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Volume 104, Issue 12
Displaying 1-7 of 7 articles from this issue
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Atsuhiko Uno, Miki Nagai, Yoshiharu Sakata, Kazuhiro Moriwaki, Takashi ...2001 Volume 104 Issue 12 Pages 1119-1125
Published: December 20, 2001
Released on J-STAGE: October 22, 2010
JOURNAL FREE ACCESSSubjects visiting the Department of Otolaryngology at Suita Municipal Hospital reporting vertigo or dizziness numbered 664 women and 343 men from April 1999 to December 2000. As a city hospital, we play an important role in the diagnosis and treatment of acute vertigo or dizziness. The frequency of diagnosis of these cases was divided almost equally into 5 groups: (1) benign paroxysmal positional vertigo (BPPV) 23%; (2) suspected BPPV, 18%; (3) peripheral vestibular disorders other than BPPV, 22%; (4) disorders other than peripheral origin, 18%; and (5) undiagnosed, 19%. Based on our results, BPPV, other peripheral vestibular disorders, and disorders of other origins should be differentiated from the first screening. BPPV was most frequent and diagnosed by typical positioning nystagmus. Many other peripheral vestibular disorders were accompanied by nystagmus. It is also important to differentiate serious illnesses such as cerebrovascular disease (7%), space-occupying lesions in the posterior fossa (1.2%), and cardio-circulatory disease (3.6%).View full abstractDownload PDF (4879K) -
Tomoko Sugiuchi, Kiyoko Sato, Kimiko Asano, Yuichiro Sugio, Keiko Tera ...2001 Volume 104 Issue 12 Pages 1126-1134
Published: December 20, 2001
Released on J-STAGE: October 22, 2010
JOURNAL FREE ACCESSSome mild, moderate, and moderately severe-hearing impaired children have poor language and educational problems despite comparatively good hearing.
We studied 30 mild, moderate, and moderately severe hearing-impaired children cared for at Showa University and Jiseikai Hospitals. Their ages ranged from 3 to 14 years and average hearing from 35.0 dB HL to 68.8 dB HL.
Our findings were as follows:
(1) The average age of suspected hearing problem onset was 2 years 10 months. On the average, delayed diagnosis was made at 4 years 2 months and children were fitted with hearing aids at 5 years 3 months.
(2) Over 25% them wore hearing aids infrequently.
(3) Language delay was observed in 14 of 24 children examined using the WISC-III test. Many wore hearing aids infrequently and exhibited inadequate oral communication in Japanese due, for example, to deaf parents or children educated overseas.
(4) According to a questionnaire, many mothers usually talked to the children aware of their hearing condition. But almost mothers of children with delayed development could not teach children if they couldn't hear, and only repeated same words for children's clarification, e. g., “Pardon?”.
It is important to detect hearing impairment in children as early as possible. Guidance by specialists and communication training are very important, especially for children who are mild, moderate, and moderately severe hearing-impaired.View full abstractDownload PDF (810K) -
Toru Seo, Akiko Adachi, Mieko Sone, Michiko Node, Keijiro Fukazawa, Ma ...2001 Volume 104 Issue 12 Pages 1135-1142
Published: December 20, 2001
Released on J-STAGE: October 22, 2010
JOURNAL FREE ACCESSWe clinically analyzed 15 cases of perilymphatic fistulas -11 caused by barotraumas and 4 idiopathicidentified by surgery between March 1995 and March 1999 at the Hyogo College of Medicine and affiliated hospitals. Subjects were 11 men and 4 women (aged 14 to 79 years (mean: 46.7 years) ).
All showed hearing loss in audiography and 12 cases reported tinnitus -stream-like in 5 and poping in 4. Dysequilibrium was seen in 9 cases.
Perilymph leakage was detected intraoperatively from the oval window in 9, from the round window in 4, and from both windows in 1, while another had leakage from the fissura ante fenestram.
After surgery, hearing level improved by over 10 dB in 9 of the 11 cases operated on within 14 days after onset. Hearing did not improve in 3 of 4 operated on later. Vertigo disappeared after surgery. Dizziness tended to persist in those having canal paresis or paralytic nystagmus before surgery.
We suggest that patients with progressive hearing loss should be operated on as soon as possible and that patients with dysequilibrium or without response to conservative treatment undergo surgery within 14 days of onset.View full abstractDownload PDF (681K) -
Nobuaki Hiraki, Tatsuya Fujiyoshi, Takashi Shimizu, Tsuyoshi Udaka, Ma ...2001 Volume 104 Issue 12 Pages 1143-1146
Published: December 20, 2001
Released on J-STAGE: October 22, 2010
JOURNAL FREE ACCESSDifferent neoplasms and infections are known to involve the masticator space, but pathological diagnosis and treatment of these lesions are not always simple due to anatomical complexity. We treated a 66-year-old man with an abscess in the nasopharyngeal masticator space. Physical and CT findings resembled those of a neoplastic lesion because the onset dated back 5 years and the patient was lacking in notable signs of infection. Surgery through the maxillary sinus to the lesion enabled us to confirm its pathology and drain pus, with subsequent cure. We noted periodontal infection of the mandibular molars accompanied with osteomyelitis as a cause of this abscess, so infected molars were extracted 13 days after surgery. The infection had spread upward along the mastication muscles, resulting in an abscess in both the upper masseter muscle and the lower temporalis muscle. Based on a review of the literature, most abscesses in the masticator space originate from the mandibular molar, while the most impressive physical finding varied between the submandibular region and temporal fossa, as did its acute or chronic clinical course. Such clinical manifestations appear to reflect the pattern of infection spread along the muscles of mastication and a pattern involving adjacent spaces. We emphasize diagnostic significance when assessing findings for each mastication muscle and mandibular bone depicted using computed tomography, magnetic resonance imaging, and bone-scan technetium.View full abstractDownload PDF (5503K) -
Yoshinori Matsuwaki, Tsuneya Nakajima, Makoto Iida, Osamu Nohara, Shin ...2001 Volume 104 Issue 12 Pages 1147-1150
Published: December 20, 2001
Released on J-STAGE: October 22, 2010
JOURNAL FREE ACCESSWe report a case of allergic fungal sinusitis (AFS) caused by Penicillium sp. and Cladosporium sp. in a 57-year-old man satisfying the following diagnostic criteria: (1) chronic rhinosinusitis revealed by computed tomographic scan, (2) Japanese cedar pollinosis for 3 years, (3) positivity for Penicillium sp. and Cladosporium sp. by a skin test, (4) increased immunoglobulin E (IgE) specific to these fungi, (5) increased total IgE, (6) nasal polyps with severe eosinophilic invasion, (7) allergic mucin revealed by histopathological examination, (8) fungal hyphae revealed by histopathological examination and (9) detection of Penicillium sp. and Cladosporium sp. revealed by fungi culture. The patient was treated by endoscopic sinus surgery. Four weeks after surgery, nasal polyps recurred, but his condition was improved by oral administration of steroids and nebulizer treatment with steroids and fluconazole. Total IgE, specific IgE and eosinophil count in the peripheral blood decreased, apparently reflecting this improvement. After obtaining the patient's consent, we conducted an allergen provocation test, which is as highly diagnostic as a skin test, to test for an antigen causing type I hypersensitivity. The immediate phase response was positive, indicating that type I hypersensitivity intermediated by IgE was involved in AFS.View full abstractDownload PDF (5355K) -
Kouichirou Nishiyama, Hajime Hirose, Yoshiaki Iguchi, Kazuhiro Yamamot ...2001 Volume 104 Issue 12 Pages 1151-1155
Published: December 20, 2001
Released on J-STAGE: October 22, 2010
JOURNAL FREE ACCESSWe developed a new surgical technique combining autologous intracordal transplantation of fat and fascia for sulcus vocalis. Fat tissue from the abdominal wall and fascia from the postauricular region were obtained and an incison was made on the lateral portion of the vocal cord and a small pocket prepared in the lamina propria using an elevator. After inserting fat tissue into the pocket, fascia was inserted to cover the fat graft to prevent its escape from the pocket. The surgical wound was then sutured using absorbable sutures. No evidence of postoperative absorption of transplanted fat tissue was seen, and vocal function improved postoperatively. This method proved useful as surgical treatment for sulcus vocalis.View full abstractDownload PDF (4601K) -
[in Japanese]2001 Volume 104 Issue 12 Pages 1156-1159
Published: December 20, 2001
Released on J-STAGE: October 22, 2010
JOURNAL FREE ACCESSDownload PDF (1576K)
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