• 제목/요약/키워드: hypopharynx

검색결과 126건 처리시간 0.029초

경구강 로봇 수술 (Transoral Robotic Surgery)

  • 박영민;김세헌
    • 대한두경부종양학회지
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    • 제31권2호
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    • pp.1-5
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    • 2015
  • The role of transoral robotic surgery in the treatment of upper aerodigestive tract tumor has expanded in recent. Since the approval of the da Vinci system, the number of transoral robotic surgery has increased significantly. The main indications of transoral robotic surgery are tumors of oropharynx, hypopharynx, and larynxs. Transoral robotic surgery is a minimally invasive surgical approach that offers surgical access to the laryngopharynx without the morbidity of open surgeries while achieving excellent oncologic and functional outcomes. The appropriate application of transoral robotic surgery is still being investigated and previous studies supports transoral robotic surgery as a viable option in the management of upper aerodigestive tract tumor.

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경부식도 재건을 위한 유리 공장 이식술 (Free jejunal graft for cervical esophageal reconstruction)

  • 오상준;김창호
    • Journal of Chest Surgery
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    • 제24권5호
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    • pp.515-521
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    • 1991
  • Since Carrel in 1907 reported transfer of a free jejunal segment in dog, reconstruction of the cervical esophagus and hypopharynx has been accomplished successfully with free jejunal transplantation using microvascular technique. Free jejunal graft is useful in cases of failed colonic interpositions. Three patients with benign esophageal stricture had undergone reconstruction with right colon interposition. Because of necrosis and stricture of the interposed colon, in each case the defect was reconstructed with a free jejunal graft by using microvascular technique. The postoperative course in two patients was uncomplicated, and they were able to eat general diet. Graft necrosis occurred in one patient, but she is waiting for a reoperation.

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A Case of Biphasic Synovial Sarcoma of Frontal Bone in an Elderly Patient

  • Kwon, Ou-Young;Lee, Sang-Koo;Cho, Maeng-Ki;Kim, Young-Joo
    • Journal of Korean Neurosurgical Society
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    • 제42권1호
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    • pp.67-70
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    • 2007
  • Synovial sarcomas are rare soft tissue malignancies arising from tendons, tendon sheaths, and bursal structures. These tumors usually develop in the extremities of adolescents and young adults. Uncommonly, these tumors may arise in the head and neck approximately 9% of all synovial sarcomas. Most common sites of head and neck synovial sarcomas are hypopharynx and surrounding structures of paranasal sinuses. However, frontal bone without involving paranasal sinus is extremely rare. We report a case of biphasic synovial sarcoma of the frontal bone discuss the clinical and pathologic features of this case with the literature review.

인후두암 수술후 위를 이용한 재건술: 6례 보고 (Pharyngo-gastrostomy for Pharyngolaryngeal Cancer - A report of 6 cases -)

  • 김효윤
    • Journal of Chest Surgery
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    • 제24권8호
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    • pp.807-813
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    • 1991
  • Between October 1987 and October 1990, 6 patients underwent pharyngolaryngoesophagectomy with transhiatal gastric transposition and pharyngogastrostomy for hypopharyngeal and recurred laryngeal cancer. All patients had squamous cell carcinoma and were male, with age range from 54 to 67 years. Two patients had been treated initially by chemotherapy, but the tumor had persisted. One patient had been treated by radiotherapy and operation, but tumor had recurred in hypopharynx. There was no operative death. Major complications were anastomotic leakage in three cases, wound disruption in four cases and one postoperative bleeding. Anastomotic leakage was recovered in two cases with conservative management. The average hospital day was 33 days postoperatively. We conclude that reconstruction of the pharynx and cervical esophagus with gastric transposition is one of the recommendable procedures for extensive resection of pharynx or cervical esophagus with acceptable morbidity and functional recovery.

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Neoglottic Adjustment in Tracheoesophageal Phonation

  • Cho, Jung-Il;Kim, Young-Mo;Park, Won-Seok
    • 대한음성언어의학회:학술대회논문집
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    • 대한음성언어의학회 1999년도 제12회 학술대회
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    • pp.186-186
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    • 1999
  • Tracheoesophageal fistulation following total laryngectomy has widely been used for voice restoration, This technique make exhaled air to divert to hypopharynx where phayngoesophageal segment forms the neoglottis. Even through layngectomized patients loss the normal laryngeal adjustment for speaking, it has been known that voiced and voiceless sounds are prodused in TE phonation. Nine TE speakeres were subjected to present study designed to clarity the mechanism of neoglottic adjustment in TE phonation, Fiberoptic examination and radiologic studies were performed at all patients and EMG study was performed at 3 patients during I phonation. Fiberoptic & radiologic studies revealed the location of neoglottis, so called pharyngoesophargeal segment which was vibrated well. EMG activity increased for sound production at retropharyngeal prominence. These results indicated that neoglottic adjustment in TE phonation.

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이상와에 발생한 정맥 기형에 대한 에탄올 경화치료 1례 (A Case of Venous Malformation of the Pyriform Sinus Treated with Ethanol Sclerotherapy)

  • 양연준;강민수;김상협;문정환
    • 대한후두음성언어의학회지
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    • 제28권2호
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    • pp.135-137
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    • 2017
  • We describe a case of venous malformation of pyriform sinus in 63 year-old patient, discovered incidentally. Venous malformation are the most common vascular malformations to arise in the head and neck. However venous malformation of the hypopharynx in the adult papulation are rare. The author performed successfully ethanol sclerotherapy for venous malformation of pyriform sinus, so we present the case with a review of the related literatures.

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경구강 로봇을 이용해 시행한 근치적 하인두암 이상와 절제술 1례 (A Case of Partial Pharyngectomy Using Transoral Robotic Surgical System in Hypopharyngeal Cancer)

  • 박영민;정진세;백승재;김원식;최은창;김세헌
    • 대한두경부종양학회지
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    • 제25권1호
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    • pp.47-51
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    • 2009
  • Hypopharyngeal cancer have shown poor prognosis though various treatment modalities were developed for several decades. Therefore current trend in managing hypopharyngeal cancer is organ preservation therapy to improve patient's quality of life. Recently, surgery via robotic surgical system in genitourinary surgery improved minimal invasive technique and reduced morbidity dramatically. Hypopharyngeal cancer treatment using Transoral robotic surgery (TORS) in treating lesions of hypopharynx could reduce the morbidity and achieve organ preservation.

하인두벽에 발생한 이소성 부갑상선 1예 (A Case of Ectopic Parathyroid Gland in the Hypopharyngeal Wall)

  • 정재엽;박계훈;장시형;반명진
    • 대한두경부종양학회지
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    • 제34권1호
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    • pp.29-32
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    • 2018
  • The parathyroid glands are usually located in the posterolateral area of the thyroid gland. Due to their embryologic origin, they are sometimes found in an ectopic position from the angle of the jaw to the mediastinum. However, their incidental detection in the hypopharyngeal wall is rare. Herein, we report a case of an ectopic parathyroid gland found in the hypopharyngeal wall of a 39-year old woman with no known endocrine abnormality.

Displacement of deciduous tooth into hypopharynx due to endotracheal intubation

  • Kang, Sang-Hoon;Chang, Jung Hyun
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제16권1호
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    • pp.61-65
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    • 2016
  • Intubation may lead to several dental complications. Furthermore, a tooth damaged during intubation may be subsequently dislocated. In the present case, the upper primary incisor was avulsed during intubation and, unbeknownst to the anesthesiologist, displaced to the larynx. We report here on the findings and indicate appropriate treatment. Intubation for general anesthesia in children can result in tooth damage and/or dislocation of primary teeth with subsequent root resorption. Prevention is key, and thus it is critical to evaluate the patient's dental status before and after intubation. Furthermore, anesthesiologists and dentists should pay close attention to this risk to prevent any avulsed, dislocated, or otherwise displaced teeth from remaining undetected and subsequently causing serious complications.

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

  • 양해동;김현직;김성헌;이원애
    • 대한두경부종양학회지
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    • 제19권1호
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    • pp.71-74
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    • 2003
  • Liposarcoma is one of the most common malignancies originating from human soft tissue. Because most of liposarcoma occur in the lower extremities or retroperitoneum, there are few reports about liposarcoma of head and neck region, including larynx and pharynx. Histologically, there are four types of liposarcoma, and prognosis and recurrence rate are different according to histologic subtype. Wide excision is the treatment of choice and liposarcoma hardly respond to primary radiotherapy. A 56-year-old man presented with voice change and foreign body sensation in laryngopharynx. Hypopharyngeal liposarcoma was diagnosed by surgical biopsy and performed totallaryngopharyngoesophagectomy and gastric pull-up. Here we report our experience on this case with review of literature.