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Volume 54, Issue 6
Displaying 1-8 of 8 articles from this issue
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Kazuhiko KUBO, Kikuko SANO, Chie SAKURAI, Shizuo KOMUNE2008 Volume 54 Issue 6 Pages 293-296
Published: November 20, 2008
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThe characteristics of the disease, symptoms and signs were compared in male and female patients with vertigo and dizziness under the age of twenty. The study enrolled 58 patients with an equal number of male and females. There were more female patients with orthostatic dysfunction than males, while more male patients had a disease of the central nervous system. Female patients complained of vertigo and dizziness more frequently than males. However there was no gender difference in the incidence of abnormal levels of caloric response as well as that of vestibular evoked myogenic potential. Gender difference is an important factor in treating many diseases. It is therefore important to address the specific sex difference in each disease of the ear, nose and throat in the future.View full abstractDownload PDF (7145K) -
A comparison between tinnitus and non-tinnitus audiogramsToshifumi SAKATA, Takafumi YAMANO, Tetsuko UENO, Mayumi SUGAMURA, Naoy ...2008 Volume 54 Issue 6 Pages 297-301
Published: November 20, 2008
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSIn order to investigate the properties of tinnitus associated with acute low-tone sensorineural hearing loss (ALHL), the audiograms of tinnitus and non-tinnitus patients were compared. The subjects included 54 patients with unilateral ALHL. During the initial medical examination, the hearing threshold in the low-frequency region of the tinnitus group (n=36) was significantly higher than that of the non-tinnitus group (n=18). Moreover, when a steady audiogram was obtained, the hearing threshold in the high-frequency region of the tinnitus group (n=9) was significantly higher than that of the non-tinnitus group (n = 45) and the time taken for the hearing threshold to stabilize was significantly longer in the tinnitus group than that in the non-tinnitus group. These findings were similar to those observed for tinnitus in Meniere's disease. In brief, the results of the present study seemed to indicate a similarity between the etiologies of ALHL and Meniere's disease. Therefore, tinnitus in ALHL with a steady audiogram might be indicative of a hearing impairment in the high-frequency region, even if the hearing threshold is within the normal range.View full abstractDownload PDF (8786K) -
Shinya TAKANO2008 Volume 54 Issue 6 Pages 302-307
Published: November 20, 2008
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSNarrow Band Imaging (NBI) was applied in rhinology and the results therefore led to the following conclusions. 1) NBI proved useful in diagnosing the site of bleeding in patients with epistaxis. 2) In the normal mucosa of the olfactory fissure region, the blood vessels are visualized as a rather shallow-situated vasculature by NBI. 3) In the olfactory epithelial mucosa of patients with neurogenic dysosmia, the blood vessels are not visualized by NBI because the mucosa is atrophied. 4) The mucosa is noted to be thickened but blood vessels are depicted reticulately by NBI in patients with olfactory pithelial dysosmia. 5) NBI is a useful means to verify the courses of blood the vessels during an endoscopic intranasal operation.View full abstractDownload PDF (13422K) -
Hideaki MIYAJI, Yoshinobu HOSHII, Nami KIKUCHI, Torahiko NAKASHIMA, Si ...2008 Volume 54 Issue 6 Pages 308-313
Published: November 20, 2008
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSFDG-PET has been widely accepted as a useful diagnostic tool in the follow-up of many kinds of malignancies. In differentiated thyroid carcinoma, the efficacy of FDG-PET is still under discussion. Some differentiated thyroid carcinomas do not show FDG accumulation, while some nonmalignant thyroid disorders, such as multinodular goiter or thyroiditis, demonstrate an increased FDG uptake. Previous studies demonstrated FDG-PET to be useful for the follow-up of differentiated thyroid carcinoma in thyroidectomized patients with negative 1-131 scanning results and abnormal thyroglobulin concentrations. In addition, the volume of FDG-avid disease was a strong predictor of the clinical prognosis. FDG-PET imaging was performed on four patients with differentiated thyroid carcinoma, one was a thyroidectomized patient with lymph node recurrence while three were preoperative patients. FDG-PET could detect lymph node recurrence in cases that had undergone a previous thyroidectomy, showed negative 1-131 scanning results and abnormal thyroglobulin concentrations. FDG-PET could not detect the presence of either tumors or lymph node metastasis in the three preoperative patients. These results were consistent with the findings of previous studies. FDG-PET should be used in the follow up of differentiated thyroid carcinoma for patients who had previous thyroidectomies, especially when they have negative 1-131 scanning results, and abnormal thyroglobulin concentrations.View full abstractDownload PDF (12080K) -
Aki SAKATA, Haruka NAKAHARA, Toshihisa MUROFUSHI2008 Volume 54 Issue 6 Pages 314-317
Published: November 20, 2008
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSSolitary fibrous tumors (SFT) are relatively rare and are most commonly seen in the pleura. SFT were originally classified an mesenchymal tumors involving the pleura and peritoneum. Now SFT has been reclassified as a fibroblastic/myofibroblastic tumor. The neck is a rare site for the primary occurrence of SFT; however, recently various regions in the head and neck have been described as sites of the origin of SFT. The authors reported an 80-year-old female with a solitary fibrous tumor in the submandibular region, who presented with a complaint of a neck mass. She underwent a surgical removal of the tumor. A long following-up of such patients is essential because recurrence is frequent.View full abstractDownload PDF (7789K) -
Sayaka KICHIKAWA, Toshiro UMEZAKI, Nozomu MATSUMOTO, Yuichi SEGAWA, Sh ...2008 Volume 54 Issue 6 Pages 318-324
Published: November 20, 2008
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSA patient had experienced intractable pharyngeal pain for several years. A macroscopic examination revealed that there was swelling and edema in the epiglottis and an arytenoid region, but no addition lesion was found. The lesion was suspected to be Wegener's granuloma because it was granulomatous and the patient's data indicated elevated levels of C-ANCA, although there were no typical pathological signs. Steroid therapy was initiated as diagnostic therapy and it was very effective. Wegener's granuloma is a systemic auto-immune disease which is characterized by a necrotizing granuloma of the upper or lower respiratory tract and generalized necrotizing vasculitis involving the arteries and veins. Many of the symptoms occur in the otorhinolaryngologic region, especially in thenasal region. Patients occasionally develop diverse upper tract symptoms or symptoms of other organs. So, it is often difficult to diagnose. This time, however, it was immediately suspected. A patient presented a very unusual case of Wegener's granuloma localized in the larynx. The symptoms were easily resolved by early therapy.View full abstractDownload PDF (14175K) -
Michio TOMIYAMA2008 Volume 54 Issue 6 Pages 325-332
Published: November 20, 2008
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSGarenoxacin (GRNX), 400 mg/day, was administered to 72 acute bacterial sinusitis patients who were experiencing large amounts of purulent postnasal drip, and for whom penicillin antimicrobial agents had proven to be ineffective. The utility of this treatment regimen was then examined. The improvement rates in the subjective and objective symptoms were 85% and 87%, respectively, thus indicating an excellent degree of effectiveness. In addition, the improvement rate in the sinus roentgen findings was 68%. A bacteriological study detected 91 strains, of which 10 strains (11%) were S. pneumoniae and 59 strains (65%) were H. influenzae. Adverse reactions were observed in a total of two patients (2%): one patient manifested diarrhea while another patient experienced Candida vaginitis. The main causative agent for acute bacterial sinusitis, for which penicillin antimicrobial agents were ineffective, was H. influenzae. As a result, GRNX was confirmed to have a high effectiveness against this disease as a second line agent.View full abstractDownload PDF (12687K) -
[in Japanese]2008 Volume 54 Issue 6 Pages 334-337
Published: November 20, 2008
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSDownload PDF (7206K)
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