• 제목/요약/키워드: Head-neck

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두경부암 환자의 대체요법 이용 실태 (Complementary and Alternative Medicine in the Patients with Head and Neck Cancer)

  • 김광현;정은정;하정훈;권성근;성명훈
    • 대한두경부종양학회지
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    • 제21권1호
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    • pp.21-25
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    • 2005
  • Background and Objectives: The popularity of complementary and alternative medicine(CAM) has grown at an astonishing rate in recent years. Because patients are interested in CAM and want to use it, physicians also should be concerned about CAM and know about the current situation of its usage. In this study, we tried to determine the prevalence of CAM use in the patients with head and neck cancer and correlate with demographics and tumor characteristics. Materials and Methods: A total of 87 patients with head and neck cancer previously treated with surgery at Seoul National University Hospital from March through June, 2004 were enrolled in this study. The patients were completed, questionnaire about the use of CAM and demographic information. Tumor characteristics were obtained from the patient's medical records. Results: Of the 87 patients, 33 patients(37.9%) use at least one CAM. There was no statistically significant correlation between patient's data and prevalence of CAM use. Of those patients using CAM, 16(48.5%) of 33 were using 2 or more therapies. The majority of agents used by patients in this study are mushrooms such as Phellinus and Reishi, followed by dietary therapy. A majority(60.6%) of patients were introduced to alternative medicine by friends or family members. Conclusion: Considerable cancer patients use CAM. Head and neck oncologists should inform themselves about CAM to counsel and educate the patients. Further scientific investigations on promising CAM agents may help advance cancer treatment.

두개하악장애의 증후발현과 두경부자세 사이의 상관성에 관한 연구 (A Study on the Correlation between Signs/Symptoms of the Craniomandibular Disorder and Head/Neck Posture)

  • Kyeung-Suk Choi;Keum-Back Shin;Ik-Jun Lim
    • Journal of Oral Medicine and Pain
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    • 제18권2호
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    • pp.131-147
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    • 1993
  • To evaluate the contribution of head/neck posture to signs/symptoms of craniomandibular disorder(CMD), the author clinically, cephalo-metrically, analyzed craniomandibular index (CMI), clinical dysfunction index(CDI), occlusal index(OI) and head posture, cervical spine, cervicovertebral anatomy, craniofacial variables from 30 CMD patients and control. And the author analyzed difference between patients and control, and the correlation between CMI, CDI and head posture, cervical spine, cervicovertebral anatomy, craniofacial variables in CMD patients and control. The obtained results were as follows : 1. There was very high significant correlation between CMI and CDI(r=0.8969, p<0.01). 2. There was significant difference between patients and control in head/neck posture, head/neck anatomy(p<0.05). 3. There was significant correlation between CMI, CDI and head posture, cervical spine, cervicovertebral anatomy, craniofacial variables(p<0.05). 4. There was more significant correlation between DI and head/neck posture, head/neck anatomy than between PI and head/neck posture, head/neck anatomy in CMD patients(p<0.05)

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외측경부 종물로 나타난 어류골편이물 1례 (A Case of Fish Bone Foreign Body as a Lateral Neck Mass)

  • 주형로;고원혁;최동준;김일우;박일석;김범규;김용복
    • 대한기관식도과학회지
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    • 제13권2호
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    • pp.72-77
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    • 2007
  • The case report of migrating ingested fish bone presenting as an unresolving inflamed neck mass is rare. The diagnosis must be suspected in a patient with an unresolving inflamed cutaneous lesion, especially one with a punctum, the tenderness of the lesion elicited on swallowing and the presence of a palpable subcutaneous neck mass. In such a patient, a history of recent foreign body ingestion must be actively sought. An accurate early diagnosis of this easily treatable condition is desirable because it could avert unnecessary delays, inconveniences, anxiety, costs, and surgery. The authors experienced a case of lateral neck mass resulting from the migration of a fish bone which was successfully removed by surgical exploration and made a report with a review of literature.

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가성대에 발생한 신경초종의 경구강 레이저 절제술 치험 2례 (Two Cases of False Cord Schwannoma Treated with Transoral Laser Resection)

  • 김영록;김성원;홍종철;이봉주;이강대
    • 대한두경부종양학회지
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    • 제23권1호
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    • pp.58-62
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    • 2007
  • Schwannoma is a benign well-encapsulated tumors arising from the sheath of Schwann cell of the peripheral motors, sensory, and cranial nerves, but not from the optic and olfactory nerves. Since it is relatively common in the head and neck region, it should be included in the differential diagnosis of head and neck tumor. However, reports of laryngeal involvement have rarely appeared in the literature. We have experienced a 50-year old woman and 39-year old woman with history of progressive voice change. We recognized a benign mass at the false cord area with the telelaryngoscope and CT. The tumors were successfully removed by transoral CO2 laser resection without tracheotomy.

두경부암(頭頸部癌)에서 중성자선(中性子線) 치료(治療)의 효과(?果) (The Effect of Neutron Therapy on Head and Neck Cancer)

  • 유성렬;고경환;조철구
    • 대한두경부종양학회지
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    • 제5권1호
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    • pp.31-38
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    • 1989
  • The result of neutron therapy on head and neck cancer using KCCH -Cyclotron neutron which had been using from October 1986 to September 1989 in the Korea Cancer Center Hospital. Among the total of 27 patients the cases of malignant salivary gland tumor were 14 and the cases of advanced head and neck cancer of AJCC stage IV were 13. The local control rate was 80% in malignant salivary gland tumor and 46.2% in advanced head and neck cancer. The 2 year survival rate was 60% in malignant salivary gland tumor and 38.5% in advanced head and neck cancer. Although there was no significant difference in prognosis according to the pathologic types, squamous cell carcinoma revealed a pattern of poor prognosis. The major complication from the neutron therapy had developed 7.1% in malignant salivary gland tumor and 23.1% in advanced head and neck cancer. In conclusion, neutron therapy is superior in the treatment of malignant salivary gland tumor and also effective in the treatment of advanced head and neck cancer when it can avoid to treat some site of low tolerance.

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두경부 편평세포암종에 대한 UFT 투여 후 항종양효과에 관한 제2상 임상 연구 (A Phase n Study on UFT Therapy for Head and Neck Squamous Cell Carcinoma)

  • 최종욱;최건;정광윤
    • 대한두경부종양학회지
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    • 제10권1호
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    • pp.74-79
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    • 1994
  • A Phase II study of UFT which is a mixture of Tegafur and Uracil was conducted in two institutions during past two years. Ninty-four patients of head and neck squamous cell carcinoma entered this trial, of which sixty-eight were evaluated. Among those, thirty-six cases were previously untreated and thirty-two cases were recurrent UFT was administrated orally at a daily dose of $400mg/m^2$ for eight weeks. The results were as following: 1) Overall response was 30.88%, but for 38.36% for 36 cases of the untreated cases, 21.88% for 32 cases of recurrent cases. 2) UFT was more effective in early stage and well differentiated squamous cell carcinoma and UFT tended to reduce the tumor size maximally at fourth or fifth week 3) There was no serious side effects except mild gastrointestinal disturbances such as nausea and vomiting, which were recovered immediately after stop or reducing a daily dose. Therefore, UFT therapy is clinically effective for head and neck squamous cell carcinoma and also may be useful for combination or palliative chemotherapy because of mild side effects.

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후두에 발생한 신경 초종 1례 (A Case of Schwannoma of the Larynx)

  • 최동준;고일주;권성진;박일석;김범규;김용복;장우영
    • 대한두경부종양학회지
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    • 제24권2호
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    • pp.200-202
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    • 2008
  • Schwannoma is a benign soft tissue tumor arising from the schwann cells of the nerve sheath. Although 25 to 45% of schwannomas arise in the head and neck region, larynx is one of the rarest sites of involvement. Recently, we experienced a case of a laryngeal schwannoma causing voice change in a 53-years-old woman. Laryngeal schwannoma is located right false vocal fold with bulging, which was completely removed by microlaryngeal surgical excision. We report a rare case with a review of literature.

A case report of complete cricotracheal separation: an experience from the east coast of Malaysia

  • Atikah, Rozhan;Adam, Mohamad;Khairul Azhar M., Rajet;Mohd Zaki, Ahmad;Suhaimi Bin, Yusof;Wan Emelda Wan, Mohamed;Bathma Devi, Susibalan;Nik Mohd Syukra Nik Abd, Ghani;Zamzil Amin Bin, Asha'ari
    • Journal of Trauma and Injury
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    • 제35권4호
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    • pp.282-286
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    • 2022
  • Complete cricotracheal separation, which is the most severe type of laryngeal trauma, is an uncommonly seen injury that clinicians have limited experience in managing. However, it is potentially fatal. Due to limited exposure to this condition, mismanagement can occur, which may further aggravate the patient's condition. The most crucial part of managing this injury is to establish a secure airway. Tracheostomy under local anesthesia is the preferred method of airway stabilization, in order to avoid further injuries to the airway caused by endotracheal intubation. Here, we discuss the management of complete cricotracheal separation based on a case experienced in the east coast region of Malaysia, where this type of injury is rarely encountered.