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.

Reconstruction after Resection of Lower Lip Squamous Cell Carcinoma / 대한이비인후과학회지

Lip cancer is the most common malignancy of the oral cavity and is the second most common cancer in the head and neck. Because lip cancer can be detected early, it is readily curable compared with other head and neck malignancies. In the treatment, surgery is recommended for most patients. After resection, reconstruction is important both aesthetically and functionally, because of it's prominent location of face and essential functions of sphincter to assist in mastication, swallowing, phonation, and expressing emotion. Recently, we performed the reconstruction of lower lip defects after resection of cancer using various methods and achieved good results. So we present the cases with a review of literatures.

Clinical Study of Facial Skin Cancer / 대한이비인후과학회지

BACKGROUND AND OBJECTIVES: Malignant skin cancer is the most common type of malignancy, and is frequently found and increasing nowadays. Surgery for removal of skin cancer is very important. The authors had good results from surgery and reconstruction of facial defect. The effective surgical method and variable method of reconstruction are described here with a clinical analysis. SUBJECTS AND METHOD: 19 patients who were diagnosed facial skin cancer were divided by age, sex, type of cancer, region, and reconstruction method, and they were analyzed retrospectively. RESULTS: Of the 19 patients, squamous cell carcinomas were 5, basal cell carcinomas 11, and Merkel cell carcinoma 2. One patient had basosquamous cell carcinoma. Sites of skin cancer occurrence was nasal region (11 patients), auricular region (4 patients), cheek (2 patients) and preauricle (2 patients). Reconstruction was done right after the excision. There was no recurrence cases to date. CONCLUSION: The authors had good results regarding reconstruction following the excision of the skin cancer. Therefore, every physician have to consider this method as a treatment of skin cancer, and think of as many reconstruction methods as possible for the patient.

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.

A Case of Nasopharyngeal Amyloidosis / 대한이비인후과학회지

Amyloidosis is characterized by the deposition of extracellular fibrillar proteins in various tissues. Amyloidosis in the head and neck is a rare and benign condition that usually takes the form of localized amyloidosis. Among primary sites of head and neck area, nasopharyngeal amyloidosis has proven to be rare and there are only about ten cases that have been reported in the literature worldwide until today. We report a case of localized nasopharyngeal amyloidosis. Histopathologic examination of the mass revealed findings consistent with amyloidosis, which were stained with Congo Red. The postoperative recovery was uneventful. At the present time, the patient has no evidence of disease or recurrence and complication.

Combination Therapy of Earlobe Keloids / 대한이비인후과학회지

BACKGROUND AND OBJECTIVES : Keloids are proliferative growths of dermal collagen which extends beyond the original wound. Many modalities are available for treatment of keloids but there is no desirable modality to prevent the recurrence of keloids until now. The authors suggest that the combination therapy of surgical excision, steroid injection and compression therapy is an effective method for prevention of recurrence. MATERIALS AND METHOD : Eleven patients who underwent surgical excision for earlobe keloids in the period from June of 2003 to July of 2005 were selected for clinical analysis. We injected steroid at the surgical margin after excision and compressed it by aluminum splint after skin closure. RESULTS : There were four men and seven women, ranging in age from 13 to 60 years (mean age, 29.2 years). The causes of keloids were earring in seven cases, trauma in two cases and middle ear surgery in two case. The keloids appeared at 1 to 17 years (mean, 3.9 years) after earring, trauma or middle ear surgery, and follow-up period ranged from 3 to 28 months (mean, 9.3 month). The sizes of keloids varied from 0.6x0.3x0.2 cm to 3.4x2.3x1.3 cm. Only one out of the 11 cases recurred and the remaining 10 cases had good results without recurrence. CONCLUSION : We believe that the combination therapy of surgical excision, steroid injection and compression by aluminum splint is a very effective therapy for treatment of earlobe keloids.