put in
correction
floorA20
meet the proprietor
Seonggeun Kwon, Professor at Seoul Nationwide College HospitalAirway obstruction
affected person with stenosis
surgical procedure shortlyPeanuts in prayer, and so on.
Surgical procedure to take away it
The worth is received 180,000
Medical doctors give
At Seoul Nationwide College Hospital
Sufferers flockLaryngeal illness authority
USA Casselberry Award
Awarded twice
American Laryngological Affiliation convention held in Chicago, USA in Could this 12 months. The recipient of the Casselberry Award, which is given to the physician with the perfect analysis leads to the sector of laryngeal ailments, was Professor Kwon Seong-geun (pictured) of the Division of Otolaryngology at Seoul Nationwide College Hospital . Professor Kwon acquired this award for the second time this 12 months, after 2018. There are solely three docs on the planet, together with Professor Kwon, who’ve acquired this award twice.
○ A health care provider who provides a brand new breath to a affected person who has issue respiratory
Professor Kwon, who primarily treats thyroid most cancers, airway obstruction, and vocal twine and larynx ailments, is a physician who breathes new life into youngsters who can not breathe correctly as a consequence of respiratory issues. He’s additionally a physician who helps grownup sufferers whose voices have modified for numerous causes to seek out their voices.
Within the throat is the esophagus, the place meals passes, and the airway, the place air passes. They should be nicely separated to stop meals from getting into the air pores and to permit clean respiratory. There will not be many hospitals the place youngsters with stenosis as a consequence of congenital obstruction or narrowing of the airway can go. It’s because there will not be many medical facilities that particularly cope with pediatric ailments, and it isn’t straightforward to guage youngsters’s airway situations utilizing endoscopes.
Respiratory ailments in youngsters seem for a number of causes. It may be attributable to malformations of the guts, lungs, and so on., or it may be attributable to an incorrectly shaped cranium. There are various youngsters with advanced ailments within the mind, muscle tissues, and so on. There will not be many hospitals in Korea which have a posh remedy system to deal with this situation. Seoul Nationwide College Youngsters’s Hospital is the ‘final bastion’ for these sufferers. Professor Kwon is chargeable for roughly 60-70% of pediatric airway sufferers nationwide.
○ Designing a brand new surgical approach to scale back the chance of unintended effects
The larynx is the higher a part of the airway, together with the vocal cords. Youngsters below Professor Kwon’s care usually endure from malacia, the place the bronchi and laryngeal cartilage turn into tender and tough to breathe, and subglottic stenosis, wherein the decrease a part of the glottis of the larynx is slim or closed. When performing surgical procedure on these sufferers, it is very important full it as quickly as attainable. It’s because youngsters’s lungs can maintain much less oxygen, so extended surgical procedure can result in mind harm and different problems.Up to now, throughout this kind of surgical procedure, a tube was inserted into the bronchial tube and oxygen was given every now and then. Though it’s attainable to stop a speedy drop in oxygen saturation, the chance is that tracheal intubation should be repeated inside a restricted time, rising the chance of further bleeding or peripheral harm.
Professor Kwon, along with professors within the Division of Anesthesiology and Ache Medication at Seoul Nationwide College Hospital, launched the tactic of introducing high-flow oxygen into the nostril with out ‘ launched a tracheal into pediatric surgical procedure for the primary time on the planet in 2017. Usually, utilizing an oxygen masks, you’ll be able to add about 10L of oxygen per minute, however with the newly designed methodology, you’ll be able to add as much as 60~70L. He stated, “There have been issues that if an excessive amount of oxygen was added, a fireplace may happen when the laser was fired, however there have been no such issues as we carried out over 500 surgical procedures. “
Youngsters who’ve overseas objects, akin to peanuts, of their airways are additionally common clients of Professor Kwon. He explains that, though it’s a surgical procedure that immediately impacts the life or demise of a kid, the variety of docs who carry out it’s regularly reducing.
“It is not straightforward to catch peanuts with a slippery floor. If it breaks whereas taking it out, it could possibly be an emergency. Though surgical assistants, anesthesiologists, and working room nurses take part, and it prices 100 million received simply to construct the endoscope gear, the surgical price (medical insurance remedy price) is simply 180,000 received. “Because the variety of hospitals offering these surgical procedures will increase, the variety of sufferers visiting Seoul Nationwide College Hospital will increase. “
○ Analysis into vocal twine regeneration utilizing stem cells
Professor Kwon performs many surgical procedures on grownup sufferers with laryngeal stenosis and on sufferers with massive lumps on the larynx as a consequence of human papillomavirus (HPV) an infection. The seminal analysis that received him the Casselberry Prize twice can be on ‘vocal twine age.’ He stated, “In case your vocal cords develop and you’ll’t make a voice, it’s possible you’ll expertise inconvenience in your social life and it may well result in loneliness,” and he added, “We have confirmed that for us to make use of stem cells to strengthen the muscle layer on the base. the vocal cords.”
In 2018, we developed a hydrogel know-how that will increase the half-life of vocal twine muscle cell development elements, which is just one to 2 minutes, to launch them for about 7 weeks. This 12 months, it was proven that when three-dimensional (3D) stem cell lots (spheroids) are used to reconstruct the airways of sufferers with intractable tracheal stenosis, the form of the airway is preserve nicely and the airway mucosa is quickly regenerated. One other achievement is to standardize uniform spheroids. We’re additionally growing synthetic saliva for most cancers sufferers who expertise discomfort as a consequence of broken salivary glands after radiation remedy.
Among the many pediatric sufferers he cares for, many are depending on ventilators from start. For Professor Kwon, the best reward is when these youngsters are taken off the respirator and in a position to breathe on their very own. He personally writes handwritten letters to youngsters who’ve been discharged from hospital. That is to specific my gratitude for serving to us get by way of a tough and unfamiliar life in hospital collectively.
“Even when they hear within the hospital that their little one has a respiratory downside, there are lots of dad and mom who can not simply conform to a remedy akin to a tracheostomy. Though unintended effects is usually a concern, it’s higher to not do it in any respect, so it’s higher to have the process as quickly as attainable. Adults have to pay extra consideration to their voices. In case your voice immediately turns into hoarse and lasts greater than three weeks, it is best to see a physician because it could possibly be an indication of most cancers.
■ Biography
She graduated from Seoul Nationwide College in 1996
2013 ~ Professor, Seoul Nationwide College Hospital
2018 · 2024 American Laryngology Affiliation Casselberry Award Winner
He acquired the Broyles Maloney Award from the American Tracheoesophageal Society in 2016 and 2019.
Reporter Lee Ji-hyeon bluesky@hankyung.com
2024-07-19 08:24:46
#Breath #Children #Breathe.. #Treating #Pediatric #Airway #Sufferers #Nationwide