Clinical Endoscopy

The Korean Society of Gastrointestinal Endoscopy (대한소화기내시경학회)
권호 표지

A Case of Endoscopic Removal of Hypopharyngeal Papilloma under General Anesthesia with Nasotracheal Intubation

전신마취 하 경비삽관 후 상부위장관내시경으로 치료한 하인두 편평유두종 1예

  • Jung, Yoon-Ho (Institute for Digestive Research, Digestive Disease Center, Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Cho, Joo-Young (Institute for Digestive Research, Digestive Disease Center, Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Kim, Dong-Kyun (Institute for Digestive Research, Digestive Disease Center, Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Cho, Young-Kwan (Institute for Digestive Research, Digestive Disease Center, Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Cho, Won-Young (Institute for Digestive Research, Digestive Disease Center, Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Kim, Jin-Oh (Institute for Digestive Research, Digestive Disease Center, Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Lee, Joon-Seong (Institute for Digestive Research, Digestive Disease Center, Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Jin, So-Young (Institute for Digestive Research, Digestive Disease Center, Department of Pathology, Soonchunhyang University College of Medicine)
  • 정윤호 (순천향대학교 의과대학 내과학교실 소화기연구소) ;
  • 조주영 (순천향대학교 의과대학 내과학교실 소화기연구소) ;
  • 김동균 (순천향대학교 의과대학 내과학교실 소화기연구소) ;
  • 조영관 (순천향대학교 의과대학 내과학교실 소화기연구소) ;
  • 조원영 (순천향대학교 의과대학 내과학교실 소화기연구소) ;
  • 김진오 (순천향대학교 의과대학 내과학교실 소화기연구소) ;
  • 이준성 (순천향대학교 의과대학 내과학교실 소화기연구소) ;
  • 진소영 (순천향대학교 의과대학 내과학교실 병리학교실)
  • Received : 2010.01.26
  • Accepted : 2010.05.18
  • Published : 2010.08.30
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Abstract

Benign tumors of the hypopharynx are uncommon and papillomas are quite rare. Papillomas grow very slowly and they are well defined, mobile and sometimes pedunculated masses. In order to minimize the patient's discomfort, many endoscopists tend to pass the scope quickly through the throat, without trying to visualize the oral and hypopharyngeal lesion. As for the treatment of hypopharyngeal lesions, cases of endoscopic treatment are rare and any guidelines have not yet been defined. We present here a case of endoscopic removal of a hypopharyngeal papilloma with the patient under general anesthesia and nasotracheal intubation.

하인두에 위치하는 양성종양은 비교적 드물고 그 중에서 유두종은 더욱 드물게 나타난다. 유두종은 서서히 자라면서 경계가 명확하고 유동성이 있으며 유경성으로 나타나기도 한다. 내시경검사를 할 때 삽입 당시의 구역, 구토를 억제하기 위하여 구강 및 하인두를 관찰하지 않고 지나치는 경우가 많아서 구강 혹은 인후두부의 병변을 발견하기가 어렵고 유두종과 같은 하인두 병변을 내시경으로 치료한 사례는 더욱 찾아보기 힘들다. 또한 아직 치료에 대한 명확한 지침도 없는 상태이다. 저자들은 하인두의 유두종을 내시경으로 진단하였고 전신마취 하 경비삽관 후 합병증 없이 성공적으로 내시경을 이용하여 치료한 1예를 경험하였기에 문헌 고찰과 함께 보고한다.

Keywords

References

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