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Hemangiomas are very common tumors characterized by large numbers of vessels filled with blood. Capillary hemangioma is the most common type of hemangioma, whereas capillary hemangiomas of the tympanic membrane and external auditory canal are extremely rare vascular tumors. The authors present capillary hemangioma of the tympanic membrane and external auditory canal in a 54-year-old woman with right-sided aural fullness for 3 months. Under local anesthesia, the mass was resected by transcanal microscopic surgery. Histologically, the tumor was composed of thin-walled capillaries with scant stroma and diagnosed as capillary hemangioma. After surgery, her symptoms improved and she did not exhibit any signs of recurrence for 1 year. The authors also review the relevant literature related to this report.

In many cases of mucormycosis, immediate surgical treatments are necessary because of its fulminant course and destructive characteristics in an immunocompromised patient. However, a chronic indolent type is also observed in a healthy group of people. We experienced rhinomucormycosis in a 56-year-old woman with diabetes who previously had pulmonary mucormycosis. She was treated successfully through endoscopic sinus surgery and nasal irrigation with antifungal agent. Herein, we report the clinical courses and symptoms of this patient with literature review.

Various materials such as fascia, perichondrium, and cartilage have been used for reconstruction of the tympanic membrane in middle ear surgery. Because of its stiffness, cartilage is resistant to resorption and retraction. However, cartilage grafts result in increased acoustic impedance, the main limitation to their use. The aim of this study was to compare the hearing results after cartilage tympanoplasty versus fascia tympanoplasty. This study included 114 patients without postoperative tympanic membrane perforation who underwent tympanoplasty type I between 2007 and 2010, 31 with fascia and 83 with cartilage. Preoperative and 1 year postoperative air-bone gap (ABG) and postoperative gain in ABG at frequencies of 0.5, 1, 2, and 3 kHz were assessed. Both groups were statically similar in terms of the severity of middle ear pathology and the preoperative hearing levels. Overall, postoperative successful hearing results showed 77.4% of the fascia group and 77.1% of the cartilage group. Mean postoperative gains in ABG were 9.70 dB for the fascia group and 9.78 dB for the cartilage group. These results demonstrate that hearing after cartilage tympanoplasty is comparable to that after fascia tympanoplasty. Although cartilage is the ideal grafting material in problematic cases, it may be used in less severe cases, such as in type I tympanoplasty, without fear of impairing hearing.

Background and ObjectivesZZSudden hearing loss remain a controversial issue with respect to its prognostic indicators. In a recent study, the change in distortion product otoacoustic emission (DPOAE) has been shown to provide useful information about its prognosis. The purpose of this study is to evaluate the relationship between the changes of DPOAE and hearing improvement in sudden deafness patients. Subjects and MethodZZSixty-one patients underwent pure tone audiometry (PTA) and DPOAE on their first hospital day ; among them 35 patients underwent DPOAE after 2 weeks. These patients were divided into mild (≤40 dB) group, moderate to moderately severe (41-70 dB) group and severe (≥71 dB) group according to their initial hearing thresholds. ResultsZZOf the 22 patients in the moderate to severe group, 11 patients showed a DPOAE response and 5 patients (45%) showed hearing improved. In 11 non-DPOAE response patients, 4 patients (36.4%) had improved. We compared PTA and OAE sum gap results by analyzing 35 patient’s initial thresholds with those measured 2 weeks after the therapy. The correlation coefficient between the two group was 0.547 (p＜0.05). ConclusionZZThe results show that OAE sum is an efficient and non-invasive objective meth od and that it can be used to monitor the effects of treatment in sudden hearing loss patients. � Korean J Otorhinolaryngol-Head Neck Surg 2013;56:212-6 Key WordsZZOtoacoustic emissions ㆍPrognosis ㆍSudden hearing loss.

Ramsay Hunt 증후군 혹은 이성대상포진은 수두대상포진 바 이러스의 감염과 관련되어 있으며 말초성 안면마비, 이개 및 안 면부의 대상성 포진 등의 특징적인 증상을 보인다. 흔히 안면신 경 이외에 8번 뇌신경 마비는 흔히 동반되어 청력소실, 현훈 등 의 증상이 나타난다. 드물게 다발성 뇌신경 마비를 일으켜 3번, 4번, 5번, 6번, 9번, 10번, 11번, 12번 마비가 동반되어 안구운동 장애, 안면부 감각이상, 애성, 연하곤란, 흉쇄유돌근의 위축, 혀 운동 장애 등의 증상이 동반될 수 있다. 또한 수두대상포진 바이러스가 혈관병증(vasculopathy)을 유발한다면 중추계의 허 혈성 경색, 동맥류, 지주막하 출혈(subarachnoid hemorrhage), 소뇌 출혈(cerebral hemorrhage), 경동맥 박리(carotid dissection)까지도 발병할 수 있다. 저자들은 국내에서 처음으로 이 성대상포진 발병 후 다발성 뇌신경 마비와 연수(medullar oblongata)의 허혈성 병변이 발견된 경우를 경험하였기에 이에 대 해 보고하는 바이다.

Septochoanal polyp is a rare entity that originates in the nasal septum and extends into the choana. Based on nasal endoscopy, a 43-year-old woman, presenting with nasal obstruction, was suspected of having a nasopharyngeal tumor. A CT scan revealed a large choanal polyp pedicle with calcification in the central area. Because a simple polypectomy carries a high risk of recurrence, the treatment of the septochoanal polyp should involve a resection of the septal mucosa and complete surgical removal by either endonasal or transoral approach. Korean J Otorhinolaryngol-Head Neck Surg 2010;53:228-31 Key WordsZZNasal polyps·Calcification.

Background and Objectives : Many materials such as fascia, perichondrium and cartilage are used for reconstruction of the tympanic membrane in middle ear surgery. Because of its stiffness, cartilage is resistant to resorption and retraction. However, cartilage grafts result in increased acoustic impedance, so its use has caused controversies as to the acoustic transfer aspect. The aim of this study is to assess hearing results after cartilage tympanoplasty and after fascia tympanoplasty. Subjects and Method : This study included 74 patients who had received tympanoplasty type I between 2007 and 2009, of whom 44 received cartilage and 30 fascia. The middle ear risk index was used to statistically compare the preoperative state of the two groups. Preoperative and six months- postoperative air-bone gaps at the frequency 0.5, 1, 2 and 3 kHz were assessed. Results : Both groups were statistically similar with respect to the severity of middle ear pathology and the preoperative hearing levels. Overall postoperative hearing results showed air-bone gaps (ABG) 20 dB in 73% for the fascia group and 71% for the cartilage group. The mean postoperative gains in ABG were 8.97 dB for the fascia group and 10.84 dB for the cartilage group. There were no statistically significant differences in the postoperative frequency specific gains in ABG between the two groups. Conclusion : These results demonstrate that hearing results after cartilage tympanoplasty are comparable to those after fascia tympanoplasty. Although cartilage is the ideal grafting material in problem cases, a more liberal application might be suggested in such cases as in tympanoplasty type I without fear of impairing hearing.