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최익수,노수인,곽철호,김상은,이찬우,Choi, Ik-Su,Roh, Su-In,Kwak, Cheol-Ho,Kim, Sang-Eun,Lee, Chan-Woo 대한족부족관절학회 2004 대한족부족관절학회지 Vol.8 No.1
1993년 3월부터 2003년 4월까지 성분도 병원 정형외과에서 족부 및 족관절 결절종의 진단으로 수술적 치료를 받은 17예의 경우에서 추적 관찰한 결과 다음의 결론을 얻을 수 있었다. 1. 위치는 족배측(Zone III)이 가장 많았고 수술 적응증은 동통 12예(70.6%)로 가장 많으며 외관상의 문제 4예 (23.5%), 신경학적 증상과 동통이 동반된 경우 1예 (5.9%)였다. 2. 족부 및 족관절의 결절종은 재발률이 비교적 높다. 따라서 술전에 환자에게 이에 대한 충분한 설명이 필요하다. 3. 족부 결절종의 수술은 관절낭의 연결 부위와 종괴의 완전한 적출이 재발을 낮추는데 도움이 될 수 있으나 해부학적인 특성상 어려움이 있어 시술전 정확한 종괴에 대한 평가와 수술시 결절종의 완전한 제거에 노력해야 할 것이다. Purpose: To evaluate the results of surgical treatment and relationship between the recurrence and characteristics of ganglions in foot and ankle. Materials and Methods: Seventeen cases of ganglions located in foot and ankle, excised at St. Benedict Hospital from Mar. 1993 to Apr. 2003, were included in the study. All of cases were analyzed retrospectively in terms of age, sex of the patients, location and size of the ganglion, symptom, operative method as well as recurrence rate were evaluated. The mean follow up was 1.8 years (11 months${\sim}$6.5 years). Results: The size of ganglion ranged from 0.5 cm to 5.0 cm with mean size of 2.5 cm. The most common area of ganglion was the dorsum of foot and pain was the primary chief complain. The recurrence was found in 4 cases (23.5%): 1 of them occurred among 8 cases the diameter of which was less than 2.5 cm and other 3 occurred among 9 cases larger than 2.5 cm. 12 cases were completely excised mass with no recurrence. But 5 cases were incompletely excised & ligated stalk of mass and 4 cases of them were recurred. A correlation was only observed between complete excision and low recurrence rate. Conclusion: Recurrence rate of ganglions in foot and ankle was high and the correlation was obtained between complete excision and low recurrence rate.
거대 후신경아세포종의 비내시경 절제술 후 발생한 지연성 출혈 1예
최익수,이진효,장진순 대한이비인후과학회 부산,울산,경남 지부회 2012 임상이비인후과 Vol.23 No.2
Transnasal endoscopic resection (TER) for tumors of anterior skull base has been considering alternative surgical modality of transfacial resection for craniofacial resection. Since late of 1990’s,- TER was first described-, It has been reporting that TER has less surgical morbidity and mortality. However we experienced not exactly explained delayed postoperative bleeding on 50th postoperative day following transnasal endoscopic resection of huge esthesioneuroblastoma in 71 year old male patient. So we describe the case with discussion here.
최익수,조용석 대한비과학회 2019 Journal of rhinology Vol.26 No.1
A nasolabial cyst is a rare, non-odontogenic cyst that develops within the area adjacent to the ala of the nose around the uppermostportion of the nasolabial crease. The origin of such a cyst is unclear but may be due to developmental problems. Clinicalcharacteristic of asymptomatic nasolabial swelling and radiological findings are important for diagnosis. Treatment is usuallysurgical resection via a sublabial approach but can also involve incision and drainage or marsupialization. Unlike the typicalclinical features reported in other cases, we experienced a case of a giant nasolabial cyst of 4.4 cm in a 56-year-old male withelevation of the nasal cavity base, gingival swelling, and perilesional bony destruction. In this case, we discussed the growth potentialof a nasolabial cyst and proper timing of treatment.