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Volume 53, Issue 3
Displaying 1-8 of 8 articles from this issue
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Considerations regarding the use of 60mg prednisolone as an initial treatmentHideki KADOTA, Kyoko CHUJYO, Aya ITO, Kazutaka TAKAIWA2007 Volume 53 Issue 3 Pages 129-136
Published: May 20, 2007
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSIn the present study, 58 patients with peripheral facial nerve palsy were treated by the intravenous administration of 60mg prednisolone and the oral administration of valacyclovir at Hamanomachi hospital between March 2001 and September 2005. The overall recovery rate was 93%. All of the patients with incomplete palsy demonstrated a complete recovery, whereas only 81% of the patients with complete palsy showed a complete recovery. A statistically significant difference in the recovery rate was demonstrated between them. The recovery rate of patients older than 70 was 75%m which was lower than the recovery rate (96%) for patients younger than 69, however, there was no statistically significant difference between them. These results indicated that 60mg prednisolone as an initial dose was sufficient for the treatment of patients with incomplete palsy. However, as demonstrated in the previous studies, patients with complete palsy are considered to require high-dose corticosteroid therapy. Although patients older than 70 tended to show a lower recovery rate, high-dose corticosteroid therapy for elderly patients should be selected with care because such patients often have other underlying diseases which can possibly result in severe complications due to the administration of high-dose corticosteroid therapy.View full abstractDownload PDF (13829K) -
Analysis of the voice function and electromyographic findingsHideki CHIJIWA, Shunichi CHITOSE, Kikuo SAKAMOTO, Sachiyo HAMAKAWA, Hi ...2007 Volume 53 Issue 3 Pages 137-143
Published: May 20, 2007
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSAlthough a unilateral resection of the recurrent laryngeal nerve (RLN) is not fatal, patients thereafter suffer from a serious voice dysfunction. Traditionally, he reconstruction of the RLN has been considered unnecessary because the procedure does not restore normal movement. The patient's phonation improves, however, because the reconstructed cord is able to recover to some degree from atrophy while also restoring tension during phonation. In this study we reviewed the voice function and electromyographic findings after a reconstruction of the RLN. Eight cases underwent concurrent RLN reconstruction at Kurume University Hospital between 2001 and 2005. Direct anastomosis of the ansa cervicalis to the peripheral end of the RLN was conducted in all cases. The maximum phonation time and the mean flow rate at 6 months after reinnervation both improved and the improvement was statistically significant. Postoperative electromyography was performed in six cases at 6 months after reinnervation, and the polyphagic potentials were present in all cases. We therefore concluded that the immediate reconstruction of the RLN is an effective method for restoring the voice function in cases where a resection of the recurrent laryngeal nerve is needed.View full abstractDownload PDF (9896K) -
Ryuji YASUMATSU, Kenji OKURA, Tomoya YAMAMOTO2007 Volume 53 Issue 3 Pages 144-147
Published: May 20, 2007
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSA retrospective review was performed on 15 patients with primary hyperparathyroidism who were initially treated at our hospital between 2001 and 2006. The 15 patients (4 men and 11 women) ranged in age from 30 to 83 years. Histological examinations revealed 12 parathyroid adenomas and 3 hyperplasia. Ultrasonography and 99mTc sestamibi scintigraphy were found to be the most useful modalities for accurately diagnosing the localization of parathyroid gland tumors. A resection of the enlarged gland was performed in 14 patients while the other patient underwent a hemithyroidectomy and parathyroidectomy. No complications, such as recurrent laryngeal nerve palsy or permanent hypocalcemia, were observed after surgery. The serum intact PTH concentration decreased significantly in all patients and the 13 of 15 patients were normocalcemic, however, the other 2 patients had persistent hypercalcemia after the operation. We speculated that these two patients had multiple parathyroid gland tumors. We conclude that intra-operative intact-PTH monitoring is therefore an effective tool for the successful treatment of primary parathyroidism.View full abstractDownload PDF (7675K) -
Shigetaka MORIAI, Yusuke ABE, Akihiro KATADA, Tatsuya HAYASHI, Yasuaki ...2007 Volume 53 Issue 3 Pages 148-154
Published: May 20, 2007
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSTwenty-two stapes surgeries which were performed as a primary operation from May 2000 to January 2006 were studied. They included otosclerosis (18 ears), tympano sclerosis (2 ears) and congenital stapedial fixation (2 ears). The stapes surgeries that were performed consisted of 18 stapedotomies, a partial stapedectomy in 1 ear and the mobilization of the stapes in 3 ears. The average follow-up period was 26.1 months after surgery. Twenty-one out of the 22 cases were followed up within 6 months or later. These cases were analyzed regarding their hearing improvement. The preoperative air conduction threshold, bone conduction threshold and air-bone gap were 56.1±15.0 dB (mean±S. D.), 22.1±9.8 dB, 34.0±12.6 dB, respec tively. The postoperative air conduction threshold, bone conduction threshold and air-bone gap were 28.6± 12.1dB, 17.9±10.6dB, 7.2±10.6dB, respectively. Therefore, the improvement in the air conduction thresh- old was 28.4±14.0dB. Two different criteria were used in order to define the cases as successful in terms of their hearing improvement. Both criteria indicated that 19 out of 21 ears (90.5%) were successful. We utilized a KTP laser to cut the superstructure of the stapes and to create a stapedotomy hole on a footplate in our stapes surgery, thereby decreasing the risk of insult to the inner ears.View full abstractDownload PDF (11504K) -
Ayumi MATSUMOTO, Chiyonori INO2007 Volume 53 Issue 3 Pages 155-162
Published: May 20, 2007
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSWe called cast which is caused by the teeth and which are often seen at the edge of the tongue “Dental impression” and we investigated its occurrence. We considered that it might occur due to strained lingual muscles and the masseteric muscle. A dental impression of the lower lip is rarely observed, but almost all of the reported cases demonstrating this have been under strong stress. A dental impression of the edge of the tongue is often observed if you pay close attention, and many of these cases have been reported to be under stress. A dental impression was most often observed in patients with an abnormal sensation of the pharynx and larynx. We therefore considered that one of the reasons for such an occurrence tends to be due to the fact that the oral cavity of such patients tends to be under negative pressure, because they often swallow their saliva in order to recognize their abnormal sensation. Many of the patients with dental impression often complain of a stiff shoulders or headache pain, and 60% of the cases that presented with both symptoms showed type III or IV CMI. The patients demonstrating dental impression tend to rarely complain of recurrent stomatitis. In contrast, the patients who complain of recurrent stomatitis often present with a dental impression. Of the cases that presented with both symptoms, 75% showed either type III or IV CMI.View full abstractDownload PDF (12966K) -
Mayumi SUGAMURA, Akihide IMAMURA, Yukiko KUBOTA, Morimichi MIYAGI, Tsu ...2007 Volume 53 Issue 3 Pages 163-167
Published: May 20, 2007
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSBrainstem cavernous angioma is a rare disease. Since MRI has become a popular diagnostic modality, this disease is now being detected more frequently than before. Although headache and convulsion are common symptoms of cavernous angioma, dizziness is a rare initial symptom. We therefore herein report a case of brainstem cavernous angioma in which the initial symptom was dizziness. A 53-year male com- plained of dizzness. His symptoms were determined to consist of only unidirectional gaze nystagmus. At six days after the onset of such dizziness, both paralysis of the ocular muscles and papillary abnormalities developed. Hemorrhaging due to a brainstem cavernous angioma was thereafter detected by MRI. The cerebral brainstem cavernous angioma had initially induced a small cerebral hemorrhage, which thus resulted in dizziness as an initial symptom.View full abstractDownload PDF (9079K) -
Tetsuko UENO, Takahumi YAMANO, Hitomi HIGUCHI, Toshihiko KATO, Takashi ...2007 Volume 53 Issue 3 Pages 168-173
Published: May 20, 2007
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSAn 84-year-old female visited our clinic complaining of a right infraauricular mass which had been pointed out to her by her family. A CT scan showed an apparently well circumscribed mass within the right parotid gland, which was thus suspected to be a benign parotid tumor. Meanwhile, the tumor grew gradually, and both purpura and a blood blister appeared on the skin. Due to these findings, we thus suspected a malignant tumor. We therefore performed enucleation and thereafter made a final diagnosis of angiosarcoma. In addition, cervical lymph node metastasis was observed but no distant metastases were found. Local recurrence occurred postoperatively, which thereafter progressed all over the right side of the patient's face. Unfortunately, the patient died due to hemorrhaging and acute renal failure.View full abstractDownload PDF (11856K) -
[in Japanese]2007 Volume 53 Issue 3 Pages 174-176
Published: May 20, 2007
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSDownload PDF (4305K)
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