A Case of Extramedullary Plasmacytoma Originated from the Nasal Septum / 대한이비인후과학회지

The extramedullary plasmacytoma is a neoplastic proliferation of plasmacytes in reticuloendothelial tissues, and it occurs most commonly in the head and neck area, especially in the upper respiratory tract and the oral cavity. The most frequent sites are the paranasal sinuses, nasal cavity and nasopharynx. If histologic diagnosis of plasmacytoma is confirmed, all screening tests are necessary to rule out multiple myeloma. The treatment and prognosis are different according to sites where the extramedullary plasmacytoma is originated. We experienced a case of extramedullary plasmacytoma that originated from the septum in a 60-year-old man. After the embolization, endoscopicgical removal of the mass was carried out. Its histopathologic finging revealed the plasmacytoma of lambda type. Systemic evaluations were done immediately and there was no evidence of systemic involvement. Additional radiotherapy (50 Gy) was performed. After ten months of treatment, there was no evidence of recurrence. So we report this case with a review of the literature.

A Case of Endoscopic Surgical Treatment of the Middle Turbinate Headache Syndrome

Middle turbinate headache syndrome is rare, and the true incidence of headache from this cause is unknown. Pneumatization or hypertrophy of the middle turbinate can result in its contact with the septum or the lateral nasal wall and may give rise to headache in the periorbital region. It may occur in the absence of inflammatory sinus disease. Clinical history, nasal endoscopic examination, and coronal CT -scan should point to the diagnosis. Treatment is achieved by relieving the contact point by medical or surgical means. The authors experienced a case of middle turbinate headache syndrome, therefore we report this case with a review of literature.

The Results of Myringoplasty Using Cartilage Butterfly Technique(Inlay Tympanoplasty) / 대한이비인후과학회지

BACKGROUND AND OBJECTIVES: Popular myringoplasty techniques include either an underlay or an onlay approach using tissues such as temporalis fascia or perichondrium as grafting materials. The "cartilage butterfly technique" using a tragal cartilage graft that resembled butterfly wings without incising canal skin was described by Eavey in 1998. This study describes the results of using this technique and analyzes the postoperative hearings. MATERIALS AND METHODS: Cartilage butterfly inlay tympanoplasty was carried out in 28 patients to close small-to-medium tympanic membrane perforations from October 1998 to December 2000. We excluded one patient due to accidental removal of graft at another clinic. We evaluated the success rate and postoperative hearing results. RESULTS: The graft take rate was 96.3% (26/27) at the end of the follow-up period (mean follow-up was 6.0 months). All of successful cases had cartilage grafts that were intact and dry at the last visit. One patient failed due to otorrhea and extruding graft. Two patients were not evaluated, because one had profound preoperative hearing loss and the other was a cerebral palsy patient. Mean air-bone gap (A-B gap) was improved from 16.3 dB to 9.8 dB. Ten patients had an A-B gap average between 0 and 10 dB, 14 patients between 11 and 20 dB, and no patient greater than 20 dB. CONCLUSION: The cartilage butterfly technique was effective to close tympanic membrane perforations in selected patients. It could provide advantages in high success rate, ease, speed and patient comfort.