Cavernous Hemangioma of the Tympanic Membrane

Cavernous hemangioma seems to most frequently arise in the posterior portion of the external auditory canal. However, they rarely occur in the tympanic membrane. A 49-year-old male patient was referred for evaluation of right-sided pulsatile tinnitus that he'd experienced for the previous 2 years. Temporal bone computerized tomography showed an isolated soft tissue mass just lateral to the tympanic membrane. There was no evidence of bony erosion or middle ear invasion. The patient underwent excision of the mass using a postauricular approach. The mass was removed en bloc and the defect of the tympanic membrane was repaired by tympanoplasty type I. There was no recurrence after 1 year of follow-up.

Solitary Parotid Gland Metastasis from Renal Cell Carcinoma 10 Years after Nephrectomy / 대한이비인후과학회지

Renal cell carcinoma metastasis to the parotid gland after tumor nephrectomy is extremely rare. We report a case of solitary parotid metastasis from clear cell renal cell carcinoma in a 64-year-old man, who presented it 10 years after primary treatment. Superficial parotidectomy and deep lobe mass removal with preservation of the facial nerve was performed. The patient is currently being followed up regularly with no additional metastasis observed for 13 months.

A Clinical Review of 1,060 Dizziness Cases Who Visited Patients in Emergency Room / 대한이비인후과학회지

BACKGROUND AND OBJECTIVES: Dizziness is an illusion of environmental movement due to various causes. It is difficult to confirm the diagnosis of dizziness according to history and physical examination in restricted situation such as emergency room. The aim of this study is to find another clue for diagnosis in patients of dizziness who visited emergency room. SUBJECTS AND METHOD: Author retrospectively reviewed the charts of 1,060 patients of dizziness who visited emergency room at Chonnam University Hospital from July 2004 to June 2005 and accumulated the various information such as final diagnosis, clinical feature, physical examination, present illness and past history etc. RESULTS: Average age of patients was 57. The most frequently consulted department for evaluation of dizziness was the department of otolaryngology, head and neck surgery (> 29.8%). Benign paroxysmal positional vertigo (BPPV) was the most frequent final diagnosis (14.4%) in all patients. But, cerebrovascular disease was the more frequent cause for dizziness in male and old age group. Whirling type dizziness was frequent in BPPV (36.8%) and spontaneous nystagmus was detected frequently in peripheral type vertigo such as vestibular neuritis (65.1%). Average age of central vertigo patients was 61.4 and other vertigo patients was 55. Patients of central vertigo visited the emergency room more frequently in the months of Dec, Jan, Feb and patient of other vertigo visited more frequently in June, July, Aug. CONCLUSION: Various specialized departments should be involved in effective and exact diagnosis of dizziness. The organized questionnaire in addition to prevalence, incidence and characteristics of dizziness may be used in finding another clue for diagnosis and managing dizzy patients helpfully.

A Case of Primary Sarcoidosis of the Nasal Cavity / 대한이비인후과학회지

Sarcoidosis can occur as an isolated form or a part of multisystem involvement. Sinonasal involvement in sarcoidosis is rare and the septum and inferior turbinates are most commonly involved. Symptoms are nonspecific and diagnosis of isolated sinonasal sarcoidosis is difficult because it may mimic other sinonasal granulomatous disorders. Exclusion diagnosis is made according to symptoms, laboratory findings, nasal endoscopy, sinus CT, and histopathological features. In this study, we report a case of primary sarcoidosis of the nasal cavity and discuss the clinical characteristics of sinonasal sarcoidosis with a review of literature.