일시 :2006 년 5 월 27 일 ( 토 ) 오후 2 시 50 분 장소 : 강원도사북강원랜드 증례발표및토의 자유연제 I 자유연제 II - 2 -
목차 의대 5 의대 6 의대 7 의대 8 9 의대 10 의대 11 의대 13 의대 14 15 의대 16 의대 17 의대 18 의대 20-3 -
Myxoid Liposarcoma of Epiglottis 가천대학교의과대학이비인후과학교실 김동영 * M/41 C.Cglobus senseduration2 P.I 2 P/HxHTN/DM/Tbc/asthma/hepatitis Pulmonary Tbc 20. Left pneumonectomy. Operation Hx 20. Left pneumonectomy. P/ExEar, Nose, Oral cavity, Neckfree Larynxyellowish smooth surface mass on vallecular surface of epiglottis LabW.N.L Chest X rayw.n.l Abdominal SonoW.N.L Neck CT Operationmass excision Pathologic ReportMyxoid Liposarcoma Whole body bone scanno evidence of bony metastasis Neck MRI OperationSupraglottic Partial Laryngectomy POD # 2 koken change POD # 7 oral feeding try POD # 20 Panperitonitis d/t ulcer perforation OperationTrunkcal Vagotomy and Pyloroplasty POD # 24 Expire - 5 -
설기저부암수술후추적관찰중심한출혈로인한사망 1 예 고려대학교의과대학이비인후 - 두경부외과학교실 권순영 * 백승국 우정수 정광윤 - 6 -
인두암수술후발생한흡인성폐렴 1 례 한양대학교의과대학이비인후과학교실 태경 이용섭 * - 7 -
설암수술후발생한폐색전증 1 례 연세대학교원주의과대학이비인후과학교실 봉정표 김성일 * - 8 -
ARDS Caused by Intraoperative Volume Overload 서울대학교의과대학이비인후과학교실 김광현 하정훈 차원재 * - - 9 -
하인두암수술후발생한혈소판감소증으로인한사망 1 례 인하대학교의과대학이비인후 - 두경부외과학교실 김재원 * 김영모 - 10 -
A Case of Pericarditis After Rigid Esophagoscopic Bougination 성균관대학교의과대학이비인후과학교실 손영익 * 정규환 Chief ComplaintDysphagia onset2001.8. Brief History 1987. Gastirc cancer Subtotal gastrectomy 2001. 02. Dysphagia, Weight loss Diagnosed as esophageal cancer 2001. 05.6. Neoadjuvant CCRT 2 cycles 2001. 08. 13. Esophago-colono-gastrostomy 2002. 10. 10. Stenosis of E-C anastomosis area Repeated balloon dilatation and bougination 2004. 03. 05. Restenosis & failed balloon dilatation ENT consult Hospital course 2004. 03. 18. Rigid esophagoscopic evaluation, scar release & bougination 2004. 03. 20. Good oral intake SBD 2004. 03. 21. Sudden dysphagia during lunch 2004. 03. 22. EGD-Food materials & granulation tissue at anastomosis site 2004. 03. 22. Rigid esophagoscopic granulation removal & L-tube insertion 2004. 03. 23. General weakness & chest tightness developed. V/Slow BP 80/60, fever 3738C, SpO2 91% ECGnon-specific findings MICU contactr/o hypovolemic shock & dopamine started 2004. 03. 24. L-tube feeding started with clear water 50 ml then SFD 200 ml PR90110, BPuncheckable, SpO296% PR 8090, BP 90/60 with dopamin increase & NS full drip The possibility of non-cardiogenic shock was suggested. 2004. 03. 25. Chest CT to R/O mediastinitis L-tube in pericardial space Transferred to TS 2004. 03. 26. Segmental resection & End to end anastomosis, VATS irrigation of pericardial space Esophageal perforationsize 5 mm, 1 cm above anastomosis area at the posterior wall of esophagus 2004. 04. 08. Esophagographyleakage 2004. 04. 12 Pneumonia developed - 11 -
2004. 04. 20.30. Ventilator care at MICU due to 1 Pneumonia, ongoing pulmonary fibrosis 2 Sustained E-C junction leakage 3 Uncontrolled mediastinitis 4 Constrictive pericarditis 2004. 4. 22. ARDS developed 2004. 4. 27. Peumothorax chest tube insertion Tracheostomy recommended refused by pt. s family. 2004. 4. 30. Transferred to the other hospital - 12 -
Two Cases of Perioperative Mortality due to Acute Myocardial Infraction 연세대학교의과대학이비인후과학교실 최은창 김세헌 이진석 * 증례 1: - 증례 2: - 13 -
Tracheotomy Complications-Tracheal Tube Dislocation 단국대학교의과대학이비인후과학교실 이상준 * - 14 -
Airway Compromised Case Caused by Crust in the Tracheostomy Tube 부산대학교의과대학이비인후과학교실 왕수건 이병주 이진춘 * - 15 -
Postoperative Rupture of External Carotid Artery after Extended Radical Neck Dissection in Tonsil Cancer 순천향대학교의과대학이비인후과학교실 고윤우 * 이승원 장혁순 - 16 -
조기설암환자에서술후급격히진행된경부림프절전이 영남대학교의과대학이비인후과학교실 송시연 * - 17 -
경부에서재발한설암 가톨릭대학교의과대학이비인후과학교실 주영훈 * 김민식 58/M 1st admission 04.2.192.26 C/CRt. Lateral tongue ulceration for several years P/I Rt. Lateral tongue ulceration Bx SCC, moderately differentiated check ImpressionSCC, Tongue, Rt.T1N0M0 OperationRt. Partial glossectomy c sentinel node Bx. 2nd admission 04.9.149.24 C/CRt. Neck mass for 2 months P/I2004.2.20 SCC, Tongue, Rt. T1N0M0 imp Rt. Partial glossectomy c sentinel node Bx. OPD F/U Sx FNA SCC op adm ImpressionMetastatic neck mass, Rt. OperationRt. MRND preserving SCM, SAN Post-OP RT 2004.10.182004.12.1 5940cGY/ 33Fx/ 45days 3rd admission 04.11.2412.19 C/C poor oral intake for 3 weeks Hopital courseconservative care HD #6 D/C 4th admission 05.4.185.20 C/CRt. Neck mass for 1 months P/I2004.9.15 Rt. MRND preserving SCM, SAN OPD F/U Sx FNA SCC check op adm ImpressionMetastatic neck mass, Rt. OperationWide excision, Rt. Hemithyroidectomy, Rt. Paratracheal dissection Medial dissection via median sternotomy, Reconstruction c PMMCF, Rt. 5th admission 05.5.296.11 C/CConcurrent ChemoRTx 6th admission 05.6.166.18 C/C Concurrent ChemoRTx - 18 -
7th admission 05.8.2410.5 C/C Painful neck swelling & dyspnea for 1week 9/24 Transfer to hospice 10/5 Expired on AM 715-19 -
하인두암수술후발생한기관괴사 한림대학교의과대학이비인후과학교실 김진환 * 노영수 안회영 - 20 -
대한두경부외과연구회회원가입신청서 신ᄏ청 ᄏ자 추천정회원 추천정회원 - 31 -
2006 5 192006 5 27 대한두경부외과연구회 032890-2817, 3473032890-3580 717-5511717-5515