임상이비인후과(Journal of Clinical Otolaryngology Head and Neck Surgery)

About Journal of Clinical Otolaryngology Head and Neck Surgery

본지는 대한이비인후과학회 부산·울산·경남 지부회에서 년 2회 발행되는 공식 학술지로서 1990년 5월 25일에 처음 발간되었으며, 1958년 6월 15일에 처음 발간된 대한이비인후과학회지 다음으로 이비인후과와 관련된 잡지 중 가장 오래된 잡지이자 대한이비인후과학회에 소속되어 있는 지부회에서 발행되는 유일한 학술지이다. 본지는 귀, 코, 기관식도, 갑상선, 청각, 후두, 음성, 평형 등 한 분야에 치우치지 않고 이비인후과의 모든 분야에 대한 논문을 게재하고 있다. 특히 게재된 논문이 우수하고 독창적일 뿐 아니라 드물고 학술적 가치가 높은 주제들이 잘 다루어져 있어 게재된 논문이 대한이비인후과학회지와 분과학회지, 외국 논문들에 많이 활용이 되고 있다. 우수한 편집위원들로 구성된 편집위원회 회의를 1년에 2회 시행하고 있으며 편집위원회 회의 마다 전국의 구독자를 위해 발행이 되는 각 호마다 이비인후과의 각 분야에서 최근에 가장 관심과 주목을 받고 있는 주제를 정해 종설로 다루고 있으며, 이비인후과 의사들이 알아야 할 새로운 지식에 대해서는 정보란을 추가하여 이비인후과 학문은 물론 학문 외적으로도 도움이 되고 있어 높은 학술적 가치를 가지고 있다. 2011년에는 등재후보 학술지로 선정되었고 2016년 계속평가에서는 등재학술지로 선정되어 대한이비인후과학회 부산·울산·경남 지부회 소속 회원뿐만 아니라 대한이비인후과학회 및 관련 유관 단체 회원들로 부터 더욱 높은 학술적 가치와 평가를 받고 있다.
특집

Jun 30, 2020

Minimally Invasive Surgery for Salivary Stones
타석증의 최소침습적 수술

Jeong Kyu Kim
김정규

J Clin Otolaryngol Head Neck Surg 2020;31(1):5-10.
https://doi.org/10.35420/jcohns.2020.31.1.5
특집

Jun 30, 2020

Xerostomia
구강건조증

Hyun-Keun Kwon, Jin-Choon Lee, Byung-Joo Lee
권현근, 이진춘, 이병주

J Clin Otolaryngol Head Neck Surg 2020;31(1):11-17.
https://doi.org/10.35420/jcohns.2020.31.1.11
특집

Jun 30, 2020

Pathological Classification and Diagnosis of the Salivary Gland Tumors
침샘 종양의 병리학적 분류와 진단

Jung Hee Lee, Dong Hoon Shin
이정희, 신동훈

J Clin Otolaryngol Head Neck Surg 2020;31(1):18-28.
https://doi.org/10.35420/jcohns.2020.31.1.18
종설

Jun 30, 2020

Voice Rehabilitation after Total Laryngectomy
후두전적출술 후 음성 재활

Yong-Il Cheon, Hyun-Keun Kwon, Sung-Chan Shin, Byung-Joo Lee
천용일, 권현근, 신성찬, 이병주

J Clin Otolaryngol Head Neck Surg 2020;31(1):29-36.
https://doi.org/10.35420/jcohns.2020.31.1.29

Despite the expansion of non-surgical organ preservation therapy, total laryngectomy is the optimal treatment for advanced laryngeal or hypopharyngeal cancer and is widely used treatment option for failure of chemoradiotherapy or recurrence of primary tumor. As a consequence of total laryngectomy, patients lose their natural voice and needs practice to acquire a new voice. Tracheoesophageal speech, esophageal speech and electrolarynx speech are main speech rehabilitation methods which are commonly provided after total laryngectomy. Worldwide, n...
원저

Jun 30, 2020

Clinical Validity of the National Hearing Screening Method for Transitional Ages: A Proposal of Accurate Screening for Early Hearing Loss Detection

Hee Jun Yi, Hyun Jung Kim, Michelle J. Suh

J Clin Otolaryngol Head Neck Surg 2020;31(1):37-44.
https://doi.org/10.35420/jcohns.2020.31.1.37

Objectives: The purpose of this study was to investigate whether the current 1,000-Hz hearing screening test in transitional ages actually reflects the hearing status of Korean adults. Materials and Methods: Retrospective cross-sectional analysis from the 2010-2012 Korean National Health and Nutrition Survey for adults aged 40 years or older. A questionnaire that could affect hearing and pure tone audiometry was conducted. Data were analyzed using complex samples general linear analyses and t-tests, and relative operat...
원저

Jun 30, 2020

Taste Disorder Caused by Vitamin B₁₂ Deficiency
비타민 B₁₂ 결핍으로 인한 미각 장애

Byung-Jun Kang, Seung-Heon Shin, Mi-Kyung Ye
강병준, 신승헌, 예미경

J Clin Otolaryngol Head Neck Surg 2020;31(1):45-50.
https://doi.org/10.35420/jcohns.2020.31.1.45

Background and Objectives: The etiologies of taste disorder are multiple. It is rarely considered vitamin deficiency can impact taste function. Vitamin B₁₂ deficiency can be caused by total gastrectomy or malnutrition. The aim of this study was to investigate the characteristics of patients with taste disorders caused by vitamin B₁₂ deficiency. Materials and Methods: We treated fourteen patients with vitamin B₁₂ deficiency induced taste disorders. The symptoms of patients were decreased...
원저

Jun 30, 2020

Leech Therapy for the Salvage of Complicated Reconstructive Flaps after Head and Neck Cancer Surgery
두경부암 결손 부위 재건 후 발생한 재건 피판 합병증 치료를 위한 의료용 거머리의 사용

Jae Hyuk Choi, Eun Hye Kim, Nayeon Choi, Chung-Hwan Beak, Man Ki Chung
최재혁, 김은혜, 최나연, 백정환, 정만기

J Clin Otolaryngol Head Neck Surg 2020;31(1):51-56.
https://doi.org/10.35420/jcohns.2020.31.1.51

Background and Objectives: The purpose of this study was to present our institutional experiences with medicinal leech application for the treatment of venous congestion in various reconstructive flaps for head and neck defects after cancer surgery. Materials and Methods: We retrospectively enrolled 24 patients (8 extraoral, 16 intraoral flaps) who underwent the leech therapy for head and neck flap salvage (11 locoregional, 13 free flaps). We safely applied the leech in a syringe at congested flap site. Clinical data i...
증례

Jun 30, 2020

Auricular Multiple Tophi Presenting as Painful Bilateral Nodules: A Case Report and Literature Review

Jeong Hwan Choi

J Clin Otolaryngol Head Neck Surg 2020;31(1):57-62.
https://doi.org/10.35420/jcohns.2020.31.1.57

Gout tophus is most commonly found in the lower extremities such as toes and ankles. The auricle is a rare site for gout tophi. Although auricular tophus (AT) is not life threatening, it is important because it can be misdiag-nosed as other diseases including malignancy. ATs are firm deposits of crystallized uric acid, which may gradually grow at the subcutaneous layer of the auricle. ATs can be treated with dietary modification and medication for a long time. When pain persists, cosmetic deformity is concerned, or prompt resolution of those sy...
증례

Jun 30, 2020

Canal Wall Down Mastoidectomy with Preservation of Remnant Posterior Canal Wall for Mastoid Obliteration and Canal Wall Reconstruction: 4 Cases
외이도 재건을 위해 잔존 외이도 후벽을 보존한 채 시행한 개방형 유양동 삭개술 4예

Daeyeon Kim, Sangjun Kim, Dong Kun Lee, Myung Koo Kang
김대연, 김상준, 이동근, 강명구

J Clin Otolaryngol Head Neck Surg 2020;31(1):63-69.
https://doi.org/10.35420/jcohns.2020.31.1.63

The aim of cholesteatoma surgery is to completely eradicate cholesteatoma and to reconstruct the normal anatomy of the middle ear. Canal wall down mastoidectomy (CWD) is often applied for the complete eradication of cholesteatoma and prevention of recurrence in patients with cholesteatoma. However, CWD involves a significant destruction of the middle ear and the mastoid anatomy, that leads to potential complications including chronically draining cavity, retention of debris that requires frequent cleaning, and difficulty in fitting a hearing ai...
증례

Jun 30, 2020

A Case of Low Grade Thyroid Like Nasopharyngeal Papillary Adenocarcinoma in Posterior Nasal Septum

Chang Lok Ji, Geun Hyung Park, Soo Kweon Koo, Hwaseon Lee

J Clin Otolaryngol Head Neck Surg 2020;31(1):70-73.
https://doi.org/10.35420/jcohns.2020.31.1.70

Nasopharyngeal papillary adenocarcinoma of low-grade malignancy (LGNPPA) is an extremely rare neoplasm. A thyroid-like LGNPPA morphologically resembles a papillary thyroid carcinoma; the lesion is usually a polypoid or pedunculated mass <1-3 cm in diameter, often in the posterosuperior wall of the nasopharynx. Here, we report a case of a thyroid-like LGNPPA in the left posterior septal wall. Surgical removal of the tumor was performed by transnasal endoscopic resection using laryngeal cutting forceps. The tumor was completely resected, bleed...
증례

Jun 30, 2020

A Case of Nasal Septal Abscess Localized at Keystone Area, Suspected of Occurring Following Cauterization for Epistaxis
Keystone 영역에 국한된 비중격 농양 1예: 비출혈로 시행한 전기 소작이 원인으로 추정되는 사례

Yong Seok Jo, Ick Soo Choi
조용석, 최익수

J Clin Otolaryngol Head Neck Surg 2020;31(1):74-77.
https://doi.org/10.35420/jcohns.2020.31.1.74

Generally, a nasal septal abscess (NSA) is defined as a collection of pus between the cartilage and mucoperichondrium or bony septum and mucoperiosteum. It usually occurs after nasal trauma. It is commonly resolved without any complications, however, it can lead to serious complications including sepsis, cerebral spreading, and nasal deformities if not taken early diagnosis and proper management. Recently, we experienced a case of nasal septal abscess of 59 year-old female that developed after electrical cauterization for epistaxis. In this cas...
증례

Jun 30, 2020

A Case of Indolent Mucormycosis of the Sphenoid Sinus in a Patient with Chronic Lymphocytic Leukemia in Complete Remission State
자가골수이식을 앞둔 완전 관해 상태의 만성 림프구성 백혈병 환자의 접형동에서 발생한 완만한 모균증 1예

Sung Yool Park, Chanhyeon Park, Soo Jin Jung, Seong Kook Park
박성율, 박찬현, 정수진, 박성국

J Clin Otolaryngol Head Neck Surg 2020;31(1):78-82.
https://doi.org/10.35420/jcohns.2020.31.1.78

Mucormycosis is a rare invasive fungal infection of the nasal cavity and paranasal sinus, which often has an acute fulminant course. Mainstays of therapy are the reversal of the source of immunocompromise, surgical debridement of nonviable tissue, and systemic antifungals. Indolent mucormycosis is a rare entity that affects both immunosuppressed and immunocompetent individuals. Additionally, its clinical evolution is nonspecific, and there is no standardized treatment for this condition. Some reports suggest that immunocompetent patients should...
증례

Jun 30, 2020

A Case of Anaplastic Plasmacytoma with Rapid Progression
급격한 진행을 보인 역형성 형질세포종 1예

Bon Min Koo, Ji Ryong Kim, Dong Eun Kim, Jong In Jeong
구본민, 김지룡, 김동은, 정종인

J Clin Otolaryngol Head Neck Surg 2020;31(1):83-87.
https://doi.org/10.35420/jcohns.2020.31.1.83

Extramedullary plasmacytoma is a rare disease which constitutes less than 5% of all plasma cell neoplasm. The disease most frequently localizes in the upper airways, especially in nasal cavity and nasal sinuses. Diagnosis is made by pathologic findings with immunohistochemical staining and multiple myeloma should be excluded. Extramedullary plasma-cytoma is well controlled by radiation therapy and has good prognosis. But we experienced a case of anaplastic extra-medullary plasmacytoma which poorly reacts to radiation and has rapid progression. ...
증례

Jun 30, 2020

A Case of Melanotic Oncocytic Metaplasia (MOM) of Nasopharynx
비인두에 발생한 Melanotic Oncocytic Metaplasia(MOM) 1예

Geun Hyung Park, Chang Lok Ji, Tae Kyung Koh, Hwa Sun Lee
박근형, 지창록, 고태경, 이화선

J Clin Otolaryngol Head Neck Surg 2020;31(1):88-93.
https://doi.org/10.35420/jcohns.2020.31.1.88

Melanotic oncocytic metaplasia (MOM) of the nasopharynx is a rare lesion that occurs mostly in Asian men in their 60s to 70s who are heavy smokers. Although it is a benign lesion, it’s sometimes mistaken for malignant melanoma, nevus or early nasopharyngeal carcinoma. A 75 year-old male visited our outpatient clinic with hearing loss that occurred a week earlier. Otoscopic findings revealed left serous otitis media. A nasopharyngoscopic examination to rule out a malignant tumor in the nasopharynx revealed multiple black nodules in the left to...
증례

Jun 30, 2020

A Case of Nasopharyngeal Branchial Cleft Cyst in a 72-Year-Old Patient
72세 고령 환자에서 비인두 새열 낭종 1예

Doyeon Kim, Jun-Ook Park, Byung Guk Kim, Ji-Sun Kim
김도연, 박준욱, 김병국, 김지선

J Clin Otolaryngol Head Neck Surg 2020;31(1):94-97.
https://doi.org/10.35420/jcohns.2020.31.1.94

Second branchial cleft cysts are almost located in the neck; thus, their presence in the nasopharynx is extremely rare. A 72-year-old woman was referred to our department for a mass found in the left lateral nasopharyngeal wall incidentally on a neck magnetic resonance imaging. The location and pathological feature of the cyst indicated that this was of branchial origin. When a cystic lesion presents in the lateral nasopharynx, branchial cleft cyst should be considered in the differential diagnosis. Here, we report a case of nasopharyngeal bran...
증례

Jun 30, 2020

A Case of Septal Perforation Repair Using a Nasal Floor and Inferior Meatus (NFIM) Flap with TnR Nasal Mesh
TnR Nasal Mesh와 비강저 및 하비도 피판을 이용해 치유한 비중격 천공 1예

Sung-Dong Kim, Sanghoon Kim, Ji-Hwan Park, Kyu-Sup Cho
김성동, 김상훈, 박지환, 조규섭

J Clin Otolaryngol Head Neck Surg 2020;31(1):98-102.
https://doi.org/10.35420/jcohns.2020.31.1.98

Nasal septal perforation is the destruction of the septal cartilage, bone, and mucosa due to previous septal surgeries, inflammation, trauma, drugs or malignancy. The surgical closure of nasal septal perforation is a challenging part. Many surgical techniques have been reported, but there is no standardized surgical method for treating septal perforation. We encountered a 63-year-old patient with a septal perforation. In this study the experiences with a new surgical material for closure of large perforations of the nasal septum are presented. ...
증례

Jun 30, 2020

A Case of Nodular Fasciitis in Vocal Cords
성대에 발생한 결절성 근막염 1예

Seok Yoon Lee, Chang Ki Yeo
이석윤, 여창기

J Clin Otolaryngol Head Neck Surg 2020;31(1):103-106.
https://doi.org/10.35420/jcohns.2020.31.1.103

Nodular fasciitis was first described as pseudosarcomatous fibromatosis by Konwaler et al.¹⁾ In 1955 and is a benign reactive disease that can be mistaken for malignant tumors such as sarcoma due to its rapid tumor size growth and histological similarity. The most common location is usually the upper limb, especially the forearm, followed by the trunk and head and neck. Among them, the occurrence in the head and neck area is rare in adults. We present one case of NF occurred in the vocal cords. I...
증례

Jun 30, 2020

A Case of Carotid Artery Rupture During Tracheostomy
기관 절개술 중 발생한 경동맥 파열 1예

Seung Jin Park, Min Jun Shin, Jinil Kim, Jong Cheol Lee
박승진, 신민준, 김진일, 이종철

J Clin Otolaryngol Head Neck Surg 2020;31(1):107-110.
https://doi.org/10.35420/jcohns.2020.31.1.107

The authors report one case of carotid artery rupture in a 51-year-old woman, which occurred during a tracheostomy with successful treatment by bovine patch angioplasty. In order to avoid various complications of tracheostomy, risk factors such as obesity, short neck and bleeding tendency must be evaluated before tracheostomy. Elective tracheostomy by trainee might be better to be performed under general anesthesia with intubation during daytime when an experienced staff can help in emergency. During tracheostomy, continuous identification of m...
증례

Jun 30, 2020

A Case of Diffuse Large B Cell Lymphoma in Submandibular Gland
악하선에 발생한 미만성 거대 B세포 림프종 1예

Sang Hoo Park, Min Gyoung Pak, Dong Kun Lee
박상후, 박민경, 이동근

J Clin Otolaryngol Head Neck Surg 2020;31(1):111-115.
https://doi.org/10.35420/jcohns.2020.31.1.111

Non-Hodgkin’s lymphoma from salivary gland origin is rarely found. Parotid gland is the most common site because of its presence of intra glandular lymph nodes. Moreover non-Hodgkin’s lymphoma from the submandibular gland is extremely rare. We report a case of diffuse large B cell lymphoma in the submandibular gland which was initially misdiagnosed as a chronic sialadenitis with fine needle aspiration biopsy. (J Clinical Otolaryngol 2020;31:111-115)

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CURRENT ISSUE: Jun 2020, Vol. 31 , No. 1

특집 Minimally Invasive Surgery for Salivary Stones 타석증의 최소침습적 수술 Jeong Kyu Kim 김정규 J Clin Otolaryngol Head Neck Surg 2020;31(1):5-10. https://doi.org/10.35420/jcohns.2020.31.1.5 HTML PDF PubReader	특집 Xerostomia 구강건조증 Hyun-Keun Kwon, Jin-Choon Lee, Byung-Joo Lee 권현근, 이진춘, 이병주 J Clin Otolaryngol Head Neck Surg 2020;31(1):11-17. https://doi.org/10.35420/jcohns.2020.31.1.11 HTML PDF PubReader
특집 Pathological Classification and Diagnosis of the Salivary Gland Tumors 침샘 종양의 병리학적 분류와 진단 Jung Hee Lee, Dong Hoon Shin 이정희, 신동훈 J Clin Otolaryngol Head Neck Surg 2020;31(1):18-28. https://doi.org/10.35420/jcohns.2020.31.1.18 HTML PDF PubReader	종설 Voice Rehabilitation after Total Laryngectomy 후두전적출술 후 음성 재활 Yong-Il Cheon, Hyun-Keun Kwon, Sung-Chan Shin, Byung-Joo Lee 천용일, 권현근, 신성찬, 이병주 J Clin Otolaryngol Head Neck Surg 2020;31(1):29-36. https://doi.org/10.35420/jcohns.2020.31.1.29 HTML PDF PubReader
원저 Clinical Validity of the National Hearing Screening Method for Transitional Ages: A Proposal of Accurate Screening for Early Hearing Loss Detection Hee Jun Yi, Hyun Jung Kim, Michelle J. Suh J Clin Otolaryngol Head Neck Surg 2020;31(1):37-44. https://doi.org/10.35420/jcohns.2020.31.1.37 HTML PDF PubReader	원저 Taste Disorder Caused by Vitamin B₁₂ Deficiency 비타민 B₁₂ 결핍으로 인한 미각 장애 Byung-Jun Kang, Seung-Heon Shin, Mi-Kyung Ye 강병준, 신승헌, 예미경 J Clin Otolaryngol Head Neck Surg 2020;31(1):45-50. https://doi.org/10.35420/jcohns.2020.31.1.45 HTML PDF PubReader
원저 Leech Therapy for the Salvage of Complicated Reconstructive Flaps after Head and Neck Cancer Surgery 두경부암 결손 부위 재건 후 발생한 재건 피판 합병증 치료를 위한 의료용 거머리의 사용 Jae Hyuk Choi, Eun Hye Kim, Nayeon Choi, Chung-Hwan Beak, Man Ki Chung 최재혁, 김은혜, 최나연, 백정환, 정만기 J Clin Otolaryngol Head Neck Surg 2020;31(1):51-56. https://doi.org/10.35420/jcohns.2020.31.1.51 HTML PDF PubReader	증례 Auricular Multiple Tophi Presenting as Painful Bilateral Nodules: A Case Report and Literature Review Jeong Hwan Choi J Clin Otolaryngol Head Neck Surg 2020;31(1):57-62. https://doi.org/10.35420/jcohns.2020.31.1.57 HTML PDF PubReader
증례 Canal Wall Down Mastoidectomy with Preservation of Remnant Posterior Canal Wall for Mastoid Obliteration and Canal Wall Reconstruction: 4 Cases 외이도 재건을 위해 잔존 외이도 후벽을 보존한 채 시행한 개방형 유양동 삭개술 4예 Daeyeon Kim, Sangjun Kim, Dong Kun Lee, Myung Koo Kang 김대연, 김상준, 이동근, 강명구 J Clin Otolaryngol Head Neck Surg 2020;31(1):63-69. https://doi.org/10.35420/jcohns.2020.31.1.63 HTML PDF PubReader	증례 A Case of Low Grade Thyroid Like Nasopharyngeal Papillary Adenocarcinoma in Posterior Nasal Septum Chang Lok Ji, Geun Hyung Park, Soo Kweon Koo, Hwaseon Lee J Clin Otolaryngol Head Neck Surg 2020;31(1):70-73. https://doi.org/10.35420/jcohns.2020.31.1.70 HTML PDF PubReader
증례 A Case of Nasal Septal Abscess Localized at Keystone Area, Suspected of Occurring Following Cauterization for Epistaxis Keystone 영역에 국한된 비중격 농양 1예: 비출혈로 시행한 전기 소작이 원인으로 추정되는 사례 Yong Seok Jo, Ick Soo Choi 조용석, 최익수 J Clin Otolaryngol Head Neck Surg 2020;31(1):74-77. https://doi.org/10.35420/jcohns.2020.31.1.74 HTML PDF PubReader	증례 A Case of Indolent Mucormycosis of the Sphenoid Sinus in a Patient with Chronic Lymphocytic Leukemia in Complete Remission State 자가골수이식을 앞둔 완전 관해 상태의 만성 림프구성 백혈병 환자의 접형동에서 발생한 완만한 모균증 1예 Sung Yool Park, Chanhyeon Park, Soo Jin Jung, Seong Kook Park 박성율, 박찬현, 정수진, 박성국 J Clin Otolaryngol Head Neck Surg 2020;31(1):78-82. https://doi.org/10.35420/jcohns.2020.31.1.78 HTML PDF PubReader
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