{"title":"A case of pulsatile tinnitus from the atherosclerosis and atheroma in superior labial artery and facial artery.","authors":"Jung Min Kim, Choon Dong Kim, Seung Woo Kim","doi":"10.7874/kja.2012.16.3.156","DOIUrl":"https://doi.org/10.7874/kja.2012.16.3.156","url":null,"abstract":"<p><p>Tinnitus is one of the most common symptoms in an audiologic field. It can be classified as either as subjective or objective; former referring to the sensation heard by both patient and examiner. Pulsatile tinnitus is perceived as sounds that vary in frequency, intensity and duration. The cause of pulsatile tinnitus include high jugular bulb, benign intracranial hypertension, glomus tumors, carotid artery stenosis, vascular lesions of the temporal bone, arteriovenous malformation, aneurysms, and Arnold-Chiari malformation. Vascular tinnitus is most common (7.6%). Recently, the authors experienced one case of the pulsatile tinnitus caused by atherosclerosis and atheroma in superior labial artery & facial artery. After surgery, the symptom had disappeared. We report a unique case regarding the objective tinnitus with the literature review. </p>","PeriodicalId":90252,"journal":{"name":"Korean journal of audiology","volume":"16 3","pages":"156-8"},"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/e4/01/kja-16-156.PMC3936656.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32197031","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}
Byoung Soo Shim, Byung Chul Kang, Chang-Hee Kim, Tae Su Kim, Hong Ju Park
{"title":"Superior canal dehiscence patients have smaller mastoid volume than age- and sex-matched otosclerosis and temporal bone fracture patients.","authors":"Byoung Soo Shim, Byung Chul Kang, Chang-Hee Kim, Tae Su Kim, Hong Ju Park","doi":"10.7874/kja.2012.16.3.120","DOIUrl":"https://doi.org/10.7874/kja.2012.16.3.120","url":null,"abstract":"<p><strong>Background and objectives: </strong>The purpose of the study was to compare the mastoid air-cell volume of the patients with superior semicircular canal dehiscence syndrome (SCDS) and that of the control patients with otosclerosis and temporal bone (TB) fracture.</p><p><strong>Subjects and methods: </strong>Ten patients with SCDS were enrolled and 10 patients with bilateral otosclerosis and TB fracture were selected as control groups by age and sex matching. To measure the mastoid air-cell volume, 3D reconstruction software was used.</p><p><strong>Results: </strong>In 10 patients with SCDS, the mean age was 44.5 years, ranging from 16 to 79 years (M : F=4 : 6). Mean mastoid air-cell volume in the SCDS side was 3319.9 mm(3), whereas 4177.2 mm(3) in the normal side (p=0.022). Mean mastoid air-cell volume in the right side of otosclerosis patients was 6594.3 mm(3) and it was not different from 6380.5 mm(3) in the left side (p=0.445). Mean mastoid air-cell volume in normal side of TB fracture was 6477.2 mm(3). The mastoid air-cell volume in the SCDS side was significantly smaller than that of otosclerosis and TB fracture patients (p=0.009, p=0.002, respectively). The mastoid air-cell volume in the normal side of SCDS was significantly smaller than that of TB fracture (p=0.019), but not significant with that of otosclerosis (p=0.063).</p><p><strong>Conclusions: </strong>Our findings revealed that the mastoid air-cell volume in the SCDS side was significantly smaller than control group, which suggest that the decreased mastoid pneumatization is closely related to the generation of SCDS.</p>","PeriodicalId":90252,"journal":{"name":"Korean journal of audiology","volume":"16 3","pages":"120-3"},"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/7f/aa/kja-16-120.PMC3936659.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32194964","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}
So Young Park, Guen-Ho Lee, Jung Mee Park, Sang-Gyun Jin, Jeong-Hoon Oh
{"title":"Clinical characteristics of auricular keloids treated with surgical excision.","authors":"So Young Park, Guen-Ho Lee, Jung Mee Park, Sang-Gyun Jin, Jeong-Hoon Oh","doi":"10.7874/kja.2012.16.3.134","DOIUrl":"https://doi.org/10.7874/kja.2012.16.3.134","url":null,"abstract":"<p><strong>Background and objectives: </strong>Differences in morphology of auricular keloids possibly contribute to distinct results of treatment. The aim of this study was to evaluate clinical characteristics of the auricular keloids according to the modified Chang-Park classification and to compare the results of treatment including recurrence rate between the subgroups.</p><p><strong>Subjects and methods: </strong>Clinical data of 15 patients of auricular keloids were retrospectively reviewed. The keloids were classified according to modified Chang-Park classification. Clinical characteristics, the presence of recurrence, and the duration required for the recurrence were compared.</p><p><strong>Results: </strong>Eight out of 15 patients (53.3%) were single sessile type (type II), followed by 4 patients of pedunculated type, 1 patient of multiple sessile type, 1 patient of buried type, and 1 patient of mixed type, respectively. Recurrent keloids after previous surgeries were noted in 7 out of 15 patients and most of them (6 of 7, 85.7%) were sessile type. Three patients who underwent surgery at our department showed recurrence.</p><p><strong>Conclusions: </strong>The classification of auricular keloids according to morphologic patterns can assist surgeons in choosing the appropriate management.</p>","PeriodicalId":90252,"journal":{"name":"Korean journal of audiology","volume":"16 3","pages":"134-7"},"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/f8/02/kja-16-134.PMC3936665.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32194967","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":"Preauricular angioleiomyoma.","authors":"Il Ha Moon, Su Sie Chin, Moo Kyun Park","doi":"10.7874/kja.2012.16.3.138","DOIUrl":"https://doi.org/10.7874/kja.2012.16.3.138","url":null,"abstract":"<p><p>Preauricular masses are commonly seen in the otology clinic. Excisional biopsy is essential for diagnosis, and treatment is necessary to reduce the risk of malignancy and for cosmetic purposes. We recently treated a rare case of angioleiomyoma of the preauricular area. Angioleiomyoma is a benign tumor arising from smooth muscle within blood vessel walls. These tumors can arise anywhere in the body; however, they are usually found in the lower extremities and present as a painful mass. Angioleiomyoma of the preauricular area in an elderly person is rare, and only a few cases have been reported. Here, we report the case of an 85-year-old male patient with angioleiomyoma of the preauricular area and provide a literature review. </p>","PeriodicalId":90252,"journal":{"name":"Korean journal of audiology","volume":"16 3","pages":"138-40"},"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/a7/a7/kja-16-138.PMC3936666.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32194968","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":"Epithelial-myoepithelial carcinoma of external auditory canal evolving from pleomorphic adenoma.","authors":"Jae-Wook Lee, Na-Hye Myung, Myung-Whan Suh","doi":"10.7874/kja.2012.16.3.148","DOIUrl":"https://doi.org/10.7874/kja.2012.16.3.148","url":null,"abstract":"<p><p>A 45-year-old female patient visited the clinic due to ear fullness. A 8 mm sized mass was found in the external auditory canal. It was surgically removed and the pathology exam confirmed epithelial-myoepithelial carcinoma (EMC). EMC is glandular epithelial neoplasm of the salivary gland. EMC originating from the external auditory canal is very rare, and only 1 case has been reported so far in the literature. The difference between our case and the one previously published was that the tumor was previously proven as a benign tumor (i.e. pleomorphic adenoma) 5 years ago. Therefore, this is the first case in the literature showing the evolvement of pleomorphic adenoma of the external auditory canal into EMC. </p>","PeriodicalId":90252,"journal":{"name":"Korean journal of audiology","volume":"16 3","pages":"148-51"},"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/c2/54/kja-16-148.PMC3936661.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32194971","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}
Beom-Jun Lee, Seong-Cheon Bae, Jae-Hong Lee, Kyoung-Ho Park
{"title":"A case of Basal cell carcinoma of external auditory canal.","authors":"Beom-Jun Lee, Seong-Cheon Bae, Jae-Hong Lee, Kyoung-Ho Park","doi":"10.7874/kja.2012.16.2.91","DOIUrl":"https://doi.org/10.7874/kja.2012.16.2.91","url":null,"abstract":"<p><p>Malignant tumor originated from external auditory canal (EAC) is very rare with an annual incidence of around 1 per million. Pathologically, squamous cell carcinoma is incidentally most common, and adenoid cystic carcinoma, basal cell carcinoma, and melanoma follow in decreasing order. Due to the rarity of malignant tumor of EAC, there is no widely accepted treatment modality yet. But basal cell carcinoma, known to be less aggressive tumor, can be removed with a minimal safety margin and have better treatment results. Recently we experienced a case of basal cell carcinoma in the EAC, confined in the cartilaginous portion of EAC, presenting with intermittent otorrhea for several years. The patient was treated with a sleeve resection of the EAC with a safety margin reconstructed with a split-thickness skin graft. No tumor recurrence or complication was noted in the first postoperative year. </p>","PeriodicalId":90252,"journal":{"name":"Korean journal of audiology","volume":"16 2","pages":"91-4"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.7874/kja.2012.16.2.91","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32195547","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 of giant osteoma developed from the mastoid cortical bone.","authors":"Sung Joon Park, Young Ho Kim","doi":"10.7874/kja.2012.16.2.95","DOIUrl":"https://doi.org/10.7874/kja.2012.16.2.95","url":null,"abstract":"<p><p>An osteoma of the temporal bone is a rare benign tumor. External auditory canal is the most common site of osteomas arising from temporal bone, and mastoid osteoma is very rare. A case of a 42-year-old female with a huge osteoma which developed from mastoid cortical bone is presented and the review of the temporal bone osteomas is discussed. The patient showed a huge and hard mass in the right mastoid area growing over a 20-year period. A temporal bone computed tomography scan demonstrated 2.3×2.3×4.3 cm sized bony tumor on surface of the right mastoid and squama. The resection of whole bony tumor with mastoid cortical bone was performed using retroauricular approach. Pathologic evaluation revealed the osteoma. The huge osteoma in the mastoid area may induce a cosmetic deformity. Early diagnosis and surgical removal of the osteoma may ensure an easy and complete treatment. The total resection of bony tumor including mastoid cortical bone is recommended to avoid recurrence. </p>","PeriodicalId":90252,"journal":{"name":"Korean journal of audiology","volume":"16 2","pages":"95-8"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/18/8a/kja-16-95.PMC3936565.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32195548","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":"Prevalence and risk factors of hearing loss using the korean working conditions survey.","authors":"Kyoo Sang Kim, Oh Jun Kwon","doi":"10.7874/kja.2012.16.2.54","DOIUrl":"https://doi.org/10.7874/kja.2012.16.2.54","url":null,"abstract":"<p><strong>Background and objectives: </strong>The hearing loss of workers can occur when they are affected by age, otologic disease, and work-related risks such as noise and chemicals. Based on the Korean Working Conditions Survey (KWCS) in 2010, this research aimed to estimate the prevalence rate of hearing loss and to identify the risk factors affecting its occurrence.</p><p><strong>Subjects and methods: </strong>The subjects were 10019 employees who completed an interview conducted as part of KWCS in 2010. The prevalence rate of hearing loss according to sex, age, education, income, smoking, drinking, hypertension, industrial type, occupations, employment status, working period, and hazards at the workplace were assessed. The factors that could affect the occurrence of hearing loss were investigated based on a logistic regression analysis.</p><p><strong>Results: </strong>The prevalence rate of hearing loss was 2.7%. In a logistic multivariate analysis, sex, age, occupations, working period, noise, and exposure to chemicals showed statistically significant correlations to the occurrence of hearing loss. The adjusted odd ratios were as follows: 1.74 [95% confidence interval (CI), 1.03-2.96] for males, 2.11 (95% CI, 1.14-3.89) for those in their 40s, 2.24 (95% CI, 1.19-4.20) for those in their 50s, 2.21 (95% CI, 1.18-4.15) for manage/professional works, 2.73 (95% CI, 1.69-4.41) for manufacturing, 2.07 (95% CI, 1.36-3.15) for those who have worked for more than 20 years, 1.72 (95% CI, 1.14-2.58) for noise exposure, 1.53 (95% CI, 1.02-2.30) for vibration exposure and 1.58 (95% CI, 1.11-2.24) for chemical exposure.</p><p><strong>Conclusions: </strong>The overall occupational and non-occupational risk factors related to employees' hearing loss were reviewed. In addition to the exposure to noise, occupational risks of hearing loss, such as isolated exposure to vibration and chemicals, and combined exposure to noise and these hazards, were identified. Multiple exposure to hazards, along with prolonged noise exposure increased the risk of hearing loss.</p>","PeriodicalId":90252,"journal":{"name":"Korean journal of audiology","volume":"16 2","pages":"54-64"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/70/83/kja-16-54.PMC3936569.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32195633","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":"Characteristics of adverse effects when using high dose short term steroid regimen.","authors":"Kyung Hyun Min, Chung-Ku Rhee, Jae Yun Jung, Myung-Whan Suh","doi":"10.7874/kja.2012.16.2.65","DOIUrl":"https://doi.org/10.7874/kja.2012.16.2.65","url":null,"abstract":"<p><strong>Background and objectives: </strong>Although the adverse effect of long term steroid usage is well known, the adverse effect of short term high dose steroid usage has not been studied thoroughly. The purpose of this study was to identify the characteristics of the adverse effects when using a high dose steroid for a short term. We also compared the adverse effect of steroid between in- and out-patients.</p><p><strong>Subjects and methods: </strong>The medical record of 500 patients, who were treated with methylprednisolone 48 mg/day for 1-2 weeks, was retrospectively reviewed. Steroid was prescribed due to SSNHL, Bell's palsy, Ramsay-Hunt syndrome and herpes zoster oticus. The incidence of each adverse effect was analyzed, and also the time point of detection was analyzed. The 500 patients were composed of 250 in-patients and 250 out-patients. The adverse effect was compared between these two groups, as well.</p><p><strong>Results: </strong>Adverse effect of steroid was found in 33.0% of the patients. Among these adverse effects, abdominal discomfort (26.8%) was most common, followed by skin rash (14.7%), swelling (13.4%), and hot flush (6.9%). Abdominal discomfort and hot flush was mostly detected on the first week. Meanwhile, the skin rash was usually detected on the third week. The incidence of adverse effect was significantly higher in the out-patient group.</p><p><strong>Conclusions: </strong>The incidence of high dose short term steroid treatment may be very high. The patients should be warned about these adverse effects. Monitoring should be performed until 3-4 week, since some adverse effects may not be detected until this time point.</p>","PeriodicalId":90252,"journal":{"name":"Korean journal of audiology","volume":"16 2","pages":"65-70"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d7/29/kja-16-65.PMC3936564.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32195634","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 of ramsay hunt syndrome with cranial polyneuropathy.","authors":"Chang-Hee Kim, Seong Il Kang, Young Ho Kim","doi":"10.7874/kja.2012.16.2.80","DOIUrl":"https://doi.org/10.7874/kja.2012.16.2.80","url":null,"abstract":"<p><p>Ramsay Hunt syndrome is an infectious disease caused by the varicella zoster virus. It is characterized by the symptoms of facial paralysis, otalgia, and erythematous vesicular rash on the auricle and/or oral cavity. We present a case of a patient with clinical evidence of Ramsay Hunt syndrome involving the cranial nerves VI, VII, and VIII. The patient, a 66-year-old woman, showed left facial palsy associated with vesicular eruptions on her left auricle, impaired gaze to left side, and left hearing loss. Four months after the treatment with systemic steroid and antiviral agents, her all symptoms and signs including facial paralysis and diplopia disappeared. </p>","PeriodicalId":90252,"journal":{"name":"Korean journal of audiology","volume":"16 2","pages":"80-2"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.7874/kja.2012.16.2.80","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32195637","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}