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Volume 53, Issue 5
Displaying 1-13 of 13 articles from this issue
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Kazuo ADACHI, Toshiro UMEZAKI, Hideyuki KIYOHARA, Hideki SHIRATSUCHI, ...2007 Volume 53 Issue 5 Pages 235-241
Published: September 20, 2007
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThe swallowing function of a patient was observed after neck dissection. If the pharyngeal branch of the vagus nerve is injured the ability to clear the pharynx is reduced. In many cases of oral cancer, reconstruc- tion of the pharynx results in a limitation of laryngeal elevation or a delay of the swallowing reflex, thus causing aspiration. In such cases it is necessary to preserve the pharyngeal branch of the vagus nerve, whenever possible.View full abstractDownload PDF (11842K) -
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...2007 Volume 53 Issue 5 Pages 242-250
Published: September 20, 2007
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESS -
Shintaro SATOH, Rinako TOMIYAMA, Yuichiro KURATOMI, Akira INOKUCHI2007 Volume 53 Issue 5 Pages 251-255
Published: September 20, 2007
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThis report documents a case of localized amyloidosis of the pharynx and larynx. The patient was a 58-year-old woman who complained of a resent dyspnea after experiencing hoarseness for 6 months. Pharyngo-laryngeal fiberscopy showed tumorous masses on the left false cord and the right lateral nasophar- yngeal wall. Laryngomicrosurgery using laser vaporization was performed to remove the laryngeal mass and a biopsy was performed for the nasopharyngeal mass. The histological diagnose of both masses was amyloidosis. Further examinations showed no systemic amyloidosis. No indication of recurrence was observed for either the laryngeal or nasopharyngeal mass. Laryngeal amyloidosis has been reported to recur up to several years after the initial treatment, it is therefore recommended that this patient should be observed with a long term follow up.View full abstractDownload PDF (9411K) -
Tetsuji SANUKI, Eiji YUMOTO2007 Volume 53 Issue 5 Pages 259-262
Published: September 20, 2007
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSArytenoid adduction surgery was performed on 20 patients with unilateral vocal cord immobility. In 2 cases, an immobile vocal fold was restored after the surgery. Case 1 was a nurse who suffered from idiopathic unilateral paralysis and, as a result, arytenoid adduction was performed. The paralyzed vocal fold was restored 2 months after the surgery. Case 2 was a teacher who suffered from Rheumatoid arthritis with unilateral cricoarytenoid joint involvement and the Isshiki method was selected as the method of treatment. The adductory motion impairment of the vocal fold was restored 5 months after the surgery.View full abstractDownload PDF (7097K) -
Sachio TSUDA, Hirohito UMENO, Takao MIHOGI, Tadashi NAKASHIMA2007 Volume 53 Issue 5 Pages 263-267
Published: September 20, 2007
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSMicrovasucular lesions of the vocal fold mucosa arise from chronic physical irritation in patients who make excessive use of their voice. These lesions are disrupted by mucosal vibration, which thus causes hemorrhagic polyps. These lesions are treated by either stripping or vaporization using a CO, laser. The stripping method is recommended in comparison to the CO, laser because it decreases mucosal vibration and scar formation and more severe complications, such as heat injury, and depth invasion. The KTP laser uses a wavelength that is absorbed by hemoglobin. A previous case report described the successful treatment of microvasucular lesions of the vocal mucosa using the KTP laser. The present paper reports that the KTP laser surgery was applied to five patients with microvasucular lesions accompanied with polyps. In all of these cases, the postoperative phonatory functions and the mucosal vibration were found to significantly improve.View full abstractDownload PDF (8210K) -
Shigeru HIRANO, Masaru YAMASHITA, Tsunehisa OHNO, Morimasa KITAMURA2007 Volume 53 Issue 5 Pages 268-271
Published: September 20, 2007
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSIt is important to properly control intraoperative bleeding during phonomicrosurgery in order to achieve optimal results and outcomes. The present study investigated the usefulness of the subepithelial infusion of epinephrine and the photocoagulation of microvascular lesions using the KTP laser to control of bleeding. Forty-seven cases were treated by phonomicrosurgery using this strategy to control intraoperative bleeding. Forty-three procedures showed an excellent controls of intraoperative bleeding by means of infusion and/or KTP laser photocoagulation, thus indicting the usefulness of these strategies for the prevention of bleeding.View full abstractDownload PDF (8235K) -
follow-up after surgery within the laryngeal lumenYoshihiro IWATA, Keishirou NAGASHIMA, Tadao HATTORI, Tetushi YOSHIOKA, ...2007 Volume 53 Issue 5 Pages 272-278
Published: September 20, 2007
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSWe recently encountered a 9-year-old girl with a laryngeal injury caused when she struck her neck against a surfboard while swimming. Upon arrival at our facility, her vocal cord was lacerated, which resulted in adhesion formation between the cords at the centers of both the right and left vocal cords. We performed direct laryngoscopy to free the adhesions, followed by suturing of the vocal cord margins and subsequent manipulations from inside the laryngeal lumen. Following the surgery, the dyspnea, which she experienced during exercise decreased over time. In addition, the coarseness of her voice lessened, thus allowing her to speak loudly enough for conversation. A satisfactory treatment of the laryngeal injury was possible in this case, without requiring an incision of the thyroid cartilage. Our experience with this case is reported herein as an example of the successful treatment of a vocal cord adhesion in a manner which is unlikely to interfere with the future development of the thyroid cartilage.View full abstractDownload PDF (13128K) -
Takeshi NISHIO, Hitoshi BAMBA, Yo-ichiro SUGIYAMA, Hideki BANDO, Ryuic ...2007 Volume 53 Issue 5 Pages 279-283
Published: September 20, 2007
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSWe herein report a case who developed intraoperative complications using the endo-extralaryngeal needle carrier (EENC). The patient was a 35-year-old male who suffered bilateral vocal cord paralysis after undergoing total thyroidectomy. We performed the laterofixation of the paralyzed vocal cord using EENC. After the operation, an initial improvement of the glottic space was achieved but a narrowing of glottic space thereafter gradually developed. We performed operation by the same method using the EENC. The thyroid cartilage was too hard for the needle of the EENC to penetrate it and, as a result, the needle broke off during the procedure. We therefore performed the conventional Ejnell's procedure, and obtained good results just as originally planned. We learned an important lesson from this experience, which can be clarified as follows: 1. When the resistance is strong while inserting the needle with the EENC, then continuous attempts to penetrate the thyroid cartilage by force should be avoided. 2. The indications in cases of a second Ejnell's operation on the same side must be carefully decided. 3. Surgeons should therefore also have mastered the conventional Ejnell's procedure whenever performing lateralization of the vocal cord with the EENC in the event of a need to change the procedure intraoperatively.View full abstractDownload PDF (11234K) -
Hirotaka HARA, Yuji MIYAUCHI, Mitsuji TAMURA, Tetsuya NAKAMOTO, Hiro-s ...2007 Volume 53 Issue 5 Pages 284-288
Published: September 20, 2007
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSEjnell's method has been considered to be the first choice in the treatment of cases of bilateral abductor vocal cord paralysis in recent years. However, several problems associated with this method still need to be resolved. One problem is the difficulty in determining the precise points of penetration of the thyroid lamina using needles, while another problem is the difficulty of getting a good endolaryngeal view in order to easily manage the nylon strings inside of the laryngoscope. To resolve these problems, we used a rigid endoscope, or a flexible videoscope, as a light guide to set the proper point of the needle puncture, and to get a clear endolaryngeal view instead using the usual microscope. We also used 18 G i. v. catheters instead of 21 G needles. The use of either a rigid endoscope or a flexible videoscope, was effective for obtaining a clear endolaryngeal view and to ascertain the optimal point of needle puncture. We therefore conclude that a rigid endoscope and 18 G i. v. catheters are useful instruments for the facilitation of Ejnell's method.View full abstractDownload PDF (8836K) -
Kazumi MOTOYOSHI, Masamitsu HYODO, Aki TAGUCHI2007 Volume 53 Issue 5 Pages 289-294
Published: September 20, 2007
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSLaterofixation of the vocal cord, as reported by Ejnell et al., is a simple, reliable surgical intervention for respiratory distress due to bilateral vocal cord paralysis. This report summarizes the surgical outcomes of the patient's respiratory and phonatory functions in cases that underwent this operation. Ten patients with bilateral vocal cord paralysis were included. Five patients had received a tracheotomy prior to the Ejnell's laterofixation. For 6 patients the surgeon used Ejnell's conventional technique with minor modification, and with 4 patients the operation was performed with the aid of an endo-extralaryngeal needle carrier (EENC). Postoperatively, the dyspnea was eliminated in all of the patients in both groups and the five patients who had required a tracheotomy were successfully decannulated. Spirometry confirmed the improvements in the FEV 1.0 % and peak expiratory flow. They were also maintained during the long-term follow-up period. The postoperative decline in the phonatory function was insignificant and the voice was found to be socially acceptable in all patients. The phonatory function gradually improved in association with a slight medializa- tion of the vocal cords. In the EENC group, postoperative phonatory function tended to be worse than that in the conventional group. This may be because the vocal cord is pulled downward by the EENC procedure.View full abstractDownload PDF (9796K) -
Kazuo ADACHI, Toshiro UMEZAKI, Naoko MATSUBARA, Hideyuki KIYOHARA, Shi ...2007 Volume 53 Issue 5 Pages 295-300
Published: September 20, 2007
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSWe experienced two cases of impaired vocal fold movement which occurred due to laryngeal trauma. At first, these cases were treated by thyroplasty. However, a sufficient improvement in the voice was not obtained. As a result, we operated on these cases using a special technique that is similar to a frontlateral laryngectomy which is generally performed on cases of laryngeal carcinoma. We show the method as follows. First, we removed the scar tissue. Next, we made a flap of skin and strup mascle in order to reconstruct the new vocal folds. The voice improved after operation, especially regarding the maximum phonation time. This method is therefore considered to be very useful for unilateral vocal fold impairment due to chronic laryngeal trauma.View full abstractDownload PDF (11287K) -
2007 Volume 53 Issue 5 Pages 301-306
Published: September 20, 2007
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSDownload PDF (8694K) -
[in Japanese], [in Japanese]2007 Volume 53 Issue 5 Pages 307-309
Published: September 20, 2007
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSDownload PDF (6064K)
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