• Title/Summary/Keyword: 후두염

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수의학강좌 II: 최신 양계 호흡기 질병 동향 및 대처방안

  • Song, Chang-Seon
    • Journal of the korean veterinary medical association
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    • v.46 no.8
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    • pp.726-735
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    • 2010
  • 전염성기관지염 바이러스(infectious bronchitis virus: IBV), 조류 뉴모 바이러스(Avian pneumovirus: APV), 뉴캣슬병 바이러스 (Newcastle disease virus: NDV), 조류인플루엔자 바이러스(avian influenza virus: AIV) 전염성 후두기관염 바이러스 (infectious laryngotracheitis virus: ILTV)는 닭의 호흡기에 직접 감염하여 호흡기질환을 일으키는 대표적인 바이러스로 알려져 있다. 그 밖에 아데노바이러스(adenovirus)와 레오바이러스 (reovirus)도 닭의 상부호흡기에 침투하여 피해를 입히는 이차적 원인체로 작용할 수 있다. 이들중 APV와 ILTV는 닭의 호흡기도에 국한되어 증식하지만 IBV, NDV, AIV의 경우 호흡기도 이외의 장기에서 증식이 가능하여 그 피해가 다양하게 나타나 문제 시 되기도 한다 (예: 산란장기 및 신장 (IBV), 소화기 (NDV, IBV, AIV), 중추신경계 (NDV, AIV)). 이외에도 상당수의 감염성 질환이 닭의 호흡기에 영향을 미칠 수 있으나, 해당 농장의 호흡기 피해가 어떤 질병에 의한 것인지 명확히 파악하지 못한 채 단순 항생제 처방에만 의지하는 경우가 많은 것이 현실이다. 따라서 국내 양계농가에서 문제시되는 주요 호흡기 질병과 이들의 감수성을 증대시키는 요인을 파악하는 것이 필요하고, 호흡기 질병의 피해에 대한 재인식과 아울러 호흡기 질병 피해 감소를 위한 진단과 예방노력이 하루속히 정착되어야 할 것이다. 본지에서는 대표적인 호흡기 질병 세가지(전염성기관지염, 조류뉴모바이러스감염증, 뉴캣슬병)의 최근 발생동향과 그 대처방안에 대하여 소개하고자 한다.

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Imaging of Acute Pulmonary and Airway Diseases in Children (소아의 급성 폐 및 기도질환의 영상)

  • Mi-Jung Lee;Hyun Joo Shin;Haesung Yoon
    • Journal of the Korean Society of Radiology
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    • v.81 no.4
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    • pp.756-769
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    • 2020
  • Among the various emergency diseases in children, acute pulmonary and airway disease are common clinical conditions encountered by radiologists, and the first imaging modality is chest radiography. Therefore, it is important to be familiar with these diseases and their imaging findings. In this article, we review pneumonia and mimickers of acute pulmonary disease. For acute airway disease, we reviewed croup, acute epiglottitis, tracheomalacia, asthma, postinfectious bronchiolitis obliterans, and foreign body aspiration. We hope this review of special diseases can help the diagnosis and treatment in children.

Myxoma in the Laryngeal Ventricle and the True Vocal Cord:A Case Report (후두실과 진성대에 발생한 점액종 1예)

  • Kim, Seung-Woo;Yum, Dong-Jin;Kang, Jae-Ho;Kim, Choon-Dong
    • Korean Journal of Head & Neck Oncology
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    • v.23 no.1
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    • pp.67-70
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    • 2007
  • Myxoma is an uncertain mesenchymal cell origin, characterized by irregular round, stellate or spindle cells surrounded by the matrix containing abundant mucoid material and scant vascularity. Their occurrence in descending order of frequency is in the heart, subcutaneous tissue, bone and genitourinary tract. In the head and neck region, the most predilection sites are mandible and maxilla(more than 80%). Laryngeal myxoma is extremely rare:only 5 cases have been reported in the English literature. We report a rare case of laryngeal myxoma. A 60-year-old man with hoarseness visited the out-patient department. The mass was located between the vocal fold and the vocal ligament, filling with the left laryngeal ventricle. We planned the laryngo-microsurgery and successfully excised using $CO_2$ laser. The histopathologic finding revealed the myxoma. After 18 months of surgery, there is no evidence of recurrence and mucosal scarring in the vocal fold. This report is the first case of laryngeal myxoma involving the laryngeal ventricle and the true vocal cord together.

24-Hr Ambulatory Double-probe pH Monitoring in LPR (역류성 후두염의 증상을 가진 환자에서의 24시간 이중 탐침 식도 산도 측정)

  • 남순열;박선태;정훈용
    • Korean Journal of Bronchoesophagology
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    • v.3 no.1
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    • pp.79-83
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    • 1997
  • The term laryngopharyngeal reflux (LPR) refers to the backflow of food or stomach acid back up into the larynx (the voice box) or the pharynx (the throat). Esophagopharyngeal reflux is suggested as an etiologic factor in laryngeal disease. To examine a possible esophageal basis for laryngopharyngeal symptoms, we studied 48 patients with persistent laryngopharyngeal symptoms, and 12 relative control subjects. Patients were evaluated for cervical symptoms by questionnaire and underwent gastrofiberoscopy, fiberoptic laryngoscopy, esophageal manometry and 24-hour ambulatory double-probe pH monitoring. We found LPR in fourteen out of 48 patients with cervical symptoms (29%). The LPR group consisted of nine men and five women. The symptoms that LPR patients complained were throat lump sensation, hoareness, sore throat, throat clearing, chronic coughing and dysphagia in order of frequency, and they were not different significantly from non-LPR patients. The laryngoscopic findings in LPR patients were posterior erythema, laryngeal edema and diffuse erythema, and there was also no significant difference between LPR group and non-LPR group. There was statistically significant correlation between LPR and gastroesophageal reflux (GER). We concluded that there is no pathognomonic symptoms or laryngoscopic findings in diagnosis of LPR, and 24-hour ambulatory double-probe pH monitoring is an essential diagnostic tool in LPR.

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Comparison on Frequency of Vocal Misuse and Abuse Behavior in Normal and Vocal Nodules Children (정상 아동과 성대 결절 아동의 음성 오용 및 남용 행동의 발생 빈도 비교)

  • Lee, Moo-Kyung
    • The Journal of the Korea Contents Association
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    • v.11 no.9
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    • pp.429-436
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    • 2011
  • There have been several studies reporting that vocal misuse and abuse causes voice problems, as well as laryngeal disease such as laryngitis, vocal nodules, vocal polyp. But few researches have investigated amounts or rates of vocal misuse or vocal abuse of patients. Therefore, the author of this study developed measuring device for vocal misuse and abuse behaviors and compared frequency of vocal misuse and abuse behaviors of normal children and children with vocal nodules. The subjects of this study were five normal children and five children with vocal nodules who were male, lower graders of elementary schools(first to third graders). Based on the results of this study, the frequency of the children with vocal nodules in vocal misuse and abuse using was 5,411(${\pm}145$) and that of the normal children was 3,133(${\pm}257$). The frequency of vocal misuse and abuse behaviors of the children with vocal nodules was around 1.5 time significantly higher than that of normal children(p<.001).

Metabolic Changes on Occipital Cortex during Visual Stimulation with Functional MR Imaging and H MR Spectroscopy (기능적 자기공명영상법과 양성자 가지공명분광법을 이용한 시각자극에 의한 후두염 피질의 대사물질 변화)

  • Kim, Tae;Suh, Tae-Suk;Choe, Bo-Young;Kim, Sung-Eun;Lee, Heung-Kyu;Shinn, Kyung-Sub
    • Investigative Magnetic Resonance Imaging
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    • v.3 no.1
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    • pp.47-52
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    • 1999
  • Purpose : The purpose of this study was aimed to evaluate the BOLD(blood oxygen level dependent) contrast fMRI(functional MR imaging) in the occipital lobe and to compare with the metabolic changes based on H MRS (MR spectroscopy) and MRSI (MR spectroscopic imaging) before and after visual stimulation Materials and Methods : Healthy human volunteers (eight males and two females with 24-30 year age) participated in this study. All of the BOLD fMRI were acquired on a 1.5T MR with EPI during supervised visual stimulation in the occipital lobe. The red flicker with 8Hz was used for visual stimulation. After imaging acquisition, the MR images were transferred into unix workstation and processed with acquired from the same location based on the activation map. MRSI (magnetic resonance spectroscopic imaging) was also acquired to analyze the lactate changes before and after stimulation. Results : The activation maps were successfully produced by BOLD effect due to visual stimulation. NAA (N-acetyle aspartate)/Cr (creatine) ratio varied only from $1.79{\pm}0.28{\;}to{\;}1.88{\pm}0.20$ in activation area before and after stimulation. However, the signal intensity of lactate was elevated $9.48{\pm}4.38$ times higher than before activation. Lactate metabolite images were consistent with the activation maps. Conclusion : The BOLD contrast fMRI is enough sensitive to detect the activated area in human brain during the visual stimulation. Lactate metabolite map presents the evidence of lactate elevation on the same area of activation.

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The Clinico-Statistical Analysis of Dysphagia (연하곤란을 주소. 내원한 환자의 임상통계적 고찰)

  • 윤태현;선우대활;고건성;김진영
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1978.06a
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    • pp.6.1-6
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    • 1978
  • Dsysphagia or difficulty in swallowing is a symptom wich indicates the presence of disease or dysfunction. Because the cause & the original site are variable, it is significant to study the clinicostatistical analysis on 133 cases with complant of dysphagia during the last one year in the department of Otolaryngology, College of Medicine, Seoul National University. The results are as follows; 1) Among the total O.P.D. patients (6313 cases), patients complaining the dysphagia are 2.1%. 2) Male to female sex ratio is 1. 3 to 1, slightly predominent in male and average are 35.7 years. 3) The duration of chief complaint is about 251 days in average, but excluding the 8 cases with more than year of symptom, it is about 40 days. In detailed analysis of the duration; 67 cases (50.4%) occurred within 1 weak: 24 cases (18.0%), 1 week to 1 month: 34 cases (25.6%), 1 month to 1 year: 8 cases (6.0%), more than 1 year. 4) As to the site of origin, the oropharyngolaryngeal origin 106 cases (76.7%) are 4 times as many as the esophageal origin 27 cases (20.3%). 5) As to the etiological classification: inflammation 67 cases (50.4%), tumor 28 cases (21.0%), corrosive agent 14 cases (10.5%), foreign body 11 cases (8.3%) in order. 6) As to the disease entity: pharyngitis and tonsillitis 42 cases (31.6%), stomatitis 14 cases (10.5%), corrosive esophagitis 14 cases (10.5%), laryngeal tumor 12 cases (9.0%), peritonsillar abscess 9 cases (6.8%), esophageal foreign body 7 cases (5.2%), tongue tumor 7 cases (5.2%), tonsillar tumor 6 cases (4.5%), (pharyngeal foreign body 4 cases (3.0%)in order.

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One Case of Ludwig's Angina with Mediastinal Fistula and Pneumonia (종격동루공 및 폐렴을 동반한 Ludwig's angina의 1례)

  • 한경수;홍정애;정덕희;김춘길
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1979.05a
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    • pp.9.1-10
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    • 1979
  • The authors have recently observed a case of Ludwig's angina with forming mediastinal fistula & pneumonia. The Ludwing's angina is the cellulitis of the mouth floor and neck, ie, of the sublingual space. The suppurative inflammation of this space develops from dental infection, and can also develop from ulceration or inflammation of the mouth floor and the tongue base, lingual tonsillitis or salivary calculi. The main causes are characterized as mixed infection which hemolytic streptococcus and staphylococcus are considered to be pathognomic organisms. It may be followed as complications of mediastinal extension, parapharyngeal extension and laryngeal edema. This is the report on this case with literature review.

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A Case of Difficult Decannulation (기관 Cannula 발거 곤란증의 1례)

  • 이순철
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1981.05a
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    • pp.4.2-4
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    • 1981
  • The auther experienced a case of difficult decannulation in a 52-day-old male infant, in which decannulation was performed at one and half years after tracheostomy. Tracheostomy was performed for the maintenance of airway due to severe dyspnea, cyanosis, retraction of suprasternal notch and epigastrium during the inspiration with acute laryngotracheobronchitis. The patient became gradually adjusted to the continual cannula corking training along with growing process over the period of 18 months.

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The Biological Base of Learing and Memory(I):A Neuropsychological Review (학습과 기억의 생물학적 기초(I):신경심리학적 개관)

  • MunsooKim
    • Korean Journal of Cognitive Science
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    • v.7 no.3
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    • pp.7-36
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    • 1996
  • Recebt neuropsychological studies on neurobiological bases of learning and memory in humans are reviewed. At present, cognitive psychologists belive that memory is not a unitary system. But copmosed of several independent subsystems. Adoption this perspective,this paper summarized findings regarding what kinds of memory discorders result from lesions of which brain areas and which brain areas are activated by what kind of learning/memory tasks. Short-term memory seems to involve widespread areas around the boundaries among the parietal,occipital,and temporal lobes,depending on the type of the type of the tasks and the way of presentation of the stimuli. Implicit memory,a subsystem of long-term memory,is not a unitary system itself. Thus,brain areas involved in implicit memory tasks used. It is well-known that medial temporal lobe is necessary for formation(i,e.,consolidation)of explicit memory,another subsystem of long-term memory. Storage and/or retrieval of episodic and semantic memory involve temporal neocortex. Perfromtal cortex seemas to be involved in several aspects of memory such as short term memory and retrieval of espisodic and semantic memory. Finally, a popular view on the locus of long-term memory storage is described.

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