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Volume 37 (1986)
- Issue 6 Pages 429-
- Issue 5 Pages 373-
- Issue 4 Pages 305-
- Issue 3 Pages 241-
- Issue 2 Pages 69-
- Issue 1 Pages 1-
Volume 37, Issue 3
Displaying 1-10 of 10 articles from this issue
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Kouzou Kumakawa, Tsutomu Akutsu, Kouichi Miyakawa, Hiroya Yamaguchi1986 Volume 37 Issue 3 Pages 241-247
Published: June 10, 1986
Released on J-STAGE: February 22, 2010
JOURNAL FREE ACCESSFuji Computed Radiography (FCR) is a new system of digital radiography that is based on the latest computer technologies. We applied this FCR system to the X-ray diagnosis of the laryngeal disease. Twenty patients with various laryngeal diseases were evaluated by both FCR frontal tomography and conventional screen-film frontal tomography under the same exposure condition. Both tomograms were then compared on the subject of the clarity of delineation of laryngeal structures.
As the result, FCR tomograms revealed the feature of the laryngeal lumen and cartilages more clearly than conventional tomograms. In addition, energy subtraction method, which is one of FCR image processing systems, was presented as a new technical procedure to extinguish cervical spine shadows in plain anteroposterior laryngeal X-photograph. We stress that FCR system is the suitable procedure for X-ray analysis of laryngeal diseases, especially in the region related with the phono-surgery.View full abstractDownload PDF (7201K) -
Hiroshi Koyama, Takaharu Ohkawa, Yasuhiko Okamoto1986 Volume 37 Issue 3 Pages 248-256
Published: June 10, 1986
Released on J-STAGE: February 22, 2010
JOURNAL FREE ACCESSDuring the past 25 years 221 cases of foreign bodies in lower respiratory tract and esophagus were treated at our department. Foreign bodies were found in larynx (18 cases), in trachea and bronchus (27 cases) and in esophagus (176 cases). Recently, cases of PTP in esophagus have increased and 16 cases were presented in our report. In addition to the statistical review, several cases of foreign bodies were reported and we discussed about the procedure of bronchoscopy and esophagoscopy.View full abstractDownload PDF (5503K) -
Tatsuya Fukazawa, Iwao Honjo1986 Volume 37 Issue 3 Pages 257-261
Published: June 10, 1986
Released on J-STAGE: February 22, 2010
JOURNAL FREE ACCESSBreathiness of the voice is one of the major elements of hoarseness. A computerized method was devised for quantitative analysis of the breathy voice. The principle of this method is to detect the marked difference in the frequency range between the jet noise in breathy voice and other slow noise components. Successive measurements by this method revealed that the jet noise intensity of pathological voices had a large amount of fluctuation in a course of vowel phonation. Particularly the voices of recurrent nerve palsy had a characteristic increase of the jet noise intensity with decrease of the voice power. Laryngeal cancer showed a tendency to be most breathy among vocal cord polyps, recurrent nerve palsies and laryngeal cancers.View full abstractDownload PDF (455K) -
Yoshihiro Wada, Yasuhiro Serizawa, Yasuo Mori, Michihiko Nozue, Hajime ...1986 Volume 37 Issue 3 Pages 262-267
Published: June 10, 1986
Released on J-STAGE: February 22, 2010
JOURNAL FREE ACCESS1) During the past 7 years from 1977 to 1984, 36 cases of esophageal foreign bodies (male: 24, female: 12) and 24 cases of tracheo-bronchial foreign bodies (male: 14, female: 10) were treated in our clinic.
2) Fifty three percent of esophageal foreign bodies and 83% of tracheo-bronchial foreign bodies were found in children under 5 years of age.
3) As the esophageal foreign bodies, coins were found in 14 cases (39%) who were all under 10 years of age, while dental prostheses were found in adults.
4) As the tracheo-bronchial foreign bodies, peanuts were found in 9 cases and foreign bodies were more often seen in the right bronchus.
5) According to our questionnaires which were given to the families of the patients under 15 years of age, we found that they had little understanding of the tracheo-bronchial foreign bodies especially about the peanuts.View full abstractDownload PDF (784K) -
Keiichi Ichimura, Yasushi Murakami, Hideo Tanaka1986 Volume 37 Issue 3 Pages 268-275
Published: June 10, 1986
Released on J-STAGE: February 22, 2010
JOURNAL FREE ACCESSThe analysis of 22 adult patients with acute epiglottitis, which we experienced during 7 and a half years, was reported. The sex ratio was 7:3 (M:F), and mean age was 39.5 years old. The majority of the cases complained of odynophagia, sore throat and dysphagia. Only 2 patients complained of dyspnea, which appeared 2 or 3 days after the onset of odynophagia. Typical findings of the epiglottis were injection and swelling. However, 3 cases showed pale and edematous epiglottis, which was supposed to reflect sudden obstruction of lymph flow. Xeroradiography of the lateral neck provided an excellent diagnostic clue, which consisted of swelling of the epiglottis (thumb-print sign), aryepiglottic folds and arytenoids. Although a blood culture is the only unequivocal method of documenting a responsible pathogen, we could not identify any organism.
The protocol of the management should be 1) instant admission, 2) antibiotic therapy-ampicillin is the first choice, and 3) close observation. In patients with respiratory distress, endotracheal intubation and inhalation of humidified oxygen should be a useful adjunct. However, we had to treat half of the patients without admission for some reasons. All of these patients had an uneventful course without eatablishing artificial airway patency.
Acute epiglottitis in adults is not rare. It is preferable to diagnose as acute epiglottitis for every patient with sore throat accompanied with dysphagia until proven otherwise.View full abstractDownload PDF (4014K) -
Masahiro Takahashi, Reiko Yamamoto, Chikako Tsurimaki, Eiko Matsukawa1986 Volume 37 Issue 3 Pages 276-281
Published: June 10, 1986
Released on J-STAGE: February 22, 2010
JOURNAL FREE ACCESSWe reported two patients of hypopharyngeal and cervical esophagus cancer who attained good esophageal speech with a reconstructed esophagus after pharyngo-laryngoesophagectomy. Neoglottis in these patients was observed at the middle or lower portion of the cervical esophagus rather than on the entrance of the gullet. Esophageal speech of these patients may be accomplished by all of thin material (anterior neck skin) utilized for reconstruction, wide hypopharyngeal space and appropriate lumen of the gullet not only to make a neoglottis, but wide enough for swallowing.View full abstractDownload PDF (5879K) -
Katsuaki Nagai, Masao Naito, Reiji Nishiyama, Akio Suzuki, Shigenobu I ...1986 Volume 37 Issue 3 Pages 282-286
Published: June 10, 1986
Released on J-STAGE: February 22, 2010
JOURNAL FREE ACCESSOxyphilic adenoma is an unusual tumor of salivary glands, and extremely rare in the larynx. We reported a case of laryngeal oxyphilic adenoma in the right false vocal cord of a 40 years old woman. This tumor was removed through laryngofissure, and intralarygeal defect was reconstructed by the pedicled thyrohyoid muscle. Pathological examination revealed an oxyphilic adenoma, and suggested malignancy because of deformities of these nucleal membrane. Radiotherapy was administered after operation. There has been no evidence of recurrence and phonatory function has been good for one and half year since the last operation. Seventy-three cases of laryngeal oxyphilic adenoma have been reported in literatures. The sex ratio of this tumor is almost equal. The majority of cases were found within 50-70 of age, although Japanese 4 cases were younger except one. Laryngeal oxyphilic adenoma commonly arises from the fales vocal cord and the ventricle and prognosis is generally well.View full abstractDownload PDF (5040K) -
Takamasa Yoshihiro, Jiro Muto, Hidetake Shiga, Hirohiko Yamazumi1986 Volume 37 Issue 3 Pages 287-290
Published: June 10, 1986
Released on J-STAGE: February 22, 2010
JOURNAL FREE ACCESSA case of a 56-year-old man with tracheobronchomegaly (TBM) is reported. He complained of cough, sputum and hoarseness. Clinical examination including bronchoscopy, chest X-ray film, esophagography, bronchography and CT scan were performed. It was noted by chest plain film and bronchoscopy that the tracheal lumen was markedly enlarged to show 33mm in diameter. Tumorous lesion were suspected upon CT scan and by esophageal contrast study. Valuable clinical examination in this case were chest X-ray film and bronchoscopy. TBM is a very rare disease and only one case has been reported is Japan. Furthermore, coexistence of esophageal tumor has not been reported in literature. The relationship between TBM and chronic inflammation has been suggested in literature. Its pathogenesis is discussed.View full abstractDownload PDF (2868K) -
Tomohiko Nigauri, Shoji Takooda, Sokei Maeda, Hitoshi Hentona, Norihik ...1986 Volume 37 Issue 3 Pages 291-294
Published: June 10, 1986
Released on J-STAGE: February 22, 2010
JOURNAL FREE ACCESSTo make an early diagnosis of hypopharyngeal and esophageal cancers among patients complaining of abnormal sensation of the throat, esophagoscopy is one of the most important examinations. We reviewed 121 patients who underwent esophagoscopy at the department of otolaryngology of the Saitama Cancer Center Hospital, from April 1983 to January 1985. Of the 121 patients, 103 complained of the abnormal sensation of the throat, 4 complained of hematosputum, 6 had metastatic cervical lymph node with unknown primary lesion, 3 had unilateral vocal cord paralysis and 5 others. Among 121 patients, abnormal findings were seen in 14 patients (11.6%), including one hypopharyngeal cancer (PCC T2 N0M0) and three esophageal cancers (Iu Stage 0, Im Stage O, Im Stage 4). In all these four cases with cancers, ordinary laryngo-fiberscopy could not have revealed any abnormal finding. It is generally accepted that not only hypopharyngeal cancers but also esophageal and stomach cancers may cause the abnormal sensation of the throat. Esophagoscopy is useful way for otolaryngologists to find these malignant tumors in early stage.View full abstractDownload PDF (2333K) -
M. Endo1986 Volume 37 Issue 3 Pages 296-297
Published: June 10, 1986
Released on J-STAGE: February 22, 2010
JOURNAL FREE ACCESSDownload PDF (3534K)
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