A Case of Iatrogenic Subcutaneous Cervicofacial and Mediastinal Emphysema after Catheterization / 대한이비인후과학회지

Subcutaneous cervicofacial and mediastinal emphysema (SCFME) occur with a variety of disease processes. Most cases involve a passive escape of air from the aerodigestive tract into subcutaneous tissues. Even if the presence of SCFME is not in itself dangerous, prompt recognition of the underlying etiology is essential. Catheterization is a common procedure in the otolaryngologic field, but, clinically, SCFME after catheterization is very rare. Recently, we experienced a case of SCFME after catheterization, so we report this rare case with a review of literatures.

A Case of Multiple Myeloma Involving Temporal Bone / 대한이비인후과학회지

Multiple myeloma (MM) is a systemic manifestation of plasma cell tumor. It shows anemia, bone pain and some pathologic fracture. MM is a relatively well known disease, but temporal bone involvement is very rare. In 1979, Lavine first reported the temporal bone involvement in MM. Since then, only a few cases of temporal involvement in MM were reported in literature. In Korea, temporal bone involvement in MM has not been reported yet. It is very difficult to diagnose MM of temporal bone in the early stage, since it presents general, nonspecific otologic symptoms and it is difficult to carry out pathological confirmation in the temporal bone. In most of reported cases, patients are already diagnosed with MM. when they are presented with MM of temporal bone. If MM is found in the temporal area, it is considered to be in the terminal stage of disease, but treatment for it is the same as that for the usual MM. We experienced a case with intractable otalgia and suddenly developed facial palsy, which was later confirmed to be a MM after a pathologic review and a systemic evaluation. We report this rare case with a review of literatures.