Two Cases of Spontaneous Cerebrospinal Fluid Rhinorrhea by Idiopathic Bony Defects / 대한이비인후과학회지

Cerebrospinal fluid rhinorrhea can be caused by head trauma, brain or sinus surgery or neoplastic sinonasal disease. In addition, CSF rhinorrhea may develop spontaneously in some cases. We experienced two cases of spontaneous CSF rhinorrhea caused by idiopathic bony defect. The first case was a 47-year old female who complained of a persistent rhinorrhea for 2 months without surgical or traumatic history. The second case was a 40-year old female. Having no surgical or traumatic history, she also suffered from a persistent rhinorrhea for thirteen years. For diagnosis of CSF rhinorrhea, we carried out endoscopic examination, glucose test of rhinorrhea, computed tomograph, magnetic resonance imaging and (99m)Tc-DTPA cisternography. We found bony defect in the cribriform plate of the two cases. Patients were treated successfully with endoscopic approach. Leak sites were repaired with free graft materials. There has not been any recurrence or complications since the endoscopic closure.

Prognostic Factors of Malignant Lymphoma in the Sinonasal Tract and Nasopharynx / 대한이비인후과학회지

BACKGROUND AND OBJECTIVES: There were only few studies for malignant lymphoma of sinonasal tract because of its relatively low incidence. The objectives of this study were to investigate clinical features, treatment outcomes, and prognostic factors in patients with malignant lymphoma of sinonasal tract and nasopharynx. SUBJECTS AND METHOD: Twenty patients diagnosed as sinonasal tract lymphoma from 1995 through 2004 were included in the retrospective analysis. RESULTS: All the patients included in this study were Non-Hodgkin's lymphoma. The ratio of male to female was 1.6:1, and the ages ranged from 16 to 79 years (mean, 55 years). Nasal cavity was the most frequently involved site (42.3%). NK/T cell lymphoma was the most common histologic subtype (56.3%) in the nasal cavity and paranasal sinus, whereas diffuse B cell lymphoma accounted for 60% of lymphomas involving the nasopharynx. The complete response rate and 5-year survival rate for the entire group were 53.8% and 45.5%, respectively. The predictive factors for poor survival were T-cell type, advanced Ann Arbor stage, single modality treatment, presence of B symptom, high serum LDH level, high Eastern Cooperative Oncology Group (ECOG) performance scale score, and high international prognostic index (IPI) score in the univariate analysis (p<0.05). However, Ann Arbor stage and treatment modality were excluded from prognostic factors in the multivariate analysis (p<0.05). CONCLUSION: The distribution of histologic subtypes was different according to the site of involvement. Histologic classification, Ann Arbor stage, B symptom, serum LDH level, ECOG performance status, treatment modality, and IPI score are important prognostic factors.

Cochlear Implantation after Bilateral Transverse Temporal Bone Fractures

Patients deafened by a severe head injury are rarely encountered. We report a case of a 65-yr-old man with bilateral transverse temporal bone fractures due to head injury. He underwent cochlear implant and achieved a satisfactory auditory rehabilitation. Imaging studies of temporal bone before performing a cochlear implantation provide important information on a patient with bilateral temporal bone fractures. Cochlear implantations with careful planning in such a patient may be a very effective method for aural rehabilitation.

Metastatic Adenocarcinoma of the Temporal Bone Presenting as Facial Paralysis / 대한이비인후과학회지

Metastatic lesions in temporal bones were rare in the past, however, nowadays, they seem to be increasing. The primary sites of metastases to the temporal bones are known to be the breasts, lungs, kidneys, gastrointestinal tract, prostate gland, larynx, and thyroid gland. We present a case with peripheral facial paralysis as the only symptom of a metastasis to the temporal bone in a 73 year-old woman, and that peripheral facial paralysis was the first and only metastatic symptom in that case. This patient was initially diagnosed with Bell's palsy. However, based on the pathologic findings, a further study revealed an adenocarcinoma of the lungs which spread to the temporal bone. Any metastatic diseases to the temporal bone should be considered as possible etiology in patients with a clinical history of malignant neoplasms presenting with common otologic or vestibular symptoms, especially with facial nerve paralysis.

A Study on ttie Biomechanical Body Segment parameters of Korean Adults / 체질인류학회지

This study is to determine the biomechanical characteristics of Korean adults. Male 32 and female 28 were participated for the measurement which was performed by immersion method and reaction board method. Body segments were head with neck, trunk, upper arm, forearm, hand, thigh, leg and foot. Their volumes were measures by immersion method. Their weight were determined by using Dempster (1955), Drills and Contini (1969) density data. Each COM (center of mass) of body segment weight were determined by specific posture on the reaction board. The postures were asked to the subject total arm-lifted posture, forearm-lifted posture, total leg-lifted posture, leg-lifted posture. According to each posture, the COM of each segment were calculated. Also, center positions of mass according to posture change were estimated. The results were compared with cadaver data from Dempster (1955), Cluaser (1969), Matsui (1958) which are applied very often and also bio data from Lim (1994) and Jung (1993) on Korean adults.

A Study on Comparison of the Physical Growth between the Korean and the Japanese Young Adults(18-29 yrs.) / 체질인류학회지

The physical conditions of the Korean and the Japanese young adults (aged 18-29) were analyzed for the 10 important body dimensions such as stature, body weight, sitting height, chest circumference, and etc.. The Korean data published in 1979 and 1992 were compared with the Japanese data published in 1984 and 1994, respectively. Also, the physical developments and the sex differences of the Korean in past 13 years were compared with those of Japanese. The results are as follows. 1) The stature, sitting height and perineum height of the Korean young male and female are significantly smaller than those of the Japanese. 2) In the past, the chest circumference, waist circumference, hip circumference, body weight of the Korean are larger values than those of the Japanese. But, there are no significant differences in recent surveys. 3) Most body dimensions of male show significantly larger than those of female in the two countries. 4) There is no significant difference in thigh circumference between the Korean male and female in 1992. 5) There are no significant differences in thigh circumference between the '84 Japanese male and female and in hip circumference between the '94 Japanese male and female. 6) Compared with the results of the past surveys, the relative body weight, perineum height, and chest circumference of female to male are decreased in the two countries. But, the relative hip circumference of female to male are increased in both countries.

A Study on Anthropometric Differences among According to Residential area and Urban community Scale / 체질인류학회지

This paper shows anthropometric differences among four regions of urban community using Korean anthropometric data surveyed in 1992. The anthropometric data include 84 measurements of Korean aged 12~50. The principal component analysis reduce 84 measures to five components. The discriminant analysis using these components is performed to observe the anthropometric differences among four regions : Seoul and Kyungki, Kangwon and Chungbuk, Chungnam and Ch lla, Kyungsang. The results on age groups (12~14, 15~17, 18~24, 25~50 ages) and city size (big city, medium city, small city) can be summarized as follows ; 1) In male aged 12~14 and 15~17, there are significant differences of anthropometry among four regions in all city size. But in another age groups (18~24 and 25~50 ages), these are not significant differences of anthropometry among four regions except medium city. 2) In female, there are significant differences of anthropometry in all city sloe in aged 18~24 and 25~50 and in medium city in aged 15~17. however, there are not significant differences in aged 12~14 and 15-17.

A study on the physical growth and development of Korean based on the '92 national anthropometric survey / 체질인류학회지

No abstract available.

A Study on the Physical Growth and Development in Korean / 체질인류학회지

The physical conditions of the Koreans aged 10-30 were studied by obtaining physical and nutritional indices on a sample of 10,535 males and 7,175 females which were surveyed in 1986 National Anthropometric Survey for the purpose of grasping the state of arts of the physique and physical development of Korean. The summary results are as follows :1. Anthropometric measurements : 1) Compared with the results of 1979 survey, the stature and body weight in young ages increased markdly while the sitting height increased a little or rather decreased in the males aged above 16 and in the females aged above 14. The chest circumference shows similar or rather decreased values compared with that of the past. 2) Compared with the results of 1984 anthropometric survey in Japan, the stature and body weight of the Korean young males and females in ages up to 14 show larger values than those of the Japanese. But in ages above 15, those of the Korean show similar or rather smaller values than those of the Japanese. In chest circumference, the Korean turn out to be smaller than the Japanese up to age 16. 3) Compared with the results of 1977 anthropometric survey in U.S.A., difference in the stature, chest circumference and body weight between the Korean and the American start to appear around age 12, but in sitting height there is no big difference.2. Physical and nutritional indices by ages : 1) The relative body weit to stature increases linearly up to age 16 in the males and up to 14 in the females and is larger in the females than the males at ages between 11 to 13. Compared with the results of 1979, it decreased slightly, which indicates that the growth of stature was more prominent than that of body weight. 2) The relative sitting height to stature decreased by 2-3 points than in 1979 which means that the lower part of the body grows more, and the values in the males at age 14 and in the females at age 12 are smallest. Compared with the Japanese, it shows 2-3 points smaller value. 3) The relative chest circumference shows 1-3 points smaller value compared with that of 1979, but similar vaiue compared with that of the Japanese. 4) The R hrer indices, compared with the 1979 data, become smaller in the males at ages above 12 and larger in the females above 12. But the Korean shows similar R hrer index values compared with the Japanese. 5) The Pelidisi indices of the nutritional status turn out to be increasing with advancing ages and show 2-3 points larger values compared with the past. Compared with the Japanese, the pelidisi indices of the Korean males are similar but those of the Korean females are larger. 6) The surface areas of body increase lineally up to age 15 in the males and age 13 in the females which shows a similar tendency with the past.3. Estimation of mean body weight in the Korean : A equation for the estimation of body weight in the Korean by age, sex and stature is developed.