• 제목/요약/키워드: Rhinoscopy

검색결과 11건 처리시간 0.02초

The Efficacy of Coblator in Turbinoplasty

  • Lee, Keun-Cheol;Cho, Jeong-Min;Kim, Seok-Kwun;Lim, Kwang-Ryeol;Lee, Sang-Yun;Park, Su-Seong
    • 대한두개안면성형외과학회지
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    • 제18권2호
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    • pp.82-88
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    • 2017
  • Background: Turbinate hypertrophy is one of the common causes of chronic nasal obstruction. In principle, therapeutic guidelines recommend medical treatment. Failure to treat turbinate thickening despite drug therapy may indicate the need for surgery. The main aim of this study was to determine the effect of radiofrequency surgery, among various other surgical procedures, on people with both nasal septal deviation and turbinate hypertrophy. Methods: Among people with nasal deviation who visited the subject hospital between July 2008 to July 2014, 21 people with nasal septal deviation and severe turbinate hypertrophy before their surgery had undergone septoplasty with turbinoplasty using radiofrequency combined with septoplasty. The degree of the turbinate's hypertrophy was appraised in all the patients before and after the surgery using the rhinoscopy, and acoustic rhinometry was objectively carried out. The subjective effect of the turbinoplasty using radiofrequency was explored through the visual analog scale (VAS) score. Results: The degree of contraction of the nasal mucosa after the rhinoscopy changed from Grades 3 and 4 (100%) to Grades 1 and 2 (95.2%) and Grades 3 (4.8%). The minimal cross-sectional area significantly increased from $0.44{\pm}0.07$ to $0.70{\pm}0.07cm^2$ (p<0.05). The nasal cavity volume increased from $4.79{\pm}0.49$ to $6.76{\pm}0.55cm^2$ (p<0.05). The subjective symptoms evaluated with VAS score a year after the surgery significantly improved (p<0.05). Conclusion: Turbinoplasty using Coblator with septoplasty is an effective treatment method because it expands nasal cavity, has a low incidence of complications, subjectively improves symptoms, and has short treatment duration.

황기(黃耆)제 투여로 득효한 아토피피부염 환자 1례 보고 (A Clinical Report of Atopic Dermatitis)

  • 전상규;이남정;공준호
    • 대한상한금궤의학회지
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    • 제4권1호
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    • pp.75-82
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    • 2012
  • Objective : We considered Astragali Radix(黃耆) can be used to cure serious atopic dermatitis. so we treated this patient with prescriptions contained Astragali Radix(黃耆). By this case, we got effective results and report this case and index of choice Astragali Radix(黃耆) Method : After treatment with prescription contained Astragali Radix(黃耆), we observe the changes and analyze results. Results : 1. Atopic dermatitis can be cured with Astragali Radix's efficiency on Sanghanron(傷寒論) 2. We considered Astragali Radix(黃耆) can be used when Chronic damage to the nasal mucosa is appeared by rhinoscopy and Sneezing, runny nose that lasts all year round is shown Conclusion : Gaeji-Ka-Hwangki-Tang(桂枝加黃耆湯) has most effect on this case. So, We need to study combination Astragali Radix(黃耆) with Glycyrrhizae Radix(甘草) and the efficacy of herbs belonged to leguminosae.

소아 알레르기 비염에 대한 비내침 치료의 임상적 연구 (A Clincal Study on the Effect of Intranasal Acupuncture Treatment on Pediatric Allergic Rhinitis)

  • 홍상준;최가혜;송인선
    • 대한한방소아과학회지
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    • 제25권2호
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    • pp.15-26
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    • 2011
  • Objectives: The purpose of this study is to investigate the effect of Intranasal acupuncture treatment in allergic rhinitis patients. Methods: This study was carried with the 42 pediatric allergic rhinitis who had been treated in our hospital. Inner young-hyang was used for the intranasal acupuncture points. Their nasal cavity was observed via anterior rhinoscopy. We induced patient's inferior turbiante bleeding by acupuncture. Patients nasal symtoms and QOL(quality of life) were assessed by the Total Nasal Symptom Score(TNSS) and Quality of Life Questionnaire for Korean Rhinitisian(QLQKR). Results: Total Nasal Symptom Score(TNSS) and Quality of Life Questionnaire for Korean Rhinitisian(QLQKR) were significantly improved. Conclusions: Intranasal acupuncture treatment is relatively effective in treating pediatric allergic rhinitis.

개 원발성 비강내 전염성 성병성 종양 예 (Primary Transmissible Venereal Tumor in the Nasal Cavity of a Dog)

  • 최을수;김민규;윤화영;이창우
    • 한국임상수의학회지
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    • 제19권3호
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    • pp.360-362
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    • 2002
  • A 9-year-old male Maltese with foamy nasal discharge, respiratory distress, and sneezing followed by epistaxis was presented to the Veterinary Medical Teaching Hospital of Seoul National University. Radiography showed no significant findings from an open mouth view. Rhinoscopy also did not find any remarkable lesions in the nasal cavity. But when vigorously swabbing the nasal cavity, numerous cells having round nuclei, coarse reticular chromatin, one large nucleolus and distinct cytoplasmic vacuoles, which is typical for canine transmissible venereal tumor cells were collected. We thoroughly searched for any primary transmissible venereal tumor at the other areas of the body other than the nasal cavity, but found none. The patient responded well to vincristine, and the clinical signs resolved with no respiratory distress, sneezing or epistaxis.

비침이 비색증에 대한 영향 (A Clinical Observation of the Nasal Acupunture Therapy on Nasal Obstruction)

  • 김윤범;윤상협
    • 한방안이비인후피부과학회지
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    • 제12권2호
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    • pp.205-211
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    • 1999
  • We studied 32 patents, who had visited Kyung Hee downtown oriental hospital with nasal obstruction. They has been observed their nasal cavity through anterior rhinoscopy. We had paten't middle and inferior turbinte bleeding by acupuncture. This symptom had been disappeared after this treatment. The result were as follows. 1. Sex and age distribution: The males were 18($56.2\%) and Female were 14($43.8\%$). The most common occurrence was found between 1-5 years old. 2. The most common duration of disease was between 2-6 months. 3. In decreasing order, the common complication & past history of otolaryngologic or allergic disease were allergic rhinitis, atopic dermatitis, chronic sinusitis, adenoid or tonsil hypertrophy, otitis media with effusion and asthma. 4. In descending order, distribution of symptoms were rhinorrhea, sneezing, dry sensation, sputum, frontal headach, postnasal drip and cough. 5. The improvement rate in symptom were $31.3\%\;excellent\;and\;53.1\%$ good.

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만성기침 환자의 주관적 증상과 비후두경 소견 및 객담 호산구 증가증과의 관련성 (Relation between Subjective Symptoms and Rhinolaryngoscopic Findings or Sputum Eosinophilia in Chronic Cough Patients)

  • 김현국;최은영;이재승;배윤정;송진우;김태범;조유숙;문희범;이상도;오연목
    • Tuberculosis and Respiratory Diseases
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    • 제69권5호
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    • pp.368-374
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    • 2010
  • Background: Rhinolaryngoscopy and sputum examination are popular tests for the evaluation of chronic cough. Little is known about the relationship between symptoms and rhinolaryngoscopic findings or sputum eosinophilia in chronic cough patients. Methods: One hundred patients, who had chronic cough with normal chest radiography and who also had undergone both rhinolaryngoscopy and induced sputum analysis, were reviewed retrospectively. Eleven associated symptoms of chronic cough were asked; postnasal drip (PND) and laryngopharyngeal reflux (LPR) were examined by rhinolaryngoscopy. Induced sputum analysis was performed for evaluation of sputum eosinophilia. Cross tabulation analyses with chi-square tests were used to evaluate the relationship between symptoms and objective findings. Results: The most frequent symptom was sputum (70%). The prevalence of PND and LPR on rhinolaryngoscopy were 56% (56/100) and 25.6% (22/86), respectively. Sputum eosinophilia was observed in 23 (23.7%) of 97 patients. The dyspnea (p=0.001), sputum (p=0.003), nasal obstruction (p=0.023), and postnasal drip sense (p=0.025) were related with PND on rhinolaryngoscopy. LPR on rhinolaryngoscopy was not related with any symptoms. Dyspnea (p=0.003), wheezing (p=0.005), nasal obstruction (p=0.013), and belching (p=0.018) were related with sputum eosinophilia. Conclusion: Any symptoms might not be related with LPR on laryngoscopy. Some symptoms might be related with PND on rhinoscopy or with sputum eosinophilia.

개의 비강 이행암종에서 메트로노믹항암 요법 (Adjuvant Metronomic Chemotherapy in a Dog with Nasal Transitional Carcinoma)

  • 박형진;김자원;정성목;최호정;손화영;송근호;서경원
    • 한국임상수의학회지
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    • 제32권2호
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    • pp.183-186
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    • 2015
  • 4살령의 중성화 암컷 말티즈 견이 4개월에 걸친 편측성 코 분비물 및 코막힘을 주증으로 본원에 내원하였다. 환자는 비강 이행암종이 전두동까지 파급되어 있는 것이 비강 내시경을 통해 확인되었다. 보조적 항암치료로 사이클로포스파마이드($12.5mg/m^2$) 와 티로신 키나아제 억제제인 토세라닙(2.5 mg/kg)을 수술적 부피 감량술 이후에 적용 하였다. 치료반응은 양호 하였으며, 진단 후 11개월 동안 항암치료에 대한 부작용 없이 잘 유지 되었다. 본 증례는 국내에서 비강 이행암종에서 보조적 항암치료를 실시한 최초 보고이다.

알레르기性 鼻炎(噴체)에 關한 臨床報告 (Clinical Study on Effect for Allergic Rhinitis in 33 Cases.)

  • 최은규;노석선
    • 한방안이비인후피부과학회지
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    • 제5권1호
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    • pp.143-150
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    • 1992
  • The clinical study was carried out the 33 patients with Allergic rhinitis who had been treated by Ga-Mi-tong-Gyu-tang from 1992.1 to 1992.9. The results were summarized as follows. 1. Distribution of sex : male($54.5\%$), female($45.5\%$) In the distribution of age, 30 age group made up $27.3\%$, and 10s, 40s, 20s in descending order. 2. Distribution of illness period : 1 - 5 under years($66.7\%$) , 6month-l under year($18.1\%$), 5-10 under years($15.2\%$). 3. Distribution of symptoms and signs, nasal discharge was $100\%$, sneezing was $93.9\%$, stuffy nose was $84.8\%$, nasal cooling sign was $33.3\%$. 4. Past history : Asthma was $15.1\%$, gastritis was $15.1\%$, genyantritis was $9.0\%$, deviation of the nasal septum was $3.0\%$, bronchitis was $3.0\%$. 5. In the general paranasal sinuses X-ray examination and anterior rhinoscopy : $45.4\%$ have hypertrophy of concha, $9.0\%$ have genyantritis, $6.0\%$ have deviation of the nasal septum. 6. Distribution of period in descending order: 1-10 days($57.6\%$), 11-20 days ($36.4\%$), 21-30 days($6.0\%$) 7. Distribution of Medicine for external in descending order : 11-20($42.4\%$), 21-30($22.7\%$), 31-40 were each $3.0\%$ 8. The improvement rate in symptoms and signs was $88.8\%$ expect None.

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림포형질세포성 비염에 이환된 고양이의 진단과 치료 (Diagnosis and Management of Lymphoplasmacytic Rhinitis in a Cat)

  • 강민희;박희명
    • 한국임상수의학회지
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    • 제28권4호
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    • pp.438-441
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    • 2011
  • 7연령의 중성화된 수컷, 단모종 고양이가 2년 동안 지속된 만성 비루와 재채기를 주증상으로 내원 하였다. 내원 당시 양측 비강내 화농성 비루가 관찰되었으며, 신체검사상 빈호흡이 확인되었다. 구강 및 흉강 방사선 검사는 정상이었으며, 두경부의 방사선 검사에서 비강과 고포의 이상이 발견되었다. 비강내 세포학 검사결과는 진단에 특이적인 소견을 제시하지 못했다. 확진을 위하여 추가적으로 컴퓨터 단층촬영검사, 비강과 비인두의 내시경 및 조직 검사가 실시 되었다. 컴퓨터 단층촬영을 통하여 양측 비강 및 비인두, 우측 고실내의 액체/연부조직 음영이 확인되었으며, 병변부의 종양성 변화는 확인되지 않았다. 비강경 및 검이경 검사를 통하여 병변부를 육안적으로 확인 할 수 있었다. 환축은 조직검사를 통하여, 림포형질세포성 비염으로 진단되었으며, cyclosporine을 이용하여 효과적으로 관리 되었다. 결론적으로 본 증례의 경우 고양이에서 발생한 림포형질세포성 비염의 임상증상과 진단, 그리고 cyclosporine을 이용한 치료 반응에 대한 국내 첫 증례보고이다.