Publications by authors named "Ki Nam Park"

Article Synopsis
  • This study focuses on improving patient outcomes in radiotherapy for malignant tumors by collecting comprehensive multi-modal data generated during treatment, rather than looking at single time-points.
  • The data collected from multiple institutions underwent strict integrity checks and was analyzed using AI models, leading to a substantial dataset that includes over 30,000 imaging scans and metadata from 5,019 patients.
  • Results showed that the AI models effectively validated most of the data quality, achieving a high classification accuracy, which suggests that this structured dataset can significantly enhance future research in radiotherapy efficiency.
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Objectives: This prospective study evaluated the effectiveness and safety of botulinum toxin injection for airway management in patients with transient bilateral vocal fold paresis (BVFP) after thyroidectomy.

Study Design: Prospective clinical study.

Methods: A prospective study was conducted at Soonchunhyang University, Bucheon, Korea, between March 2005 and February 2023.

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Article Synopsis
  • - A study examined the potential impact of statin use on the recurrence of head and neck cancer (HNC) in a large patient population from seven hospitals, analyzing data from 1986 to 2022.
  • - Among 4,669 HNC patients identified, 398 had used statins, which appeared to correlate with a lower rate of HNC recurrence over 3 and 5 years compared to non-statin users, although these findings weren't statistically significant.
  • - The study's results indicate that while there may be trends suggesting statin use could reduce HNC recurrence, more extensive research with larger sample sizes is necessary to establish a clear association.
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Purpose: This study prospectively assessed the efficacy and safety of 532-nm diode laser glottoplasty in patients with sulcus vocalis.

Methods: A prospective human trial was performed from August 2016 to September 2021. 532-nm diode laser glottoplasty was performed in 30 consecutive patients with sulcus vocalis who suffered from voice problems.

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Objectives: We evaluated the regenerative effect of a 532-nm diode laser in a rabbit model of vocal fold scarring.

Methods: This study included 40 male New Zealand white rabbits: 20 underwent vocal fold scar surgery only (control group) and 20 underwent 532-nm diode laser glottoplasty 1 month after vocal fold scar surgery (glottoplasty group). Histological and high-speed video analyses of vocal fold vibration were performed 1 month after vocal fold scar surgery and laser glottoplasty.

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Objectives: We evaluated the preventive efficacy of stromal vascular fraction (SVF) for vocal fold scar in a rabbit model.

Study Design: Animal model.

Methods: The study included 40 male New Zealand white rabbits: 20 received vocal fold scar surgery served as normal controls (control group).

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Article Synopsis
  • Tracheostomy is crucial for ICU patients, and ultrasound-guided percutaneous dilatational tracheostomy (US-PDT) is being compared with surgical tracheostomy (ST) for safety and effectiveness.
  • A randomized controlled trial with 70 patients found that US-PDT had a significantly shorter procedure time and incision length than ST, but both procedures had similar complications and outcomes.
  • The study concluded that US-PDT is a safe and effective alternative to ST for critically ill patients, potentially making it a preferred option in clinical settings.
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Background: Human omentum-derived mesenchymal stem cells (hO-MSCs) possess great potential to differentiate into multiple lineages and have self-renewal capacity, allowing them to be utilized as patient-specific cell-based therapeutics. Although the use of various stem cell-derived β-cells has been proposed as a novel approach for treating diabetes mellitus, developing an efficient method to establish highly functional β-cells remains challenging.

Methods: We aimed to develop a novel cell culture platform that utilizes a fibroblast growth factor 2 (FGF2)-immobilized matrix to regulate the adhesion and differentiation of hO-MSCs into insulin-producing β-cells via cell-matrix/cell-cell interactions.

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The aim of this study was to develop evidence-based recommendations for determining the surgical extent in patients with locally invasive differentiated thyroid cancer (DTC). Locally invasive DTC with gross extrathyroidal extension invading surrounding anatomical structures may lead to several functional deficits and poor oncological outcomes. At present, the optimal extent of surgery in locally invasive DTC remains a matter of debate, and there are no adequate guidelines.

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Metastasis of pleomorphic adenoma (PA) is rare and usually presented as a locoregional recurrence developed many years after excision of the primary tumor although the PA is the most common neoplasm in the parotid gland. We described a case of a 48-year-old male with a parotid tumor with multiple enlarged ipsilateral lymph nodes which suggested a malignancy. The tumors had been neither evaluated nor excised and preoperative evaluation revealed benign PA in both lesions.

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Article Synopsis
  • Ultrasound-guided percutaneous dilatational tracheostomy (US-PDT) is being explored as a safer and time-efficient alternative to traditional surgical tracheostomy (ST) in ICU settings.
  • In a study involving 90 patients, US-PDT achieved a success rate of 97.4% and took less time to perform compared to ST (5.2 minutes vs. 10.5 minutes).
  • The findings suggest that US-PDT is not only safe but could be particularly beneficial for high-risk patients or those who can't be moved for surgery, making it a viable option.
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Parapharyngeal liposarcoma is a rare malignant tumor, the pathogenesis of which is uncertain. Parapharyngeal liposarcoma often causes nonspecific clinical features, including dysphagia, globus sensation, and/or respiratory disturbances. The parapharyngeal space is a rare location for head and neck liposarcoma, and these lesions may therefore be confused with a variety of other tumors that can originate in this area.

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Coronavirus disease 2019 (COVID-19) is a pandemic with a variety of symptoms and complications. Impairments of taste and smell caused by COVID-19 are well known as otolaryngological sequelae. However, dysphonia due to bilateral vagal neuropathy has not been well described as a presenting symptom or complication of COVID-19 infection.

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Voice change is a common complaint after thyroid surgery and has a significant impact on quality of life. The Korean Society of Laryngology, Phoniatrics and Logopedics assembled a task force to establish guideline recommendations on education, care, and management related to thyroid surgery. The guideline recommendations encompass preoperative voice education, management of anticipated voice change during surgery, and comprehensive voice care after thyroid surgery, and include in-depth information and up-to-date knowledge based on validated literature.

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Objectives: We assessed fibroblast growth factor (FGF) regenerative efficacy in an aged vocal fold rat model and confirmed it in a prospective clinical trial.

Design, Setting, And Participants: For animal experiments, 48 Sprague-Dawley rats were divided into two groups: 24 six-month-olds (young group) and 24 twenty-four-month-olds (old group). FGF was injected once a week thrice into the left vocal fold of the old group, dividing them into two sub-groups (injected [left] and uninjected [right]).

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Background: The objective of this retrospective study was to identify predictors of an abscess guaranteed to be surgically drained successfully in patients with deep neck infection (DNI).

Materials And Methods: We divided 97 consecutive patients with DNI into a drained group and a non-drained group. We then developed a clinical prediction score and validated it in 32 further patients.

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Objectives: This study compared and assessed long-term voice outcomes when thyroidectomy-related unilateral vocal fold paralysis (VFP) was managed using injection laryngoplasty (IL) and recurrent laryngeal nerve reinnervation (RLNR).

Study Design: Prospective clinical study.

Methods: A prospective clinical trial was performed from March 2005 to January 2016 at Soonchunhyang University Bucheon Hospital (Bucheon, South Korea).

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Article Synopsis
  • - The study analyzed data from 17,984 adults to explore the relationship between olfactory dysfunction (OD), hearing loss, and dysphonia using self-reported questionnaires.
  • - Findings revealed that individuals with OD had a higher prevalence of hearing loss (28.1% vs 11.3%) and dysphonia (11.1% vs 5.9%), indicating a significant association (both P < 0.0001).
  • - After considering other factors, the risk of OD was notably linked to hearing loss and dysphonia, especially in individuals with both conditions, showing an odds ratio of 3.115 for combined dysfunction.
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The association between chronic laryngitis and tinnitus is not a well-studied topic, unlike the association of these two conditions with many other disorders. Cross-sectional data of 11,347 adults (males: 4,934; females: 6,413), who completed the Korea National Health and Nutrition Examination Survey (KNHANES) from 2010 to 2012 were used to investigate this association. Lifestyle patterns, including smoking and alcohol habits, regular exercise, physical and mental health status, socioeconomic status, nutritional status, and other chronic diseases, were analyzed.

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Objectives: This study assessed the regenerative efficacy of basic fibroblast growth factor (FGF) in a rabbit model of chronic vocal fold scarring and then confirmed its utility and safety in a prospective trial of patients with this condition.

Methods: FGF was injected three times, at 1-week intervals, into a chronic vocal fold scar created in a rabbit model. After 1 month, mRNA level of procollagen I, hyaluronic acid synthetase 2 (HAS 2), and matrix metalloproteinase 2 (MMP 2) were analyzed by real-time polymerase chain reaction.

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Objectives/hypothesis: This study assessed the long-term efficacy and recurrence rates of percutaneous steroid injections (PSIs) for benign vocal fold lesions.

Study Design: Prospective clinical study.

Methods: A prospective human clinical trial was performed from October 2008 to September 2014 at Soonchunhyang University Hospital, Bucheon, Korea.

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Objectives: The purpose of this study was to demonstrate the incidence rates and predictive factors of superior mediastinal lymph node (SMLN) metastasis in PTC (papillary thyroid carcinoma) patients.

Methods: A prospective observational study was performed between January 2009 and January 2011. PTC patients who had tumors with a maximal diameter greater than 1 cm and clinically negative SMLNs were included in this study.

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The injection material polyacrylamide hydrogel (PAAG; Ferrosan, Søborg, Denmark) is often used as space filler for soft-tissue defects. PAAG is a suitable alternative to the materials used for injection laryngoplasty. Over the past decade, 427 patients have undergone injection laryngoplasty in our clinic using PAAG, and no major complications, such as material migration or foreign body granuloma, were identified.

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