Journal Detail Information

1

Cite

Share

Laryngeal Verruca Vulgaris: A Case Report and Review of Literature.

Jae Sang HAN ; Soon Be HONG ; Philip LEE ; Young Hak PARK

Journal of the Korean Society of Laryngology Phoniatrics and Logopedics.2016;27(2):141-144.

Verruca vulgaris of the larynx (VVL) is an extremely rare disease that can be easily misdiagnosed as papillary keratosis, squamous papilloma or verrucous carcinoma, which would have led to needless operation. We experienced a case of VVL in a 66-year-old man with 1-year history of progressive hoarseness. Whitish lesions in both vocal cords were observed by using indirect laryngoscopy and completely removed via microlaryngeal surgery with CO2 laser.
Aged ; Carcinoma, Verrucous ; Hoarseness ; Humans ; Keratosis ; Laryngoscopy ; Larynx ; Lasers, Gas ; Papilloma ; Papillomaviridae ; Rare Diseases ; Vocal Cords ; Warts*

2

Cite

Share

Endoscopic Resection of a Vocal Cord Polyp in a Patient with Difficult Laryngeal Exposure.

Sang Kuk LEE ; Se A LEE ; Seung Jae LEE ; Seung Won LEE

Journal of the Korean Society of Laryngology Phoniatrics and Logopedics.2016;27(2):138-140.

Vocal cord polyps are generally removed using a direct laryngoscope and surgical microscope. In some case of laryngeal microsurgery, laryngeal exposure with surgical microscope is difficult because of severalfactors. We experienced a case of vocal polyp with difficult laryngeal exposure in a 56 year old male patient. The vocal cord polyp was removed successfully through endoscopic approach.
Endoscopy ; Humans ; Laryngoscopes ; Larynx ; Male ; Microsurgery ; Polyps* ; Vocal Cords*

3

Cite

Share

A Case of Killian-Jamieson Diverticulum in the Esophagus.

Sang Woo SEON ; Jae Hyun JUNG ; Eunsang LEE ; Seung Won LEE

Journal of the Korean Society of Laryngology Phoniatrics and Logopedics.2016;27(2):134-137.

A Killian-Jamieson diverticulum (KJD) is an unfamillar and unusual cervical esophageal diverticulum. This diverticulum originates on the anterolateral aspect of the esophagus through the Killian-Jamieson's area that is formed between cricopharyngeal muscle and the lateral to longitudinal esophageal muscle. Recently, we experienced a patient who was found outpouching lesion on lateral side of left esophagus on the duodenoscopy. Then, a barium esophagography performed and in left lateral position demonstrated a left-sided diverticulum with a frontal projection, highly suggestive of a KJD. There are two ways of surgical approach to manage the KJD. First is external approach, another one is endoscopic approach. In common, external approach has been recommended for the treatment of KJD because of concern of nerve injury. We present a case of KJD that underwent external approach and sternocleidomastoid muscle flap in the management of KJD.
Barium ; Diverticulum* ; Diverticulum, Esophageal ; Duodenoscopy ; Esophagus* ; Humans

4

Cite

Share

A Case of Bilateral Vocal Fold Paralysis Induced by Concurrent Rheumatoid Arthritis Involvement of Laryngeal Nerve and Cricoarytenoid Joint.

Yun Hwi PARK ; Han Su KIM ; Sung Min JUNG ; Soo Yeon JUNG

Journal of the Korean Society of Laryngology Phoniatrics and Logopedics.2016;27(2):130-133.

Rheumatoid arthritis (RA) is a connective tissue disease involving the larynx in 30% of the patients. Foreign body sensation, hoarseness, and cough are common symptoms in laryngeal involvement. An urgent tracheostomy is required when acute airway obstruction occurs in case of bilateral vocal fold paralysis. The most common cause of bilateral vocal fold paralysis in RA patients is a cricoarytenoid joint arthritis. Laryngeal nerve degeneration is rare cause of bilateral vocal fold paralysis in RA patients. In this case report, an emergent tracheostomy was performed on a 64-years-old male patient with acute dyspnea, and concurrent involvement of RA on laryngeal nerve and cricoarytenoid joint was revealed by laryngeal electromyography and histopathology. The vocal fold mobility was restored after 3-months medical treatment.
Airway Obstruction ; Arthritis ; Arthritis, Rheumatoid* ; Connective Tissue Diseases ; Cough ; Dyspnea ; Electromyography ; Foreign Bodies ; Hoarseness ; Humans ; Joints* ; Laryngeal Nerves* ; Larynx ; Male ; Paralysis* ; Sensation ; Tracheostomy ; Vocal Cords*

5

Cite

Share

A Case of Fibrous Mass Diagnosed as Spidle Cell Rhabdomyosarcoma in the Vocal Fold.

Dae Young KIM ; Jun Ha HWANG ; In Suh PARK ; Jae Yol LIM

Journal of the Korean Society of Laryngology Phoniatrics and Logopedics.2016;27(2):126-129.

Rhabdomyosarcoma is an uncommon type of soft tissue malignant neoplasm characterized by undifferentiated mesodermal tissue. Sarcomas account for approximately 1% of all laryngeal neoplasm and rhabdomyosarcomas are the rarest sarcoma found in the larynx. When the sarcoma involves the larynx, radical surgery such as laryngectomy has been considered. With recent advances of combined therapy, however, it can be treated by conservative surgeries followed by postoperative radiotherapy and/or pulse chemotherapy. With reviews of literature, we report a 47-year-old patient complaining of husky voice and throat discomfort who was finally diagnosed as rhabdomyosarcoma of the vocal fold and successfully treated by laser cordectomy followed by adjuvant chemoradiotherapy.
Chemoradiotherapy, Adjuvant ; Drug Therapy ; Humans ; Laryngeal Neoplasms ; Laryngectomy ; Larynx ; Mesoderm ; Middle Aged ; Pharynx ; Radiotherapy ; Rhabdomyosarcoma* ; Sarcoma ; Vocal Cords* ; Voice

6

Cite

Share

Huge Subglottic Polyp Treated with Tracheotomy and Laryngofissure.

Yong Tae HONG ; Cha Dong YEO ; Ki Hwan HONG

Journal of the Korean Society of Laryngology Phoniatrics and Logopedics.2017;28(1):52-54.

Vocal polyps are benign laryngeal lesions which arise from the Reinke's space abd hoarseness is the most common symptom. However, airway compromised is rarely presented in the vocal polyp. A rare case of large subglottic polyp causing dyspnea is reported. Tracheostomy was performed under local anesthesia and then the mass was resected under general anesthesia using a laryngofissure approach. The dyspnea and hoarseness disappeared after surgery immediately. The histopathological findings indicated a diagnosis of vocal cord polyp with chronic inflammatiuon. We consider that tracheostomy is the safest and most useful procedure to guarantee the upper airway in cases of large vocal polyp showing dyspnea. We hereby report a case of huge subglottic polyp in which a tracheostomy and laryngofissure was required for removing the subglottic mass successfully.
Anesthesia, General ; Anesthesia, Local ; Diagnosis ; Dyspnea ; Hoarseness ; Polyps* ; Tracheostomy ; Tracheotomy* ; Vocal Cords

7

Cite

Share

A Case of Laryngeal Candidiasis Presented as Laryngeal Leukoplakia.

Ki Yong CHOI ; Young Hwan KIM ; Na Hye MYONG ; Sang Joon LEE

Journal of the Korean Society of Laryngology Phoniatrics and Logopedics.2017;28(1):48-51.

Candida exists in the oral cavity as normal flora, which is cultured in 7% of the population. And the development of candidiasis is usually related to the systemic or local immunosuppressed status such as diabetes, long-term antibiotics, steroid, radiation therapy or chemotherapy. However, isolated laryngeal candidiasis in immunocompetent patients is a rare entity with fewer than 40 cases reported in the world. Symptoms of laryngeal candidiasis are variable such as hoarseness, dysphagia, or odynophagia according to its extent, but it has clinical importance because of its resemblance with laryngeal premalignant or malignant lesions. Diagnosis is made by biopsy under direct laryngoscopy with special staining to identify the hyphae. In this article, we report a case of laryngeal candidiasis presented as leukoplakia localized on vocal fold with literature reviews.
Anti-Bacterial Agents ; Biopsy ; Candida ; Candidiasis* ; Deglutition Disorders ; Diagnosis ; Drug Therapy ; Hoarseness ; Humans ; Hyphae ; Laryngoscopy ; Larynx ; Leukoplakia* ; Mouth ; Vocal Cords

8

Cite

Share

A Case of Esophageal Achalasia Misconceived as Laryngopharyngeal Reflux Disease.

Seung Ho NOH ; Yong Woo LEE ; Jin Su PARK ; Sang Hyuk LEE

Journal of the Korean Society of Laryngology Phoniatrics and Logopedics.2017;28(1):43-47.

Laryngopharyngeal reflux disease (LPRD) is common in laryngologic practice. In Korea, up to 1 out of every 5 patients who visit otorhinolaryngology clinic is supposed to have LPRD with symptoms and physical findings. Major symptoms of LPRD include hoarseness, cough, reflux symptom and mild dysphagia. Even though LPRD is common, its diagnosis may be difficult, because its symptoms are nonspecific and the laryngeal findings are not always associated with symptom severity. In Recent study, 66.4% of Patient who has LPRD also associated with esophageal motility disorders. Esophageal achalasia is a disease of unknown etiology characterized by an absence of peristalsis in the body of esophagus and nonrelaxing hypertension of the lower esophageal sphincter. Common cause is loss of ganglion cells in Auerbachs plexus. The classic triad of symptoms in achalasia includes dysphagia, regurgitation and weight loss. LPRD and esophageal achalasia have similar symptoms but have different treatment of choice. The Differentiation diagnosis of theses disease is important and should be established by history, radiologic examination and endoscopic examination. We recently assessed a 59-year-old female patient who complained of an epigastric pain, dysphagia and chronic cough. LPRD was initially diagnosed on Laryngoscopic examination and Reflux Symptom Index, but patient was not relieved of any symptoms after treatment of Proton Pump Inhibitor for 3 months. After high resolution manometry, esophageal achalasia was finally diagnosed. We report this case regarding the diagnosis and treatment with review of literatures because we have to think about esophageal motility disorders as a differential diagnosis in laryngology.
Cough ; Deglutition Disorders ; Diagnosis ; Diagnosis, Differential ; Esophageal Achalasia* ; Esophageal Motility Disorders ; Esophageal Sphincter, Lower ; Esophagus ; Female ; Ganglion Cysts ; Hoarseness ; Humans ; Hypertension ; Korea ; Laryngopharyngeal Reflux* ; Manometry ; Middle Aged ; Myenteric Plexus ; Otolaryngology ; Peristalsis ; Proton Pumps ; Weight Loss

9

Cite

Share

Effect of Oral Water Intake to Globus Pharyngeus with Non-Organic Diseases.

Hak Geon KIM ; A Young KIM ; Eunjoo CHA ; GilJoon LEE

Journal of the Korean Society of Laryngology Phoniatrics and Logopedics.2017;28(1):38-42.

BACKGROUND AND OBJECTIVES: Globus pharyngeus is a sensation of foreign body in the throat. There are many studies evaluate relationships between globus pharyngeus and organic diseases such as laryngopharyngeal reflux, esophageal motility disorders as well as psychotic causes. But, Also many patients without etiologic causes complain of globus sensation. The authors performed a study that evaluate association between oral water intake and symptoms of globus sensation on the basis of a belief that pharyngeal dehydration due to lack of oral water intake causes globus sensation. MATERIALS AND METHODS: A survey using visual analogue scale to evaluate symptoms was performed with 73 patients with globus pharyngeus. RESULTS: Patients who drink water less than 500 mL per day (p=0.04) and less than five times per day (p=0.02) were improved after 6 months due to education and doctor's recommendation. CONCLUSION: Frequent and enough water intake should be recommended to resolve symptoms of globus sensation.
Dehydration ; Drinking* ; Education ; Esophageal Motility Disorders ; Foreign Bodies ; Humans ; Laryngopharyngeal Reflux ; Pharynx ; Sensation ; Water*

10

Cite

Share

Treatment Result of Proton Pump Inhibitor, Steroid Inhaler and Botulinum Tonxin Injection for Contact Granuloma.

Hyoung Min PARK ; Na Rae OH ; Min Kwan BAEK ; Dong Young KIM ; Joo Hyun WOO

Journal of the Korean Society of Laryngology Phoniatrics and Logopedics.2017;28(1):32-37.

BACKGROUND AND OBJECTIVES: This study evaluated the efficacy of combination therapy of proton pump inhibitor (PPI) and steroid inhaler (SI), with or without botulinum toxin injection (BTX) for contact granuloma. SUBJECTS AND METHODS: Fourteen contact granuloma patients were enrolled in this study. Combination therapy of PPI and SI were used for the first line treatment. When combination therapy was not effective, BTX was performed as the second method. Treatment results were recorded as responsible or non-responsible. Farwell grade, size, history of voice abuse, gender, and reflux finding score (RFS) were compared between responsible group and non-responsible group. RESULTS: Initial response rate was 28.6% after treatment of PPI and SI. BTX was performed on three un-responsible patients. After BTX injection, three patients had complete remission of granuloma. Final response rate was 50.0%. Un-responsible group had significantly higher RFS than responsible group. CONCLUSION: The efficacy of PPI and SI was limited for contact granuloma in this study. Botulium toxin injection was recommended in early phase when PPI and SI did not effective for contact granuloma. Prospective studies evaluating the effects of PPI and SI are warranted.
Botulinum Toxins ; Granuloma* ; Humans ; Methods ; Nebulizers and Vaporizers* ; Prospective Studies ; Proton Pumps* ; Protons* ; Vocal Cords ; Voice

DISPLAY OPTIONS

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share