• Journal of Dental Anesthesia and Pain Medicine
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• 제19권6호
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• pp.389-392
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• 2019

An enlarged inferior turbinate is a predisposing factor for difficult nasotracheal intubation. We describe a case of successful nasotracheal intubation by induced outfracture of the inferior turbinate during maxillofacial surgery, and discuss the importance of adequate airway evaluation and anesthetic management for successful nasal intubation.

• 대한기관식도과학회지
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• 제7권2호
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• pp.184-187
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• 2001

Peripheral T-cell lymphoma, which characterized by progressive ulceration and necrosis of the upper aerodigestive tract or midline facial structures, is rare disease in the otolaryngologic field. We recently experienced a case, revealed histopathologically peripheral T-cell lymphoma, involving inferior turbinate without any evidence of involving other organs. In this paper, we report two cases of peripheral T-cell lymphoma who was treated chemotherapy and concurrent radiation therapy.

• 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.

• Journal of Rhinology
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• 제25권2호
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• pp.123-129
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• 2018

Background and Objectives: Endoscopic repair of cerebrospinal fluid (CSF) leak can avoid morbidity of open approaches and has shown a favorable success rate. Free mucosal graft is a good method, and multi-layered repair is more favorable. The inferior turbinate has been commonly utilized for the free mucosal graft, but we newly designed it as a bone-periosteal-mucosal composite graft for multilayered reconstruction. Subjects and Method: Four subjects with a skull base defect were treated with this method. The inferior turbinate was partially resected including the conchal bone and was trimmed according to defect size. Both bony parts and periosteum were preserved on the basolateral side of the mucosa as a composite graft. The graft was applied to the defect site using an overlay technique. Results: All cases were successfully repaired without any complications. Three of them had a defect size greater than 10-12 mm, and the graft stably repaired the CSF leakage. Conclusion: Endoscopic repair of CSF leakage using inferior turbinate composite graft is a simple and easy method and would be favorable for defect sizes greater than 10 mm.

• Applied Microscopy
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• 제50권
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• pp.11.1-11.3
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• 2020

The human turbinate-derived mesenchymal stem cells (hTMSCs), which were DiI-labeled and transplanted into the subretinal space in degenerating mouse retina, were observed in retinal vertical sections processed for rhodopsin (a marker for rod photoreceptor) by confocal microscope with differential interference contrast (DIC) filters. The images clearly demonstrated that DiI-labeled hTMSCs have rhodopsin-immunoreactive appendages, indicating differentiation of transplanted hTMSC into rod photoreceptor. Conclusively, the finding suggests therapeutic potential of hTMSCs in retinal degeneration.

• 대한후두음성언어의학회지
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• 제12권1호
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• pp.34-38
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• 2001

Background and Objectives : With the development of computerized systems, an objective evaluation methods of nasal speech and nasal geometry have become readily available by means of a simple, noninvasive technique. In this study, we assessed the nasality, nasal formant, nasal volume and nasal area in patients with hypertrophic rhinitis before and after turbinate surgery. Material and Method : With the nasometer, we measured nasalance, which reflects the ratio of acoustic energy output of nasal sounds from the nasal and oral cavities. With CSL 4300B, we measured nasal formants. We used acoustic rhinometer to measure nasal area and nasal volume. Postoperative changes of above factors were compared with preoperative values. Paired t-test and Pearson's correlation were used for statistical analysis. Results : The first nasal formant frequency, nasalance scores of three passages(baby, mamma and rabbit passages), minimal cross sectional area(MCA) of narrow side, nasal volume of narrow side and nasal volume of wide side had increased significantly after turbinate surgery (p <0.05). The MCA and nasal volume of narrow side and MCA of wide side showed significant correlation with nasalance score of rabbit passage and baby passage showed significant correlation with nasal volume of narrow side(p<0.05). Conclusion : There were significant increases in nasalance scores, first nasal formant frequency, MCA and nasal volume after turbinate surgery. Thus, we must consider the possibility of voice changes postoperatively in professional voice users.

• Journal of Yeungnam Medical Science
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• 제18권2호
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• pp.199-207
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• 2001

1999년 11월에서 2000년 4월까지 본 교실에서 비중격 성형술과 하비갑개 절제술 혹은 하비갑개 성형술을 시행 받고 3개월이상 추적 관찰이 가능하였던 45명의 성인환자를 대상으로 비중격 성형술 및 하비갑개 수술의 결과를 전향적으로 분석하였다. 수술 전 증상접수는 코막힘이 가장 높았으며 수술 후 전체적으로 모든 증상에서 통계학적으로 의미 있게 호전되었다(p<0.05). 수술 전 후의 음향비강통기도 검사에서 비강수축전의 경우에서 최소비강단면적은 큰 변화가 없었으나, C-절혼 면적과 비강체적은 의미 있게 증가되었다. 또한 증상의 호전도와 음향비강통기도 검사치의 변화와는 통계학적 연관성이 없었으나, 증상이 호전됨에 따라 최소비강단면적, C-절혼 면적, 비강체적이 증가하는 경향을 볼 수 있었다. 결론적으로 바중격 성형술 및 하비갑개 수술 후 결과 판정방법으로서 수술 전 후의 환자의 주관적인 증상을 접수화하여 어느 정도 객관성을 부여하였으며 수술 전 후의 음향비강통기도 검사를 이용하여 음향비장통기도 검사결과를 구하고 이를 바탕으로 증상접수의 호전도와 음향비강통기도 검사결과를 비교 분석함으로써 증상의 호전을 객관적으로 증명하였다.

• 치과방사선
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• 제21권2호
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• pp.157-163
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• 1991

The author has evaluated the panoramic image of the maxillary sinus according to the skull position. The lead foils were attached to the five walls of the maxillary sinus and the inferior turbinate individually. The skull was located in three positions; standard position, 20㎜ forward position and chin-down position. The obtained results were as follows: 1. In standard position, the medial wall was superimposed upon most of the panoramic antral image. The anterior wall and the posterolateral wall were superimposed upon the medial half and the lateral third respectively. 2. In forward position, the width of the panoramic antral image was diminished generally. The anterior wall was superimposed upon most of the panoramic antral image and the posterolateral wall appeared narrowly at the most lateral portion of the panoramic antral image. 3. In chin-down position, there was no significant difference in comparison to the standard position. 4. Inferior turbinate was not superimposed upon the panoramic antral image.

• 한국임상수의학회지
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• 제18권2호
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• pp.185-188
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• 2001

A weakened wild feral pig (a boar of about 15 kg) with snout distortion and characteristic external lesion of infectious atrophic rhinitis was captured at farm land near low mountains in Chinju, Kyeongnam province. This pig was necropsied and then the snout parts and the parenchymal organs were removed. The snout and nose were transversely sectioned at thickness of 1.5 cm interval. Grossly, the right side of the snout was shorted than that of left by reduction of right nasal turbinate length, but the nasal opening exudate was not observed. At necropsy, degeneration, adhesion, occlusion, and asymmetry of left and right sides on the meatus and turbinate were observed and findings of mild pneumonia were observed. Microscopically, the leukocyte infiltration, hyperemia and hyperplasia on the mucosa of the turbinates and septum were observed. The atrophied periosteum and osseous tissue were also observed. But Bordetella bronchiseptica was not identified in culture from nasal swabs. We expect the possibility that the snout distortion of this pig was due to infectious atrophic rhinitis according to these findings.

• 대한두경부종양학회지
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• 제18권1호
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• pp.87-90
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• 2002

Malignant melanoma of the nasal cavity occurs rarely. Malignant melanoma, originated from the upper respiratory tract including nasal cavity, has clinical feature of local recurrence and easily metastasizes to regional or distant lymph nodes, lung, and liver. Malignant melanoma originated from nasal cavity frequently shows tumor cell invasion, ulceration, or infection. Owing to these characteristics, complete surgical excision of the malignant melanoma in nasal cavity is not easy. And also the prognosis of this tumor is not so good because of a high recurrence rate. Recently the authors have recently experienced a case of malignant melanoma originated from the inferior turbinate, which was treated with lateral rhinectomy, total maxillectomy. The defect developed after surgical extirpation was reconstructed with rotational forehead flap.