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Volume 58, Issue 3
Displaying 1-7 of 7 articles from this issue
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Original Article
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Masanori KOMATSU, Takahide TAGUCHI, Hideki MATSUDA, Osamu SHIONO, Juni ...2012 Volume 58 Issue 3 Pages 101-107
Published: December 26, 2011
Released on J-STAGE: May 01, 2013
JOURNAL FREE ACCESSTreatments for recurrent head and neck squamous cell carcinoma (HNSCC), which cannot be treated with curative surgery or radiotherapy, have not been established. We assessed the effects of two chemotherapy regimens, i. e., PFML chemotherapy (cisplatin, 5-fluorouracil, methotrexate and leucovin) or/and TPF chemotherapy (docetaxel, cisplatin and 5-fluorouracil) for patients with recurrent HNSCC. Fourteen patients, including 4 with an affected nasopharynx, 2 mesopharynx, 8 hypopharynx, 5 larynx and 3 other locations were enrolled. Twenty-one patients had stage IV disease at the time of the reccurence. Distant metastasis was seen in 15 patients. Two patients were treated with PFML chemotherapy alone, 11 were treated with TPF chemotherapy alone, and 9 were treated with both PFML and TPF regimens. One of the 22 cases showed a complete response, 4 cases showed a partial response, 8 no change, and 9 showed progressive disease. The overall response rate was 22.7%. The 1-year and 2-year disease specific survival rates were 60.2% and 42.1%, respectively. The median survival time was 12.4 months. A survival benefit of the PFML and TPF regimens can be expected for cases with recurrent HNSCC.View full abstractDownload PDF (846K) -
Moriyasu YAMAUCHI, Kyoko CHUJO, Ayako NAWATE2012 Volume 58 Issue 3 Pages 108-114
Published: 2012
Released on J-STAGE: May 01, 2013
JOURNAL FREE ACCESSThis article presents the clinical features of 208 patients who visited the Hamanomachi Hospital Department of Otorhinolaryngology between March 2008 and February 2009 with a chief complaint of balance problems. There were approximately 2.6 times more female patients than males. The mean age of the patients was 55.4 years old, and the peak incidence was in the sixth decade. The most common diagnosis was benign paroxysmal positional vertigo (13%), followed by Meniere's disease (53%), vestibular neuritis (1.4%) and sudden deafness (1.0%). Three cases (1.4%) were caused by CNS disease including pontine infraction, spinocerebellar ataxia and Creutzfeldt-Jakob disease.View full abstractDownload PDF (841K) -
Miho SHIRANE, Mayo YAMAMOTO, Kanako KONDO, Yuki NAGANO, Yasuaki USHISA ...2012 Volume 58 Issue 3 Pages 115-121
Published: 2012
Released on J-STAGE: May 01, 2013
JOURNAL FREE ACCESSThe Miyazaki Newborn Hearing Screening (NHS) program comprises the Miyazaki NHS Center and the Hearing Center for the Deaf. The Miyazaki NHS Center manages the infants needing help from ENT specialists. The Hearing Center for the Deaf is an intervention institute that supports the audiological amplification and speech training of deaf children. A total of 10,324 out of 11,884 newborns (86.9%) underwent the NHS, and 56 (0.54%) were judged to require closer examinations in 2010. Twenty-one (0.2%) were diagnosed to have bilateral hearing loss and needed to have speech training at the Hearing Center for the Deaf. Finally, 11 (0.1%) children were diagnosed with severe hearing impairment and 8 of these 21 children started wearing hearing aids.View full abstractDownload PDF (852K) -
Takashi NAKAGAWA, Satoshi TOH, Shu-ichi OKADA, Mayumi INAMITSU, Shizuo ...2012 Volume 58 Issue 3 Pages 122-127
Published: 2012
Released on J-STAGE: May 01, 2013
JOURNAL FREE ACCESSA gusher is an ejection of cerebrospinal fluid by fenestration of the cochlea because of an abnormally wide communication between the perilymphatic and subarachnoidal spaces. We herein report a successful case of hearing improvement in a patient with a gusher during a surgical intervention for congenital stapes fixation. The patient was a 10-year-old female with congenital conductive hearing loss without any family history. No significant anomaly, such as enlargement of the cochlear and vestibular aqueducts, or bone defect of the fundus of the internal auditory canal, was noted in the preoperative temporal bone computed tomography examination. When the stapes footplate was fenestrated, clear fluid flowed out. The volume of fluid increased with time. Since we could not halt the efflux by covering the fenestration with fascia, a bulky fascia was plugged inside the inner ear. The fluid efflux finally stopped, and the ossicular chain was reconstructed using a Teflon piston. The patient's postoperative vertigo disappeared in 7 days. Her average 500Hz, 1kHz and 2 kHz air-conduction hearing level was improved from 52dB to 17dB by the surgical intervention. There was no detectable change in the bone-conduction hearing level.View full abstractDownload PDF (1048K) -
Kazuha ISHIKAWA, Nozomu MATSUMOTO, Hiroki TSUKIJI, Shiho KITAURA, Atsu ...2012 Volume 58 Issue 3 Pages 128-133
Published: 2012
Released on J-STAGE: May 01, 2013
JOURNAL FREE ACCESSWe herein report a case of 36-year-old male with single-sided congenital deafness who received a cochlear implant on the deaf side. The patient had a previously resected but re-growing acoustic neuroma on his hearing side. His initial hearing on the cochlear implant side was poor but has been gradually improving, while his hearing on the neuroma side is predicted to slowly deteriorate. He is currently benefitting from binaural hearing. Once his hearing with the cochlear implant improves to a level exceeding his neuroma side, a complete removal of re-growing tumor, which will likely destroy his remaining hearing in that ear, can be performed with minimal negative impact on his quality of life.View full abstractDownload PDF (999K) -
Yuya OGAWARA, Tomoyasu TACHIBANA, Yuko MATSUYAMA, Iku ABE, Akihito MIT ...2012 Volume 58 Issue 3 Pages 134-138
Published: 2012
Released on J-STAGE: May 01, 2013
JOURNAL FREE ACCESSCalcifying epithelioma is a benign tumor of the hair matrix cells commonly found in the head, neck, and upper extremities. This report presents the case of an 18-year-old male with a calcifying epithelioma in the subauricular region. He complained of a subauricular tumor increasing with no pain. Usualy CT showed calcification in the subcutaneous lesion. This case was preoperatively diagnosed by a histological examination of the fine needle biopsy (FNA) and MRI. A histological examination of the FNA showed a lesion derived from a hair follicle, the sebaceous gland, and the sudoriferous gland. MRI revealed the lesion was subcutaneous and separated from the parotid gland. The operation was performed under general anesthesia. The tumor was subcutaneous, and easily separated from parotid gland. MRI was useful for diagnosis of a calcifying epithelioma and differentiation of the lesion from a parotid tumor.View full abstractDownload PDF (1086K)
Clinical Note
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[in Japanese]2012 Volume 58 Issue 3 Pages 140-142
Published: 2012
Released on J-STAGE: May 01, 2013
JOURNAL FREE ACCESSDownload PDF (631K)
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