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Volume 105, Issue 1
Displaying 1-6 of 6 articles from this issue
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[in Japanese]2002 Volume 105 Issue 1 Pages 1-7
Published: January 20, 2002
Released on J-STAGE: October 22, 2010
JOURNAL FREE ACCESS -
Meijin Nakayama, Kazuo Yao, Kouichirou Nishiyama, Hiromi Nagai, Akihik ...2002 Volume 105 Issue 1 Pages 8-13
Published: January 20, 2002
Released on J-STAGE: October 22, 2010
JOURNAL FREE ACCESSWe studied postoperative swallowing in 4 patients undergoing CHEP and 1 undergoing CHP. Swallowing was obtained by intense swallowing rehabilitation since only 1/4 of the larynx remained after near-total laryngectomy. Our swallowing rehabilitation program is detailed in this paper.
The improvement of swallowing is classified into 3 stages. In stage I, volus directly intrudes into the trachea. In stage II, volus stagnates between laryngeal inlet and tracheal stoma. In stage III, volus directly flows through the esophageal inlet. Stage III indicates that rehabilitation is almost completed. Stage I is shortest at 2 to 14 days and Stage II longest at 7 to 80 days.
The MTF (Method, Time, Food) score described by Fujimoto et al was used to analyze swallowing. Three cases following CHEP showed high scores shortly after the introduction of rehabilitation and reached the maximum score at discharge (15 points=normal swallowing). At present, these 3 patients are satisfied with swallowing and enjoy a good quality of life. In 2 other cases (1 CHEP and 1 CHP), both had a wide laryngeal inlet and still have some difficulty with liquids. Further modification of the surgical technique is needed especially for CHP.View full abstractDownload PDF (1298K) -
Tatsuya Fujiyoshi, Masafumi Yoshida, Tsuyoshi Udaka, Tadao Tanabe, Kaz ...2002 Volume 105 Issue 1 Pages 14-21
Published: January 20, 2002
Released on J-STAGE: October 22, 2010
JOURNAL FREE ACCESSStreptococcus constellatus, S. intermedius, and S. anginosus, the 3 species of the S. milleri group, form part of the normal flora commonly found in the mouth, throat, and gastrointenstinal and genital tracts. This group has become known as an important pathogen in infections and abscesses, but data on the anatomical distribution of these species is lacking in relation to clinical significance.
We obtained 275 strains of the S. milleri group from different departments at our hospital over the last 3 years, including 54 strains from dental surgery, 47 from internal medicine, 44 from otolaryngology (head and neck), 43 from surgery, 32 from gynecology, 17 from urology, 16 from dermatology, 11 from brain surgery, 6 from pediatrics, 3 from orthopedics, and 2 from opthalmology. The 44 strains from head and neck were found in 42 patients, -23 with primary infection and 19 with secondary infection induced by cancer treatments. The primary infection group included 4 deep neck abscesses, 1 peritonsillar abscess, 5 tonsillitis, 4 paranasal sinusitis, 3 congenital aural fistula infections, 2 dental infections, 2 paranasal sinus cysts, 1 supprative parotitis, and 1 postoperative wound infection. The secondary infection group included 7 postoperative wound infections, 3 postoperative pulmonary infections, 3 laryngitis and pharyngitis, 3 terminal pneumonias, and 3 infections of the local recurrence site. The S. milleri group was the only isolated organism in 13 cases (56.5%) of primary infection and in 5 (26.3%) of secondary infection. Among other organisms from the primary infection group, no so-called major pathogens were found. Antimicrobial susceptibility tests of the S. milleri group showed that 50% were resistant to CCL and 33% to CTM. ABPC, CPDX, and CFDN were also found to be less sensitive, although no resistant strains were detected.
To adequately culture the S. milleri group, incubation in air containing carbon dioxide or in an anaerobic atmosphere is required, and differentiation of the 3 requires biochemical reactivity tests. Since not all facilities use identical techniques in routine bacteriological examination, a considerable number of the S. milleri group could be missed in unknown species of α-, β-, and γ-streptococci and culture-negative cases. With antibiotics now being used widely, normal flora such as the S. milleri group may have become an important pathogen in head and neck infections due to an imbalance between organisms and host defense.View full abstractDownload PDF (875K) -
Muneo Nakaya, Ichiro Morita, Hideji Okuno, Kousei Takeda, Masatoshi Ho ...2002 Volume 105 Issue 1 Pages 22-28
Published: January 20, 2002
Released on J-STAGE: October 22, 2010
JOURNAL FREE ACCESSThis study examined 53 patients (74 ears) with acute sensorineural hearing impairment due to rifles. After patients were admitted, 16 were treated by steroid alone and 37 by steroid and PGE1 through intravenous drip injection. The therapeutic ratio was 19% and the recovery ratio 66% with no significant difference seen between treatment types in hearing improvement. Forty-two patients were treated within 7 days of injury and 32 8 or more days after injury. The therapeutic ratio was 21% and the recovery ratio 78% among patients treated sooner and a significant difference was seen between in hearing improvement early and later (8 or more days) treatment.
We studied average hearing improvement between pre-and post treatment across the frequency spectrum. The average hearing improvement of 500 Hz and 1 kHz was significantly high compared to that of 8 kHz. This suggests that impairment of middle-pitched tones is improved more easily than high-pitch tones in hearing injuries due to rifles, and that early treatment after injury is extremely important.View full abstractDownload PDF (1162K) -
Tomoaki Nakano, Tunemasa Aiba, Masahiko Sugita, Hayato Shiotani, Kouji ...2002 Volume 105 Issue 1 Pages 29-32
Published: January 20, 2002
Released on J-STAGE: October 22, 2010
JOURNAL FREE ACCESSWe report a case of 9p-syndrome with congenital median nasal fistula in a boy born to a 28-year-old mother as the second child by normal delivery. The fistula opened at the base of the bridge of the nose and ran between the nasal septum cartilage to the anterior cranial fossa. A frontal craniotomy and transcolumellar skin incision were conducted to extirpate the fistula. In the 10 months since, no fistula has recurred.View full abstractDownload PDF (1017K) -
[in Japanese]2002 Volume 105 Issue 1 Pages 34-37
Published: January 20, 2002
Released on J-STAGE: October 22, 2010
JOURNAL FREE ACCESSDownload PDF (220K)
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