• 대한기관식도과학회:학술대회논문집
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• 대한기관식도과학회 1983년도 제17차 학술대회연제순서 및 초록
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• pp.7.2-8
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• 1983

만성 후두및 기관협착증의 빈도는 점차 증가하고 있는 추세에 있으며 이에 대한 치료로서 후두 및 기관확장술이나 성형술을 비롯하여 단단문합술등, 여러종류의 방법들이 각각의 적응증에 따라 시행되어 왔지만 아직도 만족스러운 결과를 얻기 어려운 경우가 적지 않다. 1972년 Strong과 Jako가 후두질환에 $CO_2$ Laser 사용을 시도한 것을 비롯하여 이비인후과영역에서 $CO_2$ Laser는 새로운 수술방법으로 각광을 받게 되었고 그 뒤를 이어 Mihashi(1976), Lyons(1980)등에 의하여 성공적으로 후두협착증의 치료에 이용된 바가 있다. 저자들은 1982년 4월부터 1983년 3월까지 1년간 후두기관성형술 및 확장술로는 성공적으로 기도를 유지하기 어려웠던 4례와 후두암으로 반측후두절제술 및 성문성형술 (neoglottis)을 받은 후 기도협착을 초래하였던 1례에서 수술현미경하에 $CO_2$ Laser를 사용함으로써 만족할 만한 결과를 얻었기에 문헌고찰과 함께 보고하는 바이다. 1) 후두 및 기관협착의 치료에 Laser를 이용한 술식은 기도유지에 있어 매우 효과적인 새로운 방법이다. 2) Laser수술 후 육아조직형성은 다른 방법에 비하여 비교적 적었다.

• 대한기관식도과학회:학술대회논문집
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• 대한기관식도과학회 2001년도 추계학술대회
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• pp.14-16
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• 2001

• 대한기관식도과학회지
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• 제1권1호
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• pp.82-93
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• 1995

Three-dimensional reconstruction of computed tomographic image(3D CT) is a well-established imaging modality which has been investigated in various clinical settings. It is commonly performed in case of congenital or developmental abnormalities, and traumatic fracture of skull and face that requires reconstruction of osseous structure. However reporting the 3D CT in laryngeal or tracheal stenosis is rare and its results are obscure. The authors performed 3D CT in six cases of tracheal stenosis and found diagnostic value of 3D CT. A Comparision of diagnostic information obtained from plain X-ray, 2D CT and 3D CT has performed in total six cases of tracheal stenosis. Surgical treatment of the tracheal stenosis was following in these cases : tracheal end to end anastomosis In 1 case, laryngotracheal end to end anastomosis in 2 cases. 3D CT information was compared with operative finding. In two of six cases, satisfactory information was not obtained from 3D CT in evaluating an exact stenosis of trachea. Future, it will be helped in evaluating of tracheal stenosis by 3D CT.

• 대한후두음성언어의학회지
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• 제25권1호
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• pp.31-35
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• 2014

Objectives : The aim of this study was to evaluate the effectiveness and feasibility of coblation resection for the treatment of laryngotracheal disease. Methods : We conducted a retrospective review, evaluating 7 patients with laryngotracheal disease treated using coblator. Information collected included demographic data of the patients, diagnosis, size and location of the disease, procedure time, the number of previous operation, and the postoperative complication. Results : Among the etiology, granulation is most frequent (n=4), followed by recurrent repiratory papillomatosis (n=2) and tracheal stenosis (n=1). The location of lesions was peristomal area (n=2), glottis (n=2), subglottis (n=2) and mid-trachea. Coblation resection could remove the lesions completely and there was no significant complication including local burn, bleeding, and hypertrophic scar. The procedure time was shorter than the previous operation using $CO_2$ laser. Conclusion : Coblation resection is an effective and safe method for layngotracheal disease and can substitute the classic method such as $CO_2$ laser.

• Journal of Chest Surgery
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• 제22권5호
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• pp.834-838
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• 1989

Tracheal stenosis is being encountered more frequently as ventilatory support and cuffed tubes are increasingly used for treatment of respiratory failure. We experienced 13 cases of tracheal stenosis treated surgically at department of Thoracic and Cardiovascular Surgery, school of medicine, Kyung Hee university during the 4 years. The causes of tracheal stenosis were prolonged endotracheal intubation 5 cases, tracheostomy 3 cases, tracheal tumor 2 cases, thyroid tumor 1 case and congenital double aortic arch 1 case. The methods used to manage the tracheal stenosis were tracheal resection % end to end anastomosis 8 cases, 2 cases of subglottic stenosis were underwent primary laryngotracheal anastomosis, Lt. aortic arch division 1 case, and stent insertion 2 cases. In two cases, who had 6 cm in length of tracheal stenosis, we were underwent tracheal resection k end to end anastomosis with supralaryngeal release procedure. Postoperative courses were uneventful except one case with tracheal tumor.

• 대한기관식도과학회지
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• 제4권2호
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• pp.165-170
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• 1998

Background and Objectives : Decannulation failure may result from factors such as inadequate ability 0 clear secretion, mucosal induration, granulation tissue, restenosis, tracheal wall depression and vocal cord palsy. We were to evaluate the effectiveness of surgical treatment on the basis of site and type of stenosis. Materials and Method : A series of 44 cases of decannulation difficulty between 1993 and 1997 were reviewed. The following data were collected on each of these patients : primary disease, indication for tracheostomy, site of stenosis, endoscopic findings of stenosis, surgical techniques used for treatment. Results : Primary diseases were 30 head trauma, 4 neck injury, 10 other diseases. Indication for tracheostomy were 37 prolonged intubation, 4 emergency tracheostomy, 3 laryngeal trauma. Endoscopic findings of stenosis were 24 granulation tissue, 16 laryngotracheal collapse, 4 combined with granulation tissue and collapse. Site of stenosis were 3 glottic, 9 subglottic, 24 stomal, 1 substomal, 7 mixed. 22 of 24 cases were decannulation using endoscopic treatment. Conclusion : The most common cause of failed decannulation was sternal granulation tissue. The most effective treatment of granulation tissue was endoscopic technique.

• Journal of Chest Surgery
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• 제25권11호
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• pp.1299-1304
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• 1992

We experienced 5 cases of tracheal stenosis and 7 cases bronchial stenosis treated surgically at the Department of Thoracic and Cardiovascular Surgery, School of Medicine, Hanyang University during 5 years. The causes of tracheal stenosis were prolonged endotracheal intubation 1 case, tracheostomy 1 case, the sequela of endobronchial tuberculosis 2 cases and tracheomalacia 1 case. The causes of bronchial stenosis were all endobronchial tuberculosis. The managements of tracheal stenosis were tracheal resection and end to end anastomosis. The resected lengths of trachea were 1.5cm, 3cm and 7.5cm. One case of suglottic stenosis was underwent the resection of trachea, 8cm in length, and the laryngotracheal anastomosis was done, but the re-stenosis of trachea was developed after 4 weeks post-operatively. One case of tracheomalacia was done permanent tracheostomy only, because the entire trachea was adhered to the surrounding tissue. The managements of bronchial stenosis were resection of involved lobe or one lung, in the 5 case. One case with Lt. main bronchial stenosis and atelectasis of Lt. upper lobe was done the lobectomy of Lt. upper lobe only and then, the Lt. pneumonectomy was done re-operatively because the atelectasis of Lt. lower lobe had continued. The other one case with stenosis of Rt. main bronchus, failed the insertion of metalic stent, was underwent the Rt. upper lobe lobectomy, sleeve resection and side to end anastomosis

• 대한기관식도과학회:학술대회논문집
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• 대한기관식도과학회 1993년도 제27차 학술대회 초록집
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• pp.80-80
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• 1993

소아 후두기관 협착의 원인은 선천성과 후천성으로 대별할 수 있는데, 최근에는 장기적인 기관내 삽관이나 외상에 기인하는 후천성의 경우가 증가하고 있다. 선천성 후두기관 협착의 경우 기관절개를 시행한 후 환아의 성장과 더불어 협착부가 자연치유 되기를 기대할 수 있지만 후천적인 예와 심한 선천성 협착에서는 외과적인 기도재건이 빈번히 필요하게 된다. 저자들은 1988년 1월 1일부터 1992년 12월 31일까지 서울대학교병원 이비인후과에서 후천성 후두기관 협착증으로 단단문합술 및 윤상갑상연골절제술 등의 재건 수술을 받은 22명의 15세 미만의 소아환자에서 병록지 조사를 시행하여 기도협착의 원인, 협착부위 및 정도, 수술의 종류 및 기타 임상상과 예후의 상관관계에 대하여 조사하였다.

• 대한기관식도과학회지
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• 제1권1호
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• pp.13-23
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• 1995

후두 및 기관협착증은 선천적으로 발생하기도 하지만 대부분이 후천적으로 발생한다. 후천적인 원인으로는 외부로부터의 외상에 의하기도 하지만 대개가 기관내 삽관 후유증으로 발생하는 것으로 알려져 있다. 기관내 삽관에 의한 기도 점막의 손상은 대부분 가역적이기는 하지만 영구적으로 협착을 초래하는 경우, 그 치료에 있어서 많은 노력이 필요할 뿐만 아니라 치료 자체가 매우 까다롭고 실패 할 수도 있다. 따라서 후두 및 기관협착증의 원인을 정확히 이해하고 예방하는 것이 매우 중요하다. 이러한 관점에서 후두 및 기관협착증의 선천적, 후천적 원인들에 대해서 검토하여 보았다. 특히 기도 내 삽관에 따른 협착증이 가장 많은 빈도를 차지하는 만큼, 이의 병태생리와 발생에 관여하는 여러 인자들에 대해서 중점적으로 문헌 고찰하였다.

• Tuberculosis and Respiratory Diseases
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• 제50권3호
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• pp.353-358
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• 2001

저자들은 이개염이 동반되지 않고 안장코와 다발성 관절염, 청력 감소, 기관지 침범 등이 동반된 재발성 다발성 연골염 환자에서 성문하 연부조직의 심한 부종으로 상기도 폐쇄가 동반되어 급성 호흡부전이 발생된 환자 1예를 경험하고 문헌고찰과 함께 보고하는 바이다.