임상이비인후과(Journal of Clinical Otolaryngology Head and Neck Surgery)

About Journal of Clinical Otolaryngology Head and Neck Surgery

본지는 대한이비인후과학회 부산·울산·경남 지부회에서 연 4회 발행되는 공식 학술지로서 1990년 5월 25일에 처음 발간되었으며, 1958년 6월 15일에 처음 발간된 대한이비인후과학회지 다음으로 이비인후과와 관련된 잡지 중 가장 오래된 잡지이자 대한이비인후과학회에 소속되어 있는 지부회에서 발행되는 유일한 학술지이다. 본지는 귀, 코, 기관식도, 갑상선, 청각, 후두, 음성, 평형 등 한 분야에 치우치지 않고 이비인후과의 모든 분야에 대한 논문을 게재하고 있다. 특히 게재된 논문이 우수하고 독창적일 뿐 아니라 드물고 학술적 가치가 높은 주제들이 잘 다루어져 있어 게재된 논문이 대한이비인후과학회지와 분과학회지, 외국 논문들에 많이 활용이 되고 있다. 우수한 편집위원들로 구성된 편집위원회 회의를 1년에 2회 시행하고 있으며 편집위원회 회의 마다 전국의 구독자를 위해 발행이 되는 각 호마다 이비인후과의 각 분야에서 최근에 가장 관심과 주목을 받고 있는 주제를 정해 종설로 다루고 있으며, 이비인후과 의사들이 알아야 할 새로운 지식에 대해서는 정보란을 추가하여 이비인후과 학문은 물론 학문 외적으로도 도움이 되고 있어 높은 학술적 가치를 가지고 있다. 2011년에는 등재후보 학술지로 선정되었고 2016년 계속평가에서는 등재학술지로 선정되어 대한이비인후과학회 부산·울산·경남 지부회 소속 회원뿐만 아니라 대한이비인후과학회 및 관련 유관 단체 회원들로 부터 더욱 높은 학술적 가치와 평가를 받고 있다.
Review Article

Dec 31, 2022

Pathophysiology and Classification of Eustachian Tube Disorder
이관질환의 병태생리 및 분류

Se A Lee, Chi-Kyou Lee
이세아, 이치규

J Clin Otolaryngol Head Neck Surg 2022;33(4):165-173.
https://doi.org/10.35420/jcohns.2022.33.4.165

The Eustachian tube is the canal that connects the tympanic cavity with the nasopharynx, whose three main functions are ventilation, protection, and clearance. Eustachian tube dysfunction is directly related to the pathophysiology of the middle ear, as is the case with acute otitis media and otitis media with effusion. In the current review, we aim to provide background information on the anatomy, physiology, and pathophysiology of the eustachian tube.
Review Article

Dec 31, 2022

Diagnosis of Eustachian Tube Diseases
이관 질환의 진단

Ho Yun Lee
이호윤

J Clin Otolaryngol Head Neck Surg 2022;33(4):174-183.
https://doi.org/10.35420/jcohns.2022.33.4.174

This study reviewed recent literature on Eustachian tube dysfunctions and intended to provide updates on the topic. An electronic database search was performed. Eustachian tube diseases are classified into three types: dilatory dysfunction, baro-challenge-induced dysfunction, and patulous Eustachian tube. For the diagnosis of Eustachian disease, a detailed history taking is essential. Evaluation of patients’ symptoms using questionnaires such as the ETDQ-7 is necessary to determine the status before and after evaluation and treatment. The Val...
Review Article

Dec 31, 2022

Treatment of Eustachian Tube Disorder
이관질환의 치료

Ji-A Kim, Soo-Keun Kong
김지아, 공수근

J Clin Otolaryngol Head Neck Surg 2022;33(4):184-192.
https://doi.org/10.35420/jcohns.2022.33.4.184

The patients with Eustachian tube disorder could complain of various symptoms, such as earfullness, tinnitus, hearing disturbance, otalgia, or autophony. It is important to accurately diagnose the disease and choose appropriate treatment method to prevent further complaints or complications from the disorder. For all types of Eustachian tube dysfunction, conservative therapy should be the first choice, especially when duration of the symptom is short or transient. Even if the symptoms do not improve and persist, surgical therapy could be consid...
Original Article

Dec 31, 2022

Sinonasal Complications after Endoscopic Transsphenoidal Approach: A Single Center Study
내시경적 경접형동 접근법 후 발생하는 비부비동 합병증: 단일기관 연구

Hyo Beom Jang, Jae-Min Lee, Da-Hee Park, Hwan-Jung Roh, Chi Hyung Lee, Soon-Ki Sung, Kyu-Sup Cho, Sue Jean Mun
장효범, 이재민, 박다희, 노환중, 이치형, 성순기, 조규섭, 문수진

J Clin Otolaryngol Head Neck Surg 2022;33(4):193-202.
https://doi.org/10.35420/jcohns.2022.33.4.193

Background and Objectives: The endoscopic transsphenoidal approach (TSA) is the standardized surgical approach to sella lesions providing a wider field and resulting in fewer neurosurgical complications. However, sinonasal complications are relatively less studied. This study aims to analyze sinonasal morbidities after endoscopic TSA performed by a single center. Materials and Methods: Among 154 patients who underwent endoscopic TSA from 2015 to 2022, 107 patients who were followed up for more than 3 months were included and retrospectively rev...
Case Report

Dec 31, 2022

A Case of Recurred Nodular Fasciitis in Supraauricular Region
이개 상부의 재발성 결절성 근막염

Dong-Jo Kim, Seong-Wook Choi, Chung-Su Hwang, Hyun-Min Lee
김동조, 최성욱, 황청수, 이현민

J Clin Otolaryngol Head Neck Surg 2022;33(4):203-207.
https://doi.org/10.35420/jcohns.2022.33.4.203

Nodular fasciitis is a benign proliferative disease of fibroblasts and myofibroblasts in the subcutaneous tissues. It is confused with sarcoma because of its rapid growth, mitotic activity and high cellularity. It is thought to be reactive hyperplasia rather than a true tumor, but the exact cause of the nodular fasciitis is unknown. Nodular fasciitis rarely occurs in the auricular region. To our knowledge, less than 20 cases in ear have been reported to date. Furthermore, until now there have been no reports of such a case in supraauricular reg...
Case Report

Dec 31, 2022

Retiform Hemangioendothelioma Originating in the Paranasal Sinus: A Case Report

Keun-Ik Yi, Myoung Joo Kang, Kyung Han Nam, Yong Wan Kim

J Clin Otolaryngol Head Neck Surg 2022;33(4):208-212.
https://doi.org/10.35420/jcohns.2022.33.4.208

Retiform hemangioendothelioma (RHE) is an extremely rare low-grade variant of angiosarcoma that mostly involves the dermis or subcutaneous tissue, but which has never been reported in paranasal sinus. A 53-year-old woman with the problems of a palpable lump on the left lower eyelid and anosmia visited to our hospital. An expansile mass was observed in the left frontoethmoid sinus in radiologic images, which was suspected to be attributable to bony erosion of the orbital wall and intracranial expansion. Endoscopic sinus surgery was performed to ...
Case Report

Dec 31, 2022

Plasmablastic Lymphoma of the Nasopharynx in an HIV-Negative Patient

Ji-Hun Kang, Ji-Hwan Park, Sung-Dong Kim, Kyu-Sup Cho

J Clin Otolaryngol Head Neck Surg 2022;33(4):213-217.
https://doi.org/10.35420/jcohns.2022.33.4.213

Plasmablastic lymphoma (PBL) is a rare and aggressive subtype of non-Hodgkin's lymphoma. It was originally described to occur predominantly in oral cavity of human immunodeficiency virus (HIV)-positive patients. However, some are known to be associated with other forms of immunosuppression or immunocompetent patients. We report an unusual case of PBL presenting in nasopharynx of an 85-year-old woman without HIV infection. Histopathologic examinations demonstrated a large cell lymphoma with plasmablastic differentiation. Considering morphology, ...
Case Report

Dec 31, 2022

A Case of Delayed Orbital Emphysema with Visual Loss after Blowout Fracture
안와 외향 골절 후 시력 저하를 동반한 지연성 안와기종

Jungsuk Kim, Seungjoo Lee, Jaehwan Kwon, Taijung Park
김정석, 이승주, 권재환, 박태정

J Clin Otolaryngol Head Neck Surg 2022;33(4):218-222.
https://doi.org/10.35420/jcohns.2022.33.4.218

Orbital emphysema is commonly associated with fractures of the orbital floor or medial wall. The air often dissipates spontaneously, but rarely can cause increased intraocular pressure and even loss of vision. It predominantly occurs with medial orbital wall fractures and is exacerbated by sneezing and nose blowing. We present a case of orbital emphysema with serious complications in which vision is affected in a 51-year-old male.
Case Report

Dec 31, 2022

A Case of Eustachian Tube Lipoma in Patient with Recurrent Otitis Media with Effusion
반복된 삼출성 중이염 환자에서 발견된 이관 지방종 1예

Seok Hwa Ko, Seon Min Jung, Jae Ho Chung, Jin Hyeok Jeong
고석화, 정선민, 정재호, 정진혁

J Clin Otolaryngol Head Neck Surg 2022;33(4):223-226.
https://doi.org/10.35420/jcohns.2022.33.4.223

In the case of unilateral recurrent otitis media with effusion in adults, endoscopic examination of the nasopharyngeal tumor is necessary. Rarely, tumors can also develop in the eustachian tube. The incidence of lipoma in the eustachian tube is very rare. Lipomas are benign tumors arising from mesenchymal tissue and composed of well-differentiated adipocytes. A 49-year-old female patient visited for nasal congestion. But she had history of repetitive ventilation tube insertion due to recurrent otitis media with effusion. A yellowish round mass ...
Case Report

Dec 31, 2022

A Case of Diffuse Large B Cell Lymphoma on Maxillaly Sinus Mimicking Fibrous Dysplasia
섬유성 이형성증을 모방한 상악동 미만성 거대 B세포 림프종 1예

Gyo Han Bae, Ji-Hwan Park, Sung-Dong Kim, Kyu-Sup Cho
배교한, 박지환, 김성동, 조규섭

J Clin Otolaryngol Head Neck Surg 2022;33(4):227-231.
https://doi.org/10.35420/jcohns.2022.33.4.227

A 38-year-old male came to outpatient clinic, presenting with a 1-month history of headache and right facial pain. There was no specific finding on nasal endoscopy. Paranasal sinuses computed tomography (PNS CT) showed unilateral soft tissue density on right maxillary sinus and ground glass opacity on right maxillary and zygomatic bone. And there was no finding suggestive of malignancy in the subsequent PNS magnetic resonance imaging (MRI). We considered benign tumor such as fibrous dysplasia with maxillary sinusitis and performed the endoscopi...
Case Report

Dec 31, 2022

A Case of Bifurcation of the Recurrent Laryngeal Nerve Mimicking as a Single Nerve Branch during Thyroidectomy
갑상선 절제술 중 발견된 단일 신경 가지처럼 보였던 반회후두신경 분지 증례 1예

Seung Woo Hong, Heon Soo Park, Jae Won Heo, Dong Kun Lee
홍승우, 박헌수, 허재원, 이동근

J Clin Otolaryngol Head Neck Surg 2022;33(4):232-235.
https://doi.org/10.35420/jcohns.2022.33.4.232

The recurrent laryngeal nerve (RLN) is an important structure that requires careful attention to be preserved during thyroidectomy. Because injury of this nerve results in vocal cord paralysis, which can lead to voice change, aspiration and even pneumonia. RLN often has branches which is vulnerable to nerve injury during surgery. RLN branch usually occurs close to the cricothyroid joint, or close to the junction between the nerve and the inferior thyroid artery. However, if the RLN branch is located lower than inferior thyroid artery, the risk ...
Case Report

Dec 31, 2022

Necrotizing Sialometaplasia of the Hard Palate: Diagnosis and Treatment

Sangeun Lee, Yun Sung Lim, Kyuho Lee, Bo Hae Kim

J Clin Otolaryngol Head Neck Surg 2022;33(4):236-240.
https://doi.org/10.35420/jcohns.2022.33.4.236

We describe the diagnosis and treatment of necrotizing sialometaplasia (NSM) on the hard palate without surgical excision. A 27-year-old female visited the hospital with complaint of right-side hard palate swelling and pain. We diagnosed this hard palate lesion as NSM based on results of biopsy and treated it with conservative treatment. We now report the experience in diagnosing and treating NSM with a detailed review of histologic results.
Case Report

Dec 31, 2022

A Case of Subglottic Undifferentiated Pleomorphic Sarcoma
성문하에 발생한 미분화성 다형성 육종 1예

Hee Jun Park, Dong Won Lee, Jeong Kyu Kim
박희준, 이동원, 김정규

J Clin Otolaryngol Head Neck Surg 2022;33(4):241-245.
https://doi.org/10.35420/jcohns.2022.33.4.241

Undifferentiated pleomorphic sarcoma (UPS) is rare type of soft tissue sarcomas that occur in all parts of body but mostly in the extremities. Sixty-year-old woman presented dyspnea and stridor with benign looking subglottic mass on laryngoscope. Endoscopic laser surgery was performed and histopathology showed diffuse proliferation of pleomorphic plump and spindle cells with no particular orientation to vessels. In immunochemistry, the tumor cells were positive for vimentin, CD68, Ki-67 and negative for Melan A, leukocyte common antigen, CK, S-...
Case Report

Dec 31, 2022

Oral Inverted Ductal Papilloma: Negative for Human Papillomavirus
구강 내 반전성 타액선관 유두종 1예: 인유두종 바이러스 음성

Seulki Song, Jin Pyeong Kim
송슬기, 김진평

J Clin Otolaryngol Head Neck Surg 2022;33(4):246-249.
https://doi.org/10.35420/jcohns.2022.33.4.246

Inverted ductal papilloma is an extremely rare disease, which is a benign salivary gland tumor classified as the ductal papilloma. It is characterized by hyperplasia of ductal epithelial cells near the orifice with intraluminal papillary projections. Clinically, it is presented as a painless submucosal nodular lesion with benign nature. Herein, we present a 76-year-old man with a tumor in upper lip. Surgical excision was performed and the histological diagnosis was inverted ductal papilloma with no detection of human papillomavirus. Due to its ...
Case Report

Dec 31, 2022

A Case of Total Laryngectomy after Severe Penetrating Laryngeal Trauma
심한 후두 외상 후 시행한 후두 전절제술 1예

Youngjin Cho, Sung-Chan Shin, Byung-Joo Lee, Yong-Il Cheon
조영진, 신성찬, 이병주, 천용일

J Clin Otolaryngol Head Neck Surg 2022;33(4):250-254.
https://doi.org/10.35420/jcohns.2022.33.4.250

Laryngeal trauma is rare but life-threatening emergency. Main cause of the trauma includes traffic accident, fall down, machinery injury, and stab. This type of injury not only makes tremendous bleeding and hemodynamic instability, but also intimidates a patency of upper airway which leads to acute respiratory failure. If acute complication be resolved, laryngeal destruction would prospectively result in dysphagia, chronic aspiration, and dysphonia. In many previous cases, severe laryngotracheal trauma have been treated via primary approximatio...
Case Report

Dec 31, 2022

A Case of Retropharyngeal Abscess Accompanied by the Calcific Tendinitis of Longus Colli Muscle
경장근 석회성 건염과 동반된 후인두 농양 1예

Seong Kyu Moon, Moon Seung Beag, So Young Ko, Seung Woo Kim
문성규, 백문승, 고소영, 김승우

J Clin Otolaryngol Head Neck Surg 2022;33(4):255-258.
https://doi.org/10.35420/jcohns.2022.33.4.255

Calcific tendinitis of the longus colli muscle (CTLC) is an inflammatory disease caused by the deposition of calcium hydroxyapatite crystal in longus colli muscle and its tendon. The incidence of it is rare, only a few cases have been reported so far, and its common symptoms and sings were neck pain, limitation of neck motion, dysphagia and odynophagia and so on. Clinically, it can be masqueraded as retropharyngeal abscess on account of its non-specific clinical presentations and rare incidence. We encountered a 39-year-old woman with five days...
Case Report

Dec 31, 2022

Unusual Chainsaw Related Penetrating Neck Injury: Initial Management & Surgical Repair, Case Report

Woohyen Jin, Sang-Wook Park, Seong Jun Won, Jung Je Park

J Clin Otolaryngol Head Neck Surg 2022;33(4):259-263.
https://doi.org/10.35420/jcohns.2022.33.4.259

Reports on the management of chainsaw penetrating laryngotracheal injuries are limited. These injuries can be catastrophic because of possible injury to the carotid and vertebral arteries or neural and aerodigestive tract injury. A systemic and multidisciplinary approach is necessary when faced with this type injury. We present a 59-year-old carpenter with an accidental, and self-inflicted, chainsaw injury that afflicted anterior neck, larynx and posterior wall of pharynx.

CURRENT ISSUE: Dec 2022, Vol. 33 , No. 4

Review Article Pathophysiology and Classification of Eustachian Tube Disorder 이관질환의 병태생리 및 분류 Se A Lee, Chi-Kyou Lee 이세아, 이치규 J Clin Otolaryngol Head Neck Surg 2022;33(4):165-173. https://doi.org/10.35420/jcohns.2022.33.4.165 HTML PDF PubReader	Review Article Diagnosis of Eustachian Tube Diseases 이관 질환의 진단 Ho Yun Lee 이호윤 J Clin Otolaryngol Head Neck Surg 2022;33(4):174-183. https://doi.org/10.35420/jcohns.2022.33.4.174 HTML PDF PubReader
Review Article Treatment of Eustachian Tube Disorder 이관질환의 치료 Ji-A Kim, Soo-Keun Kong 김지아, 공수근 J Clin Otolaryngol Head Neck Surg 2022;33(4):184-192. https://doi.org/10.35420/jcohns.2022.33.4.184 HTML PDF PubReader	Original Article Sinonasal Complications after Endoscopic Transsphenoidal Approach: A Single Center Study 내시경적 경접형동 접근법 후 발생하는 비부비동 합병증: 단일기관 연구 Hyo Beom Jang, Jae-Min Lee, Da-Hee Park, Hwan-Jung Roh, Chi Hyung Lee, Soon-Ki Sung, Kyu-Sup Cho, Sue Jean Mun 장효범, 이재민, 박다희, 노환중, 이치형, 성순기, 조규섭, 문수진 J Clin Otolaryngol Head Neck Surg 2022;33(4):193-202. https://doi.org/10.35420/jcohns.2022.33.4.193 HTML PDF PubReader
Case Report A Case of Recurred Nodular Fasciitis in Supraauricular Region 이개 상부의 재발성 결절성 근막염 Dong-Jo Kim, Seong-Wook Choi, Chung-Su Hwang, Hyun-Min Lee 김동조, 최성욱, 황청수, 이현민 J Clin Otolaryngol Head Neck Surg 2022;33(4):203-207. https://doi.org/10.35420/jcohns.2022.33.4.203 HTML PDF PubReader	Case Report Retiform Hemangioendothelioma Originating in the Paranasal Sinus: A Case Report Keun-Ik Yi, Myoung Joo Kang, Kyung Han Nam, Yong Wan Kim J Clin Otolaryngol Head Neck Surg 2022;33(4):208-212. https://doi.org/10.35420/jcohns.2022.33.4.208 HTML PDF PubReader
Case Report Plasmablastic Lymphoma of the Nasopharynx in an HIV-Negative Patient Ji-Hun Kang, Ji-Hwan Park, Sung-Dong Kim, Kyu-Sup Cho J Clin Otolaryngol Head Neck Surg 2022;33(4):213-217. https://doi.org/10.35420/jcohns.2022.33.4.213 HTML PDF PubReader	Case Report A Case of Delayed Orbital Emphysema with Visual Loss after Blowout Fracture 안와 외향 골절 후 시력 저하를 동반한 지연성 안와기종 Jungsuk Kim, Seungjoo Lee, Jaehwan Kwon, Taijung Park 김정석, 이승주, 권재환, 박태정 J Clin Otolaryngol Head Neck Surg 2022;33(4):218-222. https://doi.org/10.35420/jcohns.2022.33.4.218 HTML PDF PubReader
Case Report A Case of Eustachian Tube Lipoma in Patient with Recurrent Otitis Media with Effusion 반복된 삼출성 중이염 환자에서 발견된 이관 지방종 1예 Seok Hwa Ko, Seon Min Jung, Jae Ho Chung, Jin Hyeok Jeong 고석화, 정선민, 정재호, 정진혁 J Clin Otolaryngol Head Neck Surg 2022;33(4):223-226. https://doi.org/10.35420/jcohns.2022.33.4.223 HTML PDF PubReader	Case Report A Case of Diffuse Large B Cell Lymphoma on Maxillaly Sinus Mimicking Fibrous Dysplasia 섬유성 이형성증을 모방한 상악동 미만성 거대 B세포 림프종 1예 Gyo Han Bae, Ji-Hwan Park, Sung-Dong Kim, Kyu-Sup Cho 배교한, 박지환, 김성동, 조규섭 J Clin Otolaryngol Head Neck Surg 2022;33(4):227-231. https://doi.org/10.35420/jcohns.2022.33.4.227 HTML PDF PubReader
Case Report A Case of Bifurcation of the Recurrent Laryngeal Nerve Mimicking as a Single Nerve Branch during Thyroidectomy 갑상선 절제술 중 발견된 단일 신경 가지처럼 보였던 반회후두신경 분지 증례 1예 Seung Woo Hong, Heon Soo Park, Jae Won Heo, Dong Kun Lee 홍승우, 박헌수, 허재원, 이동근 J Clin Otolaryngol Head Neck Surg 2022;33(4):232-235. https://doi.org/10.35420/jcohns.2022.33.4.232 HTML PDF PubReader	Case Report Necrotizing Sialometaplasia of the Hard Palate: Diagnosis and Treatment Sangeun Lee, Yun Sung Lim, Kyuho Lee, Bo Hae Kim J Clin Otolaryngol Head Neck Surg 2022;33(4):236-240. https://doi.org/10.35420/jcohns.2022.33.4.236 HTML PDF PubReader
Case Report A Case of Subglottic Undifferentiated Pleomorphic Sarcoma 성문하에 발생한 미분화성 다형성 육종 1예 Hee Jun Park, Dong Won Lee, Jeong Kyu Kim 박희준, 이동원, 김정규 J Clin Otolaryngol Head Neck Surg 2022;33(4):241-245. https://doi.org/10.35420/jcohns.2022.33.4.241 HTML PDF PubReader	Case Report Oral Inverted Ductal Papilloma: Negative for Human Papillomavirus 구강 내 반전성 타액선관 유두종 1예: 인유두종 바이러스 음성 Seulki Song, Jin Pyeong Kim 송슬기, 김진평 J Clin Otolaryngol Head Neck Surg 2022;33(4):246-249. https://doi.org/10.35420/jcohns.2022.33.4.246 HTML PDF PubReader
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