Article

중이강에 발생한 타액선 분리종: 증 례 보 고

김종훈1, 김일태1, 박관규1
Jong Hoon Kim1, Il Tae Kim1, Kwan Kyu Park1
Author Information & Copyright
1계명대학교 의과대학 이비인후과, 병리학교실
1Department of Otolaryngology, and Pathology, Keimyung University School of Medicine

© 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

Choristoma is defined a mass of tissue histologically normal for an organ or part of the body other than the site which it is located. Especially, salivary gland choristoma of the middle ear is defined, salivary gland tissue is located at middle ear cavity. Normal salivary gland tissue occurring as a tumor in the middle ear is a rare entity. It is associated with developmental anomalies of the facial nerve and ossicular chain.

In 1961 Taylor and Martin described the first salivary gland choristoma of the middle ear in a patient with a history of a unilateral conductive hearing loss since birth. Since this initial description, there have been a dozen of subsequent reports of salivary gland choristoma within the middle ear but this kind of report has never been reported in our country.

The authors recently experienced a case of salivary gland choristoma of the middle ear associated with anomalies of the facial nerve and ossicular chain in 17 year old female patient with unilateral conductive hearing loss since birth and report this case with review of the literatures.

Keywords: Salivary Gland Choristoma; Ossicular Chain and Facial Nerve Anomalies


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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