All issues
Volume 52, Issue 5
Displaying 1-9 of 9 articles from this issue
- |<
- <
- 1
- >
- >|
-
Is steroid administration necessary during the initial treatment?Ryuzo TORIYA, Masao EURA, Masatake OISO, Shuji ISOGAWA, Fumiaki TANAKA ...2006 Volume 52 Issue 5 Pages 271-277
Published: September 20, 2006
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSTo determine whether steroids are necessary during the initial treatment of acute low-tone sensorineural hearing loss (ALHL), a multicenter study was carried out in patients with ALHL who were examined at seven ENT clinics in Kumamoto prefecture. The patients were randomly divided into one group that orally received an adenosine triphosphate-disodium preparation (ATP) alone (group A, n=58) or steroids combined with ATP (group B, n=62) The background factors (age, gender, time between onset of symptoms and start of treatment, and the severity of hearing loss at low-tone frequencies) were not significantly different between the two groups. On evaluation by audiography at 1 week after treatment, the cure rate was 59% and 45% in groups A and B, respectively. The respective improvement and no-change rates were, respectively, 22% and 19% in group A and 40% and 16% in group B. After 4 weeks, the respective cure, improvement, and no-change rates were 76%, 15%, and 9% in group A, and 74%, 21%, and 5% in group B. Regarding these treatment outcomes, no significant differences were thus observed between the two groups. These results demonstrate that steroid administration is therefore not necessary during the initial treatment of ALHL.View full abstractDownload PDF (12543K) -
-Considerations regarding the definition of a high jugular bulb and a surgical formula to accuratedly determine its height-Yasuhiro KAKAZU, Takashi KIMITSUKI, [in Japanese], [in Japanese], Kazu ...2006 Volume 52 Issue 5 Pages 278-283
Published: September 20, 2006
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSAlthough a high jugular bulb (HJB) is an abnormal venous formation in the lateral bone, which we otorhinolaryngologists often encounter, it is a very rare that symptoms are caused by HJB and very few such cases have been treated by surgery. In this report, we describe our experience that it could not help giving up removing an auditory tumor using a trans-labyrinthine technique due to HJB. The patient received later underwent a suboccipital craniotomy. We next examined the height of the HJB where the auditory tumor had been removed by the trans-labyrinthine technique. As a result, it thought that a safe exposure using the trans-labyrinthine technique was achievable if there was a one-mm interval between the top of the fossa jugularis and the bottom of the internal auditory canal. When performing lateral skull base surgery in order to treat an auditory tumor in a patient who has a HJB, the size and the characteristic shape of HJB should be sufficiently evaluated before performing surgery, and a suitable surgical formular should be selected according to the HJB.View full abstractDownload PDF (11410K) -
Asako KISHIMOTO, Toyohiko MINAMI, Chiyonori INO2006 Volume 52 Issue 5 Pages 284-288
Published: September 20, 2006
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSWe herein report a case demonstrating a retropharyngeal abscess of tuberculosis that has recently been rarely observed. The case was a 61-year-old female whose chief complaints were an abnormal sensation in the throat and rhinolalia without fever or other general symptoms. An incision of abscess was made under local anesthesia with the patient not in a cephalic position, but in a supine position. We prepared 2 aspirators with one side choked and thus were able to incise and aspirate the pus from the abscess and thus let it flow out completely. The incision was made carefully because the carotid artery sometimes deviates inside. An incision of the retropharyngeal abscess is therefore recommended to be made under local anesthesia, however, we also consider such and incision to be possible even under general anesthesia if great care is taken and also depending on the case. An adult retropharyngeal abscess of tuberculosis is generally known to occur secondarily but this case has been followed carefully as primary occurrence because of the patient's abnormal findings on the cervical or thoracic vertebra.View full abstractDownload PDF (11376K) -
Kazuo ADACHI, Toshiro UMEZAKI, Naoko MATSUBARA, Shizuo KOMUNE2006 Volume 52 Issue 5 Pages 291-295
Published: September 20, 2006
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSWe evaluated the vocal cord waveform of laryngeal granuloma patients by laryngeal storoboscopy. We measured the opening quotient (OQ). As a result, we observed that the OQ tended to be short in such patients caused due to vocal abuse, and the OQ generally became longer after undergoing therapy. We therefore recognized the relationship between vocalization and laryngeal granuloma, while also confirming the importance of voice therapy for patients with laryngeal granuloma.View full abstractDownload PDF (7165K) -
Kiminori SATO, Tadashi NAKASHIMA2006 Volume 52 Issue 5 Pages 296-301
Published: September 20, 2006
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSIt is difficult to evaluate the relationship between laryngopharyngeal reflux and laryngeal organic diseases. In addition, some problems exist concerning the timing of surgery for laryngeal organic lesion during proton pump inhibitor (PPI) administration. The timing of surgery for LPRD with organic lesions during PPI administration was investigated on 9 cases. Regarding the treatment of LPRD with organic lesions such as granuloma and epithelial hyperplasia, PPI medication should be continued for about 3 months. Next, after the laryngeal organic lesion improves, then PPI medication should be continued for approximately another 3 months. In cases in which the lesions did not respond favorably to PPI therapy, then surgery was considered. The recurrence of granuloma tended to decrease when the operation was performed after the granuloma had become pedunculated. The timing of PPI administration after surgery is considered to be controversial.View full abstractDownload PDF (12701K) -
Tsuyoshi KOJIMA, Kazuhiko SHOJI, Satoshi IKEGAMI, Yo KISHIMOTO, Atsuhi ...2006 Volume 52 Issue 5 Pages 302-305
Published: September 20, 2006
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSWe herein report that a cricopharyngeal myotomy combined with phonosurgery improved the symptoms of hoarseness and dysphagia in patients with Wallenberg syndrome. A 65-year-old man with Wallenberg syndrome had been suffering from hoarseness and severe dysphagia for 2 years. He had left vocal cord paralysis and had undergone a gastrostomy to prevent aspiration. Although it is often observed that hoarseness and dysphagia for Wallenberg syndrome tends to naturally improve overtime, surgical treatment is also a useful option in an intractable case. As vocal cord paralysis is closely related to dysphagia, phonosurgery is an effective surgical treatment for dysphagia. In addition, we can also perform a myotomy in the same field of operation. We performed arytenoid ad- duction with thyroplasty type 1 in this case, because of the presence of a large glottal chink and severe atrophy of the vocal cord. In order not to interfere with arytenoids adduction, we performed thyroplasty type 1 with the insertion of Goretex from the outside of the lower part of the thyroid cartilage without injuring the thyroid cartilage. After these operations, the patient's hoarseness improved and he was able to eat without any complications. This method is therefore useful for the treatment of hoarseness and dysphagia in patients with Wallenberg syndrome.View full abstractDownload PDF (7889K) -
Yoshihiko KUMAI, Eiji YUMOTO2006 Volume 52 Issue 5 Pages 306-308
Published: September 20, 2006
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSRheumatoid arthritis (RA) is a chronic inflammatory disease affecting the synovial membrane which causes joint damage and bone destruction. Laryngeal manifestations of RA often involve the cricoarytenoid joint (CJ) arthritis and cases of bilateral CJ involvement presenting as acute upper airway obstruction have been previously reported. In this report, we describe a school teacher who suffered from RA with unilateral CJ involvement and, as a result, arytenoid adduction was performed. The patient demonstrated a satisfactory normal voice post operatively.View full abstractDownload PDF (4941K) -
Hirohito UMENO, Shun-ichi CHITOSE, Sachio TSUDA, Tadashi NAKASHIMA2006 Volume 52 Issue 5 Pages 309-313
Published: September 20, 2006
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSA case with vocal cord adhesion caused by intubation is herein reported who was able to produce sounds by both a laryngofissure and laryngo-plasy. The patient was a four-year-old boy who had been placed on a respirator for 2 months due to dyspnea which was associated with a premature delivery. After four months of intubation, extubation was difficult, and therefore a tracheostomy was done. After the tracheotomy, a patient suffered from aphonia. Therefore, he came our hospital for a medical examination in order to receive treatment for aphonia at 4 years of age. At the first medical examination, the bilateral vocal fold was fixed and glottal closure was complete. Adhesion of the bilateral vocal fold was thus suspected and endolaryngeal microsurgery was done. A cicatricial adhesion of the bilateral vocal fold was seen and a pin-hole like posterior glottis was observed un- der direct laryngoscopy. The next day, both a laryngofissure and glottalplasty were performed to prevent web formation of the anterior commissure. At 10 months after the surgery, he was able to produce vocal sounds by means of the laryngofissure.View full abstractDownload PDF (9781K) -
2006 Volume 52 Issue 5 Pages 314-319
Published: September 20, 2006
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSDownload PDF (8869K)
- |<
- <
- 1
- >
- >|