jibi to rinsho
Online ISSN : 2185-1034
Print ISSN : 0447-7227
ISSN-L : 0447-7227
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Volume 59, Issue 5
Displaying 1-9 of 9 articles from this issue
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Original Article
  • Clinical analysis of squamous cell carcinoma associated with sinonasal papilloma
    Ryuji YASUMATSU, Masanobu SATO, Motohiro SAWATSUBASHI, Satoshi TOH, To ...
    2013 Volume 59 Issue 5 Pages 189-195
    Published: September 20, 2013
    Released on J-STAGE: September 10, 2014
    DOIhttps://doi.org/10.11334/jibi.59.189
    JOURNAL FREE ACCESS
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    Sinonasal papilloma is a histologically benign tumor. However, it frequently exhibits local recurrence and is also often associated with malignancy. We retrospectively reviewed fifty-seven cases of sinonasal papilloma treated at Kyushu University Hospital. Thirty-eight of the patients were male and nineteen were female. According to the classification by Krouse, 12 cases were classified as T1, 17 as T2, 22 as T3 and 6 as T4. The pathological diagnosis of most cases was inverted papilloma. In ten cases, squamous cell carcinoma was accompanied by papilloma. The clinical symptoms, such as nasal bleeding and pain, seem to characterize the existence of malignancy. Although the survival outcome of SCC arising from IP appears to be comparable with sinonasal SCCs, some of the T4 patients (according to the Krouse classification) were found to have a highly aggressive disease. Therefore, T4 patients are recommended to be treated as if they have a malignant tumor.
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  • Efficacy of the glycerol test in patients with endolymph hydrops
    Kazuhiko KUBO, Nozomu MATSUMOTO, Yoshihiro UMENO, Shizuo KOMUNE
    2013 Volume 59 Issue 5 Pages 196-200
    Published: September 20, 2013
    Released on J-STAGE: September 10, 2014
    DOIhttps://doi.org/10.11334/jibi.59.196
    JOURNAL FREE ACCESS
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    The glycerol test (G test) is an easy and beneficial test to predict the existence of endolymph hydrops. We herein summarize the results of the G test in 43 ears in 39 patients who were referred to our department at Kyushu University Hospital from April 2010 to August 2012. The positive rate of the G test, in combination with suspected data, was 35.5% in the endolymph hydrops group. When that was added to the subjects whose level of hearing improved at the testing point, the positive rate increased to 64.5%. On the other hand, two patients were judged to be positive in the group without endolymph hydrops. Further research is needed to detect the presence of endolymph hydrops with a rapid procedure that has high sensitivity and specificity, in combination with other tests using glycerol.
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  • A case report of a child with disequilibrium and upbeat nystagmus
    Yasuko OKADO, Tetsuko UENO, Mayumi SUGAMURA, Yukiko KUBOTA, Akihide IM ...
    2013 Volume 59 Issue 5 Pages 201-208
    Published: September 20, 2013
    Released on J-STAGE: September 10, 2014
    DOIhttps://doi.org/10.11334/jibi.59.201
    JOURNAL FREE ACCESS
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    We herein report the case of a pediatric patient with an equilibrium disturbance and upbeat nystagmus. She was taken to a pediatric clinic for a fever that had lasted for five days and because she was unable to stand. She was diagnosed to have acute cerebellitis by a head MRI scan. Cerebellitis commonly manifests with downbeat nystagmus, because the pathway from the flocculus to the anterior semicircular canal and to the superior rectus muscle is disinhibited, increasing the tone of the superior rectus muscle, resulting in upward eye rolling. In response,the brainstem tries to correct this imbalance of the extraocular muscle tone by pulling the eyeball downward. In this case, we thought that the cerebellitis did not disinhibit the pathway, but rather over-inhibited it by exciting the Purkinje cells due to the extensive inflammation, thus resulting in the eye rolling downward, and upbeat nystagmus thereafter occurred.
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  • A case of multifocal adult rhabdomyoma in the larynx and neck
    Takayuki SUETA, Yasuhito MIHASHI, Masaru MIYAZAKI, Tsutomu FUKUZAKI, M ...
    2013 Volume 59 Issue 5 Pages 209-215
    Published: September 20, 2013
    Released on J-STAGE: September 10, 2014
    DOIhttps://doi.org/10.11334/jibi.59.209
    JOURNAL FREE ACCESS
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    We herein report our experience in treating a case of multifocal adult rhabdomyma of the larynx and neck. Such a multifocal is extremely rare and so far only 17 previous cases have been reported in the literature. The patient was a 54-year-old male with a chief complaint of hoarseness. He was found to have two lesions, the first one was located in the left larynx near the aryepiglottic fold, while the second one was in the right neck. The diagnosis of a laryngeal mass was made before performing resection based on a histological examination after laryngomicrosurgery. Both tumors were surgically removed, and they were elastic, reddish brown and encapsulated while measuring 90 × 65 × 30mm in the larynx, and 65 × 50 × 20mm in the right neck. In addition, a grapelike structure was seen inside the larynx tumor. The patient's postoperative course has been good after the operation.
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  • The effect of bepotastine besilate treatment for perennial allergic rhinitis on work productivity
    Junko TAKAHATA, Atsushi MATSUBARA, Hisanori NISHIZAWA, Naomi KUDOU, Ma ...
    2013 Volume 59 Issue 5 Pages 216-221
    Published: September 20, 2013
    Released on J-STAGE: September 10, 2014
    DOIhttps://doi.org/10.11334/jibi.59.216
    JOURNAL FREE ACCESS
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    Allergy rhinitis is a disease that disturbs the work productivity, as well as the QOL (quality of life), of affected patients. We examined the changes in the perennial allergy rhinitis patients' nasal symptoms and work productivity after two weeks of taking bepotastine besilate by means of a nasal symptom questionnaire and the WPAI-AS (Work Productivity and Activity Impairment- Allergy Specific) questionnaire. We estimated the work productivity based on the WPAI-AS scores. The results showed that three nasal symptoms；rhinorrhea, sneezing and nasal obstruction,were significantly better after treatment. The WPAI-AS mean work efficiency scores showed a tendency to improve. The improvements of nasal symptoms (rhinorrhea, sneezing and nasal obstruction) were correlated with the improvement of the WPAI-AS scores. These findings suggest that bepotastine besilate can improve the nasal symptoms and work productivity of patients with perennial allergy rhinitis.
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The 28th Phonosurgery Conferences in West Japan
Original Article
  • Eight cases of vascular malformations in the laryngeal and hypopharyngeal regions
    Masamitsu HYODO, Kahori HIROSE, Hiroaki ITO
    2013 Volume 59 Issue 5 Pages 225-231
    Published: September 20, 2013
    Released on J-STAGE: September 10, 2014
    DOIhttps://doi.org/10.11334/jibi.59.225
    JOURNAL FREE ACCESS
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    According to the classification developed by the International Society for the Study of Vascular Anomalies (ISSVA) in 1996, there are two groups of vascular lesions: vascular tumors and vascular malformations. The management of these anomalies is often difficult and must involve a multidisciplinary approach. We herein report eight cases of vascular malformations that originated in the laryngeal and hypopharyngeal regions. The patients consisted of six males and two females with a mean age of 48.9 years. Three cases had additional vascular malformations. Four cases underwent surgical resection under direct laryngoscopy, with the use of a CO2 laser in one case and a powered microdebrider in two cases. Three cases received polidocanol sclerotherapy. One case with a postcricoid large venous malformation was treated by surgical resection of the lesion with an extracervical approach. The postoperative course of the five cases who were treated surgically has been favorable without any recurrence.
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