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Volume 57, Issue 6
Displaying 1-6 of 6 articles from this issue
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Original Article
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Minako OYAMA, Mitsuru OHASHI, Takashi KIMITSUKI, Shizuo KOMUNE2011 Volume 57 Issue 6 Pages 267-274
Published: 2011
Released on J-STAGE: November 01, 2012
JOURNAL FREE ACCESSWe examined the relationship between hearing outcomes after ossiculoplasty type III and the following factors ; 1) stapes mobility, 2) changed in the stapes surroundings, 3) changes in the malleus or incus, 4) the middle ear risk index (MERI), 5) frequency of surgeries and 6) the type of operation. A regression analysis showed the presence of changes in the stapes surroundings and the MERI to correlate with the hearing outcomes. On the other hand, there was no significant correlation between the intraoperative evaluation of stapes mobility and the success rate, thus suggesting that there is a limit to the subjective judgment of stapes mobility. It is therefore necessary to develop a method for evaluating the mobility of the stapes objectively.View full abstractDownload PDF (1387K) -
Kazuo ADACHI, Toshiro UMEZAKI, Naoko MATSUBARA, Hideyuki KIYOHARA, Shi ...2011 Volume 57 Issue 6 Pages 275-282
Published: 2011
Released on J-STAGE: November 01, 2012
JOURNAL FREE ACCESSThe association between the macroscopic configuration and voice function was examined in glottic carcinoma. Glottic carcinoma was classified into four groups based on the macroscopic configuration. The (1) flat type, (2) mass type, (3) papilloma type and (4) submucosa type. The comparison revealed the flat type to be significantly better than the mass type and papilloma type in the sound analysis value and MPT. In addition, no meaningful difference was observed between the groups with regard to the clinical stage. Therfore, the sound of glottic carcinoma was not determined by the clinical stage but by the macroscopic configuration.View full abstractDownload PDF (1162K) -
Takao YAMADA, Ryosei MINODA, Toru MIWA, Masako MASUDA, Narihiro KODAMA ...2011 Volume 57 Issue 6 Pages 283-289
Published: 2011
Released on J-STAGE: November 01, 2012
JOURNAL FREE ACCESSThis study investigated the occurrence of cochlear implant complications in 72 patients who underwent cochlear implantations in our department during the period from March 2001 to May 2010. We defined complications as symptoms which required any additional care and/or treatments after cochlear implantation. The complications were divided into two categories : minor complications and major complications. The minor complications were defined as the symptoms which resolved without any open surgeries. The major complications were defined as the symptoms which required treatment by open surgery. Nine of 72 patients (12.5%) experienced at least one complication. Four patients had minor complications and 5 patients had major complications. Minor complications consisted of taste disturbance in 2 patients, delayed facial palsy in 1 patient, and local swelling where the cochlear implant was implanted in 1 patient. Major complications consisted of mechanical failures of the cochlear implant in 2 patients, local infections in 2 patients, and exposure of the cochlear implant in 1 patient. The implant failures were caused by head injuries. The postoperative infections in the 2 patients were considered to be related to their underlying diseases. It was considered that the exposure of the cochlear implant was caused by contact between the receiver-stimulator and speech processor.View full abstractDownload PDF (544K) -
Marie KUBOTA, Ryuji YASUMATSU, Tetsuro YASUI, Moriyasu YAMAUCHI, Kyoko ...2011 Volume 57 Issue 6 Pages 290-295
Published: 2011
Released on J-STAGE: November 01, 2012
JOURNAL FREE ACCESSSince January of 2006, we have been administering high dose steroids therapy (the initial dose : of 200mg predonizolone) for patients with complete peripheral facial nerve palsy. In this study, the efficacy of high dose steroid therapy was compared with the cure rate of the patient group treated with the conservative dose of steroids therapy. Of the 20 patients with complete peripheral facial nerve palsy admitted after January 2006, 14 patients (70.0%) experienced a complete recovery. There were no statistically significant differences in the cure rates between the patients treated with high dose steroid therapy and the patient group treated with the conservative therapy before January 2006. Our data suggested that the cure rate of peripheral facial nerve palsy was affected by the initial degree of the palsy. However, further study is needed to elucidate the efficacy of high dose steroid therapy, since the treatment of peripheral facial nerve palsy still remains controversial.View full abstractDownload PDF (772K) -
Tomoyasu TACHIBANA, Michihiro NAKADA, Yuya OGAWARA, Yuko MATSUYAMA, Ik ...2011 Volume 57 Issue 6 Pages 296-300
Published: 2011
Released on J-STAGE: November 01, 2012
JOURNAL FREE ACCESSHemophilia A is an X-linked hereditary disease. Pharyngolaryngeal hematomas associated with hemophilia sometimes cause airway stenosis, and require a tracheotomy. We herein report a patient who developed a pharyngolaryngeal hematoma who had type A hemophilia. He complained of dyspnea and throat pain following upper airway inflammation. In this case, factor replacement therapy, an antibiotic and steroids were rapidly administered, and this regimen proved to be very effective for treating the hematoma. His symptoms and the hematoma improved within a few days. We believe that factor replacement therapy and appropriate management of the airway are therefore very important for the successful treatment of this disease.View full abstractDownload PDF (884K)
Clinical Note
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[in Japanese]2011 Volume 57 Issue 6 Pages 302-304
Published: 2011
Released on J-STAGE: November 01, 2012
JOURNAL FREE ACCESSDownload PDF (897K)
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