Gyu Ho Hwang, Jong Yoon Jung, Gunhwee Yum, June Choi
{"title":"Tuberculous otitis media with facial paralysis combined with labyrinthitis.","authors":"Gyu Ho Hwang, Jong Yoon Jung, Gunhwee Yum, June Choi","doi":"10.7874/kja.2013.17.1.27","DOIUrl":"https://doi.org/10.7874/kja.2013.17.1.27","url":null,"abstract":"<p><p>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. </p>","PeriodicalId":90252,"journal":{"name":"Korean journal of audiology","volume":"17 1","pages":"27-9"},"PeriodicalIF":0.0,"publicationDate":"2013-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6d/7d/kja-17-27.PMC3936523.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32197037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Compound Nevus Occurring Near External Auditory Canal: Successful Treatment by CO2 Laser Abrasion.","authors":"Won-Serk Kim, Kye Hoon Park","doi":"10.7874/kja.2013.17.1.30","DOIUrl":"https://doi.org/10.7874/kja.2013.17.1.30","url":null,"abstract":"<p><p>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. </p>","PeriodicalId":90252,"journal":{"name":"Korean journal of audiology","volume":"17 1","pages":"30-1"},"PeriodicalIF":0.0,"publicationDate":"2013-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.7874/kja.2013.17.1.30","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32196900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mechanisms and treatment of blast induced hearing loss.","authors":"Chul-Hee Choi","doi":"10.7874/kja.2012.16.3.103","DOIUrl":"https://doi.org/10.7874/kja.2012.16.3.103","url":null,"abstract":"<p><p>The main objective of this study is to provide an overview of the basic mechanisms of blast induced hearing loss and review pharmacological treatments or interventions that can reduce or inhibit blast induced hearing loss. The mechanisms of blast induced hearing loss have been studied in experimental animal models mimicking features of damage or injury seen in human. Blast induced hearing loss is characterized by perforation and rupture of the tympanic membrane, ossicular damage, basilar membrane damage, inner and outer hair cell loss, rupture of round window, changes in chemical components of cochlear fluid, vasospasm, ischemia, oxidative stress, excitotoxicity, hematoma, and hemorrhage in both animals and humans. These histopathological consequences of blast exposure can induce hearing loss, tinnitus, dizziness, and headache. The pharmacological approaches to block or inhibit some of the auditory pathological consequences caused by blast exposure have been developed with antioxidant drugs such as 2,4-disulfonyl α-phenyl tertiary butyl nitrone (HXY-059, now called HPN-07) and N-acetylcysteine (NAC). A combination of antioxidant drugs (HPN-07 and NAC) was administered to reduce blast induced cochlear damage and hearing loss. The combination of the antioxidant drugs can prevent or treat blast induced hearing loss by reducing damage to the mechanical and neural component of the auditory system. Although information of the underlying mechanisms and treatment of blast induced hearing loss are provided, further and deep research should be achieved due to the limited and controversial knowledge. </p>","PeriodicalId":90252,"journal":{"name":"Korean journal of audiology","volume":"16 3","pages":"103-7"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.7874/kja.2012.16.3.103","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32195550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hyun Woo Kang, Hyun Joon Shim, Seong Jun Song, Seong Hee Lee, Sang Won Yoon
{"title":"Time course of the suppression effect on transient evoked otoacoustic emissions by prolonged contralateral acoustic stimulation.","authors":"Hyun Woo Kang, Hyun Joon Shim, Seong Jun Song, Seong Hee Lee, Sang Won Yoon","doi":"10.7874/kja.2012.16.3.114","DOIUrl":"https://doi.org/10.7874/kja.2012.16.3.114","url":null,"abstract":"<p><strong>Background and objectives: </strong>Although the suppressive effect of the medial efferent acoustic reflex is well known, the time course of this effect over prolonged periods has yet to be fully evaluated. We assessed time-dependent change in the suppression of transient evoked otoacoustic emissions (TEOAEs) by the medial efferent acoustic reflex over a relatively long period.</p><p><strong>Subjects and methods: </strong>We measured TEOAEs in the right ear before contralateral acoustic stimulation (CAS), and then measured serial TEOAEs in the right ear at four intervals during a total of 16 minutes of continuous CAS, followed by three more recordings after termination of CAS.</p><p><strong>Results: </strong>TEOAE amplitudes were reduced with CAS during a certain period (from the immediate period to 10 minutes depending on frequency) and subsequently recovered. TEOAE suppression values in the mean amplitudes for overall frequency were 0.76 dB at the initial recording, 0.35 dB at 5 minutes, 0.44 dB at 10 minutes, and 0.33 dB at 15 minutes during CAS. The initial suppression value was significantly larger than other suppression values of 5, 10, and 15 minutes (p<0.05). In recordings obtained after CAS, TEOAE amplitude exceeded pre-acoustic amplitudes at 1 kHz, 1.5 kHz, and 2 kHz.</p><p><strong>Conclusions: </strong>The present results show the existence of the medial efferent acoustic reflex and demonstrate the time course that TEOAE suppressions present initially after CAS, showing fatigue over time. Overshooting of TEOAE was observed in recordings at several frequencies after termination of CAS.</p>","PeriodicalId":90252,"journal":{"name":"Korean journal of audiology","volume":"16 3","pages":"114-9"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/df/c7/kja-16-114.PMC3936663.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32195552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mupirocin ointment prevents early post-tympanostomy tube otorrhea: a preliminary study.","authors":"Kye Hoon Park, Chi-Kyou Lee","doi":"10.7874/kja.2012.16.3.130","DOIUrl":"https://doi.org/10.7874/kja.2012.16.3.130","url":null,"abstract":"<p><strong>Background and objectives: </strong>The most common complication of tympanostomy tube (T-tube) insertion is the development of postoperative otorrhea. Post-tympanostomy tube otorrhea (PTTO) is defined as active drainage through an existing T-tube. Many surgeons routinely use topical antibiotics as prophylaxis against early PTTO. Mupirocin calcium ointment is a topical antimicrobial agent with broad-spectrum antimicrobial activity against many Gram-positive organisms. This study evaluated the clinical effectiveness of topical mupirocin ointment in reducing early PTTO.</p><p><strong>Subjects and methods: </strong>The study included 98 ears (67 patients, mean age 32.9 years) that had a T-tube inserted because of chronic middle ear effusion or atelectatic otitis media. A Paparella type-I polyethylene-tube coated with mupirocin was inserted through the tympanostomy. Patients were instructed not to use otic drops or any other medications. All patients were seen by day 14 postoperatively.</p><p><strong>Results: </strong>Early PTTO occurred in one case (1.5%). No early PTTO was seen with a middle ear effusion. Nineteen children were treated under general anesthesia; none developed early PTTO.</p><p><strong>Conclusions: </strong>Insertion of a T-tube coated with mupirocin ointment could be effective at preventing early PTTO.</p>","PeriodicalId":90252,"journal":{"name":"Korean journal of audiology","volume":"16 3","pages":"130-3"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a5/fa/kja-16-130.PMC3936664.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32194966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jae-Hong Lee, Jae-Hyun Seo, Kyung-Ho Park, Beom Cho Jun
{"title":"A case of malignant small round cell tumor of temporal bone with facial paralysis.","authors":"Jae-Hong Lee, Jae-Hyun Seo, Kyung-Ho Park, Beom Cho Jun","doi":"10.7874/kja.2012.16.3.145","DOIUrl":"https://doi.org/10.7874/kja.2012.16.3.145","url":null,"abstract":"<p><p>Malignant small round cell tumor is very rare, especially in the head and neck area. It is also difficult to make a differential diagnosis due to their undifferentiated or primitive character. Immunohistochemical staining and chromosomal study is useful to categorize these tumors. Since these are rare tumors, treatment protocols are is not well established. While combined treatments (surgery, chemotherapy, radiotherapy) is currently being applied, the tumor still has a poor prognosis. We present a rare case of a rapidly growing temporal bone malignant small round cell tumor which initially showed facial paralysis. </p>","PeriodicalId":90252,"journal":{"name":"Korean journal of audiology","volume":"16 3","pages":"145-7"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8a/49/kja-16-145.PMC3936658.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32194970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hyun Jung Min, Chul Won Park, Jin Hyeok Jeong, Seok Hyun Cho, Kyung Rae Kim, Seung Hwan Lee
{"title":"Comparative analysis of the expression of involucrin, filaggrin and cytokeratin 4, 10, 16 in cholesteatoma.","authors":"Hyun Jung Min, Chul Won Park, Jin Hyeok Jeong, Seok Hyun Cho, Kyung Rae Kim, Seung Hwan Lee","doi":"10.7874/kja.2012.16.3.124","DOIUrl":"https://doi.org/10.7874/kja.2012.16.3.124","url":null,"abstract":"<p><strong>Background and objectives: </strong>The aim of this study is to determine whether the hyperproliferative and hyperkeratotic characters of cholesteatoma are associated with differentiation of keratinocytes in cholesteatoma by examining the localization of marker proteins, such as involucrin, filaggrin, and cytokeratins.</p><p><strong>Materials and methods: </strong>Immunohistochemical study was carried out in 30 cholesteatoma tissues and 10 retroauricular skins to examine the expression of involucrin, filaggrin, cytokeratin 4, 10 and 16. The staining results were graded as negative, weakly positive (<10%), moderately positive (10-70%), and strongly positive (>70%).</p><p><strong>Results: </strong>Involucrin was strongly expressed in upper spinous, granular, and corneal layer of cholesteatoma. Filaggrin was strongly expressed in granular and corneal layer of cholesteatoma. Cytokeratin 4 was expressed in basal layer of retroauricular skin, but occasionally expressed in suprabasal layer of cholesteatoma. Cytokeratin 10 was homogenously expressed in all suprabasal layer of retroauricular skin, whereas pattern of shift to surface layer was showed in cholesteatoma. Cytokeratin 16 was moderately expressed at suprabasal layer in cholesteatoma.</p><p><strong>Conclusions: </strong>It can be suggested that early differentiation of suprabasal layer may lead to hyperdifferentiation and hyperkeratosis. Different expression of cytokeratins possibly indicates the altered differentiation of cholesteatoma.</p>","PeriodicalId":90252,"journal":{"name":"Korean journal of audiology","volume":"16 3","pages":"124-9"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/66/10/kja-16-124.PMC3936667.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32194965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A case with the bilateral narrow bony cochlear nerve canals associated with near normal hearing thresholds.","authors":"Jae-Cheul Ahn, Shin-Hye Kim, Byung Yoon Choi","doi":"10.7874/kja.2012.16.3.141","DOIUrl":"https://doi.org/10.7874/kja.2012.16.3.141","url":null,"abstract":"<p><p>The narrow bony cochlear nerve canal in high resolution temporal bone computed tomography is frequently found in patients of congenital sensorineural hearing loss. But this bony structural anomaly could not conclude the functional outcome of cochlear nerve. Here, we present a case of a 14-month-old girl having bilateral narrow bony cochlear nerve canals. In magnetic resonance imaging, both the cochlear nerves were identified to be intact. Moreover, acoustic brainstem response threshold and auditory steady state response revealed nearly normal hearing thresholds. Therefore, we suggest that the narrow bony cochlear nerve canal itself does not necessarily indicate a substantial degree of hearing loss. </p>","PeriodicalId":90252,"journal":{"name":"Korean journal of audiology","volume":"16 3","pages":"141-4"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8a/32/kja-16-141.PMC3936660.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32194969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Role of nicotinic acetylcholine receptor on efferent inhibition in cochlear hair cell.","authors":"Gi Jung Im","doi":"10.7874/kja.2012.16.3.108","DOIUrl":"https://doi.org/10.7874/kja.2012.16.3.108","url":null,"abstract":"<p><p>The α9α10 nicotinic acetylcholine receptors (nAChRs) mediates efferent inhibition of hair cell function within the auditory sensory organ. Gating of the nAChRs leads to activation of calcium-dependent potassium channels to hyperpolarize the hair cell. In efferent system, main calcium providers to SK channel are nAChR and synaptic cistern, which contribution to efferent inhibition is different between avian and mammalian species. Calcium permeation is more effective in nAChRs of mammalian cochlea than avian cochlea, and mammalian calcium permeability of nAChRs is about 3 times more than avian hair cell. Thus, mammalian nAChRs is a main component of efferent inhibition in cochlear hair cell system. </p>","PeriodicalId":90252,"journal":{"name":"Korean journal of audiology","volume":"16 3","pages":"108-13"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/31/fe/kja-16-108.PMC3936662.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32195551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cerebrospinal fluid otorrhea caused by arachnoid granulation.","authors":"Sang Woo Kim, Jeong Hwan Choi","doi":"10.7874/kja.2012.16.3.152","DOIUrl":"https://doi.org/10.7874/kja.2012.16.3.152","url":null,"abstract":"<p><p>Cerebrospinal fluid (CSF) leakage otorrhea may be congenital or can be caused by trauma, surgery, cholesteatoma, and tumors. Spontaneous CSF leakage through the middle ear without a secondary cause is a relatively rare disease. The pathophysiology of CSF otorrhea has not been clear yet. However, there are two theories of the pathophysiology of spontaneous CSF otorrhea have been studied in the medical field: one based on the congenital defect; the other about the arachnoid granulation which causes bone erosion. Herein, we examine and report a case of CSF otorrhea caused by arachnoid granulation. Literatures pertaining to the disorder will be reviewed and characteristics of the disorder also will be discussed. </p>","PeriodicalId":90252,"journal":{"name":"Korean journal of audiology","volume":"16 3","pages":"152-5"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/31/16/kja-16-152.PMC3936668.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32197030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}