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Volume 59, Issue 1
Displaying 1-8 of 8 articles from this issue
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Original Article
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Michiko YAMASHITA, Toshio HANAI, Takashi NAKAGAWA, Shizuo KOMUNE2013 Volume 59 Issue 1 Pages 1-9
Published: January 20, 2013
Released on J-STAGE: February 07, 2014
JOURNAL FREE ACCESSThis study investigated 52 children over 3 years of age who visited the Fukuoka Welfare Center for hearing examinations and rehabilitation between 1999 and 2011. Almost all of the children had a delay in language development. It is very difficult to identify hearing loss in infants without an auditory test. An auditory test should be recommended if parents or nursery school teachers are concerned about a delay in language development or reactions to sound.View full abstractDownload PDF (1127K) -
Hiroshi KIMURA, Kenichiro TSUKADA2013 Volume 59 Issue 1 Pages 10-16
Published: January 20, 2013
Released on J-STAGE: February 07, 2014
JOURNAL FREE ACCESSRelapsing polychondritis (PR) is a multisystem autoimmune disease of unknown origin characterized by the destruction of cartilaginous tissues and proteoglycan. We herein report the case of an 82-year-old male who first presented with left auricular erythema with swelling sparing the lobule. He subsequently developed right sensorineural hearing loss (SNHL), recurrence of left auricular chondritis, and scleritis. Steroid therapy was effective for these symptoms. Although the auricular chondritis was unilateral, we diagnosed him with PR due to the SNHL, scleritis, and efficacy of steroid therapy based on Damiani and Levine's PR criteria. We also analyzed the onset of auricular chondritis in 40 cases who first presented in Japan to determine whether it was unilateral or bilateral. Unilateral onset of auricular chondritis was noted in 32/40(80%) patients, while bilateral onset occurred in 8/40 (20%). Twenty-one of the 32 (65.6%) patients with unilateral chondritis eventually developed bilateral chondritis. Therefore, bilateral auricular chondritis eventually was present in 29/40 (72.5%) patients. Eleven of the 40 (25.5%) patients had left unilateral involvement. The duration from unilateral to bilateral disease was 6.2 months. Many cases of first onset auricular chondritis due to PR were unilateral, and there have been previously reported cases of left unilateral auricular chondritis. A major feature of auricular chondritis due to PR is sparing of the lobule. Therefore, we propose that bilateral chondritis of the auricles as a customary diagnostic criterion should be changed to auricular chondritis (unilateral or bilateral) sparing the lobule.View full abstractDownload PDF (592K) -
Sayaka KIKKAWA, Akihiro TAMAE, Shumei SHIBATA, Nozomu MATSUMOTO, Mitsu ...2013 Volume 59 Issue 1 Pages 17-24
Published: January 20, 2013
Released on J-STAGE: February 07, 2014
JOURNAL FREE ACCESSTympanosclerosis causes conductive hearing loss because calcification and new bone formation appear in fibrotic tissue as an aftereffect of chronic infection of the middle ear. However, the clinical course of tympanosclerosis is currently unclear. This survey shows the hearing results after surgery for tympanosclerosis in our hospital, and the effect of each factor (surgical procedure, reconstruction material, use of stapes fixation and the stiffness curve) on the hearing result. We have had a 55.6% success rate at 6 months after surgery. The surgery-specific success rates were 50.0% for tympanoplasty types I and IIIc, 66.7% for type IIIi, 0% of type IVc and 60.0% for stapes surgery. The success rate according to the reconstruction material was 66.7% for the incus, 50.0% for cortical bone and TORP (total ossicular replacement prosthesis) and 44.4% for the malleus head. Stapes fixation was performed in 35.5% of the patients, and 30.0% of these procedures were successful. All of the successful cases of stapes fixation were treated with stapes surgery, indicating the importance of stapes surgery. A stiffness curve in the PTA (pure-tone audiometry) was present in 74.2% of the total patients, and 50.0% of these cases were successes. Twenty-eight point six percent of the others (without a stiffness curve) were successfully treated.View full abstractDownload PDF (1019K) -
Rina MIYAZAKI, Teppei NODA, Yuichi SEGAWA, Akihiro TAMAE, Ryuji YASUMA ...2013 Volume 59 Issue 1 Pages 25-30
Published: January 20, 2013
Released on J-STAGE: February 07, 2014
JOURNAL FREE ACCESSSchwannomas are rarely observed in the extracranial head and neck region. It is sometimes difficult to make a preoperative diagnosis of schwannoma, although CT and MRI imaging are useful in the differential diagnosis of neck masses. This report describes 3 cases of schwannoma in the extracranial head and neck region with a review of the literature. The tumors originated from the accessory nerve, vagus nerve and hypoglossal nerve. There are a variety of surgical treatment options, including complete tumor excision and intracapsular enucleation. The possible nerve damage to patients can be determined, if the neurological origins of schwannomas are identified. Therefore, physicians that evaluate neck masses need to be aware of the diagnostic workup and surgical treatment. Surgical resection of schwannomas arising in the head and neck region may cause fatal nerve damage. Treatments that assure the preservation of the neurological functions are therefore needed.View full abstractDownload PDF (1061K) -
Kotaro ISHIMARU, Atsushi TAKANO, Haruo TAKAHASHI, Katsumi TANAKA2013 Volume 59 Issue 1 Pages 31-36
Published: January 20, 2013
Released on J-STAGE: February 07, 2014
JOURNAL FREE ACCESSThis report presents a case that was treated by salvage surgery for two recurrences of locally advanced resectable tongue cancer after superselective intra-arterial chemoradiation. The mandibular swing approach was required for total glossectomy and laryngectomy because there was very intense surgical scarring. Salvage surgery for patients after the failure of organ preservation after primary therapy is associated with higher morbidity and lower efficacy than primary surgery. Surgeons are occasionally unable to preserve the organs. Salvage surgery must be carefully considered after the failure of primary chemoradiation.View full abstractDownload PDF (847K) -
Yasuyuki NISHI, Haruo HIRAKAWA, Atsushi SASAKI2013 Volume 59 Issue 1 Pages 37-41
Published: January 20, 2013
Released on J-STAGE: February 07, 2014
JOURNAL FREE ACCESSWe herein report the case of a 73-year-old male with parathyroid adenoma who had been treated for depression in the past, whose psychiatric symptoms improved after tumor resection. As illustrated by this case, the diagnosis of hyperparathyroidism is often difficult, because psychiatric symptoms associated with hyperparathyroidism are masked by those of the depression. Therefore, psychiatric symptoms should be recognized as potentially arising due to hyperparathyroidism. Moreover, the removal of a parathyroid adenoma can improve the psychiatric symptoms of affected patients.View full abstractDownload PDF (602K)
Clinical Note
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[in Japanese]2013 Volume 59 Issue 1 Pages 42-44
Published: January 20, 2013
Released on J-STAGE: February 07, 2014
JOURNAL FREE ACCESSDownload PDF (723K)
Erratum
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Michiko YAMASHITA, Yoshio HANAI, Takashi NAKAGAWA, Shizuo KOMUNE2013 Volume 59 Issue 1 Pages e
Published: January 20, 2013
Released on J-STAGE: February 07, 2014
JOURNAL FREE ACCESSDownload PDF (69K)
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