ABSTRACT
Background and Objectives@#This study was investigated to compare the clinical outcomes and complications of powered intracapsular tonsillectomy and adenoidectomy (PITA) with those of conventional extracapsular tonsillectomy and adenoidectomy (ECTA) in treatment of pediatric obstructive sleep apnea (OSA).Subjects and Method Eighty-one children with adenotonsillar hyperplasia underwent tonsillectomy and adenoidectomy (46 PITA and 35 ECTA) from December 2016 to July 2017 for OSA. The choice of surgical procedure (PITA vs. ECTA) was determined by the number of episodes of acute tonsillitis. The quality of life measurement was performed using Korean Obstructive Sleep Apnea Survey (KOSA-18) score. Postoperative bleeding was assessed as number of revisit or readmission. Postoperative pain was evaluated by visual analog scale (VAS) at postoperative day 1, 3, and 7. @*Results@#PITA and ECTA significantly reduced KOSA-18 scores postoperatively (p＜0.01, p＜0.01, respectively) and were equally effective in pediatric OSA treatment. Postoperative bleeding was lower in the PITA group, but there was no statistical difference due to small number of cases. VAS score for postoperative pain was significantly lower in the PITA group at day 1, 3, and 7 (p=0.03, p＜0.01, and p＜0.01, respectively). @*Conclusion@#PITA is effective in pediatric OSA treatment with less morbidity, and less complications.
ABSTRACT
The presence of lymph node metastasis of thyroid papillary carcinoma usually occurs in the internal jugular and paratracheal space on the side of the lesion. For this reason, metastasis to the retropharyngeal lymph nodes from papillary thyroid carcinoma is rare. We currently experienced two cases of retropharyngeal lymph node metastasis of thyroid papillary carcinoma. Both patients had a history of total thyroidectomy and ipsilateral neck dissection and had undergone retropharyngeal lymph node dissection via transoral approach after the diagnosis of retropharyngeal node metastasis. We suggest that the metastatic retropharyngeal lymph nodes can be successfully removed through transoral apparoach. The diagnosis of this rare lymph node metastasis requires sufficient imaging studies such as MRI, CT or PET-CT as well as appropriate history taking and physical examination.
ABSTRACT
BACKGROUND AND OBJECTIVES: Pediatric vocal health problems are relatively common. However, it is not yet well studied whether uniform diagnosis and treatment is done properly in South Korea. The purpose of this study was to investigate the methods that the Korean speech therapists use to diagnose and treat pediatric voice problem. MATERIALS AND METHOD: An anonymous online questionnaire was administered to 32 speech language therapists registered at the Korean laryngeal speech linguistics society detailing demographics, employment institution, general management of pediatric patients with vocal problem including assessment and treatment procedures. RESULTS: Current practice patterns were analyzed on 32 speech language therapists providing services in South Korea mostly working at tertiary university hospital. One third of pediatric patients were assessed without proceeding to treatment. One fifth of patients were treated without assessment. Perceptual assessment was the main pre-treatment assessment methods used. Treatment was done in the following order : Voice rest, SOVT, yawn-sigh and resonant voice. Post-treatment evaluation was used in the following order : Instrumental assessment, clinical judgment, and recording comparison. CONCLUSION: Speech language therapists practice in South Korea mostly follows the ASHA practice guidelines. However, there are still great amount of cases in which only the evaluation was done without appropriate treatment. Further research is needed to make SPLs more systematic and efficient for evaluating and treating pediatric vocal patients.
Subject(s)
Humans , Anonyms and Pseudonyms , Clothing , Demography , Diagnosis , Employment , Judgment , Korea , Linguistics , Methods , VoiceABSTRACT
The presence of lymph node metastasis of thyroid papillary carcinoma usually occurs in the internal jugular and paratracheal space on the side of the lesion. For this reason, metastasis to the retropharyngeal lymph nodes from papillary thyroid carcinoma is rare. We currently experienced two cases of retropharyngeal lymph node metastasis of thyroid papillary carcinoma. Both patients had a history of total thyroidectomy and ipsilateral neck dissection and had undergone retropharyngeal lymph node dissection via transoral approach after the diagnosis of retropharyngeal node metastasis. We suggest that the metastatic retropharyngeal lymph nodes can be successfully removed through transoral apparoach. The diagnosis of this rare lymph node metastasis requires sufficient imaging studies such as MRI, CT or PET-CT as well as appropriate history taking and physical examination.
Subject(s)
Humans , Carcinoma, Papillary , Diagnosis , Follow-Up Studies , Lymph Node Excision , Lymph Nodes , Lymphatic Metastasis , Magnetic Resonance Imaging , Neck Dissection , Neck , Neoplasm Metastasis , Physical Examination , Thyroid Gland , Thyroid Neoplasms , ThyroidectomyABSTRACT
BACKGROUND AND OBJECTIVES: The study aimed to analyze the histopathologic types and clinical characteristics of benign oral cavity tumors and to identify their possible etiologic factors. SUBJECTS AND METHOD: This was a 10-year retrospective analysis of histologically diagnosed benign tumors in the oral cavity. Data was compiled for each case, documenting information about gender, age, habits (smoking and alcohol), characteristics of the lesion (site, size, color, surface and consistency), comorbidities and denture. RESULTS: Of 257 pathologically confirmed cases of excisional biopsies, the most prevalent were in the order of mucocele (47.08%), fibroma (14.79%), and hemangioma (9.34%). Labium (50.19%) and oral tongue (22.18%) were among the most frequently affected sites. In this study, there was a significant female predominance in fibroma and granuloma. On comparing the mean age of the patients for the different types of tumors, we found that mucocele had the lowest age and that there is a similar mean age among the tumors. The vast majority (99.2%) was represented by non-ulcerated masses and only 2 (0.8%) were ulcerative masses. With respect to habits, we found no significance between comorbidities and denture. CONCLUSION: Based on this study, we can state that while mucocele is the most frequent benign tumor of the oral cavity, labium is the most frequently affected site. The mean age of the patients is lowest for mucocele, and there is a high prevalence of fibroma and granuloma occurring among females. However, with respect to habits, we found no significance between comorbidities and denture.