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JAMA ¿ä¾à : 3-Dimensional Printing ±â¼úÀÇ ÀÓ»óÀû¿ë : ºñÁ߰ݺ¯Çü(Nasal septal deformities) ¼ö¼úÀÇ ¾ÈÀü¼º°ú È¿°ú¼º

- Clinical Application of 3-Dimensional Printing Technology for Patients With Nasal Septal Deformities: A Multicenter Study -


 

ºñÁß°Ý ¸¸°îÁõ(Nasal septum deviation)Àº ÄÚÀÇ Áß¾Ó¿¡ ¼öÁ÷À¸·Î À§Ä¡ÇÏ¿© Ä౸¸ÛÀ» µÑ·Î ³ª´©´Â º®ÀÎ ºñÁß°ÝÀÌ ÈÖ¾îÁ® ÄÚ¿Í °ü·ÃµÈ Áõ»óÀ» ÀÏÀ¸Å°°Å³ª ÄÚ¸·Èû, ºÎºñµ¿¿° µîÀÇ ±â´ÉÀû Àå¾Ö¸¦ À¯¹ßÇÏ´Â °æ¿ì¸¦ ¸»ÇÑ´Ù. Áï, ºñ°­À» Á¿ì 2½Ç·Î °¡¸£°í ÀÖ´Â Áß¾ÓÀÇ Ä­¸·ÀÌ(ºñÁß°Ý)°¡ ÄÚ°¡ ¸·È÷´Â µîÀÇ Àå¾Ö¸¦ ÀÏÀ¸Å³ Á¤µµ·Î ½ÉÇÏ°Ô ÈÖ¾îÁø »óÅÂÀε¥, »ç¶÷ÀÇ ÄÚ Áß¾Ó¿¡ ¼öÁ÷À¸·Î À§Ä¡ÇØ Ä౸¸ÛÀ» µÑ·Î ³ª´©´Â Ä­¸·ÀÌÀÎ ºñÁß°ÝÀº ´ëºÎºÐ ¾à°£¾¿ ÇÑÂÊÀ¸·Î ÈÖ¾îÁ® ÀÖ´Ù. Çѱ¹ÀÎÀ̳ª ÀϺ»ÀÎ ¼ºÀÎÀÇ 80∼90 %°¡ ´Ù¼Ò³ª¸¶ ¸¸°îµÇ¾î ÀÖ´Ù°í º¸°íµÈ´Ù. ÇÏÁö¸¸ ÈÖ¾îÁüÀÌ ½É°¢Çϸé ÄÚ¸·Èû, ¼ö¸éÀå¾Ö µî ÁúȯÀÌ µ¿¹ÝµÈ´Ù(ºñÁß°Ý ¸¸°îÁõ). °Ç°­º¸Çè½É»çÆò°¡¿ø¿¡ µû¸£¸é 2016³â ±âÁØ, 5¸¸ ¸íÀÌ ³Ñ´Â »ç¶÷ÀÌ ºñÁ߰ݸ¸°îÁõÀ¸·Î ¼ö¼ú ¹Þ¾Ò´Ù.

 

ºñÁß°Ý ¸¸°îÁõÀÇ Áõ»óÀº ¸Å¿ì ´Ù¾çÇÏÁö¸¸, °¡Àå ÁÖ¿äÇÑ Áõ»óÀ¸·Î ÄÚ¸·ÈûÀÌ ÀÖ´Ù. Á¼¾ÆÁø ÂÊÀÇ ÄÚ°¡ ¸·È÷´Â °æ¿ì°¡ ¸¹Áö¸¸, ¸¸°îµÈ ÂÊ°ú ÄÚ¸·ÈûÀ» ´À³¢´Â ÂÊÀÌ Ç×»ó ÀÏÄ¡ÇÏÁö´Â ¾ÊÀ¸¸ç ¿ÀÈ÷·Á ³ÐÀº ÂÊÀÇ ÄÚ°¡ ¸·Èù´Ù°í ´À³¢´Â °æ¿ìµµ ÀÖ´Ù. ¶ÇÇÑ ºñÁß°Ý ¸¸°îÁõÀÌ Àå±â°£ À¯ÁöµÇ¾úÀ» °æ¿ì, ³ÐÀº ÂÊ ÄÚ¿¡¼­ º¸»ó¹ÝÀÀ¿¡ ÀÇÇÏ¿© ÇϺñ°©°³ÀÇ Á¡¸·ÀÌ Á¡Á¡ µÎ²¨¿öÁö´Â ºñÈļº ºñ¿°ÀÌ »ý±æ ¼ö ÀÖ´Ù.

 

JAMA 2018³â 12¿ù  (JAMA Otolaryngol Head Neck Surg)¿¡ º¸°íµÈ ±èµµÇö±³¼öÆÀÀÇ “Clinical Application of 3-Dimensional Printing Technology for Patients With Nasal Septal Deformities: A Multicenter Study” ³í¹®¿¡¼­ 3D ÇÁ¸°Æà ±â¼ú·Î ÈÖ¾îÁø ÄÚ»À¸¦ °íÄ¡´Â ¿¬±¸¸¦ ¹ßÇ¥ÇÏ¿´´Ù. ¿¬±¸ÆÀÀº ¼ö¼ú·Î ÈÖ¾îÁø ºñÁß°ÝÀ» ±³Á¤ÇÑ ÈÄ, ³¡¿¡ ºÎ¸ñÀ¸·Î »ðÀÔÇØ ÁöÁöÇÒ Àΰø º¸Çü¹°À» 3D ÇÁ¸°ÅÍ·Î Á¦ÀÛÇß´Ù. ±âÁ¸ ½ÇÇèµéÀ» ÅëÇØ ¿¬°ñÀÇ Æ¯¼º°ú À¯»çÇÑ Æ¯¼ºÀ» °®µµ·Ï Á¦ÀÛÇßÀ¸¸ç »ýü ÀûÇÕ¼ºÀÌ ±Ø´ëÈ­µÉ ¼ö ÀÖ°Ô ºÐÇصǴ Æú¸®Ä«ÇÁ·Î¶ôÅæ(PCL, Polycaprolactone)À» ¿ø·á·Î ÇÁ¸°ÆÃÇß´Ù. À̹ø ¿¬±¸°á°ú¿¡¼­ 3D ÇÁ¸°ÆÃÇÑ Àç·á´Â ¾ãÀ¸¸é¼­µµ °­µµ°¡ Àû´çÇÒ »Ó ¾Æ´Ï¶ó ¼ö¼ú ÈÄ ÄÚ ³»ºÎ »ýÀûÇÕ¼ºµµ È¿°úÀûÀ̾úÀ½À» º¸°íÇß´Ù.


 

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3D ÇÁ¸°ÆÃÀ¸·Î ÀμâµÈ »ýü Èí¼ö¼º ÄÚ ÀÓÇöõÆ®(bioresorbable nasal implant)´Â ºñÁß°Ý ¸¸°î(caudal septal deviation )¿¡ ¾ÈÀüÇÏ°í È¿°úÀûÀԴϱî?

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ºñÁ߰ݺ¯Çü ȯÀÚ¸¦ ´ë»óÀ¸·Î ¼öÇàµÈ ´Ù±â°ü ÀÓ»ó ½ÇÇ迬±¸¿¡¼­ 3 Â÷¿øÀ¸·Î ÀÎ¼â µÈ Æú¸®Ä«ÇÁ·Î¶ôÅæ(polycaprolactone) ÄÚ ÀÓÇöõÆ® Àç·á´Â ÀûÇÕÇÑ ±â°èÀû ÁöÁö·Â°ú ¾ãÀº µÎ²²»Ó¸¸ ¾Æ´Ï¶ó ¶Ù¾î³­ »ýÀûÇÕ¼ºÀÌ ÈǸ¢ÇÏ¿© 3-DÇÁ¸°Æà ±â¼úÀ» ÀÌ¿ëÇÑ ¿Ü°úÀû ¼ö¼ú°¡´É¼ºÀ» ÀÔÁõÇÏ¿´´Ù.

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Clinical Application of 3-Dimensional Printing Technology for Patients With Nasal Septal Deformities: A Multicenter Study (2018) JAMA Otolaryngol Head Neck Surg. 2018;144(12):1145-1152. doi:10.1001/jamaoto.2018.2054

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3-D ÇÁ¸°Æà ±â¼ú·Î Àû¿ëµÈ »ýüÈí¼ö¼º Æú¸®Ä«ÇÁ·Î¶ôÅæ ÄÚÀÓÇöõÆ®ÀÇ ¾ÈÀü¼º°ú È¿°ú¼ºÀ» °ËÁõÇϱâ À§ÇÔ

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Multicenter Clinical Trial

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18¼¼¿¡¼­ 74¼¼ »çÀÌÀÇ ºñÁ߰ݺ¯Çü(Nasal septal deviation) ȯÀÚ 20 ¸í

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-Primary Outcome: Nasal Obstruction Symptom Evaluation (¼ö¼úÀü °Ë»ç¿Í 12ÁÖ° ¼ö¼ú ÈÄ °Ë»ç)

-Secondary Outcomes: 1) Bilateral nasal cavity minimum cross-sectional area and volume on acoustic rhinometry (¼ö¼ú ÈÄ 4ÁÖ ¹× 12ÁÖ¿¡ ¾çÃø ºñ°­ÀÇ ÃּҴܸéÀû ¹× À½Çâ ºñ°­ÀÇ Ã¼Àûº¯È­); 2) Nasal septum angle in the paranasal sinus

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¼ö¼ú Àü°ú ¼ö¼ú ÈÄ 12ÁÖ° Â÷À̸¦ ºÐ¼®ÇÑ °á°ú, ÀǹÌÀÖ´Â º¯È­¸¦ ³ªÅ¸³»¾ú´Ù.

-À½Çâºñ°­Åë±â°Ë»ç(acoustic rhinometry): (0.41 [SD, 0.39] vs –0.11 [SD, 0.18]; difference, 0.42; 95% CI, 0.23-0.61),

-CT »óÀÇ ºñÁß°Ý°¢(Nasal septum angles): (11.22 [SD, 6.57] vs 2.89 [SD, 3.12]; difference, 8.33; 95% CI, 5.08-11.58),

-ÄÚÆó»öÁõ»óÆò°¡(Nasal Obstruction Symptom Evaluation): (73.50 [SD, 19.88] vs 3.75 [SD, 6.26]; difference, 69.75; 95% CI, 59.22-80.28).

-¿Ü°úÁýµµÀÇÀÇ ÆíÀǼº ¼öÁØ(½Ã·Â°³¼± Á¤µµ) Surgeons’ convenience level: 1) Visual analog scale score [SD], 90.90 [9.45])

-¼ö¼ú 12ÁÖ ÀÌÈÄ¿¡ ȯÀÚÀÇ Áõ»ó °³¼±°ú ¸¸Á·µµ

Visual analog scale score [SD], 88.30 [9.87])

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Moderate

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ÀÇ°úÇבּ¸Á¤º¸¼¾ÅÍ(MedRIC)

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2019-05-01 ¿ÀÀü 11:24:11, Á¶È¸¼ö : 2110