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Volume 45, Issue 2
Displaying 1-13 of 13 articles from this issue
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Akira INOKUCHI, Satoshi YOKOMITSU, Motoki URESHINO, Chizuko KAMORI, Ry ...1999 Volume 45 Issue 2 Pages 89-93
Published: March 20, 1999
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThe effects of CO2 laser surgery on perennial allergic rhinitis patients were studied in 58 cases. The bilateral inferior turbinates were vaporized under local anesthesia as an outpatient procedure. Such vaporization was performed biweekly a total of three times as a rule. Laser surgery was effective in 53% for sneezing symptoms, in 41% for nasal discharge, in 74% for nasal obstruction and in 83% for overall nasal symptoms at one month after surgery. The nasal resistance score also significantly decreased after surgery. The effective rates in patients with 2+ symptoms or higher were 92% for sneezing, 68% for nasal discharge and 82% for nasal obstruction. A remarkable effect was observed more often in cases with 3+ symptoms than is cases with 2+ symptoms. A recurrence of nasal symptoms occurred in 13% for sneezing, 47% for nasal discharge and in 28% for nasal obstruction during the 11 months following treatment. Based on these findings, CO2 laser surgery is thus considered to be an effective treatment which is easy to perform for perennial allergic rhinitis, but this effect often show a limited effect over time. Additional vaporization is thus recommended in cases demonstrating recurrence.View full abstractDownload PDF (8945K) -
Shunkichi BABA, Kenji SUZUKI, Masaru OYAMA, Shigeru FURUTA1999 Volume 45 Issue 2 Pages 94-104
Published: March 20, 1999
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSClinical studies were carried out to evaluate the effectiveness and safety of clarithromycin (CAM) for the treatment of otitis media in children. The results were as follows: CAM was orally administered to 86 pediatric patients. The clinical efficacy rates, evaluated in 71 patients, were 88.7%. The bacteriological eradication rates were 94.1% for monobacterial infections caused by gram-positive organisms, 75.0% for monobacterial infections caused by gram-negative organisms, and 100% for polybacterial infections, while the overall eradication rate was 90.0%. Side effects were observed in 3 of 80 patients, while clinical abnormalities were observed in 3 of 39 patients who underwent clinical laboratory tests both before and after treatment. Based on the above results, CAM is therefore considered to be highly effective as a treatment of otitis media in children.View full abstractDownload PDF (16638K) -
Seiji TAKAGI, Toshiyuki NAKASHIMA, Motohiro SAWATSUBASHI, Shinji OOTAN ...1999 Volume 45 Issue 2 Pages 105-108
Published: March 20, 1999
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSEighteen patients with either T1NO or T2NO tongue cancer who were treated by laser surgery alone are herein reviewed. Local recurrence was found in 1 of 6 T2 cases. Cervical recurrence without any local recurrence was found in 2 of 12 T1 cases and 2 of 6 T2 cases, respectively. In one of these cases, recurring cervical lesions were controlled by a radical neck dissection. For the treatment of early tongue cancers, it is necessary to follow up cervical recurrences carefully. A therapeutic radical neck dissection should be performed quickly for post-operative cervical metastasis.View full abstractDownload PDF (7184K) -
Hideki CHIDIWA, Kazunori MORI, Katsuya YAMAGUCHI, Shinichi YOSHIDA, Ta ...1999 Volume 45 Issue 2 Pages 109-112
Published: March 20, 1999
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSSynovial sarcoma is generally a malignant tumor originating in soft tissue which usually occurs in the extremities. However, synovial sarcoma occurring in the head and neck is very rare. A 21-year-old woman, complaining of swelling and slight pain in the right neck region, visited our hospital. Both a tumor resection and a right radical neck dissection were performed under general anesthesia. Microscopically, the tumor consisted of spindle cell synovial sarcoma. At 30 month after the operation, the patient is still alive, however, lung metastasis has been indentified.View full abstractDownload PDF (9525K) -
Keiko OHYA, Hideo SHIGEMI, Takeshi SUKO, Masashi SUZUKI, Goro MOGI1999 Volume 45 Issue 2 Pages 113-116
Published: March 20, 1999
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSA blood transfusion is often an important part of surgical treatment. Recently, the risks associated with transfusion, such as host versus graft reaction or possible infection with unknown pathogens, have received increased attention and, as a result, autologous blood transfusion in now being used more and more frequently. To investigate the possibility of using autologous blood transfusion for patients undergoing surgical treatment for head and neck cancers, the medical records of 65 such patients were examined retrospectively. All patients consisted of those who had undergone either a unilateral or bilateral neck dissection and tumor resection with free flap reconstruction, following preoperative radiation therapy. The peripheral blood sample volumes upon admission, before undergoing preoperative radiation therapy and just before surgery were all recorded. The liquid blood storage decreased from an average of 1, 000ml to 630ml during the period of 30 Gy irradiation. The average surgical blood loss was 550±250 (mean±SD), while the maximum surgical blood requirement was 800ml. Therefore, if more than 600ml of blood can be stored preoperatively, then more than 80% of all patients could have avoided a homologous blood transfusion.View full abstractDownload PDF (7453K) -
[in Japanese]1999 Volume 45 Issue 2 Pages 117-120
Published: March 20, 1999
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESS -
“Direct” indirect training approach for the rehabilitation of dysphagia, and its functional analysisHideto SAIGUSA, Seiji NIIMI, Toshiaki YAGI1999 Volume 45 Issue 2 Pages 123-127
Published: March 20, 1999
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSWe have ever repoated the new training method for dysphagia patients, calling “Direct” indirect approach. This time, we have analyzed why the method is useful, with retrospective examinations, and comparisons of laryngeal elevation curves, swallowing parameters and frantal views of the videofluorography, on pre and post therapeutic states. Retrospective examinations revealed that the method was useful for the all type of functional dysphagia. Laryngeal elevation curves and swallowing parameters were also improved on post therapeutic state. Frontal views of vedeofluorography revaeled that the side of flows of the bolus were dominant in agreement of the therapeutic side on post therapeutic state.View full abstractDownload PDF (9941K) -
Gota TSUDA, Hitoshi SAITO, Hideaki TSUZUKI, Norihiko NARITA, Tetsushi ...1999 Volume 45 Issue 2 Pages 128-132
Published: March 20, 1999
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThe technique of tracheoesophageal diversion, first reported by Lindeman, is a good operation for patients with severe difficulty in swallowing, especially in those with recurrent aspiration pneumonia. The surgical separation of the upper respiratory tract from the digestive tract by this procedure can help completely prevent recurrent dysphagia. However, the patients who have already undergone a high level tracheotomy can not undergo this procedure. We herein describe a newly modified Lindeman's operation to prevent severe aspiration. Our procedure has so far been successfully performed on three patients. The results of this operation have been satisfactory, not only regarding intra oral feeding, but have also been remarkably effective in improving the pneumonia symptoms.View full abstractDownload PDF (10622K) -
Masamitsu HYODO1999 Volume 45 Issue 2 Pages 133-137
Published: March 20, 1999
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThe inferior pharyngeal constrictor muscle, which consists of two components; the thyropharyngeal muscle (TPM) and cricopharyngeal muscle (CPM), plays an important role during pharyngeal swallowing stage. The TPM drives the bolus into esophagus in harmony with other muscles. The CPM functions as upper esophageal sphincter at rest and relaxes at pharyngeal swallowing stage. The TPM and CPM showed markedly different characteristics each other in respects of gross anatomy, distribution of the neuromuscular junctions, muscle fiber type composition and diameter of muscle fibers. Also, the CPM was proved to be an unique muscle in comparison with other skeletal muscles. A gradual transition of the characteristics was observed between the TPM and CPM without distinct boundary. This may contribute to the coordinated physiological movement of the inferior pharyngeal constrictor muscle.View full abstractDownload PDF (11708K) -
Hironobu SATO, Isao MURAYAMA, Takeki SUZUKI, Yoshihisa OTSUKA, Keio SO ...1999 Volume 45 Issue 2 Pages 138-141
Published: March 20, 1999
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSEvaluation of swallowing function after gastric operation was made by patients' complain, barium swallowing time and endoscopic internal mesurement of anastomosis. Patients' complain was signifcantly higher in the total gastrectomy group than in the distal gastrectomy group. Barium swallowing time was also signifcantly slower in the total gastrectomy group than in the distal gastrectomy group. There was 5% of anastmotic stricture in the total gastrectomy group. These findings indicate that total gastrectomy was more destractive for cardioesophageal function than the distal gastrectomy.View full abstractDownload PDF (5965K) -
Yasushi FUJIMOTO, Yasuhisa HASEGAWA, Bin NAKAYAMA, Akihiro TERADA, Tak ...1999 Volume 45 Issue 2 Pages 142-146
Published: March 20, 1999
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSWe studied preoperative swallowing ability of oral cancer patients by videofluorography. We analyzed the relationship between signs in the preoperative videofluorography and amount of tongue resection, age, and postoperative aspiration. We studied 22 early stage patients who were scheduled to undergo hemiglossectomy or partial glossectomy, and 14 advanced stage patients who were scheduled to undergo subtotal glossectomy or total glossectomy. We separated the patients into two groups; the elder group (over 60 years old) and the younger group (under 60 years old). During the preoperative videofluorography, we observed some signs of oral phase dysfunction (residue in the oral cavity, multiple swallowing) more often in the advanced stage patients than in the early stage patients, and we observed some signs of pharyngeal phase dysfunction (residue in the vallecula and residue in the pyriform sinus) more often in the elder group. Among the early stage patients, postsurgical aspiration were observed more often in the elder group patients. This videofluorography analysis shows that oral cancer patients already have some swallowing dysfunction prior to surgery. This swallowing dysfunction is influenced not only by the tumor but also by aging. Therefore, we recommend videofluorograohv analysis before oral surgery.View full abstractDownload PDF (7625K) -
Ichiro FUJISHIMA, Kyoko HOJO, Ruri OHKUMA, Isamu SHIBAMOTO, Chieko KOJ ...1999 Volume 45 Issue 2 Pages 147-151
Published: March 20, 1999
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThe balloon dilatation method for cricopharyngeal dysfunction became known to rehabilitation area in 1992, but the precise procedure, indication and outcome was not reported. As for balloon catheter treatment, 4 methods (a to d) were applied according to the conditions. We chose two type of balloon, a ball balloon and a cylinder balloon. a. Intermittent dilation method by ball balloon. b. Pull through method synchronized with swallowing by ball balloon. c. Ball balloon swallowing method. d. Continuous dilatation method by cilynder balloon. We treated 17 cricopharyngeal dysphagia patients using ballon cathrter methods. The cause of dysphagia was due to 13 brain stem infarction, 3 post operative subarachnoid hemorrhage, one cervical injury and two of other cause. 9 patients showed successful rehabititation using balloon methods and were able to eat oraly. 8 patients had a poor response and repuired operation. We used also balloon methods to post operative stricture of pharyngoesophageal segment and the results were good. Balloon methods were useful for acute stage cricopharyngeal dysphagia, but were also good for chronic stage.View full abstractDownload PDF (9367K) -
1999 Volume 45 Issue 2 Pages 152-158
Published: March 20, 1999
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSDownload PDF (11671K)
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