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Volume 53, Issue 6
Displaying 1-8 of 8 articles from this issue
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Kensuke HISAKI2007 Volume 53 Issue 6 Pages 311-317
Published: November 20, 2007
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThis is a retrospective review evaluating the treatment of vertigo by theraptique and the efficacy of theraptique for sudden deafness is also investigated in this review. The intravenous injection of 45mg/3ml theraptique had a remarkable effect in the treatment of serious positional vertigo with nausea, vomiting and improved hearing loss remarkably at a dose of 22.5mg/1.5ml in the three patients of the sudden deafness. In the case of diabetes adrenocortical hormone is sometimes difficult to use, but theraptique can be used. Theraptique demonstrated almost no side effects except for vascular pain and slight palpitation. If 2% Xylocaine (lidocaine) 30mg/1.5ml-60mg/3ml was administered in combination with theraptique, then it was observed to relieve vascular pain. When theraptique was administered with physiological saline or glucose (100-250ml), then vascular pain could be avoided without Xylocaine. Some sudden deafness which showed no improvement after the administration of such drugs such as methycobal or Betamethasone, were rapidly relieved after the administration of theraptique. As a useful treatment for vertigo and sudden deafness, adult patients were treated with an intravenous injection of 22.5mg/1.5ml theraptique, 2% Xylocaine 30mg/1.5ml and 20% glucose 20ml gradually in a bed. The patients restedfor about 6 minutes after the injection. This treatment was then administered twice a day in the morning and afternoon if the serious vertigo or the hearing loss did not improve. Theraptique had no effect onthe symptoms of organic vertigo caused by an embolism or on damage to the labyrinth which had been occurred during surgery.View full abstractDownload PDF (13595K) -
Hideyuki KIYOHARA, Toshiro UMEZAKI, Kazuo ADACHI, Naoko MATSUBARA, Kat ...2007 Volume 53 Issue 6 Pages 318-322
Published: November 20, 2007
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSWe evaluated the indications for surgery for the improvement of deglutition from 37 patients with dysphagia, who had undergone surgical treatment, such as a cricopharyngeal myotomy, a laryngeal suspension, etc. In the cases involving a brain stem infarction, it was thought that those patients whose infarctions extended to the upper brainstem or to the corticobulber tracts, including the lower brainstem, were not candidates for these surgeries, because of the impaired initiation of pharyngeal swallowing. In addition, in cases of aspiration due to unilateral vocal cord paralysis, type 1 thyroplasty was considered to be less invasive, and more useful for protection against aspiration, and also for improving coughing efficiency due to the reinforcement of the glottic closure.View full abstractDownload PDF (9111K) -
Kazuo ADACHI, Toshiro UMEZAKI, Naoko MATSUBARA, Hideyuki KIYOHARA, Siz ...2007 Volume 53 Issue 6 Pages 323-329
Published: November 20, 2007
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSWe examined the variation of the phonation style from the viewpoint of laryngeal stroboscopy. We measured the open phase time and the total phase time of one cycle of phonation. We calculated the percentage of the open phase (opening quotient, OQ). The OQ was shown to be about 0.5-0.8 and with some reaching 1.0. As the OQ value increased, t he PPQ and the APQ both tended to worsen. I therefore consider a reasonable value for the OQ to be 0.5-0.8.View full abstractDownload PDF (9270K) -
Hideki CHIJIWA, Kikuo SAKAMOTO, Hirohito UMENO, Tadashi NAKASHIMA2007 Volume 53 Issue 6 Pages 330-333
Published: November 20, 2007
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSWe analyzed the correlation between the treatment results and the clinicopathologic evidence in 38 cervical esophageal cancer patients who underwent a curative operation at the Kurume University Hospital between 1989 and 2003. The following results were obtained. 1) Lymph node metastasis was detected in 3 (33%) of the 9 patients whose cancer invaded the anterior wall. On the contrary, 9 (90%) of the 10 patients whose cancer invaded the lateral or posterior wall had lymph node metastasis. There was a statistically significant difference in the rate of lymph node metastases (p=0.01) between them. 2) Recurrence was detected in 3 (33%) of the 9 patients whose cancer invaded the anterior wall. On the other hand, 9 (90%) of the 10 patients whose cancer invaded the lateral or posterior wall had lymph node metastasis. There was a statistically significant difference in the rate of lymph node metastases (p=0.01) between them. 3) The cause-specific survival rate determined using the Kaplan-Meier method was 54% in patients with anterior invasion and 11% in patients with either lateral or posterior invasion. These results indicate that patients whose cancer has invaded the lateral or posterior wall should therefore be counseled to consider receiveing more conservative therapy in order to obtain a better quality of life.View full abstractDownload PDF (6586K) -
Noritaka KOMUNE, Naoya HIRAKAWA, Hideki SHIRATSUCHI, Toshiro UMEZAKI, ...2007 Volume 53 Issue 6 Pages 334-338
Published: November 20, 2007
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSWe herein present the case of benign granular cell tumors (GCT) arising from the hypopharynx and the lower esophagus in a 29-year-old female. An excision under microlaryngoscopy witha CO2 laser was performed on the lesion of the hypopharynx, and an endoscopic mucosal resection was performed on the lesion of the esophagus. The histopathologic study of the surgical specimens revealed the lesions to be GCTs. The postoperative course was uneventful. The patient has been asymptomatic without any evidence of recurrence after 6 months of postoperative observations. A resection under microlaryngoscopywith a CO2 laser, when technically feasible, is a useful treatment for a GCT arising from the hypopharynx. To detect multiple lesions, especially esophageal lesions, upper gastrointestinal endoscopy should be performed. The patients who have undergone a surgical resection for a GCT should be followed up for at least 2 postoperative years to detect any recurrence.View full abstractDownload PDF (10647K) -
Clinical study of auditory ossicular malformations without anomalies of the external auditory meatusYoshihisa UEDA, Youichi MATSUDA, Shinsuke ITO2007 Volume 53 Issue 6 Pages 339-344
Published: November 20, 2007
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSForty-two ears with auditory ossicular malformations without any anomalies of the external auditory meatus underwent either an ossicular reconstruction or stapes surgery at Kurume University between 1989 and 2004. The success rate in hearing was calculated based on the following criteria: 1) a A-B gap: of not more than 15 dB, 2) Hearing gain: more than 15 dB, and, 3) Hearing level: not more than 30 dB. The results were considered to be satisfactory if one of the three criteria was successfully achieved (Otology Japan, 2000). The classification results were as follows: A separation of the incudo-stapedial joint was seen in 20 ears (48%), a fixation of the malleus and/or incus in 1 ear (2%), and a fixation of the stapes footplate in 14 ears (33%). Multifocal malformations were seen in 7 ears (17%). An ossicular reconstruction and a small fenestra stapedectomy were performed in 39 ears. The modified type III method was performed in 18 ears and a small fenestra stapedectomy was performed in 13 ears. We evaluated the hearing results in 31 ears which we were able to observe for more than six months after the operation. An improvement in the hearing was found in 90% of the cases.View full abstractDownload PDF (9263K) -
Kyoko YOKOGAWA, Shintaro SATOH, Takao YAMAGUCHI, Kuniyoshi TSUDA, Akir ...2007 Volume 53 Issue 6 Pages 345-348
Published: November 20, 2007
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSA chondroma is a benign tumor which commonly occurs at many sites in the body, but which has only been occasionally reported as occurring in the external auditory canal. We experienceda case of a chondroma of the external auditory canal. The patient was a two year-old female who presented with a white tumor in the anterior wall of the left external auditory canal, but with no symptoms relevant to this tumor. The tumor was removed by an operation under general anesthesia, and it was diagnosed as a chondroma histologically. There has been neither a recurrence nor any symptoms since the operation.View full abstractDownload PDF (6848K) -
[in Japanese]2007 Volume 53 Issue 6 Pages 349-352
Published: November 20, 2007
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSDownload PDF (7880K)
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