4.

FECS is a rare clinical entity and can be easily missed in routine clinical examination. We suggest that patients, especially children, with clicking or crackling tinnitus should be evaluated for FECS using proper diagnostic tools. A possible mechanism of FECS in children postulated from our case review is suggested.

Background and ObjectivesDifferences in morphology of auricular keloids possibly contribute to distinct results of treatment. The aim of this study was to evaluate clinical characteristics of the auricular keloids according to the modified Chang-Park classification and to compare the results of treatment including recurrence rate between the subgroups.Subjects and MethodsClinical data of 15 patients of auricular keloids were retrospectively reviewed. The keloids were classified according to modified Chang-Park classification. Clinical characteristics, the presence of recurrence, and the duration required for the recurrence were compared.ResultsEight out of 15 patients (53.3%) were single sessile type (type II), followed by 4 patients of pedunculated type, 1 patient of multiple sessile type, 1 patient of buried type, and 1 patient of mixed type, respectively. Recurrent keloids after previous surgeries were noted in 7 out of 15 patients and most of them (6 of 7, 85.7%) were sessile type. Three patients who underwent surgery at our department showed recurrence.ConclusionsThe classification of auricular keloids according to morphologic patterns can assist surgeons in choosing the appropriate management.

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Stability of cut-slope, the orientation and dimension of which are gradually changed, has been analyzed by employing the cross-section method capable of comprehensibly considering the lithological, structural and mechanical characteristics of slope rock. Lithological fragility is investigated by inspecting the drilled core logs and BIPS image has been taken to delineate the rock structure. Engineering properties of drilled-core including the joint shear strength have been also measured. Potential failure modes of cut-slope and failure-induced joints are identified by performing the stereographic projection analysis. Traces of potential failure-induced joints are drawn on the cross-section which depicts the excavated geometry of cut-slope. Considering the distribution of potential plane failure-induced joint traces blocks of plane failure mode are hypothetically formed. The stabilities and required reinforcements of plane failure blocks located at the different excavation depth have been calculated to confirm the applicability of the cross-section method for the optimum cut-slope design.