• Archives of Reconstructive Microsurgery
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• 제25권1호
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• pp.1-6
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• 2016

Purpose: The external ear is a common area of trauma on the body prone to exposure of ultraviolet light, which can lead to skin cancer. Thus, variable techniques have been developed and used for reconstruction of the external ear. The aim of this study is to review the surgical method, its area of application, as well as advantages and pitfalls of reconstruction of the external ear with inferior based retroauricular flaps. Materials and Methods: Eight patients underwent external ear reconstruction with inferior based retroauricular flap for external ear defects in our institute from September 2012 to June 2015. According to the area of the defect, patients were classified as middle 1/3 (n=4), inferior 1/3 (n=2), superior auroculo-cephalic sulcus (n=1), and external auditory canal (n=1). Results: All of the flaps survived the operation and there was no marginal necrosis. Mean size of the defect was $2.8{\times}1.8cm$ and mean size of the retroauricular flap was $5{\times}2cm$. For insetting of the flap, a subcutaneous tunneling technique was used in 6 cases and rotation without subcutaneous tunneling was used in 2 cases. Transient paresthesia occurred in 3 cases. Two cases recovered within 3 months but one case did not recover until 6 months. Conclusion: The inferior based retroauricular flap is an available technique in external ear reconstruction with one stage operation.

• 임상이비인후과
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• 제29권2호
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• pp.235-239
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• 2018

Due to the structure with one end closed, the external ear resonance effect in which the high frequency is amplified can be generated, and the sound can be perceived well. The external ear resonance normally has a first peak and a second peak. On average, the first peak has a gain of 18.6 dB at 2620 Hz and the second peak has a gain of 18.2 dB at 4210 Hz. The resonance of the external auditory canal changes with the state of the tympanic membrane, the presence of the ventilation tube, and the structure (length, diameter, shape) of the external auditory canal. A patient with a postauricular meatomastoid cutaneous fistula was admitted to the hospital with a foreign body which is the molding of the hearing aid. After removal of the foreign body, the resonance of the external auditory canal was lost and the subjective sound cognitive ability decreased. In the case of postauricular meatomastoid cutaneous fistula, we confirmed the improvement of sound cognitive ability, the change of pure tone hearing threshold, and the change of the external ear resonance after reconstruction of the ear canal without middle ear reconstruction.

• 한국융합학회논문지
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• 제10권3호
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• pp.73-79
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• 2019

머리 측두부 디지털 영상 및 통신 표준 영상을 이용한 외이도 길이, 상하 굴곡각도, 내 외경 비율에 따른 음향민감도를 외이도 모델링으로 시뮬레이션하고 측정하였다. 실험은 인간 가청주파수 기준으로 200Hz씩 증가하면서 1 파스칼의 압력으로 일정하게 전달된 주파수를 고막 음향크기로 나타내어 그 측정값들을 선형과 이차곡선 회귀분석으로 나타내었다. 그 결과 외이도 길이는 길수록, 외 내경 둘레의 비율은 높을수록 낮은 주파수에서 빠른 음향적 반응을 나타내었다. 회귀분석을 이용한 메타모델의 음향민감도 상관관계는 외이도 길이가 77%, 외 내경 비율 5%의 영향으로 나타났지만 상하 굴곡각도는 특별한 관계를 나타내지 못하였다. 이로써 인간의 청각음향 민감도는 외이도 길이가 길수록, 외 내경 둘레의 비율 차이가 높을수록 낮은 주파수에서 빠르게 반응하는 인자임을 알 수 있었다.

• 말소리와 음성과학
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• 제9권1호
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• pp.49-53
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• 2017

Formant frequencies depend on the position of tongue, the shape of lips, and larynx. In the auditory system, the external ear canal is an open-end resonator, which can modify the voice characteristics. This study investigates the effect of the real ear on formant frequencies. Fifteen subjects ranging from 22 to 30 years of age participated in the study. This study employed three corner vowels: the low central vowel /a/, the high front vowel /i/, and the high back vowel /u/. For this study, the voice of a well-educated undergraduate who majored in speech-language pathology, was recorded with a high performance condenser microphone placed in the upper pinna and in the ear canal. Paired t-test showed that there were significant difference in the formant frequencies of F1, F2, F3, and F4 between the free field and the real ear. For /a/, all formant frequencies decreased significantly in the real ear. For /i/, F2 increased and F3 and F4 decreased. For /u/, F1 and F2 increased, but F3 and F4 decreased. It seems that these voice modifications in the real ear contribute to interpreting voice quality and understanding speech, timbre, and individual characteristics, which are influenced by the shape of the outer ear and external ear canal in such a way that formant frequencies become centralized in the vowel space.

• 말소리와 음성과학
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• 제1권3호
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• pp.151-154
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• 2009

The external ear generates resonance gain because of anatomical characteristics. The ear canal resonance is influenced by the length and volume of the ear canal, the pinna, the concha cavity, the body trunk, and the speed of sound wave. This study is focus on the influence of the volume of ear canal. 17-healthy-adult (32 ears) were participated. They did not have any medical and ear disease history. The maximum resonance frequency of the ear canal was 2675 (${\pm}265$) Hz at azimuth $0^{\circ}$ and 2784 (${\pm}268$) Hz at azimuth $45^{\circ}$. The resonance gain was 18.1 (${\pm}3.9$) dB at azimuth $0^{\circ}$ and 17.9 (${\pm}3.8$) dB at azimuth $45^{\circ}$, respectively. The ear canal volume was 0.78 (${\pm}0.2$) cc and 1.32 (${\pm}0.8$) cc including static compliance. The ear canal resonance was changed depending on the ear canal volume. It was also statistically correlated at azimuth $0^{\circ}$ (p=0.038) and $45^{\circ}$ (p=0.013), respectively. The resonance gain was not correlated with the ear canal volume. The change of resonance frequency according to the ear canal volume will be useful information in the field of audiological rehabilitation especially for hearing aids fitting. In addition, we expected this study can provide the basic information for the study of the external ear resonance characteristics.

• 한국임상수의학회지
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• 제21권2호
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• pp.149-153
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• 2004

This study was to determine the procedure for ultrasonographic imaging of the canine external ear canal(ECC). By infusion of warm saline solution into the ear canal, a real-time B mode ultrasonographic examination of the ECC was performed in five healthy Beagle dogs and two dogs with severe otitis externa. The ultrasonography was very useful to detect the structures of the ECC and the tympanic membrane. An 11 NHz linear probe was permitted to assess an anechoic lumen of the ECC and a hyperechoic cartilage surrounding the ear canal. In two dogs with otitis externa, it could be assessed the ECC with ultrasonography without ear cleansing. A lumen of the ECC was irregular and a cerumen could be seen, but edematous inflammatory changes of the ECC could not be identified. The results suggest that ultrasonography of the ECC with an 11 NHz linear probe after infusing the saline solution into the ear canal may be an accurate, non-invasive, rapid, and widely available method for assessment of the ear canal diseases such as otitis externa, polyp, stenosis, hyperplasia, and foreign body in dogs.

• 대한기관식도과학회:학술대회논문집
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• 대한기관식도과학회 1976년도 제10차 학술대회연제 순서 및 초록
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• pp.86.3-86
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• 1976

외이도의 편평상피암은 드믄 질환으로 진단이 내려질 때는 이미 상당히 침범되어 외이도와 중이가 다 같이 침범되어 있는 경우가 대부분이다. 최근 저자들은 외이도에 발생한 편평상피암 1례를 경험하고 외이도의 광범위한 절제술 및 유양돌기 절개근치술과 술후 방사선 치료를 하였기에 문헌적 고찰과 더불어 보고하는 바이다.

• 한국융합학회논문지
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• 제10권11호
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• pp.173-179
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• 2019

DICOM 영상은 인체의 진단과 치료에 중요한 역할을 하고 있으며 설계모델링은 목적에 따라 형상을 3차원으로 계획하는 기술이다. 본 연구는 이러한 두 가지 기술을 융합하여 외이도의 형태적 변화에 대한 횡단면, 부피, 표면적의 관계를 관찰하고자 하였다. 실험은 인체의 단면 획득 의료영상기술을 적용하여 19귀의 외이도를 추출한 3차원 형상을 스테레오리소그래피, 3-매틱(matic) 프로그램으로 센터라인 생성 및 분할 기술을 적용하였다. 그 결과 외이도의 횡단면 구조는 타원형(38.5%), 반원형(28.2%), 혼재형(17.9%), 네모형(10.2%), 주름형(5.1%)등 다양한 형태가 나타났다. 또한 외이도 길이가 길수록 위상별 횡단면 면적은 크게 나타났으며 부피와 표면적은 고막방향으로 갈수록 감소하였지만 그 감소율은 상대적으로 낮게 나타났다. 이는 외이도의 형태가 고막방향으로 갈수록 불규칙한 구조로 되어 있음을 나타냈다.

• 한국임상수의학회지
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• 제38권3호
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• pp.159-162
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• 2021

A 5-year-old, intact male, poodle dog with right external auditory canal obstruction and subaural mass was presented. Physical examination revealed that right external auditory canal opening was absent and right head tilt was identified. Aspiration in right subaural mass revealed a small amount of dark brown exudate. Streptococcus canis and Staphylococcus spp. were identified on the microbial culture. Radiography of the skull was revealed absence of air-filled ear canal at the right external ear canal (EEC) level. Computed tomography (CT) revealed well capsulated, hypoattenuated mass in the right EEC region. On the contrast enhanced CT images, rim enhancement around the mass and ear canal obstruction were identified. Fluid attenuated material filled with right bulla. Mild thickening of the right tympanic bulla wall with mild lytic lesion of the ventral wall were found. Based on the images findings, the case was tentatively diagnosed as right external auditory canal atresia with otitis media. Total ear canal ablation and lateral bulla osteotomy was performed. The entire ear canal was removed, numerous hair in the canal and the thickening wall were founded. Right ear canal was sent for histopathological evaluation and found to otitis externa. The patient was followed up for two weeks and there were no complications. This report described the CT diagnosis of right EEC atresia with otitis media rarely reported in small breed dogs.

• 대한수의학회지
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• 제39권3호
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• pp.566-574
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• 1999

This study was conducted to examine the outbreak rate and the causative agents of otitis externa in 26 dogs (49 ears ; 23 dogs = bilateral, 3 dogs = unilateral), and the normal microfloras of external ear canal in 68 dogs(133 ears ; 65 dogs = bilateral, 3 dogs = unilateral ) in Taegu, 1997. The breed, living environment, sex, age and season distribution of otitic dogs were as follows : Dogs with erect and hairy ears(42.3%), pendulous and hairy ears(38.5%), indoor(92.3%), female(65.4%) and below one year old(38.5%) were more prevalent. According to season, otitis externa was mainly occurred between July and October. The major causative agents of canine otitis externa were Malassezia pachydermatis (32.7%), Staphylococcus aureus (26.5%) and S intermedius (16.3%). In the microorganism isolated 39 otitic ear canals, single infection was 53.8% and mixed infection was 46.2%. The normal microfloras of canine external ear canal were fungi including M pachydermatis, Aspergillus spp, Microsporum canis, Alternaria spp, Verticillium spp and Yeast, and bacteria including Staphylococcus spp(10 species including S xylosus), Bacillus spp, Corynebacterium spp, Listeria spp, Actinomyces pyogenes and Escherichia coli. No growth was 34.6%.