A Case of Bilateral Vocal Cord Paralysis from Progressive Supranuclear Palsy / 대한이비인후과학회지

Bilateral vocal cord paralysis generally arises from trauma, tumor compression of the recurrent laryngeal nerves, surgery on neck and neurological diseases. Progressive supranuclear palsy is a rare degenerative disease showing supranuclear ophthalnoplegia, rigidity, bradykinesia, dysarthria and dementia. Bilateral vocal cord paralysis in patients with progressive supranuclear palsy can be found only in a few cases reported in literature. The finding of bilateral vocal cord paralysis is important because it can be life threatening. We managed a patient with the laterofixation of vocal cord for preventing respiratory failure due to glottic airway compromise. We report this case with a review of literature.

A Case of Oculocardiac Reflex During Endoscopic Sinus Surgery / 대한이비인후과학회지

Endoscopic sinus surgery has been used popularly for treatment of chronic paranasal sinusitis. Sometimes endoscopic sinus surgery is complicated by narrow visual field and anatomical variations. Oculocardiac reflex is developed by surgical or nonsurgical procedures to the eyeball. It occurs because of decreasing of heart rate and other arrhythmia including atrioventricular block, ventricular premature beat and cardiac arrest. Oculocardiac reflex during endoscopic sinus surgery is unusual and it is potentially a life threatening complication. The authors report the first case of oculocardiac reflex experienced during endoscopic sinus surgery in Korea with a review of the literature.

A Case of Submandibular Sialadenosis in a Bulimia Nervosa Patient / 대한이비인후과학회지

Sialadenosis, characterized by a uniform hypertrophy and hyperplasia of the acinar parenchyma of salivary glands, is associated with a variety of systemic diseases or functional disorders. The disease is associated with underlying systemic factors such as diabetes, malnutrition, alcohol abuse and drugs. So it is also referred to as nutritional mumps. Bulimia nervosa is a disorder that is defined as binge eating combined with inappropriate ways of stopping weight gain. It is significantly more common in females than in males. In the past few years, the number of reports concerning eating disorders have increased in developing countries including Korea, where economic development has also brought about rapid introduction of the Western culture. The authors have observed a rare case of sialadenosis of the submandibular gland in association with bulimia nervosa and report this with literature review.

A Case of Limited form of Wegener's Granulomatosis in a Child / 대한이비인후과학회지

Wegener's granulomatosis is an uncommon idiopathic, multisystem disease characterized by necotizing granuloma and vasculitis affecting small to medium sized vessels. It is classified into a classic form and a limited(localized) form based on the anatomic site of involvement by Carrington and Liebow in 1966. Recently, it has been made possible for the diagnosis of this disease to be carried out in an earlier stage by measurement of the ANCA(Antineutrophil cytoplasmic antibodies) and the result of treatment has improved since cyclophosphamide therapy. Wegener's granulomatosis in children has been extremely rare. The authors have observed 1 case of limited form of granulomatosis in a 12 year-old female child and report this with a literature review.

A Case of C1 Inhibitor Deficiency Syndrome / 대한이비인후과학회지

C1 inhibitor (C1 INH) deficiency is characterized by recurrent attacks of angioedema. The disorder may be inherited or acquired, with both types presenting a similar phenotypic picture. The angioedema most frequently affects the extremities, gastrointestinal, genital, facial and, airway swelling. The laryngeal angioedema can compromise the integrity of the upper airway, so its early diagonsis is crucial. Acquired angioedema by C1 deficiency is a rare disorder characterized by adult onset and lack of inheritance of the disease. We experienced a case of angioedema in a 37-year old man. He had no family history of angioedema and laboratory data showed depressed C1 inhibitor levels. With a review of literature, authors report a case of acquired angioedema by C1 inhibitor deficiency who had a history of the recurrent swelling of tongue, lip and, oral buccal mucosa.