A Case of Abducens Nerve Palsy Caused by Isolated Sphenoid Fungal Sinusitis

Isolated sphenoid sinusitis is a rare disorder. There are some difficulties in its diagnosis; therefore the first presentation of this disorder might be with complications. These complications are essentially due to the anatomical location of the sinus and its proximity to the intra-cranial and orbital contents, to which infection may easily spread. A case of isolated sphenoid fungal sinusitis with unilateral abducent nerve palsy is being reported which was successfully treated by parenteral antibiotic therapy and endonasal endoscopic sphenoidotomy.

Two Cases of Medial Displacement of the Superior Cornu of the Thyroid Cartilage without Laryngeal Injury Resulting in Foreign Body Sense in Pharynx and Larynx / 대한이비인후과학회지

Foreign body sensation is a nonspecific symptom of aerodigestrive tract diseases. Symptoms may be the result of gastroesophageal reflux, esophageal motility disorder, psychological factor and malignant lesion. Rarely, a unilateral bulging of the hypopharynx as a result of medial displaced superior cornu of the thyroid cartilage can be a reason. The appropriate diagnosis is made by fiberoptic laryngoscopy and CT scanning. Surgical removal of the portion of the superior cornu bulging toward the hypopharynx improves the foreign body sensation. We experienced two cases of medially displaced superior cornu of the thyroid cartilage without laryngeal injury. This unusual presentation is discussed with a review of the literature.

Is the Patient-Controlled Analgesia(PCA) Helpful for the Recovery from the Tonsillectomy? / 대한이비인후과학회지

BACKGROUND AND OBJECTIVES: This study investigates the effect of patient controlled analgesia (PCA) on post-tonsillectomy pain for the first two weeks of operation, and its effects on the postoperative bleeding and the pain duration. SUBJECTS AND METHOD: In a prospective group study, 43 patients with tonsillectomy were studied. PCA was applied for 48 hours after surgery. Pain scores, postoperative bleeding, and pain duration were compared. RESULTS: PCA reduced postoperative pain during the time it was appled but pain was worse after disconnection. There were no differences between the groups regarding postoperative bleeding and recovery time. CONCLUSION: PCA could effectively control the post-tonsillectomy pain only during its application period. It was not helpful for long term pain control, pain duration, or post-tonsillectomy bleeding. Other long lasting and effective pain control method should be administered to reduce post-tonsillectomy pain during the recovery period.

Recurrent Typical Carcinoid Tumor in the Supraglottis / 대한이비인후과학회지

Neuroendocrine neoplasms of larynx are a rare group of tumors that include typical carcinoid, atypical carcinoid, small cell neuroendocrine carcinoma and paraganglioma. Among them, typical carcinoid is the least common type and the treatment and prognosis is different from the other tumors. We report a case of recurrent typical carcioid of supraglottis with interval of 5 years, which were excised locally at each time. As far as we know, this is the 15th case of a typical carcinoid of larynx.

Kuttner Tumor(Chronic Sclerosing Sialadenitis of Submandibular Gland) / 대한이비인후과학회지

Kuttner tumor or chronic sclerosing sialadenitis is a benign inflammatory condition of the salivary gland that mimics a malignant neoplasm clinically because of its presentation as a hard mass. The cause of this inflammatory is still unknown. The effects of microliths, infectious agents, secretory dysfunctions, duct abnormalities, and immune processes have been considered. Histologically, it is characterized by progressive periductal sclerosis, acinar atrophy, and dense infiltration of lymphocytes. Kuttner tumor is best diagnosed by open or excisional biopsy. We report one case of Kuttner tumor of right submandibular gland in a 42 year old man.