Nippon Jibiinkoka Gakkai Kaiho
Online ISSN : 1883-0854
Print ISSN : 0030-6622
ISSN-L : 0030-6622
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Volume 112, Issue 11
Displaying 1-5 of 5 articles from this issue
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Review article
Original article
  • Electrocautery Snare Efficacy in Head and Neck Lesion Treatment
    Koichiro Saito, Koji Inagaki, Hideki Naganishi, Takuji Takaoka, Yutaka ...
    2009 Volume 112 Issue 11 Pages 739-746
    Published: 2009
    Released on J-STAGE: January 26, 2011
    DOIhttps://doi.org/10.3950/jibiinkoka.112.739
    JOURNAL FREE ACCESS
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    The electrocautery snare has been widely used in gastroenterology and to remove bronchial and urinary bladder lesions, but rarely in head and lesion electrocautery. Since October 2006, we have used this instrument to treat 17 head and neck granuloma, papilloma, cyst, and cancer lesions under local or general anesthesia. Lesions were localized in the larynx, oropharynx, hypopharynx, or tracheostoma. The snare was used through a rhinolaryngovideoscope in most cases with a current of 15-30 watts produced by an electrosurgical generator. All procedures were easy, quick and successful, with minimal bleeding. No severe adverse effects were seen in any of our cases. The electrocautery snare was extremely useful in treating pedunculated lesions and in removing epiglottic cysts with a clear margin after excision of the mass without bleeding. Our results indicate the electrocautery snare to be useful and safe in treating selected head and neck lesion cases.
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  • A Case of Difficult -to -Diagnose Hereditary Angioedema
    Yuka Morita, Hideyuki Hanazawa, Ushi Ueki, Sugata Takahashi
    2009 Volume 112 Issue 11 Pages 747-751
    Published: 2009
    Released on J-STAGE: January 26, 2011
    DOIhttps://doi.org/10.3950/jibiinkoka.112.747
    JOURNAL FREE ACCESS
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    Hereditary angioedema (HAE) due to an inherited C1-inhibitor (C1-INH) deficiency causes localized swelling of the oral cavity, pharynx, larynx, and face, that may be life-threatening when the larynx is involved.
    A 26-year-old woman seen 3 times previously for pharyngeal or laryngeal edema while in her teens, and seen this time for dyspnea was found in computed tomography (CT) to have esophageal edema and pleural effusion. Her C1-INH activity was low, yielding a definitive diagnosis of HAE for her 10-year-plus-disease history.
    While it is comparatively rare, HAE should be kept in mind in the differential diagnosis of idiopathic edema.
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  • A Case of Langerhans Cell Histiocytosis Coincident with Severe External Ear Canal Inflammation
    Maki Inoue, Chihiro Nakagawa, Kenji Ogura, Ei Kamio, Mamoru Tsukuda
    2009 Volume 112 Issue 11 Pages 752-756
    Published: 2009
    Released on J-STAGE: January 26, 2011
    DOIhttps://doi.org/10.3950/jibiinkoka.112.752
    JOURNAL FREE ACCESS
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    We report a case of Langerhans cell histiocytosis (LCH), a rare disease caused by the proliferation of abnormal Langerhans cells, coincident with severe external ear canal inflammation. A 27-year-old man with a 1-year history of external ear canal discharge was found in computed tomography (CT) to have left temporal bone erosion with tissue granulation. Chest X-ray showed pulmonary fibrosis, necessitating transbronchial lung biopsy that yielded a definitive diagnosis of multisystem, multisite LCH involving the bone, skin, lung, pituitary, thyroid, and lymph node systems. He underwent combination chemotherapy directed by the Japan LCH Study Group. LCH should therefore be considered in the case of a patient with severe external ear canal inflammation coincident with temporal bone erosion.
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Educational lecture
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