1.A Case of Sarcoidosis of the Nasal Septum.
So Young CHOI ; Wang Woon CHA ; Kudamo SONG ; Myoung Su CHOI
Korean Journal of Otolaryngology - Head and Neck Surgery 2017;60(5):248-251
Sarcoidosis is a chronic granulomatous disease, involving multisystem, confirmed by the presence of non-caseating granulomas. Sinonasal involvement in sarcoidosis is rare and difficult to diagnose since the symptoms of nasal obstruction and rhinitis are nonspecific. The diagnosis of sarcoidosis begins with clinical suspicion, followed by with imaging, and finally confirmed with tissue biopsy. In this study, we report a case of sarcoidosis of the nasal septum, which was early confirmed by a biopsy of the nasal septum and hilar lymph node.
Biopsy
;
Diagnosis
;
Granuloma
;
Granulomatous Disease, Chronic
;
Lymph Nodes
;
Nasal Obstruction
;
Nasal Septum*
;
Rhinitis
;
Sarcoidosis*
2.Diagnosis and Treatment of Peritonsillar Abscess with Single Enhanced Computed Tomography
Kudamo SONG ; Jun LEE ; So Young CHOI ; Myoung Su CHOI
Korean Journal of Otolaryngology - Head and Neck Surgery 2018;61(2):99-102
BACKGROUND AND OBJECTIVES: Diagnostic features of peritonsillar abscess are an asymmetrically enlarged palatine tonsil with peripheral rim enhancement and central low density in the post-contrast computed tomography (CT). Although it is necessary to differentiate tumorous conditions of tonsils to compare pre- and post-contrast CT, pre-contrast CT may be less useful in the diagnosis of peritonsillar abscess. This study aims to evaluate of the efficacy of single post-contrast CT for diagnosis and treatment of peritonsillar abscess. SUBJECTS AND METHOD: We retrospectively compared 29 patients with peritonsillar abscess, who were diagnosed by single post-contrast CT, with 36 patients diagnosed by pre- and post-contrast CT to determine the success rates of pus drainage and hospital days. Additionally, two otorhinolaryngologists made a judgment of abscess presence for sixty randomly mixed CT images of peritonsillar abscess or tonsillitis with pre- and post-contrast CT or single post-contrast CT. RESULTS: There were no significant differences in the success rate of drainage (p=0.622) and hospital days (p=0.504) between groups with/without pre-contrast CT. Abscess presence was judged by raters with/without pre-contrast CT. Inter-rater agreement value (Cohen's kappa) was 0.825 (p<0.01). CONCLUSION: Single post-contrast CT of peritonsillar abscess may be a good alternative for diagnosis and treatment and may reduce unnecessary exposure to radiation.
Abscess
;
Contrast Media
;
Diagnosis
;
Drainage
;
Humans
;
Judgment
;
Methods
;
Palatine Tonsil
;
Peritonsillar Abscess
;
Retrospective Studies
;
Sensitivity and Specificity
;
Suppuration
;
Tonsillitis
3.Clinical Characteristics of Dizziness Associated with Acute Peripheral Facial Palsy
Kudamo SONG ; Sehun CHANG ; Jun LEE ; Sun Ae SHIN ; Ho Yun LEE
Journal of Audiology & Otology 2018;22(3):148-153
BACKGROUND AND OBJECTIVES: We aimed to assess the clinical significance of dizziness associated with acute peripheral facial palsy (APFP). SUBJECTS AND METHODS: Medical records of patients who visited an otorhinolaryngology clinic at a university hospital and were admitted for treatment of APFP between 2014 and 2016 were thoroughly reviewed. RESULTS: In total, 15.3% (n=15) of patients had dizziness. Continuous, rotatory dizziness without exacerbating factors was most common and frequently accompanied by nausea/vomiting. Dizziness disappeared within 1 week during the hospitalization period. Patients with Ramsay Hunt syndrome (31.0%) had dizziness more frequently than those with Bell’s palsy (8.7%). In addition, higher hearing thresholds and pain around the ear was reported more often in dizzy patients (p < 0.05). Logistic regression analysis revealed that the initial House-Brackmann grade of facial paralysis was solely associated with final recovery, but dizziness was not associated with prognosis. CONCLUSIONS: Patients with APFP may have transient dizziness in the early stage, which may be more frequently accompanied by worse hearing thresholds and/or pain around the ear. However, these symptoms including dizziness seem to be unrelated to final prognosis.
Bell Palsy
;
Dizziness
;
Ear
;
Facial Paralysis
;
Hearing
;
Herpes Zoster Oticus
;
Hospitalization
;
Humans
;
Logistic Models
;
Medical Records
;
Otolaryngology
;
Paralysis
;
Prognosis
4.A Case of Bilateral External Auditory Canal Pyogenic Granuloma in a Pregnant Woman
Kudamo SONG ; Jun LEE ; Mee Ja PARK ; Ho Yun LEE
Journal of Audiology & Otology 2018;22(4):244-247
A pyogenic granuloma is one of the most common benign tumors in the head and neck. However, it rarely occurs in the external auditory canal (EAC). We report a case of a pyogenic granuloma that involved the both EAC in a pregnant woman. The clinical manifestation is discussed with a literature review.
Ear Canal
;
Female
;
Granuloma, Pyogenic
;
Head
;
Humans
;
Neck
;
Pregnancy
;
Pregnant Women
5.Diagnosis and Treatment of Peritonsillar Abscess with Single Enhanced Computed Tomography
Kudamo SONG ; Jun LEE ; So Young CHOI ; Myoung Su CHOI
Korean Journal of Otolaryngology - Head and Neck Surgery 2018;61(2):99-102
BACKGROUND AND OBJECTIVES:
Diagnostic features of peritonsillar abscess are an asymmetrically enlarged palatine tonsil with peripheral rim enhancement and central low density in the post-contrast computed tomography (CT). Although it is necessary to differentiate tumorous conditions of tonsils to compare pre- and post-contrast CT, pre-contrast CT may be less useful in the diagnosis of peritonsillar abscess. This study aims to evaluate of the efficacy of single post-contrast CT for diagnosis and treatment of peritonsillar abscess.SUBJECTS AND METHOD: We retrospectively compared 29 patients with peritonsillar abscess, who were diagnosed by single post-contrast CT, with 36 patients diagnosed by pre- and post-contrast CT to determine the success rates of pus drainage and hospital days. Additionally, two otorhinolaryngologists made a judgment of abscess presence for sixty randomly mixed CT images of peritonsillar abscess or tonsillitis with pre- and post-contrast CT or single post-contrast CT.
RESULTS:
There were no significant differences in the success rate of drainage (p=0.622) and hospital days (p=0.504) between groups with/without pre-contrast CT. Abscess presence was judged by raters with/without pre-contrast CT. Inter-rater agreement value (Cohen's kappa) was 0.825 (p<0.01).
CONCLUSION
Single post-contrast CT of peritonsillar abscess may be a good alternative for diagnosis and treatment and may reduce unnecessary exposure to radiation.
6.A Case of Isolated Nodular Infarction Mimicking Vestibular Neuritis on the Contralateral Side
Jun LEE ; Kudamo SONG ; In Kyu YU ; Ho Yun LEE
Journal of Audiology & Otology 2019;23(3):167-172
Differentiating central vestibulopathy from more common vestibular disorders is crucial because it often necessitates different treatment strategies, and early detection can help to minimize potential complications. Isolated nodular infarct is one of the central brain lesions that can mimic peripheral vertigo. We present a case of isolated nodular infarct that had been misdiagnosed as vestibular neuritis on the contralateral side at the initial evaluation. The patient was successfully treated with anticoagulants and antihyperlipidemic agents. Clinicians should keep in mind that some causes of central vertigo mimic peripheral vestibulopathy at the early stage.
Anticoagulants
;
Brain
;
Brain Infarction
;
Humans
;
Infarction
;
Magnetic Resonance Imaging
;
Vertigo
;
Vestibular Neuronitis