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Volume 106, Issue 5
Displaying 1-8 of 8 articles from this issue
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Mutsumi Sugiura, Rie Niina, Minoru Ikeda, Hidehisa Nakazato, Yuzuru Ab ...2003 Volume 106 Issue 5 Pages 491-498
Published: May 20, 2003
Released on J-STAGE: March 19, 2008
JOURNAL FREE ACCESSObjectives: Facial palsy may cause excessive stress due to the obviousness of its manifestations. We evaluated psychological stress in patients with facial palsy.
Subjects and Methods: Subjects were 57 patients, with Bell's palsy, 12 with Ramsay Hunt syndrome, and 11 with zoster sine herpete. Eighteen of 50 uestions from the Psychological Stress Response Scale (PSRS) were selected andused to in a questionnaire completed by each patient on 2 separate occasions the first hospital visit and after recovery
from facial palsy. They also completed a second bodily condition questionnaire before and after treatment.
Results: The psychological stress response score of patients with facial palsy was high on the first visit. Intermediate and high psychological stress were observed in 35% on the first visit. These psychological stress response score decreased after recovery from facial palsy. The psychological stress response of patients under 65 years of age in those over 65 years. No gender difference was seen in psychological stress response.Those with herpes zoster showed a higher psychological stress response than others and this decreased after recovery from facial palsy.
Conclusions: Psychological stress response score of patients with facial palsy was high on the first hospital visit, suggesting that we must treat the psychological aspects of this manifestation by adequately explaining prognosis and pathology. in addition to physical therapy.View full abstractDownload PDF (1229K) -
Ibuki Hayashi, Ryo Kawata, Koutetsu Lee, Kanji Sakurai, Yuuichirou Tsu ...2003 Volume 106 Issue 5 Pages 499-506
Published: May 20, 2003
Released on J-STAGE: March 19, 2008
JOURNAL FREE ACCESSUtrasonography (US) is very useful in evaluating cervical lymph node swelling in head and neck cancers. We studied problems with US in evaluating lymph nodes.
Cervical lymph nodes were removed by radical neck dissection or modified radical neck dissection from 79 patients with squamous cell carcinoma in the head and neck. We studied the correlation between preoprative US findings and the histopathological features.
Preoperative lymph nodes were measured three dimensionally.We diagnosed lymph nodes as metases when they meet twp criteria: One is the shortest diameter exceeding 7mm in level I and II and 6mm in level III. IV and V. The other is shortest to longest diameter ratio exceeding 0.5.
A total of 2004 lymph nodes were removed by neck dissection, and 199 lymph nodes were diagnosed histopathologically as metastases. Of the 199 metastatic lymph nodes, 93 (46%) were diagnosed as metastases by preoperative US findings and 33 (17%) were false negative.
Thirty-six cases were diagnosed preoperatively as NO by US findings, but 15 of these were pN (+) histopathologically. In the 15 cases, 21 lymph nodes were metastases. Of the 21 metastatic lymph nodes, 10 nodes were not detected by US.
Thirty-one cases were diagnosed preoperatively as N1 by US findings, but 20 of these were pN2b histopathologically. In the _20 cases, 66 lymph nodes were metastases. Of the 66 metastatic lymph nodes, 46 were not diagnosed as metastases. They often located distant level from the lymph node diagnosed correctly as a metastasis.
US is very useful in evaluating cervical lymph node metastasis, but it has the limitations indicated above. If 1 metastatic lymph node is detcted by US, there will be multiple metastatic lymph nodes and sometimes they are distant from the original level. Radical neck dissection should be done for positive lymph nodes detected by US findings. If a lymph node is not clearly a metastasis, fine-needle aspiration cytology (FNA) should be done, because it provides more accurate diagnosis for metastatic lymph nodes.View full abstractDownload PDF (1562K) -
Tomoaki Nakano, Tsunemasa Aiba, Takeshi Kubo, Koji Yamada, Tadashi Wad ...2003 Volume 106 Issue 5 Pages 507-509
Published: May 20, 2003
Released on J-STAGE: March 19, 2008
JOURNAL FREE ACCESSTracheomized children with deglutition disturbance require frequent suction-a procedure that may present problems for parents and other home-caregivers. We introduced a suction pump to drain the thoracic cavity continuously. This reduced the number of times of suction was required and raised no problems.View full abstractDownload PDF (703K) -
Nobuo Kiuchi, Morihiro Irifune, Izumi Koizuka2003 Volume 106 Issue 5 Pages 510-513
Published: May 20, 2003
Released on J-STAGE: March 19, 2008
JOURNAL FREE ACCESSWe report 2 cases of tuberculous retoropharyngeal abscess. Case 1 was a 21-year-old man with tuberculous cervical spondylitis and pulmonary tuberculosis and Case 2 was a 32-year-old woman with tubercuous lymph adenitis and miliary tuberculosis. Both repoted sore throat and dysphagea. In case 1, throat examination showed a bulging abscess at the posterior wall of the pharynx. X-ray examination of the neck showed a massive soft tissue swelling on the lateral view. As soon as the diagnosis was established, prompt focal aspiration was done since the increasing danger of grave respiratory distress was expected. And moreover, surgical incision and drainage of retropharyngeal abscess were indicated. In case 2. intraoral midline incision through the posterior wall of the pharynx was administered because the absoess was small and limited. Though various tuberculous statics and antibiotics are available, tuberculous retropharyngeal abscess still occurs and should be considered to ensure rapid adequate attention to diagnosis and treatment.View full abstractDownload PDF (806K) -
Kikuo Sakamoto, Kyujiro Gondo, Kazuhide Tomita, Takao Kasuya2003 Volume 106 Issue 5 Pages 514-517
Published: May 20, 2003
Released on J-STAGE: March 19, 2008
JOURNAL FREE ACCESSNeurinoma grows in the medullated nerve with Schwann cells, and is observed for all positions of the body. It is comparatively rare for neurinoma to grow in the nasal cavity and paranasal sinuses, however.
We report a case of neurinoma of the nasal septum. A 24-year-old man seen for nasal obstruction was found in anterior rhinoscopy to have a tumor of the bilateral nasal cavity. Computed tomography (CT) showed a soft tissue density mass in the anterior part of the nasal cavity. Because we suspected neurinoma from biopsy, we resected the tumor by Denker's operation under general anesthesia. We found that it originated from the nasal septum. Histopathological findings of the tumor indicated an Antoni A type neurinoma. After surgery, cartilago costalis was transplanted the plastic surgery to correct the defect in the nasal septum. The post operative course was good and no signs of recurrence were seen. This is the 19th case found in the literature.View full abstractDownload PDF (864K) -
Hisashi Tokano, Yoshihiro Noguchi, Ken Kitamura2003 Volume 106 Issue 5 Pages 518-521
Published: May 20, 2003
Released on J-STAGE: March 19, 2008
JOURNAL FREE ACCESSIn this first case report in Japan, we described 2 patients treated using a bone conductive hearing aid with skinpenetrating implant, or bone-anchored hearing aid (BAHA). Both suffered from chronic ottis media and had received bilateral canal down tympanomastoidectomy.
Case 1 was a 61-year-old woman with a conventional air conductive hearing aid in her right ear. There was no aural discharge in either ear. A pure-tone average showed 82, 5dBHL (air), 44.3dBHL (bone) in the right ear and 93.8 dBHL (air), 48.8dBHL (bone) in the left ear. Case 2 was a 38-year-old woman with a conventional hearing aid in her left ear, from which there was persistent aural discharge. A pure-tone average showed 48.8dBHL (air), 15.0dBHL (bone)in the right ear, and 60.0dBHL (air), 20.0dBHL (bone) in the left ear. Both underwent BAHA implant in the right ear without adverse reaction during 9 months of postoperative follow-up after surgery.
No difference was seen in the aided hearing level or speech discrimination score between BAHA and air conduction hearing aids but both patients preferred to BABA because of its greater comfort and audibility.View full abstractDownload PDF (414K) -
Men-dar Wu, Aiko Taguchi, Masaru Kimura, Shigeru Inafuku2003 Volume 106 Issue 5 Pages 522-531
Published: May 20, 2003
Released on J-STAGE: March 19, 2008
JOURNAL FREE ACCESSWe began treating patients with simple snoring and obstructive sleep apnea syndrome (OSAS) with the coblator radiofrequency generator in our outpatient clinic from April 2001. Good clinical results have been obtained, but we noticed a contractile effect on mucosa from ethanol, which possesses marked sclerotic degenerative action on tissue as well as radiofrequency energy.
We conducted a series of experiments in a guinea pig model to investigate the efficacy of local ethanol injection in contracting mouth mucosa.
To examine the influence on respiration of liquid injection, physiological saline was gradually injected in decrements
into the arch of the palate mucosa. We found that the safe dosage that did not bring about edema and subsequent dyspnea was under 10μl. Based on this finding, ethanol in concentrations of 50%, 70%, and 100% at volumes of 1, 2, 4, 8, and 10μl was injected into the arch of the palate mucosa in guinea pigs and changes in local field mucosa were observed daily.
In the 50% ethanol injection. no clear contractile effect on mucosa could be observed at any dosage. In contrast, the 100% ethanol injection led to strong tissue impairment that caused extensive necrotic collapse of the local field mucosa, even when the dosage was down to the minimum of 1μl. We found that, injection of 70% ethanol at 1 or 2μl, however, resulted in formation of a local field mucosa wound of lesser degree that healed completely within a few days, associated with moderate contraction of mucosal tissue.
We concluded that in moderate dosage, 70% ethanol seems to have the potential for the treatment of endermosis, such as uvuloptosia (elongated uvula) and hypertrophy of palate mucosa, as a useful mucosa contractile agent.View full abstractDownload PDF (3150K) -
Kazuhiro Hashigucci, Takeshi Matsunobu2003 Volume 106 Issue 5 Pages 532-539
Published: May 20, 2003
Released on J-STAGE: March 19, 2008
JOURNAL FREE ACCESSPharyngeal swabs from Patients with acute pharyngitis were evaluated for vlruses and bacterial organisms from December 2000 through June 20O1. Viral genomes were detected by PCR. Of 56 patients, potentially pathogenic bacteria Were isolated in 34 (60.7%). viruses in 19 (33.9%). and no etiological pathogens in 16 patients (28.6%). Both viral and basterial infections were found in 13 (23.2%). Of 56 patients, β streptococci were found in 10 (6 with group A streptcocci. 4 with other groups), H. influenzae in 13, S. pneumoniae in 8, and S. aureus in 7. Two bacterial organisms were isolated in 4 and 3 in 1. Virus infection was found in 19 (29.7%): Adenovirus was most frequently recovered (11 cases; 57.9%), followed by lnfluenxa A and B virus (4 cases; 21.0%). Parainfluenza l virus (4 cases; 21.0%) and RS virus (2 cases; 10.5%). Two cases had 2 viruses infections. On the basis of our results, viral and bacterial coinfections are observed in early illness.View full abstractDownload PDF (777K)
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