교보문고 SCHOLAR 스콜라
이 자료는 국가지식 연계기관과의 협약에 따라 무료로 제공됩니다.
원문을 이용하시기 위해서는 연계기관의 정책을 따르고 있으니
궁금하신 사항은 연계기관을 통해 문의하시기 바랍니다.
곧 연계기관으로 이동합니다
본문내용 바로가기
홈 > 분야별

의약학 > 일반외과학 (1,441건)

Bilateral Vocal Cord Paralysis in Rheumatoid Arthritis
Bilateral Vocal Cord Paralysis in Rheumatoid Arthritis
Seung Hoon Woo
대한신경모니터링학회 / Journal of Neuromonitoring & Neurophysiology 제2권 제1호 / 2022 / 53-57 (5 pages)
의약학>일반외과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 신경과학
초록보기
Rheumatoid arthritis (RA) is a chronic inflammatory disease that affects the synovial membrane, causing joint damage and bone destruction. Symptoms of cricoid arytenoid joint (CJ) arthritis often include a voice change and a feeling of fullness in the throat and pharynx. In some cases, bilateral CJ invasion may require an emergency tracheostomy due to acute airway closure. This report describes a 45-year-old man who suffers from voice changes and aspiration due to a vocal cord palsy caused by RA, along with bilateral CJ invasion. One month after receiving drug treatment for rheumatoid arthritis, the patient regained normal voice.
Journal of Neuromonitoring & Neurophysiology Vol.2 No.1 목차
Journal of Neuromonitoring & Neurophysiology Vol.2 No.1 목차
편집부
대한신경모니터링학회 / Journal of Neuromonitoring & Neurophysiology 제2권 제1호 / 2022 / 1-1 (1 pages)
의약학>일반외과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 신경과학
* 이 논문은 저작권자의 요청으로 무료로 제공됩니다.
근전도 튜브를 대체할 수 있는 갑상선 수술 중 신경모니터링 방법
근전도 튜브를 대체할 수 있는 갑상선 수술 중 신경모니터링 방법
신성찬(Sung-Chan Shin)
대한신경모니터링학회 / Journal of Neuromonitoring & Neurophysiology 제2권 제1호 / 2022 / 33-38 (6 pages)
의약학>일반외과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 신경과학
초록보기
Intraoperative Neuromonitoring (IONM) using endotracheal tube with surface electrodes has gain acceptance as an adjunct tool to preserve the recurrent laryngeal nerve in thyroid surgery. The electromyographic (EMG) tube based IONM has many advantages and is well validated, but it also has some disadvantages. This article is written to review alternative techniques for IONM in thyroid surgery except EMG tube.
A Case Report of Non-Recurrent Laryngeal Nerve
A Case Report of Non-Recurrent Laryngeal Nerve
Seung Hoon Woo
대한신경모니터링학회 / Journal of Neuromonitoring & Neurophysiology 제2권 제1호 / 2022 / 49-52 (4 pages)
의약학>일반외과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 신경과학
초록보기
The non-recurrent laryngeal nerve is a rare neurological disorder associated with the underdeveloped subclavian artery. During thyroidectomy, this abnormal nerve can be inadvertently damaged, causing permanent vocal cord paralysis. However, preoperative diagnosis of the abnormal subclavian artery can predict the presence of non-relapsed laryngeal nerve. We report a case of right recurrent laryngeal nerve-related thyroid surgery that was not noticed preoperatively on a CT scan of the neck but was accidentally encountered during thyroidectomy. Preoperative CT scan showed an abnormal right subclavian artery in the posterior esophagus, but was unnoticed. A female patient underwent total thyroidectomy with central compartment node autopsy for thyroid cancer. The recurrent laryngeal nerve on the left side was identified, as well as the non-relapsed laryngeal nerve on the right side. Postoperatively, the patient had normal vocal cord function. By identifying the abnormal right recurrent laryngeal nerve with a CT scan of the neck, it is possible to predict the right recurrent laryngeal nerve preoperatively, which may help prevent vocal cord paralysis.
수술 중 신경모니터링시 신호 소실의 해석과 단계적 갑상선 절제술
수술 중 신경모니터링시 신호 소실의 해석과 단계적 갑상선 절제술
이동원(Dong Won Lee)
대한신경모니터링학회 / Journal of Neuromonitoring & Neurophysiology 제2권 제1호 / 2022 / 7-13 (7 pages)
의약학>일반외과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 신경과학
초록보기
Intraoperative neuromonitoring (IONM) has been introduced as a promising technology that can help minimize recurrent nerve injury. The IONM can identify anatomical variations and unusual nerve routes, which are associated with increased risks of injury if they are not identified. The IONM helps predict postoperative nerve function. Moreover, by detecting nerve injury intraoperatively, it allows a surgeon to stage bilateral surgery to avoid bilateral vocal cord paralysis and tracheotomy. This review summarizes definition of electrophysiologic adverse signal including loss of signal, and their incorporation into the staged bilateral thyroidectomy process.
Clinical Application of Continuous Intraoperative Neuromonitoring during Thyroid Surgery
Clinical Application of Continuous Intraoperative Neuromonitoring during Thyroid Surgery
Cho Rok Lee;Jin Kyong Kim;Sang-Wook Kang;Jong Ju Jeong;Kee-Hyun Nam;Woong Youn Chung
대한신경모니터링학회 / Journal of Neuromonitoring & Neurophysiology 제2권 제1호 / 2022 / 23-31 (9 pages)
의약학>일반외과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 신경과학
초록보기
Routine visual identification of the recurrent laryngeal nerve (RLN) is the gold standard of care during thyroidectomy because it is associated with low rates of RLN palsy. Over the last two decades, intraoperative neuromonitoring (IONM), which allows for assessment of the RLN’s functional integrity during the operation, has been widely used for risk minimization in thyroid surgery as a valuable adjunct to visual nerve identification. Currently, one of the most important trends in IONM is the real-time monitoring of the vagus nerve (VN) to prevent iatrogenic injury of RLN. Continuous IONM (C-IONM) seems to be superior to intermittent IONM (I-IONM) because it enhances standardization by permanent VN stimulation and provides entire and constant RLN function monitoring during thyroidectomy procedures. In this article, we provide a comprehensive review of the C-IONM technique.
Annual Prevalence of Intraoperative Neuromonitoring for Thyroidectomy, Parathyroidectomy, and Parotidectomy in the Korean Population from 2010 through 2020
Annual Prevalence of Intraoperative Neuromonitoring for Thyroidectomy, Parathyroidectomy, and Parotidectomy in the Korean Population from 2010 through 2020
Doo Sik Park;Kyung Hoon Park;Soo Min Jo;Hyo Geun Choi
대한신경모니터링학회 / Journal of Neuromonitoring & Neurophysiology 제2권 제1호 / 2022 / 43-47 (5 pages)
의약학>일반외과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 신경과학
초록보기
Background and Objectives The prevalence of intraoperative neuromonitoring (IONM) has not been reported. Thus, we evaluated the prevalence of three kinds of IONM in the Korean population using data from the Korean National Health Insurance Service (KNHIS). Materials and Methods Using the data of the Healthcare Big Data Hub by KNHIS, the annual prevalence of intraoperative neurophysiologic monitoring at one site/≥ 2 or more sites (IONM one/two) from 2010 through 2020 and intraoperative laryngeal nerve monitoring in thyroid and parathyroid surgery (IOLNM) from 2017 through 2020 were measured. Results The number of IOLNMs increased from 2,872 in 2017 to 5,427 in 2020. The number of IONMs increased from 1,521 in 2010 to 2,144 in 2020. The number of IONM two continuously increased from 4,689 in 2010 to 16,450 in 2020. Conclusion As expected, the prevalence of IONM is increasing overall. This study provides the exact change in the prevalence of IONM in a Korean population using real-world data.
갑상선 수술 중 신경모니터링의 표준화된 단계
갑상선 수술 중 신경모니터링의 표준화된 단계
이형신(Hyoung Shin Lee)
대한신경모니터링학회 / Journal of Neuromonitoring & Neurophysiology 제2권 제1호 / 2022 / 1-6 (6 pages)
의약학>일반외과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 신경과학
초록보기
Intraoperative neuromonitoring (IONM) during thyroid surgery may be beneficial to identify and preserve the recurrent laryngeal nerve or the external branch of superior laryngeal nerve. However, false positive or false negative outcomes during IONM has been considered as limitations and lead to failure of successful IONM. To minimize such failures, experts in IONM during thyroid surgery have suggested to follow the standardized procedure of IONM, which begins and ends with supra-threshold vagal stimulation. In this article, tips to follow the procedure will be introduced with review of related studies.
A Case of Schwannoma at Tongue
A Case of Schwannoma at Tongue
Seung Hoon Woo
대한신경모니터링학회 / Journal of Neuromonitoring & Neurophysiology 제2권 제1호 / 2022 / 59-62 (4 pages)
의약학>일반외과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 신경과학
초록보기
Schwannoma is a benign peripheral nerve sheath tumor. Although rarely found in the oral cavity, it is most commonly found on the tongue, followed by the palate, palate, buccal mucosa, and mandible. Because schwannoma of the base of the tongue is so rare, it is often not included in the differential diagnosis immediately, delaying identification and treatment. We report a case of schwannoma at the base of the tongue misdiagnosed as lingual thyroid, along with a literature review. A 28-year-old man presented with a tongue mass, which was first discovered a month ago. The preoperative diagnosis was lingual thyroid gland on physical findings and computed tomography findings. The permanent pathological report of the mass was schwannoma. After surgery, the patient had no problems with tongue function and wound healing.
Intraoperative Neuromonitoring of the External Branch of the Superior Laryngeal Nerve in Thyroid and Parathyroid Surgery
Intraoperative Neuromonitoring of the External Branch of the Superior Laryngeal Nerve in Thyroid and Parathyroid Surgery
Jee-Hye Choi;Woochul Kim;Ja Kyung Lee;Hyeong Won Yu;June Young Choi
대한신경모니터링학회 / Journal of Neuromonitoring & Neurophysiology 제2권 제1호 / 2022 / 15-22 (8 pages)
의약학>일반외과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 신경과학
초록보기
The external branch of the superior laryngeal nerve (EBSLN) innervates the cricothyroid muscle (CTM) and plays a major role in producing high-frequency voice. The EBSLN usually travels along with the superior thyroid vessels and crosses them above the superior thyroid pole. However, anatomical variants exist, and some EBSLNs are more intimately associated with the superior pole of the thyroid, placing the nerve at high risk for injury during thyroid and parathyroid surgeries. Several classification schemes have been introduced in order to categorize EBSLNs according to their anatomy and risk for injury, including the Cernea Classification scheme. As with the recurrent laryngeal nerve (RLN), visual identification of the nerve is the gold standard for preventing EBSLN injury. However, despite sparse published evidence, intraoperative neuromonitoring (IONM) has surfaced as a valuable adjunct to visual inspection in identifying and preserving the EBSLN, especially for the nerves that are not readily visible. This review discusses the significance of EBSLN, the current evidence for use of IONM, and the techniques for neuromonitoring of EBSLN.
윤리적인 문제: 누가 신경모니터링을 해야하는가?
윤리적인 문제: 누가 신경모니터링을 해야하는가?
우승훈(Seung Hoon Woo)
대한신경모니터링학회 / Journal of Neuromonitoring & Neurophysiology 제2권 제1호 / 2022 / 39-42 (4 pages)
의약학>일반외과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 신경과학
초록보기
Legal and ethical guidelines direct health care professionals to perform their duties in a manner acceptable to society. Intraoperative neuromonitoring (IONM) is not a prerequisite for registration, such as permission and certification. Because patients receiving IONM are particularly vulnerable and need additional protection, it is important to explore the ethical and legal aspects of these practices. Therefore, we would like to examine the ethical aspects of neuromonitoring.
이미지가 준비 중 입니다.
전정신경초종수술을 위한 경미로접근법에서 컴퓨터 단층촬영 3차원영상합성의 유용성
박수민(Soomin Park);전범조(Beomcho Jun);장기홍(Kihong Chang)
대한두개저학회 / 대한두개저학회지 제17권 제1호 / 2022 / 18-26 (9 pages)
의약학>일반외과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 신경외과학
이미지가 준비 중 입니다.
비혈관성 면에 적용한 비중격 피판 부전 2예
박동현(Dong Heun Park);서민영(Min Young Seo)
대한두개저학회 / 대한두개저학회지 제17권 제1호 / 2022 / 34-39 (6 pages)
의약학>일반외과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 신경외과학
Mandibular implant overdenture - treatment modalities and maintenance - an integrative overview
Mandibular implant overdenture - treatment modalities and maintenance - an integrative overview
Hariharan Ramakrishnan;Maniamuthu Ragupathi
대한치과이식임플란트학회 / Journal of Dental Implant Research 제41권 제1호 / 2022 / 1-14 (14 pages)
의약학>일반외과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 치의학
초록보기
Implant overdenture treatment planning should be carried out meticulously to ensure positive treatment outcomes over several years. Various factors, namely the number of implants to be placed, their length and diameter, type of abutment, nature of the residual edentulous ridge, available bone density, interarch distance, jaw relation, mouth opening, soft tissue architecture, design of the prosthesis, including the type of teeth and their size, and type of attachment to be used should all be taken into consideration while planning the treatment. The maintenance phase of the implant therapy includes the implant, prosthesis, and attachments. The treatment connects the dentist, patient, and hygienist triad. The dentist with the support of the hygienist should provide detailed explanations regarding the treatment and motivate the patient, and the patient, in turn, should sincerely follow the protocol for maintenance as explained by the dentist. The patient should also come back for periodic recall visits as scheduled by the prosthodontist/implantologist. This overview covers the evolving and changing aspects of mandibular implant overdenture treatment and maintenance.
이미지가 준비 중 입니다.
후이개 상부의 유피낭종 1예
안희선(Hee Sun Ahn);김연지(Yeonji Kim);박소영(So Young Park);박시내(Shi Nae Park)
대한두개저학회 / 대한두개저학회지 제17권 제1호 / 2022 / 40-43 (4 pages)
의약학>일반외과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 신경외과학
이미지가 준비 중 입니다.
두개저 수막종 환자에 대한 저분할 방사선 수술의 임상적 효용성
박경규(Gyeong-Gyu Park);오혁진(Hyuk-Jin Oh);안재민(Jae-Min Ahn);오재상(Jae-Sang Oh);민철기(Chul-Kee Min)
대한두개저학회 / 대한두개저학회지 제17권 제1호 / 2022 / 5-10 (6 pages)
의약학>일반외과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 신경외과학
이미지가 준비 중 입니다.
측두공 내 종양을 암시하는 안면마비 표정의 특성
김주현(Joo Hyun Kim);김진(Jin Kim)
대한두개저학회 / 대한두개저학회지 제17권 제1호 / 2022 / 11-17 (7 pages)
의약학>일반외과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 신경외과학
이미지가 준비 중 입니다.
두개저에 발생한 연골점액유사섬유종 1예
이창희(Changhee Lee);홍상덕(Sang Duk Hong)
대한두개저학회 / 대한두개저학회지 제17권 제1호 / 2022 / 27-33 (7 pages)
의약학>일반외과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 신경외과학
이미지가 준비 중 입니다.
외이도에 발생한 해면상혈관종 1예
연응록(Eungrok Yeon);장준혁(Junhyuk Jang);박하영(Ha Young Park);허경욱(Kyung Wook Heo)
대한두개저학회 / 대한두개저학회지 제17권 제1호 / 2022 / 44-47 (4 pages)
의약학>일반외과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 신경외과학
Posterior Retroperitoneoscopic Adrenalectomy in a Renal Agenesis Patient
Posterior Retroperitoneoscopic Adrenalectomy in a Renal Agenesis Patient
Joon Ho;Jinkyong Kim;Cho Rok Lee;Sang-Wook Kang;Jong Ju Jeong;Kee-Hyun Nam;Woong Youn Chung
대한내분비외과학회 / The Koreran journal of Endocrine Surgery 제22권 제1호 / 2022 / 50-55 (6 pages)
의약학>일반외과학 / KDC : 기술과학 > 의학 / KCI : 의약학 > 일반외과학
초록보기
Nowadays, laparoscopic adrenalectomy has been the gold standard treatment for benign surgical adrenal disease. Traditionally, the transperitoneal approach was most widely used for laparoscopic adrenalectomy. Recently, the posterior retroperitoneoscopic adrenalectomy (PRA) was introduced and it showed several benefits over the traditional approach, such as less complications and pain, and a shorter operative time and hospitalization. The number of surgeons capable of performing PRA is steadily increasing world-wide. The initial surgical step in this procedure is the identification and exposure of the upper part of kidney, which is the only visible landmark in the fat-abundant retroperitoneal space. Therefore, PRA in a renal agenesis (RA) patient is challenging for the surgeon due to the absence of surgical landmarks. In this article, we describe our experience of performing a PRA on the RA patient. The patient was a 62-year-old female, who had hypertension for 20 years. Blood examination revealed a high renin-aldosterone ratio, and computed tomography scan and adrenal venous sampling confirmed a 2.4 cm left adrenal aldosterone-producing adenoma. PRA was safely performed using three trochars. The total operation time was 55 minutes, and there were no complications.