• 구강회복응용과학지
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• 제29권4호
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• pp.391-398
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• 2013

보툴리눔 독소는 사시, 안검경련, 뇌성마비, 경부근 근육긴장이상, 다한증, 얼굴의 주름 같은 미용 치료, 그리고 만성 편두통 치료에 미국 식약청의 승인을 받아 사용되고 있다. 이외에도 강직유발 통증, 포진후 신경통, 근막통증, 아프타성 구내염 등과 같은 통증을 조절하는 데 효과가 있을 것이라 기대되어 다양한 의료영역에서 연구가 진행되고 있는데, 최근 코골이 및 수면무호흡 치료에 있어서 보툴리눔 독소의 효과에 관한 연구들이 보고된 바 있어 그 유용성에 관해 고찰해 보고자 한다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제14권3호
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• pp.201-206
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• 1992

The eyelids perform many complex functions and are esthetically important, since eye is focal point of face. Tumor extirpation or trauma can lead to full-thickness eyelid defect, which Should be reconstructed as soon as possible There are a number of operation methods for lower lid reconstruction, and among them, Hughes procedure is a time-honored method. Its advantages are good cosmetic result and conjunctival repair by using eyelid structures to rebuild eyelid structures. However, this is a two-staged procedure in which the vision of the affected eye is obstructed during the interval between the operations. We experienced a case of trauma-induced full-thickness lower lid defect extending over one-third of lid length treated by Hughes method. The cosmetic and functional result was good and there was no donor site morbidity, and now we report this case with review of literatures.

• Archives of Plastic Surgery
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• 제38권4호
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• pp.543-546
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• 2011

Purpose: LASIK, one of the currently popular ophthalmic procedures, can sometimes result in dry eye symptoms. In the patient who had underwent LASIK operation, the periorbital surgery may be more likely to lead to such a complication as dry eye symptom. We would like to report a case of corneal abrasion occurred after transconjunctival blepharoplasty in post-LASIK state and suggest the method about preventing the complication. Methods: A 30-year-old female patient underwent transconjunctival blepharoplasty and microfat graft into the face. She had history of LASIK operation 2 years ago. Corneal protector was applied to both eye during transconjunctival operation. After the surgery, she complained of visual blurring at left side. Ophthalmic examination revealed corneal abrasion of left eye. Results: Cornea protecting lens was applied to left eye for 2 weeks. Steroid and antibiotic eye drops were applied for relieving the symptoms and the prevention from progressing of complication. After 1 week, visual power and acuity was recovered to preoperative state. No other specific complications happened. Conclusion: Post-LASIK patient may have possibility of decreased corneal sensation and tear production. Preoperative ophthalmic examination is recommended for the prevention of complication. When corneal protector is applied, we suggest Optagel$^{(R)}$ as a useful lubricant.

• Archives of Plastic Surgery
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• 제37권4호
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• pp.461-464
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• 2010

Purpose: Blepharoptosis can result from either congenital or acquired causes. Blow out fracture or facial bone fracture including blow out fracture can be one of the causes. Authors experienced 3 cases of severe blepharoptosis after blow out fracture treated only with observation after reduction of associated fracture. Methods: Reconstruction of orbital wall was conducted on all cases diagnosed as blow out fracture using 3 dimensional computed tomography, and conservative treatment was done on accompanying severe blepharoptosis. Results: At the time of injury, all cases showed severe blepharoptosis requiring frontalis muscle transfer for correction. But blepharoptosis was recovered in an average of 18 weeks without any surgical procedure except reconstruction of orbital wall. Conclusion: Once Blepharoptosis occurred after blow out fracture, thorough evaluation must be done at first. If definitive cause of blepahroptisis cannot be found as authors' cases, injury of oculomotor nerve may result in blepharoptosis. So, as for blepharoptosis after blow out fracture, conservative treatment following reconstruction of fractured orbital wall can be one of good management.

• 대한한방내과학회지
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• 제40권3호
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• pp.499-505
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• 2019

Oculomotor nerve palsy causes ptosis, limitation of eye movement, diplopia, and facial pain. Despite imaging investigation, the cause of the palsy cannot be established in most cases. We treated a patient with idiopathic oculomotor nerve palsy with acupuncture, electroacupuncture, pharmacopuncture, and Korean medical physical therapy. In this case, the symptoms remarkably improved after 28 days of treatment. This case report suggests that traditional Korean medicine is effective in treating ptosis and limitation of eye movement diagnosed as idiopathic oculomotor nerve palsy.

• 한방안이비인후피부과학회지
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• 제32권3호
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• pp.136-150
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• 2019

Objectives : The purpose of this study is to analyze and understand the trend of Korean medical treatment on ptosis. Methods : From the domestic databases KCI, KISS, OASIS, KTKP, 16 studies were selected using the keyword 'ptosis', published after 2000. Results : Selected 16 studies contain 19 cases in which mainly acupuncture and herbal medicine were practiced to treat ptosis. Treatment period varies from 12 to 134 days. When Korean medical treatment was started before 10 days from the onset, average of treatment period is about 28.6 days, but after 40 days, it increases three times longer. It takes 1.5 times longer to treat ptosis caused from central nerve than which from peripheral nerve. Conclusion : According to the results, Korean medicine can be effective treatment for ptosis which mostly depends on surgical treatment currently. tments of purpura and vasculitis up to date and some points that may have clinical significance.

• Radiation Oncology Journal
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• 제20권2호
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• pp.139-146
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• 2002

목적 : 원발성 안와 림프종로 진단 받고 방사선치료를 받은 환자들을 대상으로 치료 반응, 재발 양상, 생존률 및 치료 부작용에 대해 알아보고자 하였다. 대상 및 방법 : 1991년 2월부터 2001년 4월까지 서울중앙병원에서 원발성 안와 림프종으로 진단 받고 방사선치료를 받은 31명의 환자를 대상으로 후향적 분석을 시행하였다. 성별분포는 남자가 18명, 여자가 13명이었다. 연령은 3세에서 73세까지 분포하였으며 중앙값은 44세였다. 원발 부위는 결막이 9명, 안검이 12명, 안와가 10명이었다. 병리학적 소견은 MALT (low-grade B-cell lymphoma of mucosa-associated lymphoid tissue type) 림프종이 28명, diffuse large B-cell 림프종이 1명, anaplastic large cell 림프종이 1명이었으며 lymphoblastic 림프종이 1명이었다. Ann Arbor staging에 따른 병기 분포를 살펴보면 1기가 31명으로 전부를 차지하였으며 각각 비장, 신장, 골수와 맥락얼기(choroid plexus)에 병변이 있었던 환자 4명은 연구에서 제외하였다. 전체 환자 중, 양측 안와 침범이 있는 환자는 6명이었다. 방사선치료는 결막과 안검 부위는 $6\~16\;MeV$의 전자선을 이용하여 전방 1문 치료로 30 Gy/10 fractions을 조사하였고, 안와 부위는 4 MV, 6 MV의 광자선을 이용하여 쐐기를 이용한 전사방 2문 치료로 $20\~28$회에 걸쳐 총 $40\~50.4\;Gy$를 조사하였다. 특히 결막과 안검 부위는 수정체를 보호하기 위한 납차폐물이 사용되었다. 항암화학요법은 12명의 환자에서 시행되었다. 중앙 추적 관찰기간은 53개월이었다. 결과 : 전체 환자의 5년 생존율은 $90.7\%$이었으며, 2명이 질병과 무관하게 폐렴과 비소세포성 폐암으로 사망하여 질병관련(cause-specific) 5년 생존율은 $96.0\%$이었으며 5년 무병 생존율은 $80.0\%$, 5년 국소제어율은 $90.5\%$였다. 방사선치료를 받은 31명 모두가 치료 후 6개월 이내에 완전관해를 보여 완전관해율은 $100\%$였다. 이 중 국소 재발은 방사선치료 후 16개월과 18개월에 2명의 환자에서 보였고 구제 방사선치료 후 모두 완전관해를 보였다. 2명이 조사 영역 밖에서 재발하였고 lymphoblastic 림프종 환자가 방사선치료 후 18개월에 골수에서 재발하여 사망하였고 MALT 림프종 환자가 방사선치료 후 41개월에 폐에 재발하여 구제 방사선치료 후 완전관해를 보였다. 12명의 환자가 방사선치료 전에 항암화학요법을 받았으며 부분관해가 11명에서 나타났고 1명은 반응을 보이지 않았다. 방사선치료 당시 시력이 있었던 29명 중 5명에서 방사선유발 백내장이 발생하였으며 2명에서 안구건조증이 발생하였다. 결론 : 원발성 안와 림프종의 대부분이 MALT 림프종이었다. 방사선치료는 매우 좋은 치료 반응과 국소 제어율을 보였으며 높은 생존율을 보였다. 국소 재발한 경우에도 방사선치료가 구제치료의 역할을 할 수 있음을 알 수 있었으며 대부분의 환자에서 심각한 후유증을 보이지 않는 안전한 치료로 생각된다.

• 대한두경부종양학회지
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• 제36권2호
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• pp.21-25
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• 2020

Sebaceous carcinoma is a relatively rare and aggressive malignant tumor. Periocular area (especially eyelid) is the most common lesion to occur, and the most common extraocular lesion is the parotid gland. Because the lesion also mimic other benign inflammatory diseases, this leads to delayed diagnosis or misdiagnosis. Here, we report a 58-year-old male patient who presented with a non-tender painless left parotid mass after wide excision of sebaceous carcinoma in the left eyelid two years ago. When he was diagnosed with sebaceous carcinoma of left eyelid, there was a small left parotid tumor on the computed tomography. But no further examination and treatment were performed. Two years later, physical examination revealed growing parotid tumor and multiple neck nodes on the left side. After radical parotidectomy and neck dissection, histological examination showed a sebaceous carcinoma and neck node metastasis. Considering the aggressiveness of sebaceous carcinoma, further evaluation for parotid glands should be considered when sebaceous carcinoma of the eyelid was discovered. Postoperative chemoradiotherapy was performed for disease control. Follow up after two years, and computed tomography showed no sign of recurrence.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제16권1호
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• pp.99-103
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• 1994

협골체 골절시 접근방법은 안와하연에 대해 섬모하절개, 하안검절개, 안와하연절개 및 결막절개등이 사용되고 안와측벽, frontozygomatic suture에 대해서는 lateral brow incision, 상안검절개등이 사용되며 관상절개술은 frontozygomatic suture와 협골궁에 접근할 수 있다. 관상절개술을 제외한 접근방법은 한가지 절개술로 단지 한부위의 정복과 고정술이 가능하므로 결국 협골체 골절시 2점이상 고정을 할 경우 2가지 이상의 절개가 필요하게 된다. 이에 저자들은 관상절개술의 적응증이 아닌 협골체 골절에 lateral-canthotomy-conjunctival incision을 사용하여 안와하연 및 측벽의 골절부에 대한 정복술과 고정술을 시행하여 양호한 결과를 관찰하여 이에 보고하는 바이다.

• 대한한방내과학회지
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• 제38권2호
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• pp.93-102
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• 2017

Objective: We describe the case of an 84-year-old man with a midbrain infarction causing pupil sparing oculomotor nerve palsy, with ipsilateral cerebellar ataxia diagnosed as Claude's syndrome. Methods: The patient was treated with Korean medicine, including herbal medicine, acupuncture, and electro-acupuncture, during 45 days of hospitalization. Improvements in the patient's symptoms and changes in ptosis were evaluated using the Korean version of the Scale for the Assessment and Rating of Ataxia (SARA). Results: After 45 days of treatment with the Korean medicine, the patient's symptoms, including ataxia and ptosis, improved. Conclusions: This study suggests that the treatment with Korean medicine was effective in aiding the patient's recovery.