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Volume 110, Issue 8
Displaying 1-5 of 5 articles from this issue
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Original article
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—Usefulness of Salvage Surgery after Failure of a Full Course of Radiotherapy—Kouki Miura, Shin-etsu Kamata, Kazuyoshi Kawabata, Yuuichirou Tada, Ta ...2007 Volume 110 Issue 8 Pages 571-580
Published: August 20, 2007
Released on J-STAGE: December 25, 2008
JOURNAL FREE ACCESSThis study was designed to analyze the surgical (postoperative course, mortality, morbidity), oncological (local control, survival rate) and functional (maximum phonation time : MPT) results of frontolateral partial vertical laryngectomy (FLPVL), in order to evaluate the advantages and disadvantages of salvage FLPVL after a full course of radiotherapy (FRT). A retrospective analysis of the results in the 74 patients (of whom 61 had previously received FRT) was undertaken. The median follow up was 68 months (range 12-290 months). No significant influence of the prior FRT was noted on the deglutition, respiration, or duration of hospitalization. The frequency of complications after discharge, but not of that during hospitalization was significantly higher in the prior FRT group. Speech (MPT) was significantly shorter (poor effect) in the prior FRT group with standard extirpation. Recurrence developed in 8 patients : in the larynx only in 7 cases, and in both the larynx and neck in the remaining one case. One patient with control of the primary showed relapse in the neck and lung. Subsequent surgery was successful in salvaging 5 of the 8 cases with local failure. One died refusing TL, and two because of uncontrolled neck recurrence. Hence, the overall laryngeal preservation rate following salvage FLPVL was 85% (52/61). Salvage FLPVL results in good tumor control and incompletely satisfactory functional results and may be recognized as a safe procedure.View full abstractDownload PDF (2369K) -
—Laser Vaporization of the Sulcus with Fat Injection—Kiyohito Hosokawa, Yusuke Watanabe, Takao Imai, Atsushi Hanamoto, Mahi ...2007 Volume 110 Issue 8 Pages 581-585
Published: August 20, 2007
Released on J-STAGE: December 25, 2008
JOURNAL FREE ACCESSAlthough several treatments for sulcus vocalis have been reported, the condition continues to be known as an extremely intractable vocal disorder even now. We report the good outcome of a new treatment for sulcus vocalis.
The operation was performed under intubated general anesthesia. We aspireted abdominal fat using an 18-gauge needle and a 20=cc disposal syringe first. After collection of the fat, laryngomicrosurgery and laser vaporization of the sulcus bilaterally was performed using a KTP laser. Then, the collected fat was injected into the thyroarytenoid muscle bilaterally (about 1cc on each side).
Seven patients underwent this surgery. The voice, as evaluated auditorily, improved in all the cases and the maximum phonation time increased in 6 of the 7 cases.
We attribute the vocal improvement to the formation of new free edges of the vocal folds after this surgery.View full abstractDownload PDF (2071K) -
Hideaki Shiga, Takaki Miwa, Toshiaki Tsukatani, Yayoi Kinoshita, Sachi ...2007 Volume 110 Issue 8 Pages 586-591
Published: August 20, 2007
Released on J-STAGE: December 25, 2008
JOURNAL FREE ACCESSThe odor stick identification test for Japanese (OSIT-J) has been shown to be useful for detecting and evaluating olfactory disturbances in Japanese people. We studied the usefulness of OSIT-J in screening for olfactory disturbances in 83 Japanese participants (49 male, 34 female) participating in an executive checkup at NTT West Kanazawa Hospital in Japan. The olfactory ability was self-reported on a grade scale. Olfactory function was then evaluated with a three-odors OSIT-J (rose, curry and sweaty socks). Participants with low self-reported olfactory ability or less-than-full scores in the three-odor test were evaluated with an additional 10 odors of OSIT-J. Eight or less points are considered to be lower than average in the 13-odor test of OSIT-J (Saito S, et al.).
Eleven of the 83 participants had low self-reported olfactory ability. Four participants with a full score in the three odors test with low self-reported olfactory ability scored more than eight points in the 13-odor test. Thirty-eight participants scored less than three points in the three-odor test. Seven of 29 participants with two points in the three-odor test scored eight or less in the 13-odor test. In the 29 participants, subjects with low self-reported olfactory ability scored significantly lower scores than those without a low self-reported olfactory ability in the 13-odor test. The self-reported olfactory ability was not related to the score in the 13-odor test in the nine participants with one point or less in the three-odor test. Males scored significantly lower scores than females in the three-odor test. However, gender was not significantly related to the rate of olfactory disability estimated based on the 13-odor test.
Use of a three-odor OSIT-J along with a self-administered questionnaire pertaining to olfactory disability is useful for olfactory disturbance screening during executive health checkups.View full abstractDownload PDF (2263K) -
Naoki Oishi, Seiichi Shinden, Taku Yamashita, Shujiro Minami, Mariko O ...2007 Volume 110 Issue 8 Pages 592-598
Published: August 20, 2007
Released on J-STAGE: December 25, 2008
JOURNAL FREE ACCESSWe encountered 185 patients with Bell's palsy at our hospital between January 2003 and December 2005. Of these patients, 60% visited our department within 3 days of the onset, and 90% within 7 days of the onset ; the interval from onset to hospital visit showed no relation with the severity of the paralysis. Complete recovery was obtained in 85.0% of the patients with steroid or steroid+antiviral treatment. Preservation of the stapedius reflex was a statistically significant predictor of good prognosis, with a high positive predictive value (95.5%). Several factors influencing the prognosis were examined with a Cox's proportional hazards model. The factors considered were the sex of the patients, left/right localization, age, postauricular pain, eye symptoms, taste disorder, underlying diabetes, the Yanagihara facial grading system score, and use of antiviral drugs. The analysis revealed only the Yanagihara score and antiviral drug use as statistically important, with hazard ratios of 1.101 and 1.586, respectively. Although this study had several limitations, steroid+antiviral treatment could yield a better prognosis as compared to steroid treatment alone.View full abstractDownload PDF (1527K)
Educational lecture
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[in Japanese]2007 Volume 110 Issue 8 Pages 606-610
Published: August 20, 2007
Released on J-STAGE: December 25, 2008
JOURNAL FREE ACCESSDownload PDF (3573K)
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