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Volume 106, Issue 2
Displaying 1-6 of 6 articles from this issue
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Surveillance in Hirosaki CityKyo Yasuda, Atsushi Matsubar, Kasumi Oji, Kazunori Futai, Hideichi Shi ...2003 Volume 106 Issue 2 Pages 135-142
Published: February 20, 2003
Released on J-STAGE: March 19, 2008
JOURNAL FREE ACCESSJapanese cedar is the most common pollinosis allergen in Japan. Predictions of total pollen counts and the first 2 or more days of the Japanese cedar pollen season are beneficial to patients. We developed predictive methods for those 2 factors in Hirosaki.
We conducted an atmospheric Japanese cedar pollen survey from 1996 to 2002 in Hirosaki and compared yearly data with the male flowering index counted in 50 cedar trees in the preceding autumn. The male flowering index correlated highly positively with total cedar pollen counts in regression analysis, indicating its usefulness in predicting total pollen counts. Although the number of days from January 1 to the first day of continuous pollen emission showed no correlation with the cumulative maximum temperature during these days, the number of days from the day of first detection of pollen emission (minimum of 1 particle per sq. cm) to the first day of continuous pollen emission correlated highly with the cumulative maximum temperature and cumulative amount of snowfall on these days, suggesting that it is possible to predict the first day of continuous pollen emission by the cumulated daily maximum temperature after the day of first detection of pollen emission.View full abstractDownload PDF (832K) -
Department of Otorhinolaryngology, Nara Medical UniversityToshihiro Yamamoto, Toshiaki Yamanaka, Yoshio Hatakeyama, Yoshiyuki Ki ...2003 Volume 106 Issue 2 Pages 143-149
Published: February 20, 2003
Released on J-STAGE: March 19, 2008
JOURNAL FREE ACCESSFor 74 men and 123 women averaging 52.5 years of age with vertigo and dizziness, we recorded the age, gender, vertigo type, duration of illness, concomitant symptoms, and vestibular and psychological test results and used a 100mm horizontal visual analog scale (VAS) to quantitatively assess sensation intensity and annoyance in vertigo or dizziness. Factors influencing these 2 quantitative assessment parameters were analyzed by stepwise multiple regression analysis.
Factors influencing sensation intensity were nausea or vomiting as a concomitant symptom, duration of vertigo or dizziness (within a day), and first episode onset. Intensity of sensation to vertigo or dizziness, self-rating depression score (SDS). and gender (female) were selected as significantly influencing annoyance. These results suggest that rational care of significant factors that involve the intensity and annoyance in vertigo is essential to treating patients with vertigo or dizziness.View full abstractDownload PDF (680K) -
Participation by OtolaryngologistsKiminori Sato2003 Volume 106 Issue 2 Pages 150-155
Published: February 20, 2003
Released on J-STAGE: March 19, 2008
JOURNAL FREE ACCESSIn our hospital otolaryngologists fabricate oral appliances (mandibular advancement appliances), decide indications for oral appliance therapy, and conduct combined therapy such as surgery, nasal continuous positive airway pressure (CPAP) therapy, and oral appliance therapy for obstructive sleep apnea syndrome (OSAS). We present a procedure for OSAS oral appliance therapy.
We conducted this intervention on 28 patients in the last two years. Its advantages are;(1) widening options for combined OSAS therapy, (2) enabling treatment by otolaryngologists, (3) enabling treatment at the otolaryngologist's outpatient clinic.(4) and simple, nonsurgical, useful therapy in selected patients. Oral appliance therapy for OSAS may be conducted with or without other therapy. Otolarynologists should conduct OSAS oral appliance therapy in combination with other therapy.View full abstractDownload PDF (1842K) -
Yoshihito Suda, Yutaka Hanamure, Fujihiko Kasano, Naoko Kashima2003 Volume 106 Issue 2 Pages 156-159
Published: February 20, 2003
Released on J-STAGE: March 19, 2008
JOURNAL FREE ACCESSWe report a rare case of verrucous carcinoma occurring in the nasal cavity.
A 53-year-old man reporting left-sided nasal obstruction and awareness of a left intranasal lesion-a whitish polypoid lesion-was found in CT to have an expansive lesion of the left nasal cavity and maxillary sinus. The tumor was completely removed by Denker's operation. Verrucous carcinoma is a rare variant of squarous cell carcinoma most commonly seen in the oral cavity, In some cases, conventional squamous cell carcinoma components may be observed focally in verrucous carcinoma, called a hybrid tumor. In our case, the tumor showed typical features of a hybrid tumor. To the best of our knowledge, this is the first case of hybrid verrucous squamous cell carcinoma originating in the nose in the Japanese literature.View full abstractDownload PDF (859K) -
Hiroko Koda, Kazuo Gotsu, Taro Sugimoto, Norihiko Ishikawa, Seiji Kish ...2003 Volume 106 Issue 2 Pages 160-163
Published: February 20, 2003
Released on J-STAGE: March 19, 2008
JOURNAL FREE ACCESSPostoperative cervical lymphorrhea is a complication uncommonly encountered following neck dissection for which several treatment modalities have been described in the literature. We managed 8 cases of lymphorrhea after neck dissection by injecting Minocycline through a drainage tube. We attempted this procedure for lymph discharge that had continued despite pressure dressing and systemic management with nutritional modification for about 1 week. This treatment rapidly resolved lymph discharge in 6 of the 8 cases. No patient required surgical intervention.
Minocycline sclerotherapy has typically been used to treat pleural effusion, ascites, pneumothorax, and other cystic diseases of the liver. pancreas, and kidney. In many cases, this therapy brings rapid resolution. This inefficiency is due to the acidity and toxicity of Minocycline. No major adverse effects have been reported.
We believe that Minocycline sclerotherapy is effective for rapidly resolving lymphorrhea following neck dissection and use of this therapy should be attempted before surgical intervention.View full abstractDownload PDF (409K) -
Demographics in 4, 053 CasesTakahiro Okura, Satoshi Hasegawa, Masahiro Kawana, Katsuro Sato, Sugat ...2003 Volume 106 Issue 2 Pages 164-172
Published: February 20, 2003
Released on J-STAGE: March 19, 2008
JOURNAL FREE ACCESSIn 1986, the Niigata Registration Committee of Head and Neck Malignant Tumors was established by otolaryngologists in Niigata Prefecture to register cases of head and neck malignancies. Between 1986 and 1999, 4, 053 cases were registered and we epidemiologically analyzed them.
Men accounted for 2, 866(70.7%) and women for 1, 187(29.3%). The mean age and standard deviation of the age at diagnosis were 63.4 and 12.4 in men and 59.5 and 16.0 in women. The larynx was the most common site (1, 154 cases) in men, followed by the oral cavity (360 cases), hypopharynx (273 cases), mesopharynx (239 cases), and maxillary sinus (154 cases). The thyroid gland was the most common site (416 cases) in women, followed by the oral cavity (214 cases), nasal cavity and paranasal sinuses (excluding the maxillary sinus) (76 cases), salivary glands (72 cases), and mesopharynx (71 cases).
The site with the highest mean age was the lip (71.3 years old) in men and the larynx (68.7 years old) in women. The thyroid gland showed the lowest mean age for both genders (men: 56.7, women: 53.6), and that markedly lowered the female mean age because the thyroid gland accounted for one third of all cases in women.
Comparing our data to national statistics, the incidence of oral malignancy was almost half in our data. We concluded that, in Niigata Prefecture, the dental professions treated as many cases of oral malignancy as we did.
A high gender ratio (male/female) was seen for the larynx (22.2), hypopharynx (4.3), and mesopharynx (3.4). It was more than 1 and less than 2 for the oral cavity, salivary gland, neck lymphoma, ear, and nasal cavity and paranasal sinuses (excluding the maxillary sinus). The thyroid gland showed the lowest gender ratio (0.3), which was the only female-dominant site. We concluded that many sites of malignant head and neck tumors have a lower gender ratio than previously anticipated.View full abstractDownload PDF (736K)
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