• Journal of Chest Surgery
• /
• 제22권5호
• /
• pp.873-879
• /
• 1989

The 50-year-old female patient was admitted to our hospital because of dysphagia and foreign body sensation on the neck after swallowing of solid foods 5 days ago. Esophagoscopic findings, performed on 2 days prior to admission, revealed no pathology. She had no history of preexisting esophageal disease. Under the diagnosis of the cervical esophageal perforation by routine studies such as simple chest, neck x-ray films and clinical findings, incision and drainage on the retropharyngeal space was done. Postoperatively we found the protruded degenerative spur on the 5th and 6th cervical vertebral bodies, and we considered that esophageal perforation in this case was predisposed by cervical spur. The postoperative course was uneventful.

• 대한음성언어의학회:학술대회논문집
• /
• 대한음성언어의학회 1999년도 제12회 학술대회
• /
• pp.186-186
• /
• 1999

Tracheoesophageal fistulation following total laryngectomy has widely been used for voice restoration, This technique make exhaled air to divert to hypopharynx where phayngoesophageal segment forms the neoglottis. Even through layngectomized patients loss the normal laryngeal adjustment for speaking, it has been known that voiced and voiceless sounds are prodused in TE phonation. Nine TE speakeres were subjected to present study designed to clarity the mechanism of neoglottic adjustment in TE phonation, Fiberoptic examination and radiologic studies were performed at all patients and EMG study was performed at 3 patients during I phonation. Fiberoptic ＆ radiologic studies revealed the location of neoglottis, so called pharyngoesophargeal segment which was vibrated well. EMG activity increased for sound production at retropharyngeal prominence. These results indicated that neoglottic adjustment in TE phonation.

• 대한기관식도과학회:학술대회논문집
• /
• 대한기관식도과학회 1993년도 제27차 학술대회 초록집
• /
• pp.109-109
• /
• 1993

제 4 새낭 기형은 매우 드문 선천성 기형으로 과거 20 년간 전세계적으로 보고된 것이 약 30 례에 불과하다. 거의 모든 례에서 좌측에 발병하며 임상적으로는 대개 원인이 불분명한 반복적인 경부의 염증성 종창으로 나타나고, 간혹 반복적인 감염성 갑상선염, 인두후부 농양 및 종격동염으로 발전하여 생명을 위태롭게 하기도 한다. 최근에 저자들은 제 4 새낭기형에 의한 것으로 판단되는 이상동 누공 환자 2 례를 경험하고 화학소작에 의해 성공적으로 치료하였기에 문헌고찰과 함께 새로운 치료방법의 효용성에 대해 보고하고자 한다.

• 대한기관식도과학회지
• /
• 제7권1호
• /
• pp.76-79
• /
• 2001

A 60-year-old male was admitted due to cervical spine injury (C7-T1 fracture dislocation) and quadriparesis after slip down. During conservative management in department of neurologic surgery, he complainted of fever, dyspnea, neck swelling. Follow up cervicothoracic CT revealed abscess pocket in paraglottic, retropharyngeal, anterior cervical spaces and mediastinum. Also noted bilateral pleural effusions. Under impression of descending necrotizing mediastinitis (DNM). cervical drainage and bilateral chest tube insertion was performed immediately. On next day. mediastinal drainage through mediastinotomy was performed with careful handling of cervical spine. Escherichia coli was identified in bacteriologic culture. Wire fixation of dislocated C7-T1 spine through Posterior approach was performed on 30th days after mediastinotomy. Right chest tube was removed on 40th days. At now, the patient is on rehabilitation and physical training program. DNM is relatively rare, but lethal disease with high mortality. Immedate and sufficient mediastinal drainage is essential in treatment.

• 대한기관식도과학회지
• /
• 제6권1호
• /
• pp.96-101
• /
• 2000

It is commonly believed that the branchial anomalies are remnants of the branchial apparatus. Third and fourth branchial pouch anomaly is an extremely rare disease involving the branchial apparatus. Virtually mostly reported cases have been on the left side and has been identified in recurrent suppurative thyroiditis, retropharyngeal abscess and repeated episodes of cellulitis, neck swelling, lateral neck fistula. Recently the authors have experienced a case of left piriform sinus fistula accompanied with left suppurative thyroiditis, presumably of fourth branchial origin in a 50-years old male patients, which was successfully treated with coagulation, and so report this case with summary of branchial anomaly by the some review of the literatures.

• 대한기관식도과학회지
• /
• 제18권2호
• /
• pp.64-66
• /
• 2012

Bronchogenic cysts are uncommon congenital anomalies and commonly located in the mediastinum or lung parenchyma. Bronchogenic cyst in cervical area is rare and in posterior pharyngeal area is exteremely rare. Clinically, it is usually asymptomatic and incidentally diagnosed. It is pathologically confirmed only when there are bronchial tissues such as pseudostratified ciliated columnar epithelium, smooth muscle cells, mucous gland and/or cartilage. Since it has potential for malignant transformation and complication, complete excision is essential. We report a case of bronchogenic cyst located in the retropharyngeal space with a review of literature.

• Korean Journal of Radiology
• /
• 제2권4호
• /
• pp.231-234
• /
• 2001

The authors describe a rare case of inflammatory pseudotumor involving the clivus, where a soft tissue mass lesion, with extension into the prevertebral retropharyngeal space and the cavernous sinuses, was detected by CT and MRI. The mass resembled a malignant tumor or aggressive infectious lesion, and the final diagnosis of inflammatory pseudotumor was a diagnosis of exclusion, decided after histopathological examination.

• Clinical and Experimental Pediatrics
• /
• 제53권2호
• /
• pp.258-261
• /
• 2010

후인두림프관종은 무증상으로 시작되어 크기의 증가에 따라 주위 구조물들을 압박하여 호흡곤란이나 연하곤란 등의 2차적 증상들을 유발할 수도 있는 드문 양성 종양이다. 현재까지 치료는 수술에 의한 완전 적출이 원칙이나 기도 주변에 인접한 림프종의 경우에는 완전 적출이 어려워 예후가 나쁘다. 신생아에서 후인두림프관종이 보고 된 경우는 드물며, 수술 후에 비인두역류증이 발생된 경우는 극히 드물다. 이에 저자들은 생후 14일에 호흡곤란 및 연하곤란 증상을 보인 신생아에서 후인두림프관종을 진단하여 완전 적출술로 치료하였으며 수술 후에 비인두역류증이 일정 기간 지속되어 보존적 치료를 시행한 후 회복된 1례를 경험하였기에 이를 보고하고자 한다.

• 대한기관식도과학회지
• /
• 제14권2호
• /
• pp.57-63
• /
• 2008

Hypopharyngeal perforation secondary to tracheal intubation is rare, but may result in severe airway complications that include retropharyngeal abscess, pneumothorax, pneumonia, mediastinitis and death. The most common site of hypopharyngeal perforation is the pyriform sinus and the region of the cricopharyngeus muscle. We report a 62-year old man with intubation-induced hypopharyngeal injury presenting as deep neck infection. The patient presented with dyspnea and pain on the neck. Neck CT scan identified fluid and air collection on the neck from the hyoid bone to the thoracic inlet level. Despite of delayed diagnosis, we successfully operated him by using strap muscle myofascial transposition flap. The patient was followed up for 3 months without any complications.

• 대한한방내과학회지
• /
• 제43권1호
• /
• pp.79-89
• /
• 2022

This study examined the clinical effects of Korean medicine therapy in a patient with hypopharyngeal cancer treated with chemotherapy. A 53-year-old male patient suffering from hypopharyngeal cancer was treated with docetaxel as well as acupuncture and herbal medicine. Tumor size was measured by computed tomography (CT) and adverse events were evaluated according to the National Cancer Institute's Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0. After two months of combined treatment, the size of the tumor mass was reduced at the left side of the neck, posterior to the CCA and at the lymph node in the left retropharyngeal area and medial aspect of the carotid sheath. The adverse events of chemotherapy also improved. This study indicates that Korean medicine therapy, such as acupuncture and herbal medicine, may lessen the side effects of chemotherapy and may be effective in the treatment of hypopharyngeal cancer.