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후두 접촉성 육아종의 수술적 치료

Title
후두 접촉성 육아종의 수술적 치료
Other Titles
Surgical treatment of laryngeal contact granuloma
Author
지용배
Keywords
접촉성 육아종; 인후두역류 질환; 수술적 치료; Contact granuloma; Laryngopharyngeal reflux; Surgical treatment
Issue Date
2017-12
Publisher
대한두경부종양학회
Citation
대한두경부종양학회지, v. 33, no. 2, page. 23-27
Abstract
Background and Objectives: Gastric acid reflux is known to be the most important cause of contact granuloma. Therefore, anti-gastric acid reflux medication has been used as the first line treatment although there are other treatment methods such as surgery or steroid injections. Actually, the role of surgery in the treatment of contact granuloma has not been established clearly. The purpose of this study was to evaluate the effectiveness of surgical treatment for contact granuloma. Materials and Methods: We retrospectively reviewed the medical records of 14 patients who were diagnosed with contact granuloma and treated with surgery from 2011 to July 2016 at Hanyang University hospital. Results: Of 14 patients, 9 (64.3%) were male and 5 (27.4%) were female. The mean age was 53.8 (±6.1±6.1) years. The main symptoms were voice change followed by globus, dyspnea, and asymptomatic. Mean Reflux Finding Score (RFS) before surgery was 13.5 and mead Reflux Symptom Index (RSI) was 10.4. The causes of surgery were inadequate response to proton pump inhibitor (PPI) in 4 cases, airway obstruction with large granuloma in 8 cases, and differential diagnosis in 2 cases. Of 14 patients, recurrence occurred in 8 (53.3%) patients after surgery. In 8 recurrent cases, 5 patients showed complete remission and 3 patients showed partial remission with PPI medication. Conclusion: The role of surgery in the treatment of contact granuloma might be limited due to high recurrence rate.
URI
http://scholar.dkyobobook.co.kr/searchDetail.laf?barcode=4010026178067http://repository.hanyang.ac.kr/handle/20.500.11754/116701
ISSN
1229-5183; 2586-2553
DOI
10.21593/kjhno/2017.33.2.23
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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