1.A Case of Primary Laryngeal Aspergillosis.
Dong Ju KIM ; Eui Gee HWANG ; Jin Pyeong KIM
Korean Journal of Otolaryngology - Head and Neck Surgery 2002;45(4):422-424
Primary laryngeal aspergillosis is exceptionally rare, and only nineteen cases have been reported in the literature. It is more commonly seen as a part of a wider infection involving the respiratory system in an immunocompromised host. We present here one case of primary laryngeal aspergillosis without any other airway tract extension and without any generalized immune deficit in a 58-year-old man. Direct laryngoscopy and biopsy confirmed the diagnosis of aspergillosis.
Aspergillosis*
;
Biopsy
;
Diagnosis
;
Humans
;
Immunocompromised Host
;
Laryngoscopy
;
Larynx
;
Middle Aged
;
Respiratory System
2.A Case of Acute Coalescent Mastoiditis with Otogenic Cerebellar Abscess due to Acute Otitis Media.
Jong Hwa SUNG ; Jin Pyeong KIM ; Dong Ju KIM
Korean Journal of Otolaryngology - Head and Neck Surgery 2000;43(8):883-886
The incidence of a surgical mastoiditis developing from acute otitis meida (AOM) has been decreased, But otitis media should still be considered a potentially dangerous disease because the clinical course is less predictable now than in the past. Significant and life-threatening complications may occur, including acute coalescent mastoiditis, intracranial complications, facial paralysis, subperiosteal abscess, etc. Incidence of otogenic cerebellar abscess has decreased, But the mortality rate in the literature is still high. There have been no reports in the Korean literature on acute coalescent mastoiditis with otogenic cerebellar abscess due to acute otitis media, but recently, we encountered a patient experiencing an acute coalecent mastoiditis, a supparative labyrinthitis and an otogenic cerebellar abscess due to acute otitis media all at the same time. Although the patient was treated with parenteral antibiotics, mastoidectomy, labyrinthectomy, and excision of the abscess via craniotomy, he passed away on the 62nd days after craniotomy. We report this case with a review of literature.
Abscess*
;
Anti-Bacterial Agents
;
Craniotomy
;
Ear, Inner
;
Facial Paralysis
;
Humans
;
Incidence
;
Labyrinthitis
;
Mastoid*
;
Mastoiditis*
;
Mortality
;
Otitis Media*
;
Otitis*
3.Two Cases of Hungry Bone Syndrome after Huge Parathyroidectomy.
Hyeongjoo LEE ; Jinpyeong KIM ; Jungje PARK ; Seunghoon WOO
Journal of Korean Thyroid Association 2015;8(1):108-112
Hungry bone syndrome can occur after parathyroidectomy which is performed due to primary hyperparathyroidism. Hungry bone syndrome is characterized by showing postoperative hypocalcemia which is caused by the remineralization of various minerals, including calcium inside the bone. This syndrome requires a long term supplementation of calcium. Identifying the preoperative predictors of hypocalcemia is essential and important for postoperative management. From here on in, we report two cases of patients with parathyroid adenoma who have undergone parathyroidectomy. We would like to report and discuss the management of hungry bone syndrome experienced from the two cases that have been mentioned above. We report these two cases with a review of the literature.
Calcium
;
Humans
;
Hyperparathyroidism, Primary
;
Hypocalcemia
;
Minerals
;
Parathyroid Hormone
;
Parathyroid Neoplasms
;
Parathyroidectomy*
4.Conservative Parotidectomy for Benign Parotid Tumors.
Korean Journal of Otolaryngology - Head and Neck Surgery 2013;56(10):617-622
Superficial parotidectomy is the most widely accepted form of the treatment for benign parotid tumors. But the risk of postoperative complications for the treatment of a benign condition cannot be ignored. Recent studies suggest that conservative parotidectomy (partial superficial parotidectomy or extracapsular dissection) might be the reliable option for the resection of benign parotid tumors. Conservative parotidectomy showed similar recurrence rate and lesser post operative complications than superficial parotidectomy.
Parotid Neoplasms
;
Postoperative Complications
;
Recurrence
5.Cutaneous Angiosarcoma in Face.
Ho Youp KIM ; Hong Kyoung LEE ; Seung Hoon WOO ; Jin Pyeong KIM
Korean Journal of Otolaryngology - Head and Neck Surgery 2010;53(6):383-385
A cutaneous angiosarcoma is a rare, aggressive malignancy with a poor prognosis, with only a few cases of it in head and neck have been reported. In the present case, we reported a primary angiosarcoma of the nasal dorsum in a 70-year-old man without prior irradiation of head and neck region. The authors reviewed the literature and discussed treatment and prognosis of cutaneous angiosarcoma in nasal dorsum.
Aged
;
Head
;
Hemangiosarcoma
;
Humans
;
Neck
;
Prognosis
;
Sarcoma
6.Lower Lip Reconstruction Using a Reversed Depressor Anguli Oris Musculocutaneous Flap.
Jong Beom LIM ; Jin Pyeong KIM ; Sea Yuong JEON ; Jun Sik KIM
Korean Journal of Otolaryngology - Head and Neck Surgery 2003;46(4):331-333
The lips are essential in maintaining oral competence and assist in mastication, deglutition, and articulation. The lips are also important aesthetically, contributing to appearance and facial expression. Defects of up to one third of the lower lip can be closed primarily, but larger defects require more complex techniques. Successful lip reconstruction require careful meticulous planning to achieve the optimum functional and cosmetic result. When planning a reconstruction of a large defect of the lower lip, the following points should be taken into consideration: 1) maintain the sphincter function, 2) retain the sensation, 3) acquire a large enough opening for the mouth, 4) strive for an acceptable cosmetic appearance. It is not possible to satisfy all these criteria in every instance, and careful preoperative evaluation is essential. We describe here a successful technique to reconstruct a large lower lip defect using a depressor anguli oris musculocutaneous flap and a mucosal flap for elderly patients.
7.A Case of the Zone III Neck Injury by Impalement of a Metal Stick.
Jin Pyeong KIM ; Jae Won KIM ; Seong Ki AHN ; Sea Yuong JEON
Korean Journal of Otolaryngology - Head and Neck Surgery 2003;46(7):610-612
Penetrating injuries of the neck are diagnostic and therapeutic challenges to emergency physicians or surgeons. The neck is unique in that it contains a dense concentration of vital structures in a small anatomic space. Two treatment strategies have emerged over time. First, exploration of all penetrating neck injuries, and second, selective approach based in clinical and diagnostic work-up. We present a previously unreported case in the Korean literature, a zone III neck injury caused by a metal stick penetrating through the neck.
Emergencies
;
Neck Injuries*
;
Neck*
8.A Case of the Zone III Penetrating Neck Injury with Internal Carotid Artery Laceration Treated by an Urgent Endovascular Stent Technique.
Hong Kyoung LEE ; Seung Hoon WOO ; Dae Seob CHOI ; Jin Pyeong KIM
Korean Journal of Otolaryngology - Head and Neck Surgery 2010;53(4):236-240
Penetrating neck injuries are potentially dangerous and require emergent management because of vital structures in the neck. A 35-year-old woman was transferred to the hospital with massive bleeding in her mouth and lacerations of her neck after the stab injuries. Contrast-enhanced computed tomography (CT) and angiography revealed a leakage at the pharyngeal portion of the right internal carotid artery. Emergent endovascular treatment was undertaken by using the stent technique. The leakage was completely occluded immediately after the procedure. There was no complication. The stent technique was safe and effective for the treatment of zone III carotid artery stab injuries.
Adult
;
Angiography
;
Carotid Arteries
;
Carotid Artery Injuries
;
Carotid Artery, Internal
;
Female
;
Hemorrhage
;
Humans
;
Lacerations
;
Mouth
;
Neck
;
Neck Injuries
;
Stents
9.Sudden deafness caused by acute anterior inferior cerebellar artery infarction : A case report.
Jin Pyeong KIM ; Jae Hong CHEON ; Jong Hwa SUNG ; Jae Ho JEONG
Korean Journal of Otolaryngology - Head and Neck Surgery 2000;43(3):329-331
A rare case, 49 year old man, of cerebellar infarction with occurrence of the sudden deafness was reported. On the otoneurological examination, hearing test and calroric test showed deafness and 19% vestibular hypofunction on the right side respectively. Mild vertigo was noticed, but spontaneous nystagmus was not observed. Cerebellar function test was intact. Magnetic resonance imaging (MRI) showed the acute cerebellar infarction in the area of the anterior inferior cerebellar artery (AICA) on the right side. After 7 days heparinization treatment, hearing threshold was much improved. An early recovery of hearing loss may be attributable to the recanalized circulation disturbance or the developement of collateral circulation.
Arteries*
;
Collateral Circulation
;
Deafness
;
Hearing
;
Hearing Loss
;
Hearing Loss, Sudden*
;
Hearing Tests
;
Heparin
;
Humans
;
Infarction*
;
Magnetic Resonance Imaging
;
Middle Aged
;
Vertigo
10.A Case of Large Cell Neuroendocrine Carcinoma of the Parotid Gland.
Hyun Woo PARK ; Seung Hoon WOO ; Jung Je PARK ; Jin Pyeong KIM
Korean Journal of Otolaryngology - Head and Neck Surgery 2013;56(2):98-101
Large cell neuroendocrine carcinoma is a rare malignant tumor of the parotid gland and has poor prognosis due to its aggressive and rapid growth and easy metastasis. Large cell neuroendocrine carcinoma usually occurs in the lung and intestine. However, a few cases of large cell neuroendocrine carcinoma have been reported in other sites such as the uterine cervix, thymus, urinary bladder, ovary and the ampulla of vater. In large cell neuroendocrine carcinoma of the parotid gland, radical parotidectomy is the first therapeutic step and can be followed by local radiation therapy. We report one case of primary large cell neuroendocrine carcinoma occurring in the parotid gland, and discuss the literature.
Ampulla of Vater
;
Carcinoma, Large Cell
;
Carcinoma, Neuroendocrine
;
Cervix Uteri
;
Female
;
Intestines
;
Lung
;
Neoplasm Metastasis
;
Neuroendocrine Tumors
;
Ovary
;
Parotid Gland
;
Parotid Neoplasms
;
Prognosis
;
Thymus Gland
;
Urinary Bladder