jibi to rinsho
Online ISSN : 2185-1034
Print ISSN : 0447-7227
ISSN-L : 0447-7227
Volume 52, Issue 3
Displaying 1-7 of 7 articles from this issue
  • Yoshihisa UEDA
    2006 Volume 52 Issue 3 Pages 155-161
    Published: May 20, 2006
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    The purpose of this study was to determine whether there is any difference in the characteristics of the nystagmus regarding the physiological and non-physiological imbalance of the labyrinthine. Five normal rabbits were used as subjects in this study. The position of the nystagmus, the amplitude of the nystagmus and the maximal speed of the slow component of the nystagmus were recorded with a CCD camera and a nystagmometer under two conditions: 1) rotating clockwise and 2) stimulating the right lateral semicircular canal with ice. The two conditions stimulated two different tunes of imbalance in the labyrinthine function: the former is physiological while the latter is nonphysiological. Non-physiological imbalance is similar to unilateral vestibulopathy. The results were then compared. In a non-physiological imbalance, the position of nystagmus was a deviation to the direction of the slow component. On the other hand, the position of the nystagmus did not show any deviation in the physiological imbalance. The maximal speed of the slow component was higher and the amplitude of thus nystagmus was longer in the physiological imbalance. The degree of the imbalance was smaller in the non-physiological imbalance, but the position of nystagmus showed a deviation in the direction of the slow component in the non-physiological imbalance.
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  • Hideki CHIJIWA, Kikuo SAKAMOTO, Hirohito UMENO, Tadashi NAKASHIMA, Hir ...
    2006 Volume 52 Issue 3 Pages 162-166
    Published: May 20, 2006
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    It is a well known fact that hypopharyngeal cancer is often accompanied by esophageal cancer. We have reviewed 220 patients with hypopharyngeal cancer who were treated at Kurume University Hospital between 1989 and 2002 and 58 (26%) of them demonstrated double cancer of the esophagus. The three-year cumulative survival rates as determined by the Kaplan-Meier method in hypopharyngeal cancers with or without esophageal cancer were 51% and 56%, respectively. There was no statistically significant difference between the two groups. In general, the number of total esophagectomies without a thoracotomy (TE) have tended to decrease. TE is normally performed for the treatment of T1a or T1b early esophageal cancer with multifple foci. In addition, as the prognosis of advanced hypopharyngeal and esophageal cancer is poor, palliative therapy is thus the preferred treatment option. Surgeons should therefore carefully consider the patients' QOL when selecting the treatment modalities for the larynx and esophagus in hypopharyngeal cancer patients.
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  • Ikuko TAKEDA, Atsushi MATSUBARA, Takumi SARIISHI, Kenji ISHII, Hideich ...
    2006 Volume 52 Issue 3 Pages 167-171
    Published: May 20, 2006
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    For a diagnosis of a foreign body which deeply penetrated from the oral cavity, diagnostic CT and/or MRI images are necessary. We experienced two cases of a chopstick that penetrated from the oral cavity in which interesting views in the diagnostic images were obtained. Case 1 was a 2-year-old male infant. The tip of a wooden chopstick had entered his anterior palatine arch. The foreign body was visible by MRI, although it was not confirmed by CT. Case 2 was a 76-year-old man. The tip of a lacqured wooden chopstick had entered his left upper gingival region. In this case, the foreign body was visible by a CT scan. It is therefore important to choose the appropriate diagnostic image method when evaluating suspected cases of a foreign body that has deeply penetrated from the oral cavity.
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  • Yoshinori KIM, Toyohiko MINAMI, Nobuko NAKAGAWA, Naoki TADA, Chiyonori ...
    2006 Volume 52 Issue 3 Pages 172-177
    Published: May 20, 2006
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    We herein report a case of a 49-year-old male presenting with Sweet's disease whose chief complaints were sore throat and oral pain. Multiple areas of stomatitis were found in the oral cavity and throat. We initially suspected Behcet's disease because eruption on the neck, chest and back were found. In addition, antibiotics were ineffective in spite of administering high level CRP and leukocytosis. We therefore asked a dermatologist to examine the patient and Sweet's disease was consequently established based on the findings of a skin biopsy. Sweet's disease and Behcet's disease are similar to each other regarding their symptoms and signs, and sometimes they may even occur simultaneously. Moreover, the treatment for these two diseases is almost the same. However, a careful differential diagnosis is important since Sweet's disease may sometimes be complicated with malignant tumors and myeloid metaplasia
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  • Satoshi FUKUDA, Eisaku HIGUCHI, Yuji NAKAMARU, Tsutomu KURODA, Shinya ...
    2006 Volume 52 Issue 3 Pages 178-186
    Published: May 20, 2006
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    The efficacy and safety of Ketek ® tablets (telithromycin; TEL) were evaluated in outpatients aged 20 years or older with apparent symptoms of upper respiratory tract infections (sinusitis, tonsillitis or pharyngolaryngitis). The rates of the global clinical efficacy (effective rates) of TEL for acute sinusitis, an acute aggravation of chronic sinusitis and tonsillitis/pharyngolaryngitis were 63% (5/8), 60% (3/5) and 85% (18/21), respectively, and the overall effective rate was 77% (26/34). An adverse event of pharyngolaryngeal strange sensation occurred in one patient, and the incidence was 3% (1/40). The symptoms rapidly disappeared after discontinuing TEL administration. A total of 28 strains of the test-targeted strains (Staphylococcus aureus, Streptococcus pneumoniae, Streptococcus pyogenes, Haemophilus influenzae, and Moraxella catarrhalis) were isolated in a bacteriological test performed before TEL administration. TEL inhibited the growth of all these strains at a concentration of 1 ug/mL. This finding indicated that TEL has a potent antibacterial activity on the major causative bacteria of otorhinolaryngeal infections, and therefore it could be a useful therapeutic agent for these infectious diseases.
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  • [in Japanese], [in Japanese]
    2006 Volume 52 Issue 3 Pages 189-201
    Published: May 20, 2006
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
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  • [in Japanese], [in Japanese]
    2006 Volume 52 Issue 3 Pages 202-218
    Published: May 20, 2006
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
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