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      • KCI등재

        비강 내 접근법으로 제거한 함치성 낭종

        배승현,이재욱,모지훈,정영준 대한이비인후과학회 2013 대한이비인후과학회지 두경부외과학 Vol.56 No.1

        Dentigerous cyst is the second most common odontogenic cyst and is associated with the crown of an unerupted tooth. Removal of the entire cyst with the impacted tooth is a treatment of choice to prevent recurrence. Although Caldwell-Luc approach has been used frequently for the treatment of a dentigerous cyst in the maxillary sinus, it has more morbidity than transnasal endoscopic approach. Moreover, endoscopic approach has several other advantages, such as good illumination, clear and magnified visualization, resulting in more conservative surgery with pre-cise dissection. A 37-year-old man was referred to the outpatient clinic due to an incidental large expansile cystic lesion containing ectopic tooth in the right maxillary sinus. Endoscopic examination identified a prominent bulging lesion in the inferior meatus. The cyst with the tooth was removed completely through a large inferior meatal antrostomy with endoscopic guidance. Postoperative course was uneventful and there was no recurrence for 4 years postoperatively.

      • KCI등재

        비중격비갑개성형술 후 주관적 비폐색감의 호전과 음향 비강통기도 검사 지표들의 변화 및 상관성

        배승현,모지훈,정영준 대한이비인후과학회 2011 대한이비인후과학회지 두경부외과학 Vol.54 No.2

        Background and Objectives There have been some studies performed to evaluate subjective and objective changes after septoplasty and of their correlation, but have reported contradicting results. In this light, this study attempted to evaluate subjective and objective postoperative changes and investigate whether there is any correlation between them. Subjects and Method This study was performed prospectively in 48 patients who underwent septoplasty and outfracturing of both turbinates. The parameters of subjective nasal patency and acoustic rhinometry (AR) were measured before and after surgery. We evaluated these changes and determined if there exists a correlation between the changes of AR parameters and improvement of subjective nasal patency. Results Minimal cross-sectional area (MCA) and nasal volume in the convex side of nasal cavity were significantly improved after the surgery (p<0.05). Subjective nasal patency and septal symmetry were also improved (p<0.05). There was a correlation between the changes of MCA and nasal volume in the convex side of nasal cavity with respect to the improvement of subjective nasal patency (p<0.05). However, the improvement of symmetry was not correlated with that of subjective nasal patency. Conclusion Both subjective nasal patency and AR parameters were improved after septoturbinoplasty. Changes of MCA and nasal volume in the convex side of nasal cavity well reflected the improvement of subjective nasal patency postoperatively, whereas the improvement of symmetry did not correlate with the improvement of subjective nasal patency.

      • KCI등재

        편측 성대마비에서 자가지방을 이용한 성대주입술과 내전형 갑상성형술간의 음성학적 결과 비교

        배승현,이상준 대한이비인후과학회 2010 대한이비인후과학회지 두경부외과학 Vol.53 No.1

        Background and ObjectivesZZGlottic incompetence from the unilateral vocal cord paralysis can be improved by medialization of the paralyzed vocal cord. There are many medialization techniques. Among them, medialization thyroplasty and injection laryngoplasty are frequently used techniques. We compared the vocal outcomes of fat injection and medialization thyroplasty in unilateral vocal cord paralysis. The aim of this study is to find out which modalities are more preferable as initial treatment of unilateral vocal cord paralysis. Materials and MethodZZFrom 2004 January to 2008 September, medialization thyroplasty was performed in 13 patients and fat injection in 14 patients for unilateral vocal cord paralysis. We analyzed the voice quality by several subjective and objective parameters. The parameters are visual analog scale, GRBAS scale, acoustic analysis (fundamental frequency, jitter, shimmer,noise to harmonic ratio), and aerodynamic analysis (maximum phonation time, mean flow rate,subglottic pressure). ResultsZZVisual analog scale, jitter, shimmer and maximum phonation time are improved after both medialization thyroplsty and fat injection. In GRBAS scale, fat injection showed statistically significant improvement compared with medialization thyroplasty. The mean flow rate was also significantly decreased in fat injection. ConclusionZZBoth medialization thyroplasty and fat injection improved voice quality. But injection laryngoplasty with fat may be superior to silastic medialization in short-term voice outcome.

      • KCI등재

        증례 : 소화기; 내시경 유두절제술로 제거한 거대 십이지장 주유두의 신경내분비종양

        배승현 ( Seung Hyeon Bae ),김진용 ( Jin Yong Kim ),김창래 ( Chang Lae Kim ),최영권 ( Young Kwon Choi ),신보미 ( Bo Mi Shin ),홍승모 ( Seung Mo Hong ),김명환 ( Myung Hwan Kim ) 대한내과학회 2014 대한내과학회지 Vol.86 No.3

        Neuroendocrine tumors (NET) of the major duodenal papilla are rare and the natural history of this disease is not clear. We experienced a case in a 31-year-old male. Duodenoscopy revealed an enlarged major duodenal papilla with central umbilication and nodularity. Endoscopic ultrasonography (EUS) demonstrated a 3-cm hypoechoic mass that was confined to the submucosa. A biopsy led to the diagnosis of a grade 1 NET. The patient refused surgery, so we performed an endoscopic papillectomy. The tumor was removed completely. The resected specimen confirmed the diagnosis of a well-differentiated NET and all resection margins were negative. Surgical resection is currently considered to be the gold standard for the treatment of a large NET of the major duodenal papilla; however, endoscopic resection is a possible treatment modality for patients at high surgical risk or who are reluctant to undergo surgery.

      • KCI등재

        기억에 남는 관광경험이 관광만족과 온라인 구전에 미치는 영향 연구

        배승현(Bae, Seung Hyun) 대구과학대학교 국방안보연구소 2021 사회융합연구 Vol.5 No.6

        본 연구에서는 기억에 남는 관광 경험을 구성하는 요인을 파악하고 기억에 남는 관광 경험, 관광 만족도와 온라인 구전 간의 영향 관계를 확인하고자 하였다. 연구 범위는 해외 관광 경험이 있는 한국인을 대상으로 하였으며, 조사 방법은 전문기관을 통한 인터넷 조사를 통해 425부를 수집한 설문을 분석에 활용하였다. 탐색적 요인분석을 통해 요인을 도출하고, 신뢰도 분석과 타당성 분석을 실시하였으며, 회귀분석을 통해 요인 간의 영향관계를 검증하였다. 연구 결과 기억에 남는 관광 경험 5요인 (현지 가이드경험, 인프라 경험, 이국적 경험, 자기 유익경험, 동반자 유대경험) 모두 관광 만족도에 유의한 영향을 미친 반면, 온라인 구전과 기억에 남는 관광 경험 요인 중 자기 유익 경험만이 유의미한 영향을 미치는 것으로 나타났다. 이를 바탕으로 학문적, 실무적 시사점을 제시하였다. The purpose of this study was to identify the factors that make up the memorable travel experience and to verify the impact relationship between the memorable travel experience and tourism satisfaction and Online Word-of-Mouth(eWOM). The scope of the study was aimed at Koreans with overseas tourism experience within the last 5 years. The investigation method demonstrated 425 copies of the data collected by conducting an Internet survey through a specialized institution. The factors were derived from exploratory factor analysis, reliability analysis and feasibility analysis were conducted, and the influence relationship between the factors was verified through regression analysis. As a result of the study, the five factors of memorable tourism experience (local guide experience, infrastructure experience, exotic experience, self-benefit experience, and companionship experience) all had a significant effect on tourism satisfaction. On the other hand, it was found that only self-benefit experience had a significant effect on the relationship with online word of mouth among memorable tourism experience factors. Based on this, academic and practical implications were provided.

      • 간세포암종의 안와 전이 1예

        양영주,배승현,장일영,전미정,정지원,안지현,심주현 영남대학교 의과대학 2013 Yeungnam University Journal of Medicine Vol.30 No.2

        Orbital metastasis from hepatocellular carcinoma is very rare, with only 14 biopsy-proven cases from hepa tocellular carcinoma cases reported in English literature and three cases reported in Korea. Common symptoms of orbital metastasis are proptosis, visual loss, ocular pain and oculomotor dysfunction. For its precise diagnosis, we can perform fine needle aspiration biopsy, orbit CT or MRI, and ultrasonography. Radiotherapy is the mainstay in the treatment of orbital metastasis. In addition, chemotherapy, hormonal therapy and surgical intervention can play a role in the treatment of orbital metastasis according to the primary cancer and symptoms. However, the prognosis of orbital metastasis is poor. We report herein a rare case of a patient with orbital metastasis from hepatocellular carcinoma, which was treated with various modalities that included resection, and who had good clinical and radiological responses to radiation therapy and sorafenib (Nexavar, Bayer HealthCare).

      • KCI등재

        수평반고리관과 후반고리관의 양측성 양성돌발성두위현훈

        서명환,배승현,정재윤,이정구 대한이비인후과학회 2008 대한이비인후과학회지 두경부외과학 Vol.51 No.12

        Bowing nystagmus, lying down nystagmus, null pointand comparing the slow phase velocity during right and left head roll test may be used to distinguish the side of lesion in lateral canal benign paroxysmal positional vertigo (BPPV). Nonetheless, it is sometimes difficult to distinguish the side of lesion. In particular, when multiple canal BPPV such as lateral and posterior canal BPPV is suspected, the problemis even more complicated. From this reason, usually the side of lesion is first identified for the posterior canal, and the lateral canal BPPV is presumed to be present on the identical side. But is this approachalways correct and justifiable? As there are reports on bilateral posterior canal BPPV and bilateral lateral canal BPPV, there should also be bilateral posterior and lateral canal BPPV cases. We report two cases of bilateral posterior and lateralcanal BPPV, and discuss the grounds for diagnosing these cases as bilateral. The first case is a mixed left posterior canalolithiasis plus right lateral canalolithiasis and the second case is a mixed right posterior canalolithiasis plus left lateral cupulolitiasis. In such cases, mixed nystagmus can make it difficult to directly compare the slow phase velocity during the right and left head roll test. New methods are necessary to distinguish the side of the lesion for the lateral canal. We introduce the concept of AHC (attenuated horizontal component) which seems to be important in deciding the side of lesion in multiple canal BPPV. We also introduce head center nystagmus (HCN) to aid the decision on the side of lesion. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:1155-62)

      • KCI등재후보

        주관적 시수평과 시수직의 불일치에 대한 임상적 의미

        문태현,배승현,조일권,서명환,이정구,정재윤 대한평형의학회 2009 Research in Vestibular Science Vol.8 No.1

        Background and Objectives Subject visual vertical (SVV) and subject visual horizontal (SVH) is well known otolith function test. Patients with acute unilateral vestibular weakness fail to set the test bar within normal range in SVH/SVV showing abnormal deviation toward lesion side. In some cases, SVH and SVV are deviated towards different directions, and analysis of these findings is rarely reported. The authors analyzed correlation of SVH/SVV and other vestibular function tests in patients with various vestibular diseases. Materials and Methods From April 2005 to July 2007, total 234 patients who had admitted for dizziness were enrolled. All patients were divided in two groups, non-dissociation group (n=215) and dissociation group (n=19). Correlation of SVH, SVV, Videonystagmography (VNG), the rotating chair test was compared. Results 8.1% of patients showed dissociation between SVH and SVV. Clinical features did not showed significant difference between groups. In non-dissociation group, SVH/SVV showed correlation with VNG, rotating chair test. However in dissociation group, VNG and rotating chair test revealed high rate of consistency with deviation of SVH than that of SVV. Also direction of SVH and dizziness had higher consistency (88.9%) than that of SVV (11.1%). Conclusion The SVH showed consistency with other vestibular function test and may be more reliable than SVV when the result is dissociated. Background and Objectives Subject visual vertical (SVV) and subject visual horizontal (SVH) is well known otolith function test. Patients with acute unilateral vestibular weakness fail to set the test bar within normal range in SVH/SVV showing abnormal deviation toward lesion side. In some cases, SVH and SVV are deviated towards different directions, and analysis of these findings is rarely reported. The authors analyzed correlation of SVH/SVV and other vestibular function tests in patients with various vestibular diseases. Materials and Methods From April 2005 to July 2007, total 234 patients who had admitted for dizziness were enrolled. All patients were divided in two groups, non-dissociation group (n=215) and dissociation group (n=19). Correlation of SVH, SVV, Videonystagmography (VNG), the rotating chair test was compared. Results 8.1% of patients showed dissociation between SVH and SVV. Clinical features did not showed significant difference between groups. In non-dissociation group, SVH/SVV showed correlation with VNG, rotating chair test. However in dissociation group, VNG and rotating chair test revealed high rate of consistency with deviation of SVH than that of SVV. Also direction of SVH and dizziness had higher consistency (88.9%) than that of SVV (11.1%). Conclusion The SVH showed consistency with other vestibular function test and may be more reliable than SVV when the result is dissociated.

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