Although the diagnostic rate of organizing hematoma has increased, any crucial characteristic findings are not fully understood and elucidated. Even though it is a non-neoplastic lesion, radiological image findings can range from a benign expansile appearance to a more aggressive form such as bony erosion, which sometimes can make any confusion. Thus, clinician should make a diagnosis thoroughly based on the histopathologic finding. Here, we presented two cases of organizing hematoma of the maxillary sinus mimicking chronic rhinosinusitis.

Various treatment modalities for vocal process granuloma include simple observation, antireflux therapy, voice therapy, botulinum injection, and steroid inhalation, but recurrence rates are high. Surgical excision can be considered in refractory and recurrent cases. In this study, the authors report the effectiveness of surgical excision using a carbon-dioxide laser with topical Mitomycin-C for the treatment of recurrent vocal process granuloma. The study included 28 patients with recurrent vocal process granuloma despite various treatments. The vocal process granuloma was excised using a carbon-dioxide laser and 1 cc of 0.4 mg/mL topical Mitomycin-C was applied for 4 minutes. Follow-up duration was 13-33 months (mean, 21.8 months). Of 28 patients, 19 (67.9%) were cured. Two who received surgical excision as a first-line treatment, 2 who used a steroid inhaler as a first-line treatment, and 5 who previously took antireflux medication as initial treatment showed recurrence. Surgical excision using a carbon-dioxide laser with topical application of Mitomycin-C is considered effective for recurrent vocal process granuloma.

Idiopathic sudden sensorineural hearing loss (ISSNHL) is an emergent disease in otologic field. Audiometric follow-up in patients with ISSNHL is important to assess the benefit of treatment and guide initiation of salvage treatment. However, there have been no report to guide the timing of follow-up. The objective of this study was to compare the recovery duration of patients who diagnosed as ISSNHL in each age group. A total of 150 subjects were included in this study and reviewed the medical and audiological records. According to ages, the subjects were classified into four groups; 0-19, 20-39, 40-59 years old and more than 60 years old. The period of time to final hearing levels was compared based on Siegel’s criteria. The period of time to final hearing levels was significantly different in patients with complete recovery based on Siegel’s criteria. 20-39 group (10.3 days) showed faster recovery than 0-19 (18 days), 40-59 (15 days) and ≥60 groups (23.4 days). The period of time to final hearing levels was not significantly different in patients with partial and slight recovery. Young adults with ISSNHL appear to recover faster than other age groups with ISSNHL. The result suggests that children and the elderly with ISSNHL need longer follow-up for hearing and young adults with refractory ISSNHL need earlier initiation of salvage treatment.