Usefulness of Unilateral Nasal Packing for Recurred Septal Deviation within a Month after Septoplasty: Preliminary Study

BACKGROUND AND OBJECTIVES: To investigate the effect of unilateral nasal packing on the correction of recurred septal deviation after septoplasty. MATERIALS AND METHOD: We analyzed 12 patients who had undergone septoplasty and developed septal deviation recurrence. Polyvinylacetate and Vaseline gauze were inserted into the nasal passage on the convex side of the septum for 4 days in order to shift the septum to the midline. We analyzed nasal symptoms, acoustic rhinometric results, and endoscopic findings before and after unilateral packing in order to evaluate the treatment outcomes. RESULTS: Ten (83%) out of 12 patients showed improvements in nasal obstruction, acoustic rhinometric results, and endoscopic findings. The mean visual analogue scale (VAS) score for nasal obstruction was 5.25±1.60 before and 2.08±1.50 after packing (p=0.004). The minimal cross-sectional area (MCA) improved from 0.17±0.14 to 0.27±0.13 (p=0.002), and the mean endoscopic score improved from 2.0±0.43 to 1.08±0.29 (p=0.002). CONCLUSION: Unilateral nasal packing was a safe, easy, and effective method for correcting recurred septal deviation after septoplasty.

Effects and Related Factors of Endotracheal Intubation on Voice Change Following General Anesthesia / 대한이비인후과학회지

BACKGROUND AND OBJECTIVES: Reliable studies about the impact of short-term intubation, particularly as part of general anesthesia, are scarce. That scarcity led to the following research objectives. First of all, we tried to find out how often and why voice change last more than 72 hours after intubation conducted for general anesthesia. SUBJECTS AND METHOD: The study enrolled 80 patients who were due to undergo general anesthesia at the Seoul Paik Hospital from Aug. 2009 to May 2010. The patients were examined through stroboscopic examination and voice analysis before surgery. Three days after the surgery, the same tests were performed again to single out patients whose results were abnormal; thus a proportion could be calculated. The other objective was to determine the factors involved with voice change. This was done according to the Mallampati classification, using the images from laryngoscopy and compiling records of cuff pressure, cuff volume, tube size, duration of intubations, and the number of intubation trials. RESULTS: 7.5% of the patients suffered from voice change longer than 3 days. Three factors, namely, cuff pressure, duration of anesthesia and patient age demonstrated statistically significant relationships among them. CONCLUSION: The results indicate that there is a need for patients scheduled to face general anesthesia to receive sufficient explanation about the possible postoperative voice change that could last longer than 3 days. Furthermore, surgeons and anesthesiologists need to cooperate closely by taking the patient age, duration of anesthesia and cuff pressure into account in order to limit postoperative voice change to the minimum extent.

Two Cases of Acute Palatine Tonsillitis and Adenoiditis Caused by the Phylloporia Ribis Intoxication / 대한이비인후과학회지

It is said, arguably, that a Phylloporia ribis is effective on epilepsy and a range of malignancies. That's why the Korean traditional or alternative medicine sector often takes advantage of that. Nevertheless, to the best of authors' knowledge, there's no report about toxicities. Recently, the researchers encountered two patients, a 52-year-old female and her 28-year-old son, who boiled a Phylloporia ribis and drank its extract seven days before the visit. Both started to experience sore throat 6 days later, accompanied by chills. The complete blood cell tests revealed that they were suffering from acute tonsillitis, with leukopenia and thrombocytopenia.

Surgical Treatment of a Right Common Carotid Artery Aneurysm / 대한흉부외과학회지

A 38-year old man was admitted to our hospital due to a 5x6 cm sized pulsating mass in the right neck. He suffered from intermittent neck pain and hoarseness for two months due to the rapidly growing mass. The radiological examinations revealed an aneurysm of the right common carotid artery near the bifurcation, and it was compressing the internal and external carotid arteries. Endarterectomy of the right internal carotid artery, aneurysmectomy of the right common carotid artery and graft interposition were done, while the cerebral circulation was maintained by an internal shunt. Intraoperative injury to the nerve tissue around the aneurysm was avoided. He was discharged on the postoperative 7th day without any complications.

Primary Angiosarcoma of the Parotid Gland / 대한이비인후과학회지

Angiosarcoma is an exceedingly rare and highly malignant neoplasm which develops from the endothelium of blood vessels. Only a few cases of primary angiosarcoma of the non-irradiated parotid gland have been reported. In this case, we report a primary angiosarcoma of the parotid gland in a 64-year-old man without prior irradiation of the head and neck region. MRI finding revealed a 3.9x2.7 cm sized mass located in the right parotid gland with unhomogenous enhancement in T2 weighted image. The patient underwent a total parotidectomy and radical neck dissection. The histologic diagnosis was high-grade angiosarcoma showing pleomorphic spindle or epithelioid tumor cells growing as solid infiltrative pattern or slit-like irregular vascular lumina formation. Despite postoperative radiation therapy, the patient died of lung metastasis with hemorrhage 3 months later.

Comparative Values of External Nose Measurement with Photograph According to Sex and Age in Korean Adults

BACKGROUND AND OBJECTIVES: Rhinoplasty has been frequently performed for correction of injured nose or cosmetic reasons. Korean standard values are insufficient, and most reference values are based on Caucasian ones. We measured Korean values of external nose with photographs according to sex and age. MATERIALS AND METHODS: Three hundred forty seven subjects without past history of operation or trauma were included in this study. With scaled instrument for head fixation, frontal and profile views were taken. On frontal view, physiognomic face height and nasal width were measured. On profile view, midface height, nasal height, alar height, glabellar depth, nasion depth, nasal dorsum depth, nasal tip depth, nasal depth, nasofrontal angle and nasolabial angle were measured. And location of nasion and shape of nasal dorsum were also classified. RESULT: Physiognomic face height decreased with age in both men and women groups. Nasofrontal angle increased with age in men. Nasion was located between upper end of upper eyelid and lateral canthus in most cases. On classifying the shape of nasal dorsum, straight type was the most in both men and women groups. CONCLUSION: We could know average measurements of external nose and differences of those according to sex and age in Korean adults. And it is thought that these data will be useful to facial plastic surgery including rhinoplasty.

A Case of Carcinoma ex Pleomorphic Adenoma of Hard Palate / 대한이비인후과학회지

Carcinoma ex pleomorphic adenoma is a rare neoplasm of the salivary gland. It has been reported that the most frequently affected site is the parotid gland, while the incidence rates in palatal minor salivary gland are much lower. Misdiagnosis is common, because the residual mixed tumor component may be small, and various carcinoma subtypes are possible. Clinical manifestations are mostly asymptomatic and have space occupying lesion sometimes. The recommended treatment is surgical excision with wide margins and subsequent radiation therapy. The author recently experienced a carcinoma ex pleomorphic adenoma of hard palate in a 62-year-old female with palatal mass. We treated with total excision with wide margins and there was no recurrence during the follow-up period of 2 years until now. We report this case with review of the literature.

Endoscopic Guided Power-Assisted Adenoidectomy Using Proper Combination of Endoscope and Microdebrider ; 6 Years of Surgical Experience / 대한이비인후과학회지

BACKGROUND AND OBJECTIVES: Because of its advantage over the conventional method, power-assisted adenoidectomy has become an increasingly popular procedure in adenoidectomy. The purpose of this paper is to find the best combination of endoscope and microdebrider to achieve the most successful outcome in patients with various configuration of adenoid vegetation. SUBJECTS AND METHOD: One hundred ninety-one patients who underwent adenoidectomy in the department of Otolaryngology at Inje University Seoul Paik Hospital from January 2000 to February 2006 were reviewed by charts and recorded video tapes for the techniques that we applied to these patients. RESULTS: Four different combinations can be created from two different angles of endoscope and microdebrider ; transnasal 0degrees endoscopic guided transnasal adenoidectomy using straight microdebrider (TNTN), transnasal 0degrees endoscopic guided transoral adenoidectomy using curved microdebrider (TNTO), transoral 70degrees endoscopic guided transnasal adenoidectomy using straight microdebrider (TOTN) and transoral 70degrees endoscopic guided transoral adenoidectomy using curved microdebrider (TOTO). TOTO was the most frequent combination for simple adenoid vegetation. However, it is not suitable for removal of adenoid located high in the pharyngeal roof. In this case, we added TNTO to TOTO. The least frequent combined technique was TNTN, which has inherent limitation to use in small sized nares and younger age. In this situation, TOTN is a better alternative to use. CONCLUSION: From six years of experience, we confirmed that endoscopic guided powerassisted adenoidectomy should be performed with proper combination of endoscope and microdebrider based on the location and configuration of adenoid vegetation. The most ideal combination we consistently applied for removal of adenoid is as follows ; first, TNTO, secondly, TOTO. Lastly, TOTN could be useful in selected cases.

A Case of Psammomatoid Ossifying Fibroma of Sinonasal Tract Presenting with a Facial Deformity and Choanal Atresia / 대한이비인후과학회지

The psammomatoid ossifying fibroma consisted of numerous cellular fibrous stroma, various bony trabeculae and calcified spherules (psammoma bodies) is known to typically involve the sinonasal tract. It is more destructive than the other benign fibroosseous lesions. Clinical manifestations vary from proptosis, nasal obstruction and headache to cosmetic disfigurement, depending on the location and the size of lesion. Complete surgical excision is the treatment of choice because of its tendency to recur. The author recently experienced a psammomatoid ossifying fibroma of sinonasal tract in a 37-year-old male with a facial deformity and choanal atresia, had a history of incomplete surgical excision. The choanal atresia was completely removed by endoscopic approach and the mass in the sinonasal tract was removed by midfacial degloving approach. We report this case with review of the literature.

Functional Rhinoplasty / 대한이비인후과학회지

No abstract available.