BACKGROUND AND OBJECTIVES: For augmentation and camouflage of dorsum in rhinoplasty, various materials have been used for many years. Among them dermofat graft has been known as a good grafting material to substitute for soft tissue deficiencies. We report 7 cases of successful rhinoplasty using postauricular dermofat graft. MATERIALS AND METHODS: A semicircular incision was made in postauricular area. The harvested amount of dermofat for augmentation and camouflage was slightly more than the exactly calculated amount considering postoperative contraction. In four patients, graft was used to camouflage for postoperative irregularity of nasal dorsum. In three patients, dermofat graft and Gore-Tex(R) were used to augment for postoperative nasal contraction and change skin texture. RESULTS: After 6-15 months of follow-up, all patients showed a satisfactory improvement in nasal contour and non-visible postauricular scar. CONCLUSION: The postauricular dermofat graft is a useful method to improve postoperative irregularity after hump removal and osteotomy, postoperative nasal contraction, and skin texture. In addition, postauricular dermofat graft has the conveniences of same surgical look and easy postoperative dressing.
Bandages ; Cicatrix ; Follow-Up Studies ; Humans ; Osteotomy ; Rhinoplasty* ; Skin ; Transplants*

BACKGROUND AND OBJECTIVES: Traditionally nasal bone fracture repair has been performed separately with more refined septorhinoplasty being reserved until all edema and other acute effects of nasal injury have regressed or stabilized. However a question arise whether more involved septorhinoplasty procedures could be done at the same time as nasal bone fracture reduction. But little literature were found in the outcomes. We studied the clinical outcomes of patients that rhinoplasty was performed concomitantly with nasal bone fracture reduction. MATERIALS AND METHODS: We studied 20 patients that septorhinoplasty were performed concomitantly with nasal bone fracture reduction. Doctor's and patient's satisfaction was investigated after minimal 6 months later using visual analogue scale. Operative methods and complications were studied. All results were statistically confirmed. RESULTS: Generally post-operative result was satisfied. But, in a patient with severe fracture, 2nd rhinoplasty was performed for proper correction. Other complications were not found. CONCLUSION: We concluded that septorhinoplasty procedures was done at the same time as nasal bone fracture reduction showed good result in selective cases.
Edema ; Humans ; Nasal Bone* ; Rhinoplasty*

PURPOSE: To evaluate the clinical characteristics, recurrence rate and visual prognosis of intermediate uveitis in terms of cryotherapy and pars plana vitrectomy. METHODS: Medical records of 124 eyes in 110 patients who were diagnosed to have intermediate uveitis from Jan. 1988 to Dec. 2000 were retrospectively reviewed. Clinical features, fluorescein angiographic findings in intermediate uveitis, and therapeutic results of vitrectomy and cryotherapy were analyzed. RESULTS: The mean age of the patients was 39.1 years and the mean follow-up period was 3.6 years (2 months ~ 11 years). Of those patients, 12.7% were bilateral and average recurrence rate was 2.9 per year. And 81.5% of the snowbank was located inferiorly. Fluorescein angiography (FAG) was done in 91 eyes. Cystoid macular edema (CME) was observed in 81.3% (74 eyes), focal leakage in 77.6% (69 eyes), and diffuse leakage in 22.5% (20 eyes). In 11 eyes which had undergone pars plana vitrectomy, the recurrence rate decreased from 2.2 a year to 0.6 a year. In 9 eyes which had undergone cryotherapy, it decreased from 3.6 a year to 0.7, which was statistically significant (p<0.05). The visual acuity improved in 34.7% (43 eyes), did not change in 44.4% (55 eyes), and worsened in 21.0% (26 eyes) at the final follow-up. CONCLUSIONS: This demonstrates the overall favorable visual prognosis in patients with intermediate uveitis. Pars plana vitrectomy and cryotherapy may contribute to reducing the recurrence rate of intermediate uveitis.
Cryotherapy ; Fluorescein ; Fluorescein Angiography ; Follow-Up Studies ; Humans ; Macular Edema ; Medical Records ; Prognosis ; Recurrence ; Retrospective Studies ; Uveitis, Intermediate* ; Visual Acuity ; Vitrectomy

The external nose is the most prominent part of the face and, as such, is susceptible to injury. Such injuries occur most frequently concurrent with facial trauma. Nas al bone fracture patients are generally treated by nasal bone reduction before edema sets in after injury or between 5-10 days after injury for adults, and between 3-7 days after injury for infants. Nasal bone fractures are, in many cases, treated simply by closed reduction but the outcomes of such treatment are frequently unsatisfactory, causing distress to both patients and clinicians. In the present study, we analyzed 800 cases of patients who were treated for nasal bone fractures using a CT, and propose a new classification of types of nasal bone fracture. In this series, we were able to obtain good results by performing closed reduction together with active treatments such as septoplasty or rhinoplasty. Thus, in nasal bone fracture patients, more active treatment such as open reduction or septoplasty and rhinoplasty may lead to better results than those of early conservative treatment.
Adult ; Edema ; Fractures, Bone ; Humans ; Infant ; Nasal Bone ; Nose ; Plant Extracts ; Rhinoplasty

BACKGROUND AND OBJECTIVES: For nasal augmentation surgery, several materials have been used. Porous material, expanded polytetrafluoroethylene (Gore-Tex(R)) contains numerous pores which allow stability of the implant, but this advantage has been tempered by unpredictable outcomes. The purpose of this study is to evaluate morphological and histological changes of reinforced Gore-Tex(R) in the rabbit model. MATERIALS AND METHOD: Twenty New Zealand white rabbits were used. The reinforced Gore-Tex(R) block was implanted in the nasal dorsum. According to the duration of implantation, rabbits were divided into four groups such as 1, 3, 6 and 12 months. The animals were grossly examined with respect to the status of the Gore-Tex(R). We evaluated the three-dimensional size of the implants over time and used light and electron microscopy to investigate the histological changes associated with the whole tissue blocks. RESULTS: Grossly, none of the implants was lost or extruded and there was no evidence of wound infection. Diminution rates of thickness, width and height in the implants were respectively 16.7%, 7.5%, and 3.5%. Histologically, the growth of connective tissue was observed in all specimens and internodal space was decreased by connective tissue ingrowth as time goes on. Neovascularization was observed in the groups for which duration was longer than 6 months, and degenerative changes were also observed in the groups over 6 month of implanted duration. CONCLUSION: The reinforced e-PTFE should be carefully trimmed because of the possibility of decreasing size over time. And additional studies are needed to further investigate the stability of Gore-Tex(R).
Animals ; Connective Tissue ; Imidazoles ; Light ; Microscopy, Electron ; Nitro Compounds ; Polytetrafluoroethylene ; Rabbits ; Reinforcement (Psychology) ; Rhinoplasty ; Wound Infection

Recently, tissue engineering has been proposed as an alternative to reconstruct or replace craniofacial defect in facial plastic and reconstructive surgery. The biomaterials are the most important component of tissue engineering. Generally, the biomaterials are defined as any material that is used to replace or restore function to a body tissue and is continuously or intermittently in contact with body fluid. Thus, biostability, biocompatibility, and interfacial-compatibility are required in biomaterials to use for tissue engineering. Herein, we describe characteristics and category of biomaterials, and its clinical applications in facial plastic and reconstructive surgery.
Biocompatible Materials* ; Body Fluids ; Plastics* ; Tissue Engineering

Most lymphoma occurs within the lymph node. A small portion of the lymphoma can have extranodal involvements such as the oral cavity, oropharynx, nasopharynx, paranasal sinuses, and larynx, etc. Especially, Hodgkin's lymphoma with primary manifestation in the palatine tonsil is an extremely rare entity and seldom documented in the literature. Recently, we experienced a case of palatine tonsil mass as a first symptom of Hodgkin's lymphoma. The patient underwent a surgical excision and radiotherapy. The authors report the first case of Hodgkin's lymphoma of the palatine tonsil in Korea with a review of literature.
Hodgkin Disease* ; Humans ; Korea ; Larynx ; Lymph Nodes ; Lymphoma ; Mouth ; Nasopharynx ; Oropharynx ; Palatine Tonsil* ; Paranasal Sinuses ; Radiotherapy

Toxoplamosis is a common parasitic infection that is widely distributed throughout the world, including the United States. However, the incidence in Korea is unknown. This report concerns a case of toxoplasmosis that manifested as intraparotid lymphadenitis in a 37-year-old woman. The etiology, clinical, microscopic, and laboratory findings, and treatment are reviewed.
Adult ; Female ; Humans ; Incidence ; Korea ; Lymphadenitis* ; Parotid Gland* ; Toxoplasmosis* ; United States

Maffucci syndrome is a non-hereditary disease, in which benign cartilage tumor called enchondroma occurs throughout the body, causing various symptoms. In particular, when chondrosarcoma occurs in the skull base, various neurologic symptoms can appear. Many of these symptoms have been diagnosed and reported by neurosurgeons. This paper presents a rare case of Maffuci syndrome. The patient is a 34-year-old female who first visited the otolaryngology outpatient department for ear fullness without any other neurological symptoms. The initial diagnosis was adult onset otitis media with effusion (OME), but further examination and biopsy revealed skull base chondrosarcoma. Moreover, the mass was extensively invading the skull base, so surgical treatment would have been dangerous; thus, careful follow-up has been conducted for the patient in the outpatient clinic. This report highlights the importance of nasopharyngoscopy as well as other imaging tests to observe nasopharyngeal masses in OME patients with congenital or acquired diseases, which are known to sporadically develop tumor.

OBJECTIVES: The clinical features of various facial deformities in Korean leprosy patients were evaluated according to the type of leprosy. METHODS: One hundred ninety six patients with leprosy were examined for various facial deformities using a nasal speculum, endoscope, and digital camera. The frequency and severity of external nasal deformities and septal perforations were evaluated according to the type of leprosy. Eye deformities, ear deformities, and facial palsy were also assessed. RESULTS: Seventy-one patients (36.2%) displayed external nasal deformities: 28 minimal contractures, three cartilage contractures, two bony-cartilage contractures, and 38 skin defects. The external nasal deformity and severe form deformity in lepromatous types were more frequent compared to other types (P<0.05 for each variable). Twenty-three patients (9%) displayed septal perforations, among whom 11 had cartilaginous perforations and 12 had bony-cartilaginous perforations. The frequency of septal and bony-cartilaginous perforations did not differ significantly between the types of leprosy (P>0.05 for each variable). Sixty-one patients (31.1%) had eye deformities and 19 patients (9.7%) had facial nerve palsy, common in the borderline type. No cases of ear deformities were observed. CONCLUSION: Korean patients had characteristic deformities according to the type of leprosy. They were different from those seen in the prior analyses of Caucasian populations.
Cartilage ; Congenital Abnormalities ; Contracture ; Ear ; Endoscopes ; Eye ; Facial Nerve ; Facial Paralysis ; Humans ; Leprosy ; Paralysis ; Skin ; Surgical Instruments