Relationship between manual cephalo-anthropometric analysis and degree of snoring in Korean adult / 대한이비인후과학회지

BACKGROUND AND PURPOSE: This purpose of this research is to study the prevalence of habitual snoring and the association between snoring and cephalo-anthropometric analysis in Korean population. MATERIAL AND METHOD: Four thousand and two hundred twenty four subjects (male: 2277, female: 1947), aged between 18~85 (mean age male: 45.3, female: 44.0), were recruited through home visits and interviewed by well-trained investigators. RESULTS: Three hundred fifty two male subjects (15.5%) and one hundred sixty two female subjects (8.32%) exhibited habitual snoring. Age, weight, and body mass index (BMI) were significantly higher in the snoring group compared to those who dont snore habitually. Using a stepwise variable selection method of multiple logistic regression analysis, we found independent factors as being significant for males and females of the snoring groups. For males, the factors were BMI (p<0.001, OR=1.18 CI: 1.12~1.25), mandibular angle (p<0.001, OR=0.97 CI: 0.96~0.98), and abdominal girth (p<0.001, OR=1.04, CI: 1.02~1.06. For females, they were abdominal girth (p=0.031, OR=1.03, CI: 1.00~1.05), neck girth (p=0.003, OR=1.12, CI: 1.04~1.21), age (p=0.0002, OR=1.02 CI: 1.01~10.3), and BMI (p=0.0007, OR=1.11 CI: 1.05~1.18). CONCLUSION: We found that BMI, gonion angle and abdomen girth in male and abdominal girth, neck girth, age, BMI in female were the significant factors affecting the severity of snoring in Korean population.

Outcomes of Transnasal Endoscopic Sinus Surgery in 62 Cases of Antrochoanal Polyp

This study was conducted to review the clinical features of antrochoanal polyp and to evaluate the effectiveness of transnasal endoscopic sinus surgery as a primary surgical method in treating antrochoanal polyp. We reviewed the profiles, which included clinical symptoms, past surgical history, surgical techniques and operative findings, of 57 patients (62 cases) treated for antrochoanal polyp with transnasal endoscopic sinus surgery during the past four years. Out of this subject pool, 45 patients (50 cases) underwent follow-up examinations and were analyzed. The follow-up periods ranged from 18 to 63 months and averaged 33 months. About half of the cases involved pediatric-to-young-adult patients (under 20 years) and five cases were bilateral. The most frequent site of origin was the natural ostium of the maxillary sinus, followed by the posteromedial wall and the posterolateral wall. Recurrences after endoscopic sinus surgery were observed in five cases, which were subsequently treated with revision endoscopic sinus surgery. In these cases of recurrence, there was no evidence of recurrence during a mean follow-up period of 30 months. These results suggest that transnasal endoscopic sinus surgery may be appropriate for the primary treatment of antrochoanal polyp and useful in the treatment of recurrent cases, especially those involving children.

A Case of Monostotic Fibrous Dysplasia of the Frontal Sinus / 대한이비인후과학회지

Fibrous dysplasia is a benign bone lesion characterized by the replacement of the normal substance of the interior of the bone by the fibro-osseous connective tissue exhibiting varying degree of osseous metaplasia histologically. In the head and neck, the most frequently involved area is the maxilla. We present 29 year-old male with diffuse swelling in the right frontal area, headache and nasal obstruction persisting for 2 years. Computed tomography scan of the paranasal sinus revealed irregular hyperdense mass arising from the right frontal sinus. The interfrontal septum was deviated to the left side by the mass. There was no evidence of invasion through and into the orbit and the cranial vault. Bilateral osteoplastic surgery of the frontal sinus was done. The mass was originated from the posterior wall of the right frontal sinus and expanded to the anterior wall. It's margin was poorly defined with adjacent normal osseous tissues, and it was removed by drilling and curettage. Left nasofrontal duct was well preserved, whereas right nasofrontal duct was obstructed by the mass. The pathologic finding consisted of an abundance of fibroblasts in interlacing bundles or whorls, connective tissue stroma of high vascularity, and islets of irregular trabeculae of new bone.

The Therapeutic Effect of Diatrizoate Meglumine(Hypaque) andAdrenocorticosteroid Hormone in Sudden Sensorineural Hearing Loss / 대한이비인후과학회지

Idiopathic sudden sensorineural hearing loss(ISHL) is defined as an abrupt onset of sensorineural hearing loss without definite cause. The causes of sudden sensorineural hearing loss have not determined with precision until recently, but viral infections and vascular insufficiencies, such as vascular spasm, occlusion of sludging of erythrocytes were considered as major factors. The treatment has not been determined with precision until recently. But recently, as a effective regimen, diatrizoate meglumine(Hypaque) was introduced that fills the broken membrane pores and activated the sodium pump to restore the normal DC potential. The purpose of this study was to evaluate the effectiveness of a regimen for the treatment of the sudden sensorineural hearing loss with Hypaque, steroid and bed rest by retrospective review.