외이부에 발생한 결절성 근막염 2예

윤태미,김록영,조시영,이지신 대한이비인후과학회 2011 대한이비인후과학회지 두경부외과학 Vol.54 No.10

Nodular fasciitis is a benign reactive myofibroblastic proliferative lesion of unknown etiology. It is classically presented as a freely mobile, solitary, rapidly growing superficial nodule. It can mimic an early mesenchymal malignancy dut to its rapid growth rate and histologic appearances such as high cellularity and mitotic activity. Nodular fasciitis of the auricular region is uncommon. Here, we describe, along with a literature review, the cases of two patients with nodular fasciitis as a tragal and infrauricular mass.

재발성 기이하선 1예

윤태미,이준규 대한이비인후과학회 2008 대한이비인후과학회지 두경부외과학 Vol.51 No.6

Pneumoparotid is a rare cause of enlargement of the parotid gland that may result in pneumoparotitis. Recurrent pneumoparotid has been described in patients who generate increased intraoral pressures when playing wind instruments, and when attempting at cough suppression. We report a case of recurrent pneumoparotid developed following severe vomiting and review the literature surrounding this unusual entity. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:559-61)

비인두 종괴으로서의 방선균증 1예

윤태미,서경선,조휴채,이준규 대한이비인후과학회 2006 대한이비인후과학회지 두경부외과학 Vol.49 No.6

Nasopharyngeal actinomycosis is a rare clinical disease. To our knowledge, only a few other cases of nasopharyngeal actinomycosis have been reported previously, following a nasal trauma or surgical manipulation. We report a case of actinomycosis presenting nasopharyngeal mass without prior mucosal trauma. Our patient had endonasal endoscopic excision of the infected tissue and was treated with 4 weeks of oral antibiotics therapy without any evidence of recurrence. We recommend including actinomycosis in the differential diagnosis of a nasopharyngeal mass. (Korean J Otolaryngol 2006;49:663-5)

경부 척수신경 기원으로 오인된 경부 고대 신경초종 1예

윤태미,김희대,이준규,임상철 대한이비인후과학회 2007 대한이비인후과학회지 두경부외과학 Vol.50 No.7

Schwannoma is a benign, solitary, and slow growing tumor which may arise from the nerve sheath of the peripheral, sympathetic, and cranial nerves. Ancient schwannoma is a rare variant of schwannoma with atypical tumor cells with nuclear pleomorphism and hyperchromatism. It may be confused with a malignant mesenchymal tumor or schwannoma with malignant transformation. We report a case of an ancient schwannoma being adjacent to the transverse process of the fourth cervical spine. (Korean J Otorhinolaryngol-Head Neck Surg 2007;50:643-5)

Paraesophageal Anthracofibrosis Mimicking Metastatic Lymphadenopathy in Papillary Thyroid Cancer: a Case Report

윤태미,이경화 대한갑상선학회 2022 International Journal of Thyroidology Vol.15 No.1

Anthracofibrosis is luminal narrowing with a black anthracotic pigmentation on the bronchial mucosa. Extrapulmonary anthracofibrosis is very rare in head and neck region, and anthracofibrosis associated withadhesion to adjacent tissue can be misdiagnosed to malignancy. We report a rare case of a paraesophagealanthracofibrosis in a patient with advanced papillary thyroid cancer. The paraesophageal anthracofibrosispresented as a black colored hard mass with severe adhesion to the recurrent laryngeal nerve (RLN) during thyroidsurgery, suspecting metastatic lymphadenopathy. With intraoperative frozen biopsy, unnecessary aggressivesurgery with the injury of RLN can be avoided. Permanent histopathological examination of the mass revealedanthracofibrosis with strong positivity on Masson’s trichrome staining. This case highlights that anthracofibrosisshould be included in differential diagnosis of paraesophageal masses, and frozen sectional biopsy can help indecision making during surgery. In addition, collagen might be involved in the adhesion of the anthracotic massto the surrounding tissues.

Vascular Leiomyoma in the Head and Neck Region: 11 Years Experience in One Institution

윤태미,양형채,최유덕,이동훈,이준규,임상철 대한이비인후과학회 2013 Clinical and Experimental Otorhinolaryngology Vol.6 No.3

Objectives. Vascular leiomyoma is an uncommon benign tumor of smooth muscle origin that arises from the muscularis layer of blood vessel walls. We report our experiences with the clinical manifestations, pathologic characteristics, and management of vascular leiomyoma in the head and neck. Methods. The clinical records of 12 patients with vascular leiomyoma of the head and neck in the 11-year period were reviewed retrospectively. Results. The 12 patients included nine men and three women. The locations of the tumors were variable, including nasal cavity, auricle, hard palate, upper lip, upper eyelid, and supraclavicular space. All but three patients reported an asymptomatic spherical mass; the other three patients complained of intermittent epistaxis or unilateral nasal obstruction resulting from the tumor originating in the nasal cavity. All tumors were painless. Computed tomography consistently revealed a well-defined, intensely enhanced small mass on the mucosa. No case was dignosed corretly as vascular leiomyoma before surgical excision. All patients underwent localized surgical excision of the tumor without recurrence. Five of 12 tumors (42%) were of solid type, four (33%) were of venous type, and three (25%) were of cavernous in histological classification. The histologic type was not related to gender, site of occurrence, and presence of pain. Conclusion. Vascular leiomyoma presents as a small, painless mass in various locations of the head and neck region. Localized surgical excision is the only way to make the diagnosis and yields excellent results.

Organized Hematoma of the Maxillary Sinus: Rapid Progression and Complications

윤태미,이동훈,김승범,임상철 대한이비인후과학회 2016 대한이비인후과학회지 두경부외과학 Vol.59 No.2

An organized hematoma of the maxillary sinus (OHMS) is a rare, benign lesion with locally destructive behavior. Although various clinical manifestations of OHMS have been reported previously, their associated complications and rapid progression have not yet been described. Herein, we report a case of OHMS that was further complicated by facial and orbital abscesses. Intensive treatment was necessary to prevent complications and progression of the condition. Korean J Otorhinolaryngol-Head Neck Surg 2016;59(2):150-4

경구개 연성종물로 발현된 혈관평활근종 1예

윤태미(Tae Mi Yoon),정기홍(Ki Hong Jung),양형채(Hyung Chae Yang),이준규(Joon Kyoo Lee) 대한두경부종양학회 2010 대한두경부 종양학회지 Vol.26 No.2

Vascular leiomyomas are benign tumors of smooth muscle origin arising from the muscularis layer of blood vessel walls. They can occur anywhere in the body where smooth muscle is found and usually occur in the lower extremity as a slow-growing, firm, occasionally painful mass. However they are rare in the head and neck and very rare in hard palate. Here we report a case of a vascular leiomyoma presenting as a soft mass of the hard palate and review the literatures.

Invasive Fungal Sinusitis of the Sphenoid Sinus

이동훈,윤태미,이준규,주영은,박경화,임상철 대한이비인후과학회 2014 Clinical and Experimental Otorhinolaryngology Vol.7 No.3

Objective. This study was conducted to present the clinical outcome of invasive fungal sinusitis of the sphenoid sinus and to analyze clinical factors influencing patient survival. Methods. A retrospective review of 12 cases of invasive fungal sphenoiditis was conducted. Results. Cases were divided into acute fulminant invasive fungal spheonoidits (n=4) and chronic invasive fungal sphenoid- itis (n=8). The most common underlying disease was diabetes mellitus (n=9). The most common presenting symp- toms and signs included visual disturbance (100%). Intracranial extension was observed in 8 patients. Endoscopic debridement and intravenous antifungals were given to all patients. Fatal aneurysmal rupture of the internal carotid artery occurred suddenly in two patients. The mortality rate was 100% for patients with acute fulminant invasive fungal sphenoiditis and 25% for patients with chronic invasive fungal sphenoiditis. In survival analysis, intracranial extension was evaluated as a statistically significant factor (P=0.027). Conclusion. The survival rate of chronic invasive fungal sphenoiditis was 75%. However, the prognosis of acute fulminant invasive fungal sphenoiditis was extremely poor despite the application of aggressive treatment, thus, a high index of suspicion should be required and new diagnostic markers need to be developed for early diagnosis of invasive fungal sinusitis of the sphenoid sinus.

Supraclavicular Lymph Node Excision Biopsy in Patients with Suspected Supraclavicular Lymph Node Metastasis of Lung Cancer: Experience in a Tertiary Hospital

이동훈,윤태미,이준규,임상철 전남대학교 의과학연구소 2017 전남의대학술지 Vol.53 No.1

The aim of this study was to evaluate the usefulness and accuracy of supraclavicular lymph node excision biopsy in the diagnosis of suspected supraclavicular lymph node metastasis of lung cancer. A retrospective review was performed to evaluate patients with suspected supraclavicular lymph node metastasis of lung cancer who underwent supraclavicular lymph node excision biopsy from January 2011 to July 2014. Forty-six patients with suspected supraclavicular lymph node metastasis of lung cancer underwent supraclavicular lymph node excision biopsy, which diagnosed benign diseases in 6 patients and malignant diseases in 40 patients. Supraclavicular lymph node excision biopsy was usually performed on patients during their first clinical visit under local anesthesia. For diagnosing suspected lung cancer, supraclavicular lymph node excision biopsy had a diagnostic sensitivity of 100%, specificity of 97.6%, positive-predictive value of 83.3%, negative-predictive value of 100%, and accuracy of 97.8%. No major complication resulted from surgical intervention. Supraclavicular lymph node excision biopsy is a useful and accurate adjunct for the evaluation of suspected supraclavicular lymph node metastasis of lung cancer in a tertiary hospital.