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1.
Korean Journal of Audiology ; : 27-29, 2013.
Artículo en Inglés | WPRIM | ID: wpr-173026

RESUMEN

Tuberculosis otitis media is a very rare cause of otorrhea, so that it is infrequently considered in differential diagnosis because clinical symptoms are nonspecific, and standard microbiological and histological tests for tuberculosis often give false-negative results. We present a rare case presenting as a rapidly progressive facial paralysis with severe dizziness and hearing loss on the ipsilateral side that was managed with facial nerve decompression and anti-tuberculosis therapy. The objective of this article is to create an awareness of ear tuberculosis, and to consider tuberculosis in the differential diagnosis of chronic otitis media with complications.


Asunto(s)
Descompresión , Diagnóstico Diferencial , Mareo , Oído , Oído Interno , Nervio Facial , Parálisis Facial , Pérdida Auditiva , Laberintitis , Otitis , Otitis Media , Tuberculosis
2.
Journal of Rhinology ; : 55-59, 2012.
Artículo en Coreano | WPRIM | ID: wpr-162777

RESUMEN

BACKGROUND AND OBJECTIVES: The purpose of this study was to evaluate the impact of open-mouth breathing on the upper airway anatomy of patients with sleep-disordered breathing (SDB) based on polysomnography. MATERIALS AND METHODS: A total of 114 subjects (101 males and 13 females) with a mean age of 42.7 years and a mean body mass index (kg/m2) of 26.2 were enrolled in this study. All subjects were divided into four groups (simple snoring, mild obstructive sleep apnea syndrome[OSAS], moderate OSAS and severeOSAS) according to the apnea-hypopnea index. Lateral cephalometric radiograms (retropalatal, retroglossal, and hypopharyngeal distance, and pharyngeal length) were taken with the mouth closed and open. RESULTS: The lateral cephalometric variables were compared between the mouth closed and open positions, and it was found that the retropalatal and retroglossal distances and pharyngeal length were significantly changed in all groups. However, the hypopharyngeal distance did not change significantly in any of the groups. CONCLUSION: Open-mouth breathing significantly reduces the retropalatal and retroglossal distance and lengthens the pharynx in patients with SDB. Since these anatomical changes may worsen SDB or decrease positive airway pressure treatment compliance, ENT doctors should attempt to convert SDB patients from open-mouth breathing to nasal breathing.


Asunto(s)
Humanos , Masculino , Índice de Masa Corporal , Cefalometría , Adaptabilidad , Boca , Respiración por la Boca , Faringe , Respiración , Síndromes de la Apnea del Sueño , Apnea Obstructiva del Sueño , Ronquido
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