• 한국임상수의학회지
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• 제20권1호
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• pp.26-32
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• 2003

전이도적출술 및 외측고포절골술 (total ear canal ablation combined with lateral bulla osteotomy, TECA-LBO)을 행한 10개의 (6마리의 개) 임상결과를 수술 후 회목과정과 장기간 예후를 통해서 평가하였다. 모든 개들은 아래의 다섯가지 소견을 보일 때 TECA-LBO를 실시하였다. 첫째, 적어도 2개월 이상 약물적인 치료가 더 이상 임상증상을 호전시키지 못하는 경우, 둘째, 고막이 완전히 사라진 경우, 셋째, 고포의 방사선밀도가 증가된 경우, 넷째, petrous temporal bone에 경화가 일어난 경우, 다섯째, 이도의 석회화가 진행된 경우. 수술 후 회복경과는 입원 14일 동안, 퇴원 후 7.5개월에 평가하였다. 수술 후 14일째 만성외이염 및 중이염의 증상인 귀를 긁는 것, 통증, 그리고 귀의 경화는 사라졌다. 그리고 이때 수술부위의 종창, 발적, 머리를 기울이는 증상 그리고 Penrose에 의한 삼출물은 모두 사라졌다. 눈을 깜박이지 못하는 것은 4예에서 발생하였고, 이것은 수술 후 14일째 사라졌다. 하지만 한 경우에는 3개월 뒤에 사라졌다. 모든 개들은 수술 후 14일째 퇴원하였다. 퇴원 후 3.5개월에서 6.5개월 사이에 para-aural abscessation이 모든 코커 스파니엘 종에서 발생하여 VBO을 통해 완치시켰다. TECA-LBO를 행하고 para-aural abscessation이 생기지 않은 개들에서는 수술 후 7.5개월 후 귀를 긁는 것, 통증, 귀의 경화가 더 이상 발견되지 않았고, 듣는 능력도 향상되었다. 또한 TECA-LBO를 행하고 para-aural abscessation이 생긴 개들에서는 VBO를 행하고 7.5개월 후 귀를 긁는 것, 통증, 귀의 경화가 더 이상 발견되지 않았고, 듣는 능력도 향상되었다. 결론적으로 전이도적출술 및 외측고포절골술은 적용한 후 약 2주 정도의 치료 경과를 보였고 치료 후 코커 스파니엘종을 제외하고는 별다른 합병증 없이 좋은 회복을 보였다. 그리고 수술 후 눈을 깜박이지 못하는 것은 수술 후 약 2주안에 자연적으로 사라졌다. 그리고, para-aural abscessation은 수술 후 4개월에서 7개월 사이에 발생하므로 follow-up 은 8개월까지 이루어져야 한다.

• 대한심미치과학회지
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• 제13권2호
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• pp.7-11
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• 2004

The Schwachman-Diamond syndrome is an autosomal recessive syndrome(1/20,000 births), consisting of pancreatic insufficiency, neutopenia, which may be intermittent, neutrophil chemotaxis defects, metaphyseal dysostosis, failure to thrive and short stature. Patients present in infancy with poor growth and grease, foul-smelling stools that are characteristic of malabsorption. These children can be readily differentiated from those with cystic fibrosis by their normal sweat chloride levels, lack of the cystic fibrosis gene, and characteristic metaphyseal lesions. Pathologically, the pancreatic acini are replaced by fat with little fibrosis. The neutropenia may be cyclic. Recurrent pyogenic infections otitis media, pneumonia, dermatitis(fig 1), sepsis are common and a frequent cause of death. In dental examination, these patients had a poor oral hygine and moderate generalized marginal gingivitis, also show delayed primary tooth exfoliation and oral development. This report illustrates a case that pancreatic agenesis 6 yeas-old boy with various esthetic dental problems has been served the esthetic dental restoration of 6 years.

• The Korean Journal of Pain
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• 제11권1호
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• pp.116-118
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• 1998

Stellate ganglion block(SGB) is frequently performed in pain clinics. Facial palsy produces asymmetry of the face, lagophthalmos and incomplete eyelid closure. Exposure keratitis and eyeball pain can be induced by prolonged lagophthalmos. SGB was performed on a 51-year-old female patient who had exposure of keratitis and eyeball pain due to facial nerve palsy after an operation for chronic otitis media. After 31 stellate ganglion blocks, eyeball pain and keratitis nearly subsided. SGB is an effective method to treat lagophthalmos caused by facial nerve palsy.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제11권sup1호
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• pp.55-71
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• 2008

Gastroesophageal reflux (GER) defined as passage of gastric contents into the esophagus without symptoms is a common physiologic gastrointestinal problem in infants, children and even in adults. But gastroesophageal reflux disease (GERD) defined as symptoms or complications of GER is a disease entity to find out the reason and treat. After the era of 1970 we have been studying about GERD with the development of diagnostic and therapeutic methods. I already introduced the nature and the fundamental knowledge of GERD in the opening symposium of KSPGHAN in 1998. Now, I will introduce the guidelines for evaluation and treatment of GERD which was recommended by the North American Society for Pediatric Gastroenterology and Nutrition and American Pediatric Association which was published in 2001. And I will introduce progressing subjects and the forecoming issues to be solved in near future. Those are as followings. Does GERD cause otolaryngologic symptoms such as chronic sinusitis and chronic otitis? Is GERD inherited? Can we find out the child who will become GERD in adult life and the way to reduce the incidence of Barrett's esophagus and esophageal cancer? Is long term PPI therapy safe in children?

• 한방안이비인후피부과학회지
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• 제29권4호
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• pp.206-217
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• 2016

Objectives : The aim of this study is to report the improved case of Wegener's granulomatosis with Oriental-Western Medicine Treatment. Methods : The patient was treated by herbal medicine(Manhyeongja-san, Banhabaekchulchenma-tang, Jaeumgeonbi-tang), acupuncture and moxa constantly. And she was also treated by glucocorticoids treatment and immunosuppressive therapy provided by department of Rheumatology. The otorhinolaryngologic and the ophthalmologic Western medication treatment were also supplied. The information was collected retrospectively. Results & Conclusions : Chronic otitis media of both ear and hearing loss were improved by Oriental-Western medicine treatment. Ophthalmagia was controlled as less. Dizziness and facial palsy were also disappeared. Oriental-Western medicine treatment may be effective on Wegener's granulomatosis patient when pain controling and fast improvement of symptoms are needed.

• 한국임상수의학회지
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• 제15권2호
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• pp.263-266
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• 1998

외이도의 직경 및 길이와 외이도 질환과의 연관성을 알아보고자 73두 성견을 실 험에 이웅하였다. 임상중상, 배양 및 도말 검사를 통하여 외이 질환이 얼는 정상군 57개의 이 관과, 질환이 있는 비정상군 89개의 이관에 직경과 길이를 평가하기 위한 간접적인 방법으로 이관내 조영술을 실시하였다. 비정상군은 정상군에 비하여 윤상연골 및 귓바퀴 연골의 직경 이 더 넓었다. 수직외이도를 구성하는 귓바퀴 연골의 길이는 비정상군4(12.79{\pm} 3.08)이 정상 군(12.79{\pm}5.87 mm)$에서 보다 유의성 있게 길게 나타났다(p<0.001). 심한 외이도 협착증을 보이는 21개의 귀에서는 외이도 질환을 발견할 수 없었으며, 외이도 질환이 심한 귀에 있어 서 그 직경과 길이가 정상군에 비하여 넝고 길게 나타났다(p<0.05). 본 실험의 결과로 보아 외이도관의 협착증과 외이도 질환과는 연관성이 발견되지 않았으나, 환기와 귀내 분비물의 배출을 방해하는 긴 수직외이도를 갖는 귀가 외이도 질환과 밀접한 관계가 있는 것으로 생각 되었다.

• 한국임상수의학회:학술대회논문집
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• 한국임상수의학회 2008년도 춘계학술대회
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• pp.108-108
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• 2008

• 한국소음진동공학회:학술대회논문집
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• 한국소음진동공학회 2002년도 춘계학술대회논문집
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• pp.610-615
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• 2002

This study is to evaluate the risk perception of noise of the ground-crews in the Korean airbases who exposed to noise of jet plane. 1148 ground-crews and 231 pilots of 2 airbases participated in this study. The questionnaires of risk perception with visual analogue scale were completed by the participants. For comparison, the perception of other risks such as beef contaminated with dioxin, AIDS, lung cancer, otitis media, shigellosis, driving, drinking, and smoking were also included in the questionnaire of risk perception. The results of this study suggested the necessity of risk communication about noise and activation of effective hearing conservation program in the Korean air-force.

• 대한임상검사과학회지
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• 제40권1호
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• pp.62-70
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• 2008

Benign paroxysmal positional vertigo (BPPV) is one of the most common clinical entities encountered in a dizzness clinic. Retrosepective review was performed for the patient's diagnosed as BPPV at Sunchon "S" hospital dizzness center. Variables for statistical analysis included age, sex, involved canal presence of recent head tramua, presence of chronic otitis media, history of middle ear surgery, underlying disease such as hypertension or diabetics, headache, central lesion. From July 2004 to May 2005, we sampled the 600 dizzness patient's who visited the dizzness center. Dizzness could be classified into BPPV, vestibulopathy. Among these patients, 256 patients had BPPV, 222 patients had vesibulopathy and 97 patients had Normal. Among these BPPV patients, 80 patients had lateral canalolithiasis BPPV (31.3%), 28 patients had lateral cupulolithiasis BPPV (10.9%), 90 patients had posterior canalolithiasis BPPV (35.2%), 7 patients had multicanalolithiasis BPPV (2.3%), 52 patients simultaneously had BPPV, other vestibular disease, and central lesion (20.3%).

• 대한수의학회지
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• 제45권3호
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• pp.439-444
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• 2005

A 7.1 kg, seven-year old, castrated male, Shih-Tzu with severe pruritus, chronic otitis externa and Malassezia infection was referred to Veterinary Medical Teaching Hospital of Chungnam National University. In local animal hospital, steroid therapy was used to treat uncontrollable pruritus, but the clinical signs were recurrent when steroid therapy was discontinued. On physical examination, generalized alopecia, erythema, papules, severe crust and diffuse lichenification were presented. Tape strip test of skin lesions revealed cocci and Malassezia infections. Based on the result of history, clinical signs and examination described above, canine atopic dermatitis with secondary superficial pyoderma and Malassezia dermatitis was diagnosed. Oral challenge with cyclosporine and antibiotics had good results in clinical signs. Clinical sign scores were evaluated by investigator with CADESI at 2weeks, 4weeks, 6weeks, 8weeks and 10weeks after cyclosporine administration. And in the result of comparing of allergen-specific IgE value, the level of allergen-specific IgE to general causative allergen after 10 weeks of cyclosporine therapy was higher than that before cyclosporine therapy.