소아 만성 화농성 중이염에서 유양돌기 절제술의 치료 결과

김상욱; 장선오; 박민현; 서명환; 이강진; 오승한; 김종선

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자료유형: 학술저널

저자정보: 김상욱 장선오 박민현 서명환 이강진 오승한 김종선

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제50권 제1호

발행연도: 2007.1

수록면: 19 - 24 (6page)

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Background and Objectives：Chronic suppurative otitis media (CSOM) is a comon infectious disease in childhood of poor media with effusion, CSOM is a potential problem in any child who had inserted ventilating tubes previously. Hearing loss folow-ing CSOM can negatively afect learning, speech, and cognitive function, so effective and timely management of CSOM is mandatory. The surgical procedure may be necessary in some children with CSOM, but when it is performed at a too early age, there might be more chances of recurrence than adults. Subjects and Method：Used in the study were 51 ears from patients and 6 months. Cholesteatoma was found in 30 cases (58.8%). Age at operation, hearing outcomes, and the surgical results were retrospectively reviewed. Results：Canal wall down mastoidectomy was performed in 23 cases and canal wall up procedure in 28 cases. Revision surgery was performed in 9 cases (17.6%) and mean duration betwen first and revision surgery was 27 months. In the cases of cholesteatoma, the rate of revision surgery was different between under 6 years old and over 7 years old group (p= .045). The age at 1st operation and postoperative hearing outcome had no corelation. Conclusion：Since the1st operation is performed earlier, the rate of revision may increase, especially in cases of cholesteatoma. (Korean J Otolaryngol 2007 ;50 : 19-24)

#중이염·유양돌기 절제술·소아. #Otitis media· Otologic surgical procedures· Child.

참고문헌 (17)

참고문헌 신청

/ / Elastin at the hinge portion of the eustachian tube cartilage in specimens from normal subjects and those with cleft palate : 2 ~

/ / Meta-analysis of pediatric tym-panoplasty : 530 ~ 4

/ / Results of tympanoplasty in children after 15 to 27 years : 17 ~ 23

/ / Type 1 tympanoplasty in children : 487 ~ 90

/ 1972 / Chemical compositions of elastins isolated from aortas and pulmonary tissues of humans of diferent ages ma ma ma (ukian jj ukian jj ukian jj) : 163 261 676 207 345

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김상욱

소속기관 Department of Otorhinolaryngology, Gyeongsang National University College of Medicine, Jinju, Korea

주요연구분야 의약학 > 임상의학 > 정신과학 의약학 > 임상의학 > 이비인후과학

논문수 25 이용수 105

장선오

소속기관 성균관대학교 의과대학 강북삼성병원 이비인후과학교실