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Volume 32, Issue 5
Displaying 1-18 of 18 articles from this issue
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A Case ReportKunihiko TSUTSUMIUCHI, Yuzuru TANIKAWA, Hisao MIYASHITA, Nobuhiko KURI ...1986 Volume 32 Issue 5 Pages 721-724
Published: September 20, 1986
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSA case of simultaneous primary carcinomas of the tongue, histologically squamous cell and mucoepidermoid carcinomas, is presented. A 51-year-old male had a three-month history of a pain on the right side of the tongue. A 25×16mm hard tumor on the right side of the tongue extended to the floor of the mouth and a 18×8mm sized white, hard tumor on the left side of the tongue were seen. A small finger tip sized lymph node in the left upper neck was palpable. Postoperative histopathologic examination revealed a homolateral metastasis of the squamous cell carcinoma. The patient underwent a resection of three-fourths of the mobile portion of the tongue with bilateral neck dissection. His postoperative course was uneventful. A nine month follow-up found neither recurrence nor metastasis. To the best of our knowledge, this is the first case of simultaneous squamous cell and mucoepidermoid carcinomas of the tongue.View full abstractDownload PDF (5063K) -
Masahiro KAWAIDA, Ryoji OKAMOTO, Kaoru OGAWA1986 Volume 32 Issue 5 Pages 725-729
Published: September 20, 1986
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSWe experienced a case in a 15-year-old girl of calcifying epithelioma which developed subcutaneously in the right parotid region. About 4 months before she visited us, she noted the presence of a tumor in the right parotid region. It grew gradually. Results of examinations (echography, RI-scintigraphy, target CT-sialography and smear by FNA) indicated that she had a parotid tumor arising from the superficial layer of the right parotid gland. However, from the operative and histopathological findings she was diagnosed as having a calcifying epithelioma. The epithelioma has not recurred for 1 1/2 years.View full abstractDownload PDF (7456K) -
Ryusuke SAITO, Ikuo INOKUCHI, Kayoko YAMAMOTO, Motomasa ISHIHARA, Kats ...1986 Volume 32 Issue 5 Pages 730-734
Published: September 20, 1986
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSA case with diffuse osteoradionecrosis of the temporal bone is described. The patient had received radiotherapy for temporal bone carcinoma. Neuralgic pain and profuse offensive otorrhea first appeared with development of ulceration of the external auditory canal and mastoid cavity two months following irradiation. One year later, extensive sequesteration over both the external auditory canal and mastoid process, and facial nerve paresis developed. Repeated biopsies failed to prove recurrence of the malignancy. The patient was successfully treated by the radical exploration of the mastoid with decompression of the facial nerve, followed by closure with the forehead skin flap. The incidence, pathology, clinical manifestations and therapy of osteoradionecrosis of the temporal bone were reviewed and discussed with an emphasis on alerting the physician of this condition.View full abstractDownload PDF (5372K) -
Tadatsugu MAEYAMA, Takemoto SHIN, Hiroyuki TOMODA1986 Volume 32 Issue 5 Pages 735-737
Published: September 20, 1986
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSAbnormal sensation of the pharyngolaryngeal region has been elicited by various local organic lesions and is rarely caused by an abnormality of the uvula. In this paper, a case of elongated uvula is reported. The patient was a thirty five year old female. She complained of abnormal sensation of the pharyngolaryngeal region elicited by touch of the uvula with the tongue. Physical examination revealed an elongated uvula and a slight soft palate palsy on the right side. No other abnormality was observed in the pharyngolaryngeal region. Anemia, autonomic nerve dysfunction and other neurological abnormalities were not observed. Her complaint disappeared after resection of the uvula.View full abstractDownload PDF (2615K) -
Analysis of 6 Difficult Cases in Differential DiagnosisKunihiko TSUTSUMIUCHI, Yuzuru TANIKAWA, Hisao MIYASHITA, Nobuhiko KURI ...1986 Volume 32 Issue 5 Pages 738-743
Published: September 20, 1986
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSIn advanced carcinoma of the larynx or hypopharynx, it is not easy to distinguish the primary site of the lesion. Six cases of advanced squamous cell carcinoma of the larnx or hypopharynx, treated at Metropolitan Komagome Hospital from 1982 to 1984, were retrospectively studied. All patients were males, and ages ranged from 50 to 83 years (mean age 69 years). Two of the six patients were classified as stage III, four as stage IV. Two were treated by surgery, three by radiation therapy, and one by a combination of the two. A hypopharyngogram, laryngogram, and computed tomography were useful to estimate the extent of the lesion, but were not valuable in distinguishing the origin of the tumor. Endoscopy was not helpful because the carcinomas were too advanced to observe both the hypopharynx and the larynx precisely. Finally, three cases were diagnosed as supraglottic and three as pyriform sinus carcinomas, based on observations of surgically excised specimens, or of tumor regression after radiation therapy. For differentiating advanced laryngeal carcinoma from the hypopharyngeal carcinoma at pretreatment, more useful methods and implements are necessary.View full abstractDownload PDF (6901K) -
Fumihide OHMURA, Satmi TANIGUHI, Yukako SHIMOMURA, Katuzi IKEKUBO1986 Volume 32 Issue 5 Pages 744-748
Published: September 20, 1986
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSSCC antigen was purified from human liver metastatic lesion of uterine cervical squamous cell carcinoma. We determined the serum SCC antigen levels in patients with head and neck squamous cell carcinomas by double-antibody radioimmunoassay method. Twelve of 18 pretreatment patients (66.7%) showed elevated serum SCC antigen levels. The serum antigen levels were decreased in most cases, by treatments, such as surgery, irradiation and chemotherapy. Antigen levels tended to increase by recurrence or metastasis. Our studies indicate that serum SCC antigen levels are clinically useful for monitoring the response to treatment in patients with head and neck squamous cell carcinomas.View full abstractDownload PDF (583K) -
Yasuo KAKU, Naoki INAMURA, Tomonari TAKASAKA, Kazutomo KAWAMOTO, Kenic ...1986 Volume 32 Issue 5 Pages 749-757
Published: September 20, 1986
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThe efficacy and safety of Ketotifen (Zaditen®) were studied in 83 patients with perennial rhinitis at the ENT departments of hospitals in Sendai, Japan. Each patient took a 1mg capsule of Ketotifen (Zaditen®) twice daily for at least 4 weeks. The rate of effectiveness of Zaditen was 88.6% with slight to marked improvement. About half of them responded to treatment in the first week, and 97.1% of them within 4 weeks after the start of treatment. The only side effect worthy of mention was drowsiness during the treatment, but it was usually transient.View full abstractDownload PDF (761K) -
Shozo KAWAMURA, Haruhisa HORIKAWA, Hiroshi WATANABE, Yutaka FUJIMAKI, ...1986 Volume 32 Issue 5 Pages 758-781
Published: September 20, 1986
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSFor the purpose of evaluating the clinical efficacy, safety and utility of T-2588 (a novel oral cephem of ester type) for suppurative otitis media, a comparative double blind study was carried out by using Cefaclor (CCL) as a control drug. Patients over 15 years old with suppurative otitis media were orally administered T-2588 (3×200mg/day) or CCL (3×250mg/day) for 7 days. 1. In the evaluation of clinical efficacy by a committee, the efficacy rate was 56.0% for the T-2588 group and 53.8% for the CCL group. There was no significant difference between these efficacy rates. No significant difference was observed in the evaluation of clinical efficacy by the attending physician. 2. On day 7 after initiation of treatment, the overall improvement rate was 49.5% and 41.9% in the T-2588 group and CCL group, respectively. There was no significant difference between the two groups. 3. The bacteriological effect (elimination rate), judged by a committee, of T-2588 group and CCL group were 62.2% and 65.4%, respectively. No significant difference was noted in the two groups. 4. The attending physicians rated as “satisfactory” or “markedly satisfactory” 53.8% of the T-2588 group and 57.0% of the CCL group. There was no significant difference between the two groups. 5. Side effects were observed in 4 (3.9%) of 102 cases in the T-2588 group and 3 (2.8%) of 106 cases in the CCL group. There was no significant difference between the two groups. These results indicate that T-2588 as well as CCL are useful drugs for the treatment of suppurative otitis media.View full abstractDownload PDF (2409K) -
[in Japanese]1986 Volume 32 Issue 5 Pages 783-786
Published: September 20, 1986
Released on J-STAGE: May 10, 2013
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Its Clinical ApplicationYuyong ZHEN, Wangpeng WAN1986 Volume 32 Issue 5 Pages 787-788
Published: September 20, 1986
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSProbing of the arytenoid is a new method for treatment of incomplete glottic closure and impaired mobility of the vocal cords. 202 cases were given this treatment in our clinic. The method was proved to be simple, reasonable, effcctive and safe, and gave fairly sat- isfactory results in 85.15 ro of the cases. The procedure was usually done, under indirect or direct laryngoscopy after local anesthesia with an applicator, to close the glottis and make the arytenoid move freely. Consequent phonation was improved. The technique was based on various anatomical cosiderations. Indications for the use of procedure are incomplete glottic closure, fixed vocal cords, dislocation of the arytenoid and impaired movement of arytenoid accompanied by a certain degree of laryngeal obstruction. Factors which influence the results are proper selection of patients, duration of the disease, and the technique employed.View full abstractDownload PDF (200K) -
[in Japanese], [in Japanese]1986 Volume 32 Issue 5 Pages 789
Published: September 20, 1986
Released on J-STAGE: May 10, 2013
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...1986 Volume 32 Issue 5 Pages 790-792
Published: September 20, 1986
Released on J-STAGE: May 10, 2013
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Squeezing TechniqueHiroko YONEKAWA, Kiku KOHNO, Kayoko OKABE, Katsuhiko TAMAKI, Fumihiko ...1986 Volume 32 Issue 5 Pages 793-798
Published: September 20, 1986
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSA new surgical procedure for polypoid vocal cord was reported. The mucous membrane covering the polypoid swelling was removed preserving the mucosa at the edge of the vocal cord, and the mucous substance under the inferior surface of the vocal cord was squeezed out. The new surgical procedure was called “squeezing technique” and considered to be most appropriate for treating the case of polypoid swelling severely.View full abstractDownload PDF (4667K) -
[in Japanese], [in Japanese], [in Japanese]1986 Volume 32 Issue 5 Pages 799-800
Published: September 20, 1986
Released on J-STAGE: May 10, 2013
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[in Japanese], [in Japanese], [in Japanese]1986 Volume 32 Issue 5 Pages 801
Published: September 20, 1986
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSDownload PDF (85K) -
[in Japanese], [in Japanese], [in Japanese]1986 Volume 32 Issue 5 Pages 802
Published: September 20, 1986
Released on J-STAGE: May 10, 2013
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Koichi MATSUO, Takemoto SHIN, Minoru HIRANO1986 Volume 32 Issue 5 Pages 803-809
Published: September 20, 1986
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSPathogenesis of the polypoid vocal fold was investigated by clinicostatistical, histological and chemical analyses. Results from the clinical study indicated that long term smoking was one of the most causative factors in the development of the polypoid vocal fold. Moreover, fibrous tissue weakness and decreases in various chemical substances in the mucosa of the vocal fold due to aging appeared to break down the blood vessels in the mucosa during phonation. Under these conditions, the acid glycoprotein from the serum oozes out little by little into the superficial layer of the vocal fold and becomes a concentrated mucoid substance. In mild cases of the polypoid vocal fold, conservative treatment is recommended initially. Otherwise, surgical treatment shoud be performed. Regarding vocal improvement after complete healing of surgery, there was no significant difference between the stripping technique and the sucking technique. However, in terms of immediate postoperative vocal usage, the sucking technique is more advantageous than the stripping technique.View full abstractDownload PDF (4607K) -
Three Dimensional Architecture of Mitochondrias and Sarcotubles Observed by Scanning Electron MicroscopeTatsuzo TAIRA, Masaya TAKUMIDA, Toshitada SAKAI, Naoki WATANABE, Akira ...1986 Volume 32 Issue 5 Pages 810-815
Published: September 20, 1986
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSDownload PDF (6393K)
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