Two Cases of Peritonsillar Abscess Following Tonsillectomy / 대한이비인후과학회지

Peritonsillar abscess occurs commonly and is well known as a result of infection of the peritonsillar space. Peritonsillar abscess rarely occurrs following perfectely performed tonsillectomy. Instead, the most likely causes are due to the retained tonsillar tissue remnants, to the persistence of Weber's gland, and to the second branchial cleft fistula disruption secondary to tonsillectomy. There are no case reports or reviews existing in the Korean medical literature. We present two cases of peritonsillar abscess that occurred after tonsillectomy with a review of the international literatures.

Usefulness of Preoperative Preparation in Using Gore-Tex / 대한이비인후과학회지

BACKGROUND AND OBJECTIVES: Gore-Tex is a popular graft material used in rhinoplasty. But there are several complications such as infection, seroma, and persistent swelling. Infection is the most common complication. The aim of this study was the evaluation of various protocols for Gore-Tex decontamination. SUBJECTS AND METHOD: Gore-Tex specimens were sectioned and separated into six groups. These were treated with povidone-iodine or antibiotics solution. Nasal cavity swab was performed both in the control group and patient group of chronic sinusitis. The culture of swab specimens incubated in agar plates were compared statistically. RESULTS: Povidone-iodine groups revealed significant decrease in the bacterial colony counts. CONCLUSION: The results suggested that impregnation of povidone-iodine supports the efficacy of decontamination Gore-Tex Implant.

The Usefullness of Ultrasonography in the Treatment of Zygomatic Arch Fractures / 대한이비인후과학회지

BACKGROUND AND OBJECTIVES: The zygomatic arch of midface is related to facial contour between skull base and zygomatic bone. The inadequate reduction of zygomatic arch fractures induces cosmetic problems like facial asymmetry and functional problems like limitation of mouth opening. Therefore, the correct diagnosis and adequate treatment of zygomatic arch fractures are needed in early stage and the correct evaluation of repositioned fragment during operation is important for the recovery of cosmetic and functional problem. The aim of this study is to estimate the value of ultrasonography as an intraoperative repositioning monitor in the reduction of zygomatic arch fractures. SUBJECTS AND METHOD: In the period from March of 2005 to October of 2006, 11 patients who had underwent ultrasonography guided reduction for zygomatic arch fractures were selected for clinical analysis. We repositioned depressed bony fragments via Gillies approach and evaluated continuously the repositioned state of bony fragments during operation using ultrasonography with 7.5 MHz linear transducer. RESULTS: There were 10 men and one woman, ranging in age from 19 to 74 years. All patients had chief complaints for trismus and pain of affected site and on physical examination, facial swelling, tenderness and depression of affected site were observed. In postoperative photographs and computed tomography scans, which were checked after postoperative 3 months, all patients showed good facial contour, well stabilized bony fragments and good alignment of zygomatic arch. CONCLUSION: The authors suggest that ultrasonography is a very useful tool for the treatment of an intraoperative repositioning monitory of zygomatic arch fractures.

The Stabilizing Method of Zygomatic Arch Fracture Using Aqua Splint Suture Technique / 대한이비인후과학회지

BACKGROUND AND OBJECTIVES: The zygomatic arch is the bony arch on both sides of the face consisting of the zygomatic bone. The zygomatic fractures are common maxillofacial injuries second only to nasal fractures due to its anatomical location of its structures. Various techniques have been applied for the treatment of zygomatic arch fractures but there is no desirable modality not only for the reduction but also for supporting depressed bony fragments without esthetic problems. The authors suggest aqua splint suture method, which is a new modality for the treatment of zygomatic arch fractures. SUBJECTS AND METHOD: In the period from March of 2004 to March of 2005, nine patients who had been performed reduction for zygomatic arch fractures were selected for clinical analysis. We repositioned depressed bony fragments by Gillies approach and stabilized repositioned bony fragments by external & internal fixation using aqua splint suture method. RESULTS: There were eight men and one woman, ranging in age from 19 to 68 years. All patients had chief complaints for trismus and facial deformities. Postoperative photographs and computed tomography, checked after 3 postoperative months, showed that all patients had the good facial contour and well stabilized bony fragments. CONCLUSION: The authors suggest that aqua splint suture method is a very simple, quick & effective technique for stabilizing repositioned zygomatic arch fractures.