원저

후두 미세 수술을 시행한 후두 질환의 임상적 고찰

전세영1, 문문만1, 나한조1
Se Young Jeon1, Moon Mahn Moon1, Han Jo Na1
Author Information & Copyright
1조선대학교 의과대학 이비인후과학교실
1Department of Otolaryngology, College of Medicine, Chosun University

© Copyright 1992 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.

Published Online: May 31, 2020

ABSTRACT

Laryngeal microsurgery in the treatment and diagnosis of various laryngeal disease made a more useful approach with self retaining laryngoscope by Kleinsasser in 1965.

A clinical analysis was performed on 65 cases of suspension laryngeal microsurgery in the department of otolaryngology of college of medicine, Chosun university from January 1988 to December 1990.

The results were as follows

  1. Sex distribution was male 1.24 : female 1.

  2. Age distribution showed 24 cases 36.9%) in 3rd decade, 17 cases(26.1%) in 4th decade, 14 cases(21.5%) in 2nd decade.

  3. The chief complaints of patients were hoarseness 56 cases, throat discomfort 13 cases, lump sense 11 cases in order.

  4. Distribution of patient’s occupation was office worker 15 cases(23.1%), housewife 10 cases(15.4%), teacher 9 cases(13.8%) and merchant 9 cases(13.8%) in order.

  5. Classifications of pathologic finding were vocal polyp and nodule 37 cases(57.0%), papilloma 10 cases(15.4%), tumor 6 cases(9.2%) in order.

  6. The ratio of the single and both cord involvement was in the of 3.3 : 1. And anterior 1/3 of vocal cord in polyp and nodule 28 cases(75.6%), diffuse type in Reinke’s edema and papilloma was predominant.

Keywords: Laryngeal microsurgery; laryngeal disease; hoarseness


37권 2호 Quiz 및 정답, 해설

정답 ③ ㄴ,ㄹ

ㄱ. 갑상선 고주파는 전극 주변에 고주파 전류가 흐르면서 조직내 이온들을 빠르게 진동시키고 
이렇게 발생한 마찰열(friction heat)을 통해 섭씨 60~100도씨의 열을 발생시켜 조직의 응고 괴사를 유도한다.

ㄴ. 생리식염수는 Na+,Cl-를 포함하여 전기전도성이 높아 5% DW 같은 비이온성 용액을 이용하는 것이 좋다.

ㄷ. 관련된 흔한 합병증은 통증, 혈종, 일시적 음성변화로 알려져 있다.

ㄹ. 갑상선 고주파절제술은 정상 갑상선조직을 최대한 보존하면서 양성결절의 부피감소를 유도하고, 
미세유두암의 완전 소실을 유도할 수 있는 치료이다.

 

* 당첨자 (5명)

권**    010-****-**85

고**    010-****-**75

서**    010-****-**72

이**    010-****-**61

장**    010-****-**64

 

응모해 주신 모든분들께 감사드립니다.

경품은 당첨자분들께 8.21(금)까지 개별 발송해 드리겠습니다.

 

임상이비인후과 편집위원회 


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