• Title/Summary/Keyword: otolaryngology

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Two cases of Atopic Dermatitis Treated with Huini-san (회역산(回逆散)으로 호전을 보인 아토피피부염의 치험 2례)

  • Jo, So-Hyun;Jo, Eun-Hee;Kim, Seong-Joung;Park, In-Hae;Park, Min-Cheol
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.27 no.3
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    • pp.180-190
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    • 2014
  • Background and Objective : Atopic dermatitis is a type of dermatitis, an inflammatory, relapsing, non-contagious and itchy skin disorder and affecting up to 30% of children in the Korea. In this study, Huini-san, which is mentioned in Shanghanlun(傷寒論), and acupunture treatment on Atopic Disease was investigated. Methods : We have classified the patients according to the Shanghanlun six meridian patterns diagnostic system and the patients are treated with Huini-san. The severity of Atopic dermatitis was evaluated by SCORAD index, visual analogue scale(VAS) and pictures. Results : After the treatment the SCORAD index and VAS of 2 patients dicreased significantly. Conclusions : Huini-san and acupunture treatment has improved the symptoms of Atopic dermatitis in this study.

Two Cases of False Cord Schwannoma Treated with Transoral Laser Resection (가성대에 발생한 신경초종의 경구강 레이저 절제술 치험 2례)

  • Kim, Young-Rok;Kim, Sung-Won;Hong, Jong-Chul;Lee, Bong-Ju;Lee, Kang-Dae
    • Korean Journal of Head & Neck Oncology
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    • v.23 no.1
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    • pp.58-62
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    • 2007
  • Schwannoma is a benign well-encapsulated tumors arising from the sheath of Schwann cell of the peripheral motors, sensory, and cranial nerves, but not from the optic and olfactory nerves. Since it is relatively common in the head and neck region, it should be included in the differential diagnosis of head and neck tumor. However, reports of laryngeal involvement have rarely appeared in the literature. We have experienced a 50-year old woman and 39-year old woman with history of progressive voice change. We recognized a benign mass at the false cord area with the telelaryngoscope and CT. The tumors were successfully removed by transoral CO2 laser resection without tracheotomy.

A Case of Huge Neurofibroma of the Parapharyngeal Space in the Neurofibromatosis Type I Patients (Neurofibromatosis Type I 환자에서 부인두강에 발생한 거대 신경섬유종증 1례)

  • Lee Hyung-Seok;Lee Seung-Hwan;Huh Young-Don;Hong Dong-Kyun;Lee Yoon-Seo
    • Korean Journal of Head & Neck Oncology
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    • v.16 no.1
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    • pp.87-91
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    • 2000
  • Neurofibromatosis type I or Von Recklinghausen's disease can occur at any site in the body. It is characterized by multiple $c\'{a}fe\;\'{a}u\;l\'{a}it$ spots on the skin-more than six spots greater than 1.5cm-, neurofibromas of the peripheral and centarl nervous system, and variety of other dysplastic abnormalities of the skin, bones, endocrine organs, nervous systems, and blood vessels. It is an autosomal dominant trait disease with a frequency of 1 of 3000. Neurofibromatosis is known to be complicated by malignancies. Neurofibromatosis is progressive disease and shows a marked variations in expression in affected individuals. In this report we describe a male patient with neurofibromatosis type I developed in the parapharyngeal space. The patient had huge mass at left parapharyngeal space and inguinal area. We successfully treated the patient with surgery without complication.

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Two Cases of Malignant Myoepithelioma in Parotid Gland (이하선에 발생한 악성 근상피종 2예)

  • Kim Seok-Beom;Yang Young-June;Hwang Jung-Ho;Baek Seung-Kuk;Kim Yong-Bok
    • Korean Journal of Head & Neck Oncology
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    • v.18 no.2
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    • pp.211-215
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    • 2002
  • A myoepithelial carcinoma, a rare malignant salivary gland neoplasm, occurs mostly in the parotid gland. The incidence of myoepithelioma is less than 1% of all salivary gland tumors, and malignant myoepithelioma is even more rare. Biological behavior of myoepithelial carcinoma has not been fully clarified. Malignant myoepithelioma shows clinicopathologic diversity and presents with various stages of myoepithelial differentiation. The definite treatment for malignant myoepithelioma is surgical excision, and the role of radiation therapy and chemotherapy is not yet established. In this study, we have experienced two patients with malignant myoepithelioma of the parotid gland who were treated with surgical excision.

A Comparison of T Classification of the AJCC and Ho Staging Systems for Nasopharyngeal Carcinoma (비인강암에서 AJCC와 Ho 병기 결정법에 따른 T병기의 비교)

  • Lee Sang-Wook;Seo In-Seok;Kang Mee-Jeong;Cho Seok-Hyun;Kim Kyung-Rae;Lee Hyung-Seok
    • Korean Journal of Head & Neck Oncology
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    • v.18 no.2
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    • pp.179-183
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    • 2002
  • Objective: A comparison of American Joint Committee on Cancer (AJCC) 1988 and 1997 nasopharyngeal carcinoma (NPC) classifications was made in terms of patient distribution and efficacy in predicting prognosis. Materials and Methods: Between Jan. 1981 and Dec. 1998, 60 cases of node negative nasopharyngeal carcinoma were retrospectively reviewed. The extent of disease each patients restaged according to the 4th and 5th AJCC system and Ho system, respectively. Results: The overall and disease free 5-year survival rates were 61.1% and 62.6%, respectively. Among T classifications of 4th AJCC, 5th AJCC and Ho staging system were not observed significantly different in disease-free survival rates, respectively. Conclusion: We observed a better patient distribution with AJCC 1997 comparing to AJCC 1988. The new classification also attained better statistical significances among stages in the overall survival and disease free survival rates was needed.

A Case of Large Laryngomucocele (거대 후두점액낭종 1예)

  • Mun, Sue Jean;Lee, Ji-Eun;Hong, Seung No;Choi, Hyo Geun;Kim, Kwang Hyun;Jung, Young Ho
    • Korean Journal of Head & Neck Oncology
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    • v.28 no.2
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    • pp.146-148
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    • 2012
  • 후두낭종은 후두소낭의 비정상적인 팽창으로 발생하는 드문 질환이다. 후두낭종의 크기와 증상에 따라 치료 방법은 단순 경과관찰에서부터 흡인, 경화제 주입, 수술적 치료까지 다양하다. 수술적 치료는 외적 접근법, 내시경적 접근법 또는 두 접근법을 혼용한 접근법을 통해 이루어진다. 최근 저자들은 경부 외적 접근법 및 연골막하 절제를 통한 혼합 후두점액낭종 1예의 치료를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

A Case of Cystic Lymph Node Metastasis of Tonsil Cancer Mimicking 2nd Branchial Cleft Cyst (제2열 새열 낭종으로 오인되었던 편도암의 낭성 경부 임파절 전이 1예)

  • Park, Seung Bum;Noh, Minh Ho;Ban, Won Woo;Ban, Myung Jin;Park, Jae Hong
    • Korean Journal of Head & Neck Oncology
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    • v.31 no.2
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    • pp.86-90
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    • 2015
  • Cystic lymph node metastasis of head and neck squamous cell carcinoma(HNSCC) which presumed to be mainly originated from oropharynx including Waldeyer's ring may present as a benign cystic mass on lateral neck such as branchial cleft cyst. Branchial cleft cyst is one of the most common lateral neck cystic mass which may result in regional infection or lymph adenopathy. Many of previously reported literatures showed the incidence of cystic lymph node metastasis from oropharynx including Waldeyer's ring. Preoperative imaging studies and fine needle aspiration cytology cannot provide the accurate results until excision of cystic mass for the diagnostic or therapeutic purpose. Recently, we experienced the rare case of cystic lymph node metastasis from ipsilateral tonsil, which mimicked infected 2nd branchial cleft cyst. Thus, we reported our experience with presentation of case and review of literatures.

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A Study of Correlation Between Severity of Vocal Polyp and Acoustic Parameters (성대용종의 중증도와 음향지수의 상관관계)

  • Hong, Ki-Hwan;Yang, Yoon-Soo;Kim, Jin-Sung;Lee, Jae-Keun;Lee, Eun-Jung
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.17 no.1
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    • pp.17-27
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    • 2006
  • Background and Objectives: Vocal polyp is the most common disease that causes hoarseness and its incidence is increased currently. The purposes of this study are to investigate the correlation between severity of vocal polyp and acoustic parameters and compare these data with those of the normal Korean. Materials and Methods: We analyzed the acoustic parameters of sustained vowel for 70 vocal polyp patients and 20 normal controls. A CSL(computerized speech lab) was used to carry out the analysis of the voice sample and statistical analysis was used Spearman correlation coefficient & t-test. Results: According to the conclusion of correlation analysis, 21 parameters of all the 34 parameters are significant. Conclusion: These data will be served as basic data for the evaluation of postoperative assessment of the patients with vocal polyp.

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Review on Mechanism and Efficacy of Acupuncture Stimulation - Relationship between Acupuncture Stimulation and Autonomic Nervous System (침자극의 기전 및 효과에 대한 고찰 - 자율신경계와의 관계를 중심으로)

  • Jeon, Sun-Woo;Nam, Hae-Jeong;Kim, Jin-Myoung;Lee, Woo-Geon;Kim, Yoon-Bum
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.24 no.5
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    • pp.748-752
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    • 2010
  • There are many hypothesis about mechanism of acupuncture, and the relationship between acupuncture stimulation and autonomic nervous system(ANS) is one of the powerful hypothesis. The purpose of this study is to investigate the relationship between acupuncture stimulation and ANS. We searched the literature and reports related with acupuncture stimulation(meridian system, meridian points) and autonomic nervous system. And we concluded acupuncture stimulation can control autonomic nervous system. We reviewed studies that contributed to an understanding of the autonomic mechanisms of acupuncture with the hope that this review will be of benefit to the acupuncture treatment.

Thyroid Papillary Carcinoma Presenting as a Parapharyngeal Mass (부인두강 종물로 발현된 갑상선 유두상암종)

  • Woo Jeong-Su;Kim Yong-Whoan;Jung Kwang-Yoon;Choi Geon;Choi Jong-Ouck
    • Korean Journal of Head & Neck Oncology
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    • v.12 no.1
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    • pp.43-46
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    • 1996
  • An unusual case of nodal metastases from thyroid neoplasm known as parapharyngeal space mass is likely to be overlooked. And identification of the primary lesion by excisional biopsy calls for a secondary operation. Therefore, it is important to be aware of the possible lymphatic spread of the thyroid neoplasm to the parapharyngeal space. In this case, completion thyroidectomy should be considered. Here, we present a case of thyroid papillary carcinoma masquerading as a parapharyngeal space tumor. The mass was removed by transcervical approach and pathologically diagnosed as a metastatic thyroid papillary carcinoma. Successful results were obtained after additional completion thyroidectomy.

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