A Case of Extranasopharyngeal Angiofibroma of the Inferior Turbinate / 대한이비인후과학회지

Juvenile nasopharyngeal angiofibroma is a well-documented tumor occurring almost exclusively in adolescent boys. However, enough cases have now been reported in the age range of 1 to 60 years. Although angiofibromas extend beyond the nasopharynx commonly, they rarely originate outside the nasopharynx. Reports of primary extranasopharyngeal angiofibromas have appeared sporadically in the literature. The inferior turbinate is a very rare site of extranasopharyngeal angiofibroma, with only three cases reported in the medical literature. We present an unusual case of an angiofibroma arising from the inferior turbinate. The tumor occurred in a 57-year-old man and was excised by endoscopic dissection. Histopathology confirmed it to be a case of angiofibroma. The likely theory of the origin of the tumor and the management is also discussed.

A Case of Esophageal Foreign Body Resulting in Unilateral Vocal Cord Paralysis in an Infant / 대한이비인후과학회지

Esophageal foreign bodies in infants are frequently obscured because of the non-specific symptoms and signs and the lack of historical clues. Infants in such cases often present vomiting, odynophagia, dysphagia or ptyalism without a history of foreign body ingestion. Recently we encountered a case of the vocal cord palsy caused by an esophageal foreign body which was found when studying the vocal cord palsy in an infant. We report this case with review of literature.

Endoscopic Marsupialization of Nasolacrimal Duct Cyst Complicated by Cheek Abscess in Child without Previous Dacryocystitis / 대한이비인후과학회지

A nasolacrimal duct cyst is an uncommon condition usually treated by ophthalomologists. When there is proximal one-way obstruction at the level of the valve of Rosenmuller or distal obstruction at the level of Hasner's valve, a cystic swelling at the medial canthus or a nasal cyst develops. This occurs because the nasolacrimal duct is surrounded by a bone and it is natural for the expanding cyst to decompress through the soft tissue nasally or at the medial canthus. A triad of 1) cystic medial canthal mass ; 2) nasolacrimal duct dilatation ; and 3) a contiguous nasal cavity mass is diagnostic of nasolacrimal duct cyst on computed tomogram scans. We experienced a case in which the cheek cellulitis as well as the maxillary and ethmoid sinusitis were developed from an infected nasolacrimal duct cyst. This case was developed during the childhood of the patient, who had no history of dacryocystitis or dacryocele. Computed tomogram showed typical findings of the infected nasolacrimal duct cyst expanding to the cheek. After endoscopic marsupialization of the nasolacrimal duct cyst, symptoms and signs of the infected cyst and sinusitis were rapidly resolved. Thus, we report this case with a review of the literature.