• 제목/요약/키워드: otorrhea

검색결과 24건 처리시간 0.026초

청력증진술 (Hearing Restoration Operation)

  • 소진명;김형곤;전승하
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1979년도 제13차 학술대회 연제순서 및 초록
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    • pp.3.1-3
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    • 1979
  • 현대 귀수술의 큰 목적은 이루를 없애고 청력를 증진하는 데 있다. 이루의 방지와 고막이식의 성공은 거의 완전에 가깝다고 할 수 있으나, 아직 청력증진에 있어서는 그 기술적인 문제가 남아있다고 본다. 본 교실에서는 1977년 12월 부터 1979년 3월까지 만성중이염으로 Mastoid-Tympanoplasty를 받은 154명의 환자중 67명이 Mastoid-Tympanoplasty를 받은 후 6개원∼l년에 청력증진술을 받았고 이중 기록이 완전한 54명의 환자에 대하여 본 연구를 실시하였다. 청력증진술의 material은 사람의 침골을 사용하였고 수술후 청력검사를 실시하여 수술전후의 A-B Gap의 비교, S.R.T.의 변화, 침골과 T.O.R.P. 사용시의 효과의 비교, Mastoid-Tympanoplasty 후 청력증진술을 받은 기간에 대하여 관찰한 바를 보고하는 바이다.

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보중익기탕(補中益氣湯)으로 호전된 고막천공을 동반한 만성 화농성 중이염 치험 1례 (A Case of Chronic Suppurative Otitis Media with Perforated Eardrum Treated with Bojungikgi-tang)

  • 김민희;전수형
    • 한방안이비인후피부과학회지
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    • 제36권2호
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    • pp.76-82
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    • 2023
  • Objectives : This study is to report the treatment of chronic suppurative otitis media with Bojungikgi-tang and acupuncture without western medicine. Methods : A 57-year-old female patient visited my korean medical clinic on November 19, 2019 with complaints of ear fullness and yellowish effusion in the left ear. The patient had perforated eardrum with yellowish effusion. For the first month she took Bojungikgi-tang 3 times a day and received acupuncture 5-6 days a week without western treatment. The next month, only acupuncture treatment was performed twice a week. The condition of the eardrum and otorrhea was observed through an otoscope, and the degree of ear fullness and head heaviness were evaluated by visual analogue scale. Results : During the treatment, the eardrum was reperforated once, but it was regenerated, the otorrhea disappeared, and all other symptoms improved. Afterwards, it was confirmed through follow-up that the eardrum was maintained in a regenerated state. Conclusions : These results show that the combined treatment of herbal medicine and acupuncture is effective for chronic suppurative otitis media.

소아에서 이루를 동반한 중이염의 원인 및 항균제 감수성 (The Causative Organisms of Otitis Media Accompanying Otorrhea in Children and Their Antimicrobial Susceptibility)

  • 정도석;김헌상;박철원;오성희
    • Pediatric Infection and Vaccine
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    • 제7권2호
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    • pp.233-239
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    • 2000
  • 목 적 : 중이염은 나이 어린 소아에 많이 발생하며 항생제가 흔히 처방되는 질환이 최근에는 세균의 항생제에 대한 내성률이 증가되고 있어 중이염 환자에서 항생제 선택이 신중해야 함이 심도 있게 거론되고 있다. 국내에서는 중이염에 대한 체계적인 연구가 부진한 상태이며 이에 저자들은 중이염의 원인 및 항생제 감수성을 파악하기 위하여 후향적으로 본 연구를 실시하였다. 방 법 : 1994년 7월부터 1999년 6월까지 한양대학교병원 소아과 및 이비인후과에서 이루를 동반한 중이염으로 진단 받은 15세 미만의 소아 중 이루 배양 검사 결과 세균이 분리된 65명을 대상으로 의무 기록을 후향적으로 분석하였다. 결 과 : 총 65명의 환아 중 남자 37명(57%), 여자 28명(43%)이었으며 평균 나이는 2.9세로 나이가 어릴수록 많아 1세 미만 27명(41.5%), 1~3세 24명(36.9%)이었으며, 3세 이하가 78%를 차지하였다. 분리된 균주의 분포는 Staphylococcus aureus 32명(49.2%), Streptococcus pneumoniae 19명(29.2%), Haemophilus influenzae 9명(13.8%), Streptococcus oralis 3명(4.6%), Moraxella catarrhalis 1명(1.5%) 등이었다. 구순열/구개열을 동반한 9명(14%)의 환아에서 분리된 균주의 분포는 구순열/구개열을 동반하지 않은 환아에서와 유사하였다. 분리된 S. aureus의 항생제 내성률은, erythromycin, imipenem, cephalothin, clindamycin에 90% 이상, oxacillin 86.2%, chloramphenicol 25%, trimethoprim-sulfamethoxazole(TMP-SMX) 12.5%, vancomycin과 teicoplanin에 0%이었다. S. pneumoniae의 내성률은 penicillin에 71.4%, erythromycin, tetracycline 및 trimethoprim-sulfamethoxazole(TMP-SMX) 60% 이상, chloramphenicol 7.1%, vancomycin, teicoplanin, ciprofloxacin에는 0%이었다. H. influenzae의 내성률은 ampicillin, TMP-SMX에 각각 55.5%이었으나 chlroramphenicol, ceftriaxone, aztreonam, imipenem, ciprofloxacin에는 모두 감수성이 있었다. 결 론 : 본 연구조사 결과 이루를 동반한 중이염의 원인은 S. aureus, S. pneumoniae 및 H. influenzae로 판명되었으며, 분리된 균주들의 높은 항생제 내성률은 중이염의 치료를 위한 항생제 선택에 반영되어야 할 것으로 사료된다. 향후 전향적인 고막천자를 이용한 연구조사가 이루어져 급성 중이염을 더 정확히 파악할 수 있어야겠다.

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Extraordinarily Long-Term Posttraumatic Cerebrospinal Fluid Fistula

  • Kim, Hyoung-Sub;Hur, Jin-Woo;Lee, Jong-Won;Lee, Hyun-Koo
    • Journal of Korean Neurosurgical Society
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    • 제42권5호
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    • pp.403-405
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    • 2007
  • Most posttraumatic cerebrospinal fluid (CSF) leakage is noticed by the patients with the first symptom, rhinorrhea. A 38-year-old woman presented with frequent clear continuous rhinorrhea and otorrhea for 5 years after basilar skull fracture. After this, meningitis was developed with subsequent CSF fistula. Her clinical symptom was improved by medical treatment. The dural defect and CSF leakage were not detected by computerized tomography (CT) cistemography. We report a rare case of persistent posttraumatic CSF fistula that continued for five years.

측두하악관절을 침범한 악성 외이도염의 치험례 (Temporomandibular joint involvement in malignant otitis externa: a case report)

  • 변인영;김진홍;강상훈;김문기
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제37권6호
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    • pp.535-538
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    • 2011
  • Malignant otitis externa (MOE) originates as inflammation of the epidermis in the external auditory canal, and spreads to the surrounding structures and neck, leading to abscess formation. MOE is associated with an immunosuppressive condition and diabetes. Patients with MOE suffer from otalgia, otorrhea and hearing loss. According to the literature, surgery to the temporomandibular joint is controversial as the treatment of choice.

An aural myiasis case in a 54-year-old male farmer in Korea

  • Cho, Jin-Hak;Kim, Hyung-Baek;Cho, Chin-Saeng;Hun, Sun;Ree, Han-Il
    • Parasites, Hosts and Diseases
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    • 제37권1호
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    • pp.51-53
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    • 1999
  • A 54-year-old male farmer residing in Chunchon, Korea. complaining of blood tinged discharge and tinnitus in the left ear for two days. was examined in August 16, 1996. Otoscopic examination revealed live maggots from the ear canal. The patient did not complain of any symptoms after removal of maggots. Five maggots recovered were identified as the third stage larvae of Lucilia sericata (Diptera: Calliphoridae). This is the first record of aural myiasis in Korea.

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托裏消毒飮의 中耳炎 治驗 2例 (A Clinical Report for Treatment 2 Cases on Takrisodokyeum of Otitis media)

  • 조수현;지선영;이상곤
    • 한방안이비인후피부과학회지
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    • 제15권1호
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    • pp.301-307
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    • 2002
  • This report evaluates the effect of Takrisodokyeum in patients with otitis media, and found the symtoms were inproved significantly. Two case of otitis media have severe purulent otorrhea, hearing loss. These patients have been treated with westernmedicine, but they could not expect to improve condition. We experienced two cases of otitis media that have a result of effect with Takrisodokyeum. Oriental treatments of otitis media have been showed relative good results and more constructive study and clinical report are necessary.

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荊芥蓮翹湯合補中益氣湯의 中耳炎 治驗例 (A Clinical Report for 2 Cases on Hyeonggaeyeongyotanghab-bojungikgitang of Otitis Media)

  • 황보민;천승철;임진호;지선영;이상곤
    • 한방안이비인후피부과학회지
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    • 제17권3호
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    • pp.146-152
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    • 2004
  • This case report show the effect of Hyeonggaeyeongyotonghab-bojungikgitang in patients with otitis media, and found the symptoms were improved significantly. One case of otitis media has severe purulent otorrhea, hearing loss. And the orther case has otitis media with effusion, hearing loss too. these patients had taken western medicine, but they hadn't any expect to improve condition. We had a significant results by Hyeonggaeyeongyotonghab-bojungikgitang. This result suggest that Hyeonggaeyeongyotonghab-bojungikgitang can be one of good remedy for otitis media.

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仙方活命飮의 中耳炎 治驗例 (Case of Otitis Media Treated with Sonbanghwalmyongum)

  • 조수현;천승철;임진호;이상곤;지선영
    • 한방안이비인후피부과학회지
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    • 제16권1호
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    • pp.198-205
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    • 2003
  • Otitis media has severe purulent otorrhea and hearing loss. While this patient has been treated with the Western medicine for several years, he could not expect more improvement. We experienced a good result with Sonbanghwalmyongum at this case and this report is to evaluate the effect of Sonbanghwalmyongum in otitis media. Oriental medical treatment can be an alternative choice for Western medical treatment of long term antibiotics and we expect more constructive studies and clinical reports.

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외이도에 발생한 랑게르한스 세포 조직구증 1예 (A Case of Langerhans Cell Histiocytosis involving the External Auditory Canal)

  • 서윤수;이환호
    • 대한두경부종양학회지
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    • 제37권2호
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    • pp.67-69
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    • 2021
  • Langerhans cell histiocytosis (LCH) is commonly characterized by abnormal function and differentiation or proliferation of monocytes. In LCH, granulomatous lesions, including langerine-positive histocytes and inflammatory infiltrates, can occur to all tissues, particularly well in the bones, skin, lungs, and pituitary gland. In case of external auditory canal LCH, conductive hearing loss may occur, and the most common symptom is otorrhea. Here we present a case that 49-year-old male with external auditory canal mass. Since no invasive findings were seen in radiologic study, endoscopic transcanal excision was performed and LCH was proven by pathologic report. We present this case of external auditory canal LCH with the review of literature.