1.A Case of Intractable Tracheitis Treated by Heat-Moisture Exchangers in a Total Laryngectomized Patient
Beom Mo KOO ; Seong Kyu MOON ; Seung Woo KIM
Journal of the Korean Society of Laryngology Phoniatrics and Logopedics 2020;31(2):87-91
The tracheostomy directs external air into the airway tract. This process causes mucosal dryness, irritation and inflammation in the tracheo-bronchial tree. In order to prevent such problems, several methods are applied; ointment application, humidification and careful suction etc. The heat-moisture exchanger (HME) is commercially sold device that assists heating and humidification of the inhaled air. The authors experienced successful treatment outcome of intractable tracheitis caused by repetitive and vigorous intra-tracheal suction by applying HME in a total laryngectomized patient. We report an interesting and didactic case with a brief literature review.
2.A Case of Glottic Cavernous Hemangioma Mimicking Malignancy in Elderly Patient
Beom Mo KOO ; Moon Seung BEAG ; Min A KIM ; Seung Woo KIM
Journal of the Korean Society of Laryngology Phoniatrics and Logopedics 2021;32(2):104-108
The etiology of laryngeal hemangioma is unclear, and it is classified into infant and adult types. The former is capillary hemangioma and relatively common, the latter is cavernous type and very rare. The adult laryngeal hemangioma mainly occurs in supraglottis and glottis. A 75-year-old man came to our clinic with a voice change that started four months ago. The laryngoscopic finding showed that the surface of oval-shaped mass is covered with turbid exudates. We performed the laryngeal microsurgery with CO2 laser. The mass was pathologically proven as cavernous hemangioma. We report a very rare and didactic case with review of relevant literature.
3.A Case of Multiple Cervico-Mediastinal Parathyroid Adenomatosis
Beom Mo KOO ; Moon Seung BEAG ; Seung Woo KIM
Korean Journal of Head and Neck Oncology 2020;36(1):49-52
The most common cause of primary hyperparathyroidism is a single adenoma accounts for more than 85% and about 1-2% in multiple occurrence. The adenoma arises mainly in the neck and rarely in the mediastinum. The simultaneous occurrence is extremely rare. A 73-year-old man came to our clinic complained about sense of falling forward during last eight months. The brain MRI and vestibular function test showed non-specific findings but total calcium and intact parathyroid hormone levels were markedly elevated. Radiologic studies and sesta-MIBI scan revealed multiple masses in lower paratracheal area and superior mediastinum. We performed mass excision with transcervical approach and all of them were diagnosed as parathyroid adenoma. After surgery, intact PTH and calcium levels returned to the normal range and his symptoms were dramatically improved. We report the unique and rare disease entity with a brief literature review.
4.A Case of Intractable Tracheitis Treated by Heat-Moisture Exchangers in a Total Laryngectomized Patient
Beom Mo KOO ; Seong Kyu MOON ; Seung Woo KIM
Journal of the Korean Society of Laryngology Phoniatrics and Logopedics 2020;31(2):87-91
The tracheostomy directs external air into the airway tract. This process causes mucosal dryness, irritation and inflammation in the tracheo-bronchial tree. In order to prevent such problems, several methods are applied; ointment application, humidification and careful suction etc. The heat-moisture exchanger (HME) is commercially sold device that assists heating and humidification of the inhaled air. The authors experienced successful treatment outcome of intractable tracheitis caused by repetitive and vigorous intra-tracheal suction by applying HME in a total laryngectomized patient. We report an interesting and didactic case with a brief literature review.
5.A Case of Glottic Cavernous Hemangioma Mimicking Malignancy in Elderly Patient
Beom Mo KOO ; Moon Seung BEAG ; Min A KIM ; Seung Woo KIM
Journal of the Korean Society of Laryngology Phoniatrics and Logopedics 2021;32(2):104-108
The etiology of laryngeal hemangioma is unclear, and it is classified into infant and adult types. The former is capillary hemangioma and relatively common, the latter is cavernous type and very rare. The adult laryngeal hemangioma mainly occurs in supraglottis and glottis. A 75-year-old man came to our clinic with a voice change that started four months ago. The laryngoscopic finding showed that the surface of oval-shaped mass is covered with turbid exudates. We performed the laryngeal microsurgery with CO2 laser. The mass was pathologically proven as cavernous hemangioma. We report a very rare and didactic case with review of relevant literature.
6.A Case of Multiple Cervico-Mediastinal Parathyroid Adenomatosis
Beom Mo KOO ; Moon Seung BEAG ; Seung Woo KIM
Korean Journal of Head and Neck Oncology 2020;36(1):49-52
The most common cause of primary hyperparathyroidism is a single adenoma accounts for more than 85% and about 1-2% in multiple occurrence. The adenoma arises mainly in the neck and rarely in the mediastinum. The simultaneous occurrence is extremely rare. A 73-year-old man came to our clinic complained about sense of falling forward during last eight months. The brain MRI and vestibular function test showed non-specific findings but total calcium and intact parathyroid hormone levels were markedly elevated. Radiologic studies and sesta-MIBI scan revealed multiple masses in lower paratracheal area and superior mediastinum. We performed mass excision with transcervical approach and all of them were diagnosed as parathyroid adenoma. After surgery, intact PTH and calcium levels returned to the normal range and his symptoms were dramatically improved. We report the unique and rare disease entity with a brief literature review.
7.Factors Influencing Angular Deformity of Tibia Fracture below Isthmus Treated with Interlocking Nails.
Hong Ki PARK ; Beom Koo LEE ; Do Hyun MOON ; Jin Hong KO ; Young Kyu KIM ; Su Chan LEE ; Jun Mo JUNG ; Jae Jin OH
The Journal of the Korean Orthopaedic Association 1998;33(5):1427-1431
This study analyzed the factors causing the angular deformity as the tibia fracture below isthmus were treated with interlocking nails. For this purpose, we observed 70 cases of tibia fractures in the Gil General Hospital as subjects. Of the 70 cases under the treatment, 32(45.7%) showed the angulation of over one degree, and 11(15.7%) showed that of 5-10 degrees in any plane. According to the outcomes of this studies, the degree of angulation seemed to have close relation to the length of fracture line. Also, if the fracture line reached to the isthmus, angulation was apt to be caused. Even though most angulated cases had concomitant fibular fracture, fibular fracture, itself, seemed to have no direct relation to angulation. In consequence, the intramedullary interlocking nailing needs special carefulness in the case of breakage of cortical buttress such as long fracture line, butterfly fragment and fracture including isthmus.
Butterflies
;
Congenital Abnormalities*
;
Hospitals, General
;
Tibia*
8.The Effect of Knee Joint Function after ACL Reconstruction with Accelerated Rehabilitation.
Beom Koo LEE ; Do Hyun MOON ; Jin Hong KO ; Young Kyu KIM ; Su Chan LEE ; Hong Ki PARK ; Jun Mo JUNG ; Young Kyu KO
The Journal of the Korean Orthopaedic Association 1998;33(5):1307-1314
We studied 30 patients who participated in accelerated rehabilitation program after ACL reconstruction to evaluate the effects on knee joint function prospectively. This program emphasizes early full hyperextension, early weight bearing as tolerated, and closed-chain quadriceps functional activities with rapid return to sports. Timing of the return to occupation, activity level, manual knee test, range of motion, thigh circumference, Lysholm knee score and KT-2000 arthrometer measurement were checked at the latest follow-up which is at least more than 1 year. The result were as follows: 1. The mean time for patients to return to occupation was 7.5 weeks (2 weeks-6 months). 2. Range of motion of the knee were not limited in 25 cases (83%) at 1 year after reconstruction. 3. The mean Lysholm score was 92.7. 4. The mean manual maximum KT-2000 arthrometer score was 2.0mm. The results of this study show that patients who had an ACL reconstruction with an autogenous central 1/3 patellar tendon graft and followed an accelerated rehabilitation program obtained longterm stability, achieved full range of motion, had a low complication rate, and were able to return to full sporting activities predictably.
Follow-Up Studies
;
Humans
;
Knee Joint*
;
Knee*
;
Occupations
;
Patellar Ligament
;
Prospective Studies
;
Range of Motion, Articular
;
Rehabilitation*
;
Sports
;
Thigh
;
Transplants
;
Weight-Bearing
9.A Case of Metastatic Malignant Melanoma Presenting as Subcutaneous Posterior Neck Mass
Sung Hwan LIM ; Beom Mo KOO ; Min A KIM ; Seung Woo KIM
Korean Journal of Otolaryngology - Head and Neck Surgery 2019;62(7):416-419
Malignant melanoma can be classified as both cutaneous and mucosal types. The former comprises more than 98% of all melanomas and is related to ultraviolet exposure, whereas the latter occupies only 1.3%. More than half of mucosal melanoma arises in the head and neck region, and the sinonasal tract is also one of its predilection sites. On the other hand, the metastatic melanoma of head and neck is lower incidence than primary lesion and the unknown primary site is about two to five percent. Moreover, a lymphatic metastasis to the posterior neck is a more unusual clinical pattern. A 71-year-old man with a solitary subcutaneous posterior neck mass visited our clinic. He was confirmed with metastatic melanoma in the lymph node through excisional biopsy. However, the primary site was not found with whole radiologic examinations. We report a very rare disease entity with a brief literature review.
10.A Case of Schwannoma Originated from the Posterior Nasal Septum
Sung Hwan LIM ; Beom Mo KOO ; Pona PARK ; HyunSang CHO
Korean Journal of Otolaryngology - Head and Neck Surgery 2019;62(7):409-412
Schwannomas are slow-growing, benign neurogenic tumors arising from the sheath of myelinated nerve fibers. They usually occur in the head and neck region. Only 4% of schwannomas found in the head and neck region originate in the sinonasal tract. Schwannoma of the nasal septum is rarer, and only few cases have been previously reported in the literature. We experienced a rare case of the schwannoma of the posterior nasal septum in a 71-year-old woman. She was treated successfully by transnasal endoscopic surgery. No recurrence was detected within 18 months follow-up period.