• 제목/요약/키워드: Treatment modality

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보툴리눔 독소를 이용한 성대육아종과 성대결절 치료 (Clinical Application of Botulinum Toxin to Contact Granuloma and Vocal Nodule)

  • 이승원
    • 대한후두음성언어의학회지
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    • 제30권2호
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    • pp.82-86
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    • 2019
  • In the field of otolaryngology-head and neck surgery, botulinum toxins are widely used for the treatment of spasmodic dysphonia and vocal tremors. Recently, the applications of botulinum toxin have gradually expanded with time, to include vocal fold granuloma, mutational falsetto, bilateral vocal cord paralysis, and chemical reduction for arytenoid dislocation as an adjunctive modality. According to a nation-wide multicenter study conducted by the Korean Society of Laryngology, Phoniatrics and Logopedics for treatment modality of contact granuloma, among the various treatment modalities, botulinum toxin injection showed the highest response rate and lowest recurrence rate in both primary and refractory cases. Therefore, botulinum toxin could be reserved as a second-line treatment for contact granuloma in which the first treatment was not effective, but also could be used as a first-line treatment depending on the patient's and institution's situation. For recalcitrant nodules, injection of botulinum toxin into the bilateral thyroarytenoid muscle will reduce glottal contact force and result in a forceful chemical voice rest. In special situations, botulinum toxin injection could be one of the alternative treatment options for recalcitrant vocal nodules.

Image Registration in Medical Applications

  • Hong, Helen
    • Journal of International Society for Simulation Surgery
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    • 제1권2호
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    • pp.62-66
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    • 2014
  • Image registration is the process for finding the correct geometrical transformation that brings one image in precise spatial correspondence with another image. There are limitations on the visualization of simple overlay between two different modality images because two different modality images have different anatomical information, resolution, and viewpoint. In this paper, various image registration methods and their applications are introduced. With the recent advance of medical imaging device, image registration is used actively in diagnosis support, treatment planning, surgery guidance and monitoring the disease progression.

하인두암의 임상적 고찰 (Clinical Analysis on Cancer of the Hypopharynx)

  • 김영호;최은창;홍원표;김문석;이세영;홍정표;정형진
    • 대한두경부종양학회지
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    • 제14권1호
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    • pp.46-53
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    • 1998
  • Background: Hypopharyngeal cancer represents about one-third the incidence of laryngeal cancer which is the most common cancer in head and neck area. Although there have been numerous reports regarding its clinical and statistical characteristics, more precise and ample data should be collected and analyzed in this country. Objectives: This study was designed to evaluate the pattern and patient's profile of the hypopharyngeal cancer, and we reviewed the treatment outcomes to search for an index of treatment modalities. Materials and Methods: The authors retrospectively analyzed 73 cases of hypopharyngeal cancer treated at Yonsei Medical Center during the 10-year period from 1985 to 1994. Five-year survival rate was calculated according to the primary site, clinical stage and treatment modality. Results: The incidence was predominated in male by 9 to 1 and peak incidence was 6th and 7th decades. Pyriform sinus was the main primary site(80.8%) followed by posterior hypopharyngeal wall(13.7%) and postcricoid area(5.5%). Advanced stage cancers(87.7%) were more common than early stage cancers. Radiotherapy(60.3%) was the most commonly used as primary treatment modality. Neck node metastasis was early occurred even in early stage cancers(61.5%), and overall rate of neck node metastasis was 69.9%. All surgical cases received procedures more than total laryngectomy and partial pharyngectomy. The most common cause of death was primary failure(81.5%) and it was highest in radiotherapy group. Five-year survival rate was significantly high in surgery group(90.9%). The overall 5-year survival rate of hypopharyngeal cancer was 30.3%. Conclusion: High index of suspicion should be required for early diagnosis. Also, surgery may be recommended for the primary treatment modality in advanced stage cancers.

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Trend analysis of prosthodontic treatment modality between 2005 and 2008 in Seoul National University Dental Hospital

  • Li, Hongbo;Lee, Jai-Bong;Liu, Hongchen;Han, Jung-Suk;Yang, Jae-Ho;Koak, Jai-Young;Heo, Seong-Joo
    • The Journal of Advanced Prosthodontics
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    • 제2권1호
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    • pp.4-6
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    • 2010
  • PURPOSE. The aim of this article is to analyze the preference for treatment modality of dentists. MATERIAL AND METHODS. Data of 20,038 patients was involved. Data analysis were done by distribution according to the various kinds of prosthesis, including complete denture, removable partial denture, fixed partial denture, implant-supported dental prosthesis as well as distribution according to the professional titles of the dentists finishing the treatment, including resident and professors. RESULTS. The number of cases of dental prosthesis increased year by year. 61.06% of the patients accepted fixed partial denture restoration. The number of patients who accepted implant supported restoration is also increasing year by year. The number of complete denture, implant-supported dental prosthesis finished by professors was larger than that done by residents, while it was contrary for removable partial denture, fixed partial denture, and the difference was statistically significant (P < .05). CONCLUSION. Professors and residents have some difference in the categorization of prosthesis finished. Fixed partial denture and implant-supported dental prosthesis are preferred.

아동상담자의 윤리적 실천행동 관련변인으로서 교육훈련배경 (The Education/training Background as a Variable Related Ethical Behaviors of Child Counselors)

  • 유재령;김광웅
    • 아동학회지
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    • 제29권1호
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    • pp.133-153
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    • 2008
  • This study examined education and training as variables related to ethical behaviors of child counselors. The four sub-variables of this study included main educational/training background (academic career, major in last degree, and treatment modality), source of education in ethics, experience of educational psychoanalysis, and experience of supervision. The 136 child counselors participating in this study were administered the Inventory for Ethical Behaviors of Child Counselors (Yoo & Kim, 2(06). Data were analyzed by frequency, percentage, average, standard deviation, Cronbach's a, t-test, one way ANOVA, and multiple regression analysis. Results showed that main educational/training background (academic career, major in last degree, and treatment modality), experience of educational psychoanalysis, and experience of supervision were significant variables related to ethical behaviors of child counselors.

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이상근 증후군에 관한연구 (Studies on the Piriformis Syndrome)

  • 최중립;이준원;이경숙;소금영
    • The Korean Journal of Pain
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    • 제9권1호
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    • pp.120-125
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    • 1996
  • It has been reported by some authors that caudal block with local anesthetic and steroid is the most effective therapeutic modality for piriformis syndrome; and the incidence ratio of female to male being 6 to 1. We treated 89 patients with piriformis syndrome in 1995. From those clinical experiences and anatomical studies we heave arrived at several conclusions different from other authors. Our results indicate the following: 1) Piriformis syndrome does not provoke lower back pain. 2) Our rate of incidence showed a very different profile as results showed a female to male ratio of 33:56. 3) Releasing the compressed nerves(gluteal, sciatic) with spasmolytic treatment on the piriformis muscle itself is thought to be the only therapeutic modality for piriformis syndrome.

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