Relationship between manual cephalo-anthropometric analysis and degree of snoring in Korean adult / 대한이비인후과학회지

BACKGROUND AND PURPOSE: This purpose of this research is to study the prevalence of habitual snoring and the association between snoring and cephalo-anthropometric analysis in Korean population. MATERIAL AND METHOD: Four thousand and two hundred twenty four subjects (male: 2277, female: 1947), aged between 18~85 (mean age male: 45.3, female: 44.0), were recruited through home visits and interviewed by well-trained investigators. RESULTS: Three hundred fifty two male subjects (15.5%) and one hundred sixty two female subjects (8.32%) exhibited habitual snoring. Age, weight, and body mass index (BMI) were significantly higher in the snoring group compared to those who dont snore habitually. Using a stepwise variable selection method of multiple logistic regression analysis, we found independent factors as being significant for males and females of the snoring groups. For males, the factors were BMI (p<0.001, OR=1.18 CI: 1.12~1.25), mandibular angle (p<0.001, OR=0.97 CI: 0.96~0.98), and abdominal girth (p<0.001, OR=1.04, CI: 1.02~1.06. For females, they were abdominal girth (p=0.031, OR=1.03, CI: 1.00~1.05), neck girth (p=0.003, OR=1.12, CI: 1.04~1.21), age (p=0.0002, OR=1.02 CI: 1.01~10.3), and BMI (p=0.0007, OR=1.11 CI: 1.05~1.18). CONCLUSION: We found that BMI, gonion angle and abdomen girth in male and abdominal girth, neck girth, age, BMI in female were the significant factors affecting the severity of snoring in Korean population.

Management of Congenital Choanal Atresia with the KTP/532 Laser / 대한이비인후과학회지

Congenital choanal atresia is an uncommon anomaly. In most reported series it has an incidence of 1 in 7,000 or 80,000 births with female preponderance. Approximately 90% of cases are reported as having unilateral bony type congenital atresia. Bilateral congenital choanal atresia cause acute life-threatening respiratory obstruction in newborns, whereas unilateral atresia alone does not cause significant airway obstruction. Rarely an infant may compensate by rapidly learning mouth breathing and the diagnosis may escape detection for months or even years. A variety of techniques are available to correct this problem, but none is entirely satisfactory. The authors recently experienced a case of unilateral membranous type congenital choanal atresia which was treated by KTP/532 laser and report the case with review of literatures.

The Therapeutic Effect of Diatrizoate Meglumine(Hypaque) andAdrenocorticosteroid Hormone in Sudden Sensorineural Hearing Loss / 대한이비인후과학회지

Idiopathic sudden sensorineural hearing loss(ISHL) is defined as an abrupt onset of sensorineural hearing loss without definite cause. The causes of sudden sensorineural hearing loss have not determined with precision until recently, but viral infections and vascular insufficiencies, such as vascular spasm, occlusion of sludging of erythrocytes were considered as major factors. The treatment has not been determined with precision until recently. But recently, as a effective regimen, diatrizoate meglumine(Hypaque) was introduced that fills the broken membrane pores and activated the sodium pump to restore the normal DC potential. The purpose of this study was to evaluate the effectiveness of a regimen for the treatment of the sudden sensorineural hearing loss with Hypaque, steroid and bed rest by retrospective review.

Significance of Uncinate Process and Paranasal Sinus Computed Tomography in Endoscopic Frontal Recess Approach / 대한이비인후과학회지

OBJECTIVES: To determine the value of uncinate process variations in paranasal sinus(PNS) coronal computed tomography(CT) scan, and to recommend the accurate frontal recess approach technique by uncinate process variations. METHOD: We initiated a prospective, randomized study in fifty patients(100 cases) of frontal sinusitis. Cases were classified as three groups depending on the PNS CT scan findings according to the Stammberger's classification. And then, we could identify the ostium of the frontal sinus by manipulating the terminal recess in group A. It was also shown at the lateral side of uncinate process by approaching anterosuperiorly from below the uncinate process with a bent spoon in group B. Finally, we could find the ostium of the frontal sinus by fracturing the bony septa with a bent spoon in group C. RESULTS: In the evaluation of the uncinate process variations by PNS CT scan, 45(98%) of 46 cases(Group A), 24(100%) of 24cases(Group B), 18(86%) of 21cases(Group C) were in accord with operative finding, and 9cases could not be determined by PNS CT scan. We could identify easily the frontal sinus opening with this technique, and there were no serious post-operative complications. CONCLUSIONS: PNS coronal CT scan is useful in the evaluation of the uncinate process variations, and this frontal recess approach technique is safe and easy to identify the frontal sinus opening.

Endoscopic Sinus Surgery in Paranasal Sinus Mucoceles / 대한이비인후과학회지

BACKGROUND: The term mucocele was introduced by Rollet in 1896 and Onodi gave the first histological description in 1901. A variety of conservative and radical surgical procedures have been introduced and each approach has its proponents and opponents. OBJECTIVES: The purpose of this report is to share the experiences of functional endoscopic sinus surgery for paranasal sinuse mucoceles. MATERIALS AND METHODS: Ten patients diagnosed as having paranasal sinus mucocele underwent endoscopic marsupialization from July 1989 to December 1996. The follow-up period was between 2 months and 69 months with a mean of 37.9 months. RESULTS: Endoscopic surgery was attempted in 4 ethmoid, 4 maxillary, 1 frontoethmoid and 1 frontal sinus mucocele. Five cases had preoperative proptosis, four had nasal stuffiness and three had ophthalmoplegia and visual disturbance, and two had frontal headache. Computed tomography scan revealed that 7 cases had erosion of sinus wall. No disease recurrence has been noted to date with endoscopic follow-up of up to 69 months. CONCLUSION: Functional endoscopic sinus surgery provides good surgical results in the treatment of frontal, ethmoid, and maxillary sinus mucoceles with the advantage of restoration of functional drainage system.