• Title/Summary/Keyword: Stridor

검색결과 52건 처리시간 0.024초

Neurasthenic Laryngomalacia에서 의 Laser Aryepiglottoplasty의 적용 1례 (Laser Aryepiglottoplasty in Neurasthenic Laryngomalacia)

  • 김영모;조정일;최종철;한창준
    • 대한기관식도과학회지
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    • 제4권1호
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    • pp.122-126
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    • 1998
  • Laryngomalacia is the most common cause of inspiratory stridor and varying degrees of airway obstruction in infants but rarely occurs in children or adults. However, acquired airway obstruction would be developed due to the presence of redundant mucosa in the aryepjglottic folds similar to that seen in congenital laryngomalacia after central nervous system damage. To this condition, the term“Neurasthenic Laryngomalacia”is applied. We have recently experienced a case of neurasthenic larygomalacia, which has been managed by laser aryepiglottoplasty with good result. We report management and outcome of this patient with a review of the literatures.

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성대 운동이상에 의한 기능성 상기도 폐색 1예 (A Case of Functional Upper Airway Obstruction Due To Vocal Cord Dysfunction)

  • 서정경;이상엽;이상화;박상면;조재연;심재정;인광호;강경호;유세화
    • Tuberculosis and Respiratory Diseases
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    • 제43권3호
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    • pp.449-454
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    • 1996
  • 저자등은 호흡곤란을 주소로 내원한 성대 운동이상에 의한 기능성 상기도 폐색증 1예를 기관지내시경 및 폐기능검사로 확진하고 치료하였기에 문헌고찰과 함께 보고하는 바이다.

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양측성 성대 마비로 오인된 피열간 반흔 1예 (A Case of Interarytenoid Scar Disguising Bilateral Vocal Cord Palsy)

  • 신동혁;김용운;이용식
    • 대한후두음성언어의학회지
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    • 제25권1호
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    • pp.36-38
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    • 2014
  • The patient suffered cardiac arrest 8 months before presentation. She has been suffering hoarseness and exertional dyspnea and nocturnal stridor. Upon flexible laryngoscopy, her vocal cords showed no motion and fixed in paramedian position. There was no causal finding on neck CT. EMG showed some muscular activity. Under the suspicion of crico arytenoid fixation, we performed suspension laryngoscopy, and found the arytenoid cartilage was fixed with short and stout scar, which was removed with scissors. Just after surgery she regained her voice and respiration.

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Glomangiomyoma of the Trachea

  • Baek, Sam-Hyun;Huh, Dong-Myung;Park, Jun-Ho;Kwak, Eun-Kyoung;Kim, Byung-Ho;Han, Won-Kyung
    • Journal of Chest Surgery
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    • 제44권6호
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    • pp.440-443
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    • 2011
  • A glomus tumor is an uncommon soft tissue tumor that is most commonly found in the subungual area and a glomus originating in the trachea is extremely rare. Histologically and ultrastructurally, these tumors have been divided into three subtypes: classic glomus tumors, glomangiomas, and glomangiomyomas. Glomangiomyomas account for less than 10% of all glomus tumors and are the least common type. We report a case of a 54-year-old man with glomangiomyoma of the trachea who presented with stridor. We treated the tumor by segmental resection and primary repair via a transcervical approach.

경부기관에 발생한 선양낭성암종 1예 (Histopathologic Classification of Salivary Gland Neoplasm)

  • 추호석;정은재;권순영;정광윤
    • 대한기관식도과학회지
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    • 제9권1호
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    • pp.75-78
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    • 2003
  • Primary adenoid cystic carcioma of trachea is rare, with an incidence of only 0.2 per 100,000 persons per year. When all series of the tracheal carcinomas are combined, adenoid cystic carcinoma is the second most common tumor only to squamous cell carcinoma in incidence. Most patients have wheezing or stridor, dyspnea, hemoptysis, and cough as symptoms. Treatment options include surgery alone, radiation therapy alone, or a combination of both. The recommended surgical option is primary tracheal resection and reconstruction. Recently, we experienced a case of adenoid cystic carcinoma in 45 year old female patient who was treated tracheal tumor resection and end-to-end anastomosis of the trachea, so we report this case with the literatures.

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역설적 성대운동을 보이는 3명의 환자에 대한 임상분석 (Clinical Evaluation of 3 patients with Paradoxical Vocal Cord Movement)

  • 최선명;임길채;한광우;남순열
    • 대한기관식도과학회지
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    • 제9권1호
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    • pp.83-86
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    • 2003
  • Background and Objectives : Paradoxical vocal cord movement is a series of paroxysmal adduction of the anterior two-thirds of the vocal cords during respiration or during phonation. The choking, stridor, and wheezing in this condition occur primarily on inhalation, rather than on exhalation. The two pathognomonic diagnostic criterias that need to be assessed during an acute presentation are laryngoscopy with direct visualization of paradoxical adduction of the vocal cords and pulmonary function testing. Materials and Methods : A retrospective review of 3 patients who were referred to otolaryngologist from pulmonology department, and were confirmed by typical laryngoscopic findings with paradoxical adduction of the vocal cords was conducted. Results The patients were misdiagnosed as exercised-induced asthma, and unresponsive to corticosteroid and bronchodilators. Improvement was achieved only by diagnosis with paradoxial vocal cord movement. Biofeed back therapy, voice therapy, treatment for reflux laryngitis improved symptoms. Conclusion The etiology of paradoxical vocal cord movement is unknown. It may be functional or emotional. The functional factors that were proposed are neurologic deficit and gastroesophageal reflux. Management methods of this condition consist of psychological counselling, voice therapy, and antireflux medication.

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가상내시경으로 본 후두개 낭종 (Application of Virtual Endoscopy in Epiglottic Cyst)

  • 유영삼;최정환;김상우;우국성;김동원
    • 대한기관식도과학회지
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    • 제17권2호
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    • pp.108-111
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    • 2011
  • Epiglottic cysts cause stridor mimicking asthma and hinder intubation in surgery. A huge cyst can obstruct the airway, making laryngeal examinations impossible. Before surgery, complete visualization of the larynx is necessary for the successful excision of a cyst. If laryngeal examination fails, computed tomography (CT) scanning can provide detailed information. Virtual endoscopy based on CT data reconstruction can yield a detailed three-dimensional image of the larynx. Here, we report two cases of epiglottic cysts along with virtual endoscopic findings and surgical photographs.

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주기관 긴 협착증 환자의 수술 치험 (Circumferential Resection and End to End Anastomosis of Mediastinal Trachea for Long Tracheal Stenosis)

  • 유정훈
    • Journal of Chest Surgery
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    • 제25권6호
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    • pp.588-592
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    • 1992
  • Recently we have experienced one case of long tracheal stenosis which developed after pulmonary tuberculosis. The patient was 32 years old woman, 165cm in height. She complained severe dyspnea and headache. We could hear the inspiratory wheezing sound and stridor without stethoscope. Preoperative tracheogram and chest CT scan showed long tracheal stenosis from the posterior portion of clavicular head to the upper portion of carina and right main bronchus. Under the general anesthesia, the stenotic segment, about 7.5cm, was resected and end to and anastomosis was performed successfully through the right anterolateral thoracotomy and supraclavicular collar incision. Her postoperative course was uneventful and the patient has remained well till now.

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후두에 발생한 소낭낭포 1례 (A Case of Laryngeal Saccular Cyst)

  • 최홍식;김영호;이성민;홍원표
    • 대한후두음성언어의학회지
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    • 제8권2호
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    • pp.235-238
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    • 1997
  • Laryngeal saccular cyst may develop when obstruction of the orifice of the saccule occurs with resultant dilatation of saccule. It is classified into anterior saccular cyst and lateral saccular cyst. When saccular cyst occurs in infancy, it usually may cause respiratory distress, inspiratory stridor, cyanosis and dysphagia. In adults, it may cause hoarseness, dyspnea, dysphagia, pain and neck mass. The laryngeal saccular cyst may be treated by its removal with endoscopic or external approach, depending on the classification of saccular cysts, its size and individual patient factor. Recently, we have experienced a case of laryngeal saccular cyst so we report our clinical experience with brief review of literature.

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