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Volume 108, Issue 8
Displaying 1-6 of 6 articles from this issue
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Atsushi Kikuchi, Kikuo Sakamoto, Kiminori Sato, Tadashi Nakashima, Tsu ...2005 Volume 108 Issue 8 Pages 787-793
Published: August 20, 2005
Released on J-STAGE: October 22, 2010
JOURNAL FREE ACCESSWe assessed the treatment of severe SAS (sleep apnea syndrome) patients who had an AHI (apnea hypopnea index) over 100. Eleven (3.3%) of the 374 patients who came to our hospital between May 2002 and December 2003 had an AHI over 100. They received CPAP (continuous positive airway pressure) therapy as initial therapy, and the AHI recovered within normal limit in the five patients who did not have tonsillar hypertrophy. The other six patients had tonsillar hypertrophy, and the effect of CPAP was poor. Two of the six patients with tonsillar hypertrophy, underwent UPPP (uvuropalatopharyngoplasty), and CPAP become effective postoperatively. These results indicate that combined treatment by CPAP and surgery is an effective means of treating severe SAS with tonsillar hypertrophy.View full abstractDownload PDF (1602K) -
Takeshi Beppu, Tohru Sasaki, Kazuyoshi Kawabata, Seiichi Yoshimoto, Ko ...2005 Volume 108 Issue 8 Pages 794-800
Published: August 20, 2005
Released on J-STAGE: October 22, 2010
JOURNAL FREE ACCESSWe evaluated the usefulness and limitations in ultrasonography (US) for diagnosing neck lymph node metastases in patients with hypopharyngeal cancer by comparing the results of preoperative US examinations with postoperative pathological findings following neck dissection. Seventy-five previously untreated patients with hypopharyngeal squamous cell carcinoma underwent a curative procedure that included neck dissection. Preoperatively, all patients were examined by palpation, computed tomography (CT), and US. Postoperatively, all dissected neck lymph nodes were submitted for pathological examination. Results of pre-and postoperative examinations were then compared. US accuracy for each lymph node was 93.9%, while sensitivity was 78.0%, since hypopharyngeal cancer metastasizes early and easily to the neck lymph nodes, and it is difficult to detect small, pathologically positive nodes. Nine of 75 cases showed latent neck recurrence, and two of these were underestimated by US. The major cause for neck recurrence was considered to be the high rate of metastases in such cases, rather than a reduced dissection field. It is not rare to find very small, pathologically positive lymph nodes that US cannot detect in hypopharyngeal cancer. Efforts must therefore be expanded to improve the accuracy of US diagnosis. Care must also be taken when selecting cases for no or limited neck dissection.View full abstractDownload PDF (780K) -
Durham Sampler Measuring Airborne PollenShigetoshi Yoda, Tadao Enomoto, Akira Shibano, Hiroki Ikeda, Shinji Ya ...2005 Volume 108 Issue 8 Pages 801-805
Published: August 20, 2005
Released on J-STAGE: October 22, 2010
JOURNAL FREE ACCESSReal-time monitoring of airborne pollen has gradually increased because monitoring is laborsaving and provides better real-time information. A problem arose, however, due to differences between the KH3000 (Yamato Co. Ltd) monitor and the conventional Durham sampler pointed out in results of airborne pollen monitoring in Wakayama in 2004.
We compared the two monitors for airborne pollen in Wakayama in 2004, which less dispersed than usual. The peak monitored by the KH-3000 monitor was not consistent with the prime period of Japanese cedar and cypress pollen dispersion, especially in February and April, although they correlated hightly in March. The inconsistency in February is thought to be caused by snow, and that in April by falsely monitoring beech-tree airborne pollen-which is similar in size-in addition to Japanese cedar and cypress pollen. This report points out the need to take these conditions (snow and other plants pollen) into account when a real time monitor is used for collecting pollen information.View full abstractDownload PDF (507K) -
Tsutomu Sakurai, Hideo Kamada, Yoshihito Yasuoka, Nobuhiko Furuya2005 Volume 108 Issue 8 Pages 806-809
Published: August 20, 2005
Released on J-STAGE: October 22, 2010
JOURNAL FREE ACCESSInflammatory pseudotumors are rare and are characterized by solitary, demarcated lesions with numerous inflammatory cells, mesenchymal cells, and collagenous fibers. They usually occur in the lung, but have also been reported in the thyroid gland, pleura, liver, kidney, bile duct, spinal cord, testis, and soft tissues. Since inflammatory pseudotumors of the head and neck are very rare, their clinical and radiological features, prognosis, and therapeutic management have never been clearly described. We report a case of inflammatory pserdotumor arising in the ethmoid sinus and the clinical, radiological, and histopathological findings.View full abstractDownload PDF (831K) -
Akihiro Kawata, Noriyuki Sakihama, Yasuo Osato, Ryouta Oku, Fujinobu T ...2005 Volume 108 Issue 8 Pages 810-813
Published: August 20, 2005
Released on J-STAGE: October 22, 2010
JOURNAL FREE ACCESSToxic shock-like syndrome (TSLS) is known to progress rapidly into septic shock and multiple organ failure with necrotizing soft tissue infection and high mortality. We report a rare case of TSLS of the head and neck. A 55-year-old man reporting redness and swelling of the neck and suspected of a deep neck abscess was found in computed tomography and magnetic resonance imaging to have no abscess. Infection spread rapidly and CRP rose while platelets and blood pressure decreased leading us to suspect TSLS. Pus culture yielded Streptcoccus pyogenes, Group A. We administered high-dose penicillin, clindamycin, and gabexate mesilate with intensive supporting care, leading to a successful outcome. TSLS is a life-threatening infection, but early diagnosis and appropriate therapy may reverse this threat.View full abstractDownload PDF (628K) -
[in Japanese]2005 Volume 108 Issue 8 Pages 814-817
Published: August 20, 2005
Released on J-STAGE: October 22, 2010
JOURNAL FREE ACCESSDownload PDF (393K)
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