KISEP Case Report 臨床耳鼻 : 第 15 卷 第 2 號 2004 J Clinical Otolaryngol 2004;15:294-298 후두경피증환자의수술적치료 2 예 중앙대학교의과대학이비인후과교실 김경수 서강욱 백상흠 양훈식 Two Cases of Surgical Management of Pachyderma Laryngis Kyung-Soo Kim, MD, Gang-Wook Seo, MD, Sang-Hum ak, MD and Hoon-Shik Yang, MD Department of Otorhinolaryngology-Head and Neck Surgery, Chung-ng University, College of Medicine, Seoul, Korea - STRCT - Laryngopharyngeal reflux LPR is somewhat different from classic gastroesophageal reflux disease in its patterns, mechanism, manifestations and so on. The chief complaints of LPR are known as sore throat, throat clearing, hoarseness and foreign body sensation, but heartburn is uncommon. Laryngeal manifestations of LPR are reported as globus pharyngeus, reflux laryngitis, pachyderma laryngis, contact granuloma or ulcer, laryngeal leukoplakia, Reinke s edema, posterior glottic stenosis, subglottic stenosis, laryngomalacia, vocal nodule or cyst, paroxysmal laryngospasm, malignancy, etc. Treatment for LPR includes changes of the diet pattern and lifestyle, and acid-suppresssing therapy Medication and ntireflux surgery. uthors report two cases of effective management of pachyderma laryngis with huge interarytenoid mass associated with LPR which was refractory to medical treatment. Surgical excision of the lesion was effective for resolving symptoms and shortened treatment period. (J Clinical Otolaryngol 2004;15:294-298) KEY WORDS:Laryngopharyngeal reflux Pachyderma laryngis Laryngoscopic surgery. 서 론 294
증례 1: 증례 Fig. 1. Preoperative photography shows. Huge, erythematous, ovoid shaped, mass-like lesion on interarytenoid fold in Case 1. Whitish and broad mass-like lesion on interarytenoid fold in Case 2. Fig. 2. Pathology. Mild acanthosis with parakeratosis, submucosal edema with lymphoplasmacytic infiltrations are noted in Case 1 Hematoxylin and Eosin stainoriginal magnification 100. Squamous epithelium with mild reactive change and lymphocytic infiltrations are noted in Case 2 Hematoxylin and Eosin stainoriginal magnification 100. 295
J Clinical Otolaryngol 2004;15:294-298 Fig. 3. Postoperative laryngoscopic view 4 weeks. Interarytenoid fold is mild edematous, but much improved in Case 1. Interarytenoid fold is nearly normalized in Case 2. 증례 2: 고찰 296
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