jibi to rinsho
Online ISSN : 2185-1034
Print ISSN : 0447-7227
ISSN-L : 0447-7227
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Volume 56, Issue 4
Displaying 1-6 of 6 articles from this issue
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Original Article
  • Hearing loss in children with Down syndrome
    Michiko YAMASHITA, Masako KUROKAWA, Toshio HANAI, Takashi NAKAGAWA
    2010 Volume 56 Issue 4 Pages 139-144
    Published: 2010
    Released on J-STAGE: July 01, 2011
    DOIhttps://doi.org/10.11334/jibi.56.139
    JOURNAL FREE ACCESS
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    We studied 22 children with hearing loss, mental retardation, and Down syndrome who visited the Fukuoka Welfare Center. Twenty-two patients exhibited hearing loss at the time of the first examination. We examined these subjects with a behavioral hearing test. Fourteen patients improved after the follow-up examination. Five patients were fitted with hearing aids. One patient was able to use the hearing aid, while three patients discontinued use of the hearing aid.
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  • Changes in the MCL/UCL test for patients undergoing Tinnitus retraining therapy (TRT)
    Takashi KIMITSUKI, Nozomu MATSUMOTO, Shumei SHIBATA, Akihiro TAMAE, Mi ...
    2010 Volume 56 Issue 4 Pages 145-150
    Published: 2010
    Released on J-STAGE: July 01, 2011
    DOIhttps://doi.org/10.11334/jibi.56.145
    JOURNAL FREE ACCESS
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    Tinnitus retraining therapy (TRT) has become a popular treatment for the treatment of patients with tinnitus. This method involves the habituation of tinnitus perception using a low level sound generator and directive counseling. In this paper, we examined whether the most comfortable loudness level (MCL) and uncomfortable loudness level (UCL) changed after undergoing TRT. Nine patients (four males, five females) underwent TRT for 4-22 months (for an average of 12 months). The tinnitus handicap inventory (THI) score improved from 59.7 to 20.2, but neither the MCL nor the UCL showed any changes after TRT. In one patient where the UCL was particularly low prior to treatment, no changes were observed in either MCL or UCL after TRT.
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  • Two cases of vocal cord centrum adhesion after tracheal intubation
    Asanori KIYUNA, Mikio SUZUKI
    2010 Volume 56 Issue 4 Pages 151-156
    Published: 2010
    Released on J-STAGE: July 01, 2011
    DOIhttps://doi.org/10.11334/jibi.56.151
    JOURNAL FREE ACCESS
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    There are several reports that describe vocal cord centrum adhesion in Japan. We experienced two cases of vocal cord centrum adhesion that occurred following tracheal intubation. Case 1 was a 73-year-old female subject with tracheal intubation due to cardio-respiratory arrest by a pulmonary embolism. Case 2 was a 56-year-old female patient with tracheal intubation for the treatment of visceral injury due to a traffic accident. Because both cases were diagnosed to have bilateral vocal cord palsy, they were referred to our clinic for further examination and treatment of these lesions. Based on laryngeal fiberscopic examinations, the subjects were diagnosed to have vocal cord centrum adhesion. CO2 laser surgery was performed under a microscope in each case. The patients were urged to speak and eat food from the day of the surgery. The tracheostomies of both subjects were successfully performed and the tracheas closed without the vocal cord sticking. From a review of papers on vocal cord centrum adhesion and our own experience, the adequate diagnosis of this vocal cord lesion and it proper treatment, especially early speaking and deglutition, is important to achieve a favorable patient prognosis.
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  • Nystagmus findings in healthy subjects without Varigo using infrared CCD imaging
    Kikuko SANO, Kazuhiko KUBO, Shigeaki SHIRABE, Shizuo KOMUNE
    2010 Volume 56 Issue 4 Pages 157-161
    Published: 2010
    Released on J-STAGE: July 01, 2011
    DOIhttps://doi.org/10.11334/jibi.56.157
    JOURNAL FREE ACCESS
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    In the observation of nystagmus using CCD imaging, some reports have described "spontaneous nystagmus in completely healthy persons." Therefore, we investigated the frequency and the details of nystagmus using a CCD camera in healthy subjects who had no history of vertigo or balance disorders. In the current study, 50 subjects participated and had visited our clinic for reasons not due to vertigo. The subjects were between 20 and 79 years of age, and the series was comprised of 19 male subjects and 31 female subjects. Spontaneous nystagmus was found in 35 of the 50 subjects. Seventy percent of healthy subjects who had no history of vertigo exhibited nystagmus under the CCD camera. No differences were found in the frequency of these tests between males and females, but the more elderly subjects tended to have a higher incidence of a nystagmus. Positional nystagmus tended to occur more frequently than positioning nystagmuses during these tests. It should be noted that the nystagmus found under CCD imaging is not necessarily vertigo or any other disorders.
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Commentary
Clinical Notes
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