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갑상선절제술 중 우연히 발견된 식도 게실 1예

김민식1, 김동조1, 이진춘1, 성의숙1,*
Min-Sik Kim1, Dong-Jo Kim1, Jin-Choon Lee1, Eui-Suk Sung1,*
Author Information & Copyright
1부산대학교 의과대학 양산부산대학교병원 이비인후과학교실
1Department of Otolaryngology-Head and Neck Surgery and Research Institute for Convergence of Biomedical Science and Technology, College of Medicine, Pusan National University, Yangsan, Korea
*교신저자: 성의숙, 50612 경남 양산시 물금읍 금오로 20 부산대학교 의과대학 양산부산대학교병원 이비인후과학교실 전화: (055) 360-2654·전송: (055) 360-2162 E-mail:sunges77@gmail.com

© Copyright 2018 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Sep 17, 2018; Revised: Oct 24, 2018; Accepted: Nov 15, 2018

Published Online: May 31, 2020

ABSTRACT

Esophageal diverticulum is very rare disease. Since it usually has no symptoms, it is hard to find and diagnose. Moreover, if the diverticulum is located nearly to thyroid gland, surgeons sometimes misdiagnose as a thyroid nodule. Here, we represent our case which has papillary thyroid cancer and esophageal diverticulum together. In this case, we experienced the surgical procedure and postoperative complications of the esophageal diverticulum. Even though esophageal diverticulum was in preoperative computed tomography and ultrasound, it was neglected before the surgery so that found during the operation. The purpose of this study was to know the preoperative radiological findings of the esophageal diverticulum and to find out what to be aware of during surgery and how to manage the complications after surgery. (J Clinical Otolaryngol 2018;29:316-320)

Keywords: 식도; 게실; 갑상선암; 갑상선절제술
Keywords: Esophagus; Diverticulum; Thyroid cancer; Thyroidectomy


36권 4호 Quiz 및 정답, 해설

정답 ④

설하신경자극술의 핵심 치료 원리는 설하신경의 내측 분지를 선택적으로 
자극하여 이설근(genioglossus muscle)의 전방 돌출을 유도함으로써 
수면 중 상기도의 기능적 개방성을 유지하는 것이다. 기존 Inspire® 시스템은 
흡기 노력 감지 센서를 이용해 자극을 호흡 주기와 동기화하며, Nyxoah Genio® 
시스템은 양측 설하신경을 동시에 자극하는 무배터리 구조를 채택한 최신 장치이다. 
반면 Ansa cervicalis stimulation은 혀가 아닌 인두 구조물의 미측 견인을 통해 
상기도를 안정화시키는 다른 기전을 가진다.

 

* 당첨자 (1명)

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응모해 주신 모든분들께 감사드립니다.

경품은 당첨자분들께 2.20(금)까지 개별 발송해 드리겠습니다.

 

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