비내 수술 후 집단적으로 발생한 MRSA감염환자 22례에 대한 보고

송호준,이외중,백승훈,이원용 대한이비인후과학회 1999 대한이비인후과학회지 두경부외과학 Vol.42 No.5

비성형술의 임상적 경험과 수술결과에 대한 환자의 주관적 평가

이봉재,김상연,김용재 대한이비인후과학회 1999 대한이비인후과학회지 두경부외과학 Vol.42 No.4

Mongolian Gerbil에서 실험적으로 유도된 진주종에서의 신호전달체계에 관한 연구

이동훈,박기현,박홍준,전정민,황성철 대한이비인후과학회 1999 대한이비인후과학회지 두경부외과학 Vol.42 No.6

하악하 경부 종괴로 발현된 이소성 흉선 1예

김우석,김정규,박규옥,뮨석진 대한이비인후과학회 2005 대한이비인후과학회지 두경부외과학 Vol.48 No.11

Ectopic cervical thymus is an extremely uncommon etiology of neck mass in infants. We report a case of ectopic thymus in five months old male baby, presenting as a submandibular mass. Ultrasonography and CT scan revealed a 5.21.61.5 cm-sized solid mass in the left suprahyoid neck between parotid and submandibular gland, which was regarded as malignant lesion though it was soft, non-tender on examination. For differential diagnosis of malignant lymphoma and soft tissue sarcoma, an incisional biopsy was performed to confirm ectopic cervical thymus. He is under our observation without having gone through surgical excision because the thymus will involute spontaneously and he has no symptoms.

경부 둔상 후 발생한 이글 증후군 1예

김두리,최용석,김준현,조정해 대한이비인후과학회 2014 대한이비인후과학회지 두경부외과학 Vol.57 No.6

Eagle’s syndrome has various symptoms at cervico-facial lesion. Recently, we have experienced a case of Eagle’s syndrome that developed after a blunt neck trauma. A 51-year-old man presented with a click sound when he turned his head to the right. The symptom had developed after a traffic accident that occurred 2 months ago. Physical examination revealed a long styloid process that was easily palpable and burging out into the right tonsillar fossa. Radiologic examination did not reveal any presence of fracture on stylohyoid complex including stylohyoid ligament. We underwent a transoral resection of styloid process and released a stylohyoid ligament. The patient immediately experienced a relief of the symptom following the operation. It might be elucidated that the patient had an elongated styloid process and that the neck trauma had developed due to the dislocation or pseudoarticulation between stylohyoid ligament and the hyoid bone. Transoral resection of styloid process released pseudoarticulation and relieved the symptom. Korean J Otorhinolaryngol-Head Neck Surg 2014;57(6):400-2

근위축성 축삭 경화증 환자에서의 비디오 투시검사를 통한 연하 분석

박영학,송창은,남인철,조정해,임동재,조승호 대한이비인후과학회 2008 대한이비인후과학회지 두경부외과학 Vol.51 No.2

Dysphagia in patient with amyotrophic lateral sclerosis (ALS) is a critical symptom for prognosis. Proper evaluation and follow-up of their dysphagia is also important in management. Videofluoroscope is the gold standard method for evaluation of swallowing in ALS patients. The object of this study is to evaluate their dysphagia using videofluoroscope, on the basis of which we can plan the optimal rehabilitation method. Subjects and Method:The clinical records and videofluoroscopes of 7 ALS patients were reviewed. All patients were classified according to Hillel’s ALS swallowing score. We analysed their videofluoroscopes and implied proper treatment strategies on the basis of those findings. Results:All patients had dysfunction of tongue. In the early stage, dysphagia was solely attributable to oral phase dysfunction. In the advanced stage, pharyngeal phase was also affected. In some patients, cricopharyngeal dysphagia and aspiration were observed. After various form of treatment such as tongue exercise, position change, swallowing maneuver, tube feeding, and botulinum toxin injection to cricopharyngeal muscle, we could observe improvement in swallowing function. Conclusion:Videofluoroscope is a good method for evaluating patients with ALS. By applying tailored treatment strategies on the basis of videofluoroscopic finding, we can properly manage patients with ALS and eventually improve their quality of life. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:157-62)

이소성 과오종성 흉선종 1예

박영민,이상준,정필상,문정환 대한이비인후과학회 2013 대한이비인후과학회지 두경부외과학 Vol.56 No.12

Ectopic hamartomatous thymoma (EHT) is a rare and distinctive benign tumor that usually occurs in the supraclavicular, suprasternal areas. Histopathologically, it is characterized by a mixture of spindle cells, epithelial cells, and adipose cell elements. The recognition of EHT and differentiation of it from high-grade sarcomas such as synovial sarcoma is important, because EHT follows a benign clinical course and conservative surgical excision is the treatment of choice. We experienced a case of EHT in the supraclavicular area, so we present the case with a review of the related literatures.

전두동에 발생한 반전성 유두종에 대한 수술접근법의 선택

윤빛나,이재은,이현순,조규섭,노환중 대한이비인후과학회 2008 대한이비인후과학회지 두경부외과학 Vol.51 No.9

Background and Objectives : The surgical approach for the removal of inverted papilloma OP) involving the frontal sinus (FS) depends on the site of tumor origin. This study was designed to determine the appropriate surgical approach according to the site of origin in the FS. Subjects and Method : Eleven patients with IPs originating from the FS, who had surgery at the department of ORL-HNS, Pusan National University Hospital from 1998 to 2007, were retrospectively reviewed for the site of tumor origin, surgical approach, recurrence, mode of reoperation, and complications. The mean age was 53.8 years with a male-to-female ratio of 7 : 4. The average follow-up duration was 35.7 months. Results : The sites of tumor origin were the whole wall (2/11), medial wall (3/11), intersinus septa] cell (2/11), lateral wall (1/11), posterior wall (1/11), anterior wall (1/11) and diffuse whole wall with invasion into the opposite sinus (1/11). In the two cases with whole wall involvement, one was treated by an osteoplastic frontal sinus surgery (OPF) and the other by a modified endoscopic Lothrop operation (MEL). The case with diffuse anterior wall origin was treated by OPF. For the two cases with the intersinus septal cell origin, one was reoperated using MEL after recurrence and the other was initially treated with MEL. A recurrent case with the lateral wall origin was reoperated by MEL. IPs originating from the posterior or medial wall were successfully managed by endoscopic surgery /c or /s trephination. Conclusion IPs originating from the FS were successfully managed by the integrated endoscopic-assisted approach to the FS. Especially, MEL was a safe and effective alternative treatment to OPF for IPs originating from the FS.

전경부에 피부 누공을 동반한 이소성 타액선 1예

조재형,김종준,강우석,송용진 대한이비인후과학회 2011 대한이비인후과학회지 두경부외과학 Vol.54 No.12

Ectopic salivary gland tissue represents an uncommon lesion, usually presenting as a discharging fistula in the anterior lower neck. Though the origin of this entity still remains unclear, it is thought to be a heteroplasia of the epithelium of the precervical sinus of His. We have experienced a case of ectopic salivary gland with cervical fistula in a 10-year-old. This was thought clinically to be the second branchial cleft cyst, but the pathology showed an ectopic salivary gland. This should be considered as one of the causes of a cystic neck mass or fistula in children.

구순구개열 환자에서의 진균성 감염을 동반한 비강내 이소치 1예

이재훈,조민호,최금하 대한이비인후과학회 2012 대한이비인후과학회지 두경부외과학 Vol.55 No.12

Ectopic teeth (ET) occur in a wide variety of sites such as palate, mandibular condyle, coronoid process, orbit, maxillary antrum and nasal cavity. To date, the precise etiology of ET is still unknown. Although ET can be present in patients without any associated syndrome or development anomaly, it can be frequently associated with cleft lip, palate or other syndromes such as Gardner’s syndrome, cleidocranial dysplasia, and etc. The Candida species are yeast fungi, which are pathogenic saprophytes, but the infection of the nose and sinuses is rare. We report a case of cleft lip and palate patient presenting with a history of foul odor, who was found to have an ectopic tooth in the nasal cavity with superimposed candidal infection. Korean J Otorhinolaryngol-Head Neck Surg 2012;55:802-4