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Volume 44, Issue 6
Displaying 1-11 of 11 articles from this issue
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Kensuke KIYOMIZU, Tetsuya TONO, Dewen YANG, Atsushi HARUTA, Takao KODA ...1998 Volume 44 Issue 6 Pages 757-763
Published: November 20, 1998
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThirty-three patients (62 ears) with surgically confirmed otosclerosis underwent a preoperative CT examination in order to determine the presence of any correlation between the audiometric and CT findings. Based on the CT findings, the ears were classified into five groups as follows: group A: 25 ears (40.3%) with normal CT findings, group B1: 15 ears (24.2%) with demineralization in the region of the fissula antefenestram, group B2: 12 ears (19.4%) with demineralization around the anterior to the oval window, group B3: 4 ears (6.5%) with demineralization surrounding the cochlea, and group C: 6 ears (9.7%) with thick anterior and posterior plaques. The expansion of demineralization led to an increase in average bone conduction hearing level: group A; 27.1 dB, group Bl: 30.6 dB, group B2: 34.6 dB, group B3: 36.7 dB, group C 30.3 dB. This increase is most likely due to progressive labyrinthine otosclerosis. Group C in the average airbone gap was greater (37.5 dB) than that in the patients with demineralization, group B1 (21.6 dB), group B2 (28.2 dB), group B3 (26.7 dB), the Carhart effect of group C was smaller than that of any other groups, thus suggesting the mode of otosclerosis progression in group C to be different from that in patients with demineralization. The results of the present study indicate that the preoperative CT findings of otosclerosis correlate with the audiometry findings, thus proving the usefulness of CT in diagnosing otosclerosis.View full abstractDownload PDF (13521K) -
The first report: The treatment outcome for sudden deafnessHong Xiang ZHENG, Katsuichiro OHSAKI, Qing-Chun WANG, Mitsuo UENO1998 Volume 44 Issue 6 Pages 764-770
Published: November 20, 1998
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSIn order to investigate the treatment outcome after the administration of salvia miltiorrhiza (SM), a herbal medicine, on sudden deafness, 65 Chinese patients were injected by an intravenous drip of SM (15g/day) dissolved in 500ml low molecular dextran solution. A control group of 69 patients with sudden deafness were treated by either the injection or oral administration of steroids in China and in Japan. This study focused on the different methods of treatment and factors which influence the prognosis of sudden deafness. Five factors were considered including: dizziness, the period between the onset of illness and the start of treatment, the average hearing level in an audiogram obtained at the first medical examination, the types of hearing loss, and any differences between high frequencies and low frequencies. The treatment outcome of SM were compared to the outcomes of the control group. The results were as follows: 1) There was no significant difference in the general outcome between the SM group and the steroid group (x2-test). 2) There was a greater improvement ratio in the recovery of total deafness regarding the type of hearing loss in the SM group than in the steroid group (Fisher's test, p<0.1). 3) No significant difference was seen between sudden deafness accompanied with dizziness and sudden deafness without dizziness in the group using SM (Fisher's test). The results obtained so far thus suggest the intravenous drip of SM to be a potentially useful treatment for sudden deafness.View full abstractDownload PDF (12103K) -
Masaharu URA, Shinobu YASUDA, Hiroyuki MAEDA, Tetsuo ITOKAZU, Yutaka N ...1998 Volume 44 Issue 6 Pages 771-775
Published: November 20, 1998
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSIn 38 patients who demonstrated tinnitus with hyperlipidemia the relationship between the change in the serum lipoprotein value and a reduction of tinnitus was evaluated. In 25 of the 38 patents (65.8%) a reduction of tinnitus was recognized. Regarding the total cholesterol and phospholipid levels, no remarkable relationship was seen between the change in the serum level and the degree of tinnitus after the administration of hyperlipidemic agents. On the other hand, the amount of both triglyceride and non-estelized fatty acid decreased remarkably in the effective group which showed a decrease in tinnitus intensity. In 14 of 17 patients, the serum value of triglyceride decreased from an abnormally high level to normal levels. Of all the patients who showed an abnormally high serum level of triglyceride, 17 patients later showed a normal serum level after the administration of anti-hyperlipidemic drug. In addition, 14 of them (82.4%) also showed an effective reduction of tinnitus. Based on these findings, the administration of anti-hyperlipidemic drug is thus suggested to be useful in treating patients suffering from tinnitus with hyperlipidemia, especially patients with hypertriglycemia.View full abstractDownload PDF (8374K) -
Hiroaki INOUE1998 Volume 44 Issue 6 Pages 776-779
Published: November 20, 1998
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSA 78 years-old woman who suffered from BPPV for 30 years is herein reported. Her positional vertigo and nystagmus disappeared after a second treatment by CRP of Epley. She always avoided the head position that provoked vertigo. This habit may prevent her from a spontaneous cure for BPPV. An etiology of BPPV persisting for many years is generally thought to be cupulolithiasis. In spite of the three decades persistance, canalolithiasis can be the cause in this case, because of a fatigue phenomenon and the effectiveness of CRP. The persistant BPPV timecourse in this case is the longest ever reported in the Japanese literature.View full abstractDownload PDF (5834K) -
A case reportYukie ODA, Hirofumi AKAGI, Kazunori NISHIZAKI, Yu MASUDA, Chisato SAIT ...1998 Volume 44 Issue 6 Pages 780-785
Published: November 20, 1998
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSAngiolymphoid hyperplasia with eosinophilia (ALHE) is very rare in the oral cavity and its cause is unknown. We herein report a case of ALHE which originated in the tongue. A 76-year-old female presented at our hospital with a chief complaint of a mass and pain on the left side of her tongue. The firm tumor was granulous and partially ulcerative on the surface. The superficial lymph nodes were not palpable. The eosinophil count and the IgE level in the peripheral blood were normal. The tumor was removed under local anesthesia in May 1997. A histological examination revealed a proliferation of hyperplastic vessels lined by plume endothelial cells and a diffuse cellular infiltration comprising lymphocytes and eosinophils, but no formation lymphoid follicles. The tumor was clinically and histologically diagnosed to be ALHE in the tongue. A local reccurence appeared 1.5 months after the first operation and thus the tumor was again removed under local anesthesia in June 1997. After the reoperation there has been no evidence of reccurrence of the tumor for 11 months.View full abstractDownload PDF (15088K) -
Report of a caseTakumi YAMASAKI, Toshio YOSHIHARA, Tetsuo ISHII1998 Volume 44 Issue 6 Pages 786-790
Published: November 20, 1998
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSMalignant melanomas occurring in the mucosa of the head and neck region are rare. The case of a 64-year-old male with malignant melanoma arising in the epipharynx is reported. The patient had complained of postnasal discharge with blood for four months. Systemic chemotherapy and immunotherapy were administered due to difficulties in performing a complete resection. Six months after 4 courses of chemotherapy, heavy ion rediation therapy was applied to the epipharynx region, and thereafter the tumor markedly decreased in size. Thirty months after the initial treatment, the patient died of multiple distant metastases. At autopsy, however, no regrowth of the epipharyngeal tumor was observed.View full abstractDownload PDF (13323K) -
Seiichiro HAYASHIDA, Seiji TAKAGI, Shintaro SATOH, Motohiro SAWATSUBAS ...1998 Volume 44 Issue 6 Pages 791-795
Published: November 20, 1998
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSPolymorphous low-grade adenocarcinoma (PLGA) of the minor salivary gland is characterized by histologic diversity. The tumor is always unencapsulated and extends into the surrouding tissue. Genarally, only radical surgery is the indicated treatment. The prognosis regarding recurrence and metastasis is favorable. We report 2 patients with PLGA of the mesopharynx. Irradiation and/or chemotherapy are usually ineffective, therefore, the tumors removed with a safety margin. Both patients have so far shown no evidence of tumor recurrence about one year after surgery.View full abstractDownload PDF (11364K) -
Tatsuya FUJIYOSHI, Chyol KWONG1998 Volume 44 Issue 6 Pages 796-803
Published: November 20, 1998
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSWe treated a 39-year-old man with laryngeal injuries due to external blunt trauma. He suffered from slight difficulty in breathing, hoarseness, and swallowing pain localized to the area of the larynx. Examinations with a flexible endoscope and a CT scan revealed mild endolaryngeal edema, submucosal ecchymosis, and antero-lateral fracture of the cricoid cartilage displacing its anterior portion 5 mm inward without any overlying mucosal disruption. Since the cricoid fracture was not serious, we selected conservative therapy using the intravenous administration of Solu-Medrol®, consequently, the dyspnea was rapidly relieved. The swallowing pain and hoarseness have disappeared after several days. Submucosal ecchymosis in the subglottic area remained over 80 days, but no subglottic stenosis occurred. Presently, the vocal cords look normal, and their movement as well as the vibratory pattern observed by a stroboscope appear nomal. However, he has continued to demonstrate limitations in high-pitched phonation for 9 months. The detailed effects of laryngeal injuries in the case regarding the phonatory function remain unclear. Based on a literature review, we discuss the treatment of laryngeal trauma in order to elucidate the complex problems on both airway and phonatory function. In addition, we also emphasize the usefullness of 3D images reconstructed with helical CT to evaluate the skeletal integrity in cases of laryngeal trauma.View full abstractDownload PDF (20833K) -
Tetsuo ITOKAZU, Shizuo KOJYA, JUN MATSUMURA, Akihiko SHINHAMA, Mitsho ...1998 Volume 44 Issue 6 Pages 804-807
Published: November 20, 1998
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThe result of radiation therapy on 64 patients with T1, T2N0 glottic carcinoma treated from 1985 to 1995 were reviewed. In these patients, 39 and 25 were classified as T1 and T2, respectively. The total exposure radiation dosage due to bilateral irradiation ranged from 60Gy to 76Gy. After radiation therapy, local recurrence was recognized in 14 cases (22%) overall, including 6 T1 cases (15%) and 8 (32%) T2 cases. Regarding the second treatment in the cases with local recurrence, a total laryngectomy and a laser cordectomy were performed in 12 and 2 cases, respectively. Larynx preservation was achieved in 87, 72% and 82% of the T1, T2 and overall cases, respectively. The ultimate control rate of disease, including a salvage operation, was 97% and the 5 year survival rate was 95%. For the preservation of voice function accompanied by a good prognosis, a partial ressection of the larynx could be applied in some cases with local recurrence after radiation therapy.View full abstractDownload PDF (7386K) -
Youichi EURA, Fumihide RIKIMARU, Tsuyoshi KONDO, Hiroyuki IKEDA, Toshi ...1998 Volume 44 Issue 6 Pages 808-814
Published: November 20, 1998
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSWe studied 149 patients with pure type blowout fractures at the Department of Otorhinolaryngology, at Fukuoka University Hospital from January, 1984 through Decembar, 1997. The patients consisted of 118 males ranging in age from 3 to 62 years of age and 31 females ranging from 2 to 53 years of age. The main causes of blowout fractures were fights, sports injuries and accidents. There were 92 cases of inferior fractures and 4 of fractures involving both walls. Operation were performed on 84 patients and conservative treatment was performed on 65 patients. The patients undergoing operation were classified into three groups according to the degree of subjective improvement in double vision. The effects of the blowout site fracture, the period until operation and the operation method were all examined with respect to the outcome. As a result, no difference was observed between the patients with inferior wall fractures and those with medial wall fractures.View full abstractDownload PDF (13804K) -
Satoshi OGINO, Ken KITAMURA, Nobuhiro NAKAGAWA, SUSUMU IWAKURA, Yoshik ...1998 Volume 44 Issue 6 Pages 815-825
Published: November 20, 1998
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThe clinical efficacy of pemirolast potassium (Alegysal®) was investigated in 29 patiets with perennial allergic rhinitis. The drug was orally administered for 4 weeks. All nasal symptoms improved in relation to the duration of the treatment period. The final global improvement of either “moderately improved” or greater was 41.4%. With respect to drug safety, one case complained of mild skin dryness as an adverse affect. The utility rate of “useful” or more was also 41.4%. The number of eosinophils observed in a nasal smear decreased after treatment, and the serum ECP levels also decreased after treatment in the improved cases. The changes in the nasal symptom score showed a good correlation with the clinical improvement based on ordinaly methods. According the these results, pemirolast potassium (Alegysal®) is thus considered to be useful for the treatment of perennial allergic rhinitis.View full abstractDownload PDF (13866K)
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