종설

안와 및 두개강내 합병증을 동반한 범발성 부비동염 1례

김성식1, 이주환1, 조성우1, 박수흥2
Sung-Shik Kim1, Joo-Hwan Lee1, Sung-Woo Cho1, Soo Hong Park2
Author Information & Copyright
1연세대학교 의과대학 이비인후과학교실
2중문의과대학 이비인후과학교실
1Department of Otorhinolaryngology,Yonsei University College of Medicine
2Department of Otorhinolaryngology, CHA University College of Medicine

© Copyright 1998 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

In most cases, sinusitis is uncomplicated and the effects are contained within the sinus cavity. The incidence of major complications of sinusitis has decreased dramatically with the widespread use of many broad spectrum antibiotics. The complications and the local extension of paranasal sinus infections most often involve the orbit and periorbita due to the proximity of paranasal sinuses to the orbit, but intracranial extension infrequently occurs today. Nevertheless clinicians must be aware of these potential complications, because late recognition of such complications and delay in treatment can increase the rate of morbidity and mortality.

We are reporting our recent experience of a 21 year-old female having unilateral pansinusitis with orbital cellulitis and cavenous sinus thrombophlebitis treated with ethmoidectomy, antrostomy and sphenoidotomy along with review of literatures.

Keywords: Pansinusitis; Complications; Surgical treatment


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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