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Volume 52 (2001)
- Issue 6 Pages 431-
- Issue 5 Pages 369-
- Issue 4 Pages 299-
- Issue 3 Pages 229-
- Issue 2 Pages 59-
- Issue 1 Pages 1-
Volume 52, Issue 3
Displaying 1-9 of 9 articles from this issue
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Original
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Hisashi Kohno, Koshiro Nakamura, Takashi Kikuchi2001 Volume 52 Issue 3 Pages 229-234
Published: June 10, 2001
Released on J-STAGE: August 25, 2008
JOURNAL RESTRICTED ACCESSTracheostomies were performed on 13 children (6 males, 7 females) during the last ten years (1991-2000) at the Ehime Prefectural Central Hospital. Seven patients had complained of stenosis of the upper respiratory tract, and the other six patients needed management of the respiratory system due to central nervous system disorders (3 patients), congenital multiple malformation (1 patient), postoperative tetralogy of Fallot (1 patient), and hypophosphatasia (1 patient). The surgical procedures of the tracheostomies in this series included a skin incision in an up-side-down “Y,” amputation of the thyroid gland isthmus and the opening of the anterior tracheal wall like a pair of doors so that the tracheal stoma remained wide and clear. Postoperative peristomal granulation was seen in two patients. The effect of the tracheostomies on the respiratory care was remarkable, and two of the treated children are free from any respiratory assistance at home.View full abstractDownload PDF (1239K) -
Ryota Tanaka, Ryuta Amemiya, Yuji Asato, Moriyuki Kiyoshima, Yoshihiko ...2001 Volume 52 Issue 3 Pages 235-239
Published: June 10, 2001
Released on J-STAGE: August 25, 2008
JOURNAL RESTRICTED ACCESSThe continuation and the form of the longitudinal folds around the carina were evaluated. Between January 1998 and September 2000, 86 cases were studied in which detailed observation was possible using structure enhancement processing. There were 72 males and 14 females, and the mean age was 67 years. The number and patterns of the folds from the trachea to the bilateral main bronchi were examined. The patterns of the longitudinal folds around the carina were classified into two types; one in the trachea that continuously diverges toward the bilateral main bronchi around the carina, and another type of fold that diverges entirely toward the right main bronchus and newly ramifies as folds to the left main bronchus at the carina. The former type was classified into two subtypes ; Type A having many folds in the left main bronchus, and Type B with few folds. The latter was further classified into subtypes; Type C with folds in the left main bronchus originating from the longitudinal folds at the carina and Type D with folds originating at the left main bronchus. The average number of folds in the trachea was 6.1±1.7. The average number of folds in the left main bronchus and right main bronchus was 2.4±1 and 4.9±1, respectively. In terms of frequency of occurrence, Type A amounted to 35%, Type B, 15%, Type C, 42%, and Type D, 8%. In comparison with the right main bronchus, the longitudinal folds in the left main bronchus were slim in most cases. The above results suggest that the longitudinal folds in the trachea predominantly bifurcate to the right main bronchus.View full abstractDownload PDF (724K) -
Ryoji Ishida, Hiroyuki Yamada, Ken-ichiro Fujita2001 Volume 52 Issue 3 Pages 240-244
Published: June 10, 2001
Released on J-STAGE: August 25, 2008
JOURNAL RESTRICTED ACCESSFrom 1992 through 2000, 4 patients with medullary thyroid carcinoma were underwent operations at our department. Elevation of serum calcitonin was observed in all 4 patients. On the other hand, elevation of serum CEA was observed in only 1 patient. Aspiration cytology could not detect medullary carcinoma in all 4 cases. Thus, serum calcitonin was considered the more important examination in screening for medullary carcinoma.
Hemithyroidectomy was performed in 2 patients. In the other 2 patients, total thyroidectomy was performed. All patients are alive without recurrence. We concluded that hemithyroidectomy should be performed in patients with thyroid tumors in unilateral lobe that diagnosed as non-familial medullary carcinoma by RET proto-oncogene.View full abstractDownload PDF (479K)
Case Report
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Mitsuhiko Nakahira, Kasumi Higashiyama, Hiroaki Nakatani, Taizo Takeda2001 Volume 52 Issue 3 Pages 245-250
Published: June 10, 2001
Released on J-STAGE: August 25, 2008
JOURNAL RESTRICTED ACCESSTotal laryngectomy is the definitive method for separation of the upper digestive and respiratory systems and for the prevention of aspiration. However, pharyngeal closure after laryngectomy using traditional suturing techniques cannot prevent wound contamination by saliva secretions. It also requires a long operative time to close the pharyngeal defect. We report on clinical experience for intractable aspiration in two patients in whom closed laryngectomy using a automatic linear stapling device was performed. In the procedures of the laryngectomy, the stapling device was usued after skeletonizing the larynx, laryngofissure and traction of the epiglottis. This method makes it possible to seal off the pharynx just before the resection of the larynx, which can decrease wound contamination.
The staple closure was faster and easier than traditional suturing techniques. Postoperative complications, including pharyngocutaneous fistula associated with laryngectomy, were not seen in either patients.View full abstractDownload PDF (1886K) -
Shogo Shinohara, Etsuo Yamamoto, Makito Tanabe, Toshiki Maetani, Keizo ...2001 Volume 52 Issue 3 Pages 251-254
Published: June 10, 2001
Released on J-STAGE: August 25, 2008
JOURNAL RESTRICTED ACCESSHead and neck cancers presenting as neck abscesses are extremely rare. We report a case of supraglottic laryngeal cancer which presented as an abscess. At first, we did not notice the existence of malignancy and treated the patient as having a deep neck abscess for more than three weeks. After the proper diagnosis, neo-adjuvant chemotherapy, a radical operation with reconstruction using the free-flap technique and adjuvant radiotherapy were performed, but distant metastases occurred. We emphasize that the exsistence of malignancy must be suspected if the etiology is obscure in treating neck abscess.View full abstractDownload PDF (660K) -
Masashi Haga, Kousuke Ishii, Katsumi Takizawa, Hidetaka Tanaka, Mitsuo ...2001 Volume 52 Issue 3 Pages 255-258
Published: June 10, 2001
Released on J-STAGE: August 25, 2008
JOURNAL RESTRICTED ACCESSTo secure the airway is extremely difficult in the case of hemorrhages from the lower airway. Moreover it is difficult in operations involving the airway to secure a view while ventilating. We report a case where bleeding due to lung aspergilloma was stopped using a broncho cath under PCPS. PCPS was possible to build in a short time, and the operator is breed from the necessity of ventilation through the airway.View full abstractDownload PDF (473K) -
Hajime Suguro, Toru Majima, Kouichi Ichimura, Toshio Iwata, Tsuneto Ak ...2001 Volume 52 Issue 3 Pages 259-263
Published: June 10, 2001
Released on J-STAGE: August 25, 2008
JOURNAL RESTRICTED ACCESSThe patient was a 65-year-old woman who complained of coughing, sputum production, low grade fever and general fatigue.
White cell count was 11,000/μl with 30 percent of eosinophils. Her chest X-ray showed no abnormalities. Since eosinophilia in sputum and peripheral blood was observed, a transbronchial lung biopsy was performed and the specimen revealed eosinophil infiltration into the alveolar septal walls and bronchiole walls. Chronic eosinophilic pneumonia was diagnosed.
Although the eosinophil count had been elevated, the patient progressed relatively well and no treatment was performed for one year.
When patient's symptoms recurred with eosinophilia, suplatast tosilate was prescribed. Symptoms and eosinophil counts in blood were improved, and eosinophil infiltration into the alveolar septal walls and bronchiole walls was not observed one year after treatment with suplatast tosilate. There has been no recurrence since 1997.View full abstractDownload PDF (796K)
Short Communication
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Satoshi Kitahara, Etsuyo Tamura, Taichi Furukawa, Yoko Kitagawa, Tetsu ...2001 Volume 52 Issue 3 Pages 264-269
Published: June 10, 2001
Released on J-STAGE: August 25, 2008
JOURNAL RESTRICTED ACCESSAutologous fat injection the vocal folds can be a less invasive, alternative method to treat voice disorders due to glottic insufficiency. Recently the use of autologous fat has been reported as an injection material, however, no practical report concerning its methodology or effect has been done. Then we intend to report the results of reexamination the lipoinjection. Patients were eight with unilateral laryngeal paralysis and two with sulcus vocalis. All patients were put under a general anesthesia with oral intubation. The collection of the fat was performed from underneath the abdominal skin directly, or using a fat-collector on the market. We then injected the fat into the vocal folds with a 14G Angiocath needle transcutaneously. Voices were evaluated one month after injections and all showed the improvement of maximum time of prolonged phonation.View full abstractDownload PDF (1126K) -
Kiminori Sato, Tadashi Nakashima2001 Volume 52 Issue 3 Pages 270-274
Published: June 10, 2001
Released on J-STAGE: August 25, 2008
JOURNAL RESTRICTED ACCESSWe manufactured a trial videoendoscope for extraction of foreign bodies from the hypopharynx and cervical esophagus in cooperation with the Asahi Optical Co., LTD. This videoendoscope was equipped with a hood at its tip so as to observe and deal with foreign bodies in the hypopharynx and the entrance of the esophagus. This videoendoscope gave better images compared to conventional fiberscopes. Its diameter was relatively thin and thus resulted in less suffering for patients during foreign body extraction. We could treat patients in a sitting position at our ENT out-patient clinic. Indications for office-based foreign body extraction from the hypopharynx and cervical esophagus will thus be widened.View full abstractDownload PDF (1322K)
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