• 대한기관식도과학회:학술대회논문집
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• 대한기관식도과학회 1981년도 제15차 학술대회연제순서 및 초록
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• pp.5.1-5
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• 1981

흥미있는 이물 5례를 치험하였기에 보고하는 바이다. 증례 1 : 7세남아에세 Tracheostomy outer cannula관이 삭아 부러져서 Rt. main bronchus례 들어있었던 예. 증례 2 : 51세 남자 trachea에 걸쳐 있었던 한의 침구용 침. 증례 3 : 10개월 여아의 식도제이협착부에, 입밖까지 실 달린채로 걸려 있었던 낚시 바늘. 증례 4 : 16세 남자의 식도제삼협착부에 끝(첨단)이 위로 향해 열려있었던 안전 pin. 증례 5 : 20세남자에서 큰 엽총총알이 Rt. mastoid process 밑을 통하여 Rt. mastoid process와 foramen magnum(skull babe) 중간점에 있는 것을 관혈적으로 제거하였다.

• Korean Journal of Otorhinolaryngology-Head and Neck Surgery
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• 제61권12호
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• pp.710-713
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• 2018

A congenital cholesteatoma is a benign mass formed from the keratinizing stratified squamous epithelium. It usually occurs in young children's anterosuperior part of the middle ear. A congenital cholesteatoma which originates from mastoid temporal bone or expands to posterior cranial fossa is rare. Standard treatment of an intracranial cholesteatoma is surgical removal with craniotomy. A 69-year-old woman was diagnosed with a congenital cholesteatoma of mastoid temporal bone that expanded to the posterior cranial fossa, which was successfully treated with transmastoid marsupialization without craniotomy. This is a first documented case of a congenital cholesteatoma of mastoid temporal bone that expanded to posterior cranial fossa, which was successfully treated with transmastoid marsupialization without craniotomy.

• Journal of Korean Neurosurgical Society
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• 제63권5호
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• pp.640-648
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• 2020

Objective : This study aimed to assess the relationship between increased intracranial pressure (ICP) and mastoid effusions (ME). Methods : Between January 2015 and October 2018, patients who underwent intracranial surgery and had ICP monitoring catheters placed were enrolled. ICP was recorded hourly for at least 3 days. ME was determined by the emergence of opacification in mastoid air cells on follow-up brain imaging. C-reactive protein (CRP) levels, presence of endotracheal tube (ETT) and nasogastric tube (NGT), duration of intensive care unit (ICU) stay, duration of mechanical ventilator application, diagnosis, surgical modalities, and presence of sinusitis were recorded. Each factor's effect on the occurrence of ME was analyzed by binary logistic regression analyses. To analyze the independent effects of ICP as a predictor of ME a multivariable logistic regression analysis was performed. Results : Total of 61 (53%) out of 115 patients had ME. Among the patients who had unilateral brain lesions, 94% of subject (43/50) revealed the ipsilateral development of ME. ME developed at a mean of 11.1±6.2 days. The variables including mean ICP, peak ICP, age, trauma, CRP, ICU stays, application of mechanical ventilators and presence of ETT and NGT showed statistically significant difference between ME groups and non-ME groups in univariate analysis. Sex and the occurrence of sinusitis did not differ between two groups. Adding the ICP variables significantly improved the prediction of ME in multivariable logistic regression analysis. Conclusion : While multiple factors affect ME, this study demonstrates that ICP and ME are probably related. Further studies are needed to determine the mechanistic relationship between ICP and middle ear pressure.

• 한국방사선학회논문지
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• 제18권3호
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• pp.301-307
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• 2024

본 연구는 바로누운자세에서 바위능선, 꼭지돌기, 꼭지돌기의 벌집, 고실부위, 속귀 길과 바위모뿔의 진단을 위해 꼭지돌기 축측사방향촬영법(reverse Stenvers , Arcelin)을 이용한 촬영 영상을 평가하였다. 대학병원 영상의학과에서 8년 이상 근무한 방사선사 5명에게 주관적 평가인 ROC 평가방법을 진행하였으며, 객관적 평가인 신호대잡음비(SNR)를 평가하여 분석하였다. Cronbach Alpha 값은 0.816으로 유의하게 높았다. 엑스선관을 다리쪽을 향하여 5°, 10°, 15°, 촬영한 영상에서 10° 기울여 촬영한 영상 ROC 평가에서 34점을 맞았고 객관적 평가에서는 신호대잡음비(SNR)는 6,549으로 높은 점수를 얻었다. 그리고 X선관을 머리쪽을 향하여 5°, 10°, 15° 기울여 촬영한 영상 평가에서는 5° 기울여 촬영한 영상 ROC 평가에서 32점을 맞았고, 객관적 평가에서는 SNR은 6,732으로 가장 높은 점수를 받았다.

• 대한방사선기술학회지:방사선기술과학
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• 제44권5호
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• pp.435-441
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• 2021

The purpose of this study was to evaluate the quality of images and to quantitatively measure and analyze the dose of scattered ray to the organs, which were highly sensitive to radiation according to the use of cylinder cone in mastoid process radiography. When the cylinder cone was not used, the SID was 100cm and the field size was 24 × 36 cm(864 cm²). When using the cylinder cone which was a circle, the SID was 70 cm, the radius was 10.5 cm and field size was 86.59 cm². As a result of the study, SNR of the image quality evaluation was measured to be 2.58 for Law method and 3.90 for Stenver's method when not using cylinder cone, and 2.87 for Law method and 14.67 for Stenver's method when using cylinder cone. CNR was measured to be 0.03 for Law method and 0.04 for Stenver's method when cylinder cone was not used, and 0.04 for Law method and 0.05 for Stenver's method when using cylinder cone. When the cylinder cone was not used, the scattered ray dose was measured to be 0.10 mGy in the right eyeball, 0.30 mGy in the left eyeball, 2.02 mGy in the parotid gland, and 0.29 mGy in the thyroid gland for Law method and to be 0.03 mGy in the right eyeball, 0.12 mGy in the left eyeball, 1.43 mGy in the parotid gland, and 0.09 mGy in the thyroid gland for Stenver's method. When the cylinder cone was used, the scattered ray dose was measured to be 0.05 mGy in the right eyeball, 0.03 mGy in the left eyeball and the parotid and thyroid gland were below the measurable values for Law method and all areas were below the measurable values for Stenver's method. This was found to be statistically significant(p<0.000).

• Pediatric Infection and Vaccine
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• 제3권1호
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• pp.94-100
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• 1996

Streptococcal pneumoniae is the second most coomon cause of meningitis in infancy and a major respiratory pathogen. It is the one of the most common cause of acquired pneumonia and otitis media in childhood. Intracranial extesion of acute otitis media occur somewhat more often from poorly pneumatized than from well-pneumatized temporal bones and in ears with a history of previous attacks of otitis media. We experienced a case of pneumococcal meningitis with 3 time recurrences in a 6 year-old male patient who had hospitalized with high fever, headache, vomiting and stupor mental state. He was diagnosed as CSF study and brain CT. Brain CT showed poorly pneumatized right mastoid region of temporal bone at that time. We report a case of pneumococcal meningitis with 3 time recurrences due to poorly pnematized mastoid region of temporal bone. A review of literatures was also presented briefly.

• 대한두경부종양학회지
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• 제30권1호
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• pp.23-27
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• 2014

Low-grade myofibroblastic sarcoma is a rare disorder of malignant soft tissue tumor and is usually occurred various regions that often manifests in the head and neck region. The most common clinical presentation of this entity is non-tender cervical lymphadenopathy. This disease usually presents high possibility of local recurrence and low possibility of distant metastasis. We report a rare case of low-grade myofibroblastic sarcoma occurring in the sternocleidomastoid muscle and invading to the mastoid tip. A 56-year-old male visited the clinic with a complaint of slowly growing postauricular mass for 6 months. Mass originating from sternomastoid muscle and invasion to mastoid tip was observed by imaging studies. Surgical complete excision with simple mastoidectomy was performed via modified facelift approach. The histopathologic findings revealed malignant spindle cell tumor with positive staining with smooth muscle actin. The patient has no recurrence for 2years without any complication.

• 치과방사선
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• 제26권2호
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• pp.7-17
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• 1996

This study was performed to determine the postitional relationships of two lobes of parenchyma and to analysis the anatomical feature and its variations of duct on the panoramic views of the normal parotid glands in adults. Materials included 66 panoramic views and anterioposterior views of sialograms of selected persons and the radiograms of the gland experimentally reproduced on dry skull with lead foil and the reference images of computed tomograms of normal persons. Results were as follows : 1. On panoramic view of sialogram, the superficial lobe was revealed with totally being superimposed with the mandibular ramus and condyle and its tail portion superimposed with mandibular angle area, the deep lobe was revealed between the posterior border of the ramus and the mastoid process, and the isthmus was begin from the marked furcation off main duct and superimposed partially with the medial part of the deep lobe. 2, The mean length and the lateral extension of parenchyma was 63.18±8.05mm and 21.78±4.87mm respectively on panoramic view and showed no statistical relationship between them. 3. The main duct was generally perpendicular to the posterior border of ramus at middle portion and its configurations revealed 57,58％ of curvilinear type, 21.21％ sigmoid type, 15.15％ reverse sigmoid type. 4, The interlobular ducts of the deep lobe showed relatively well defined features between the mandibular ramus and the mastoid process.

• Anatomy and Cell Biology
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• 제56권4호
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• pp.441-447
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• 2023

One of the suprahyoid muscles is the digastric muscle which comprises anterior and posterior bellies joined by an intermediate tendon. Because of its close relationship with the submandibular gland, lymph nodes, and chief vessels of the neck, detailed knowledge about the morphometry of the digastric muscle is essential. The objective of the current cross-sectional evaluative study is to record morphometry along with the digastric muscle's origin, insertion, and variability. Forty human cadavers (25 males and 15 females) were dissected, and the head and neck regions were studied in detail. The attachment of the digastric muscle anterior belly to the digastric fossa of the mandible was noted, and the distal attachment of the posterior belly to the mastoid notch was traced. The length of the anterior belly from the digastric fossa to its intermediate tendon and the length of the posterior belly from the intermediate tendon to its mastoid attachment were measured. There is a fair correlation between the length of the neck and the length of the anterior and posterior belly. The study also identified two cases of bilateral accessory bellies of the anterior belly of the digastric. Normal morphometric data is provided by this study on details of the digastric muscle. It is significant from a clinical and surgical point of view as the muscle lies in proximity to the important structures of the neck.

• Archives of Plastic Surgery
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• 제32권3호
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• pp.293-298
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• 2005

Osseointegrated prosthetic auricular reconstruction can be classified as either direct or indirect. In the $Br{\aa}nemark $ system of direct osseointegration, implants are placed into the mastoid process of the temporal bone. In the Epitec system of indirect osseointegration, implants are inserted into a three-dimensional carrier plate that is fixed to the mastoid by means of screws. We experienced forty-four cases using the indirect system and seventeen cases using the direct system. We compared with two systems by complications, such as skin reaction, implant loosening, implant loss. There were no specific differences in the skin reaction around the implants and abutments in relation to age or system used. The degree of skin reaction was different according to the conditions around the implant: in cases of virgin microtia, a skin flap was used to cover the implant, in contrast to grafted skin coverage for failed autogenous reconstruction. In both systems, the skin reaction was more severe and frequent in skin flap than in grafted skin. Loosening of the implant was more frequent in the direct system; however, accidental detachment of the implant from the abutment was more frequent in the indirect system. To reduce complications of skin reaction in osseointegrated prosthetic auricular reconstruction, it is important for soft tissue around implant to immobilize. Therefore, grafted skin is better than skin flap as soft tissue around implant. And immobilization of soft tissue around implant by wound dressing is major facter.