• 제목/요약/키워드: 이비인후과

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진균구를 동반한 비정형적 만성 침습형 진균성 부비동염 1예 (An Atypical Case of Chronic Invasive Fungal Sinusitis with Concurrent Fungal Ball)

  • 정영도;김보문;강병준;신승헌
    • 임상이비인후과
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    • 제29권2호
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    • pp.264-268
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    • 2018
  • Chronic invasive fungal sinusitis (CIFS) is a relatively rare disease which occurs in immunocompetent or immunocompromised patients. We report a case of CIFS in ethmoid sinus with concurrent fungal ball in maxillary sinus. After surgical debridement and antifungal therapy, CIFS recurred with submucosal invasion in nasopharynx and osteomyelitis of clivus. Although CIFS encompasses a slowly progressing invasive fungal disease but potentially aggressive. It should be noted that CIFS could progress and extend through submucosal route without evidence of mucosal lesion.

비내 풍선 카테터 유도하 경안와 접근법을 이용한 안와 하벽 골절 정복 1예 (A Case of Transorbital Orbital Floor Fracture Repair Assisted Endonasal Balloon Catheter)

  • 김민준;김정석;박태정;정태영
    • 임상이비인후과
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    • 제29권2호
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    • pp.276-280
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    • 2018
  • It is important to choose which approaches should be used to correct the fracture if the operation is indication for surgery in patients with orbital floor fracture. Transorbital, transantral, and endonasal approaches are methods for correcting the orbital floor fracture. The approach needs to be considered the location of the fracture, the degree, the severity of the fracture, the least remaining patient's disability, and preference of the surgeon. We report a case of orbital floor fracture using transorbital approach and endonasal catheter ballooning to resolve the limitations of transorbital approach alone.

횡격막 아래 장기에서 발생한 악성 종양의 경부림프절 전이 사례 분석 (Cervical lymph node metastasis form non-head & neck sites: below diaphragm)

  • 김진일;송슬기;석준걸;이민형;한성준;정영호;안순현;정우진
    • 대한두경부종양학회지
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    • 제34권2호
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    • pp.17-21
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    • 2018
  • Background/Objectives: Cancers of the abdominal or pelvic organ rarely metastasize to the cervical lymph nodes. Although it indicates distant metastasis, perceivable prolongation of survival or cure may be possible in selected cases. We sought to identify patients with cervical metastasis from cancers below the diaphragm and identify patients who may benefit from aggressive treatment. Materials & Methods: From 2009 to 2017, patients with pathologically confirmed metastatic cervical lymph nodes originating from below the diaphragm were included for analysis. Patient demographics, cancer characteristics, treatment course, and clinical outcomes were analyzed. Results: 208 patients were identified. Left supraclavicular node (Virchow's node) was the most frequently involved. Irrespective of treatment, survival for uterine cervical and ovarian cancers was significantly longer than that of other primaries. Patients with isolated cervical metastasis (oligometastasis) had significantly longer median survival compared to patients with concomitant bone, lung, brain, and mediastinal metastases. Conclusion: Although cervical metastasis from cancers of the abdominal and pelvic organ represent distant metastasis, patients with uterine cervix and ovary primary and oligometastatic lesions may benefit from aggressive treatment. Prudent patient selection and further investigation is warranted.

성대폴립 환자에서 수술 후 음성치료의 유효성 (The Usefulness of Postoperative Direct Voice Therapy in Vocal Polyps)

  • 오동주;김소연;최인학;한혜민;변형권;정광윤;백승국
    • Korean Journal of Otorhinolaryngology-Head and Neck Surgery
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    • 제61권12호
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    • pp.686-691
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    • 2018
  • Background and Objectives Previous studies have suggested the usefulness and importance of postoperative voice therapy, for which there are indirect and direct methods. The aim of this study was to evaluate the efficacy of treatment according to different voice therapy methods. Subjects and Method Patients with vocal polyp were divided into three groups. Group 1 received direct voice therapy after phonomicrosurgery and Group 2 indirect voice therapy after phonomicrosurgery. Group 3 did not receive any voice therapy. Results Perceptual, acoustic, aerodynamic voice outcome parameters differed significantly between pre and post-operative treatments. In almost all of the voice analysis, Group 1, who underwent direct voice therapy, improved more significantly compared with Group 2 and 3. Conclusion Postoperative voice therapy following phonomicrosurgery may be an effective adjuvant treatment in patients with vocal polyps. In particular, direct voice therapy can be effective for improving postoperative voice outcome.

당뇨합병증 : 생소한 당뇨합병증 - 당뇨인의 이비인후과 질환

  • 김선주
    • 월간당뇨
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    • 통권259호
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    • pp.40-41
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    • 2011
  • 당뇨는 우리 몸 구석구석에 영향을 주어 다양한 증상을 불러일으킨다. 당뇨병이 눈, 혈관, 신장 등에 영향을 준다는 것은 다들 아는 사실이나 이비인후과적 합병증은 다소 생소할 수 있다. 하지만 당뇨병이 난청, 악성 외이도염, 수면무호흡증 등을 발병시킬 수도 있다. 당뇨관리의 부주의가 어떤 이비인후과적 질환을 가져오는지 알아보자.

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비강 내 소세포형 악성 흑색종의 면역치료 1예 (A Case of Immunotherapy in Small Cell Type Malignant Melanoma of Nasal Cavity)

  • 김창회;권재환;김주연
    • 임상이비인후과
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    • 제29권2호
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    • pp.259-263
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    • 2018
  • There are many treatment options for the malignant melanoma. Wide excisional surgery is one of the most acceptable treatments for locoregional treatment. Depending on the pathologic classification, however, some other treatment option can be included such as chemotherapy, radiotherapy and immunotherapy as adjuvant treatment. Small cell type malignant melanoma is a rare variant of malignant melanoma. It is known that melanomas manifesting this morphology are invariably in vertical growth phase and have an aggressive course. The authors encountered small cell type malignant melanoma and would like to share the experience of successful treatment with surgery plus immunotherapy as one of adjuvant treatment options.