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Clinical Analysis on the Cystic Lesions in the Maxilla
김재호,홍석중,양진석,이윤식,김용재,이봉재 대한비과학회 2001 Journal of rhinology Vol.8 No.1
Background and Objectives:Jaw cysts are frequently diagnosed by dentists, however they are also presented withsymptoms specific to otolaryngology which are different from common symptoms found in dentistry. Thus, those diagnosed byotolaryngologists are likely to show different clinical manifestations. The purpose of this study was to investigate the clinicalcharacteristics of jaw cysts found in otolaryngology. Materials and Methods:A retrospective study was carried out. Frequency,sex, age, symptoms, site of occurrence, histopathology, treatment and results of 30 jaw cysts, were analyzed. These werediagnosed and surgically treated between May, 1990 and August, 1998 at our otolaryngology department. Results:Among30 jaw cysts, there were 15 cases (50%) of nasolabial cysts, 8 cases (27%) of dentigerous cysts, 5 cases (17%) of nasopalatinecysts and 2 cases (6%) of radicular cysts. Nasolabial cysts (NLC) were the most common among middle-agedfemales, and they showed a common complaint of cheek swelling. They were all removed surgically by gingivobuccalincision. One case of cellulitis was reported postoperatively and it was treated with antibiotics. Dentigerous cysts (DC) weremostly found among young males. The most common chief complaint was cheek swelling. 4 cases (50%) of DC wereassociated with chronic paranasal sinusitis. In 5 cases (63%) the cysts were surgically removed after opening the maxillarysinus by gingivobuccal incision. 3 cases (37%) were removed by the Caldwell-Luc approach. Nasopalatine cysts (NPC)were prevalent during the third and fourth decade. Common symptoms were palatal swelling, pain and tenderness. All weretreated with surgery by the transpalatal approach. One case of postoperative palatal fistula was reported and was successfullyrepaired. There were 2 cases of radicular cyst (RC). 1 case was removed by sublabial incision, and the other case wasremoved by the Caldwell-Luc approach. Conclusion:The most common jaw cysts in the maxilla were nasolabial cyst. Mostjaw cysts were treated by surgery without recurrence.
주준범,홍석중,강보현,김영진,유승주,김상윤,남순열 대한기관식도과학회 2001 大韓氣管食道科學會誌 Vol.7 No.1
Background and Objectives: Larynx granuloma is a exophytic inflammatory mass and may result from gastroesophageal reflux disease and a traumatic or prolonged endotracheal intubation. There has been a controversy in the treatment of larynx granuloma. Our aim of study is to know the results of the conservative management and surgery for larynx granuloma. Materials and Methods : We have reviewed and analyzed medical records of 71 Patients who were diagnosed and treated as larynx granuloma in Asan medical center from 1989 to 2000 retrospectively. And questionnaires on present patient's status were answered via telephone. Results : Forty four cases were treated by conservative management and 29 cases were treated by surgery. The total Percentages of improvement after treatment were 85.7 o/o after conservative management and 75.9% after surgery. In intubation granuloma percentages of improvement were 86.4% after conservative management and 73% after surgery. In contact granuloma percentages of improvement were 85% after conservative management and 78.5% after surgery. Conclusion : Resolution and treatment periods are longer in contact granuloma compared to intubation granuloma in the groups of conservative management. (P<0.05) There is no significant difference of their outcome between conservative management and surgery. (P>0.05) Although this study is retrospective, conservative management is the first treatment in the management of larynx granuloma.
비중격 확장 이식편(Septal Extension Grafts)을 이용한비첨부 성형술
박찬흠,이수옥,홍석중 대한이비인후과학회 2005 대한이비인후과학회지 두경부외과학 Vol.48 No.10
Background and Objectives:Nasal tip plasty is one of the most important and difficult part of rhinoplasty. Controlling the projection, shape and rotation of nasal tip is a difficult procedure especially in Asians who have a thick skin and weak cartilages. The purpose of our study is to investigate the usefulness of septal extension graft (SEG) in controlling the tip shape. Subjects and Method:We retrospectively studied 20 patients who underwent rhinoplasty including tip surgery with SEG. Five patients were operated by transcolumellar open approach and 15 patients by intranasal approach. Columellar strut was used together with SEG in all patients to control the tip projection. The result of surgery was evaluated by comparing nasal measurements on photographs taken preoperatively and postoperatively. Doctors and patients satisfaction were investigated after minimal 6 months later using visual analogue scale. All results were statistically tested. Results:The increment of tip projection was 10% in males and 5% in females and the increment of nasolabial angle were 4.4°in males and 8.1°in females. Most of the patients showed prominent tip projection and good cosmetic results. However, some patients complained indurations of upper caudal septum. Conclusion:SEGs are a reliable method of controlling tip projection and rotation in patients who need prominent tip projection