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Volume 44, Issue 3
Displaying 1-18 of 18 articles from this issue
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Yukio NAKAMURA, Masaharu URA, Shinobu YASUDA, Yutaka NODA1998 Volume 44 Issue 3 Pages 219-224
Published: May 20, 1998
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSUsher's syndrome (USH) is an autosomal recessive hereditary disease that includes progressive pigmentary retinopathy (PPH) and sensorineural hearing loss. This disease is also generally supposed to be rare in Japan. Usher's syndorome is divided into four clinical types. Usher's type 1 (USH1) demonstrates a profound congenital hearing loss and an extinct vestibular function with progessive pigmentary retinopathy. Usher's type 2 (USH2) has hearing loss that ranges from moderate to severe but the vestibular function remains normal. Usher's type 3 (USH3) is characterized by progressive sensorineural hearing loss which is quite uncommon and has been less well described. Usher's type 4 is characterized by an X linkes recessive hereditary pattern. In this paper, we present a pair of brothers, aged 47, and 41, who both had progressive sensorineural hearing loss and were, therefore, diagnosed to have Usher's type 3 syndrome. They have also been diagnosed to have profound sensorineural hearing loss, and we thus provided them with hearing amplification devices as well as advised them about the potential for developing progressive visual impairment as well.View full abstractDownload PDF (13538K) -
Kikuo SAKAMOTO, Shinsuke ITO, Haruko MIHOKI, Yoko ITO1998 Volume 44 Issue 3 Pages 225-228
Published: May 20, 1998
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSA foreign body was found in the mastoid cavity of a 50-year-old woman with otitis media during tympanoplasty surgery for cholesteatoma. Her chief complaint was left severe otalgia and otorrhea, and an ear mold had been made for a hearing aid by a non-professional. The molding material had accidentally entered into the left external auditory canal about one month earlier. It appeared that the molding material had flowed into the middle ear through a small hole in the mastoid cavity. When making hearing-aid molds, both medical care and consultation by specialists it therefore strongly recommended.View full abstractDownload PDF (7978K) -
Ken-ichi WATANABE, Tomonobu KAMIO, Daiji OHKAWARA, Shunkichi BABA, Tos ...1998 Volume 44 Issue 3 Pages 229-232
Published: May 20, 1998
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSWe measured the distortion product otoacoustic emissions (DP-OAE) in patients who suffered from hearing loss. Except for the group whose average auditory thresholds were more than 100dBHL, as the average hearing level of 4 frequencies became worse, the average DP level decreased. In some cases of profound sensorineural hearing loss (SNHL) in pure tone audiometry, we measured good responses for DP- OAE. In these cases, we were thus able to predict that the functions of the outer hair cells were well maintained. Based on our findings, DP-OAE is thought to be one of the useful methods to evaluating the functions of the inner ear.View full abstractDownload PDF (7013K) -
Nobuhide IMAMURA, Tetsuo MORIZONO, Kimio SHIRAISHI1998 Volume 44 Issue 3 Pages 233-247
Published: May 20, 1998
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThe purpose of this study was to examine the presence and the degree of sensorineural hearing loss (SNHL) in patients with chronic otitis media (COM) by evaluating changes in bone conduction audiograms. This report is based on a retrospective study of otitis media patients, including patients with cholesteatoma, who underwent surgery over the last 10 years. In our study, the bone conduction thresholds elevation in otitis media patients was more marked in the higher frequencies. The bone conduction thresholds elevation we have observed must therefore be the result of an inner ear disturbance. The bone conduction thresholds in COM were also found to become elevated with aging, especially at higher frequencies. By studying the differences in the bone conduction thresholds between normal and diseased ears, we were thus able to clearly demonstrate that this elevation in the thresholds correlated to both the length and severity of the illness as well as to different treatment modalities. The mechanism that affects the inner ear function in otitis media was not elucidated in our study, however, various bacterial toxins entering from the middle ear into the inner ear did appear to play an important role in the development of SNHL. Our results therefore suggest the importance of adequate and prompt treatment in preventing SNHL in COM.View full abstractDownload PDF (29133K) -
Haruko MIHOKI1998 Volume 44 Issue 3 Pages 248-254
Published: May 20, 1998
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThe purpose of this study was to determine if there was any difference in the characteristics of nystagmus in the physiological and non-physiological imbalance of the labyrinthine. Forty-one health subjects with no previous history of vestibulopathy were used in this study. A physiological imbalance was induced by the simultaneous stimulation of both ears with different temperatures (44° and 30°). Unilateral labyrinth stimulation at either 30° or 44° induced a non-physiological imbalance. In either condition, the deviation of the eyes from the midline and the maximal speed of the slow component of nystagmus were recorded with a CCD camera and a nystagmometer and the results were then compared. In nystagmus due to a non- physiological imbalance, the eyes deviated in the direction of the slow component, while no specific side deviation was noted in the nystagmus caused by a physiological imbalance. The maximal speed of the slow component was also higher in the latter condition. The characteristics of nystagmus in 10 patients with a unilateral labyrinthine dysfunction were also studied and were similar to those found in those patients with nystagmus due to a non-physiological imbalance, i. e., the eyes deviated in the direction of the slow component.View full abstractDownload PDF (12543K) -
Hiroshi IWAI, Jun KITA, Motoki NAGATA, Sinryu LEE, Toshio YAMASHITA1998 Volume 44 Issue 3 Pages 255-258
Published: May 20, 1998
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSA case of vagal gangliomai n a 71-year-oldfe malei s herein reported. A CT scan and angiographyw ere effective for ruling out a carotid body tumor. Although a fine needle aspiration biopsy was useful for the cytologicd iagnosis, t his procedurem ight also carry a risk of massiveb leedingb ecausep aragangliomai s a vascular-richtumorA. fter embolizationo f the tumor-feedinga rtery, the tumor was extirpated with the adhesive portion of the nerve. It is likely that the ear pain and sore throat on the side of the tumor, of which the patient chieflyc omplainedw, ere thus vagal nerves ymptomss incet hey appeareda fter the operation.View full abstractDownload PDF (9059K) -
Xiulan MA, Kazuyoshi UENO, Yoshito EIZURU, Masaru OHYAMA1998 Volume 44 Issue 3 Pages 259-265
Published: May 20, 1998
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSA total of 102 cases of laryngeal squamous cell carcinoma in northeast China were analyzed for human papillomavirus (HPV) DNA by both polymerase chain reaction (PCR) and southern blot hybridization. HPV DNAs were positive in 60 cases (58.8%). HPV-16, -18, -6, -11, and -33 were detected in 30 cases, 22 cases, 25 cases, 2 cases and one case, respectively In addition coinfections with either HPV-6 and -16 or with HPV-6 and -18 were detected in 20 cases (19.6%). Such coinfection were also observed most frequently in both female and advanced cases.View full abstractDownload PDF (9549K) -
Motohisa IKEDA, Isamu WATANABE1998 Volume 44 Issue 3 Pages 266-271
Published: May 20, 1998
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSSix patients who had their paranasal sinuses operated on many times because of repeatedly recurrent sinusitis were observed from four years and five months to eight years and six months. Under histopathological studies of the edematous mucosa of the sinuses and nasal polyps, which had been surgically resected, not only an infiltration of plasma cells and eosinophils but also a proliferation of the mucous glands was observed. In order to minimize the number of operations for such intractable cases with frequently recurrent sinusitis, careful postoperative treatment should, therefore, be performed for as long as possible, including the administration of corticosteroid hormons if necessary.View full abstractDownload PDF (13410K) -
Asako KISHIMOTO, Toshiya INOUE, Nobuko NAKAGAWA, Tatsuya INAMURA, Moto ...1998 Volume 44 Issue 3 Pages 272-275
Published: May 20, 1998
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSOsteosarcomara rely occursi n the maxilla, b ut it is a malignantt umor with a poorp rognosis. W e herein present the findingso f a 11-year-olbdo y whow as complainingo f the right exophthalmoas nd the right swollen cheek. The MRI revealed the right maxillary tumor which extended to the right orbit, ethmoidal sinus and alveolarp rocess. A no penb iopsyt hrought he maxillaw as donea nd a histopathologicaelx aminationd isclosed osteosarcoma. T he patient was treated with adjuvantc hemotherapyi, r radiation and radical maxillectomy. There has so far been no evidenceo f either localr ecurrenceo r systemicm etastasiso f the tumor as of about 3 years after the operationView full abstractDownload PDF (9802K) -
Buuemon SAMBE, Momoe SOEDA, Takeyuki SAMBE1998 Volume 44 Issue 3 Pages 276-280
Published: May 20, 1998
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSIn1 965S, oedac hemicalleyx tracteda n antigeniscu bstancfer omt he urineo fa llergicp atientsa ndn amed it MS-antigeTnh. isi s a kindo fp eptidec onsistinogf 6 amino-acidasn d is nowa vailablein a lypholizefdo rm. It is readilys olublein watera ndi s non-toxifco r bothh umanasn da nimalsB. otha naphylactisch ocki n guinea pigsa nda rthus-symptomins ra bbitsc anb e inhibitewd itht hisa gent. F or adultsa, dailyd oseo f from2 0-40mg of thisa gentd issolveidn 2mlo f steriles alinew asi njectedin tot o thep atientsf or variousle ngthso f timea nd we thust reateda total of 6 patientsw itht his agent. A ll6 casesw eret reatedo nlyw ithM S-antigeann d all responderda pidlyw ithin2 to severadl aysA. sa result, l ocali tchingw asg enerallyre lievedv eryr apidlya fter1 to 2 injectionosf t his agentT. hee ruptionbse gant o fadea wayw ithin5 daysa ndt hend isappearecdo mpletely from3 to 8d aysa ftert het reatmemhta sb egunI. t is interestintgo notet hatd uringth e follow-urpa, n gingf rom 5 to 16y ears, n o recurrenceosf druge ruptionhsa veb eeno bserveadf tert he MS-antigethne rapyView full abstractDownload PDF (12461K) -
Mitsuhiko NAKAHARA, Seiji KISHIMOTO, Haruo SAITO1998 Volume 44 Issue 3 Pages 283-286
Published: May 20, 1998
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSWe reported a 74-year-old male with ankylosing spinal hyperostosis that had re-ossification at 16 months follow-up after surgical excision of the osteophytes. The patient complained of coughing and swallowing diffculty for a year. The surgical excision of osteophytes which had projected into hypopharynx and narrowed the hypopharynx resolved the symptoms. Sixteen months after the op eration, lateral cervical X-ray film revealed re-ossification of the osteophytes. However, the patient does not complain any problems. The surgical excision of the osteophytes resulted in an immediate and complete relief of the pharyngeal symptoms. However, re-ossification may be predictable as the disease process continues. We recommended a long-term follow-up in order to detect re-ossification.View full abstractDownload PDF (10676K) -
Toshihiko SUGIMOTO, Toshiro UMEZAKI, Atsushi KOHJIMARU, Shinji OOTANI, ...1998 Volume 44 Issue 3 Pages 287-291
Published: May 20, 1998
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThe viscosity of contrast media which is used for fluorography is important to evaluate the pharyngeal swallowing function. We measured the viscosity of nonionic low osmotic contrast media containing the addition. We used chondroitin sulfate, alpha-starch, hyaluronic acid, and sodium alginate as the addition. The viscosity of contrast media containing the addition was increased according to a rise in the addition. Especially, hyaluronic acid was more useful addition, because the high viscosity was acquired by mixing a few volume of the addition with contrast media. The examiner can detect the risky viscosity causing the aspiration and indicate the suitable food-viscosity for swallowing in each patient by the use of these different viscous contrast media in fluorographic examination. We suggest that the food such as a high-caloric liquid diet which is low viscosity can be changed the safety bolus that have the suitable viscosity without aspiration in swallowing acquired by mixing the addition.View full abstractDownload PDF (7658K) -
Yasushi Suzuki, Mineko TSUCHIDA, Satoshi HORIGUCHI1998 Volume 44 Issue 3 Pages 292-296
Published: May 20, 1998
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSIn this study, we measured the average volume of bolus for one nomal swallowing in continuous swallowing and made a comparative study of this volume with the maximum swallowing and the easy swallowing. A total of 10 non-dysphagic individuals were included in the study. Subject were given trial volumes of water and 2% Throsoft STM (an aqueous solution of a starch powder) that were about 300ml. We measured the average volume of bolus for one normal swallow in continuous swallowing by amount of continuous swallowing divided by times of swallowing. During the study we noted that the average volume of bolus for one normal swallowing in continuous swallowing was close to the easy swallowing and did not apparently differ from water to 2% Throsoft STM. These results seem to suggest that the tongue based judges the property of the material to be swallowing before the completion of stage II of swallowing and actively determines an appropriate amount of bolus to be swallowing.View full abstractDownload PDF (6279K) -
Kazuya SAITO1998 Volume 44 Issue 3 Pages 297-300
Published: May 20, 1998
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThe aims of this study were to analyze deglutitive tongue action and bolus transport during oral phase. Videofluorography was performed in 12 patients with dysphagia and 12 controls. Tongue surface, anterior superior corner of the hyoid bone and bolus tail were measured spatially in the polar coordinate system frame by frame (at 1/30th-second intervals). Tongue surface motion along the line drawn through the spina mentalis and anterior inferior corner of C2 was characterized as expansion (centripetal motion) and contraction (centrifugal motion). In the patients, the end of contraction (T100), the transition from expansion to contraction (Tx) and the onset of hyoid elevation (Ty) were significantly delayed compared with the controls. However the interval between Tx and Ty was similar in both groups. These results suggest that the lingual action transferred from expansion to contraction may have influence on the completion of pharyngeal swallowing.View full abstractDownload PDF (5463K) -
Yukiko OHMAE, Masami OGURA, Takehiro KARAHO, Yuuko MURASE, Satoshi KIT ...1998 Volume 44 Issue 3 Pages 301-304
Published: May 20, 1998
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThe contact tongue tip and hard palate plays an important role as an anchor when the central portion of the tongue propels the bolus posteriorly. The purpose of this study was to determine the effects of anchoring function on the tongue base movement and other pharyngeal events during swallow. Simultaneous videofluoroscopic and oropharyngeal manometric examination of oropharyngeal swallowing were performed in eight healthy volunteers with three conditions; 1) normal swallow, 2) swallow with stress on anchor function, 3) swallow without anchor function. The stress on anchor function produced the decrease in anterior bulging of the posterior pharyngeal wall (PPW) and the increase in peek pressure at tongue base, whereas the swallow without anchor function produced an increase in PPW bulging and a decrease in peek pressure at tongue base. However, the hypopharyngeal peak pressure was not affected by the degree of anchor function. We concluded that the anchoring function of anterior tongue affected the range of BOT movement and BOT-PPW contact which is the pressure generator at the level of tongue base.View full abstractDownload PDF (8388K) -
Fumiko OHSHIMA, Masanari KUNIMOTO, Kazuto OKAMOTO, Hiroyuki ITOU1998 Volume 44 Issue 3 Pages 305-310
Published: May 20, 1998
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSRecovery courses of dysphagia in eleven patients due to medullary infarction was reported. Ten patients were lateral (the Wallenberg syndrome) and the other was medial medullary infarction. We studied the clinical courses endoscopically and radiologically. In three cases patients recoverd sufficiently to take foods orally within a week, and six cases they were able to take soft foods within three to four months through rehabilitation. In two cases involving severe truncal ataxia, however, dysphagia persisted for more than six months, even with intense rehabilitation. The combined surgery of cricopharyngeal myotomy and laryngeal elevation improved the dysphagia in one of the two cases. In which the ataxia was diminished after one year's rehabilitation. In this case the recovery from dysphagia was associated with the improvement of the ataxia. In the other case only cricopharyngeal myotomy was performed, resulting in laryngectomy. In both cases the radiological examination showed that the cooperative movements in swallowing, such as pharyngeal constriction and laryngeal elevation had been disturbed by the medullary infarction. In conclusion, the progress of the recovery from dysphagia was affected by these factors and the presence of ataxia.View full abstractDownload PDF (12378K) -
Hidenori OZEKI, Kastsuhiko TEZUKA, Takaharu NITO, Masashi SUGASAWA, Es ...1998 Volume 44 Issue 3 Pages 311-315
Published: May 20, 1998
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSMany cases of hypopharyngeal carcinoma demonstrate advanced stages. In these cases,“laryngopharyngectomy” is indicated for the tumor extirpation. But, in few cases,“partial laryngopharyngectomy” is indicated to preservate the laryngeal function. Choosing this surgical procedre, it is necessary to consider to prevent aspiration troubles after operation. Recently we experienced a case of severe aspiration after partial laryngopharyngectomy. A 63-year-old male was diagnosed hypopharyngeal carcinoma of the left pyriform sinus (T1N2aM0) and treated with chemotherapy and radiation. Initially he underwent partial laryngopharyngectomy and reconstruction of hypopharynx with a free flap patch graft of jejunum. At the same time, we performed “thyrohyoidopexia” and left “cricopharyngeal myotomy” to improve swallowing difficulties after operation. But therefore he suffered from severe aspiration. His local appearance of larynx demonstrated fixation of left vocal cord and severe aspiration of mixed type in esophagography. Moreover we added “anterior traction of the hyoid bone” and “collagen injection” in bilateral vocal cords, but his aspiration did not disappear. Finally we had to operate “total laryngectomy”. In this report, we discussed whether our procedures were adequate for his aspiration troubles or not.View full abstractDownload PDF (10947K) -
1998 Volume 44 Issue 3 Pages 316-321
Published: May 20, 1998
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSDownload PDF (8487K)
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