All issues
Volume 109, Issue 7
Displaying 1-5 of 5 articles from this issue
- |<
- <
- 1
- >
- >|
-
Yasuo Satou, Tai Omori, Munemasa Tagawa2006 Volume 109 Issue 7 Pages 581-586
Published: July 20, 2006
Released on J-STAGE: December 25, 2008
JOURNAL FREE ACCESSSuperficial carcinoma of the esophagus is generally treated with endoscopic mucosal resection (EMR), yielding an acceptable prognosis and quality of life (QOL). With technical advances in endoscopy, it has become to possible to find superficial carcinoma even in the hypopharynx. Several reports suggest that such superficial carcinomas are treatable only with local mucosal resection.
We treated 67 superficial carcinomas (49 cases) of the hypopharynx with local mucosal resection in our hospital, mainly with EMR. From 2004, we have resected 11 lesions directly with endoscopic assist (endoscopic laryngopharyngeal surgery; ELPS). With ELPS, it was very easy to recognize lugol-voiding lesions in the hypopharynx, and ELPS enabled us to do en bloc resection even for large lesions that could not be treated with EMR or with microscopic surgery.
Eight of 49 cases had transient side effects-2 vocal cord palsies, 2 vocal cord edemas with overnight intubation, 3 overnight intubations, and 1 pharyngitis. Six patients died of other diseases, and no metastasis or recurrence of superficial carcinoma was found.
Diagnosis and treatment of superficial carcinoma of the hypopharynx may thus improve patient prognosis and QOL.View full abstractDownload PDF (3066K) -
Atsushi Ohata, Shigeru Kikuchi, Hiroyoshi Yoshinami, Hideki Takegoshi, ...2006 Volume 109 Issue 7 Pages 587-593
Published: July 20, 2006
Released on J-STAGE: December 25, 2008
JOURNAL FREE ACCESSDeep neck infection (DNI) remains an emergent and life-threatening otolaryngologic disease. We examined 69 patients, 52 men and 17 women, with DNI, who were treated in our hospital between January 1995 and December 2004. The mean age of the patients with DNI was 50.0 years and the peak incidence was in the sixth decade. Twenty patients suffered from diabetes mellitus (DM). The primary DNI lesion was found in the tonsils in 34 cases, the oral cavity in 16 cases, and the pharynx in 12 cases, respectivelys. Among the 69 patients with DNI, the infection remained in the suprahyoid region in 31 cases, but it extended to the infrahyoid region in 33 cases and to the mediastinum in 5 cases.
The titer of C-reacting protein (CRP) and the duration of admission were considered as parameters of the severity of DNI. CRP was significantly higher in elderly patients, in patients with DM, and in patients whose infection extended to the infrahyoid region and to the mediastinum, however, significant difference was not found between men and women, or among the types of primary DNI lesions. Moreover, the duration of admission was significantly longer in elderly patients, in patients with DM, and in patients with infrahyoid and mediastinal DNI, whereas no significant differences were found between men and women or among the types of primary lesions. Therefore, age, DM, and the extension of DNI are considered to be important factors which determining the severity of DNI.View full abstractDownload PDF (2499K) -
Impact on Laryngeal ClearanceYukio Ohmae, Zin Adachi, Yukihide Isoda, Hitosi Maekawa, Youko Kitagaw ...2006 Volume 109 Issue 7 Pages 594-599
Published: July 20, 2006
Released on J-STAGE: December 25, 2008
JOURNAL FREE ACCESSTracheostomy placement affects swallowing function, increasing the risk of aspiration. Recent studies suggest that because of increased risk of swallowing disturbance associated with tracheostomy, one-way speaking valve placement may help to reduce aspiration in tracheostomized patients. We hypothesize that airflow exhaled through the laryngeal cavity using the one-way speaking valve may improve the clearance of residual bolus from the upper airway, thus preventing bolus penetration and aspiration. We studied the effects of one-way speaking valve placement on laryngeal clearance and swallowing physiology. Videoendoscopic and videofluoroscopic swallowing were examined in 16 patients with the tracheostomy, and swallowing was compared with and without the one-way speaking valve in place. Valve placement significantly improved laryngeal clearance and the incidence of penetration during swallowing. Valve placement did not, however, significantly affect pharyngeal bolus residue, laryngeal elevation, pharyngeal delay or aspiration. Factors associated with the resumption of oral feedings were sufficient laryngeal elevation during swallow and the prevention of laryngeal penetration and aspiration. We concluded that one-way speaking valve placement improves laryngeal clearance and prevents laryngeal penetration, resulting in better oropharyngeal swallowing physiology and oral feeding.View full abstractDownload PDF (1216K) -
Tadashi Kitahara, Takeshi Kubo, Katsumi Doi, Yasuo Mishiro, Kazumasa K ...2006 Volume 109 Issue 7 Pages 600-605
Published: July 20, 2006
Released on J-STAGE: December 25, 2008
JOURNAL FREE ACCESSDelayed facial nerve palsy (DFP) is rarely experienced after otologic surgeries that do not directly touch the facial nerves, such as tympano-mastoidectomy, cochlear implants, and stapes surgery, and is troublesome to both surgeons and patients if it happens. Here, we report 7 cases of DFP, including one case that developed DFP after endolymphatic sac surgery. The ratios of occurrence were as follows: 0.7% (2/305) for tympano-mastoidectomy, 0.8% (3/354) for cochlear implant, 0.4% (1/260) for stapes surgery and 1.0% (1/98) for endolymphatic sac surgery. All otologic surgeries, except for endolymphatic sac surgery, exposed the chorda tympani, and all surgeries, except for stapes surgery, underwent drilling for a mastoidectomy. Furthermore, DFP was always observed ipsilaterally to the operated ear after otologic surgeries and was never seen after benign parotid tumor surgery or total laryngectomy. Therefore, there may be a strong relationship between DFP and the procedures, used during otologic surgeries.View full abstractDownload PDF (455K) -
[in Japanese]2006 Volume 109 Issue 7 Pages 612-615
Published: July 20, 2006
Released on J-STAGE: December 25, 2008
JOURNAL FREE ACCESSDownload PDF (749K)
- |<
- <
- 1
- >
- >|