원저

후두 및 기관 협착증에 대한 임상적 고찰

양진영1, 전동석1, 김영기1, 홍기환1
Jin Yung Yang1, Dong Suk Chon1, Young Ki Kim1, Ki Hwan Hong1
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1전북대학교 의과대학 이비인후과학교실
1Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Chonbuk National University

© Copyright 1993 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

The absolute number of patients with laryngotracheal stenosis have increased inspite of the development in new treatment methods. The multitude of methods described by different surgeons indicates that no single treatment has been universally successful. To research more effective treatment methods for laryngotracheal stenosis, we analized 39 patients(50 operations) who were treated at Chonbuk National University Hospital from Mar. 1986 to Aug. 1992.

The results were as follows;

  1. The age distributions were followed as 10 cases in 6th decade and 7 cases in 4th and 7th decade, and shows relatively even distribution. Among the 39 cases, 27 cases were in male and 12 cases were in female.

  2. The etiologies were tracheotomy 29 cases, blunt neck trauma 5 cases, prolonged intubation 2 cases, laryngeal papilloma 2 cases and others 1 case.

  3. The primary diseases were followed as head trauma 17 cases, CVA 10 cases, neck trauma and laryngeal fracture 6 cases, vocal cord papilloma 2 cases, neck laceration 2 cases, tumor 2 cases and vocal polyposis 1 case.

  4. The sites of stenosis were followed glottis 5 cases, subglottis and trachea 14 cases, and trachea 20 cases.

  5. The methods of treatment were used as surgery all cases. On the results of treatments, the tracheal stenosis was relatively better than the subglottic and tracheal stenosis, and glottic web were revealed good results.

Keywords: Laryngotracheal Stenosis; Clinical Analysis


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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