• Korean Journal of Bronchoesophagology
• /
• v.7 no.2
• /
• pp.146-151
• /
• 2001

Background and Objectives： Primary benign masses in subglottis and trachea are rare. Symptoms of tracheal obstruction are similar to those of bronchial asthma, chronic bronchitis, as well as malignant lesions. Materials and Methods： Eight patients with benign tracheal masses from April 1992 through June 2001, at otolaryngology-head and neck surgery. department of Seoul national university hospital were studied by retrospective medical record review. Results : They were 3 females and 5 males aged from 0 to 57 years. The pathologies of the intratracheal masses were lipoma. tuberculosis, pleomorphic adenoma, hemangioma(two case), reparative giant cell granuloma, epithelial inclusion cyst and nonspecific lymphadenopathy, respectively. The most characteristic symptoms were dyspnea and stridor, both inspiratory and expiratory. Five of them had been treated as bronchial asthma. Conclusion： For the management of patients with the subglottis and tracheal masses, it is important to establish secure airway. regardless of pathology of the masses. The diagnosis should be considered in any patient with asthma-like manifestation, especially who fails to respond to medical treatment. It is necessary to examine the airway thoroughly, and chest and simple cervical X-ray may contribute to the diagnosis of possible intratracheal mass.

• Korean Journal of Bronchoesophagology
• /
• v.10 no.2
• /
• pp.49-51
• /
• 2004

The lodgement of foreign material in the larynx is potentially life thereatening as complete obstruction of this region does not leave the individual with a viable airway. In the literature review, laryngeal foreign bodies accounted for about $3\%$ of the whole foreign bodies in the air passage. This report describes a rare case of laryngeal obstruction by subglottic foreign body(tooth) occurred during tooth extraction, in which repeated Heimlich maneuver failed to expel the foreign body and aggravated airway obstruction.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
• /
• v.25 no.1
• /
• pp.42-46
• /
• 2014

Rosai-Dorfman disease is a rare disorder of unknown of etiology and is usually associated with benign proliferation of hematopoietic and fibrous tissue that often manifest in the head and neck region. We report a case of extranodal Rosai-Dorfman disease presenting in the neck, subglottis and nasal floor diagnosed by voice change.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
• /
• v.23 no.1
• /
• pp.21-27
• /
• 2012

Laryngotracheal stenosis is a congenital or acquired narrowing of the airway, representing a continuum of disease that may affect the glottis, subglottis, and/or trachea. The larynx and trachea are semirigid tubular structures in which concentric scar contraction - a normal wound healing process - tends to narrow the lumen. The diversity of causes, severity, location of stenosis, and association with swallowing and phonation make this disease difficult to compare across patient populations and treating otolaryngologists. The wide array of surgical techniques for any given stenosis attests to the complexity and less than perfect results of the treatment. This review will address the etiology, diagnosis, and management of laryngotracheal stenosis.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
• /
• v.26 no.2
• /
• pp.130-132
• /
• 2015

Schwannoma of the larynx is uncommon neurogenic tumor that can cause the air way obstruction. For benign lesions, conservative surgical excision is the treatment of choice. Recently, we experienced a case of schwannoma originating from the subglottis in a 52 year old female patient. The tumor was removed successfully through endoscopic approach.

• Korean Journal of Bronchoesophagology
• /
• v.1 no.1
• /
• pp.101-108
• /
• 1995

From 1988 to 1995, 59 patients with laryngotracheal stenosis were operated with resection of stenotic segment and end to end anastomosis in Seoul national university. Among these patients, 36 were tracheal stenosis, 17 were combined lesion of subglottis and trachea and 5 were subglottic stenosis. The success of procedure was determined by stoma closure or decannulation and an overall 89.8% success rate was achieved following 165 procedures. The success rate showed correlation with severity of stenosis and the number of procedures done was related to the site of stenosis. There was no mortality and granulation formation, unilateral vocal cord palsy were the common complication of end to end procedures.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
• /
• v.12 no.2
• /
• pp.133-139
• /
• 2001

Background and Objectives : There are so many methods to investigate the causes of voice disorders. However, they were almost invasive or non-physiologic methods. And none of them showed the laryngeal movements. Phonation pharyngogram is non-invasive method to see the laryngeal movement directly. Authors studied to evaluate the availability of phonation pharyngogram in laryngeal nodule. Materials and Methods : 30 laryngeal nodules and 10 control groups were evaluated. Acoustic analysis and maximum phonation time were measured and pharyngogram was taken during sustaining /a/ phonation immediately after swallowing the barium. We measured the width of hypopharyngeal wall, shape of hypopharyngeal wall and pyriform sinus apex, level difference between both true vocal folds, angle of subglottis, location of true vocal folds, elevated distance of vocal folds and shape of c-spine. Results : Jitter, Shimmer of laryngeal nodule were higher than control group and maximum phonation time was shorter in laryngeal nodule. There was a significance in width of hypopharyngeal wall, shape of pyriform sinus apex, level difference between both true vocal folds, elevated distance of vocal folds and shape of c-spine. Conclusions : Authors knew that there were differences when we used the phonation pharyngogram between normal group and laryngeal nodule group.

• Korean Journal of Bronchoesophagology
• /
• v.16 no.1
• /
• pp.68-72
• /
• 2010

Adenoid cystic carcinoma (ACC) of larynx is a rare disease, accounting for less than 1% of laryngeal malignancies, These tumors arise almost exclusively in the subglottic and supraglottic regions, while the proportion of glottic ACCs is small. We describe a case of a young man with a subglottis adenoid cystic carcinoma, The patient underwent laryngeal microscopic surgery and radiotherapy, Five years after radiotherapy, local recurrence and distant metastasis Clung and kidney) was detected and he underwent palliative chemotherapy and local treatment. He is still alive for seven years after the initial diagnosis. The treatment strategies for laryngeal ACC are still controversial due to the rarity of the condition. We suggest that multimodality approach may be helpful in deciding a treatment option, and thorough and consistent follow-up for recurrence is mandatory for these patients.

• Speech Sciences
• /
• v.10 no.2
• /
• pp.145-157
• /
• 2003

Vowels are classified by the shapes of vocal tract. These shapes form constriction points along the tract, which have an influence on such vocal tract resonance as F1, F2, F3, and so on. The formant frequency is influenced by aperture and placement of tongue and the intensity is influenced by air pressure of subglottis. The object of this study compares to characterize the spectral outputs of oral and nasal spectra for the formant frequencies and intensity of Korean oral vowels. Subjects consisted of 20 normal persons (10 male and 10 female) without laryngeal pathology. The speech sample included /a/, /e/, /i/, /o/, /u/ of Korean oral vowels. The spectrum of each vowel was analysed by Nasal View and Real Analysis Program using Dr. Speech. The result showed that nasal intensity is decreased manifestly from F1 to F2. But oral intensity and Intensity is decreased little bit from F1 to F2. The most of values of nasal formant frequency is similarity oral formant frequency and Formant frequency or little bit smaller.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
• /
• v.25 no.1
• /
• pp.31-35
• /
• 2014

Objectives : The aim of this study was to evaluate the effectiveness and feasibility of coblation resection for the treatment of laryngotracheal disease. Methods : We conducted a retrospective review, evaluating 7 patients with laryngotracheal disease treated using coblator. Information collected included demographic data of the patients, diagnosis, size and location of the disease, procedure time, the number of previous operation, and the postoperative complication. Results : Among the etiology, granulation is most frequent (n=4), followed by recurrent repiratory papillomatosis (n=2) and tracheal stenosis (n=1). The location of lesions was peristomal area (n=2), glottis (n=2), subglottis (n=2) and mid-trachea. Coblation resection could remove the lesions completely and there was no significant complication including local burn, bleeding, and hypertrophic scar. The procedure time was shorter than the previous operation using $CO_2$ laser. Conclusion : Coblation resection is an effective and safe method for layngotracheal disease and can substitute the classic method such as $CO_2$ laser.