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Endoscrub®을 이용한 부비동 내시경수술이 수술시간에 미치는 효과

김남국1, 오현명1, 김주영1, 최동진1, 김위황1, 이장수1,*
Nam Guk Kim1, Hyun Myung O1, Joo Young Kim1, Dong Jin Choi1, Wee Hwang Kim1, Jang Soo Lee1,*
Author Information & Copyright
1광주기독병원 이비인후과
1Department of Otolayngology-Head and Neck Surgery, Kwangju Christian Hospital, Gwangju, Korea
*교신저자: 이장수, 503-715 광주광역시 남구 양림동 37 광주기독병원 이비인후과 전화: (062) 650-5095·전송: (062) 650-5090 E-mail: kircheys@naver.com

© Copyright 2013 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: Jun 17, 2013; Revised: Jul 18, 2013; Accepted: Nov 01, 2013

Published Online: May 31, 2020

ABSTRACT

Background and Objectives: Endoscopic sinus surgery (ESS) is an effec- tive treatment for chronic sinusitis and nasal polyposis. But during opera- tion, foggy or contaminated endoscopic lenz takes long time for operation to clean lenz. To solve this problem, the Endoscrub® has been used from the 1990s. It dramatically improved visualization and reduced operation ti- me during surgery. This study is aimed at evaluating the effect of the Endo- scrub® on operation time required for ESS. Materials and Methods: We investigated operation time in 60 patients underwent both ESS for chronic rhinosinusitis. We perfomed ESS using Endoscrub® on side and not using Endoscrub® on the other side. The operation time was then compared with the preoperative computed tomographic staging and surgery scores. Results: The time requirement for ESS by using Endoscrub®, operation time were much lower in using Endoscrub® group than not using Endoscrub® group. Conclusion: The Endoscrub® is a very useful instrument for ESS and it can reduce operation time during ESS. (J Clinical Otolaryngol 2013;24:214–218)

Keywords: 부비동내시경수술; 수술시간
Keywords: Endoscopic sinus surgery; Operative time


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)

이**    010-****-**61

 

응모해 주신 모든분들께 감사드립니다.

경품은 당첨자분들께 2.20(금)까지 개별 발송해 드리겠습니다.

 

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