• Title/Summary/Keyword: Head and neck.

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The Correlations between a Forward Head Posture and the Endurance and Maximal Voluntary Contraction of the Deep Neck Flexor, Neck Pain, and the Changed Position of the Mandible (전방머리자세와 깊은목굽힘근의 지구력과 최대근수축력 및 통증, 아래턱위치변화간의 상관관계)

  • Seok, Him;Lee, Sang-Yeol;Kim, Young-Hoon
    • PNF and Movement
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    • v.17 no.3
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    • pp.471-480
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    • 2019
  • Purpose: This study examined the correlations between a forward head posture and the endurance and maximal voluntary contraction of the deep neck flexor, neck pain, and the changed position of the mandible. Methods: The subjects of this study were 50 male and female adults who work at a desk for at least four hours a day. The head-spine angle was photographed with a camera, and the endurance and maximal voluntary contraction of the deep neck flexor and the changed position of the mandible were measured using pressure biofeedback. The Neck Disability Index was used to measure neck pain. To examine the correlations between a forward head posture and the endurance and maximal voluntary contraction of the deep neck flexor as well as the changed position of the mandible, a Spearman's correlation analysis was conducted. The statistical significance was set at 0.05. Results: A forward head posture and the endurance of the deep neck flexor showed a statistically significant positive correlation, and a forward head posture and neck pain showed a statistically significant negative correlation. In addition, the endurance of the deep neck flexor and neck pain showed a statistically significant negative correlation. Conclusion: The results of this study show that a forward head posture and the endurance of the deep neck flexor were correlated; in addition, a forward head posture and neck pain were correlated. Therefore, enhancing the endurance of the deep neck flexor can assist in correcting an imbalanced forward head posture, which can reduce neck pain.

A Case of Multiple Neurilemmomas in the Neck (경부에 발생한 다발성 신경초종 1예)

  • Chung Keun;Oh Won-Hee;Yang Sun-Mo;Cho Jin-Hak;Chu Hyung-Ro
    • Korean Journal of Head & Neck Oncology
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    • v.16 no.2
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    • pp.224-227
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    • 2000
  • Neurilemmomas are benign nerve sheath tumors arising from peripheral Schwann cells. The tumor composed of Schwann cells and collagen fibers, can occur in any region of the body where there is a nerve that has a Schwann sheath. The incidence of the tumor in the head and neck is about 30% with many of these occurring on the vagus nerve. Neurilemmoma is characterized by solitary occurrence, with sharp demarcation and encapsulation. Multiple genesis is very rare. This article presents a rare case of multiple neurilemmomas located bilaterally in the cervical region.

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Clinical Significance of the Expression of p53, p21, EGFR and c-erbB-2 in Squamous Cell Carcinoma of the Head and Neck (두경부 편평세포암종에서 p53, p21, EGFR 및 c-erbB-2 발현의 임상적 의의)

  • Lee Jun-Han;Do Nam-Yong;Park Sung-Yong;Kim Gun-Hyung;Cho Sung-Il
    • Korean Journal of Head & Neck Oncology
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    • v.21 no.2
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    • pp.139-145
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    • 2005
  • Background and Objectives: Because of squamous cell carcinoma of the head and neck undergoes a generally poor hospital course, the prognostic significance of the squamous cell carcinomas in head and neck have been evaluated to identify those features associated with aggressive biologic behavior according to the immunologic and histopathologic characteristics. Materials and Method: To assess the significance of EGFR, c-erbB-2, p21 and p53 protein in head and neck tumors and their correlation with prognostic factors, samples from 74 patients with squamous cell carcinomas of larynx, pharynx, and oral cavity were studied immunohistochemically. Results: EGFR, c-erbB-2, p21, and p53 protein were expressed 94.6%, 24.3%, 85.1%, and 55.4% in 74 cases of head and neck squamous cell carcinoma, respectively. The positive expression of EGFR was associated significantly with clinical stage and the negative expressions of p21 was associated significantly with histopathologic differentiation. There were no significant relationships between the reactivity of EGFR, c-erbB-2, p21, and p53 protein. Conclusion: The expression of EGFR, c-erbB-2, p21 and p53 protein could be related to oncogenesis, and the expression of p21 and EGFR protein can be used as a prognosticator in head and neck squamous cell carcinoma under certain limitations, but c-erbB-2 and p53 protein expression alone is not enough for evaluating prognosis of the carcinoma.

Primary Sinonasal Squamous Cell Carcinoma with Contralateral Lymph Node Metastasis (반대측 림프절 전이를 동반한 비강의 편평 세포암 1예)

  • Kim, Tae-Hoo;Heo, Chul-Young;Kim, Beom-Gyu;Park, Il-Seok;Kim, Yong-Bok
    • Korean Journal of Head & Neck Oncology
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    • v.25 no.2
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    • pp.163-167
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    • 2009
  • Sinonasal malignant tumors comprise less than 1% of all cancers and 3% of all malignant tumors of the head and neck, which explains a lack of large series addressing the clinical characteristics and management of these tumors. Neck node metastasis occurs in only about 7% to 15% of malignant tumors compared with other head and neck cancers. A 90-yr-old woman presented with left palpable neck mass and right nasal mass occupying nasal cavity. Fine needle aspiration biopsy of left neck mass results in metastatic squamous cell carcinoma(SCC). PET/CT shows intense FDG uptake in right nasal cavity with bone invasion. Histopathologic examination of excised lesion in the right nasal cavity revealed SCC. We report here on a primary sinonasal SCC with contralateral lymph node metastasis.

Lymphoepithelial Carcinoma of the Parotid Gland, Mimicking Malignancy of Unknown Origin(MUO) in the Head and Neck (원발미상암으로 오인된 이하선 림프상피암종)

  • Park, Jun Oh;Jang, Jeon Yeob;Ko, Young-Hyeh;Jeong, Han-Sin
    • Korean Journal of Head & Neck Oncology
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    • v.29 no.2
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    • pp.71-74
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    • 2013
  • Neck mass is a common manifestation from head and neck malignancy, most of which come from mucosal squamous cell carcinomas in the upper aero-digestive tract. However, once aspiration cytology suggests atypical malignant cells in the neck mass rather than metastatic squamous cell carcinomas, it is confusing to decide the adequate diagnostic work-ups and treatment planning. Here, we report a 29-year-old woman presenting with a growing neck mass mimicking malignancy of unknown origin, which was finally diagnosed as primary lymphoepithelial carcinoma in the parotid gland with multiple metastases to the lymph nodes. The patient underwent comprehensive neck dissection and total parotidectomy and the adjuvant radiation treatment was given. Our report highlight that the primary salivary gland cancer should be considered as the potential tumor origin in case of malignancy of unknown origin in the head and neck region and neck mass suggestive of atypical carcinomas.

Two Cases of Ultrasound-Guided Angiocatheter Irrigation and Drainage of the Head and Neck Abscesses (초음파 유도하 Angiocatheter를 이용한 두경부 농양의 세척 및 배농 2예)

  • Roh, Kyung-Jin;Suh, Michelle J.;Park, Sang-Chul;Kim, Hong-Jun;Kim, Bo-Mi;Shin, Hyang-Ae
    • Korean Journal of Head & Neck Oncology
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    • v.27 no.2
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    • pp.230-233
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    • 2011
  • Head and neck abscess usually requires hospitalization, intravenous antibiotic therapy, and surgical incision and drainage. Open surgical drainage may result in unsightly scars. We report two cases of a 56-year-old man with a facial abscess and a 47-year-old man with a parotid abscess. The patients were successfully treated with ultrasound-guided angiocatheter irrigation and drainage without scar. Ultrasound-guided angiocatheter irrigation and drainage can be a simple, safe and effective alternative procedure to open surgery in the management of the selected head and neck abscesses.

Effectiveness of Elective Irradiation Therapy on N0 Neck in Supraglottic Cancer (성문상부암에서 N0 경부에 대한 예방적 방사선치료의 효과)

  • Na Hong-Shik;Lee Chang-Haeng;Im Gi-Jung;Kwon Soon-Young;Choi Jong-Ouck;Jung Kwang-Yoon
    • Korean Journal of Head & Neck Oncology
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    • v.17 no.2
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    • pp.194-197
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    • 2001
  • Background and Objectives: Supraglottic cancer have a great tendency to spread cervical lymph nodes and lymph node metastasis is a well known prognostic factor. However the treatment for N0 neck in supraglottic cancer is still controversial. Materials and Methods: We retrospectively analyzed our neck management of supraglottic cancer patients who present with cN0 contralateral neck from 1989 through 1997. 36 patients were eligible for analysis. The primary site was surgically removed and the neck was managed by elective neck irradiation (ENI), elective neck dissection (END), or therapeutic neck dissection (TND) with postoperative radiation therapy (PORT). Results: Our results revealed that 18 of 36 patients have clinically negative neck, another 18 patients have clinically positive neck (N1-3). In clinically negative group, 12 of 18 patients were received ENI and there was 1 failure in contralateral neck area. Remaining 6 patients were received END with PORT and there was no failure. In clinically positive neck group, 3 of 18 patients were received ipsilateral TND and an additional contralateral END with PORT. Remaining 15 patients who were received TND with PORT, developed 3 neck failure. Conclusion: ENI or ipsilateral or bilateral END can be done in the cN0 neck of supraglottic cancer however ipsilateral TND and contralateral END with PORT is reasonable for the cN(+) neck.

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Congenital Atresia of the Left Internal Jugular Vein with Absence of the Left Transverse Sinus and Sigmoid Sinus (좌측 가로정맥동과 에스자정맥동의 부재를 동반한 좌측 속경정맥의 선천성 폐쇄)

  • Cho, Young-Ju;Lee, Kyung-Suk;Hwang, Byung-Eon;Yang, Yun-Su;Hong, Ki-Hwan
    • Korean Journal of Head & Neck Oncology
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    • v.27 no.2
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    • pp.226-229
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    • 2011
  • Knowledge of variations of veins of head and neck in relation to internal jugular, external jugular, anterior jugular and facial veins is important to surgeons doing head and neck surgery as well as to radiologists doing catheterization and to clinicians in general. In the current case, congenital atresia of the left internal jugular vein is reported. During neck dissection, superficial veins of neck and left external jugular vein was engorged and the left internal jugular vein was look like a fibrotic band. The left common carotid artery and vagus nerve was normal.

Treatment Experiences of Parathyroid Gland Tumors in 6 Cases (부갑상선 종양의 치험 6례)

  • Cho, Woo-Sung;Kim, Woo-Joo;Yoo, Ik-One;Hwang, Ho-Yeon;Baek, Seung-Kuk;Woo, Jeong-Soo;Kwon, Soon-Young;Jung, Kwang-Yoon
    • Korean Journal of Head & Neck Oncology
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    • v.23 no.2
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    • pp.165-169
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    • 2007
  • Parathyroid gland tumor is an uncommon disease. The symptoms of parathyroid gland tumor appear in various features such as general weakness, renal stones, bone diseases and malignancies in some cases. We summarized the clinical features of 6 cases of parathyroid gland tumors with literatures.