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*

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

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*

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

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.

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*

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

Osteomyelitis of the maxilla is a relatively rare disease. Although the advent of antibiotics has decreased its incidence and morbidity significantly, osteomyelitis still remains a potentially dangerous condition because of the possible risk of intracerebral complications. Clinically, patients present facial swelling, localized pain and tenderness, low-grade fever, draining sinus tracts, suppuration, dental loss, and sequestrum formation. We experienced a case of osteomyelitis of the maxilla with associated aspergillosis. In this paper, we report this case with a review of literature.
Anti-Bacterial Agents ; Aspergillosis* ; Fever ; Humans ; Incidence ; Maxilla* ; Osteomyelitis* ; Rare Diseases ; Suppuration

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

Neurilemmomas are benign tumors that arise from the nerve sheath. Facial nerve neurilemmomas are uncommon, slow-growing neoplasms that occur anywhere along the course of the facial nerve. The majority of facial nerve neurilemmomas are intratemporal, with a few cases arising from the intraparotid portion. The clinical presentations are generally insidious and the nature of the disease depends on the location and extent of the tumor. They are difficult to diagnose preoperatively and are frequently misdiagnosed because of the variety of their clinical manifestations. Therefore, early and correct diagnosis and evaluation are necessary. Recently, we experienced two cases of facial nerve neurilemmoma with relatively good surgical result, involving the mastoid segment of the facial nerve and the main trunk of the facial nerve in the parotid gland. We reviewed the diagnosis, pathology, and treatement of this case, and report the cases with reviews of literature.
Diagnosis ; Facial Nerve* ; Mastoid ; Neurilemmoma* ; Parotid Gland ; Pathology