• 제목/요약/키워드: laryngeal

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우측 대동맥활이 동반된 좌측 반회하후두신경 1예 (A Case of Left Recurrent Inferior Laryngeal Nerve with Right Sided Aortic Arch)

  • 김경헌;김남영;이국행;최익준
    • 대한두경부종양학회지
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    • 제33권1호
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    • pp.57-59
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    • 2017
  • A non-recurrent laryngeal nerve on the left side is a rare anomaly which is reported in 0.04% and it is associated with abnormal developments of the aortic arch during embryogenesis. Although the possibility is extremely low, it is important to consider the possible existence of a non-recurrent laryngeal nerve to prevent a nerve injury during thyroidectomy. We experienced a 42 year-old male with left thyroid papillary cancer who had right side aortic arch and aberrant left subclavian artery. Even though we found that this patient had a recurrent laryngeal nerve, we present this case of the right aortic arch with an aberrant left subclavian artery variation with a brief review of literature.

진행된 후두암과 하인두암의 환자에서 유도화학 요법 후 방사선 치료와 수술 후 방사선 치료의 성적 비교 및 고찰 (Induction Chemotherapy Plus Radiation Compared with Surgery Plus Radiation in Patients with Advanced Laryngeal and Hypopharyngeal Cancer)

  • 금기창;이창걸;김귀언;이경희
    • Radiation Oncology Journal
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    • 제11권2호
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    • pp.277-283
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    • 1993
  • Background: We peformed a retroslective study in patients with previously untreated advanced (Stage III or IV) laryngeal and hypopharyngeal cancer to compare the results of induction chemotherapy followed by definitive radiation therapy (CT+ RT) with those of conventional laryngectomy and postoperative radiation therapy (OP + RT). Method: Between 1985 and 1990, twenty-four patients were treated with two or three courses of chemotherapy and radiation therapy (66-75 Gy). Twenty-five patients were received laryngectomy and radical neck dissection (except 3 patients) and postoperative radiation therapy (55~64 Gy). Result: After a median fellow-up of 20 months, the actusrial 5-year overall survival rate was $24\%$ (chemotherapy group) and $36\%,$ (op group). (P>0.1). The local control rate was the $65\%,$ (13/20) and $68.2\%,$ (15/22). (p>0.1). The rate of laryngeal preservation was $65\%$ (13/20) in chemotherapy group. Conclusion: Induction chemotherapy and definitive radiation therapy can be effective in preserving the larynx in a high percentage of patients with advanced laryngeal and hypopharyngeal cancer.

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보존적 수술을 시행받은 후두암 환자의 치료성적 (The Results of Conservation Surgery in Laryngeal Cancer)

  • 이순영;최종욱;정광윤;유홍균
    • 대한두경부종양학회지
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    • 제7권1호
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    • pp.17-23
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    • 1991
  • The purpose of conservation surgery is complete eradication of the lesion with maximal maintenance of the proper function of the larynx. But the re are various methods of conservation surgery for the laryngeal cancer because of the unique embriological and anatomical characteristics of the larynx, which is the narrowest portion of the upper airway. The authors experienced 24 cases of conservation surgery for laryngeal cancer(7 in supraglottie cancer, 13 in glottic cancer, 4 in transglottic cancer) during recent 5 years and performed retrospective analysis of the cases. The result shows 91.6% of overall 3 years survival rate(87.5% of disease free 3 year survival rate). The authors concluded that conservation surgery for the laryngeal cancer preserve the function of larynx as possible and high cure rates were achieved by postoperative radiation therapy for the incomplete resection margin.

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국소 마취 하 굴곡 내시경 후두 레이저 수술로 치료한 성문 제자리 암종 1례 (Treatment of Carcinoma in Situ of Glottis by KTP Fiberoptic Laryngeal Laser Surgery Under Local Anesthesia)

  • 이윤지;이은상;박기남;이승원
    • 대한후두음성언어의학회지
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    • 제30권1호
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    • pp.53-56
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    • 2019
  • The optimal treatments of carcinoma in situ of glottis include radiotherapy, laser surgery and vertical partial laryngectomy. Conventional surgical treatments need general anesthesia and radiotherapy has several complications. Recently, the effectiveness of 532 nm potassium titanyl phosphate (KTP) laser has been proven and widely used in vocal fold diseases even some cases of vocal fold dysplasia. A patient with difficult laryngeal exposure underwent fiberoptic laryngeal laser surgery using KTP laser under local anesthesia, showed improved voice outcome and the glottic lesion was removed successfully without local recurrence and regional metastasis 18 months after surgery.

근긴장성 발성장애의 후두마사지 효과: 체계적 고찰 및 메타분석 (Effects of Laryngeal Massage on Muscle Tension Dysphonia: A Systematic Review and Meta-Analysis)

  • 김재옥
    • 대한후두음성언어의학회지
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    • 제32권2호
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    • pp.64-74
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    • 2021
  • Background and Objectives This study was to investigate the voice quality and articulation effects of laryngeal massage on muscle tension dysphonia (MTD). Materials and Method A systematic review of articles published between January 2000 and December 2020 in Cochrane, PubMed, ScienceDirect, SpingerLink, ERIC, and Naver Academic was conducted. From the total of 2094 articles identified, 10 peer-reviewed articles were included in a meta-analysis. Mean effect sizes of the variables related to voice quality (jitter, shimmer, harmonic to noise ratio or noise to harmonic ratio, high-F0, low-I, cepstral peak prominence) and articulation (F1, F2, F1 slope, F2 slope) were calculated by Hedges'g. Results Meta-analysis of the selected articles showed that laryngeal massage had medium to large effects on all variables of voice quality and articulation except F0-high and F1 slope in the MTD patients. Conclusion This study provided comprehensive clinical evidence that it is highly desirable to apply laryngeal massage to MTD patients.

후두이물 (Laryngeal Foreign Bodies)

  • 이광선;박영원;백만기;김종선
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1982년도 제16차 학술대회연제순서 및 초록
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    • pp.10.2-10
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    • 1982
  • 후두이물은 기도일식도이물의 전체예에서 차지하는 수는 적으나 일단 걸리면 질식사 할 수 있으므로 곧 적절한 기구를 사용하여 제거할 수 없으면 기관절개술을 요하는 응급질환이다. 저자들은 3예의 후두이물의 보고와 함께 이 질환의 진단, 예방 및 처치에 대하여 문헌고찰과 함께 보고하는 바이다.

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외래에서의 성대내주입술 : Cidofovir, 스테로이드, 보툴리눔독소 (Office-Based Laryngeal Injection: Cidofovir, Steroid, Botulinum Toxin)

  • 손진호
    • 대한후두음성언어의학회지
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    • 제20권1호
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    • pp.21-24
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    • 2009
  • Various laryngeal injection techniques andmaterials have been introduced and widelyused. In this section, office-base laryngeal injection with Cidofovir, Steroid and Botulinum toxin will be described including a suitable approach for the injection, treatment efficacy, side effects and its pitfalls.

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후두 스트로보스코피 (Laryngeal Stroboscopy)

  • 박영학;최지영
    • 대한후두음성언어의학회지
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    • 제19권2호
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    • pp.96-100
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    • 2008
  • Laryngeal stroboscopy is a important clinical tool in the diagnosis and evaluation of patients with voice disorders. Stroboscopic parameters evaluated during examination include symmetry, periodicity, glottic losure, amplitude, mucosal wave, and amplitude. Stroboscopy can provide useful information on glottal closure patterns in patient with/without vocal fold pathology and this paper describes the stroboscopic findings of the laryngeal pathologic lesions.

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Sensitivity to Phrase-initial Tone and Laryngeal Feature Identification of Foreign Learners of Korean

  • Lee, Hye-Sook
    • 말소리와 음성과학
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    • 제2권3호
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    • pp.91-99
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    • 2010
  • This paper reports on an identification test where KFL learners identified the Korean three-way laryngeal contrast in the phrase-initial position, when the phrase-initial tone was systematically manipulated. It turns out that heritage learners have some sensitivity to phrase-initial tone and show a plain-aspirated alternation in their identification according to the phrase-initial tone, as native speakers do, whereas non-heritage students do not show such tone sensitivity. However, after a weekly prosody training, second-year non-heritage students have shown a significant improvement in their performance. This paper clearly shows that the phrase-initial tone plays a critical role in distinguishing laryngeal features of Korean obstruents, and also suggests that prosody including the tone-segment correlation should be incorporated in the KFL curriculum.

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제1형 갑상성형술과 음성치료에 의한 성대위축증의 치료 (Combined-Modality Treatment of Vocal Cord Atrophy with Thyroplasty Type I and Voice Therapy)

  • 안철민;김현호
    • 대한후두음성언어의학회지
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    • 제8권1호
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    • pp.33-37
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    • 1997
  • Incomplete glottic closure of vocal cord atrophy is the common cause of dysphonia. Patients with vocal cord atrophy have complaints such as dysphonia, vocal fatigue, abnormal sensation in the throat, laryngeal pain, cough or sputum like functional voice disorders. Many investigators could not confirm the pathologic laryngeal structure because of their minute pathology. But recent advancements of laryngeal examinations made the many clinicians to detect minimal laryngeal pathology and to have mind the treatment for the vocal cord atrophy. But the results were less effective than their thoughts, the reasons of ineffectiveness were not known well. Authors have found the Hyperfunctional movement of the supraglottis during phonation before and after thyroplasty type I for vocal cord atrophy. Then we have applied the combined modality treatment with thyroplaty type I and voice therapy for relieve of hypefunctional movement of the supraglottis. These options have had more imporved results.

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