• Title/Summary/Keyword: rhinorrhea

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Usefulness of Silicone Plate for Sellar Floor Reconstruction (터어키안 저부 재건술시 실리콘 판의 유용성)

  • Kim, Sung Bum;Kim, Jae Min;Yi, Hyeong Joong;Bak, Koang Hum;Kim, Choong Hyun;Oh, Suck Jun;Lee, Seoung Hwan
    • Journal of Korean Neurosurgical Society
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    • v.29 no.9
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    • pp.1204-1208
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    • 2000
  • Objectives : At the closure of the transsphenoidal approach(TSA), the proper sellar floor reconstruction plays an important role in preventing postoperative complications. The septal cartilage, perpendicular plate of nasal septum, and the sphenoid sinus bone are usually used to repair the sellar floor as a bone splint. The authors evaluate the usefulness of a silicone plate as a substitute for bone splint to close a defect of the sellar floor. Materials and Methods : A silicone plate was used to repair the sellar floor in 7 patients with sellar lesions which included four pituitary adenomas, two Rathke's cleft cysts and one metastatic tumor. Among seven cases, five cases underwent a standard TSAs and two received a extended TSAs. The trajectories of the approach were sublabial in four cases and endonasal routes in three cases. The silicone plate for implantation was cut to a size of slightly larger than that of bone window and inserted with a three-pronged fork, and then adjusted precisely. Results : In six patients, there were no complications which related to sellar floor reconstruction. A postoperative cerebrospinal fluid(CSF) rhinorrhea was observed in one patient with pituitary macroadenoma. Conclusions : From the authors' experience, the advantages of the silicone plate are its simplicity of molding to fit any size of sellar floor defects, and easy detection of previously created bone window at reoperation.

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CLINICAL STUDY ON THE CONSCIOUS SEDATION WITH MIDAZOLAM INTRANASAL SPRAY (미다졸람의 비강내 분무를 이용한 의식진정에 대한 증례보고)

  • Kim, Hyun-Sik;Choi, Jung-Lim;Lee, Chang-Seop;Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.25 no.4
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    • pp.782-787
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    • 1998
  • The treatment for pediatric dental patient has become more complex than the previous, because patients of pediatric dentistry, younger than the previous, and they were often combined with systemic disease. And, the importnace of conscious sedation has been increased by this time for this reason. In a variety of CNS depressants, newly developed imidazobenzodiazepine (midazolam) is well known as a safe and effective medicament. It has a rapid onset, minimized cardiovascular depression and various possible administering, route, so it is commonly used for the conscious sedation of pediatric dental patients. Recently, "intranasal drop-in method" draws attention for its safety, but discomfort during administration and posterior dripping through pharynx diminish its popularity. Now more advanced method for intranasal administration is introduced for conscious sedation for pediatric dental patients, it is "intranasal spray" with aerosol form of medicament. With this method, we can achieve some benefits as belows : 1. Diminished discomfort during intranasal spray than nitranasal drop-in. 2. Rapid osnet and reduction than intranasal drop-in. 3. Eliminatin of adverse reaction, such as rhinorrhea. 4. More improved behavior rating scale.

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The Diagnostic Values of Ryodoraku and Pulse Analysis for a portion of Respiratory Disease (비체증(鼻涕證), 해수증(咳嗽證), 효천증(哮喘證) 환자(患者)에 대한 양도락(良導絡) . 맥진검사(脈診檢査)의 진단가치(診斷價値))

  • Shen, Feng-Yan;Lee, Sung-Hun;Jung, Hee-Jae;Jung, Sung-Ki
    • The Journal of Internal Korean Medicine
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    • v.29 no.3
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    • pp.535-542
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    • 2008
  • Objectives : Ryodoraku, which is a physiological function test using electric current, is closely related to skin sympathetic tone. Pulse analysis is known to reflect cardiovascular reactivity. Refer to the previous researches Ryodoraku and pulse analysis have value as tools for diagnosing respiratory diseases. In this study we examined the diagnostic values of Ryodoraku and pulse analysis for respiratory disease patients. Methods : For this study. we conducted Ryodoraku and pulse analysis on 114 people, including 83 respiratory disease outpatients and 31 volunteers who did not have any respiratory symptoms or disease history. The respiratory patients were divided into three subgroups according to their symptoms: rhinorrhea group, cough-sputum group and wheezing-dyspnea group. Then we compared the disease groups with the control group. Results : When all experimental groups were compared with the control group, mean Ryodoraku was significantly lower. Mean H2, mean H3 and mean H6 were significantly lower in the rhinorrhea group (P<0.05), all the test results of Ryodoraku were evidently lower in the cough-sputum group (P<0.01), and most results of Ryodoraku were evidently lower in the wheezing-dyspnea group except H1 (P<0.01). Compared with the control group on pulse analysis, mean YP+/YP- was significantly lower in the wheezing-dyspnea group (P<0.05). Conclusion : Ryodoraku and pulse analysis were found to have a high value as quantitative diagnosis tools reflecting individuals' weakness and firmness. Nevertheless, more research is needed to find the further values.

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A Case of Squamous Cell Carcinoma of the Frontal Sinus (전두동에서 발생한 편평세포암종 치험 1례)

  • Lee Seung-Eun;Kim Ho-Jung;Kim Sang-Hyun;Chung Duk-Hee;Ahn Cheol-Min
    • Korean Journal of Head & Neck Oncology
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    • v.12 no.1
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    • pp.47-51
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    • 1996
  • Malignant tumors of the sinonasal tract constitute about 2% of those arising in the head and neck. Exposure to industrial fumes has been associated with an increased incidence of this malignant tumor. Early symptomatology of this cancer is identical to the symptomatology seen in benign conditions, such as swelling on forehead, headache, diplopia, and rhinorrhea. Thereby, delayed diagnosis leads to poor prognosis. Squamous cell carcinoma is the most common malignancy of the sinonasal tract, constituting about 80%, and primary carcinoma of the frontal sinus is extremely rare. Recently, authors experienced a case of primary carcinoma of the frontal sinus in a 60 year old male and performed transcranial resection. Now we report this case with brief review of literatures.

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A Literature Study of Allergic Rhinitis for Children (소아 알레르기성 비염에 대한 동.서의학적 고찰)

  • Lee, Kyung-Im;Kim, Yun-Hee;Kim, Yeon-Jin
    • The Journal of Pediatrics of Korean Medicine
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    • v.16 no.2
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    • pp.111-128
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    • 2002
  • Objectives : The aim of this study was to investigate the classification methods of the cause of Allergic Rhinitis for Children. Methods : We surveyed the oriental & western medical book concerning the Allergic Rhinitis for Children. Results : 1. The Oriental medicine, Allergic Rhinitis is belong to the BiGu, BunChe and the symptoms are watery rhinorrhea, sneezing and nasal obstruction. 2. The cause of disease is the weak of lung, spleen and kidney, and invasion in to nasal cavity of Poong Han etc a wrong air. 3. In children, the cause of disease is the weak of lung and spleen. and the aim of the treatment is helping the vital energy and expelling the vice.

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A clinical study on the effect of Socheongryongtanggamibang on 4 pneumonia children (폐렴(肺炎) 소아(小兒) 환아(患兒) 4례(例)에 대한 소청용탕가미방(小靑龍湯加味方)의 치료효과(治療效果)에 대한 임상적(臨床的) 고찰(考察))

  • Kim, Yun-Hee;Yoon, Ji-Yeon
    • The Journal of Pediatrics of Korean Medicine
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    • v.17 no.1
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    • pp.131-140
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    • 2003
  • Introduction : Pneumonia is an inflammation of alveolus and pneumal parenchyma and it is one of common pediatric diseases. According to, pneumonia belongs to the Haesu(咳嗽), Chunsik(喘息), Phechng(肺脹), Pungon(風溫). Purpose : The purpose of this study is to find out whether Socheongryongtanggamibang has any effects on children with pneumonia. Method : The subjects are in regard to children with pneumonia who visited Dae Jeon Oriental Medicine Hospital from December 2002 to April 2003. The herbal medicine therapy are applied for one week. Result and Conclusion : After treatment, the symptoms (coughing, rhinorrhea, sputum, fever) of pneumonia were improved. More studies about the Oriental Medicine treatment and conception on pneumonia are needed.

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Cluster Headache-like Facial Pain following Dental Extraction: A Case Report

  • Byun, Jin-Seok;Jung, Jae-Kwang;Choi, Jae-Kap
    • Journal of Oral Medicine and Pain
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    • v.39 no.3
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    • pp.115-118
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    • 2014
  • A 50-year-old female patient with severe unilateral pain in the right eye, head, and face accompanied by lacrimation and drooping of the right eye and rhinorrhea from the right nose, which developed immediately after extraction of the maxillary right first and second molars, was successfully treated with oral administration of sumatriptan and prednisolone, or verapamile. Although the clinical characteristics are similar to those reported in cluster headache except the temporal feature, the probable cluster headache, the hemicrania continua and the acute migraine headache should be included in the list of differential diagnoses.

The Clinical Study in Children with Cough (만성(慢性)기침 환아(患兒)의 임상적()臨床的) 고찰(考察))

  • Lee Seung-Yeon
    • The Journal of Pediatrics of Korean Medicine
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    • v.13 no.2
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    • pp.139-148
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    • 1999
  • The purpose of this study was to prepare the new effective oriental medical treatments. This study was performed at Dongeui Oriental Medical Hospital from October, 1, 1999 to November, 30, 1999, and 59 patients with cough persisting for longer than 3 weeks were evaluated. The following results were obtained. 1. In sex, male was 32 patients(54.24%) and female was 27 patients(45.76%), and in age group, between 2 and 6 years was 43 patients(72.88%) as first. 2. In the distribution of complicated signs, sputum was 42 patients(7l.18%) as first, rhinorrhea was 24(40.68%) as second. 3. In the style of cough. attack on morning or sleeping time was 32 patients(54.24%) as first. 4. In the past history, pulmonary diseases, such as pneumonia, bronchitis were 10 patients(16.95%) as first. 5. In the family history of allergy, allergic dermatitis was 6 patients(10.l7%) and allergic rhinitis was 4 patients(6.78%)

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A Case Report of Chronic Paranasal Sinusitis Who Complains Postnasal Drip (後鼻漏를 主訴로 한 慢性 副鼻洞炎 患者의 治驗 1例)

  • Kim, Chang-hwan;Sun, Young-jae;Lim, Woong-kyoung;Kim, Hyun-gi
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.16 no.2
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    • pp.244-248
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    • 2003
  • Paranasal sinusitis is a common disease in the otorhinolaryngology area. It is the change of inflammation at the mucous membrane which surrounds paranasal sinus. Chronic paranasal sinusitis is a chronic inflammation disease with purulent, mucous rhinorrhea, postnasal drip and cough. The attacked period continues above three months and it repeats exacerbation and remission. We diagnosed and treated an outpatient who complains postnasal drip of chronic paranasal drip of chronic paranasal sinusitis based on the Oriental medical theories and had good result.

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A Clinical study of Chronic Paranasal Sinusitis. (만성 부비동염 환자의 임상적 고찰)

  • Lee, In-su;You, Bok-Jong;Kim, Hee-Taek
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.17 no.3
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    • pp.102-106
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    • 2004
  • Obective : This study was designed to investigated clinical features and frequent parts of chronic paranasal sinusitis Method : The ratio of male and female, the distribution of symptoms, the frequent parts of paranasal sinusitis on PNS images were investigated in 26 patients who visited Department of otorhinolaryngology Semyung university Oriental medical hostipal during from march, 2004 to october, 2004. Results: 1. The ratio of male and female was 1:1.5 and the teens were high rate of age group 2. The results reveal1he most common symptoms as follows ; nasal stuffiness(28.1$\%$), rhinorrhea26.5$\%$), laryngopharyngial disorder(14$\%$). 3. The frequent parts of paranasal sinusitis on PNS images were ethmodial sinus, maxillary sinus, fronal sinus in good order. 4. 87.5$\%$ of patients show effective result in medical treatment Conclusion: We suggest that this results form the foundation of objectification of medical treatment of paranasal sinusitis

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