Practica Oto-Rhino-Laryngologica
Online ISSN : 1884-4545
Print ISSN : 0032-6313
ISSN-L : 0032-6313
Search
Advanced search
OR
Browse
Search
Volume 91, Issue 10
Displaying 1-18 of 18 articles from this issue
Show all abstracts
    • |<
    • <
    • 1
    • >
    • >|
  • Analysis of Facial Mimic Motion and its Clinical Application
    Kiyotaka MURATA
    1998 Volume 91 Issue 10 Pages 977-983
    Published: October 01, 1998
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.91.977
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Analysis of facial mimic motion is very important for the evaluation of facial palsy and sequela. The author's rating scale for evaluating facial palsy and sequela was introduced. To evaluate facial palsy, we used the 40 point system of the Japan Society of Facial Nerve Research. To evaluate sequela following facial nerve palsy we prepared our own scoring system, which includes the evaluation of synkinesis between facial mimic muscles, contracture, spasms, crocodile tears, tinnitus and hearing impairment. The former was termed the palsy score and the latter the sequela score. These subjective systems have numerous clinical applications. Because of some problems in reproducibility and objectivity, however, an objective evaluation system has been developed in our department using a computer analyzing system. Landmarks are labeled on the facial surface at 25 points. These landmarks can move with muscle movement, and this movement is captured in a com-puter, where the marks are picked up by a threshold method. Each point is plotted on an X-Y coordinate axis and trajectories are then calculated. Correlative coefficients of 0.91 to 0.99 were obtain-ed between the palsy score and the computer-analyzed trajectories of the landmarks. The differences between the right and left sides were within 6% in any area and with any movement. Basically there were no statistically significant differences between children and adults. A statistically significant difference in the velocity of a mark on the mid-supralabial point was demonstrated between sequela scores of 0, 1 and 2. Summation of trajectories at the corner of the lip showed no statistically significant difference between normal movement and synkinesis.
    View full abstract
    Download PDF (3288K)
  • Cavernous Hemangioma in Masseter Muscle Region
    [in Japanese], [in Japanese]
    1998 Volume 91 Issue 10 Pages 984-985
    Published: October 01, 1998
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.91.984
    JOURNAL FREE ACCESS
    Download PDF (1671K)
  • Long-term Results of Tympanoplasty Using Ceramic Ossicular Prostheses
    Masaru AOYAGI, Masashi YOKOTA, Shuji KOIKE, Shin-ichi OKAZAKI
    1998 Volume 91 Issue 10 Pages 987-992
    Published: October 01, 1998
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.91.987
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Long-term results of ossiculoplasty using autografts (malleus, incus, cortical bone and cartilage) and 2 types of ceramic ossicular prostheses, Bioceram® and Apaceram®, were analyzed in 298 tympanoplasties. Analysis focused on the recurrence of inflammation, the migration and extrusion of materials used for ossiculoplasty and hearing acuity.
    Recurrence of inflammation and postoperative hearing acuity were not related to the materials used for ossiculoplasty. Prosthetic extrusion was observed in 6.7% of Bioceram® and 11.8% of Apaceram® prostheses, and migration was found in 26.0% of Bioceram® and 5.9% of Apaceram® prostheses, while only 3.3% of ears using autografts demonstrated extrusion or migration of columellae. However, extrusion or migration was not observed in the ears without inflammation, such as cases of middle ear anomalies.
    These results suggest that ossiculoplasty using autograf is is more recommendable than ossiculoplasty using ceramic ossicular prostheses in cases of inflammatory middle ear disease such as chronic otitis media and cholesteatoma.
    View full abstract
    Download PDF (951K)
  • A Clinicopathological Study of Aspirin-Induced Asthma
    Megumi FUJII, Keijiro FUKAZAWA, Hiroshi OGASAWARA, Masafumi SAKAGAMI
    1998 Volume 91 Issue 10 Pages 993-997
    Published: October 01, 1998
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.91.993
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Aspirin-induced Asthma (AIA) is characterized by three clinical findings; asthma, aspirin intolerance and nasal polyps. We reported the outcome of endoscopic sinus surgery (ESS) in 12 patients with AIA, and compared the number of eosinophils in paraffin sections of nasal polyps between AIA and non-AIA patients. All ESSs were safely performed using drip injection of steroids and local anesthesia with 2% pure Xylocaine® during surgery. They improved asthma and nasal symptoms in all patients. Eosinophils in nasal polyps from AIA patients were significantly more abundant than those in nasal polyps of non-AIA patients (p<0.01). AIA-patients showed significantly more peripheral blood eosinophils than non-AIA patients (p<0.05). The role of eosinophils in nasal polyps of AIA and surgical notes for treatment of AIA were discussed.
    View full abstract
    Download PDF (4133K)
  • Two Cases of Soft Tissue Tumors of the Nasal Cavity
    Yusuke SHINOMORI, Shoko INAKI, Hiroshi ARITOMO
    1998 Volume 91 Issue 10 Pages 999-1005
    Published: October 01, 1998
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.91.999
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Two cases of soft tissue tumors of the nasal cavity were reported, a solitary fibrous tumor (SFT) and a schwannoma. A 61-year-old woman had a 3-year history of right nasal obstruction. Her right nasal cavity was occupied by a large tumor. MRI revealed the tumor had invaded the ethmoid cells. Total resection was achieved through the extended Denker's operation. The tumor was immunohistochemically positive for vimentin and CD34 and pathologically diagnosed SFT. This is the fourth reported case of a SFT in the region of the nasal cavity, paranasal sinuses and nasopharynx in Japan. SFTs sometimes show aggressive behavior and recurrences, necessitating careful follow-up.
    A 72-year-old woman had a 5-year history of left nasal obstruction. Her nasal cavity was obstructed by a tumor and MRI revealed that the tumor arose from the anterior wall of the sphenoid sinus. The tumor was removed endoscopically and pathologically diagnosed as a schwannoma.
    Soft tissue tumors of the nasal cavity are pathologically classified into 22 categories and their occurrence is rare. It is sufficiently difficult to accurately diagnose these tumors by H-E staining that immunohistochemical study is useful to confirm the histological origins
    View full abstract
    Download PDF (10080K)
  • A Foreign Body (Root Canal Filling Material) in the Maxillary Sinus with Mycosis
    Masaharu ISHIKAWA, Akira HOSOKAWA, Akiko HAGIWARA, Toshiya KATO, Takek ...
    1998 Volume 91 Issue 10 Pages 1007-1012
    Published: October 01, 1998
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.91.1007
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    We report a case of a foreign body in the right maxillary sinus in combination with a fungal infection.
    The patient was a 35 year-old woman with nasal discharge and post nasal drips on the right side, in addition to right cheek pain and headache. She consulted a dentist, following the appearance of these symptoms, and headache. X-ray examination revealed a shadow in the right maxillary sinus, and the patient was admitted to our hospital, for further examination.
    Past history included treatment of decay in the 4th and 5th upper right teeth.
    She admitted to slight tenderness of the right cheek upon admission to hospital. The head Xray revealed a shadow on the side of right maxillary sinus and the material appeared to be a coilshaped foreign body which was not penetrated by the X-rays at the center of the right maxillary sinus. An examination of topography indicated similar changes, and also the root canal filling material was admitted. CT scan of the sinus showed soft tissue density in the right maxillary sinus and the presence of a high density region suggested the presence of metal at the center, surrounded by a ring of high density area.
    Caldwell-Luc surgery was performed under general anesthesia. The maxillary sinus was filled with edematous mucous membrane and caseous material. A coiled string of hard material, approximately 1.5 mm in diameter, was extracted from inside the maxillary sinus. Pathological study revealed the material to be aspergillosis.
    After surgery the patient's symptoms, including nasal discharge, post nasal drips and headache, disappeared.
    Electron microscopic examination of the exposed sample, suggested it was composed of inorganic matter such as calcium and a chemical analysis indicated that calcium oxalate, and a sulfuric acid of barium were the main ingredients. Root canal filling material was thought to have left the root of the tooth clearing dental treatment, leading to subsequent inflammation in the maxillary sinus, and later to aspergillosis infection.
    View full abstract
    Download PDF (7741K)
  • Fibrosarcoma of the Cheek Region
    Hirokazu YOSHIDA, Yoshiyuki TANIGAITO
    1998 Volume 91 Issue 10 Pages 1013-1017
    Published: October 01, 1998
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.91.1013
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    An 18-year-old girl presented with a large mass in her left cheek. The tumor occupied a region 3 cm over the zygomatic arch, alae nazi, tragus and lower lip. A 12×8 cm block was resected and reconstructed with a 13×6 cm abdominal free flap. The tumor showed a herringbone pattern and immunohistochemical examination revealed the tumor was desmin (-), myogloblin (-), keratin (-), and vimentin (+). Thus, the tumor was diagnosed as a moderately differentiated fibrosarcoma.
    There has been no evidence of tumor reccurence or metastasis one year after the operation.
    View full abstract
    Download PDF (9306K)
  • Intramuscular Hemangioma of the Masseter Muscle; A Case Report
    Morimasa KITAMURA, Masahiko HAYASHI, Eiji TAKEUCHI, Ichiro TATEYA
    1998 Volume 91 Issue 10 Pages 1019-1023
    Published: October 01, 1998
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.91.1019
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    A case of intramuscular hemangioma in the masseter muscle was reported. The patient was a 59-year-old female who complained of a left buccal tumor. The tumor was suspected to be an intramuscular hemangioma in the masseter muscle on the basis of MRI, CT and ultrasonography. The hemangioma was completely removed through an external incision. Pathological examination revealed it to be an arteriovenous hemangioma. The diagnosis and surgical treatment of intramuscular hemangioma in the masseter muscle were discussed.
    View full abstract
    Download PDF (7341K)
  • Three Cases of Hunter's Glossitis
    Jun-ichi IWAMOTO, Naoko FUJINO, Shinpei URABE, Iwao HOSODA, Hideyuki K ...
    1998 Volume 91 Issue 10 Pages 1025-1030
    Published: October 01, 1998
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.91.1025
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Hunter's glossitis is a type of atrophic glossitis related to perinicious anemia. We present three cases of Hunter's glossitis with dysgeusia and glossalgia. In all three cases, a smooth red tongue and macrocytic anemia due to vitamin B12 deficiency were observed. It has been shown that anemia due to vitamin B12 deficiency in each three cases was caused by different mechanisms. Perinicious anemia occurred in case 1. In case 2 vitamin B12 deficiency resulted following total gastrectomy. In case 3 a disorder in the absorption of vitamin B12 was induced by antimycotics. These patients were treated with vitamin B12 which improved the appearance of the tongue, and resolved complaints of taste disorder and lingual pain.
    Atrophic glossitis (Hunter's glossitis) must be considered, and can be easily improved with vitamin B12 treatment.
    View full abstract
    Download PDF (2357K)
  • A Case of Recurrent Ameloblastoma 24 Years after Hemimandibulectomy
    Shigenobu NOMIYA, Shinji NISHIOKA, Hirofumi AKAGI, Koji YUEN, Norio KA ...
    1998 Volume 91 Issue 10 Pages 1031-1035
    Published: October 01, 1998
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.91.1031
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Ameloblastoma originates from the dental tissue and is generally regarded as a benign tumor although it often recurs and sometimes becomes malignant. The choice of treatment is very impor-tant in this disease. The incidence of relapse in patients treated surgically has been reported to be fewer than that in patients treated by conservative methods. Even when this tumor had been removed radically however, the possibility of recurrence remains.
    In this paper, a 56-year-old male with recurrent ameloblastoma is reported. The patient under-went hemimandibulectomy and an ameloblastoma was resected in 1971. The postoperative course was good.
    In 1995, however, he complained of swelling in the left gingiva and was referred to our hospital. On physical examination, a hard, reddish tumor located on the lateral side of the left gingiva was revealed. CT and MRI showed that the tumor was located in the left inf ratemporal f ossa, and that it grew from the bone remaining after the previous surgery. The tumor was regarded as a recurrent ameloblastoma and was removed surgically by means of Weber's incision. Histological examination confirmed a diagnosis of ameloblastoma of the follicular type. There has been no sign of recurrence 10 months after surgery.
    View full abstract
    Download PDF (7602K)
  • Incisional Biopsy and the Parotid Gland Tumors
    Hideo SHIGEMI, Masashi SUZUKI, Naoko SAKAMOTO, Takeshi SUKO, Goro MOGI
    1998 Volume 91 Issue 10 Pages 1037-1041
    Published: October 01, 1998
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.91.1037
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Incisional biopsy for treatment of salivary gland neoplasm is absolutely contraindicated. We report here our experiences with 12 patients who had undergone prior incisional biopsy for parotid gland tumor. Seven of the twelve patients were diagnosed with malignant tumors, and five with benign pleomorphic adenomas. Among the malignancy cases, there were three patients with sequelae: local skin hyperemia, leakage of saliva, and incomplete local facial paresis. However, it was impossible to determine if these sequelae resulted from direct invasion of the malignant tumor or from the Incisional biopsy. In spite of the small size of the primary lesions, metastasis to the small neck lymph node were recognized. Furthermore, we recognized a high ratio of local recurrence in the malignant tumors that had been incised (3/12 cases) in comparison to that of malignant tumors with no prior incisional biopsy (1/14 cases). Even in benign tumors, incisional biopsy can cause tumor dissemination because of the presence of multiple daughter tumor cell nests, especially in pleomorphic adenomas.
    Radical treatment for parotid gland neoplasm involves complete surgical resection. For effective local control, incisional biopsy should be avoided.
    View full abstract
    Download PDF (4925K)
  • Clinical Cases of Major Salivary Gland Tumors
    Masanori UMEMOTO, Ayako SUGII, Ken WATANABE, Ryoji SASAKI
    1998 Volume 91 Issue 10 Pages 1043-1047
    Published: October 01, 1998
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.91.1043
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Thirty-eight patients with major salivary gland tumors who underwet surgery in our clinic were studied during a 6 year period from 1991 through 1996. The tumors arose in the parotid gland in 33 patients and in the submandibular gland in 5 patients. The histopathological diagnosis was benign in 32 patients and malignant in 6 patients.
    The most common benign tumor was pleomorphic adenoma (15 cases). The prevalence of adenolymphoma in the parotid gland in this study was higher than in previous reports, and all patients with adenolymphoma were male. All patients with malignant tumors have remained free of recurrence.
    View full abstract
    Download PDF (557K)
  • Preservation of the Larynx in the Treatment of Supraglottic Laryngeal Carcinoma
    Shigeru HIRANO, Kazuhiko SHOJI, Hisayoshi KOJIMA, Ken-ichi KANEKO, Ryo ...
    1998 Volume 91 Issue 10 Pages 1049-1052
    Published: October 01, 1998
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.91.1049
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    We assessed the possibility and limitations of preserving the larynx in the treatment of Supraglottic laryngeal carcinoma. Over the period from 1988 to 1997, we treated forty-one cases which included four T1, twenty T2, five T3 and twelve T4 patients. The three year preservation rates of the larynx and three year survival rates of the patients were 75% and 100% in T1 patients, 45% and 95% in T2, and 0% and 52.9% in T3 and T4 cases. Ordinary once-a-day radiotherapy was effective in T1N0 cases, but preservation of the larynx was possible in only 37.5% of T2N0 cases. Using hyperfractionated radiotherapy, the preservation rate was improved to 75%. Supraglottic hemilaryngectomy was available to three T2 cases, whose tumors were larger than 2 cm in diameter, but had not advanced downward over the aryepiglottic fold and had no lymph node metastasis. Five advanced cases of T2 with invasion to the glottis or lymph node metastasis needed total laryngectomy. As for T3, T4 cases, although total laryngectomy and bilateral neck dissection were performed in operable cases, the three year survival rate was poor. These observations suggest that it may be difficult to preserve the larynx in T3, T4 cases.
    View full abstract
    Download PDF (554K)
  • Clinical Study of Laryngeal Cancer
    Ryoukichi IMAI, Hiroyuki TAKEZAWA, Masako WATANABE, Masanori KONISHI, ...
    1998 Volume 91 Issue 10 Pages 1053-1056
    Published: October 01, 1998
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.91.1053
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    One hundred and nine cases of laryngeal cancer were treated between 1987 and 1997 in the Department of Otorhinolalyngology at Obihiro Kousei Hospital. The average age of the patients was 65.4 years old, and the male to female ratio was 21:1. Based on histopathological diagnosis, 108 cases were reported as squamous cell carcinoma and one case was reported as spindle cell carcinoma. There were 15 cases of supraglottic carcinoma, 91 cases of glottic carcinoma and 3 cases of subglottic carcinoma. There were 33 cases in stage I, 35 cases in stage II, 22 cases in stage III and 19 cases in stage IV. The five-year survival rates of the patients for stages I to IV were 100%, 90%, 66% and 65% respectively.
    View full abstract
    Download PDF (563K)
  • Preoperative Examination of Thyroid Tumors
    Takeshi KUSUNOKI, Kiyotaka MURATA
    1998 Volume 91 Issue 10 Pages 1057-1061
    Published: October 01, 1998
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.91.1057
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Fifty patients were treated surgically and postoperative pathological diagnoses were obtained for thyroid tumors resected in our clinic between January 1, 1987 and April 31, 1989. These patients underwent a variety of preoperative examinations (CT, MRI, thallium scintigraphy (T1), and fine needle aspiration (FNA)) by retrospective study. The diagnostic accuracy of these preoperative examination methods showed echo (specificity 80.0%, sensitivity 70.6%), CT (75.0%, 69.2%), MRI (75.0%, 70.0%), T1 (82.4%, 80.4%), and FNA (80.0%, 70.6%). Thirty one patients treated surgically, underwent both echo examination and FNA as routine preoperative examinations, in addition to postoperative pathological diagnosis. In these patients, validity showed positive rate 87.5%, and negative rate 73.3%. These results indicated that echo and FNA as preoperative routine examination methods for the diagnosis of thyroid tumors, showed high diagnostic accuracy, and the potential to reduce both the physical and economic shares of patients.
    View full abstract
    Download PDF (3095K)
  • A Study of Head and Neck Abscesses
    Hajime ISHINAGA, Akihiko KATO, Hiroyuki YAMADA
    1998 Volume 91 Issue 10 Pages 1063-1067
    Published: October 01, 1998
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.91.1063
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Seventy-nine patients with head and neck abscesses were treated at our clinic between 1995 and 1997. Sixty-three cases had a peritonsillar abscess, seven were cases of deep neck infection and nine cases were other sorts of abscesses.
    Of the seven patients with deep neck infection, two were treated only with chemotherapy and steroids. Surgical drainage was performed in the remaining five patients.
    For the effective treatment of head and neck abscess, enhanced CT scanning is useful, in addi-tion, prompt surgical drainage of the abscess and therapy with antibiotics for anaerobic pathogens and with steroids for a short period are required.
    View full abstract
    Download PDF (673K)
  • Clinical Effect of Harmonic-M® on Postoperative Head and Neck Tumors
    Kazuho MORIBE, Sohtaro KAMEI, Kenji SUZUKI, Shunkichi BABA
    1998 Volume 91 Issue 10 Pages 1069-1075
    Published: October 01, 1998
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.91.1069
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    In surgery on the head and neck region, surgical invasion has been increasing in recent years due to prolongation of the operation time and an increase in the bleeding volume. Therefore, postoperative nutritional management is important. We postoperatively administered HarmonicM® containing MCT: LCT=1:1 to 10 patients with tumors in the head and neck, and evaluated its clinical effects and safety. Of the 10 patients, 8 could be analyzed. Administration was initiated 2-5 days postoperatively. The mean administration period was 9.3 days, and the mean administered energy was 1, 144 kcal as a maintenance dose. During the administration period, the nutritional state improved in all patients, and side effects were not observed in any patient. Change to enteral nutrition in the early postoperative period after surgery for head and neck tumors may be safe and useful.
    View full abstract
    Download PDF (750K)
  • Intra-Oral Reconstruction Following Resection of Cancer ofOral Cavity
    [in Japanese]
    1998 Volume 91 Issue 10 Pages 1076-1077
    Published: October 01, 1998
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.91.1076
    JOURNAL FREE ACCESS
    Download PDF (1914K)
    • |<
    • <
    • 1
    • >
    • >|
feedback
 Top