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Volume 46, Issue 2
Displaying 1-10 of 10 articles from this issue
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Hiroaki INOUE2000 Volume 46 Issue 2 Pages 91-95
Published: March 20, 2000
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSAn 86-year old man had positional vertigo and nystagmus typical of benign paroxysmal positional vertigo (BPPV). He was treated 4 times by CRP (the canalith repositioning procedure) of Epley, and 4 times by the liberatory maneuver of Semont and by Brandt-Daroff physical therapy for 45 days, but his positional vertigo and nystagmus did not disappear. In the head hanging right ear down position or in the head hanging left ear down position during CRP, the head is usually at an angle of 45 degrees to the horizontal plane. Altered CRP, where this angle has changed to 60 degrees, was thus newly designed for this patient with intractable BPPV. As a result, he was cured after the altered CRP was performed only once.View full abstractDownload PDF (8450K) -
Katsuhiro MIYAZAKI, Takeshi KUSUNOKI, Kiyotaka MURATA, Shozo NISHIDA, ...2000 Volume 46 Issue 2 Pages 96-100
Published: March 20, 2000
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSWe examined the localization of Mn-SOD in 5 samples of epithelia of cholesteatoma, 13 samples of subepithelial granuloma of cholesteatoma and 7 samples of granuloma of non-cholesteatoma. 1) The positive ratio of Mn-SOD in samples of epithelia of cholesteatoma was greater than that in samples of subepithelial granuloma of cholesteatoma. Although we initially supposed that clinically progressed cholesteatoma should show relatively poorer staining in its epithelia, no relationship was observed between them. In some samples of subepithelial granuloma of cholesteatoma, fibroblasts and phlogocytes showed only slight traces of positive staining. 2) Almost no samples of granuloma of non-cholesteatoma showed positive staining, and some samples showed only slight traces of positive staining in their fibroblasts and phlogocytes. Again, in the same manner as for cholesteatoma, no apparent relationship was observed between the clinical stages and the staining results.View full abstractDownload PDF (9952K) -
Takashi HIRAO, Kayoko HIRATA, Mamoru TSUKUDA2000 Volume 46 Issue 2 Pages 101-105
Published: March 20, 2000
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThe records of 10 cases with repeated acute low-tone sensorineural hearing loss (repeated ALHL) at Yokosuka North Mutual Hospital from May, 1995 through October, 1998 were investigated regarding clinical statues and a cause. Of these patient, 3 were males and 7 were females. Their average age was 40.4 years. As the initial symptoms, most patients had ear fullness and/or tinnitus. The frequency of recurrent attacks ranged from twice to ten times. The intervals until next attacks ranged from 2 days to 23 months. After follow-up, one patient was diagnosed as Meniere's disease. Regarding the prognosis of 8 patients who have been followed up for more than three months were as follows: 6 cases were cured and 2 cases showed an improvement. Two of three cases showed positive responses in the glycerol test, thut suggesting that endolymphatic hydrops in the cochlea exists in cases of repeated ALHL.View full abstractDownload PDF (7758K) -
Kohei KAWAMOTO, Hiroshi IWAI, Manabu OGURA, Toshio YAMASHITA2000 Volume 46 Issue 2 Pages 106-109
Published: March 20, 2000
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSA rapid enlargement of a thyroid tumor which had pr eviously showed gradual growth often indicates a change from differentiated carcinoma into undifferentiated carcinoma. We herein report the case of a 22-year-old male who demonstrated the rapid growth of a tumor in a one-week period. The findings of diagnostic imaging and a fine needle aspiration biopsy, however, indicated that the tumor showed a clear margin with capsule and cystic formation containing hematoid fluid. A surgical operation was chosen instead of radiation therapy or chemotherapy and resulted in a massive hemorrhage in the follicular adenoma, but no carcinoma was histopathologically found. Follicular adenoma among thyroid tumors has been reported to show a rapid enlargement with cystic formation containing massive hemorrhaging. As a result, follicular adenoma as well as undifferentiated carcinoma should there- fore be suspected in such cases of thyroid tumors.View full abstractDownload PDF (8471K) -
Takashi NISHIDA, Masahiro ISHIKAWA, Kazutaka IWAMOTO, Kiyotaka MURATA, ...2000 Volume 46 Issue 2 Pages 110-113
Published: March 20, 2000
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSWe experienced one case of localized amyloidosis which relapsed over the region from the right false vocal cord and extending to the right arytenoid region. The patient was a 38-year-old woman who presented with a chief complaint of hoarseness and dyspnea. At the first examination, a smooth-surfaced tumor was detected near the right false vocal cord. Under a laryngeal incision, the tumor was removed. After removing the tumor, the mucosal membrane of the lower lip was transplanted to the site of the tissue defect. Fibrin paste was found useful for fixing areas of the mucosal membrane which were difficult to suture. Post-operatively the patient showed favorable progress without dyspnea or scar stenosis.View full abstractDownload PDF (8583K) -
Hideaki KATORI, Koutaro YAMASHITA, Masayuki SAWASHIMA, Noboru FUKUNAGA ...2000 Volume 46 Issue 2 Pages 114-118
Published: March 20, 2000
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSOncocytoma is an uncommon neoplasm. This tumor generally arises from salivary gland, most preferably originates in the palotid gland. We present the case of a 42-year-old woman with oncocytoma of parotid gland. We performed superficial lobectomy of parotid gland. This case were diagnosed by histochemical examination and electron microscopy.View full abstractDownload PDF (12740K) -
Kazumi KOSAKA, Reiko NONAKA, Manabu NONAKA, Hideharu AOKI2000 Volume 46 Issue 2 Pages 119-122
Published: March 20, 2000
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSA case of subperiosteal orbital hematoma associated with a pyocele of the ethmoid sinus is reported. A 56 year-old woman had unilateral exophthalmos, ophthalmalgia and lid edema. Drainage of the pyocele was performed by endoscopic sinus surgery. In addition, a subperiosteal orbital hematoma was drained through a frontal orbital incision twelve days after the initial surgery. A coronal and reconstructive sagittal computed tomography scan is very useful for making an accurate diagnosis. Both the diagnosis and treatment are discussed and the etiological factors are reviewed.View full abstractDownload PDF (10092K) -
Keiichi CHIJIWA, Hirohito UMENO, Kazunori MORI, Tadashi NAKASHIMA, Kaz ...2000 Volume 46 Issue 2 Pages 123-130
Published: March 20, 2000
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSSince 1991 at Kurume University Hospital, patients with carcinoma of the maxillary sinus have undergone multidisciplinary therapy performed in a team approach by otolaryngologists and radiologist. In this paper, this treatment modality employed after 1991 is described in detal and the treatment outcome of such patients are compared with those before 1990. The detail of recent approach are as follow: Specialists in otolaryngology and radiology initially discuss and determine the field and dose of irradiation before initiating treatments. During the irradiation treatment, otolaryngoligists and radiologists examine the patients together and the treatment plan is flexibly readjusted. Before the application of this multidisciplinary therapy, 111 patients were treated, whereas 34 patients have so far undergone this multidisciplinary therapy. The five-year local control rate and cause-specific survival rate for patients before multidisciplinary therapy were 67.2% and 56.6%, respectively. On the other hand, after multidisciplinary therapy they were 63.5% and 58.6%, respectively. Regarding the T categories, the five-year local control rate and cause-specific survival rate of T4 were 47.3% and 31.3% before this approach, while after multidisciplinary therapy they were 66.5% and 51.6%, respectively. These results suggested that more advanced debulking of the invading tumor appears to be necessary.View full abstractDownload PDF (14413K) -
Using the SF-36questionnaireSatoshi OGINO, Morihiro IRIFUNE, Yoshikiyo SAKAGUCHI, Mariko NIBU, Ken ...2000 Volume 46 Issue 2 Pages 131-139
Published: March 20, 2000
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSJapanese-cedar pollinosis is the most common seasonal allergic rhinitis in Japan. Patients suffer from eye symptoms as well as nasal symptoms. These symptoms result in a reduction in the quality of life (QOL) in such patients, which includes sleep disturbance during the peak of the season. In this study, the QOL scores for patients suffering from Japanese-cedar pollinosis were evaluated using the SF-36 questionnaire (Japanese version). All 240 patients with Japanese-ceder pollinosis who visited 4 clinics in Osaka from March 9 to March 14 were enrolled in this study. The QOL score decreased more in females than in males and also decreased according to age in all 8 subscales. The severity of nasal symptoms especially influenced the QOL score in the VT, SF, RE and MH categories which showed so-called mental components. Patients with severe eye symptoms showed a low QOL score, especially in VT. From these results, it is concluded that the patients with Japanese-cedar pollinosis suffered from substantial interference in their daily lives, particularly regarding mental components, due to their disease.View full abstractDownload PDF (12376K) -
Tetsuya NODA2000 Volume 46 Issue 2 Pages 140-146
Published: March 20, 2000
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThe imbalance induced by swing stimulation was observed in order to analyze the mechanism of motion sickness. Four normal subjects were asked to sit on a stabilometer on a platform, which was repeatedly moved either forward and backward, or in a right and left direction. The length, envelope areas and deviation in the body's center in the X-and Y-axes were observed in the body sway response (BS). The subjects were considered to have abnormal balance, because the BS grossly increased in the same direction as swing stimulation. In a turntable experiment, the BS tended to increase to a greatler extent, when the subjects tilted their head in the same direction as the centrifugal force than when they tilted their heads in the opposite direction. When people take automobiles, trains, ships and so on, it may also be difficult for them to maintain their balance by swing stimulation. An imbalance induced by swing stimulation may thus in have an influence on motion sickness.View full abstractDownload PDF (8718K)
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