종설

사골동에 발생한 미성숙 기형종에 대한 전두개안면절제술 1치험례

김태형1, 이강대1, 유태현1, 김한규*
Tai Hyung Kim1, Kang Dae Lee1, Tai Hyun Yu1, Han Kyu Kim*
Author Information & Copyright
1고신의과대학 이비인후과학교실
*신경외과학교실
1Department of Otolaryngology, Kosin medical college
*Neurosurgery, Kosin medical college

© 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 anterior craiofacial resection was well established for resection of tumors that involved the ethmoid sinus and adjacent regions to the anterior skull base. This operation provides a more thorough en-bloc excision than by conventional methods with reasonable safety since both the neurosurgeon and head and neck surgeon are guided by each other during the mobilization of the specimen. Adequate repair of dural defects also can be accomplished.

Immature teratoma arising from the nasal cavity and paranasal sinus is a very rare. It has a clinical course of high local recurrence and relatively rare distant metastasis. Therefore the treatment should be complete extirpation by crainofacial resection.

The authors have experienced a case of immature teratoma arising from ethmoid sinus, extending to nasal cavity and anterior skull base. It was successfully treated by using anterior craniofacial resection although the follow-up was short. This is a case report of immature teratoma treated with anterior craniofacial resection.

Keywords: Anterior Craniofacial Resection; Teratoma; Ethmoid Sinus


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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