Nippon Jibiinkoka Gakkai Kaiho
Online ISSN : 1883-0854
Print ISSN : 0030-6622
ISSN-L : 0030-6622
Search
Advanced search
OR
Browse
Search
Volume 116, Issue 7
Displaying 1-17 of 17 articles from this issue
Show all abstracts
    • |<
    • <
    • 1
    • >
    • >|
Review article
Original article
  • Questionnaire about the Intake of and Hypersensitivity to Fruits, Vegetables and Nuts Including Birch Pollen Related Foods
    Tetsuo Yamamoto, Kohji Asakura, Hideaki Shirasaki, Tetsuo Himi
    2013 Volume 116 Issue 7 Pages 779-788
    Published: July 20, 2013
    Released on J-STAGE: September 14, 2013
    DOIhttps://doi.org/10.3950/jibiinkoka.116.779
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    [Background] In Hokkaido and Scandinavia, birch pollen allergic persons are common and they often report oral and pharyngeal hypersensitivity to fruits and vegetables (oral allergy syndrome, OAS), because of immunological cross-reactivity.
    In Scandinavia, nuts as well as Rosaceae fruits such as apples were the foods most often reported to elicit symptoms. On the other hand, nuts are minor foods causing hypersensitivity in Japan. Even in Japan, regional differences of foods causing hypersensitivity have been reported, which may be related to the regional differences of elementary habit and pollen dispersion. In the present study, we evaluated the intake history of the foods and the frequency of food hypersensitivity in adults from the general population.
    [Methods] Three hundreds and thirty nine subjects (20-67 years old) took part in the study. With a questionnaire survey, we asked them about their intake history and hypersensitive symptoms for 33 kinds of fruit, vegetables, and nuts.
    [Results] 30% of subjects had eaten Brazil nuts, 80% had eaten pomegranates, and 81% had eaten hazelnuts. And over 95% of subjects had eaten the other 30 foods. Those who had lived in Hokkaido for more than 20 years had a higher frequency of plum consumption than the others. Those who had lived in Hokkaido for more than 20 years had a lower frequency of loquat, fig and pomegranate consumption than the others.
    Food hypersensitivity was found in 52 subjects (15.3%). The most common symptom was OAS (46 subjects, 13.6%), and foods most frequently causing OAS were peach (21 subjects, 6.2%), cherry (19 subjects, 5.6%) and apple (17 subjects, 5.0%). 26 subjects (7.7%) reported OAS to Rosaceae fruits. The ratio of having OAS to consuming Rosaceae fruits was 11.0% in the group who had lived in Hokkaido for more than 20 years, which was higher than the group who has lived in Hokkaido for less than 20 years. The intake history of hazelnuts and Brazil nuts was very low, with a correspondingly low frequency of food hypersensitivity associated with these nuts.
    [Conclusion] The frequency of intake and hypersensitivity of some foods differ among different regions.
    View full abstract
    Download PDF (470K)
  • Effect of Septoplasty and Turbinectomy on Obstructive Sleep Apnea Syndrome
    Risa Takahashi, Toyoaki Ohbuchi, Nobusuke Hohchi, Shoko Takeuchi, Jun- ...
    2013 Volume 116 Issue 7 Pages 789-792
    Published: July 20, 2013
    Released on J-STAGE: September 14, 2013
    DOIhttps://doi.org/10.3950/jibiinkoka.116.789
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Obstructive sleep apnea syndrome (OSAS) is thought to be closely related to nasal airway resistance, which accounts for approximately one half of total upper airway resistance. This retrospective study aimed at elucidating the effect of endoscopic endonasal surgery on OSAS.
    Nine consecutive patients with OSAS complaining of nasal obstruction who underwent endoscopic endonasal surgery were enrolled. They were 8 men and 1 woman ranging from 34-73 years of age with an average of 53.2 years. All patients had chronic hypertrophic rhinitis and nasal septal deviation, and underwent septoplasty and submucous turbinectomy.
    The severity of OSAS was assessed by 8 sleep apnea indices of polysomnography before and after surgery. The indices included the apnea-hypopnea index (AHI), maximum apnea time, mean apnea time, minimum blood oxygen saturation, mean blood oxygen saturation, blood oxygen saturation decline index, awakening response index, and ratio of snoring time to sleep time.
    Significant decrease in the AHI (27.6±5.3 vs. 20.7±5.5/hr; p=0.033), in the awakening response index (30.5±3.3 vs. 21.2±5.3/hr; p=0.028), and increase in the mean blood oxygen saturation (95.1±0.7 vs. 96.0±0.7%; p=0.023) were observed postoperatively. There was no significant change in the other 5 indices. In addition, nasal airflow resistance measured by acoustic rhinometry had significantly reduced during the periods of both inhalation (474.4±49.0 vs. 842.7±50.2cm3/s; p=0.002) and exhalation (467.3±57.3 vs. 866.0±80.6 cm3/s; p=0.004). The pre- and postoperative body mass indices did not differ statistically from each other.
    These results indicate that endoscopic endonasal surgery alone has a potential effect on sleep-disordered breathing in OSAS patients with nasal obstruction. We should be aware of such a positive impact of endonasal surgery upon the management of OSAS.
    View full abstract
    Download PDF (454K)
  • Preoperative Diagnosis of Nonrecurrent Inferior Laryngeal Nerve
    ―Usefulness of CT and Ultrasonography―
    Shinya Satoh, Seigo Tachibana, Tadao Yokoi, Hiroyuki Yamashita
    2013 Volume 116 Issue 7 Pages 793-801
    Published: July 20, 2013
    Released on J-STAGE: September 14, 2013
    DOIhttps://doi.org/10.3950/jibiinkoka.116.793
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Background and Object: The right nonrecurrent inferior laryngeal nerve (NRILN), which is usually associated with the right aberrant subclavian artery, is a risk factor of nerve injury during thyroid surgery. Therefore the presence of the NRILN should be diagnosed if possible before surgery. The aim of this study was to investigate the usefulness of computed tomography (CT) and ultrasonography (US) for preoperative diagnosis of the right-sided NRILN.
    Subjects and Methods: We reviewed 1,561 patients who underwent thyroid surgery, during which the right inferior laryngeal nerve was exposed, at Yamashita thyroid and parathyroid clinic from April 2006 to April 2012. All medical records, CT findings and ultrasonograms of these patients were reviewed retrospectively.
    Results: We recognized 11 patients who had the right-sided NRILN from the total of 1561 patients (0.71%). Ten of 1086 patients who underwent CT, had a right aberrant subclavian artery. CT findings were enabled us to predict the existence of the right NRILN before surgery. The sensitivity and specificity of CT for detection of the right-sided NRILN were 100% and 100%. On the other hand, we could detect the bifurcation of the innominate artery in 116 of 140 patients with cervical US before surgery, and therefore could confirm that the right inferior laryngeal nerve of the 116 patients was normal. The bifurcation of the other patients was not detectable and one of the 24 patients only had the right-sided NRILN during surgery. The sensitivity and specificity of cervical US for detection of the right-sided NRILN were 100% and 83.5% respectively.
    Conclusions: Although CT is extremely useful for preoperative diagnosis of the right-sided NRILN because of its accuracy, cervical US is also a good method for making sure that the right inferior laryngeal nerve is normal.
    View full abstract
    Download PDF (677K)
  • A Case of Chronic Active Epstein-Barr Virus Infection with a Pharyngeal Ulcer
    Hiromi Nagano, Hiroyuki Iuchi, Kosuke Yoshifuku, Kensuke Morizono, Yui ...
    2013 Volume 116 Issue 7 Pages 802-807
    Published: July 20, 2013
    Released on J-STAGE: September 14, 2013
    DOIhttps://doi.org/10.3950/jibiinkoka.116.802
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Chronic active Epstein-Barr virus infection (CAEBV) is characterized by chronic or recurrent infectious mononucleosis-like symptoms, such as fever, extensive lymphadenopathy, and hepatosplenomegaly. A 44-year-old woman visited our ENT clinic with a four-month history of fever and throat pain. She was diagnosed as having CAEBV based on the findings of fever, liver dysfunction, lymphadenopathy, pharyngeal ulcer, the titer for IgG to the EBV capsid and pathological findings. The whole-blood EBV DNA levels were high and above 3.7×103 copies/mL. After administration of intravenous predonine (1000mg/day for 3 days) and oral predonine (1.5mg/kg. 60mg/day), the liver dysfunction and pharyngeal ulcer improved. Since the prognosis is poor in adult cases of CAEBV, chemotherapy is scheduled for this case.
    View full abstract
    Download PDF (2942K)
Final Lecture
Skill up lecture
Lifelong learning for Board Certified Otorhinolaryngologist
State of the Art Courses for Board Certified Otorhinolaryngologists
Erratum
    • |<
    • <
    • 1
    • >
    • >|
feedback
 Top