• Title/Summary/Keyword: Neck discomfort

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Unilateral hypoglossal nerve palsy after mild COVID-19: a case report

  • Sang Jae Lee;Si-Youn Song;Hyung Gyun Na;Chang Hoon Bae;Yong-Dae Kim;Yoon Seok Choi
    • Journal of Medicine and Life Science
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    • v.20 no.2
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    • pp.103-106
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    • 2023
  • Post-acute coronavirus disease (COVID-19) syndrome is defined as persistent symptoms or delayed complications after COVID-19. Several cases of cranial nerve invasion related to COVID-19 have been reported. However, to our knowledge, no cases of solitary unilateral hypoglossal nerve paralysis after mild COVID-19 without intubation have been reported to date. Herein, we report the case of a 64-year-old man with unilateral hypoglossal nerve palsy as a complication of COVID-19. He complained of dysarthria and tongue discomfort 2 weeks after COVID-19 onset. Brain and neck computed tomography, magnetic resonance imaging, ultrasonography, and blood tests ruled out other possible causes. The patient's nerve palsy was rapidly diagnosed and improved with early rehabilitation. Understanding of the pathology of COVID-19 is still limited. Physicians should focus on patients' symptoms and their relationship to COVID-19, and investigate complications immediately. This case highlights the importance of early detection and rehabilitation of post-acute COVID-19 syndrome.

Development of an Air Cushion Vest (공기주입형 쿠션 베스트 개발)

  • Son, Sue-Min;Choi, Hei-Sun
    • Journal of the Korean Society of Clothing and Textiles
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    • v.36 no.2
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    • pp.179-193
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    • 2012
  • The development of modern transportation technology has required many people in spaces (such as vehicle seats, airports, and train stations) for long periods. The public seats provided in these places are manufactured in a standard size; however, fatigue sets in if the seats are unsuitable for the person's physical size. For this reason, this study developed an air cushion vest that would enhance the comfort of vehicle seats. Passengers in vehicles, trains, airplanes, and buses were observed and surveyed to understand the demand for seat comfort. Our analysis found that the greatest source of discomfort was involuntary nodding of the head while asleep and discomfort around the waist area. For this reason, the air cushion vest was designed to support the head and the waist. The neck cushion of this vest was designed to strengthen head support to counter forward nodding because existing commercial neck cushions had no support for forward nodding. For the waist cushion, at lumbar and below-lumbar parts were chosen as the key parts to be supported, the cushion was designed to contain air at those parts. To cover the embedded waist cushion, the vest was designed to be long. The closure was constructed with zippers from the neck to waistline, and with invisible snaps from the waistline to the hemline so that the wearer could open them easily while seated. A subjective comfort evaluation was conducted to verify the effectiveness of the developed vest. In the test, the developed cushions received a better evaluation than cushions currently available on the market. The volume of the vest could be adjusted by the inflow and outflow of air. It was proven that the vest was effective in terms of comfort and portability. This shows that the developed vest could enhance passenger comfort while sitting on vehicle seats.

The Effects of Short Break Time and Mouse Clicks on the VDT Work by using Subjective Discomfort (VDT 작업시 짧은 휴식시간과 마우스 클릭이 주관적 불편도에 미치는 영향에 관한 연구)

  • Kim, Yu-Chang;Lee, Jun-Pal
    • Journal of the Korean Society of Safety
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    • v.23 no.2
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    • pp.30-36
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    • 2008
  • This paper suggests the best work conditions, including short break time and number of mouse clicks on a computer, to prevent MSDs(Musculoskeletal Disorders) on VDT(Visual Display Terminal) work. Discomfort measures are calculated according to the Borg's CR-10 Scale. The short break time conditions are grouped into 7, 15, and 30 seconds after every 10-minute work period and the number of mouse clicks are divided into 10 clicks/min, 20clicks/min, and 30clicks/min. The result of the ANOVA on the shift value of subjective discomfort shows the following: 1) Regarding the break time and the number of mouse clicks, there are statistical differences between the measured values for the neck and the wrist(p<0.05). 2) Regarding the number of mouse clicks, there are statistical differences between the measured values for the shoulder and the forearm(p<0.1). 3) Regarding the break time and the number of mouse clicks, there are no statistical differences between the measures values for the eyes, upper arms and back(p<0.1).

A Case of Liposarcoma of Hypopharynx (하인두에 발생한 지방육종 1예)

  • Kim, Yong-Hyun;Nam, Sang-Won;Min, Soo-Kee;Park, Bum-Jung
    • Korean Journal of Head & Neck Oncology
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    • v.27 no.2
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    • pp.237-239
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    • 2011
  • Liposarcoma is the second most common sarcoma of the adult life, next to malignant fibrous histiocytoma. Liposarcoma in larynx and hypopharynx is extremely rare. The symptoms are variable, but it has a clinical importance because they can cause unpredictable airway obstruction, particularly during the induction of general anesthesia. A 79-year-old male patient was referred to our department for mild airway obstruction and throat discomfort. Neck CT scan showed a mass within both postcricoid area and pyriform sinus. The mass was removed via laryngeal microsurgery. In this article, we report a case of liposarcoma of the posterior wall of hypopharynx with a review of the related literature.

The relationship between neck pain and psychological state in female office workers. (경항부 통증과 심리적 상태와의 상관성에 관한 연구)

  • Jung, Jae-Yung;Kim, Sung-Su
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.4 no.2
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    • pp.1-12
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    • 2009
  • Objectives : The purpose of this study was to investigate the relationship between pain and psychological state in female office workers with neck pain. Methods : Experimental group of 31 healthy subjects complained of neck and arm discomfort related to computer use which lasted more than 3 months in the past year and was present in the past 7 days as well as on the day of test. Outcomes were assessed by meridian-electromyography(MEMG), Neck Disability Index(NDI), Visual Analog Scale(VAS), Beck Depression Inventory(BDI), Stress Reaction Inventory(SRI), Holmes & Rahe Social Readjustment Rating Scale(SRRS). Results : The NDI score and BDI score had a correlationship(r=0.48), and the NDI score and SRI score also had a correlationship(r=0.48), significantly. The NDI score and contraction power of upper trapezius by MEMG had a correlationship significantly, but with the other muscles the NDI score didn't have correlationships. The NDI score and the SRI score were significantly higher in depression group(BDI score ${\circ}{\surd}$14). The contraction power of trapezius by MEMG was significantly lower in depression group. Conclusions : The results suggest that mental stress can be a major risk factor of neck pain in female office workers.

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A Case of Chondroid Choristoma on the Dorsum of the Tongue (설배부에 발생한 연골성분리종 1례)

  • Kil, Bu Kwan;Son, Ho Jin;Kim, Bo Mun;Joung, Jae Won;Kim, Jeong Kyu
    • Korean Journal of Head & Neck Oncology
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    • v.34 no.2
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    • pp.43-46
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    • 2018
  • Chondroid choristomais a rare tumor like lesion of normal tissue in an unusual location. Oral cavity chondroid choristoma is exceedingly uncommon. This lesion is commonly covered by normal oral mucosa and can develop during a whole lifetime. We experienced a case of 57-year-old man who presented as 6-months history of asymptomatic mass on the dorsal surface of the tongue. We performed surgical excision under local anesthesia, and the pathological diagnosis was chondroid choristoma. After surgery, patient was followed up without any recurrence and discomfort. Therefore, we report this case with a review of literature.

Traditional Korean Medicine Treatment for Sequelae After Tamoxifen in Breast Cancer Patients: Two Case Reports (유방암 환자의 Tamoxifen 복용 후유증에 대한 한방치료 2례)

  • Jung-min Yang;Jae-woo Yang;Ji-hoon Oh;Woo-seok Hwang
    • The Journal of Internal Korean Medicine
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    • v.44 no.1
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    • pp.53-65
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    • 2023
  • Objective: The purpose of this study is to report two cases of breast cancer patients whose side effects after Tamoxifen were treated with traditional Korean medicine. Methods: Two breast cancer patients underwent Tamoxifen after breast-conserving surgery, and both were treated with traditional Korean medicine. Subjective discomfort symptoms were evaluated using the Numerical Rating Scale. Adverse events were assessed using the National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0. Results: After treatment with traditional Korean medicine, the discomfort symptoms that occurred after Tamoxifen, such as osteoarthritis, hot flushes, and cold sweat, all gradually improved. In addition, no hematologic, hepatic, or renal side effects were observed from the traditional Korean medicine treatment. Conclusion: This case study suggests that traditional Korean medicine may contribute to the improvement of side effects caused by Tamoxifen and enhance the quality of life of patients.

Actinomycotic Infection of the Epiglottis: A Case Report and Review (후두개에 발생한 방선균 감염 1례)

  • Jeong, Seung-Won;Kim, Kyung-Rae;Tae, Kyung;Kim, Yun-Jeong
    • Korean Journal of Bronchoesophagology
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    • v.16 no.2
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    • pp.154-156
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    • 2010
  • We report a case of actinomycotic infection in epiglottis. Actinomycosis in the head and neck area is relatively rare but extremely rare in the larynx. A 63-year old man presented with continuous discomfort of the throat while swallowing. He had a history of oral injury caused by a fish bone a few weeks prior. Upon Examination with a flexible laryngoscope, a whitish round mass was noted at the lingual surface of the epiglottis. Under local anesthesia, a punch biopsy was performed and showed the typical features of actinomycosis. The mass was removed using a Diode laser under suspension laryngoscope. Additive oral antibiotic therapy was done for 2 weeks. No definite recurrence was noted at the operation site and the patient is now free of disease.

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Perioperative Management of the Voice in Thyroid Cancer (갑상선암 수술과 수술 전후 음성관리)

  • Yoon, So Yeon;Hong, Hyun Jun
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.31 no.2
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    • pp.49-55
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    • 2020
  • Evaluating the patient's voice before thyroidectomy is useful for the purpose of identifying patients with vocal cord paralysis without symptoms, identifying other patient's voice abnormalities, and whether it is related to voice disorders that may occur after surgery. Also voice evaluation after thyroid surgery is helpful in diagnosis, treatment, and rehabilitation and follow-up of voice disorders that occur without clear nerve damage after thyroidectomy. And it is helpful for rapid recovery through active early rehabilitation treatment for patients who complain of speech impairment without paralysis. In particular, neck exercise can improve the adhesion of the surgical site and increase the range of motion of the neck as well as improve subjective neck discomfort. In addition, hearing, voice and breathing functions should be improved, and voice hygiene education and counseling should be provided. Vocal cord injection is the first treatment option for unilateral vocal cord palsy. By establishing a protocol for voice disorders before and after thyroid surgery and providing appropriate treatment, the quality of life of patients can be improved.

Multicenter Evaluation on the Efficacy of N-Acetyl Cystine in Relieving the Symptoms of Laryngopharyngeal Reflux Disease (인후두 역류질환에서 N-Acetyl Cysteine의 증상 개선 효과에 대한 다기관 평가)

  • Kim, So Yean;Kwon, Tack Kyun;Kim, Han Su;Son, Young Ik;Woo, Seung Hoon;Woo, Jeong-Soo;Lee, Seung Won;Lim, Jae Yol;Chung, Man Ki;Joo, Young Hoon;Cha, Wonjae;Choi, Seung Ho;Hong, Hyun Jun;Lee, Sang Hyuk
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.29 no.2
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    • pp.87-93
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    • 2018
  • Background and Objectives : Laryngopharyngeal reflux disease (LPRD) is relatively common disease. N-acetyl cysteine (NAC) has both mucolytic and antioxidant effect, also may be beneficial in inflammatory airway diseases. The purpose of this study was to evaluate the efficacy and safety of inhaled NAC therapy in LPRD. Materials and Method : We retrospectively reviewed the medical records of 525 LPRD patients at 12 medical centers. Finally 401 patients subjected to inhaled NAC therapy for 2 months were enrolled in the study. We analyzed the change of Reflux Symptom Index (RSI) and Reflux Finding Score (RFS) after use of NAC for 4 weeks and 8 weeks in addition to the patient's compliance of the treatment. Results : The RSI score significantly decreased from $19.87{\pm}6.34$ to $12.78{\pm}6.93$ after 4 weeks and to $10.65{\pm}7.47$ after 8 weeks. The RFS score also significantly decreased from $9.29{\pm}3.4$ to $7.17{\pm}3.41$ after 4 weeks and to $6.1{\pm}3.73$ after 8 weeks (p<0.05). During the treatment periods, 42 patients (10.4%) reported to have 80 episodes of discomfort. Throat discomfort (33%) and nausea (28%) were most common complaints, but the duration of discomfort was usually less than 4 weeks. Conclusion : Inhaled NAC treatment is highly effective for the reduction of both subjective and objective findings in LPRD patients. This study will provide the evidence of new treatment option for patients with LPRD. However, further studies will be needs to assess the real effect of inhaled NAC therapy as a standard treatment regimen of LPRD.