원저

소아의 만성비부비동염에 동반되는 비용의 임상양상 및 조직학적 특성: 성인과의 비교연구

홍성룡1, 정한진1, 신재민1, 안용휘1, 한두희1, 원태빈1, 김동영1, 이재서1, 민양기1,*
Sung-Lyong Hong1, Hahn Jin Jung1, Jae-Min Shin1, Yong-Hwi An1, Doo-Hee Han1, Tae-Bin Won1, Dong-Young Kim1, Chae-Seo Rhee1, Yang-Gi Min1,*
Author Information & Copyright
1서울대학교 의과대학 이비인후과학교실
1Department of Otorhinolaryngology, Seoul National University Hospital, Seoul, Korea
*교신저자: 민양기, 110-744 서울 종로구 연건동 28 서울대학교 의과대학 이비인후과학교실 전화:(02) 2072-2447·전송:(02) 745-2387·E-mail: ygmin312@naver.com

© Copyright 2011 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: Aug 31, 2011; Revised: Sep 15, 2011; Accepted: Oct 17, 2011

Published Online: May 31, 2020

ABSTRACT

Background and Objectives: Nasal polyps (NPs) in children often make the treatment of chronic rhinosinus- itis (CRS) difficult. However, there have been few studies focused on pediatric NPs. The authors attempted to investigate the clinical and pathological features of NP in pediatric CRS by comparing them with those in adult CRS and to determine risk factors for their recurrence. Materials and Methods: This study included a total of 286 adults and 56 children who were diagnosed with CRS with bilateral NPs and were treated at Seoul National University Hospital between 2005 and 2008. Their demographic data and information about comorbidities (allergic rhinitis and asthma), preoperative serum total IgE levels, peripheral blood eosinophil counts and the recurrence of NPs were collected by a retrospective chart review. In addition, the polyp tissues were harvested and stained with hematoxylin-eosin for counting the total number of inflammatory cells, including eosinophils. Results: The prevalence of allergic rhinitis was higher in the pediatric group than in the adult group (46.4% versus 30.8%). However, total IgE levels and the proportion of eosinophilic polyps were lower in the pediatric group than in the adult group (99.2 versus 246.9 kU/L and 16.7% versus 30.1%, respectively). In the pediatric group, patients with asthma, peripheral blood eosinophilia or eosinophilic NPs were at higher risk of NP recurrence. Conclusions: The clinical and pathological characteristics of pediatric patients with NPs were different from those of adult patients. Pediatric patients with asthma, peripheral blood eosinophilia or eosinophilic NPs should be aggressively managed to decrease the recurrence of NPs. (J Clinical Otolaryngol 2011;22:208–214)

Keywords: 비용; 부비동염; 소아; 재발 호산구
Keywords: Nasal polyps; Sinusitis; Child; Recurrence; Eosinophils


(최종) 35권 4호 Quiz 및 정답, 해설


*공지* 

출제 지문 오류로 인해 35권 4호 Quiz 문제를 다시 알립니다.

정답은 최종 1번으로 기존 출제된 지문에는 정답이 없으나,

참여와 관심에 감사의 마음을 담아 응모하신 모든 분들께 상품은 

지급해 드리도록 하겠습니다.  감사합니다.

 

다음은 갑상선 로봇수술 사진이다. 다음 설명 중 틀린 것은?

 

1. 이 접근법은 Mental nerve injury의 가능성이 있어 mental nerve를 찾아 위치를 확인 후 수술한다.

2. 일반적으로 이산화탄소를 주입해서 공간을 확보하므로 합병증으로 CO2 embolism 발생 가능성이 있다.

3. 다른 부위로의 접근법에 비해 절제하고자 하는 부위에 빨리 도달할 수 있다.

4. 합병증으로 다른 부위로의 접근법에 비해 수술 부위 감염 가능성이 있다.

5. 합병증으로 다른 부위 접근법에 비해 구강이나 턱, 경부 등에 피부 천공이나 화상 등이 드물게 발생할 수 있다.

 

정답 ①

해설

Transoral thryoidectomy의 합병증으로 다른 접근법보다 CO2 embolism,
surgical site infection, skin perforation,burn risk rate 가 높다.
Metal nerve injury risk가 있어 구강전절절개를 safety zone에 해야 한다.

Ref

Kyung Tae, Clin Exp Otorhinolaryngol. 2021; 14(2): 169-178.
Complications of Transoral Thyroidectomy: Overview and Update


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