원저

후두의 영상기록

왕수건 1
Soo-Geun Wang 1
Author Information & Copyright
1부산대학교 의과대학 이비인후과학교실
1Department of Otolaryngology, College of Medicine, Pusan 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

Since the first successful photographic documentation of the larynx by Thomas French in 1882, many different method of laryngeal photography have been developed. But it was not popular until 1980s, because of difficult technique to take a photo, improper light source and expenditure etc. In the 1980s, with the development of telescope, laryngeal photography have been widely accepted as a part of examination of the larynx. The purpose of this study is to compare the currently available methods of still photography of the larynx and to find out which methods are more suitable for laryngeal documentation.

The results obtained were as follows:

  1. Direct and indirect laryngeal photography is simple results but the images obtained from both methods are too small to differentiate the laryngeal pathology.

  2. Fiberscopic laryngeal photography is very useful in case of children and adult with hyperactive gag reflex. But the image obtained is distorted and less clear to demonstrate the early mucosal lesion.

  3. 90° Telescopic laryngeal photography can be taken under local anesthesia and provides a large, clear wide-angle view but there is some difficult in exposing and focusing the larynx.

  4. 0° Telescopic laryngeal photography provides a large excellent picture of the larynx, especially a close-up view for detecting early mucosal lesion of the vocal cord. But there is some limit for exposing posterior glottis, arytenoid, piriform sinus and epiglottis.

  5. Microscopic laryngeal photography provides variable sized image according to different magnification and relatively clear picture. But it requires bright illumination and there is some limits for posterior glottis, arytenoid, piriform sinus and epiglottis.

In conclusion, to obtained a clear wide angle view of the larynx, 90° Telescopic laryngeal photography is useful and to demonstrate the early mucosal lesion of vocal cord, 0° Telescopic laryngeal photography and microscopic photography is recommendable

Keywords: Larynx; Documentation; Still Photography


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.

 

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응모해 주신 모든분들께 감사드립니다.

경품은 당첨자분들께 8.21(금)까지 개별 발송해 드리겠습니다.

 

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