All issues
Volume 55, Issue 5
Displaying 1-9 of 9 articles from this issue
- |<
- <
- 1
- >
- >|
Original Article
-
Haruka NAKAHARA, Eri MAEDA, Aki SAKATA, Masaki MATSUZAKI, Toshihisa MU ...2009 Volume 55 Issue 5 Pages 175-182
Published: 2009
Released on J-STAGE: September 01, 2010
JOURNAL FREE ACCESSThis study evaluated the efficacy of combination therapy with steroids, PGE, and Stellate ganglion block for sudden idiopathic sensorineural hearing loss from April 2004 to December 2006 using the established clinical path. The patients comprised 51 ears, including 25 males (26 ears) and 25 females (25 ears), ranging from 15 to 81 years of age (average 51.8), and all were admitted to the hospital within 1 month from the onset of the disease. Hearing loss was assessed based on the criteria established by the Ministry of Health and Welfare Acute Severe Hearing Loss Group. The patients were distributed into four groups according to the severity of the disease. Recovery in the grade 1 group, was achieved within two weeks after the beginning of treatment. Grades 2, 3, and 4, showed a prolonged recovery, namely witni up to two months after the start of treatment. The improvement in the hearing level in the high frequency area was poor in all four groups. Those cases with diabetes mellitus (DM) showed a profound hearing loss, especially in the high frequency range and the improvement in this area was very poor.View full abstractDownload PDF (928K) -
Moriyasu YAMAUCHI, Fumihide RIKIMARU, Yuuichirou HIGAKI, Kichinobu TOM ...2009 Volume 55 Issue 5 Pages 183-188
Published: 2009
Released on J-STAGE: September 01, 2010
JOURNAL FREE ACCESSThis article presents the clinical features of 44 patients with head and neck squamous cell carcinoma who developed distant metastasis after complete remission. All patients who developed distant metastasis without local recurrence or double cancer, had stage III and stage IV disease. The mean recurrence time of the distant metastasis was 16 months, ranging from 4 to 47 months. The most common site was the lungs. Eighteen of 19 (95%) patients without local recurrence developed distant metastasis within 2 years. Five of the 6 patients who first received chemotherapy for the treatment of lung metastasis with 5-FU/CDDP resulted in either PR or NC.View full abstractDownload PDF (564K) -
Ryunosuke KOGO, Ryuji YASUMATSU, Torahiko NAKASHIMA, Hideki SHIRATSUCH ...2009 Volume 55 Issue 5 Pages 189-193
Published: 2009
Released on J-STAGE: September 01, 2010
JOURNAL FREE ACCESSA surgical resection is required for the radical treatment of sinonasal papillomas. Endoscopic sinus surgery (ESS) is generally performed for patients with sinonasal papillomas instead of using the Caldwell-Luc approach and performing an external incision. Thirty cases of radical surgery that were performed based on a diagnosis of sinonasal papillomas at the Kyushu University Hospital Department of Otorhinolaryngology from 1990 to 2008 are herein reviewed. A difference was thus observed between the estimation of the range of tumor progress ion by pre-operative MRI and the intraoperative range of progression as confirmed in one case. As a result, MRI was thus considered to be very useful for estimating the range of progress in the tumor. Cases with the Krouse classification of T1 and T2 were treated by ESS and the Caldwell-Luc approach, while T3 and T4 cases were treated by an external incision. A recurrence of the disease was observed in 3 cases (10%), while six cases (20%) had papilloma accompanied by squamous cell carcinoma.View full abstractDownload PDF (606K)
The 24th Phonosurgery Conferences in West Japan
Original Article
-
Kenzo ARAKI, Hirohito UMENO, Masahiro HARAGUCHI, Mioko FUKAHORI, Shun- ...2009 Volume 55 Issue 5 Pages 197-204
Published: 2009
Released on J-STAGE: September 01, 2010
JOURNAL FREE ACCESSThis report presents the case of a 62-year-old male patient who developed severe hoarseness due to a foreign body granuloma in the larynx. The patient had previously received a silicon injection into the vocal cord for the treatment of unilateral recurrent nerve palsy 14 years earlier. A surgical biopsy of the granulation tumor was obtained with a partial resection of the thyroid cartilage by means of a surgical approach from the neck to exclude the possibility of a tumor as a result of malignant change in the larynx. The histopathological analysis revealed the lesion to be granulation tissue and the patient's hoarseness thereafter showed a slight recovery.View full abstractDownload PDF (1393K) -
Kazuo ADACHI, Toshiro UMEZAKI, Kazuko KATAOKA, Naoko MATSUBARA, Shizuo ...2009 Volume 55 Issue 5 Pages 205-209
Published: 2009
Released on J-STAGE: September 01, 2010
JOURNAL FREE ACCESSWe examined the voice quality of children after they had been treated for glottic and sub glottic stenosis. Each patient could produce a sound. However, the patients who did not have any experience in vocalizing required a much longer time to vocalize than the patients who already had such experience. The patients who operated by laryngofissure required a longer time before they could vocalize. Regarding the voice quality, however, both cases demonstrated good results.View full abstractDownload PDF (610K) -
Takaharu NITO, Noriko TAMARUYA, Tatsuya YAMASOBA2009 Volume 55 Issue 5 Pages 210-215
Published: 2009
Released on J-STAGE: September 01, 2010
JOURNAL FREE ACCESSWe herein report the case of an adult patient with subglottic stenosis treated with a microdebrider and topical mitomycin C (MMC). 0.04% MMC was applied after endoscopic excision of subglottic scar tissue with a microdebrider. The patient was decannulated 10 months after the surgical procedure. The efficacy of topical MMC in endoscopic surgery of laryngotracheal stenosis still remains controversial. It is possible that the results of surgical treatment vary according to the condition of the surgical site or the MMC application.View full abstractDownload PDF (859K) -
Aki TAGUCHI, Kazumi MOTOYOSHI, Masamitsu HYODO2009 Volume 55 Issue 5 Pages 216-220
Published: 2009
Released on J-STAGE: September 01, 2010
JOURNAL FREE ACCESSWe herein reported the findings of a case presenting with bilateral vocal cord paralysis that was treated by repeated Ejnell's operations. The patient was a 68-year-old male with a complaint of dyspnea. Bilateral vocal cord paralysis was diagnosed and a tracheostomy was performed on March 2, 2002. Three months after the operation, the tracheostoma was closed. However, about 2 years later, dyspnea recurred, and a tracheostomy was thus performed again on January, 2004. Thereafter, Ejnell's operation on right vocal cord on January 22, 2004. At that time, the right vocal cord was moved to the center of the larynx, and this procedure was performed in combination with an arytenoidectomy. After the surgery, the patient showed a good course. After a 4-year favorable course, dyspnea recurred again. On March 4, 2008, he underwent a myectomy of the right thyroarytenoid muscle and Ejnell's operation on the right vocal cord was carried out. During the operation, we confirmed a disruption of the nylon thread which had caused the right vocal cord to move in a lateral direction. We discussed th possible cause of thread trouble observed in this case.View full abstractDownload PDF (721K)
Abstract
-
2009 Volume 55 Issue 5 Pages 221-225
Published: 2009
Released on J-STAGE: September 01, 2010
JOURNAL FREE ACCESSDownload PDF (562K)
Clinical Notes
-
[in Japanese]2009 Volume 55 Issue 5 Pages 226-228
Published: 2009
Released on J-STAGE: September 01, 2010
JOURNAL FREE ACCESSDownload PDF (730K)
- |<
- <
- 1
- >
- >|