임상

원발성 비결핵 1례

박경윤1, 임귀채1, 이건일1, 김진용1, 이시영1
Kyoung Yoon Park1, Kui Chae Yim1, Kun II Lee1, Jin Yong Kim1, See Young Lee1
Author Information & Copyright
1전주 예수병원 이비인후과
1Department of Otolaryngology, Presbyterian Medical Center, Chonju, Korea

© 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

Primary tuberculosis of the nose is a very rare entity. We recently experienced a case of primary tuberculosis of the nose with no positive sign of pulmonary tuberculosis.

The patient was 29 year-old-woman with complaints of left nasal obstruction, crust formation, dryness of nasal cavity for 1 year. Physical finding revealed crust-covered tumor mass on the anterior portion of the left middle turbinate, which was confirmed histopathologically as the tuberculosis of the nose. But tubercle bacilli could not be approved by smear and culture with nasal discharge and sputum.

It was completely healed with surgical and anti-tuberculous therapy after 9 months.

So reported it with review of literatures.

Keywords: Primary tuberculosis; Nose


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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