A Case of Intravascular Papillary Endothelial Hyperplasia Combined with Organizing Hematoma of the Lateral Wall of the Nasal Cavity

Intravascular papillary endothelial hyperplasia (IPEH) is an exuberant intravascular endothelial proliferation that in many respects mimics an angiosarcoma. A 78-year-old woman complained of a several month history of left-side nasal obstruction and frequent epistaxis. Preoperative endoscopic examination demonstrated a dark red mass occupying the left nasal cavity. The nasal cavity mass was completely removed under endonasal endoscopy. During the six-month follow-up, the patient had no evidence of recurrent disease. We present here a rare case of IPEH within the nasal cavity that demonstrated the reactive nature of this affliction.

Correction of the Scar Contracture of the Oral Mucosa after Uvulopalatopharyngoplasty with Z-Plasty and Mucosal Tissue Graft / 대한이비인후과학회지

A foreign body sensation or a globus symptom of the throat after uvulopalatopharyngoplasty (UPPP) is caused by an internal scar formation and such symptoms generally disappear in 9 months after surgery. In rare cases, this sensation could be permanent. If this condition persists, possible primary treatment could be multiple stage steroid injection into the affected site for softening of the submucosal fibrous formation. But rotational or advancement mucosal flaps could be effective if the steroid injection does not work. We present a case of scar contracture of oral mucosa after UPPP was corrected with Z-plasty and mucosal tissue graft.

Bilateral Amyloidosis of the Oral Commisure Surrounding the Facial Artery / 대한이비인후과학회지

Amyloidosis is a disease characterized by deposition of extracellular fibrillar proteins in various tissues mainly derived from the mesoderm. We experienced a case of a 59-year old man with a localized bilateral mass at the angle of the mouth, which was surgically removed. It surrounded the facial arteries bilaterally with the same pattern, and was diagnosed as amyloidosis pathologically. Followed by further workup, he was finally diagnosed with the multiple myeloma. Cases such as this where an amyloidosis mass surrounded the main branches of the facial arteries has not yet been reported in the literature. We present a case of localized amyloidosis at the oral commisure surrounding the facial arteries with the review of its clinical patterns, diagnostic tools, pathologic findings and treatment.