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Two Cases Report of Myxoid Degeneration of the Auricular Cartilage.

Dong Kun LEE ; Yeo Myeong LEE ; Kyung Han NAM ; Kyung Wook HEO

Korean Journal of Otolaryngology - Head and Neck Surgery.2018;61(7):378-381. doi:10.3342/kjorl-hns.2017.00052

Myxoid degeneration (MD) in the cartilage results from the accumulation of hyaluronic acid in the stroma. However, it is rarely found in the auricular cartilage, with only one published report to date. This article describes two histologically confirmed cases of MD of the auricle that was excised with favorable aesthetic results. Two men presented with auricular masses, with no history of trauma or tumors in the auricle. Laterally protruding masses were located around the helix and antihelix, which were similar in appearance to the normal auricular cartilage. We made an aesthetic skin incision under local anesthesia, and carved the mass from the normal cartilage for pathological and cosmetic reasons. Both excised masses showed MD of the auricular cartilage. We report these two cases with a review of the literature.
Anesthesia, Local ; Cartilage ; Ear ; Ear Cartilage* ; Humans ; Hyaluronic Acid ; Male ; Skin

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A Case of Nasal Hemangioma Removed by an Endoscopic Endonasal Technique with Radiofrequency Coblation.

Jung Hwan KIM ; Chae Hyun LIM ; Inn Chul NAM ; Dong Hyun KIM

Korean Journal of Otolaryngology - Head and Neck Surgery.2018;61(7):374-377. doi:10.3342/kjorl-hns.2016.17482

A nasal hemangioma is a rare lesion that causes intranasal bleeding. When endoscopically removing an endonasal hemangioma, the minimization of bleeding is imperative to optimize visualization and decrease complications. Many methods can be used to decrease bleeding during endoscopic removal, including cautery and embolization. We treated one patient with a hemangioma arising from the mucosa of the right inferior turbinate, which was removed successfully using a minimally invasive endoscopic endonasal technique with radiofrequency coblation to minimize bleeding. Herein we report this case and review the literature.
Cautery ; Endoscopy ; Hemangioma* ; Hemorrhage ; Humans ; Mucous Membrane ; Turbinates

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A Case of Hamartoma of the Subglottis.

Myung Jun LEE ; Joo Yeon KIM ; Hye Kyung SHIM ; Mi Ra KIM

Korean Journal of Otolaryngology - Head and Neck Surgery.2018;61(7):370-373. doi:10.3342/kjorl-hns.2016.17454

Hamartoma is a developmental anomaly or non-neoplastic malformations composed by an excessive growth of indigenous mature tissue present in wrong proportions and abnormal arrangements. Hamartomas may develop in all areas of the body but it is extremely rare in the larynx. The treatment of hamartomas consists of adequate surgical excision leading to an excellent prognosis. We present an incidentally detected subglottic mass during intubation in a 70-year-old male patient. The mass was excised by transoral laser surgery. Histopathologic examination of the lesion revealed that it consisted of hamartoma.
Aged ; Hamartoma* ; Humans ; Intubation ; Larynx ; Laser Therapy ; Male ; Prognosis

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Acoustic and Auditory-Perceptual Evaluation as Predictor of Voice Recovery after Laryngeal Microsurgery in Patients with Vocal Polyp.

Geun Hyo KIM ; Yeon Yoo LEE ; Byung Joo LEE ; Soon Bok KWON

Korean Journal of Otolaryngology - Head and Neck Surgery.2018;61(7):361-369. doi:10.3342/kjorl-hns.2018.00024

BACKGROUND AND OBJECTIVES: The purpose of this study was to investigate acoustic (acoustic voice quality index, AVQI) and auditory-perceptual evaluation (grade, rough, breathy, asthenic, strained; GRBAS and consensus auditory-perceptual evaluation of voice; CAPE-V) as a predictor of voice recovery after laryngeal microsurgery (LMS) in patients with vocal polyp. SUBJECTS AND METHODS: A total of 68 patients with vocal polyp participated in this study. Voice samples were analyzed for AVQI by Praat and auditory-perceptual ratings were performed by three speech language pathologists. Voice handicap index-10 (VHI-10) was evaluated by patients themselves. RESULTS: Decreased AVQI, VHI-10, overall severity (OS), and increased smoothed cepstral peak prominence (CPPS) values were measured and statistically significant changes were noted after LMS. The ratio of Grade 0 and Grade 1 was increased. AVQI was correlated with CPPS, Grade, and OS, but not with VHI-10. The voice recovery of pedunculated polyp appeared in all vocal polyp sizes after LMS, but statistically significant differences were found only in small and medium sizes. After LMS of sessile polyps, AVQI, VHI-10, and OS decreased whereas CPPS increased; however, statistically significant difference was confirmed only in VHI-10 and OS. The receiver operating characteristic curve analysis showed the following results: AVQI [cutoff=5.5, sensitivity=61.8%, specificity=76.5%, area under the curve (AUC)=0.712], CPPS (cutoff=5.0, sensitivity=89.7%, specificity=48.5%, AUC=0.743), VHI-10 (cutoff=13.0, sensitivity=77.9%, specificity=89.7%, AUC=0.893), Grade (cutoff=2.0, sensitivity=70.6%, specificity=69.1%, AUC=0.728), and OS (cutoff=51.0, sensitivity=86.8%, specificity=66.2%, AUC=0.833). CONCLUSION: Acoustic and auditory-perceptual variables showed significant positive changes and predicted recovery of voice. In this study, we believe that the acoustic and auditory-perceptual evaluations.
Acoustics* ; Consensus ; Humans ; Microsurgery* ; Polyps* ; ROC Curve ; Voice Quality ; Voice*

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Efficacy of Treatment with Coblation Turbinate Reduction in Patients with Allergic Rhinitis Responding to Medication.

Sung Jae HEO ; Chang Mook PARK ; Jung Soo KIM

Korean Journal of Otolaryngology - Head and Neck Surgery.2018;61(7):355-360. doi:10.3342/kjorl-hns.2017.00661

BACKGROUND AND OBJECTIVES: The effectiveness of turbinate surgery has been well demonstrated in allergic rhinitis refractory to medication. On the contrary, the efficacy of surgery in allergic rhinitis that responds to medication has not been assessed. The aim of this study was to determine the surgical outcomes in patients with allergic rhinitis responsive to medication. SUBJECTS AND METHOD: Patients with allergic rhinitis responsive to medication and those who had undergone coblation turbinate reduction were enrolled in this study. The visual analog scale was used to assess the allergic symptoms before treatment, during medication treatment as well as postoperatively at 6 and 12 months. In addition, the degree of patient satisfaction regarding the surgery was investigated postoperatively at 12 months. RESULTS: Twenty-four patients (mean age=33.6±14.9 years; men-to-women ratio=1:1) were included in this study. During the pretreatment period, all allergic symptoms significantly improved after treatment with both medication and surgery. At 6 months postoperatively, the degree of patients' allergic symptoms was lower than in those treated with medication. However, when compared at 12 months postoperatively, all the symptoms, excluding nasal obstruction, were not significantly different from those who received medication. Surveyed postoperatively at 12 months 54.2% of patients advocated for surgical treatment. CONCLUSION: Although surgery yielded better outcome than did medication during the early postoperative period, there was little difference in the outcome at 12 months postoperatively. Therefore, we need to be careful when choosing surgical intervention for patients with allergic rhinitis responsive to medication.
Humans ; Methods ; Nasal Obstruction ; Patient Satisfaction ; Postoperative Period ; Pulsed Radiofrequency Treatment ; Rhinitis, Allergic* ; Treatment Outcome ; Turbinates* ; Visual Analog Scale

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Pneumatization of the Frontal and Sphenoid Sinus in Korean Adults: A Study of Using Computed Tomography Scans.

Young Chang SIM ; Myeongsin KANG ; Joon Sang YU ; Jae Hoon LEE

Korean Journal of Otolaryngology - Head and Neck Surgery.2018;61(7):349-354. doi:10.3342/kjorl-hns.2017.00934

BACKGROUND AND OBJECTIVES: For safe sinus surgery, it is essential to understand the anatomical structure and developmental state of the paranasal sinuses. Structural abnormalies such as aplastic and marked hypoplastic sinuses may not be amenable to sinus surgery or balloon sinuplasty. The purpose of this study is to evaluate the degree of pneumatization of the frontal and sphenoid sinuses in Korean adults. SUBJECTS AND METHOD: This retrospective study utilized CT images of 1190 sides from 595 Korean adults. The frontal sinus was classified into normal, hypoplasia, aplasia and unilateral hidden aplasia. The sphenoid sinus was evaluated the incidence regarding the aplasia and unilateral hidden hypoplasia. RESULTS: Bilateral frontal sinus hypoplasia was observed in 8.5% of women and 4.2% of men (p < 0.05), while unilateral frontal sinus hypoplasia was found in 3.5% of women and in 4.8% of men (p>0.05). Bilateral frontal sinus aplasia was observed in 7.1% of women and 2.9% of men (p < 0.05), while unilateral frontal sinus aplasia were found in 7.1% of women and in 5.4% of men (p>0.05). Unilateral hidden frontal sinus aplasia was observed in 1.7% of women and 1.5% of men (p>0.05). There was no bilateral sphenoid sinus aplasia and only one woman had unilateral sphenoid sinus aplasia. Unilateral hidden sphenoid sinus hypoplasia was observed in 1.4% of women and 2.9% of men (p>0.05). CONCLUSION: Bilateral frontal sinus hypoplasia and aplasia are more common in women than in men. Although the incidences of unilateral hidden frontal sinus aplasia and hidden sphenoid sinus hypoplasia are low, sinus surgeons should carefully review CT for sinus surgery or balloon sinuplasty.
Adult* ; Female ; Frontal Sinus ; Humans ; Incidence ; Male ; Methods ; Paranasal Sinuses ; Retrospective Studies ; Sphenoid Sinus* ; Surgeons

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Interpersonal Competence in College Students with Cochlear Implants: A Preliminary Study.

Young Mi CHOI ; Hee Hwa KIM ; Sung Wook JEONG ; Lee Suk KIM

Korean Journal of Otolaryngology - Head and Neck Surgery.2018;61(7):341-348. doi:10.3342/kjorl-hns.2017.00619

BACKGROUND AND OBJECTIVES: ObjectivesZZAlthough many studies have shown that cochlear implantation promotes restoration of adequate hearing and verbal ability, there is little research showing whether patients with cochlear implants (CI) adapted well to the society by forming a good interpersonal relationship. The purpose of this study was to investigate the interpersonal competence of college students who acquired good verbal ability through CI. SUBJECTS AND METHOD: Interpersonal competence was examined using the Korean version of interpersonal competence questionnaire. Participants were 23 college students with CI who had good verbal communication abilities. Their interpersonal competence was compared to that of 28 college students with normal hearing (NH). To identify the factors contributing to the interpersonal competence, regression analysis was performed using speech perception, vocabulary and speech intelligibility as independent variables. RESULTS: College students with CI showed significantly weaker interpersonal competence than those with NH. Among 5 sub-factors of interpersonal competence, assertion and conflict management were not significantly different between two groups and initiation, caring others, and appropriate disclosure of CI group were significantly weaker than NH group. But college students with CI who had normal vocabulary and Speech Intelligibility Ratings score of 5 showed good interpersonal competence, which was comparable to those with NH. CONCLUSION: College students with CI who acquired good verbal communication ability demonstrates lower interpersonal competence than those with NH. Therefore, it is necessary to support them to improve interpersonal competence as well as speech-language ability.
Cochlear Implantation ; Cochlear Implants* ; Communication ; Disclosure ; Hearing ; Humans ; Mental Competency* ; Methods ; Speech Intelligibility ; Speech Perception ; Vocabulary

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The Significance of Neutrophil-to-Lymphocyte Ratio and Platelet-to-Lymphocyte Ratio as Markers for Prognosis in Idiopathic Sudden Sensorineural Hearing Loss.

Keun Ik YI ; Se Joon OH ; Sung Won CHOI ; Seon Lin KIM ; Soo Keun KONG ; Eui Kyung GOH

Korean Journal of Otolaryngology - Head and Neck Surgery.2018;61(7):333-340. doi:10.3342/kjorl-hns.2017.00535

BACKGROUND AND OBJECTIVES: The cause of idiopathic sudden sensorineural hearing loss (ISSNHL) is still unclear, but recently, chronic inflammation and thrombosis have received attention. The neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) are some of the markers that show the state of inflammation and ischemia, which are measured routinely in the complete blood cell count (CBC) test. The aim of this study were to investigate the relevance of NLR and PLR with ISSNHL. SUBJECTS AND METHOD: Enrolled in our retrospective analysis were 103 patients diagnosed with ISSNHL. Blood samples were taken from the patients and hearing assessments were performed. NLR and PLR were calculated using the CBC results. Then the patients were divided into 4 groups using Sigel's criteria according to their response to the treatment, which were again classified two groups, the “recovered” and “unrecovered” group. RESULTS: NLR, PLR, and neutrophil values of the unrecovered group were significantly higher than the recovered group (p=0.002, p=0.009, and p=0.038, respectively). On the other hand, lymphocyte values were significantly higher in the recovered group (p=0.007). After adjustment in a multivariate logistic regression analysis, NLR was associated with the recovery of ISSNHL (Odds ratio=1.290, p=0.042). In addition, NLR and PLR values were also significantly different between the groups classified by the Sigel's criteria (p=0.009 and p=0.029, respectively). CONCLUSION: PLR values may be useful in predicting hearing recovery after treatment in patients with ISSNH. It is also expected to be a potential marker for predicting the prognosis and determining further treatment options.
Biomarkers ; Blood Cell Count ; Hand ; Hearing ; Hearing Loss, Sensorineural* ; Humans ; Inflammation ; Ischemia ; Logistic Models ; Lymphocytes ; Methods ; Neutrophils ; Prognosis* ; Retrospective Studies ; Thrombosis

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A Systematic Literature Review for Evaluating the Clinical Usefulness of the Customized Vestibular Exercise.

Seung Hee LEE ; Keun Young PARK ; Byungkun KIM ; Gyu Cheol HAN ; Sung Won CHAE ; Gi Jung IM ; Jong Seok BAE ; Young HWANGBO ; Kyurin HWANG ; Byung Don LEE

Korean Journal of Otolaryngology - Head and Neck Surgery.2018;61(7):325-332. doi:10.3342/kjorl-hns.2018.00108

BACKGROUND AND OBJECTIVES: This study aims to evaluate the usefulness of customized vestibular exercise through literature review. MATERIALS AND METHOD: We searched several literature database such as Ovid-MEDLINE, Ovid-EMBASE, and Cochrane Library etc., with the following inclusion criteria: 1) studies of patients with dizziness and balance disorders, 2) studies in which a customized vestibular exercise was performed, and 3) studies in which one or more of the appropriate medical outcomes have been reported. At the same time, we excluded the following: 1) non-human studies and pre-clinical studies, 2) non-original articles, for example, non-systematic reviews, editorial, letter and opinion pieces, 3) research not published in Korean and English, 4) grey literature (thesis, congress or conference materials, abstract etc.), and 5) case studies. Finally, 10 studies were selected and analyzed. RESULTS: The safety of customized vestibular exercise was reported in three documents which reported no side effects related to the procedure. The effectiveness of customized vestibular exercise was proven by the assessment of symptom change, functional change, and other physiological measures based on a total of 10 randomized clinical trial studies. CONCLUSION: For patients with vestibular dysfunction, a customized vestibular exercise can be a safe and effective technique for improving dizziness and balance function.
Dizziness ; Humans ; Methods

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A Case of Posterior Semicircular Canal Dehiscence Caused by High Jugular Bulb.

Sung Won CHOI ; Soo Keun KONG ; Eui Kyung GOH ; Se Joon OH

Korean Journal of Otolaryngology - Head and Neck Surgery.2018;61(8):435-438. doi:10.3342/kjorl-hns.2016.17636

Posterior semicircular canal dehiscence represents a third-window lesion manifesting as hearing loss with vestibular dysfunction. Computed tomography findings of a dehiscent posterior canal can be verified with increased vestibular evoked myogenic potential responses as in other third-window lesions. The jugular bulb is the bulbiform connection between the sigmoid sinus and the internal jugular vein at the skull base. High jugular bulb can erode into inner ear structures. According to the literature review, there has been no case report about posterior semicircular canal dehiscence caused by high jugular bulb in Asia. Therefore, the authors report a case with a review of literature.
Asia ; Colon, Sigmoid ; Cytochrome P-450 CYP1A1 ; Ear, Inner ; Hearing Loss ; Jugular Veins ; Semicircular Canals* ; Skull Base

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