No Abstract available.
Neck Dissection* ; Neck*

No abstract available.
Larynx, Artificial* ; Voice*

No abstract available.
Histiocytic Necrotizing Lymphadenitis*

No abstract available.
Tonsillectomy*

Head and Neck Neoplasms* ; Head* ; Protein Kinases*

Extramedullary plasmacytoma is a rare soft tissue malignancy composed of plasma cells. This tumor may be primary or secondary to the generalized multiple myeloma. The great majority of extramedullary plasmacytoma occurs in the head and neck region, mainly in the upper respiratory tract and oral cavity. The most frequently involved sites are the nasal cavity, paranasal sinus, and nasopharynx, in the decreasing order. However extramedullary plasmacytoma of the larynx is rare. Laryngeal plasmacytomas accounts for between 6 to 18% of all extramedullary plasmacytomas. We report, with a review of literature, a case of extramedullary plasmacytoma of the larynx in a 41 year-old female patient.
Adult ; Female ; Head ; Humans ; Larynx* ; Mouth ; Multiple Myeloma ; Nasal Cavity ; Nasopharynx ; Neck ; Plasma Cells ; Plasmacytoma* ; Respiratory System

Anterior or lateral neck mass that appears on straining should be differentiated from laryngocele, jugular phlebectasia and superior mediastinal cysts or masses. The most common cause of aneck masses which that appears on straining is alaryngocele. The jugular phlebectasia may present itself in a similar manner, although it occurs rarely. The cause of the jugular phlebectasia is unclear. The diagnosis is made on a clinical basis and confirmed by the less invasive radiological technique. No treatment is indicated because of its self-limiting, benign condition. However, the surgical removal is needed for cosmetic purposes by a unilateral excision of the jugular vein. We experienced two cases of jugular phlebectasia, one anterior and the other internal. One case of The anterior jugular phlebectasia was successfully treated by surgical excision, and the other case of internal jugular phlebectasia was treated conservatively.
Diagnosis ; Jugular Veins ; Laryngocele ; Mediastinal Cyst ; Neck

Necrotizing Sialometaplasia (NS) is a benign, self-limiting inflammatory disease of the mucus-secreting glands, and this illness mainly involves the minor salivary glands. The significance of NS resides in its clinical and histopathological resemblance to malignancy. We present here a case of necrotizing sialometaplasia on the soft palate, and this was accompanied by adenoid cystic carcinoma. We report here on this case to draw attention to the difficulty for deciding the extent of resecting a malignancy, and especially when the malignancy is simultaneously accompanied by necrotizing sialometaplasia.
Adenoids ; Carcinoma, Adenoid Cystic ; Palate, Soft ; Salivary Glands, Minor ; Sialometaplasia, Necrotizing

BACKGROUND AND OBJECTIVES: The management of early glottic, tongue and tongue base cancer remains controversial and the trends in the treatment rationale can be influenced by the clinician and/or the patient factors. This study assesses the current treatment trend in the management of glottic, tongue and tongue base cancer among the Korean Society of Head and Neck Surgeons membership. We want this data to give more information in regards to better selection of treatment against specific individual factors. MATERIALS AND METHODS: A survey instrument in the form of a questionnaire was designed by authors. The questionnaire was distributed to 91 members with 46 responses. After the data from these surveys were computerized, the analysis was performed using SAS software. RESULTS: The two most frequently used treatment regimens of T2N0 glottic cancers were conservation laryngeal surgery (45.7%) and radiation therapy alone (19.6%). T2N0 tongue cancer was usually treated with surgery (56.5%) and surgery with radiation therapy (26.1%). The treatment patterns for tongue base cancer were varied as follows: surgery, 23.9%; radiation therapy only, 21.7%; combined therapy, 30.4%; and patient choice, 23.9%. In situations where an unclear resection margin is found, participants usually underwent adjuvant postoperative radiotherapy. A trend toward lower application rates was noted from positive margin (82.6%) to close margin (67.4%) and the difference was statistically significant (p<0.020). Important factors to determine which patient should be entered into a combined therapy program after neck dissection were the N-staging system and the histological extracapsular spread of lymph node metastases. Examination of treatment rationale demonstrated that the most preferred form of treatment was based on the perception of superior oncologic outcomes (87.0%). Treatment recommendations were usually decided by the operator (52.3%) and the tumor board (25.0%). CONCLUSIONS: Treatment modalities were not significantly influenced by varied individual factors of participants. But a standard therapy has never been well defined. These varied factors in the management of early glottic, tongue and tongue base cancer and treatment rationale reflect that there are multiple influencing factors.
Head ; Humans ; Korea* ; Lymph Nodes ; Neck ; Neck Dissection ; Neoplasm Metastasis ; Surveys and Questionnaires ; Radiotherapy ; Tongue Neoplasms* ; Tongue*

BACKGROUND AND OBJECTIVES: The majority of nasal bone fractures have been managed by using closed reduction and intranasal packing, leaving rooms for many complaints from patients. But the intranasal Kirschner wire (K-wire) splinting described by Chang in 1994 provided rigid intranasal support and increased less complaints from patients. Although the Kirschner wire splinting can be an alternative method for nasal bone packing that accompanies little complaints from patients, literature regarding the efficiency of Kirshcner wire splinting is rare. We studied the efficiency and clinical outcomes between the K-wire splinting and intranasal packing. MATERIALS AND METHOD: Prospectively, we studied 51 patients with nasal bone fracture who have undergone closed reduction. Of these, 30 patients were immobilized with the Kirschner wire splinting and 21 patients were immobilized with intranasal vaseline packing. On the first prospective day, patients were routinely examined by a visual analogue scale. The degree of satisfaction by both doctors and patients was investigated after a minimum 6 months. Complications were studied. All results were statistically confirmed. RESULTS: Complaints from patients were significantly less when the K-wire was used. There was no statistical difference between satisfaction expressed by doctors and patients, and there were no serious complications in using the K-wire. CONCLUSION: The K-wire is a reliable and useful immobilization method for nasal bone fracture.
Bone Wires ; Humans ; Immobilization ; Nasal Bone* ; Petrolatum ; Prospective Studies ; Splints