• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제27권1호
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• pp.97-99
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• 2001

A rare case of otitis media following general anesthesia is presented. There was no obvious cause of otitis media. Normal functioning resumed after one week. The patient was given medications including antibiotics and anti-inflammatory drugs.

• Applied Microscopy
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• 제12권1호
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• pp.1-10
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• 1982

Serous otitis media is closely related with auditory tube function, but its etiology and pathogenesis are not clearly defined yet. So we tried to prove the theory of hydrops ex vacuo via the experimental study with cats by means of obstructing the pharyngeal orfice of the auditory tube and observe the serial changes in tympanic mucosa through light and electron microscopy. The results are as follows; 1. We confirmed the production of serous otitis media with auditory tube obstruction and have a new understanding of auditory tube function in middle ear aeration. 2. The effusion in serous otitis media was produced from the next day of experiment and increased till the fourteenth day, but decreased after the spontaneous perforation of ear drum. 3. Through the light microscopy, we observed the increasement of the sercretory cells including goblet cells, epithelial hyperplasia, capillary proliferation and invasion of inflammatory cells. 4. Through the elctron microscopy, we observed the protrusion of secretory cells, blobs in cilia, loss of cilia, increasement of vesicles, vacuoles and dense bodies in ciliated cells and Invasion of inflammatory cells. With above results, we concluded that aeration through auditory tube is the most important factor in serous otitis media and presumed the effusion was secreted by secretory cells.

• Journal of Oral Medicine and Pain
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• 제39권1호
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• pp.26-28
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• 2014

Nasopharyngeal cancer is malignant tumor of nasopharyngeal area that is characterized of lymphadenopathy, pain, otitis media, hearing loss and cranial nerve palsy and may present symptoms similar to temporomandibular disorder such as facial pain and trismus. In this case, the patient with symptoms similar to temporomandibular disorder after surgery for otitis media presented with facial paresthesia and masticatory muscle weakness. Examinaion of trigemimal nerve was shown sensory and motor abnormaility. The patient was referred to a neurologist. Nasopharyngeal cancer was suspected on computed tomography and magnetic resonance imaging and was confirmed by biopsy. If the patient presenting with paresthesia and muscle weakness the cranial nerve examination should be performed regardless of typical temporomandibular disorder symptom. The neurologic symptom can be caused by neoplasm such as brain tumor and nasopharyngeal cancer. Nasopharyngeal cancer on rosenmuller fossa can develop otitis media. Therefore, the patient with otitis media history should be consulted to otorhinolaryngologist to examin the nasopharyngeal area.

• Pediatric Infection and Vaccine
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• 제15권2호
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• pp.100-107
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• 2008

Acute otitis media and acute sinusitis are some of the most common antibiotic-prescribed diseases in childhood. Usually, with an accurate diagnosis, a 10-14 day course of antibiotics is recommended to cover common causative agents, including pneumococci. Establishment of management guidelines for these infectious diseases based on further study of the epidemiologic profile, antibiotic resistance, and clinical circumstances in Korea is needed.

• 한국임상수의학회지
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• 제21권2호
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• pp.184-186
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• 2004

A castrated male, 6 year-old Shih-Tzu, weighing 4.6 kg with a discharge from the external ear canal and a mal-odor was referred to Verterinary Medical Teaching Hospital, Seoul National University. Radiographic findings were narrowing and focal loss of an air density in the left ear canal and bilateral thickening of the osseous bullae. For more detail examination, computed tomography was used. In computed tomographic findings, bilateral thickening of the bulla wall and increased opacity of the bulla space were observed. Thus this dog was diagnosed as bilateral otitis media. Then surgical correction, total ear canal ablation, was performed successfully and the patient showed a good prognosis thereafter. It is considered that computed tomography might serve as an useful imaging tool for otitis media and that it supplies information not obtained with a conventional radiography.

• 대한한의학방제학회지
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• 제25권1호
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• pp.115-122
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• 2017

Objective : The purpose of this study is to report the effect of Korean medicine on Bell's palsy with Chronic suppurative otitis media. Methods : We used herbal medication, acupuncture, pharmacopuncture and cupping therapy for treatment. To evaluate the results of the treatment, we observed the patient's condition. Results : The patient's objective and subjective symptoms showed noticeable improvement after treatment. Conclusions : We suggest that Bell's palsy with chronic suppurative otitis media can be treated by Korean medicine effectively.

• Journal of Acupuncture Research
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• 제18권5호
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• pp.92-98
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• 2001

Objective : This study is designed to evaluate the changes of clinical symptoms after the therapy of acupuncture in the 18 patients with Otitis media with effusion who were treated at our hospital from June 1th, 2000 to June 30th, 2001. Methods : The patients received acupuncture on the points of TE5, G41, TE6, SI5, G38, K2 and venesection on the part of posterior ear. Results : The results of treatment with acupucture showed that 4 of 18 patients achieved excellent recovery and 12 achieved good recovery. Total 16 of 18 patients, except 2, improved clinical symptoms after the therapy as a result. Conclusion : Acupuncture successfully improved conditions of the patients with Otitis media with effusion.

• 한방안이비인후피부과학회지
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• 제16권1호
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• pp.198-205
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• 2003

Otitis media has severe purulent otorrhea and hearing loss. While this patient has been treated with the Western medicine for several years, he could not expect more improvement. We experienced a good result with Sonbanghwalmyongum at this case and this report is to evaluate the effect of Sonbanghwalmyongum in otitis media. Oriental medical treatment can be an alternative choice for Western medical treatment of long term antibiotics and we expect more constructive studies and clinical reports.

• IMMUNE NETWORK
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• 제8권2호
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• pp.59-65
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• 2008

Background: Toll-like receptors (TLRs) detect microbial infection and can directly induce innate host defense responses, which are thought to play critical roles in protecting the tubotympanum from infection. However, little is known about the relationship between TLRs, which are related to innate immunity, and immunoglobulins, which are related to adaptive immunity, in recurrent otitis media with effusion (OME). We therefore investigated the expression of TLR2 and TLR4 and immunoglobulin in children with OME. Methods: The study population consisted of 72 children with OME, 31 with more than 4 episodes in 12 months or more than 3 episodes in 6 months (otitis-prone group), and 41 with fewer than 3 episodes in 12 months (non-otitis prone group). The expression in middle ear effusion of TLR2 and TLR4 mRNA, as determined by Real time- -polymerase chain reaction (RT-PCR), and the concentrations of IgG, IgA, and IgM, as determined by Enzyme-linked immunosorbent assay(ELISA), were compared between the two groups. Results: Expression of TLR2 and TLR4 mRNA was lower in the otitis prone than in the non-otitis prone group, but the difference was not statistically significant (p>0.05). Between group differences in the concentrations of IgG, IgA and IgM in effusion fluid were not significant (p>0.05), and there were no correlations between immunoglobulin concentration and the expression of TLR2 and TLR4. Conclusion: Although there was a trend toward lower expression of TLR2 and TLR4 in the otitis-prone group, the differences, and those in immunoglobulin concentration, did not differ significantly between the otitis-prone and non-prone groups.

• Pediatric Infection and Vaccine
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• 제17권2호
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• pp.114-121
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• 2010

목적 : 고막체온계는 신체내의 점막과 접촉 없이 고막을 통해 심부체온을 신속히 간편한 방법으로 측정할 수 있어 영아와 소아들에서 많이 사용된다. 본 연구에서는 한쪽에만 중이염, 귀지가 있는 경우 양쪽 고막체온이 어떻게 달라지는지 연구하였다. 방법 : 2008년 6월부터 9월까지, 2010년 1월부터 5월까지 본원 소아청소년과 외래에 내원한 소아 중 비디오 이경을 통해 중이염과 귀지가 없는 정상군 50명, 한쪽에만 고막이 안보이게 귀지가 가득 있는 군 50명, 한쪽에만 중이염을 가진 군 186명의 3개 군을 대상으로 하였다. 고막체온은 Braun Thermoscan을 이용해 양쪽 귀에서 2초간 측정하였고, 15분 뒤 다시 측정하였다. 중이염을 가진 군은 비디오 이경으로 확인하여 염증정도에 따라 분류하여 비교하였다. 통계처리는 SPSSWIN 12.0을 사용하였고 paired T-test와 one way anova를 이용하여 분석하였다. 결과 : 정상 군과 한쪽에만 귀지가 있는 군에서는 양쪽 고막체온의 통계적인 차이는 없었다. 한쪽에만 중이염이 있는 군에서는 중이염이 있는 쪽의 고막이 평균 $0.13{\pm}0.20^{\circ}C$ 높았고 통계적인 차이가 있었다($36.99{\pm}0.54^{\circ}C$ vs $36.86{\pm}0.52^{\circ}C$ P<0.001). 중이염의 단계에 따른 양쪽 고막의 체온차이는 통계적으로 유의하지 않았다. 결론 : 고막체온계는 스트레스 없이 쉽고 빠르게 체온을 측정할 수 있다. 적절한 방법으로 측정한다면 양측 고막체온에는 큰 차이가 없을 것으로 생각되나, 중이염이 있을 때엔 양쪽 고막체온에 차이가 있을 수 있음을 주의 해야겠다.