Background and ObjectivesTo evaluate the effect of eggshell membrane (ESM) patching for tympanic membrane (TM) perforation, and to investigate correlations between healing time and age, gender, patching time, perforation size, and perforation location.Subjects and MethodsOne hundred and seventy-five patients diagnosed with traumatic TM perforation at the Department of Otorhinolaryngology-Head and Neck Surgery, Korea University Ansan Hospital, between January 2008 and October 2013. Patients were divided into two groups, according to perforation edge approximation or ESM patching treatment. Healing time was compared between the group that received perforation edge approximation and the group that received ESM patching. Perforation grade, age, onset, and location were also compared between the two groups.ResultsESM patching significantly improved healing time compared to spontaneous healing, especially in patients with moderate or large traumatic TM perforations (≥grade II). However, patient age, gender, perforation location, and especially timing of procedure, did not significantly affect healing time.ConclusionsESM patching can be a good treatment choice to promote tympanic membrane healing in large traumatic TM perforations.

Objectives Improvements in sleep‐related quality of life (QOL) and behavioral problems have been observed in children with obstructive sleep apnea (OSA) during a short‐term follow‐up after adenotonsillectomy. Whether this trend continues beyond the short term remains unclear. Therefore, we aimed to evaluate the long‐term effects of surgery in children with OSA. Methods The study participants comprised 20 children with OSA who underwent adenotonsillectomy. We used the scores from the Attention Deficit and Hyperactivity Disorder Rating Scale (ADHD‐RS) and total scores from the Korean OSA‐18 Survey (KOSA‐18) before and after adenotonsillectomy to compare and analyze behavioral problems and OSA‐specific health‐related QOL, respectively, during a long‐term follow‐up. Respiratory disturbance parameters from standard polysomnography and subjective symptom scores for snoring and apnea were also investigated. Results The mean patient age was 6.6 ± 3.4 years (range, 3–13), and the male‐to‐female ratio was 15:5. The mean follow‐up period was 54.5 months (range, 27–98). The total scores for both ADHD‐RS (from 17.6 to 10.5; P = 0.006) and KOSA‐18 (from 74.3 to 40.7; P = 0.001) decreased significantly from before to after surgery. Significant decreases were also observed in the subjective symptom scores for snoring (from 5.4 to 2.4; P = 0.000) and apnea (from 3.3 to 0.8; P = 0.002). Conclusion Significant improvement was observed in sleep‐related QOL and behavioral problems in children with OSA during long‐term follow‐up after adenotonsillectomy. Level of Evidence 4 Laryngoscope, 130:546–550, 2020

The change in snoring rate according to the severity of AHI showed an inverted U-shaped pattern, with a peak in the moderate OSA group.

The Journal of International Advanced Otology (J Int Adv Otol) is an international, peer reviewed, open access publication that is fully sponsored and owned by the European Academy of Otology and Neurotology and the Politzer Society. The journal is published triannually in April, August, and December and its publication language is English. The scope of the Journal is limited with otology, neurotology, audiology (excluding linguistics) and skull base medicine. The Journal of International Advanced Otology aims to publish manuscripts at the highest clinical and scientific level. J Int Adv Otol publishes original articles in the form of clinical and basic research, review articles, short reports and a limited number of case reports. Controversial patient discussions, communications on emerging technology, and historical issues will also be considered for publication. Target audience of J Int Adv Otol includes physicians and academics who work in the fields of otology, neurotology, audiology and skull base medicine.

Background and ObjectiveaaThe aim of this study was to analyze the clinical symptoms, physical examinations, imaging studies, polysomnographic evaluations, and pathologic findings of patients with a nasal mass presenting as obstructive sleep apnea syndrome (OSAS).MethodsaaThe study population consisted of adult OSAS patients who had a nasal mass and were successfully treated by nasal surgery alone. In this study, we analyzed clinical symptoms, physical examinations, imaging studies, pre and postoperative polysomnographic parameters, and pathologic results of these patients. ResultsaaA series of four patients with OSAS due to a nasal mass were analyzed. The analysis revealed the following: 1) A nasal mass involving the nasopharyngeal space may cause mild to severe OSAS. 2) Isolated nasal surgery may be efficient for the improvement of respiratory disturbances in an OSAS patient with a large nasal mass. 3) We speculated that favorable indications for isolated nasal surgery for the treatment of OSAS are as follows: (1) a huge nasal mass occupying the nasopharynx, (2) small tonsils, (3) low-leveled tongue, (4) relatively young age, and (5) the absence of morbid obesity. ConclusionsaaNasal masses should be considered surgically correctable anatomical abnormalities and potential causes of obstruction when assessing patients with suspected OSAS.