In patients presenting with the chief complaint of hyperacusis, we examined for the presence of hypersensitivity symptoms of other sensory organs using two questionnaires, namely, Khalfa hyperacusis and sensory profile, and identified 5 cases of multiple sensory hypersensitivity; their clinical features are reported here.

　There were 5 cases of visual hypersensitivity and 4 cases of tactile hypersensitivity. We considered that the multiple sensory hypersensitivity was attributable to a sensory modulation disorder of the central nervous system. No specific tests, diagnostic methods or treatments for sensory hypersensitivity have been established yet and further studies are required.

　Recently, since the percentage of female doctors has increased in Japan, maintaining the employment rate of female doctors is an important issue. We are working on gender equality at the department of Otorhinolaryngology-Head and Neck Surgery, Osaka University. We conducted surveys of doctors about gender equality in our organization. Many female doctors cited the problems of maintaining a balance among childcare, home, nursing, and work. Many doctors indicated childbirth, child attendance at school and entrance exam as reasons for thinking about a career change. The fact that life events such as childbirth and childcare have had a great impact on the work of female doctors was highlighted. In order to maintain the working rate of female doctors, it is necessary to consider provision of support for childbirth and childcare periods by the entire society. It became clear that an understanding of the problems of female doctors who are raising children has deepened in both males and females. Since there were few doctors who wanted to be in management or teaching positions, change in female doctors' attitude is also an issue. We must continue to work on gender equality to improve the working environment for all doctors.

　We report the case of a 19-year-old man, an aspiring professional clarinet player, who presented to our clinic with a 1-year history of nasal air escape while he played his instrument. Flexible fiberoptic transnasal endoscopic examination revealed escape of nasal air from the left side of his adenoid bulge when he puffed out his cheeks. Therefore, lipoinjection augmentation of the pharyngeal posterior wall was performed under general anesthesia. There were no postoperative complications. Complete resolution of his symptoms and an increase in clarinet practice time were observed at the follow-up examination performed 1 year postoperatively. Thus, rhinopharyngeal autologous fat injection appears to be an effective treatment for patients with stress velopharyngeal insufficiency/incompetence (SVPI).

　Endoscopic endonasal skull base surgery is now performed widely, and occasions for reconstruction for dural deficits are increasing. We present two cases of skull base reconstructions for dural deficits with polyglycolic acid (PGA) felt in endoscopic endonasal surgery. Case1: A 78-year-old male underwent surgery for olfactory neuroblastoma Kadish B. The dural defect was reconstructed with PGA felt and a contralateral nasoseptal flap. Case2: A 68-year-old female was diagnosed as having an exophytic papilloma mixed with squamous cell carcinoma in the skull base. During the resection of the skull base tumor, we noticed a dural defect at the lamina cribrosa and reconstructed it with PGA felt and a mucosal flap. Use of PGA felt for dural reconstruction is less invasive and can shorten the surgical time.