Nippon Jibiinkoka Gakkai Kaiho
Online ISSN : 1883-0854
Print ISSN : 0030-6622
ISSN-L : 0030-6622
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Volume 115, Issue 5
Displaying 1-9 of 9 articles from this issue
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Review article
Original article
  • Clinical Evaluation of Vertigo in Menopausal women
    Satoko Owada, Masahiko Yamamoto, Mitsuya Suzuki, Tomoe Yoshida, Toshiy ...
    2012 Volume 115 Issue 5 Pages 534-539
    Published: 2012
    Released on J-STAGE: September 06, 2012
    DOIhttps://doi.org/10.3950/jibiinkoka.115.534
    JOURNAL FREE ACCESS
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    Vertigo is one of the usual menopausal symptoms. We have often examined some women under the complaint of vertigo related with the menopause. We diagnosed each disease based on neuro-otological examinations and investigated the characteristics of menopausal-associated vertigo.
    We studied 413 women aged 40-59 years old who complained of vertigo. There were 73 women with menopause symptoms (14 women introduced from the gynecologist in our medical center, 18 women had undergone treatment at another female clinic, and 41 women visited an otorhinolaryngologist first) compared with 340 women without menopause symptoms. In the menopause group, 41 (56.2%) cases were diagnosed as having benign paroxysmal positional vertigo (BPPV), 13 (17.8%) cases had Meniere's disease, sudden deafness with vertigo accounted 2 cases, one was an acoustic tumor, and so on. The percentage of patients with BPPV was almost same ratio between the menopause group (56.2%) and the non-menopause group (52.9%). The percentage of patients with Meniere's disease was higher markedly in the menopausal group (17.8%). than the non-menopause group (9.7%).
    Menopausal symptoms are caused not only by hot flashes related to a lack of estrogen but also by psychological factors. The onset of Meniere's disease can also be influenced by psychological factors. As for the diagnosis of Meniere's disease, we supposed the reason for the higher percentage in the menopausal group was its relationship with psychological factors.
    We could diagnose and treat some menopausal women with vertigo. We believe that joint consultation with a gynecologist and otorhinolaryngologist would be necessary to ensure an optimum quality of life for such patients.
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  • Efficacy of Early Combined High-dose Steroid+PGE1 Treatment for Sudden Deafness
    Toshinori Kubota, Tomoo Watanabe, Masashi Yokota, Tsukasa Ito, Masaru ...
    2012 Volume 115 Issue 5 Pages 540-545
    Published: 2012
    Released on J-STAGE: September 06, 2012
    DOIhttps://doi.org/10.3950/jibiinkoka.115.540
    JOURNAL FREE ACCESS
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    The efficacy of combined high-dose steroid and PGE1 treatment initiated immediately after the onset of sudden deafness was analyzed with the outcome of 174 patients begun on treatment within 7 days of the onset of sudden deafness.
    Four potential prognostic factors (days from onset to treatment, age, initial hearing level, presence of vertigo) and hearing outcome were examined with a multiple logistic regression analysis. Days from onset to treatment and age significantly correlated with hearing improvement.
    The efficacy of the treatment of patients begun on treatment within 3 days of the onset was significantly better than that of patients on treatment 4-7 days after the onset (p<0.001). In the examination of patients younger than 50 years, the efficacy of the treatment of patients begun on treatment within 3 days of the onset didn't differ significantly from that of patients on treatment 4-7 days after the onset. On the other hand, in the examination of patients aged 50 years and older, the efficacy of the treatment of patients begun on treatment within 3 days of the onset was significantly better than that of patients on treatment 4-7 days after the onset (p<0.001).
    These results suggest that significant efficacy may be expected from the combined high-dose steroid+PGE1 treatment, if its use is started within 7 days of the onset of sudden deafness, and started within 3 days of the onset of sudden deafness in patients 50 years old and older.
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  • A 5-Year Study of Patients with Neck Lymphadenopathy
    Hirotaka Uchimizu, Toshiki Kobayashi, Eri Mori, Yuko Yamada, Kiyoshi Y ...
    2012 Volume 115 Issue 5 Pages 546-551
    Published: 2012
    Released on J-STAGE: September 06, 2012
    DOIhttps://doi.org/10.3950/jibiinkoka.115.546
    JOURNAL FREE ACCESS
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    The purpose of this study was to investigate neck lymphadenopathy patients in our hospital, and to investigate items requiring attention on the occasion of examination of these patients.
    In this study, 134 patients with neck lymphadenopathy in the five years from April 2005 to March 2010 were included. The kind of diseases, the period of suffering (the period from onset to consultation), relationship with pain, radiological examination, fine needle aspiration cytology and lymph node biopsy findings were examined.
    Of 134 patients, the disease was inflammatory in 109 patients (81.3%) and malignant in 25 patients (18.7%). The suffering period was longer in the malignant group than in the inflammatory group. Furthermore, the inflammatory group had more patients with neck lymph node pain than the malignant group, and the group with the short suffering period had more patients with neck lymph node pain than that with the long suffering period. Fine needle aspiration cytology was performed in 36 patients (26.9%), and finally, all of the seven patients with class III were diagnosed as having malignant disease. A neck lymph node biopsy was performed in 38 patients (28.4%), and four of 38 patients were diagnosed as having metastatic carcinoma. Two patients in the inflammatory group and two patients in the malignant group took more than 90 days to reach a definite diagnosis.
    Many kind of diseases cause neck lymphadenopathy, and, therefore, it is important to perform a neck lymph node biopsy immediately, if it is difficult to establish a diagnosis.
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Skill up lecture
Lifelong learning for Board Certified Otorhinolaryngologist
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