Carotid Aneurysm Found as Middle Ear Cavity Mass / 대한이비인후과학회지

Aneurysm may be classified into intracranial and extracranial according to its location. Extracranial aneurysm is relatively uncommon compared to intracranial aneurysm and it is rare in the middle ear cavity. The causes of extracranial aneurysm include atherosclerosis, dysplasia, blunt or penetrating trauma, local radiotherapy, acute dissection and infective lesions. Among the extracranial aneurysm, it is reported that carotid aneurysm in the temporal bone may be confused with glomus body tumor, which is usually larger. A typical presentation is pulsatile mass and it may accompany neurologic symptoms. We report a case with a review of literature of an external carotid aneurysm in the jugular fossa and middle ear cavity.

A Case of Acute Aggravation of Fungal Maxillary Sinusitis after Zygomaplasty / 대한의진균학회지

In patients with sinusitis, nasal obstruction and purulent discharge from the maxillary sinus are frequently observed. Mostly, it responds to antibiotic treatment. But in case of not responding, although fungal infection is a rare entity, we have to consider fungal sinusitis. We recently experienced a case of acute aggravation of fungal maxillary sinusitis after zygomaplasty. Endoscopic sinus surgery was performed and foreign materials were observed inside the right maxillary sinus. They were gauzes, which had been used during previous surgery. Intraoperative examination demonstrated a dark brown, cheese-like material in the sinus. After surgery, the patient's symptoms disappeared gradually. The culture examination identified the surgical sample to be Trichosporon asahii. So we reported with a review of literature.