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Korean Journal of Otorhinolaryngology-head and Neck Surgery最新文献

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Q4 Medicine Pub Date : 2023-12-26 DOI: 10.3342/kjorl-hns.2023.00640
Yong Jae Song, Jung-Ik Ha, Se Hyun Yeou, Jeong-Hun Jang
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引用次数: 0
Orbital Floor Fracture Reduction Via Prelacrimal Approach 通过泪囊前入路进行眼眶底骨折复位术
Q4 Medicine Pub Date : 2023-12-21 DOI: 10.3342/kjorl-hns.2023.00969
G. Park, Seung Joo Lee, Che Hyun Park, Tae Young Jung
Reduction of orbital floor fracture is performed to align the orbital rim and restore the orbital volume. The approaches used in the reduction of orbital floor fracture are classified into three types: transorbital, transantral and intranasal approach. Each of them has limitations, such as hypertrophic scar formation, facial hypoesthesia and difficult access with manipulation. Contrastively, the prelacrimal approach is a minimally invasive procedure that provides a better surgical view of fracture site than the three types mentioned. It also provides direct access to the fracture site. We would like to suggest the prelacrimal approach as a new option for orbital fracture reduction.
进行眶底骨折复位术的目的是使眶缘对齐并恢复眶容积。用于眶底骨折复位术的方法分为三种:经眶、经鼻和鼻内方法。每种方法都有其局限性,如增生性疤痕的形成、面部麻醉不足和操作入路困难。相比之下,泪囊前入路是一种微创手术,与上述三种入路相比,泪囊前入路能更好地观察骨折部位。它还能直接进入骨折部位。我们建议将泪囊前入路作为眼眶骨折复位术的新选择。
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引用次数: 0
A Case of Cholesterol Granuloma in the Nasal Septum 鼻中隔胆固醇肉芽肿病例
Q4 Medicine Pub Date : 2023-12-21 DOI: 10.3342/kjorl-hns.2023.00906
Hyun Seok Kang, Seong-Jin Yun, Jae Wook Kim, K. Lee
Cholesterol granuloma is a rare disease in which cholesterol crystals act as a foreign substance in the surrounding tissues and cause granulomatous reactions and fibrosis. It is commonly found in the mastoid or petrous apex, but the involvement of the nasal septum is very rare. Mucocele, which has pathogenesis similar to that of cholesterol granuloma, is a relatively common cystic lesion of the paranasal sinus; but rarely, it also occurs in the nasal septum. We report a case of cholesterol granuloma, which was clinically thought of as mucocele at first but managed successfully by endoscope-assisted marsupialization.
胆固醇肉芽肿是一种罕见疾病,胆固醇晶体在周围组织中充当异物,引起肉芽肿反应和纤维化。它常见于乳突或瓣顶,但累及鼻中隔的情况非常罕见。鼻腔粘液瘤的发病机制与胆固醇肉芽肿相似,是鼻旁窦比较常见的囊性病变,但也很少发生在鼻中隔。我们报告了一例胆固醇肉芽肿病例,该病例起初被临床认为是粘液瘤,但通过内窥镜辅助下的鼻腔粘膜切除术成功治愈。
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引用次数: 0
A Case Report of 4-Years Old Patient With Nuclear Protein in Testis Midline Carcinoma of Larynx 睾丸中线喉癌核蛋白 4 岁患者的病例报告
Q4 Medicine Pub Date : 2023-12-21 DOI: 10.3342/kjorl-hns.2023.00899
Min Seok Kim, Seung Hoon Woo
Nuclear protein in testis midline carcinoma (NMC) is an extremely aggressive subtype of squamous cell carcinoma characterized by chromosomal rearrangements of the nuclear protein in testis (NUT) gene. NMC predominantly arises in the anatomical midline locations of the body, with a high occurrence in the thoracic, head and neck regions. However, NMC remains a rarely reported disease, making its inclusion in the initial differential diagnosis challenging. This case involves a 4-year-old boy who presented with a neck mass initially diagnosed as a poorly differentiated carcinoma originating from the larynx with the cervical Lymph node metastasis. However, further tests confirmed the diagnosis of NUT midline carcinoma. This case highlights the importance of conducting NUT immunohistochemistry in cases of squamous cell carcinoma and undifferentiated carcinoma occurring in the head and neck, as it can provide meaningful insights for diagnosis and treatment decisions.
睾丸中线核蛋白癌(NMC)是鳞状细胞癌的一种极具侵袭性的亚型,其特点是睾丸中线核蛋白(NUT)基因的染色体重排。NMC 主要发生在人体的解剖中线位置,胸腔、头颈部发病率较高。然而,NMC 仍是一种鲜有报道的疾病,因此将其纳入初步鉴别诊断具有挑战性。本病例涉及一名 4 岁男孩,他的颈部肿块最初被诊断为源自喉部的分化不良癌,并伴有颈淋巴结转移。然而,进一步检查确诊为 NUT 中线癌。本病例强调了对发生在头颈部的鳞状细胞癌和未分化癌病例进行 NUT 免疫组化的重要性,因为它可以为诊断和治疗决策提供有意义的见解。
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引用次数: 0
A Case of Chondromyxoid Fibroma Observed in the Nasal Cavity 鼻腔中发现的软骨样纤维瘤病例
Q4 Medicine Pub Date : 2023-12-21 DOI: 10.3342/kjorl-hns.2023.00808
M. Oh, Ji Yun Jeong, Jae-Hui Kim, S. Heo
Chondromyxoid fibroma (CMF) is an extremely rare, benign cartilaginous tumor found in the craniofacial region. It is often misdiagnosed due to its rare occurrence in the nasal and paranasal sinus; moreover, it has similarities with other cartilaginous tumors, showing the same radiologic and histopathologic features. A 62-year-old female consulted our clinic with the chief complaint of a left nasolabial mass of one-month history. The mass was located in the nasal cavity: from there it extended anteriorly to the anterior nasal spine, posteriorly to the end of the hard palate, and laterally to the maxillary sinus. The nasal septum was deviated to the right side due to the mass effect. Complete removal of the mass was conducted via the modified endoscopic Denker’s approach, and the diagnosis of CMF was established. During the 36-month follow-up, no recurrence was observed.
软骨样纤维瘤(CMF)是一种极为罕见的良性软骨肿瘤,多发于颅面部位。由于很少发生在鼻腔和副鼻窦,它经常被误诊;此外,它与其他软骨肿瘤有相似之处,表现出相同的放射学和组织病理学特征。一名 62 岁的女性到我院就诊,主诉是左侧鼻唇肿块,病史一个月。肿块位于鼻腔内:从鼻腔内向前方延伸至鼻前脊柱,向后延伸至硬腭末端,向外侧延伸至上颌窦。由于肿块的影响,鼻中隔向右侧偏移。通过改良的内窥镜登克氏方法完全切除了肿块,并确诊为 CMF。随访 36 个月,未发现复发。
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引用次数: 0
Inferior Turbinate Swing Approach for Inaccessible Maxillary Sinus Lesions 下鼻甲摆动法治疗无法进入的上颌窦病变
Q4 Medicine Pub Date : 2023-12-21 DOI: 10.3342/kjorl-hns.2023.01011
Ji Hoon Koh, Jong Seung Kim
Background and Objectives Maxillary sinus is easily accessible through endoscopic surgery; however, additional combined approaches may be required depending on primary lesions. These approaches are canine fossa approach (CFA), Caldwell-Luc operation (C-L op), Denker approach, and inferior turbinate (IT) swing technique. Our purpose was to analyze and compare the overall results of these surgical approaches to determine superiority.Subjects and Method Records of patients who underwent surgery of functional endoscopic sinus surgery (FESS) with CFA, C-L op, Denker approaches or IT swing technique in a single tertiary hospital from 2015 to 2023 were studied retrospectively. Patients who underwent additional surgery other than CFA, C-L op, Denker, and IT swing technique were excluded.Results A total 86 patients underwent FESS with combined approaches. IT swing technique was used for 30 patients, Denker op was performed for three patients, and C-L op or CFA was used for 53 patients. IT swing technique, Denker op, and C-L op were mainly used for nasal cavity tumor, such as inverted papilloma (IP). CFA was used for not only CRS w NP but also for IP. Recurrence was reported for the IT swing group and CFA group in IP. Three out 20 patients relapsed in the IT swing group, and two out of six patients relapsed in the CFA group.Conclusion The IT swing technique is a good minimally invasive surgical method that can secure the anteromedial field of view of maxillary sinus, but complete drilling of the remnant bone is required for IP.
背景和目的 通过内窥镜手术很容易进入上颌窦,但根据原发病变的情况,可能需要额外的联合方法。这些方法包括犬窝入路 (CFA)、Caldwell-Luc 手术 (C-L op)、Denker 入路和下鼻甲摆动技术。我们的目的是分析和比较这些手术方法的总体效果,以确定其优劣。研究对象和方法 回顾性研究了 2015 年至 2023 年期间在一家三甲医院接受功能性内窥镜鼻窦手术(FESS)的患者记录,包括 CFA、C-L 手术、Denker 方法或 IT 摆动技术。结果 共有86名患者接受了联合方法的FESS手术。30例患者采用了IT摆动技术,3例患者采用了Denker手术,53例患者采用了C-L手术或CFA。IT 摆动技术、Denker 手术和 C-L 手术主要用于鼻腔肿瘤,如倒置乳头状瘤(IP)。CFA 不仅用于 CRS w NP,也用于 IP。据报道,IT摆动组和CFA组在IP方面均有复发。结论 IT 旋转技术是一种良好的微创手术方法,可确保上颌窦前内侧视野,但 IP 需要完全钻除残骨。
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引用次数: 0
Clinical Analysis of Repeat Balloon Eustachian Tube Dilatation 重复球囊咽鼓管扩张术的临床分析
Q4 Medicine Pub Date : 2023-12-21 DOI: 10.3342/kjorl-hns.2023.00626
Gab-Kyun Lee, Hyeon-su Kim, Hwabin Kim, Jung-woo Lee, Se-joon Oh, Soo-keun Kong
Background and Objectives Obstructive Eustachian tube dysfunction (OETD) is a complex condition in which middle ear ventilation control is impaired. OETD is often not improved by medication nor by nasal washing or nasal spray. On the other hand, balloon Eustachian tube dilatation (BETD) is an effective surgery in OETD although repeating BETD is controversial as it involves additional procedure such as ventilation tube, middle ear steroid irrigation, and trans-tympanic Eustachian tube probing in some cases. This study aims to analyze the clinical differences between patients who received single BETD and repeat BETD, and to evaluate the efficacy of repeat BETD.Subjects and Method For the study, 110 single groups, and 16 repeat groups were selected from patients who underwent BETD from Nov 2019 to Aug 2022. Age, gender, underlying diseases, history of rhinitis and smoking, and Eustachian Tube Dysfunction Questionnaire-7 (ETDQ-7) were analyzed for the selected groups.Results There were no significant differences in gender, underlying disease, or history of rhinitis between the two groups. However, age was significantly younger in the repeat group (45.91 vs. 33.38, p=0.006), while smoking (5.64 vs. 1.66, p=0.01) was significantly higher in the single group. The rate of improvement in the ETDQ-7 was 81.3% in the single group and 69.2% in both initial and repeated surgeries in the repeat group. The complete remission rate was 60% in the single group, and 38.5% in both initial and repeated surgeries of the repeat group.Conclusion For patients who are unsatisfied with the first surgery, it is meaningful enough to recommend repeat BETD, for which additional procedures are performed simultaneously.
背景和目的阻塞性咽鼓管功能障碍(OETD)是一种中耳通气控制受损的复杂病症。药物、鼻腔清洗或鼻腔喷雾通常都无法改善咽鼓管功能障碍。另一方面,气囊咽鼓管扩张术(BETD)是治疗咽鼓管功能障碍的有效手术方法,但由于重复进行 BETD 需要进行通气管、中耳类固醇灌洗、经鼓室咽鼓管探查等额外手术,因此存在争议。本研究旨在分析接受单次BETD和重复BETD患者的临床差异,并评估重复BETD的疗效。 研究对象和方法 本研究从2019年11月至2022年8月接受BETD的患者中选取110例单次组和16例重复组。结果 两组患者在性别、基础疾病、鼻炎史、吸烟史以及咽鼓管功能障碍问卷-7(ETDQ-7)方面无显著差异。然而,重复治疗组的年龄明显更小(45.91 对 33.38,P=0.006),而单次治疗组的吸烟率明显更高(5.64 对 1.66,P=0.01)。单次手术组的 ETDQ-7 改善率为 81.3%,重复手术组的首次和重复手术改善率均为 69.2%。结论 对于对首次手术不满意的患者,建议重复 BETD 是有意义的,因为重复 BETD 会同时进行额外的手术。
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引用次数: 0
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Q4 Medicine Pub Date : 2023-12-18 DOI: 10.3342/kjorl-hns.2023.00675
C. H. Yoon, Sae Hwan Park, Inkyu Park, Sangjun Kim
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引用次数: 0
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Q4 Medicine Pub Date : 2023-12-18 DOI: 10.3342/kjorl-hns.2023.00682
Jong-Geun Lee, Y. Cho, Hyunseok Choi, Gi Hwan Ryu, Jaeman Park, Dongha Kim, Sung-Won Chae, Jaemog Song
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引用次数: 0
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Q4 Medicine Pub Date : 2023-12-11 DOI: 10.3342/kjorl-hns.2023.00997
Dong-Hyun Lee, Ji-suk Yeo, Soomin Park, S. Cho, Subin Kim, Jisun Kim, Byung Guk Kim, Ki- Hong Chang, Jun-Ook Park
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引用次数: 0
期刊
Korean Journal of Otorhinolaryngology-head and Neck Surgery
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