Practica Oto-Rhino-Laryngologica
Online ISSN : 1884-4545
Print ISSN : 0032-6313
ISSN-L : 0032-6313
Search
Advanced search
OR
Browse
Search
Volume 103, Issue 2
Displaying 1-15 of 15 articles from this issue
Show all abstracts
    • |<
    • <
    • 1
    • >
    • >|
Editorial
  • Otosclerosis Update (2)
    —Treatment and Prevention—
    Kaoru Ogawa, Yasuhiro Inoue, Hideyuki Saito, Sho Kanzaki, Yasuhide Oka ...
    2010 Volume 103 Issue 2 Pages 103-112
    Published: 2010
    Released on J-STAGE: June 16, 2011
    DOIhttps://doi.org/10.5631/jibirin.103.103
    JOURNAL RESTRICTED ACCESS
    Show abstractHide abstract
    Conductive hearing impairiment induced by otosclerosis, a typical otological disease, can be dramatically improved by surgery. This review introduces an original surgical procedure using a ceramic apatite implant, and summarizes successful surgical results involving 160 otosclerotic ears.
    View full abstract
    Download PDF (939K)
Clinical color photographs
Original articles
  • Ramsy Hunt Syndrome with Multiple Cranial Nerve Palsy
    Yoko Cho, Hidenori Yokoi, Noritsugu Ono, Toru Yao, Kaori Kase, Eiko Na ...
    2010 Volume 103 Issue 2 Pages 117-120
    Published: 2010
    Released on J-STAGE: June 16, 2011
    DOIhttps://doi.org/10.5631/jibirin.103.117
    JOURNAL RESTRICTED ACCESS
    Show abstractHide abstract
    In 1907, Ramsy Hunt first described a collection of clinical symptoms presentations including facial paralysis and rash, recognized other frequent symptoms and signs include tinnitus, hearing loss and vertigo caused by varicella-zoster virus (VZV). Later, Djupesland G, et al. reported in 1977 that acute peripheral facial palsy may be involved with cranial polyneuropathy and may be caused by a virus infection. We report a case of cranial nerve palsy due to varicella-zoster virus infection first presently as recurrent nerve palsy. The subject also suffered transient cranial nerve XII involvement on the opposite side that responded well to oral acyclovir and intravenous steroids. We discuss the mechanism of polyneuropathy caused by VZV.
    View full abstract
    Download PDF (449K)
  • A Case of Waardenburg’s Syndrome Type I Found through Unilateral Hearing Loss
    Tomoki Yoshizaki, Akihiro Katada, Isamu Kunibe, Miki Takahara, Akihiro ...
    2010 Volume 103 Issue 2 Pages 121-124
    Published: 2010
    Released on J-STAGE: June 16, 2011
    DOIhttps://doi.org/10.5631/jibirin.103.121
    JOURNAL RESTRICTED ACCESS
    Show abstractHide abstract
    Waardenburg’s syndrome is a hereditary disease which shows lateral displacement of the inner canthi, broad nasal root, hyperplasia of the eyebrows, albinism of the frontal head hair, congenital hearing loss, and heterochromia iridis. This syndrome is classified into 4 types by its presenting symptoms. We reported a case of Waardenburg’s syndrome type I. The patient was a 6-month-old male with left side hearing loss, heterochromia iridis, lateral displacement of the inner canthi, hyperplasia of the eyebrows. Since the characteristic features are important information to diagnose this syndrome, it is important to pay attention to the features of patients complaining of congenital hearing loss.
    View full abstract
    Download PDF (456K)
  • The Positive Rate of Animal Allergen-specific IgE Antibodies Assessed in Nasal Allergy Patients Using the CAP-RAST System
    Yukiyoshi Hyo, Tamotsu Harada, Shoudai Monjyu, Katsumi Masuda, Kenji F ...
    2010 Volume 103 Issue 2 Pages 125-130
    Published: 2010
    Released on J-STAGE: June 16, 2011
    DOIhttps://doi.org/10.5631/jibirin.103.125
    JOURNAL RESTRICTED ACCESS
    Show abstractHide abstract
    The prevalence of allergic disease has increased over the last 30 years in Japan. Enviromental factors such as house dust mites, air pollution and hygine customs associated with a westernized life style have been identified as possibly playing important roles in this increase. In Japan, the number of the households with pets has gradually increased, together with the number of people who have animal allergies. Many reports have discussed the relationships between animal-related allergies and asthma, but few have looked at allergic rhinitis. This study discusses the sensitization to animal allergens in 1262 patients treated at the Kawasaki Medical School Department of Otolaryngology between 2000 and 2008, who were tested for serum specific IgE antibodies using the CAP-radioallergosorbent (CAP-RAST) test. Sensitization to animal allergens was seen in 313 patients, 25.0% (male: 162 patients, female 151 patients). The highest sensitization was in teenagers, with the sensitization rate dropping concomitantly with age.
    Animal-related allergies could thus become important antigens for future study.
    View full abstract
    Download PDF (475K)
  • A Case of Sphenoid Sinus Aspergillosis Related to Internal Carotid Artery Aneurysm
    Tessei Kuruma, Tetsuya Ogawa, Tohru Tanigawa, Hiromi Ueda
    2010 Volume 103 Issue 2 Pages 131-137
    Published: 2010
    Released on J-STAGE: June 16, 2011
    DOIhttps://doi.org/10.5631/jibirin.103.131
    JOURNAL RESTRICTED ACCESS
    Show abstractHide abstract
    Sphenoid aspergillosis is a rare sinonasal disease. We report a case of sphenoid sinus aspergillosis related to an internal carotid artery aneurysm. A 78-year-old man seen for headache and diplopia had symptoms including disorientation and diminished consciousness. Computed tomography (CT) showed a heterogeneously enhanced lesion within the sphenoid sinus, suggesting a malignant tumor or mycotic sinus infection. Endoscopic sphenoidectomy conducted to confirm the diagnosis showed the sphenoid sinus to be occupied by a pulsating mass that was not resectable due to massive arterial bleeding during the procedure. Magnetic resonance imaging (MRI) and angiography involving the carotid artery showed an internal carotid artery aneurysm. Conservative therapy with antibiotics, steroids, and antifungal agents was continued, but the patient died on postoperative day 13th. Postmortem examination showed a large fungal mass in the sphenoid sinus. Invasive sphenoid sinus aspergillosis has a dismal prognosis rendering early diagnosis and therapy extremely important for treatment, particularly in immunocompromised patient.
    View full abstract
    Download PDF (1286K)
  • A Case of Orbital Hematoma
    Masanobu Mizuta, Kazuhiko Shoji, Atsuhito Takahashi, Takehiro Iki, Mam ...
    2010 Volume 103 Issue 2 Pages 139-143
    Published: 2010
    Released on J-STAGE: June 16, 2011
    DOIhttps://doi.org/10.5631/jibirin.103.139
    JOURNAL RESTRICTED ACCESS
    Show abstractHide abstract
    We report a case of orbital hematoma. A 50-year-old woman with sudden right superior eyelid swelling and diplopia was found in computed tomography (CT) and magnetic resonance imaging (MRI) to have a spindle-shaped mass beneath the periosteum of the right orbit, diagnosed as subperiosteal orbital hematoma. When swelling continued unabated, we surgically drained it in a frontal approach 23 days after onset, after which swelling and diplopia were resolved.
    View full abstract
    Download PDF (674K)
  • Visual Prognosis in Patients with Visual Disturbance Caused by Postoperative Paranasal Sinus Mucocele
    Junichi Okubo, Hideaki Suzuki, Nobuaki Hiraki, Takuro Kitamura, Nobusu ...
    2010 Volume 103 Issue 2 Pages 145-149
    Published: 2010
    Released on J-STAGE: June 16, 2011
    DOIhttps://doi.org/10.5631/jibirin.103.145
    JOURNAL RESTRICTED ACCESS
    Show abstractHide abstract
    We analyzed 19 consecutive cases of paranasal sinus mucoceles manifesting visual disturbance requiring surgery. Subjects were 12 men and 7 women aged 37 to 82 years (average; 57.4 years). Six negative prognostic factors examined were: (i) patients' age 70 years, (ii) time from onset to surgery 8 days, (iii) sphenoid sinus involvement, (iv) abnormal ocular fundus findings, (v) optic canal bone defect, and (vi) preoperative visual acuity ≤0.1.
    A prediction equation obtained by multivariate analysis provided highly accurate in predicting visual prognosis. We also found that factors ii), v), and vi) were mainly responsible for visual prognosis, whereas the impact of factors iii) and iv) was minor. We explored predicting more simply and feasibly visual prognosis with sufficient accuracy using the number of positive items from among the above 6 factors, using the number of those of i), ii), iv), v), and vi), or using the number of those of i), ii), v), and vi). Sensitivity/specificity was 80/93%, 80/100%, and 100/93%.
    We would like to stress that accurate prediction by these methods is helpful in managing paranasal sinus mucocele associated with visual disturbance.
    View full abstract
    Download PDF (354K)
  • A Case of Pendulous Tonsil with Dyspnea
    Eiju Kanagawa, Osamu Horiike, Yoichi Masumitsu, Makoto Hashimoto, Hiro ...
    2010 Volume 103 Issue 2 Pages 151-154
    Published: 2010
    Released on J-STAGE: June 16, 2011
    DOIhttps://doi.org/10.5631/jibirin.103.151
    JOURNAL RESTRICTED ACCESS
    Show abstractHide abstract
    A case of pendulous tonsil appearing in a 40-years-old woman is reported. She was admitted with dyspnea and was found to have a pendulous tonsil in the upper pole of the left tonsil. Tonsillectomy was performed under general anesthesia. After surgical resection, histological diagnosis revealed tonsil-like tissue with no evidence of malignancy. After discharge, no throat discomfort or dyspnea were seen. The patient is now under observation as an outpatient.
    View full abstract
    Download PDF (790K)
  • Surgical Treatment for Dysphagia Due to Forestier’s Disease
    Masamitsu Hyodo, Kaori Nishikubo, Sekitatsu Soh, Kazumi Motoyoshi
    2010 Volume 103 Issue 2 Pages 155-161
    Published: 2010
    Released on J-STAGE: June 16, 2011
    DOIhttps://doi.org/10.5631/jibirin.103.155
    JOURNAL RESTRICTED ACCESS
    Show abstractHide abstract
    Forestier’s disease is characterized by ossification of the anterior longitudinal ligament of the spine and predominantly affects senile men. Its pharyngolaryngeal symptoms include dysphagia especially for solids, foreign-body sensation, dyspnea, or hoarseness. We present herein two cases of Forestier’s disease which were successfully treated with surgical intervention. A 65-year-old male with past histories of cerebrovascular infarction and aspiration pneumonia underwent surgical removal of massive cervical osteophytes via the anterolateral approach. Oral food intake was restored postoperatively. A 62-year-old male with Parkinson’s disease complained of progressive dysphagia. He underwent removal of cervical ossification combined with a unilateral cricopharyngeal myotomy because the videofluorographic findings showed insufficient opening of the upper esophageal sphincter. The causes and therapeutic management of this disease entity are discussed.
    View full abstract
    Download PDF (887K)
  • The Effect of Tonsillectomy in Those 50 Years Old and Over with IgA Nephropathy
    Mami Matsubara, Kazuhiko Shoji, Atsuhito Takahashi, Takehiro Iki, Masa ...
    2010 Volume 103 Issue 2 Pages 163-166
    Published: 2010
    Released on J-STAGE: June 16, 2011
    DOIhttps://doi.org/10.5631/jibirin.103.163
    JOURNAL RESTRICTED ACCESS
    Show abstractHide abstract
    The percentage of IgA nephropathy is large in patients with chronic glomerulonephritis, and 40% of IgA patients are expected to develop renal failure within 20 years. Young IgA nephropathy patients had undergone tonsillectomy. We studied cases of 4 persons 50 years old and over with IgA nephropathy undergone tonsillectomy between 1997 and 2008, comparing pre- and postoperative renal function, hematuria and proteinuria. Hematouria and proteinuria increased in all cases, but none had clinical remission. Tonsillectomy in those 50 years old and over, thus appears clinically useful, but long-term tonsillectomy effects require further study.
    View full abstract
    Download PDF (341K)
  • Fine-Needle Aspiration Cytology for Diagnosing Thyroid Nodules Based on a New Reporting System
    Yuichiro Tsuji, Ibuki Hayashi, Keiko Hasegawa
    2010 Volume 103 Issue 2 Pages 167-172
    Published: 2010
    Released on J-STAGE: June 16, 2011
    DOIhttps://doi.org/10.5631/jibirin.103.167
    JOURNAL RESTRICTED ACCESS
    Show abstractHide abstract
    Fine-needle aspiration cytology (FNAC) under ultrasonographic imaging is currently one of the safest, most accurate, and most cost-effective presurgical management of thyroid nodules, although follicular adenomas and carcinomas remain difficult to differentiate.
    The latest edition 6th, general rules for describing thyroid cancer published in 2005. Using a new thyroid cytology reporting system, we applied to group of 1510 subjects with thyroid gland tumors between October, 2003 and December, 2007.
    Of these, “inadequate” accounted for 219 (15%) and “adequate” for 1291 (85%) in cytological reporting. “Normal and benign” accounted for 986 (76%), “indeterminate” for 159 (12%), “malignancy suspected” for 25 (2%), and “malignant” for 121 (9%) among “adequate” cases. 137 subjects underwent surgery and histological examinations, FNAC yielded an accuracy of 91%, specificity 79%, and sensitivity 96%.
    Compared to Papanicolaou classification, the new classification is superior in accurately diagnosing thyroid lesions.
    View full abstract
    Download PDF (470K)
  • Discomfort in Swallowing Caused by an Aberrant Right Subclavian Artery
    Miki Ikehata, Toru Seo, Naoki Saka, Masafumi Sakagami
    2010 Volume 103 Issue 2 Pages 173-175
    Published: 2010
    Released on J-STAGE: June 16, 2011
    DOIhttps://doi.org/10.5631/jibirin.103.173
    JOURNAL RESTRICTED ACCESS
    Show abstractHide abstract
    An aberrant right subclavian artery (ARSA), an ordinarily asymptomatic vascular anomaly arising from the aorta distal to the usual left subclavian artery origin, may cause dysphagia when the artery passing behind the esophagus, extrinsically compresses the trachea or esophagus. This discomfort is commonly seen in otolaryngology, but rarely reported. We report a case of ARSA-induced dysphagia.
    A 68-year-old, woman seen for dysphagia showed no abnormal findings in physical, larynx or pharynx examination, including fiberscopy. Contrast-enhanced computed tomography (CT), however, showed an abnormal artery arising from the aortic arch between the esophagus and spine. Esophagography showed an extrinsic defect following an inferior to superior (left to right) course consistent with the artery. Three-dimensional (3D) CT angiography clearly showed the artery originating in the aortic arch, yielding a definitive diagnosis of ARSA. Because the symptom was mild, the woman was told of the finding and followed up without treatment.
    View full abstract
    Download PDF (496K)
Original articles
  • Experimental Study of Autologous Fibrin Glue Bonding Strength
    Yoshihisa Ueda, Yoichi Matsuda, Tomoyuki Kurita, Shinsuke Ito, Tadashi ...
    2010 Volume 103 Issue 2 Pages 177-181
    Published: 2010
    Released on J-STAGE: June 16, 2011
    DOIhttps://doi.org/10.5631/jibirin.103.177
    JOURNAL RESTRICTED ACCESS
    Show abstractHide abstract
    After the novel report of Yuasa et al., simple myringoplasty using commercial fibrin glue has gone into widespread use in Japan. The production of this glue, however, involves blood transfusion, with the risk, at least, of possible unknown viral infection. The autologous fibrin glue now used, however, lacks sufficient bonding power, so we experimentally refined a concentrated cryoprecipitate and examined its bonding strength compared to commercial glue at 5 and 10 minutes after fibrinogen was mixed thrombin. We found it to be much weaker than the commercial product, making it unsuitable for simple myringoplasty and the need for autologous fibrin glue based on higher fibrinogen concentration yet unmet.
    View full abstract
    Download PDF (474K)
Technical notes
    • |<
    • <
    • 1
    • >
    • >|
feedback
 Top