• Title/Summary/Keyword: otolaryngology

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A Clinical Case Report on Guillain-Barre Syndrome with diplopia (복시(複視)(Diplopia)를 호소하는 Guillain-Barre Syndrome(GBS) 환자 치험 1례 증례보고)

  • Kang, Sung-Wook;Moon, Mi-Hyun;Hong, Suk-Hoon;Hwang, Chung-Yeon;Kang, Jeong-Ran;Park, Joon-Young
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.18 no.3
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    • pp.102-107
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    • 2005
  • Guillain-Barre Syndrome (GBS) is an acute inflammatory demyelinating polyneuropathy. It is disorder in which the body's immune system, attacks parts of the peripheral nervous system. It is characterized by the rapid onset of weakness, paralysis of the legs, arms, breathing muscles and face. But the analysis of CSF and electrical tests on nerve and muscle function can be performed to confirm the diagnosis. Most cases occur shortly after a viral infection. This is a clinical ease report on Cuillain-Barre Syndrome with diplopia. The patient, a 52-year-old man had a weakness in both legs and diplopia. His weakness and diplopia improved after oriental medical treatment, so this is reported as a potential treatment. Objective: This study was designed to evaluate the effects on oriental medicine therapy on Guillain-Barre Syndrome with diplopia. Methods & Result: The Clinical data was analyzed on a patient with Cuillain-Barre Syndrome whose main symptoms were diplopia. The patient was treated by acupuncture and oriental medicine. As a result, symptoms was improved remarkably. Conclusion: The patient showed weakness and diplopia. After acupuncture and oriental medicine treatment, weakness and diplopia was improved in 4weeks after visit to clinic. The study suggests that oriental medicine treatment is effective on Cuillain-Barre Syndrome.

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A Clinical Reports on Psoriasis (乾癬患者 臨床報告)

  • Oh, Eun-Young;Park, Hye-seon;Gu, Duk-mo;Jee, Seon-young
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.14 no.2
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    • pp.278-285
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    • 2001
  • A Reports were done on proriasis which were treated bv medications of Sasang Constitution and Constitution-Acupunture in Dept. surgery, opthalmology & otolaryngology, college of Oriental Medicine, Kyungsan University, Pohang, Korea, from May 30. 2000 to JUN 30 2001. we gave score and checked involvement, plaque, erythematous popules, invasiveness according to psoriasis area and severity index. The results were as follows: 1. Sasang Constitution classification was Soyanggin 11($93.33\%$), Taeumgin 1($6.67\%$) in the 15 cases, Hyungbangsabaeksan is used in 9 cases($60\%$), Yanggeuksanhoatang is used in 3cases($13.11\%$), Geopungchunggisan is used in 3 cases($20\%$), Hyungbangdojucksan is used in 1 case($6.57\%$) 2. In the 9 cases, we checked for over 4 weeks, clinical severity of involvement, plaque, total score(psoriasis area and severity index) was siginificantly decreased(p <0.05), clinical severity of erythematous popules, itching was decreased but It is not siginificant(p>0.05). 3. The mean duration of treatmemt was 73.3 days, result of Excellent or Good improvement was showed on over 120 days. These results indicate that Sasang Constitution and Constitution-Acupuncture treatment is effective on psoriasis and the more study is needed.

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Effects of SaengRyo-SaMul-tang on Atopic Dermatitis Induced by DNCB in Mice (생료사물탕(生料四物湯)이 DNCB로 유발된 생쥐의 아토피 피부염에 미치는 영향)

  • Kim, Ji-Soo;Choi, Jung-Hwa;Kim, Jong-Han;Jeong, Min-Yeong;Park, Soo-Yeon
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.30 no.1
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    • pp.87-105
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    • 2017
  • Objectives : Atopic Dermatitis (AD) is chronic skin disease characterized by allergic hypersensitivity reactions. Saeng-ryo-Samul-tang (SRSM) can treat skin disease by cooling down blood heat, cealering away congenital fever and detoxicating. This study was conducted to investigate the effects of SRSM on AD induced by 2,4-dinitrochlorobenzene (DNCB) in mice Methods : In this study, the effects of SRSM on changes in body weights, thicknesses of dorsum skin, thicknesses and weights of ear, changes of symptoms on the dorsum skin, histopathological degree of ear and dorsum skin, IL-10 and $TNF-{\alpha}$ in serum were observed. And the effects on the proliferation rates of splenocytes were also investigated in vivo and in vitro study. Results : In SRSM topical application (Topical) group, SRSM oral application (Oral) group and SRSM Combination (Combi) group thickness of dorsum skin decreased significantly. But in TPC, ORL and CBN group, weight of ear didn't show any changes, but thickness of ear decreased significantly. And TPC, ORL and CBN group showed meaningful effectiveness symptoms like desquamation and erythema on AD's clinical espect. In histopathological observation, spongiosis, edema and inflammatory cell infiltration of epidermal were remarkably diminished in TPC, ORL and CBN group. And SRSM diminished the proliferation rates of splenocytes in vivo and vitro study. Conclusions : The present study suggests that SRSM can significantly reduced symptoms of AD, therefore SRSM is effective to treatment of AD.

A Clinical Study of Medial Maxillectomy (내측상악부분절제술의 임상적 고찰)

  • Cho Seung-Ho;Kim Hyung-Tae;Kim Min-Sik;Sun Dong-Il;Park Young-Hak;Jung Min-Kyo
    • Korean Journal of Head & Neck Oncology
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    • v.13 no.1
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    • pp.40-44
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    • 1997
  • Background: Lateral rhinotomy and medial maxillectomy, an en bloc resection of the medial maxillary sinus, ethmoid sinus with the lamina papyracea, medial orbital floor, and lacrimal fossa-duct, have been advocated for lateral nasal wall neoplasms as a standard approach method. Objective: This report was conducted to investigate the clinical efficacy of lateral rhinotomy and medial maxillectomy for lateral nasal wall neoplasms. Materials and Methods: We retrospectively analyzed clinical data of 31 patients who were treated at department of otolaryngology-head and neck surgery, Catholic university of Korea, school of medicine between 1990 and 1996. Results: Twenty five patients had benign lesions(80.6%). By far, the largest percentage was inverted papillomas(80%, 20/25). Of the six malignant lesions(19.4%), 33.3%(2/6) was squamous cell carcinoma and other lesions were metastatic renal cell carcinoma, adecarcinoma, transitional cell cacinoma, and hemangiopericytoma. There were a 4% recurrence for benign tumors(1/25), 5% especially for inverted papilloma(1/20), and 50% for malignant neoplasms(3/6). The overall complication rate was 9.7%. Conclusion: Despite the various approach for treatment of lateral nasal wall neoplasms including inverted papilloma, we continue to advocate a lateral rhinotomy and medial maxillectomy as the treatment of choice.

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Esophageal Foreign Bodies : Experiences of 235 cases for 12 years (식도이물;12년간 235례의 경험)

  • Choi, Geon;Ko, Tae-Ok;Song, Jong-Seok;Chae, Sung-Won;Jung, Kwang-Yoon;Choi, Jong-Ouck
    • Korean Journal of Bronchoesophagology
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    • v.3 no.1
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    • pp.115-121
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    • 1997
  • We have clinico-statically analysed the 235 cases of esophageal foreign body during the period the past 12 years from March InS to December 1996 at the Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine, Guro Hospital. The results were as follow : 1) Coin was the most frequent foreign body in the esophagus(172 cases : 73.2%). Bone was the next frequent foreign body (21 cases 8.8%). 2) In sex distribution, 124 cases(52.8%) of patients were the female and 111 cases(47.2%) were the male, so the sex ratio was 1:1.12. 3) In the age distribution, 134 cases(56.9%) were under 5 years of age, coin was the most frequent materials in this age group(111 cases 47.2%). 4) The most common symptom was vomiting(136 cases : 57.9%). The next common symptom was dysphagia and odynophagia was 41 cases(17.4%) 5) The most prevalent site of lodgement was the first narrowing(181 cases : 77.0%), the third narrowing(31 cases : 13.2%) and the second narrowing of esophagus(23 cases 9.8%) in order. 6) In duration of lodgement, 207 cases(88.1%) were lodged for one day. 7) The foreign bodies of esophagus were removed successfully by esophagoscopic procedure under local or general anesthesia. There were 3 cases of complication, one case of esophageal bleeding and two cases of esophageal rupture.

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A Case of Contact Dermatitis by Pain Relieving Patch Deteriorated after Taking Lotus Root (파스 접촉 알레르기 치료 중 연근 복용 후 악화된 중등도 알레르기 피부 1례)

  • Lim, Kyeong-Min;Choi, Jung-Hwa;Park, Soo-Yeon;Kim, Jong-Han;Kim, Seon-Jong;Shin, Jeong-Cheol;Jung, Min-Yeong
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.28 no.3
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    • pp.126-134
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    • 2015
  • Objectives : The purpose of this study is to report that Korean medical treatment is good for deteriorated moderate allergic skin after taking lotus root while getting treatment for contact dermatitis by pain relieving patch.Methods : A 54-year-old woman patient with allergic contact dermatitis received treatment with acupuncture, herbal medicine, etc. We used observation and Visual Anologue Scale(VAS) to evaluate recovery from erythema, pruritus and skin damages.Results : A visible symptoms to the naked eye and VAS scale were effectively decreased after Korean medicine treatments.Conclusions : Korean medical treatments were effective for allergic contact dermatitis deteriorated by lotus root while getting treatment contact dermatitis by pain relieving patch.

A Case of Nummular Dermatitis with Allergic Dermatitis (화폐상 피부염과 알레르기성 피부염이 병발한 환자에 대한 증례 보고)

  • Lim, Kyeong-Min;Choi, Jung-Hwa;Park, Soo-Yeon;Kim, Jong-Han;Kim, Seon-Jong;Shin, Jeong-Cheol;Jung, Min-Yeong
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.28 no.3
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    • pp.135-144
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    • 2015
  • Objectives : The purpose of this study is to transcribe the effect of Korean medical treatment on nummular dermatitis with allergic dermatitis.Methods : A 42-year-old man patient suffering from nummular dermatitis with allergic dermatitis was treated with herbal medicine, acupuncture, etc. We observed progress of patient with Visual Anologue Scale(VAS) and used comparative observation through camera photographing.Results : After Korean medical treatment, patient's chief complaints with erythema, edema, pruritus, and keratin were significantly declined.Conclusions : Korean medical treatments were an effectual cure for nummular dermatitis with allergic dermatitis.

The Clinical Study for Peripheral Facial Paralysis Treated with Herbal Stream Therapy (훈증요법을 병행한 말초성 안면신경마비 환자에 대한 임상적 고찰)

  • Park, Soo-Yeon;Kim, Ji-Soo;Jeong, Min-Young;Kim, Jong-Han;Choi, Jeong-Hwa
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.27 no.4
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    • pp.131-140
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    • 2014
  • Objective : This study was performed to investigate the effect of herbal steam therapy on peripheral facial paralysis. Method : 33 patients with peripheral facial paralysis were treated with Korean Medicine therapy including herbal steam therapy. We evaluated the effect of herbal steam therapy by Yanagihara grading system and satisfaction measurement. Results : 1. 33 patients were treated with korean medicine therapy and $27.85{\pm}16.44$ times of herbal steam therapy. 2. After treatment, Y-system score was significantly increased(p-value<0.001) from $18.45{\pm}6.5196$ to $35.42{\pm}5.2501$. 3. 87.88% of patients was satisfied with herbal steam therapy. Conclusions : Herbal stream therapy seem to be effective to improve symptoms of peripheral facial paralysis. Further studies will be needed to identify the beneficial of herbal steam therapy on peripheral facial paralysis.

A case of Pustulosis Palmaris et Plantarsis with Extra-Palmoplantar lesions (수장족저외 병변을 겸한 수장족저농포증 치험 1례)

  • Rhee, Doo-Hee;Kim, Ji-Soo;Choi, Jeong-Hwa;Park, Soo-Yeon;Kim, Jong-Han
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.27 no.4
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    • pp.230-242
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    • 2014
  • Objective : The purpose of this study is to report the Korean medicine treatment on Pustulosis Palmaris et Plataris with Extra-Palmoplantar lesions. Method : We adopted herbal medicine(Seungchung-tang-1, Eunjin-1), acupuncture and vapor treatment to treat Pustulosis Palmaris et Plantaris with Extra-Palmoplantar lesions. Steroids were administered for preventing aggravation. We observed patient's hot sensation, itching and pain of both hands and patient's itching and pain of both feet with the Visual Analogue scale(VAS). Also photographs were taken for judging inflammatory skin. Result : After the treatment, the grade of VAS was decreased from 10 to 0 and clinical symptoms were resolved. By judging photographs patient's inflammatory skin was cured. Administered steroid were also reduced from 15 mg per day to 0. Conclusion : This study shows that the Korean medicine treatment was effective to treat Pustulosis Palmaris et Plataris with Extra-Palmoplantar lesions and enable to stop steroid therapy.

Systematic Review of Moxibution Treatment for Dry Eye Syndrome (안구건조증의 뜸 치료에 대한 체계적 문헌 고찰)

  • Lee, Ho-Chan;Lee, Yu-Lim;Ko, Hong-Je;Choi, Jung-Hwa;Jeong, Min-Yeong;Park, Soo-Yeon
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.32 no.1
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    • pp.42-58
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    • 2019
  • Objectives : The aim of this study is to review the methodology of clinical trials conducted with the acupuncture and moxibustion treatment on Dry eye syndrome. Methods : Through four foreign online databases(PubMed, Cochrane library, EMBASE, CNKI) and two domestic online databases(NDSL, OASIS), we searched for clinical studies that performed moxibustion for dry eye syndrome from 2000 to December 2018. Only randomized controlled trials(RCT) were selected and anlyzed according to the research method. Results : A total 12 studies were reviewed and conducted in China. BL1, ST2, BL2 were most frequently used acupoints in moxibustion treatment. Among the evaluation indexes, Schirmer I Test(SIT), Tear break-up time(BUT) were used most. In most of the 12 studies, moxibustion treatment showed significant therapeutic effects. Conclusions : These results suggest that it is necessary to develop more detailed standards about moxibustion treatment method as the method of moxibustion is getting more diverse, and objective tools are needed in evaluating dry eye syndrome.