Jong Seung Kim

The increasing incidence of paranasal sinus fungus ball: A retrospective cohort study in two hundred forty-five patients for fifteen years.

• There is converging evidence in that the suppression of neural hyperactivity by lateral inhibition using tailormade notch filtering is a promising approach to support tinnitus treatments. • We evaluated a new notched environmental sound technology for the first time as hearing aid-supported tinnitus treatment in 20 tinnitus patients. • This technology employs a notch filter which abruptly filters out environmental sounds in behind-the-ear hearing aids at the tinnitus frequency. • We evaluated this new approach using a double-blind pre-/post-therapy evaluation in 20 tinnitus patients (10 controls, 10 patients with notched environmental sound) using a widely accepted psychometric instrument and objective electroencephalographic means. • The subjective and objective results show that tailormade notch filtering in hearing aids might support tinnitus treatments.

Ultrasound‐guided core needle biopsy in salivary glands: A meta‐analysis

Core needle biopsy is an effective diagnostic tool widely used in many oncological diagnostic approaches. It provides an adequate tissue sample for histological evaluation of architecture, which allows tumor grading and classification of malignant and benign tumors. This study aimed to provide an updated meta‐analysis and systematic review of core needle biopsy in the salivary glands.

Is nonabsorbable nasal packing after septoplasty essential? A meta‐analysis

Septoplasty is one of the most frequently performed rhinologic surgeries. Complications include nasal bleeding, pain, headache, septal hematoma, synechia, infection, residual septal deviation, and septal perforation. In this study, we aimed to compare complication rates among patients according to packing method.

Recurrence of sinonasal inverted papilloma following surgical approach: A meta-analysis.

Inverted papilloma (IP) is a rare benign tumor, which is found in the sinonasal area. It is characterized by recurrence, local destruction, and malignant change. Of these, recurrence is a challenging problem to many otolaryngologists. In this study, we evaluated recurrence based on the type of surgical approach using a meta‐analysis.

Can Intracapsular Tonsillectomy Be an Alternative to Classical Tonsillectomy? A Meta-analysis

Objective Tonsillectomy is the most common operation performed in the otolaryngologic fields. Efforts have been made to reduce postoperative complications, and one of these is intracapsular tonsillectomy and adenoidectomy (ICTA), which leaves the tonsillar tissue with tonsillar capsule. This study aimed to evaluate intracapsular tonsillectomy compared with classical extracapsular tonsillectomy in terms of efficacy of the technique for managing obstructive sleep apnea (OSA) and reducing postoperative complications. Data Sources We performed a literature search using PubMed, EMBASE, and the Cochrane Library through December 2016. Review Methods Summarized risk ratio (RR), risk differences (RDs), and standardized mean differences (SMDs) with 95% confidence intervals (CIs) were estimated by summarizing the risk estimates of each study using random-effects models that considered both within- and between-study variations. Results Our search included 15 randomized controlled studies. The RRs for postoperative bleeding and residual tonsils were, respectively, 0.44 (P = .01) and 6.02 (P = .0002). There were significant differences in postoperative pain (P = .0022), need for analgesics (P < .0001), days to normal diet (P = .006), and days to normal activity (P < .00001) between intracapsular tonsillectomy and extracapsular tonsillectomy. Conclusions Intracapsular tonsillectomy can effectively reduce postoperative pain and bleeding, which shortens the time required to return to normal life. There was no difference between microdebrider and coblator in intracapsular tonsillectomy regarding postoperative pain and bleeding. It can increase the risk of remnant tonsils; however, it does not increase the risk of recurrent infection.

Atypical Kawasaki disease presenting as a retropharyngeal abscess

Kawasaki disease (KD) is an acute systemic vasculitis of unknown etiology, also called an acute febrile mucocutaneous lymph node syndrome, which is first identified by Dr. Tomisaku Kawasaki in 1967. This disease is characterized by fever, erythematous rash, cervical lymphadenitis, strawberry tongue, nonpurulent conjunctivitis and desquamation of hands and feet. Of these symptoms, the most infrequent symptom is cervical lymphadenitis (50%--75%) while the others occur in 90% of the cases. Cervical lymphadenitis as initial presenting symptom occurs in only 12% of the times and may be misdiagnosed as other disease entity. KD involves all blood vessels, especially medium sized vessels like the coronary artery. In this regard, KD may cause severe complications with delayed treatment. Image of retropharyngeal low-density area, in addition to retropharyngeal abscess and edema is usually associated to a fatal condition if not appropriately treated. Otolaryngologists are familiar with this disease and may treat it withA doença de Kawasaki (DK) é uma vasculite sistêmica aguda de etiologia desconhecida, também denominada síndrome do linfonodo subcutâneo, originalmente identificada pelo dr. Tomisaku Kawasaki, em 1967. Essa doença é representada por febre, erupção eritematosa, linfadenite cervical, língua em morango, conjuntivite não purulenta e descamação das mãos e pés. Desses sinais e sintomas, o menos frequente é a linfadenite cervical (50-75%), sendo que os outros ocorrem em 90% dos casos.1 Como manifestação inicial, a linfadenite cervical ocorre em apenas 12%,2 podendo ser equivocadamente diagnosticada como outra entidade nosológica. DK envolve todos os vasos sanguíneos, especialmente os de calibre médio, como a artéria coronária. Nesse tocante, DK pode causar graves complicações, se houver atraso no tratamento. Imagens com áreas de baixa densidade retrofaríngea, associadas a abscesso retrofaríngeo e edema, podem significar uma condição fatal se não for apropriadamente tratada. Os otorrinolaringologistas estão familiarizados com a doença e podem tratar esse abscesso por meio de cirurgia, objetivando a drenagem e, com isso, prevenindo o bloqueio das vias aéreas. DK acompanhada por abscesso retrofaríngeo é doença muito rara e pode se constituir em desafio para muitos otorrinolaringologistas. Tivemos a oportunidade de examinar uma menina com 9 anos que se apresentou como tendo um abscesso retrofaríngeo, o que resultou em atraso no diagnóstico.

Mupirocin in the Treatment of Staphylococcal Infections in Chronic Rhinosinusitis: A Meta-Analysis.

Background Saline irrigation of the nasal cavity is a classic and effective treatment for acute or chronic rhinosinusitis. Topical antibiotics such as mupirocin have been widely used for recalcitrant chronic rhinosinusitis. Therefore, the purpose of this study was to evaluate the effect of saline irrigation using mupirocin. Methods A systematic literature review and meta-analysis of mupirocin saline irrigation were performed using EMBASE, MEDLINE, and Cochrane library through December 2015. Data were analyzed with R 3.2.2 software. A random effects model was used because of the diversity of included studies. Sensitivity analysis of particular tested groups and single proportion tests were also performed. The main outcome measure was residual staphylococcal infection, as confirmed by culture or PCR. Results Two RCTs, two prospective studies and two retrospective studies were included. A random effects model meta-analysis of the pooled data identified a relative risk of residual infection of 0.13 (95% CI: 0.06–0.26, p<0.05) with low heterogeneity (I2 = 0%). The proportion of residual staphylococcal infections after 1 month was 0.08 (95% CI: 0.04–0.16). However, this proportion increased to 0.53 at 6 months (95% CI: 0.27–0.78). Conclusions The short-term use of mupirocin has a strongly reductive effect on staphylococcal infection in chronic rhinosinusitis. Although there is currently a lack of clear evidence, future studies with well-designed inclusion criteria and randomized controlled trials are needed to examine mupirocin’s long-term effect on chronic rhinosinusitis.

Sternohyoid muscle syndrome

OBJECTIVES Patients presenting with neck mass are challenging for many otolaryngologists. If a mass on the lower lateral neck exists with swallowing and disappears after swallowing, it has been diagnosed as an omohyoid syndrome in most literature. The mechanism of sternohyoid syndrome has not been proven or investigated before. We investigated sternohyoid syndrome, commonly misdiagnosed as an omohyoid syndrome. METHODS AND PATIENTS Two patients were investigated. Outpatient photography, computed tomography and operating findings were reviewed. We found that the sternohyoid muscle was inserted at an abnormal site, the midportion of the clavicle. There was no abnormality of other muscles. We also reviewed all literature that previously diagnosed this condition as an omohyoid syndrome. RESULTS There was no literature about sternohyoid syndrome. We found that the abnormal muscle is a sternohyoid muscle and not omohyoid muscle. The color of the left sternohyoid muscle was dark red, and the fascia covering the muscle was denuded. The muscle had lost elasticity and moved abnormally. CONCLUSION Our patients did not have omohyoid syndrome. The symptoms of omohyoid syndrome are the same as sternohyoid syndrome but the problematic muscle is different. This is the first known report diagnosing sternohyoid syndrome, and should be a consideration in the diagnosis of a lateral neck mass.

Case reportAtypical Kawasaki disease presenting as a retropharyngeal abscessDoença de Kawasaki atípica manifestando-se como abscesso retrofaríngeo☆

Kawasaki disease (KD) is an acute systemic vasculitis of unknown etiology, also called an acute febrile mucocutaneous lymph node syndrome, which is first identified by Dr. Tomisaku Kawasaki in 1967. This disease is characterized by fever, erythematous rash, cervical lymphadenitis, strawberry tongue, nonpurulent conjunctivitis and desquamation of hands and feet. Of these symptoms, the most infrequent symptom is cervical lymphadenitis (50%--75%) while the others occur in 90% of the cases. Cervical lymphadenitis as initial presenting symptom occurs in only 12% of the times and may be misdiagnosed as other disease entity. KD involves all blood vessels, especially medium sized vessels like the coronary artery. In this regard, KD may cause severe complications with delayed treatment. Image of retropharyngeal low-density area, in addition to retropharyngeal abscess and edema is usually associated to a fatal condition if not appropriately treated. Otolaryngologists are familiar with this disease and may treat it withA doença de Kawasaki (DK) é uma vasculite sistêmica aguda de etiologia desconhecida, também denominada síndrome do linfonodo subcutâneo, originalmente identificada pelo dr. Tomisaku Kawasaki, em 1967. Essa doença é representada por febre, erupção eritematosa, linfadenite cervical, língua em morango, conjuntivite não purulenta e descamação das mãos e pés. Desses sinais e sintomas, o menos frequente é a linfadenite cervical (50-75%), sendo que os outros ocorrem em 90% dos casos.1 Como manifestação inicial, a linfadenite cervical ocorre em apenas 12%,2 podendo ser equivocadamente diagnosticada como outra entidade nosológica. DK envolve todos os vasos sanguíneos, especialmente os de calibre médio, como a artéria coronária. Nesse tocante, DK pode causar graves complicações, se houver atraso no tratamento. Imagens com áreas de baixa densidade retrofaríngea, associadas a abscesso retrofaríngeo e edema, podem significar uma condição fatal se não for apropriadamente tratada. Os otorrinolaringologistas estão familiarizados com a doença e podem tratar esse abscesso por meio de cirurgia, objetivando a drenagem e, com isso, prevenindo o bloqueio das vias aéreas. DK acompanhada por abscesso retrofaríngeo é doença muito rara e pode se constituir em desafio para muitos otorrinolaringologistas. Tivemos a oportunidade de examinar uma menina com 9 anos que se apresentou como tendo um abscesso retrofaríngeo, o que resultou em atraso no diagnóstico.

Mumps Presenting as a Parotid Abscess.

Parotid abscess is an uncommon condition in infants. It is frequently associated with prematurity, prolonged gavage feeding, and dehydration. Mumps is a viral disease caused by paramyxovirus. It frequently involves the parotid gland and is only rarely found in the pancreas, testis, or brain. The authors describe a rare case of a 10-month-old infant with mumps who developed the classical manifestations of unilateral acute parotitis progressing to formation of a parotid abscess that responded to 2 rounds of surgical drainage and antibiotic therapy.