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Volume 50, Issue 6
Displaying 1-16 of 16 articles from this issue
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Yasunori KAKIUCHI, Masahiro RYUTOU2004 Volume 50 Issue 6 Pages 417-421
Published: November 20, 2004
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSA 49-year-old man noticed a mass on the right side of his neck for 1 month. An abscess lesion was susupected based on the clinical findings and CT appearances. A careful examination failed to reveal any lesions except for the neck mass. The lesion did not decrease in size in spite of the administration of antibiotics. After finding squamous cells in a cytodiagnosis of a specimen from the mass, we suspected the patient to either a brachiogenic tumor or primary unknown neck metastasis. A modified neck dissection followed by postoperative chemotherapy and radiotherapy were performed. The histopathological diagnosis was squamous cell carcinoma arising from the epithelial lining of a cystic lesion. The patient has survived for 12 months without recurrence under a clinical diagnosis of brachiogenic carcinoma.View full abstractDownload PDF (8829K) -
Kei FUKUSHIMA, Masashi HAMADA, Hiroaki NAKATANI, Kasumi HIGASHIYAMA, T ...2004 Volume 50 Issue 6 Pages 422-426
Published: November 20, 2004
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSNine cases with plunging ranula, who were all surgically treated at Kochi Medical School Hospital since 1981 were reviewed regarding their pathogenesis and treatment. Presurgical MRIs demonstrated 3 patterns of retention and an extension of ranula and the sublingual space was also found to be commonly involved. The surgical findings showed the submandibular glands to adhere far less frequently to cysts, while the sublingual glands did consistently adhere to them. Only one case treated without a resection of the sublingual gland had recurrence. These results suggest that the sublingual gland was primarily responsible for the ranula formation. A histopathological analysis demonstrated no epithelial components in the cyst wall in any cases, and thus a total resection of the cyst was considered unnecessary. We therefore concluded that a resection of the sublingual gland via the transoral approach should therefore be selected as the primary treatment for plunging ranulas.View full abstractDownload PDF (10061K) -
Akira MIYOSHI, Lei CHENG, Min YIN, Hai-Bo SHI, Taro SHIRAKAWA, Jin-hai ...2004 Volume 50 Issue 6 Pages 427-431
Published: November 20, 2004
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSWe have performed epidemiological surveys on nasal allergies at various places in the world. As a result, the frequency of nasal allergy was found to be higher in Japan than in China. We supposed that this is due to differences in the social and economical development of both countries. We therefore performed an epidemiological survey on nasal allergy in Lhasa, Tibet to confirm this hypothesis. This was the first systematic epidemiological survey ever performed there. We refer only to the results of a scratch test in this study as a preliminary report, however, the details will be reported in the near future.View full abstractDownload PDF (7701K) -
Masahiro RYUTO2004 Volume 50 Issue 6 Pages 432-445
Published: November 20, 2004
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThe efficacy of combination therapy consisting of an anti-histamine and an anti-leukotriene was compared in monotherapy using each drug in patients with Japanese cedar pollinosis. Twenty-two patients were randomized into three groups, namely, those receiving olopatadine, pranlukast or a combination of the two drugs, and then they were treated for four weeks. The nasal symptoms improved in the olopatadine and combination groups. These results demonstrated that olopatadine is an effective drugs for improving nasal symptoms.View full abstractDownload PDF (23217K) -
Kayoko HIRATA, Masanori KOMATSU, Satoshi KAWAI, Junichi ISHITOYA, Kimi ...2004 Volume 50 Issue 6 Pages 446-456
Published: November 20, 2004
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSWe studied the effects of preseasonal treatment by suplatast tosilate, a Th2 cytokine inhibitor, for the treatment of cedar pollinosis. We divided 218 patients with cedar pollinosis, who were treated at 19 hospitals in Kanagawa Prefecture between January 2000 and April 2002 into three groups according to the start of medication. The long-term preseasonal group had 109 patients who started medication more than 2 weeks before the start of cedar pollen dispersal, the short-term preseasonal group which comprised 57 patients who started medication less than two weeks before dispersal, and the seasonal group which consisted of 52 patients who began medication after dispersal. The symptom medication score (SMS) was calculated based on the Japanese Guidelines for the Treatment of Nasal Allergy. The SMS was lower in the long-term and short-term preseasonal groups than in the seasonal group in the early to intermediate phase until week 6 after dispersal, and it was significantly lower (p<0.001) in the long-term preseasonal group in weeks 2 and 4 after dispersal. These results confirmed that suplatast tosilate had a suppressive effect against the symptoms of cedar pollinosis with preseasonal administration, especially when administered more than 2 weeks prior to the start of pollen dispersal.View full abstractDownload PDF (16351K) -
[in Japanese]2004 Volume 50 Issue 6 Pages 457-462
Published: November 20, 2004
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSDownload PDF (12707K) -
Tadasuke IKENOUCHI, Kaoru SHIMOKATA, Kiyohito OHTA, Akira KOKUBO, Akih ...2004 Volume 50 Issue 6 Pages 465-470
Published: November 20, 2004
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSWe described two cases introducing new resuscitative approach for aspiration pneumonia. Case 1: A 81-year-old man presented with a 5-year history of dysphagia due to spino-cerebellar degeneration. He was referred to our hospital because he got severe aspiration pneumonia. He had a difficulty in bronchial drainage by himself, therefore, he was introduced bronchial toilet under the assistance of NPPV. Lots of secretion, such as food and sputum, were removed. After taking rehabilitation, he could discharge at 58 days without tracheal intubation. Case 2: A 73-year-old man presented with a 8-year history of chronic obstructive pulmonary disease. He was referred to our hospital because he got severe aspiration pneumonia due to oral streptococcus. He could not discharge sputum well, and he was introduced bronchial toilet under the assistance of NPPV. Lots of secretion, which occluded both right and left bronchi, were removed. He could walk with oxygen at 12 days. We should consider fiberoptic bronchoscopy under the assistance of NPPV for patients who refuse tracheal intubation and who have high risk of secondary infection.View full abstractDownload PDF (10579K) -
Kazuo ADACHI, Toshiro UMEZAKI, Katsuya MATSUYAMA, Kohji SATOH, Shizuo ...2004 Volume 50 Issue 6 Pages 471-476
Published: November 20, 2004
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSWe experienced a case of aphagia after operating esopharyngotomy due to brain infarction. A 61-year-old male who was suffured from laryngeal carcinoma and operated laryngectomy and neck dissection at left side after 30.6Gy irradiation. Two years later, the carcinoma was recurred, then he was irradiated again and operated esopharyngotomy. Four days later after operation, the brain in farction was found by CT examination. The right opercum area was involved in the infarct. Vide ofluorography was done eleven days after operation, but swallowing reflex was not occured. He underwent conservative therapy and he could swallow more than 50 days later. We found that it could be aphagia after laryngectomy, if the suprabulbar center of swallowing is affected.View full abstractDownload PDF (10639K) -
Hiroyuki YAMASHITA, Takafumi SUGA2004 Volume 50 Issue 6 Pages 477-480
Published: November 20, 2004
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThe cricopahryngeal myotomy was performed in four dysphagic patients with cerebrovascular diseases. Case 1: male, 77 years of age, infarction of brain stem and cereblum. He was admitted to our hospital with tracheotomy and a nasal tube. He underwent the cricopharyngeal myotomy on both sides and thyroid cartilage and mandibular bone approximation. He became less dysphagic, however, needed nasal feeding after surgery. Case 2: male, 73 years of age, Wallenberg syndrome. He was admitted to our hospital with a nasal tube. He underwent cricopharyngeal myotomy on both sides and thyrohyoidpexy. He became less dysphagic, however, needed nasal feeding after surgery. Case 3: male, 49 years of age, infarction of brain. He was admitted to our hospital with trachy otomy and a nasal tube. He underwent the cricopharyngeal myotomy on both sides and thyroid car tilage and mandibular bone approximation. He became less dysphagic, however, needed nasal feeding. Case 4: female, 55 years of age, rupture of PICA. She was admitted to our hospital with trachyotomy and a nasal tube. She underwent the cricopharyngeal myotomy on both sides. She be came free from dysphagia and was discharged without a nasal tube after surgery. Case 1 was aged and with poor ADL. Case 2 was aged and with good ADL. Case 3 was young and with poor ADL. Case 4 was young and with good ADL. The results of the cricopharyngeal myotomy do not depend on the severity of dysphagia, but depend on the age and ADL of the patients.View full abstractDownload PDF (7989K) -
A report of 2 casesShun-ichi CHITOSE, Hirohito UMENO, Sachiyo HAMAKAWA, Tadashi NAKASHIMA ...2004 Volume 50 Issue 6 Pages 481-487
Published: November 20, 2004
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSWe experienced two cases with unilateral pharyngeal nerve (IX) and vagus nerve (X) palsies due to varicella-zoster virus (VZV) infection. Neither patient showed another nerve palsies. The se rum antibody titers for VZV significantly elevated in both patients. As the more findings which sup ports the diagnosis of the VZV infection, in one patient, cerebrospinal fluid revealed a pleocytosis, while in the other, there was an presence of herpetic eraption of laryngeal lesion. Our report may suggest that VZV cranial neuropathy should be considered as a possible differential diagnosis when patients show unilateral IX, X cranial palsies, even if it is without herpetic eruption.View full abstractDownload PDF (13282K) -
A magnetoencephalography studyToshikazu NAGASAKI, Akira HASHIZUME, Yoshiki SHIBA, Atsushi YAMASHINA, ...2004 Volume 50 Issue 6 Pages 488-493
Published: November 20, 2004
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSAuthors revealed activated areas of human brain during command order swallow using a whole head type magnetometer. Six healthy adults without history of swallowing disorders participated in this study and the vicinity of their sensorimotor areas was evaluated. Before swallowing, estimated electrically equivalent current dipoles clustered predominantly in left side, while there was no obvious dipole cluster after swallowing. Event-related synchronization and desynchronization (ERS, ERD) were also analyzed. At alpha band activities, ERS in the vicinity of the left sensorimotor areas was observed before and after swallowing. At beta band activities, ERD in right before swallowing and ERS in left after swallowing were observed. These results suggest activation during command swal lowing is left side predominance in human brains.View full abstractDownload PDF (10284K) -
Takaharu NITO, Yoshikata MISAKI, Satoshi TAKEUCHI, Miyuki YAMAMOTO, No ...2004 Volume 50 Issue 6 Pages 494-498
Published: November 20, 2004
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSPathological findings in a patient with dermatomyositis associated with severe dysphagia are presented. Biopsy specimens from several neck muscles of a 70-year-old female patient who under went cricopharyngeal myotomy were obtained. The thyropharyngeal, cricopharyngeal and esophag eal muscles were atrophied and fibrous, while the platysma, sternocleidomastoid, omohyoid, and sternothyroid muscles were normal. The atrophy and fibrosis of the cricopharyngeal muscle were the findings common to those previously reported. At present, the cause of the atrophy and fibro sis specially of the pharyngeal constrictor muscles or esophageal muscles remains unclarified and therefore requires further examinations.View full abstractDownload PDF (9776K) -
Tomokazu YOKOYAMA, Takuo SASAKI, Tadashi YUGE, Niro TAYAMA2004 Volume 50 Issue 6 Pages 499-504
Published: November 20, 2004
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSParkinson's disease is a progressive degenerative disease and is complicated by swallowing disor ders leading to aspiration pneumonia with high incidence in terminal patients. Surgical interven- tions are performed to prevent aspiration frequently. However, there are some patients who are not eligible for general anesthesia because of existing severe complications. Glottis closure is a surgical technique to prevent aspiration that is minimally invasive due to the short period of time required. We are going to report a patient with severe Parkinson's disease who could not be subjected to general anesthesia and in whom glottis closure under local anesthesia succeeded in reducing aspiration. The patient was a 67-year-old man who had been diagnosed as having Parkinson's disease 16 years ago. Oral feeding was stopped because of repeated bouts of aspiration pneumonia and he was transferred to our department in November to receive surgery for aspiration prevention. Laryngectomy was the procedure initially considered. However, in accordance with our anesthetists who found general an esthesia would be difficult, we performed glottis closure under local anesthesia on December12, 2003. There were no major per-operative or post-operative complications. On December 22. VF revealed no aspiration and the patient resumed oral intake of waten He returned to the former hospital on Decem ber 24. Where he has been on oral feeding.View full abstractDownload PDF (10912K) -
Stephanie DANIELS2004 Volume 50 Issue 6 Pages 505-509
Published: November 20, 2004
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSSwallowing involves a widely distributed neural network. There is converging evidence from varying modalities of central nervous system imaging concerning the localization of swallowing. Despite methodological differences, common sites of involvement are evident and include the anterior insula. Daniels and Foundasn have proposed that the anterior insula may be crucial for swallowing due to its connectivity with critical swallowing sites and also due to the pri mary gustatory properties of insula. It is hypothesized that anterior insular le sions disrupt processing of gustatory input, reduce the magnitude of sensory input thereby increasing the swallowing threshold (thus yielding a delayed pha ryngeal swallow), and disrupt anterior efferent cortical pathways, which can impact all stages of swallowing. Neural networks that mediate swallowing will be further defined with continued advancement in neuroimaging techniques.View full abstractDownload PDF (9484K) -
Ryo ISHIDA, Kyoko ARIOKA, Takayuki MORI, Fumi KITA, Masahiko EGUSA2004 Volume 50 Issue 6 Pages 510-516
Published: November 20, 2004
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSMorphological impairment is unavoidable in the patient with tongue cancer. Deglutition disor der is one of the serious aftereffects of the surgery. The present study was focused on the evaluation of the tongue movement to develop their swallowing function and dysphagia rehabilitation. Two pa tients after the surgery were examined their tongue movement by the ultrasonography (US). The patients were tasked to take the dysphagia screening test ; the Food test (eating and swallowing the liquid or the rice gruel), or the Repetitive saliva swallowing test (screen the pharyngeal function). During taking the examinations the US transducer was hold at their submandibuar region by the co ronal and the frontal sections and videotaped the US images of the tongue. By the qualitative analy sis of the tongue movement we have found out some useful points for the evaluation. They were as follows; -the smoothness of the tongue motion, -the tongue upright motion toward the palate, - the repetitive tongue movement to transport the bolus toward the oropharynx. These points help the US examination to develop as the useful dysphagia evaluation tool.View full abstractDownload PDF (12224K) -
2004 Volume 50 Issue 6 Pages 517-530
Published: November 20, 2004
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSDownload PDF (24328K)
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