Nippon Jibiinkoka Gakkai Kaiho
Online ISSN : 1883-0854
Print ISSN : 0030-6622
ISSN-L : 0030-6622
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Volume 112, Issue 10
Displaying 1-5 of 5 articles from this issue
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Review article
Original article
  • Emergency Care of Vertigo Patients: Suggestions for Efficient Management
    Yasunao Kogashiwa, Yasuhiko Takei, Takeaki Matsuda, Takehiro Karaho, M ...
    2009 Volume 112 Issue 10 Pages 697-704
    Published: 2009
    Released on J-STAGE: January 05, 2011
    DOIhttps://doi.org/10.3950/jibiinkoka.112.697
    JOURNAL FREE ACCESS
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    Some diseases in which persons show vertigo or dizziness may be life-threatening, regardless of symptom severity, and require careful attention. These include diseases of the inner ear, central nervous system, and cardiovascular manifestation.
    In May 2006, a group in charge of primary emergency consultation began work enabling physicians to treat vertigo patients more efficiently and safely, as detailed in this report.
    Of the 173 persons with vertigo hospitalized from January 2004 to March 2008, six had cerebrovascular manifestations clarified only after hospitalization, underscoring the importance of careful examination, especially of those 75 years of age older, having continuous headache, having severe trunk ataxia despite apparently mild eye nystagmus, or reporting a history of high blood pressure, diabetes mellitus, hyperlipidemia, or ischemic heart disease.
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  • Management of Emergency vs. Otorhinolaryngology Department Tracheobronchial Foreign-Body Aspiration
    Risako Kakuta, Masaru Tateda, Jun Hasegawa, Shun Sagai, Katsunori Kata ...
    2009 Volume 112 Issue 10 Pages 705-711
    Published: 2009
    Released on J-STAGE: January 05, 2011
    DOIhttps://doi.org/10.3950/jibiinkoka.112.705
    JOURNAL FREE ACCESS
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    Foreign-body aspiration (FBA) obstructing the airways may lead to choking and cardiopulmonary arrest without immediate emergency care. We retrospectively reviewed medical records of 17 otorhinolaryngology subjects-8 men and 9 women aged 0 to 84 years-88% of whom were<3 years old, requiring tracheobronchial FBA between January 1995 and October 2006 and of 62 emergency subjects-43 men and 19 women aged 0 to 91 years-10% of whom were<3 yeares old 68% of whom ≥ 50 years old, admitted between January 2000 and October 2006.
    Emergency Department personnel saw a mean of 8.9 patients per year versus the mean of 1.4 patients per year seen by Otorhinolaryngology Department personnel. Foreign bodies extracted most frequently from the 17 otorhinolaryngology patients were 9 seen for peanut injestion followed by 1 each seen for bean, screw, and false teeth injestion among other objects. Sixteen of the 17 were discharged without complications.
    Foreign bodies extracted from the 62 emergency patients most frequently involved food, especially rice cakes. Over half seen had already gone into cardiopulmonary arrest upon arrival and required cardiopulmonary resuscitation. Of the 62, 32 patients died, 13 were sent to another hospital after in-patient care, 9 were sent home without admission, and 7 were discharged without complications.
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  • A Case of Laryngeal Adenosquamous Carcinoma
    Shuji Koike, Takashi Nasu, Akihiro Ishida, Daisuke Noda, Kenichi Ishii ...
    2009 Volume 112 Issue 10 Pages 712-717
    Published: 2009
    Released on J-STAGE: January 05, 2011
    DOIhttps://doi.org/10.3950/jibiinkoka.112.712
    JOURNAL FREE ACCESS
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    We report a rare case of adenosquamous carcinoma of the larynx. A 38-year-old man with a 9-month history of progressive hoarseness and dyspnea during exercise and sudden-onset breathing difficulty was unable to be intubated and underwent a tracheostomy at the emergency department. He was found in endoscopic examination of the larynx to have a large smooth subglottic mass with laryngeal stenosis. The bilateral vocal cords were fixed. No cervical lymph node was seen. Excisional laryngofissure biopsy led to a pathological diagnosis of adenosquamous carcinoma, necessitating laryngectomy with bilateral neck dissection (Level II-IV) and postoperative radiation therapy. He died of metastatic disease 7.5 years after the initial treatment, without locoregional recurrence. Among malignant laryngeal tumors, adenosquamous carcinoma is extremely rare, with only 33 such cases including ours reported in the literature.
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Educational lecture
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