Nippon Jibiinkoka Gakkai Kaiho
Online ISSN : 1883-0854
Print ISSN : 0030-6622
ISSN-L : 0030-6622
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Volume 117, Issue 6
Displaying 1-19 of 19 articles from this issue
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Review article
Original article
  • Blood Flow Measurement and Clinical Usefulness of the Temporal Fascial Scar Tissue Flap and the Periosteal Scar Tissue Flap in Posterior Canal Wall Reconstructed Tympanoplasty for the Mastoid Cavity Problem in the Postoperative Ear
    Takao Yabe, Kazunari Okada
    2014 Volume 117 Issue 6 Pages 788-793
    Published: June 20, 2014
    Released on J-STAGE: July 12, 2014
    DOIhttps://doi.org/10.3950/jibiinkoka.117.788
    JOURNAL FREE ACCESS
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    In the postoperative ear, following reconstructive tympanoplasty for a mastoid cavity problem, a very important key is to maintain a stable reconstructed posterior canal wall with the bone plate and cartilage in the posterior canal wall. The authors manage reconstruction of the posterior canal wall with the temporal fascial scar tissue flap (TFSF) and the temporal periosteal scar tissue flap (TPSF) to ensure obtaining a stable posterior canal wall and a tympanic membrane graft. Well-vascularized TFSF and TPSF enable us to acquire a solid reconstructed posterior canal wall because of the secure blood supplies to the flaps. In order to investigate the blood supplies of TFSF and TPSF, we employed laser Doppler blood flowmeters and measured blood flow in the flaps in 20 cases of posyoperative ears treated for a mastoid cavity problem. The blood supplies to both flaps were good, with the blood supply to the TFSF being statistically better than in the case of the TPSF. These findings suggested that the TFSF and TPSF were a reliable source of local well-vascularized tissue which were pliable and could facilitate the creation of a stable posterior canal wall. Furthermore it seems the good blood supply was linked to the prompt postoperative healing, the avoidance of postoperative infection, and good hearing improvement postoperatively.
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  • The Efficacy of Superselective Intra-Arterial Chemo-Radiotherapy for Cervical Neck Lymph Node Metastases
    Yusuke Mada, Keiichi Koshitsuka, Fumie Ihara, Yuji Ueki, Akiyoshi Konn ...
    2014 Volume 117 Issue 6 Pages 794-801
    Published: June 20, 2014
    Released on J-STAGE: July 12, 2014
    DOIhttps://doi.org/10.3950/jibiinkoka.117.794
    JOURNAL FREE ACCESS
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    We report herein on 32 cases of head and neck carcinoma with cervical lymph node metastases treated by radiotherapy and concomitant intraarterial cisplatin (RADPLAT) from April 2009 to May 2013. N3 cases revealed residual disease of the cervical lymph nodes in 7/9 cases. Among the 22 patients excluding N1 and N3 cases, the pathological CR rate was 63.6%. Among the 13 patients in whom the anticancer drug was directly infused into the cervical lymph nodes, the pathological CR rate was 76.9%, whereas in the 9 patients without direct infusion of the cervical lymph nodes, the pathological CR rate was 44.4%. Therefore, we recommend the direct infusion into cervical lymph node metastases for not only N3 cases but also N2 cases if a feeding artery is identified easily. When clinical examination after RADPLAT leads to suspected residual disease, neck dissection should be adapted. If the clinical examination leads to a diagnosis of CR, we recommend a biopsy of the original cervical lymph nodes because the cases which we diagnosed as CR revealed residual disease of the cervical lymph nodes in 4/16.
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  • Efficacy of Intratympanic Steroid Treatment for Idiopathic Sudden Sensorineural Hearing Loss after Failure of Intravenous Steroid Treatment
    Toshiro Kawano, Masaki Matsuura, Junichi Ishitoya, Nobuhiko Oridate
    2014 Volume 117 Issue 6 Pages 802-808
    Published: June 20, 2014
    Released on J-STAGE: July 12, 2014
    DOIhttps://doi.org/10.3950/jibiinkoka.117.802
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    This study investigated the efficacy of intratympanic steroid (ITS) therapy as a salvage treatment for idiopathic sudden sensorineural hearing loss after failure of intravenous steroid (IVS) therapy. Systemic steroid therapy is the only standard drug therapy. However, ethically, we could not simply compare ITS with IVS. Conventionally, we have treated idiopahic sudden sensorineural hearing loss patients after failure of systemic steroid therapy with the double combined therapy IVS and hyperbaric oxygen (HBO), as the salvage modality. We examined the effect of ITS by adding it to the double combined therapy with IVS and HBO. Retrospectively, we clinically examined the effect of double combined therapy with IVS and HBO (A group) for 31 patients (12 men and 19 women) (median age: 54 years) with sudden hearing loss after failure of systemic steroid therapy between June, 2003 and July, 2010. Prospectively, we also examined clinically the effect of triple combined therapy with IVS and HBO, ITS (B group) for 29 patients (17 men and 12 women) (median age: 51 years) with sudden hearing loss after failure of systemic steroid therapy between August, 2010 and April, 2012. In the examination of patients treated within 30 days from the onset, one patient (3.2%) demonstrated remarkable recovery, 6 patients (19.4%) demonstrated mild recovery, while no change was noted in 24 patients (77.4%) in the A group. In the B group, 5 patients (17.2%) demonstrated complete recovery, 3 patients (10.3%) demonstrated remarkable recovery, mild recovery was seen in 14 patients (48.3%), and the remaining 7 patients (24.1%) showed no change. There was a significant difference (p<0.05) between the A group and the B group. Furthermore, the hearing improvement in group B in five pure tone average was significantly better than in the group A (p<0.05). We concluded that the B group demonstrated better hearing improvement than the A group. Therefore, ITS could be effective for idiopathic sudden sensorineural hearing loss patients after failure of systemic steroid therapy.
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  • Odontogenic Maxillary Sinusitis Caused by Dental Restoration
    Kiminori Sato
    2014 Volume 117 Issue 6 Pages 809-814
    Published: June 20, 2014
    Released on J-STAGE: July 12, 2014
    DOIhttps://doi.org/10.3950/jibiinkoka.117.809
    JOURNAL FREE ACCESS
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    We report herein on 5 patients with odontogenic maxillary sinusitis caused by a dental restoration (caries cutting, cavity preparation, inlay restoration). Odontogenic maxillary sinusitis was noted following dental restoration. Even though the pulp cavity and dental pulp were intact, the odontogenic maxillary sinusitis occurred caused by an apical lesion. Infection by way of the dentinal tubules was suggested to be a cause of the pathophysiology. Endoscopic sinus surgery was indicated in patients with intractable odontogenic maxillary sinusitis caused by the dental restoration. Conebeam x-ray CT was useful for the accurate diagnosis of odontogenic maxillary sinusitis caused by a dental restoration. Physicians should thus be aware of the possibility that a tooth, which has undergone dental restoration, may cause odontogenic maxillary sinusitis.
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  • A Case of Squamous Cell Carcinoma of the Hard Palate in a Patient with Basal Cell Nevus Syndrome
    Mioko Matsuo, Fumihide Rikimaru, Yuichiro Higaki, Muneyuki Masuda
    2014 Volume 117 Issue 6 Pages 815-820
    Published: June 20, 2014
    Released on J-STAGE: July 12, 2014
    DOIhttps://doi.org/10.3950/jibiinkoka.117.815
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    Basal cell nevus syndrome is an autosomal dominant disorder characterized by the developmental malformations and its carcinogenic nature. This syndrome shows various symptoms of multiple cutaneous basal cell carcinoma, ketatocystic odontogenic tumors, and inborn abnormalities in the bone and skin.
    Although basal cell nevus syndrome itself is a rare disorder, we experienced a very rare case in which squamous cell carcinoma of the oral cavity developed, and not cutaneous basal cell carcinoma. Only 4 similar cases have been reported in the English literature. The patient was a 33-year-old woman. She was diagnosed as having squamous cell carcinoma of the hard palate, and basal cell nevus syndrome in our hospital. The patient underwent surgery for squamous cell carcinoma of the hard palate, with postoperative chemoradiothetrapy. Since patients with this syndrome tend to form basal cell carcinoma when exposed to X-ray radiation, we perform radiotherapy with care.
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  • Total Laryngectomy Using a Linear Stapler for Laryngeal Cancer
    Masayuki Tomifuji, Koji Araki, Daisuke Kamide, Shingo Tanaka, Yuya Tan ...
    2014 Volume 117 Issue 6 Pages 821-826
    Published: June 20, 2014
    Released on J-STAGE: July 12, 2014
    DOIhttps://doi.org/10.3950/jibiinkoka.117.821
    JOURNAL FREE ACCESS
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    Total laryngectomy is a well established method for the treatment of laryngeal cancer. In some cases such as elderly patients or patients with severe complications, a shorter surgical time is preferred. Total laryngectomy using a linear stapler is reportedly advantageous for shortening of the surgical time and for lowering the rate of pharyngeal fistula formation.
    We applied this surgical technique in three laryngeal cancer cases. After skeletonization of the larynx, the linear stapler is inserted between the larynx and the pharyngeal mucosa. Excision of the larynx and suturing of the pharyngeal mucosa are performed simultaneously. Although the number of cases is small for statistical analysis, the surgical time was shortened by about 30 minutes compared to laryngectomy with manual suturing. Total laryngectomy by linear stapler cannot be applied in all cases of advanced laryngeal cancer. However, if the tumor is confined to the endolarynx, it is a useful tool for some cases that require a shorter surgical time.
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