원저

편측성 부비동 질환의 수술례에 대한 임상적 고찰

홍석찬1, 강성호1, 진정언1
Seok-Chan Hong1, Sung-Ho Kang1, Jeong-Eon Jin1
Author Information & Copyright
1건국대학교 의과대학 이비인후-두경부외과학교실
1Department of Otolaryngology-Head & Neck Surgery, College of Medicine, Kon-Kuk University, Chungju, Korea

© Copyright 1997 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

Thirty-five cases of unilateral sinus disease which were operated from March 1992 to Member 1996 were analyzed retrospectively.

The obtained results of our study were as follows:

  1. Of 35 cases of unilateral sinus disease, chronic sinusitis was 20 cases (57.1%), inverted papilloma 5 cases (14.3% ), antrochoanal polyp 5 cases (14.3% ) aspergillosis 1 case (2·9% ), cocele 1 case (2.9%), post-operative cheek cyst 1 case (2.9%), angiofibroma 1 case (2.9%) l cylindrical cell papilloma 1 case (2.9% ).

  2. Male to female ratio was 1.3 to 1. The age distribution was different among some deases. Antrochoanal polyp was most frequent in the 2nd decade, and inverted papilloma in 5th and 6th decades.

  3. The most frequent complaint of unilateral sinus diseases was unilateral nasal construction.

  4. The duration of symptom was less than 1 year in antrochoanal polyp, and more than years in chronic sinusitis.

  5. The maxillary and ethmoid sinuses were operated in most cases, and other sinuses were srated according to the involved sinuses.

  6. The nasal polyp was noted in 12 cases (34.4% ).

Keywords: Unilateral sinus diseases


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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