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유착방지제(SurgiWrapⓇ) 사용 후 발생한 이물반응 1예
김지룡,정주형,여창기 대한이비인후과학회 2018 대한이비인후과학회지 두경부외과학 Vol.61 No.5
Postsurgical adhesion formation is a significant clinical problem within every surgical specialty. Currently, adhesion barriers are used in many surgical interventions and while theyhave become a subject of an increasing interest for their effectiveness, there has not been anyreports on the adverse effects of these anti-adhesion agents. Three different types of antiadhesiveagents (SurgiWrapⓇ, Guardix-SolⓇ, InterceedⓇ) have been noted as effective in adhesionprevention. We report, with a review of literature, on a patient who had a foreign body reactionthat caused a side effect of anti-adhesion SurgiWrapⓇ after thyroid surgery.
비중격 피판 거상을 동반한 경접형동 접근법 시행 후 후각 기능의 단기 회복 양상
김지룡(Ji Ryong Kim),김엘(El Kim),정종인(Jong In Jeong) 대한두개저학회 2017 대한두개저학회지 Vol.12 No.2
Background: The cases of endoscopic skull base surgery applied in more aggressive lesions have increased recently, raising interests about nasoseptal flap (NSF) for reconstruction. However, transient or permanent olfactory dysfunction may occur after NSF elevation, it have great influence on the quality of life of the patient. The aim of this study was to identify proper intervention time by comparing the recovery patterns of olfactory function after NSF elevation with conventional trans-septal approach. Methods: All subject were administered self-reporting olfaction score (Visual Analogue Scale [VAS], 0-10) and the threshold, discrimination, and identification (TDI) score of Korean Version of Sniffin Stick Test II (KVSS II) preoperatively. The trans-sphenoidal approach (TSA) was performed with conventional trans-septal approach or NSF elevation. VAS and TDI were followed-up by 12weeks after surgery. Results: Fifteen patients who underwent TSA were enrolled. Baseline VAS and TDI score were 9.2 and 28.3 in TSA group, and 7.7 and 24.6 in NSF elevation group. VAS of trans-septal approach group was recovered to the preoperative level from 8weeks after surgery, whereas NSF elevation group was 12weeks. TDI scores of trans-septal approach group were 12.1, 25.4, and 24.8 at 4, 8, and 12 weeks after surgery, whereas NSF elevation group were 10.6, 19.7, and 22.1. Conclusions: After TSA with NSF elevation, olfactory function is more gradually recovered than conventional trans-septal approach, and the intervention about permanent olfactory dysfunction may need to be considered for the poorly-improved olfactory dysfunction until 8weeks after surgery.