Clinical Study on Blowout Fractures of the Medial Orbital Wall Reconstructed by Bulla Ethmoidalis Osteomucosal Flap / 대한이비인후과학회지

BACKGROUND AND OBJECTIVES: Various surgical approaches have been employed to treat fractures of the medial orbital wall. Among them, the transnasal endoscopic approach provides the chance to avoid external scars and to observe the fracture site clearly. These approaches mostly require the use of grafts or splints. Authors carried out a retrospective study on the blowout fractures repaired by bulla ethmoidalis osteomucosal flap (BOMF) and compared them with the groups that were treated with silastic sheet only and with Med-pore(R) registered to investigate the merits of BOMF with respect to results and complications. SUBJECTS AND METHOD: We reviewed 62 cases (64 sides) of medial wall fractures that were treated surgically. They were diagnosed with 3 mm facial CT scans and treated according to the authors' indications from February 1998 to March 2004 at Namgwang Hospital, Seonam University. The surgical treatment consisted of the reconstruction of the fractures and the repair of the remaining bone defects by graft and splint, and the type of graft was selected according to the size of the defect. For minor defects, silastic sheet was used alone, whereas major defects were repaired with BOMF or Med-pore(R) registered. All patients were evaluated regularly for at least six months postoperatively. RESULTS: There were no differences in the aspects of the final treatment results of diplopia and enopthalmos. But in the aspects of postoperative crust formation and granulation, the cases that were repaired with BOMF showed better results as well as the economic merits. In the BOMF cases, the average duration of silastic sheet stenting was 12.5 days and it could reduce the follow up period. CONCLUSION: BOMF demonstrated better results in the respects of duration of silastic sheet stenting, postope-rative crust formation, granulation and economic cost.

The Prevalence of Otitis Media in the Young Adult Men Group in Gwangju . Chonnam, Korea / 대한이비인후과학회지

BACKGROUND AND OBJECTIVES: Otitis media is one of the most common inflammatory disorders in the field of otolaryngology. Fortunately, with development in antibiotics and advances in preventive therapy otitis media is on the decrease. Nevertheless, there are only few reports about the prevalence rate of otitis media in Korea. Therefore, we investigated the prevalence of each type of otitis media among young adults in Gwangju and the Province of Chonnam, Korea. SUBJECTS AND METHOD: 28, 200 men aged 19 years old who underwent physical examination for conscription at the Military Manpower Administration in Gwangju from February to september, 2002 were analyzed, retrospectively. RESULTS: The overall prevalence of otitis media was 0.219%. Prevalence of each subtype was as follows; acute otitis media, 0%; otitis media with effusion, 0.049%; chronic otitis media, 0.17%, respectively. In the group of chronic otitis media, chronic perforated otitis media was 95.8%. The prevalence of otitis media did not vary by urban-rural difference, nor by coastal-inland area. CONCLUSION: The prevalence rate of chronic otitis media was remarkably decreased, compared with 10 years ago (0.70%), and conspicuously with 20 years ago (2.81%). Therefore, we think this low prevalence rate is partially due to remarkable improvement in socioeconomic conditions with better nutrition, housing, hygienic condition, social environments and advances in public health and medical care.

A Case of Parotid Tuberculosis / 대한이비인후과학회지

Tuberculosis of the salivary gland is a very rare disease and the incidence of the primary lesion more frequently involves the parotid gland than the submandibular or sublingual gland. Secondary tuberculosis may also occur but tends to occur in the submandibular or sublingual glands more frequently than in the parotid. It is associated with pulmonary tuberculosis and occurs in one of two forms-an acute inflammatory lesion or a chronic granulomatous lesion. In particular, the chronic granulomatous lesion presents a difficult diagnostic problem because it may mimic the more common tumorous lesion: usually, it is diagnosed after the excision biopsy. We have recently experienced a case of parotid tuberculosis that was diagnosed as the pleomorphic adenoma preoperatively, but which was confirmed as tuberculous lymphadenitis after superficial parotidectomy. We report it with a review of literature.