control and experimental groups after 8 weeks (control group was treated with only proton pump inhibitor (PPI), experimental group was treated with PPI combined consultation to avoid throat clearing). Results:The change of the reflux symptom index (RSI) after treatment is calculated as [(initial RSI – final RSI)/initial RSI ×100 (%)]. And, the grade of improvement is classified 4 levels (1=aggravated or improved less than 25%, 2=improved from 25 to 50%, 3=improved from 50 to 75%, 4=improved more than 75%). As compared with the grade of improvement between groups, the experimental group scored much high grade of improvement than control (p=0.008). Conclusions:The office-based consultation for avoiding throat clearing in the globus patients can be beneficial to the patients in addition to acid suppression therapy.
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