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나기상,성열웅,박찬일 충남대학교 의과대학 지역사회의학연구소 1996 충남의대잡지 Vol.23 No.1
The treatment of upper respiratory tract infection requires an agent with marked increased activity against broad sprectrum of pathogens, including β-lactamase producing bacteria. Loracarbef, a member of the carbacephem class of antibiotics resistant to β-lactamase producing pathogens, was evaluated for its efficacy and safety in the treatment of acute tonsillitis in adults. 30 patients with acute tonsillitis were given 200mg of loracarbef twice daily for 7 days. All patients were evaluated for the presence and severity of two subjective symptoms (sore throat and swallowing difficulty) and two objective signs (fever and throat injection) before and after the treatment. Overall clinical responses were assessed as : cure ; improvement ; relapse ; or failure. Of the 30 patients, 29 (97%) patients had a successful clinical responses (cure or improvement), 1 patient experienced a relapse, and there were no clinical failures. Loracarbef was well tolerated in all patients, although 1 patient complained of mild nausea. Our results indicate that loracarbef is a safe and effective alternative agent for the treatment of patients with acute tonsillitis.
박찬일,성열웅,변상내,이오영 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.2
The functional and anatomical results of a series of 122 type I tympanoplastics for drum perforation in chronic otitis media were retrospectively reviewed. Drum closure was realized in 93% at 1 year after surgery. An air-bone gap of less than 25dB was reached in 95% at 1 year after surgery. The considered influencing factors in outcomes of type I tympanoplasty, including age, size of perforation, middle ear pathology, technique of closure of perforation and status of ossicular mobility were evaluated.
김진국,성열웅,장현종,임채형,심대보,신향애 대한이비인후과학회 2004 대한이비인후과학회지 두경부외과학 Vol.47 No.12
Background and Objectives:Nasal airflow is asymetrical and is subjected to spontaneous reciprocal changes which are refered to as the nasal cycle. Limited information is available about how they are afected by allergens. The purpose of this study was to evaluate efects of allergen provocation on the nasal cycle. Subjects and Method:This study was performed in l-lergen provocation. The subjects underwent acoustic rhinometry in 15 minutes interval for evaluation of nasal cycle and 3 minutes interval for immediate response. Results:With the allergic subjects, 10 of the 11 subjects (90.9%) showed nasal cycle and they still had nasal cycle after the allergen provocation. In the study on the changes of the imediate responses, recovery time was on the average of 33.0 minutes and reduction rate of non-patent side was higher than that of patient side. And the allergen provocation; there were no statistical diferences. The amplitude of each nasal cycle increased after allergen provocation and the diference had statistical meaning. Conclusion:Overall duration and reciprocity of nasal cycle were not changed after the allergen provocation and the amplitude of nasal cycle was increased significantly after the allergen provocation.
남부현,강갑진,성열웅,송영복 충남대학교 의과대학 지역사회의학연구소 1995 충남의대잡지 Vol.22 No.2
Sudden hearing loss is an abrupt onset of sensorineural hearing loss over a period of hours or a few days without definite cause. The cause and its pathophysiology have not been fully determined, and the treatmnet is controversial at present. The purpose of this study is to seek the best modality of treatment by clinical and stastical analysis of 48 patients (28 male and 20 female) diagnosed as a sudden hearing loss from January 1993 to October 1995. The therapeutic results of the 48 patients were 20 cases (41.7%) of complete recovery, 3 cases (6.2%) of partial recovery, 4 cases (8.3%) of slight recovery and 21 cases (43.8%) of no improvement. Early treatment within a week of onset, ascending or flat types of audiogram, and normal ABR were favorable prognostic factors in recovery of hearing. The presence of accompanying vestibular symptom (ie, vertigo) and profound hearing loss on initial audiogram were poor prognostic factors. However, the gender and the age of the patients did not affect on the hearing result.
연령에 따른 비강내의 단면적 및 용적의 변화 : Evaluation by Acoustic Rhinometry
나기상,김인중,성열웅 충남대학교 의과대학 지역사회의학연구소 1994 충남의대잡지 Vol.21 No.2
To study the geometric changes of the nasal cavity with aging, acoustic rhinometry was carried out in 100 normal subjects before and after decongestion. From each of the chosen curves, the following variables were calculated : location and cross-sectional areas of the I-notch and C-notch, the crosssectional areas at 3.3cm, 4.0cm, and 6.4cm from the tip of nosepiece, and the total volume of the nasal cavity. Data were analyzed statistically to evaluate the differences between the various age groups and between the congested and decongested state of the mucosa. This study may serve as a basic data for the evaluation of the patients with rhinologic diseases.