The Effect of the Topical Injection of Steroid into the Pillar and Tonsillar Bed on Posttonsillectomy Morbidity / 대한이비인후과학회지

BACKGROUND AND OBJECTIVES: Many studies report using various agents to reduce morbidity of post-tonsillectomy. Steroid, for example, is often given to decrease postoperative morbidity. This study was designed to determine the efficacy of the intraoperative topical injection of steroid into the pillar and tonsillar bed. SUBJECTS AND METHOD: Eighty patients aged between 15 to 30 years were randomly divided into two groups: 40 patients (Group I) received a single intraoperative dose of topical dexametha-sone sodium phosphate, whereas the control group was given normal saline. After the operation, each patient was evaluated for pain, oral intake, use of analgesics. RESULTS: There were no statistically significant differences noted in pain score, oral intake, use of analgesics among the two groups of patients. CONCLUSION: From the post operative day 1 to post operative day 7, dexamethasone sodium phosphate may play a limited role in the patient recovery from tonsillectomy. The results showed that a single dose of the topical dexamethasone sodium phosphate did not affect the postoperative morbidity.

A Case of Retroperitoneal Cystic Lymphangioma

Cystic lymphangiomas are comparatively rare, benign tumors of lymphatic system and their histogenesis are uncertain. About 75% of theses lesions are in the neck, 20% are in the axillary region, and 5% are in the mediastinum, retroperitoneal region or groin. But retroperitoneal cystic lymphangiomas are very rare. Retroperitoneal cystic lymphangiomas are usually found incidentally during diagnostic procedures performed for unrelated clinical reasons or at surgery. Although retroperitoneal cystic lymphangioma is a benign lesion, it may cause significant morbidity due to its large size and its often invasive character with a strong tedency to secondary infection. They generally present as a palpable mass or abdominal pain and fever related to hemorrhage or inflammation of the cystic wall. The treatment of choice is surgical excision. We experienced a case of retroperitoneal cystic lymphangioma in a 4-year-old boy who had developed rapid abdominal distention and abdominal pain for 4 days. We have completely excised large cystic mass & histologically confirmed cystic lymphangioma. A brief review of literature was made.

A Case of Lingual Osseous Choristoma / 대한이비인후과학회지

The term "choristoma" is used to describe a mass of histologically normal tissue presenting in an aberrant site. The authors have experienced a case of lingual osseous choristoma in a 17-year-old female patient, which was totally removed and followed up for 12 months without any evidence of recurrence or developments to other disease.