종설

Bleomycin을 이용한 낭포성 히그로마 치험 1례

정형목1, 이흥만1, 이상학1, 황순재1
Hyung Mog Jung1, Heung Man Lee1, Sang Hag Lee1, Soon Jae Hwang1
Author Information & Copyright
1고려대학교 의과대학 이비인후一두경부외과학교실
1Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Korea University

© Copyright 1995 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

Cystic hygroma is congenital malformation of the lymphatics. The majority occur in the neck, presumably as develops anomalies of the jugular lymphatic sac. 80% to 90% of the cystic hygroma are detected by the second year life. Cystic hygroma is presented benign, painless, soft, single, or multiloculated compressive mass. Surgical excision has been considered as the treatment of choice. However, complete excision is difficult because the lymphatic malformation tends to infiltrate the surrounding tissues. If surgical excision is incomplete, cervical mass may cause wound infection or recurrence. We experienced a case of cystic hygroma in 6 months old female infant who was admitted because of rapidly enlarging huge cystic mass on the left lateral neck presenting since at birth. Bleomycin injection was repeatedly performed. There was no serious side effects and the size of the mass has been reduced.

We report this case with the review of literatures.

Keywords: Cystic hygroma; Bleomycin


36권 4호 Quiz 및 정답, 해설

정답 ④

설하신경자극술의 핵심 치료 원리는 설하신경의 내측 분지를 선택적으로 
자극하여 이설근(genioglossus muscle)의 전방 돌출을 유도함으로써 
수면 중 상기도의 기능적 개방성을 유지하는 것이다. 기존 Inspire® 시스템은 
흡기 노력 감지 센서를 이용해 자극을 호흡 주기와 동기화하며, Nyxoah Genio® 
시스템은 양측 설하신경을 동시에 자극하는 무배터리 구조를 채택한 최신 장치이다. 
반면 Ansa cervicalis stimulation은 혀가 아닌 인두 구조물의 미측 견인을 통해 
상기도를 안정화시키는 다른 기전을 가진다.

 

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