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Wegener's Granulomatosis Presenting as Bilateral Otalgia with Facial Palsy: A Case Report.

Jeong Hyun LEE ; Kun Woo KIM ; Na Hye MYONG ; Jae Yun JUNG

Korean Journal of Audiology.2013;17(1):35-37. doi:10.7874/kja.2013.17.1.35

Wegener's granulomatosis (WG) is defined as a granulomatous inflammation of the upper and lower respiratory tract due to a systemic vasculitis. Facial nerve palsy may occur during the course of any granulomatous or vasculitis disease. But very few cases have been reported in which facial nerve palsy is the presenting feature of WG. We recently experienced an interesting case of WG presenting as acute middle ear infection and subsequent bilateral facial palsy.
Ear, Middle ; Earache ; Facial Nerve ; Facial Paralysis ; Inflammation ; Paralysis ; Respiratory System ; Systemic Vasculitis ; Vasculitis ; Wegener Granulomatosis

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A Case of Subcutaneous Hemangioma Presenting as a Preauricular Sinus.

Sang Gyun JIN ; Min Ju KIM ; Jung Mi PARK ; Kyoung Ho PARK

Korean Journal of Audiology.2013;17(1):32-34. doi:10.7874/kja.2013.17.1.32

Hemangioma is one of the most common benign neoplasm involved on head and neck. However, cavernous hemangiomas are relatively rare in preauricular sinus space and has rarely been reported around the world. Recently, a 44-year-old female patient came to our clinic with cavernous hemangioma involving the preauricular sinus. This case was surgically managed via excision. Preoperatively, it was difficult to differentiate the mass of hemangioma clinically and diagnostically from a preauricular fistula, a salivary gland tumor, or an enchondroma. This case report describes the subcutaneous hemangioma on a preauricular sinus, which is rarely seen in Korea. The clinical presentation and management are discussed with a review of the literature.
Chondroma ; Female ; Fistula ; Head ; Hemangioma ; Hemangioma, Cavernous ; Humans ; Korea ; Neck ; Porphyrins ; Salivary Glands

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Compound Nevus Occurring Near External Auditory Canal: Successful Treatment by CO2 Laser Abrasion.

Won Serk KIM ; Kye Hoon PARK

Korean Journal of Audiology.2013;17(1):30-31. doi:10.7874/kja.2013.17.1.30

Melanocytic nevus is common pigmented skin tumor, but it has rare occurrence near the external auditory canal. A skin graft is required if a wide surgical excision is performed for the nevi occurring near the external auditory canal. A CO2 laser was considered to be a good alternative for the removal of melanocytic nevus in this area. We herein report a case of compound nevus occurring near the external auditory canal that was successfully treated by CO2 laser abrasion.
Ear Canal ; Lasers, Gas ; Nevus ; Nevus, Pigmented ; Skin ; Transplants

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Tuberculous Otitis Media with Facial Paralysis Combined with Labyrinthitis.

Gyu Ho HWANG ; Jong Yoon JUNG ; Gunhwee YUM ; June CHOI

Korean Journal of Audiology.2013;17(1):27-29. doi:10.7874/kja.2013.17.1.27

Tuberculosis otitis media is a very rare cause of otorrhea, so that it is infrequently considered in differential diagnosis because clinical symptoms are nonspecific, and standard microbiological and histological tests for tuberculosis often give false-negative results. We present a rare case presenting as a rapidly progressive facial paralysis with severe dizziness and hearing loss on the ipsilateral side that was managed with facial nerve decompression and anti-tuberculosis therapy. The objective of this article is to create an awareness of ear tuberculosis, and to consider tuberculosis in the differential diagnosis of chronic otitis media with complications.
Decompression ; Diagnosis, Differential ; Dizziness ; Ear ; Ear, Inner ; Facial Nerve ; Facial Paralysis ; Hearing Loss ; Labyrinthitis ; Otitis ; Otitis Media ; Tuberculosis

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A Case of Bilateral Sudden Hearing Loss and Tinnitus after Salicylate Intoxication.

Sang Min KIM ; Joon Man JO ; Moo Jin BAEK ; Kyu Hwan JUNG

Korean Journal of Audiology.2013;17(1):23-26. doi:10.7874/kja.2013.17.1.23

Salicylate, the active ingredient of aspirin can cause sensorineural hearing loss and tinnitus when plasma concentrations reach a critical level. The ototoxic mechanisms of salicylate remain unclear but hearing and tinnitus usually recovers a few days after intoxication. There have been few reports of salicylate-induced ototoxicity in Korea, and the majority is caused by a low dose of aspirin. Herein, we report a case of sudden hearing loss and tinnitus after acute salicylate intoxication and review recent updates on salicylate ototoxicity.
Aspirin ; Hearing ; Hearing Loss ; Hearing Loss, Sensorineural ; Hearing Loss, Sudden ; Korea ; Plasma ; Sodium Salicylate ; Tinnitus

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Clinical Manifestation and Prognosis of Vestibular Migraine According to the Vestibular Function Test Results.

Jae Wook LEE ; Jae Yun JUNG ; You Sun CHUNG ; Myung Whan SUH

Korean Journal of Audiology.2013;17(1):18-22. doi:10.7874/kja.2013.17.1.18

BACKGROUND AND OBJECTIVES: According to previous reports, patients with vestibular migraine (VM) display variable results from vestibular function tests (VFT): central, peripheral, or normal. The aim of this study was to classify the VM patients into the three groups according to interictal VFT findings (central, peripheral or normal) and to clarify the relationship between VFT results and the clinical manifestations and prognosis in each group. SUBJECTS AND METHODS: We reviewed the medical records of 81 patients diagnosed as VM using the criteria of Neuhauser, et al. between December 2004 and June 2009. Patients were divided into three groups according to the results of VFT. We compared the clinical manifestations and prognosis between groups. Characteristics including dizziness, the nature of headache, associated otologic symptoms, hearing threshold, duration of illness, and recovery time were analyzed. RESULTS: The number of patients with central, peripheral vestibular dysfunction and normal finding in VFT were 15, 28, and 38 respectively. There were no significant differences in the nature of headache, associated otologic symptoms, hearing threshold, duration of illness, and recovery time. A small difference was observed in the mean age and characteristics of dizziness, but these were not significant. CONCLUSIONS: In patients with VM, classification according to the type of vestibular dysfunction was not helpful in the prediction of prognosis and clinical manifestations.
Dizziness ; Headache ; Hearing ; Humans ; Medical Records ; Migraine Disorders ; Prognosis ; Vertigo ; Vestibular Function Tests

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Clinical Characteristics of Labyrinthine Concussion.

Mi Suk CHOI ; See Ok SHIN ; Je Yeob YEON ; Young Seok CHOI ; Jisung KIM ; Soo Kyoung PARK

Korean Journal of Audiology.2013;17(1):13-17. doi:10.7874/kja.2013.17.1.13

BACKGROUND AND OBJECTIVES: Inner ear symptoms like hearing loss, dizziness or tinnitus are often developed after head trauma, even in cases without inner ear destruction. This is also known as labyrinthine concussion. The purpose of this study is to determine the clinical manifestations, characteristics of audiometry and prognostic factors of these patients. MATERIALS AND METHODS: We reviewed the medical records of the 40 patients that had been diagnosed as labyrinthine concussion from 1996 to 2007. We studied the hearing levels in each frequency and classified them according to type and degree of hearing loss. Rates of hearing improvement were evaluated according to age, sex, hearing loss type, degree and presence of dizziness or tinnitus. To find out any correlation between hearing improvement and these factors, we used chi2 test or Fisher's exact test. RESULTS: Bilateral hearing loss was observed in 22 patients, and unilateral hearing loss in 18 patients. There were 4 (6.5%) ascending, 34 (54.8%) descending, 24 (38.7%) flat type hearing loss, which indicated hearing loss was greater in high frequencies than low frequencies. Among 62 affected ears, 20 (32.3%) gained improvement, and it was achieved mainly in low frequencies. There were only 2 ears with dizziness in 20 improved ears and among 20 dizziness accompanied ears, also only 2 ears were improved. CONCLUSIONS: High frequencies are more vulnerable to trauma than low frequencies. The hearing gain is obtained mainly in low frequencies, and association with dizziness serves poor prognosis.
Audiometry ; Craniocerebral Trauma ; Dizziness ; Ear ; Ear, Inner ; Hearing ; Hearing Loss ; Hearing Loss, Bilateral ; Hearing Loss, Unilateral ; Humans ; Medical Records ; Post-Concussion Syndrome ; Prognosis ; Tinnitus

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Development of Animal Models of Otitis Media.

Moo Kyun PARK ; Byung Don LEE

Korean Journal of Audiology.2013;17(1):9-12. doi:10.7874/kja.2013.17.1.9

Otitis media is defined as inflammation of the middle ear, including the auditory ossicles and the Eustachian tube. Otitis media is a major health problem in many societies. The causes of otitis media includes infection and anatomic/physiologic, host, and environmental factors. In general, otitis media is a childhood disease, and anatomic and physiologic changes have great effects on its development. Thus, in vitro or human experimental studies of otitis media are difficult. Several experimental animal models have been introduced to investigate the pathogenesis and treatment of otitis media. However, none are ideal. The aim of this review is to provide a brief overview of the current status of animal models of otitis media with effusion, acute otitis media, and cholesteatoma. This review will assist determination of the most appropriate animal models of otitis media.
Animals ; Cholesteatoma ; Ear Ossicles ; Ear, Middle ; Eustachian Tube ; Humans ; Inflammation ; Models, Animal ; Otitis ; Otitis Media ; Otitis Media with Effusion

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Jae Hee LEE

Korean Journal of Audiology.2013;17(1):1-8. doi:10.7874/kja.2013.17.1.1

A common complaint of older listeners is that they can hear speech, yet cannot understand it, especially when listening to speech in a background noise. When target and competing speech signals are concurrently presented, a difference in the fundamental frequency (DeltaF0) between competing speech signals, which determines the pitch of voice, can be an important and commonly occurring cue to facilitate the separation of the target message from the interfering message, consequently improving intelligibility of the target message. To address the question of whether the older listeners have reduced ability to use DeltaF0 and how the age-related deficits in the processing of DeltaF0 are theoretically explained, this paper is divided into three parts. The first part of this article summarizes how the speech-communication difficulties that older listeners have are theoretically explained. In the second part, literatures on the perceptual benefits from DeltaF0 and the age-related deficits on the use of DeltaF0 are reviewed. As a final part, three theoretical models explaining the general processing of DeltaF0 are compared to discuss which better explains the age-related deficits in the processing of DeltaF0.
Cues ; Models, Theoretical ; Noise ; Voice

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A Case of Post-Traumatic Meniere's Disease.

Juyong CHUNG ; Hahn Jin JUNG ; Chong Sun KIM ; Young Ho KIM

Korean Journal of Audiology.2014;18(1):41-44. doi:10.7874/kja.2014.18.1.41

There are only a few reports of post-traumatic Meniere's disease and there is few literature that contains detailed data associated with the disease. We report a case of post-traumatic Meniere's disease. He suffered from tinnitus, fluctuating sensorineural hearing loss, and recurrent vertigo. Symptomatic medical treatment was not helpful and neither was soft tissue plugging around the oval and round windows during exploratory tympanotomy. Three months after soft tissue plugging, endolymphatic sac decompression surgery was performed. The patient's symptoms improved markedly thereafter. The clinical significance of post-traumatic Meniere's disease is described and we present a brief review of the literature.
Decompression ; Endolymphatic Hydrops ; Endolymphatic Sac ; Hearing Loss, Sensorineural ; Meniere Disease* ; Tinnitus ; Vertigo

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