• Title/Summary/Keyword: 후두 질환

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Unusual Benign Neoplasms of the Larynx (양성 종괴로 나타나는 후두 질환)

  • Yoo, Myung-Hoon;Kim, Sang-Yoon;Choi, Seung-Ho;Roh, Jong-Lyel;Nam, Soon-Yuhl
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.19 no.1
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    • pp.47-53
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    • 2008
  • Background and Objectives : Benign neoplasms of the larynx are rare, and papillomas account for approximately 90% of these neoplasms. Other benign neoplasms of the larynx are very rare and form a hetergenous group. We present clinical manifestations of unusual benign neoplasms based on our experiences and review of literatures. Materials and Method : We reviewed retrospectively the clinical records of 14 patients with benign neoplasms of the larynx, excluding papillomas, that were examined in our department during 11-year period from 1995 to 2006. Results : The presenting symptom was most commonly progressive dysphonia. Pathologic diagnosis revealed 5 cases of hemangioma, 3 granular cell tumor, 2 amyloidosis, 2 laryngocele, 1 schwannoma, 1 chondroma. Subsites of the neoplasms were 5 in true vocal cord, 3 in arytenoids, 2 in false vocal cord, 2 in supraglottis, and others were subglottis ; aryepiglottic fold. Treatment was surgical, by a external approach in 1 case of chondroma, and by laryngoscopic approach in other cases. In laryngoscopic approach, carbon dioxide laser was used in 10 cases. Postoperative course was satisfactory. Recurrence was encountered in I case of amyloidosis and revision operation was done 3 times. No recurrence was encountered in other cases. Conclusion : Uncommon benign neoplasms of the larynx require high index of suspicion and histological confirmation. Complete excision with an attempt to maintain normal structures generally results in cure.

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The indication of neck dissection in treatment of the supraglottic carcinoma (성문상부암 치료에 있어 경부곽청술의 적응)

  • 이병주;백무진;왕수건;전경명
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1993.05a
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    • pp.106-106
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    • 1993
  • Cancer of the larynx is the most common malignant neoplasm of head and neck and has a generally favorable prognosis. But its incidences of lymph node metastasis and recurrence depend on the primary site of lesion. Especially, supraglottic carcinoma tends to involve the cervical lymph node with easy. We have analyzed retrospectively 49 cases of supraglottic carcinoma treated surgically with or without radiotherapy from March 1986 to February 1992 at the department of otolaryngology, Pusan National University Hospital to find out the incidence of ipsilateral and contralateral lymph node metastasis and to establish the indication of neck dissection followed by T stage. The incidence to the ispilateral and contralateral cervical lymph node metastasis in patients with lateral (aryepiglottic fold) lesions is higher than that in those with midline (epiglottis) lesion. And average incidence of isplateral lymph node metastasis was 51.0% regardless of T stage. Therefore routine neck dissection should be considered in surgical treatment of supraglottic carcinoma, especially, over T2 stage.

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A Case of Bronchial Foreign Body Removal During Trans-Laryngeal Mask Airway Fiberoptic Bronchoscopy (소아에서 후두 마스크를 이용한 기관지이물 제거 경험 1예 보고)

  • Suhr, Ji-Won;Kim, Jong-Yul;Park, Kyu-Ho;Kang, Jun-Goo;Choi, Jin
    • Tuberculosis and Respiratory Diseases
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    • v.44 no.6
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    • pp.1433-1439
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    • 1997
  • Bronchial foreign body is not a rare disease in children and it is urgently necessary to remove this foreign body from the airway to relive life or to prevent further damages and complications. But the innate small size of airways in infants makes it difficult to access by interventional methods such as intubation or bronchoscopy and etc. Laryngeal mask airway is a new way of method of airway management which is relatively recently introduced into medical practice. It gives way to access to airways without reducing the size of airway or incresing airway pressure during procedure through it and have many other advantages compared to the previous traditional endotracheal intubation, especially in infants. We successfully removed a case of bronchial foreign body, peanut, via laryngeal mask airway during fiberoptic bronchoscopy and by this method we can avoid the unnecessary tracheostomy in this 1 year old infant.

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A Case of IgG4-Related Pseudotumor in Larynx (후두에서 기원한 IgG4 연관 가성 종양 1예)

  • Lee, Min Hyuk;Hong, Joon Pyo;Kim, Tae Hwan;Jin, Sung Min
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.33 no.2
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    • pp.110-114
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    • 2022
  • IgG4-related disease is a fibroinflammatory condition by infiltration of IgG4-positive plasma cells that often presents as a tumorous lesion. This disease can affect nearly every organ system. After the pancreas, the head and neck region is second most common site for presentation of IgG4-related disease such as Mikulicz's disease, Küttner tumor. The involvement of IgG4-related disease in laryngeal lesions is extremely rare. We have experienced a case of IgG4-related disease with pseudotumor formation in the larynx that is suggestive of malignancy in radiologic findings. But the pathology findings was finally confirmed as IgG4-related disease. Oral treatment with prednisolone was initiated, and the edematous mass reduced in size without permanent functional impairment of vocal fold mobility. We report our experience with a literature review.

The Characteristics of Voice Onset Time of the Korean Stops in the Benign Laryngeal Disorders (후두질환에 따른 자음의 음성발현시간의 특성)

  • Hong, Ki-Hwan;Lee, Hwa-Uk;Kim, Jin-Sung;Lee, Eun-Jung;So, Sang-Soo;Choi, Dong-Il;Ynng, Yoon-Soo
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.17 no.2
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    • pp.98-102
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    • 2006
  • Background and Objectives : Voice onset time(VOT) is defined as the time interval from oral release of a stop consonant to the onset of glottal pulsing in the following vowel. VOT is a temporal characteristics of stop consonants that reflects the complex timing of glottal articulation relative to supraglottal articulation. Stop consonants are characterized by creation of a pressure difference across a complete occlusion in the vocal tract, followed by a sudden release 'burst' due to opening that occlusion. The objects of this study is to evaluate a usefulness of voice onset time in the assessment of voice disorderd patients. Subjects : Subjects were 20 adults with normal voice and with benign laryngeal disorders. Subjects with voice disorders represented the following vocal pathologies : vocal polyp, vocal nodule, Reinke's edema and unilateral vocal fold paralysis(UVFP). Control subjects were matched for age (21-40 yews old) and sex(male) with the voice disorders subjects and had normal vocal qualities with no history of voice disorders. Methods : Each voice-disordered and matched control subject read the test passages containing three types of Korean bilabial consonants. VOT measures were made for the initial $/p/p^h/\;and\;/p'/$. VOT was measured using acoustic waveform or wide band spectrogram. Results : For each voiceless stop consonants, there was a significant difference in VOT between the voice disordered and normal subjects. The mean VOTs of the lax stops in UVFP was significantly shorter than those of control subjects in the UVFP. The mean VOTs of the aspirated stops in the vocal polyp and nodule were longer than those of control subjects, but not significant. The mean VOTs of the glottalized in voice disordered groups were longer than those of control subjects, and significant statistically in the UVFP. Conclusions : VOT may be a clinically useful acoustic parameter in the assessment of voice disordered patients, especially in the unilateral vocal fold paralysis.

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Study on DNA Content and Ki-67 Antibody Expression by Means of Image Analyzer for the Benign and Malignant Lesions of the Larynx (후두 편평상피의 전암성 및 악성병변에서 화상분석기를 이용한 DNA 배수성검사와 Ki-67 항체 양성세포의 분석에 관한 연구)

  • 주형로;이선희;최종욱;김인선
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1993.05a
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    • pp.89-89
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    • 1993
  • The laryngeal epithelial cell kinetics of 26 laryngeal lesions(invasive squamous cell carcinoma 14, epithelial hyperplasia 5, laryngeal nodule 7) were studied by immunehistochemical analysis with the monoclonal antibody Ki-67, which reacts with nuclear antigen in proliferating cells using paraffin embedded tissue. For DNA analysis, touch implint with fresh biopsy specimens were stained with feulgen and analyzed by image analyzer in 22 cases. 1) The proportion of Ki-67-positive cells were 32.65$\pm$ 11.59% in invasive squamous cell ca, 20.14$\pm$3.38% in epithelial hyperplasia lesion and 11.66$\pm$3.02% in laryngeal nodule. 2) DNA aneuploidy was found in 7 cases of 10(70%) invasive squamous cell carcinomas, 2 cases of 5(40%) epithelial hyperplasia lesions and all cases of laryngeal 3) Proliferation index(S phase+G2/M phase) show 23.42$\pm$11.33% in squamous cell carcinoma, 13.09$\pm$ 10.90% in epithelial hyperplasia lesion and 4.50$\pm$1.19% in laryngeal nodule. As the results, measuring the DNA content from touch imprint method together positivity of Ki-67 antibody from the microtissue during the laryngeal microscopic surgery, cell kinetics can be assessed as an effort of deciding the prognosis and provide a key to the management of precancerous lesions.

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Detection of Laryngeal Pathology in Speech Using Multilayer Perceptron Neural Networks (다층 퍼셉트론 신경회로망을 이용한 후두 질환 음성 식별)

  • Kang Hyun Min;Kim Yoo Shin;Kim Hyung Soon
    • Proceedings of the KSPS conference
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    • 2002.11a
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    • pp.115-118
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    • 2002
  • Neural networks have been known to have great discriminative power in pattern classification problems. In this paper, the multilayer perceptron neural networks are employed to automatically detect laryngeal pathology in speech. Also new feature parameters are introduced which can reflect the periodicity of speech and its perturbation. These parameters and cepstral coefficients are used as input of the multilayer perceptron neural networks. According to the experiment using Korean disordered speech database, incorporation of new parameters with cepstral coefficients outperforms the case with only cepstral coefficients.

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양측 성대 마비 환자에서 레이저를 이용한 내측 피열연골 절제술

  • 김영모;조정일;김영진;정동학
    • Proceedings of the KSLP Conference
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    • 1997.11a
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    • pp.258-258
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    • 1997
  • 전체 성대 마비 환자의 약 10%에서 발생하는 것으로 알려진 양측 성대 마비는 안정 혹은 경미한 운동시에도 호흡 장애를 초래하는 경우라면 이에 대한 치료가 요구되는 질환이다. 이에 대한 치료 방법으로는 성문 기도를 넓히면서 흡인이 되지 않고 음성장애를 일으키지 않는데 목적을 두고 피열연골 고정술, 피열연골 절제술, CO2, 레저 피열연골 절제술, 성대 측방 고정술, 후성대 절제술, 점막하 성대 절제술, 근-신경식술 등 다양한 방법이 사용되어져 왔다. (중략)

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Thyroplasty type III for high pitched voice (제 3 형 갑상연골성형술에 의한 병적인 고음성치료)

  • 홍기환;전동석;김영중
    • Proceedings of the KSLP Conference
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    • 1993.12a
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    • pp.22-22
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    • 1993
  • 병적인 고음성은 임상적으로 흔하지는 않지만 종종 볼 수 있는 질환으로서 치료에 대한 많은 논란이 있는 게 사실이다. 대개 음성교육에 의한 치료가 많이 시행되며 수술적인 치료로서는 제 3형 갑상연골성형술이 인정되어 온 것이 사실이다. 이러한 수술에 대한 적응증으로는 첫째 남자에서 오랫동안 너무 높은 음성(mutational voice disorder)을 가진 환자와 둘째 여러 가지 원인에 의해 성대가 너무 경직되어 고음이면서 애성(breathy voice)을 동반한 발성장애가 있겠다. (중략)

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변환실성증 사례에서의 발성 양상 및 음성치료 보고

  • 윤영선;이은경;백정환;손영익;추광철
    • Proceedings of the KSLP Conference
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    • 1999.11a
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    • pp.184-184
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    • 1999
  • 배경 : 변환실성증(conversion aphonia/dysphonia)은 심리적 요인으로 인해 기질적 문제없이 기능적으로 발성장애를 보이는 경우로, 음성치료의 대상이 되는 것으로 알려져 왔다. 하지만 실제 임상의 예가 적어 상기 질환에 대해 진단적 기준 또는 음성 치료의 효과에 대한 보고가 적은 편이다. 본원에서는 지난 3년간(96/7-99/6) 총 5례만이 상기 진단을 받았고, 이들 중 4례에서 음성치료가 시행된 예가 있었다. 목적 : 변환실성증의 발성 양상과 감별기준, 음성치료의 중재 방법 및 효과를 사례를 통해 보고하고자 하였다. (중략)

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