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권오준,성재문,정휘경,김창우 대한청각학회 2017 Journal of Audiology & Otology Vol.21 No.3
Background and Objectives: The aim of our study was to evaluate postoperative mastoidaeration according to the preoperative middle ear disease and investigate the factors affectingit. Subjects and Methods: We retrospectively reviewed the high-resolution computed tomography(CT) scans of temporal bones that were taken 1 year after surgery. The postoperativemastoid aeration was evaluated according to the preoperative diagnosis, and classifiedinto three groups: grade 1 (complete mastoid aeration), an air-filled epitympanum and mastoidcavity; grade 2 (partial mastoid aeration), an air-filled epitympanum and partially aerated mastoidcavity; and grade 3 (absence of mastoid aeration), no air space in the mastoid cavity. Results:The overall mastoid aeration rate was 55.8%, with adhesive otitis media accounting for21.2%, attic cholesteatoma 53.8%, and chronic otitis media 75.4%. The rates of postoperativemastoid aeration were significantly higher in the chronic otitis media cases and attic cholesteatomacases than in the adhesive otitis media cases. There were 14 cases requiring revisionoperations due to the development of a retraction pocket in the tympanic membrane. Allof the revised cases had grade 3 postoperative mastoid aeration, and underwent canal walldown mastoidectomies. Conclusions: The degree of postoperative mastoid aeration is associatedwith the preoperative middle ear disease. When planning a canal wall up mastoidectomy,the surgeon should contemplate the middle ear disease, because a canal wall downmastoidectomy or mastoid obliteration is recommended if the patient has adhesive otitismedia.
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근위부 악하선 타석 제거수술 결과의 전향적 비교: 설하선 보존 경구강 타석 제거술, 설하선 절제 경구강 타석 제거술, 악하선 제거술
김건우,성재문,정휘경,김재순,박민우,권기환 대한이비인후과학회 2021 대한이비인후과학회지 두경부외과학 Vol.64 No.2
Background and Objectives Proximal submandibular stone is not a rare disease. The aimof this study is to evaluate the surgical outcomes of 3 different ways to treat proximal submandibularstone: intraoral removal of stone (IORS) with sublingual gland (SLG) resection, IORSwithout SLG resection and submandibular gland (SMG) resection. Subjects and Method We prospectively reviewed the surgical outcomes of IORS with SLGresection group (22 patients), IORS without SLG resection group (35 patients) and SMG resectiongroup (22 patients). To evaluate the surgical outcomes, we analyzed the location and size ofstones, mean operation time, mean hospital stay, mean postoperative degree of pain based ona visual analog scale (0–10), and incidence of complications. Results There were no significant differences between the mean diameter of stones and lengthfrom the hilum to stones. The mean operation time was shorter in the IORS without SLG resectiongroup than that in IORS without SLG resection group, and was significantly shorter thanthat of the SMG resection group. The mean hospital stay of the IORS without SLG resectiongroup was also shorter than that of IORS with SLG resection group, and was significantly shorterthan the SMG resection group. IORS without SLG resection group felt less pain than IORSwith SLG resection group and SMG resection group. Four patients who underwent IORS withoutSLG resection experienced transient and mild SMG swelling, and mild paresthesia wasnoted on the same side. All patients recovered within 3 months. Intraoral removal of proximalSMG stones exhibited several advantages over SMG resection in terms of hospital stay, meanoperation, time and postoperative pain. Conclusion Based on our results, we suggest that IORS without SLG resection be selected asthe primary procedure for the removal of proximal submandibular stones rather than SMG resection.
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난치성 양성돌발두위현훈의 양상을 보이는 화골성 내이염 1예
김동현,성재문,정휘경,김창우 대한평형의학회 2017 Research in Vestibular Science Vol.16 No.3
Benign paroxysmal positional vertigo (BPPV) is the most common peripheral vestibular disorder. It is easily cured with canal repositioning maneuvers, but some patients are resistant to the repositioning maneuver and require surgical intervention. Labyrinthitis ossificans is the pathologic condition that fibrous tissue and new bone occupy the membranous labyrinthine space. It occurs as a sequela of inner ear inflammation resulting from diverse causes, mostly bacterial mening-itis and otitis media. We describe here a 42-year-old female patient with refractory posterior semicircular canal (PSCC) BPPV and adhesive otitis media in same ear. Otoscopic examination revealed adhesive tympanic membrane without middle ear space and temporal bone computed tomography showed complete ossification of the labyrinth at the same side. We performed a canal wall down mastoidectomy and PSCC occlusion. The patient had complete resolution of paroxysmal vertigo and positional nystagmus, postoperatively.
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A Case of Medullary Infarction Presented Initial Symptoms Similar to Meniere’s Disease
박장희,김동현,성재문,김창우 대한청각학회 2018 Journal of Audiology & Otology Vol.22 No.1
Fluctuating hearing loss and vertigo are the typical presentations of Meniere’s disease. However,it is unusual that fluctuating hearing loss and vertigo are caused by vertebral artery occlusionor cerebral infarction. Here, we described the case of a 54-year-old male patient withhypertension and diabetes mellitus who presented with fluctuating hearing loss in his leftear and severe whirling-type dizziness without associated neurological signs or symptoms. Temporal magnetic resonance imaging (MRI) was normal. He was diagnosed with a possibleMeniere’s disease and started conservative treatment. Eight years later, the patient developeddysarthria and left-side weakness. Brain MRI revealed right anterior medullary infarction,and cerebral angiography showed occlusion of the right vertebral artery. In thiscase, we attempted to review the initial imaging study and reported the characteristics ofthe case.
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