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99 巻, 3 号
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森 望2006 年 99 巻 3 号 p. 163
発行日: 2006/03/01
公開日: 2011/10/07
ジャーナル フリーPDF形式でダウンロード (107K) -
外山 芳弘2006 年 99 巻 3 号 p. 164-170
発行日: 2006/03/01
公開日: 2011/10/07
ジャーナル フリーPDF形式でダウンロード (11803K) -
東野 哲也2006 年 99 巻 3 号 p. 171-173
発行日: 2006/03/01
公開日: 2011/10/07
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中村 光士郎2006 年 99 巻 3 号 p. 174-177
発行日: 2006/03/01
公開日: 2011/10/07
ジャーナル フリーPDF形式でダウンロード (4941K) -
藤井 隆, 吉野 邦俊2006 年 99 巻 3 号 p. 177-180
発行日: 2006/03/01
公開日: 2011/10/07
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武田 真紀子, 畠 史子, 長谷川 賢作, 硲田 猛真, 北野 博也2006 年 99 巻 3 号 p. 181-186
発行日: 2006/03/01
公開日: 2011/10/07
ジャーナル フリーObjective: To evaluate the audiometric usefulness of the auditory steady-state response (ASSR) using the multiple auditory steady-state response (MASTER®).
Design: (1) In normal adults (aged 25-45 years old), comparisons of the behavioral thresholds for pure tones and the ASSR thresholds were compared. (2) In supposedly normal infants (aged 3-45 months old), the click ABR thresholds and ASSR thresholds were compared. (3) In patients (aged 6-81 years old), the behavioral thresholds for pure tones, the ASSR thresholds, and click ABR thresholds were compared.
Results: (1) In normal adults, the behavioral thresholds for pure tones of 0.5, 1, 2, and 4kHz were 9.7±4, 7.8±3.5, 8.9±5, and 6.1±6.3dB, respectively. In addition, the ASSR thresholds for carrier frequencies of 0.5, 1, 2, and 4kHz were 40.6±9.4, 33.9±7, 29.4±5.4, and 32.8±4.6dB, respectively. (2) In the infants, the click ABR thresholds were 20±7.3dB, while the ASSR thresholds for carrier frequencies of 0.5, 1, 2, and 4kHz were 55±9.3, 44.4±13.9, 34.8±11.6, and 40.7±14.4dB, respectively. (3) In the patients, correlation coefficients of behavioral thresholds and ASSR thresholds were 0.65 at 0.5kHz, 0.85 at 1kHz, 0.82 at 2kHz, and 0.77 at 4kHz. The correlation coefficients of behavioral thresholds and click ABR thresholds were 0.80 at 0.5kHz, 0.86 at 1kHz, 0.90 at 2kHz, and 0.83 at 4kHz.
Conclusion: On average, the thresholds for the ASSR were higher than the behavioral thresholds, and the discrepancies were larger at low frequencies. For a better physiologic audiometry estimation of the lower frequencies, the optimal modulation frequency should be investigated.抄録全体を表示PDF形式でダウンロード (721K) -
増村 千佐子, 近藤 千雅, 土井 勝美, 久保 武, 中川 あや2006 年 99 巻 3 号 p. 187-190
発行日: 2006/03/01
公開日: 2011/10/07
ジャーナル フリーWe report three cases of 22q11.2 deletion syndrome (CATCH22; cardiac defects, abnormal faces, thymic hypoplasia, cleft palate and hypocalcemia with chromosome 22q11.2 deletion) with various complications including hearing loss and nasopharyngeal problems. All three cases we report here had congenital cardiac defects. Two of the three cases had cleft palate, one overt and the other submucoals. Although one of the three cases had a normal hearing level, the other two were almost deaf, one with and the other without inner ear anomalies. The former case was prescribed a hearing aid, and for the latter case, cochlear implantation operation was conducted at the age of three years and seven months. Both of these patients have successfully developed communication skills.
CATCH22 shows a variety of phenotypes, including hearing loss and nasopharyngeal malformations, either of which may disturb speech ability and thus, furthermore, mental development of the child. However, this condition may be improved by early and adequate intervention. Thus, otolaryngologists should be familiarized with the typical facial abnormality and most frequent manifestations of this syndrome, and be ready to treat patients with 22q11 deletion, providing them with intensive and individualized prescription at their early stages.抄録全体を表示PDF形式でダウンロード (2839K) -
下郡 博明, 新井 紹之, 橋本 誠, 山下 裕司2006 年 99 巻 3 号 p. 191-195
発行日: 2006/03/01
公開日: 2011/10/07
ジャーナル フリーA 7-year-old boy with tympanic perforation on the right side underwent myringoplasty using the temporal fascia inlay method. Three months postoperatively, tympanic membrane showed gradual bulging, indicating probable cholesteatoma formation. Five months after the first operation, re-operation was performed. Surgical findings showed remarkable thickening of the tympanic epithelium without cholesteatoma formation. The lesion was removed and was covered with temporal fascia. Histopathological findings showed granulation-formation, collagen fiber-regeneration and necrosis, infiltration of lymphocytes, eosinophil's and basophil's granules. We sometimes encounter iatrogenic cholesteatoma after myringoplasty or tympanoplasty. This is a rare case of tympanic granuloma after myringoplasty.抄録全体を表示PDF形式でダウンロード (6062K) -
木村 百合香, 杉浦 むつみ, 牧野 奈緒, 奥野 秀次, 喜多村 健2006 年 99 巻 3 号 p. 197-201
発行日: 2006/03/01
公開日: 2011/10/07
ジャーナル フリーPaget's disease involves disordered bone remodeling by osteoclasts and osteoblasts. Its etiology is unknown and it is a common geriatric disease in England. In Japan, however, it is very rare and only 11 cases with hearing loss due to Paget's disease have been reported. We report a case of Paget's disease that had been initially diagnosed as presbycusis. Hearing in this patient progressed to total deafness 10 years later, and was finally diagnosed as Paget's disease when buccal swelling appeared 20 years after deafness. The patient also complained of bilateral facial spasm. After diagnosis of Paget's disease, third genaration bisphosphanate administration decleased the alkaliphosophatase level to about half. It is important to diagnose hearing loss caused by Paget's disease because early administration of third generation bisphosphanates can prevent the progression of hearing loss and the appearance of other cerebral nerve symptoms.抄録全体を表示PDF形式でダウンロード (4938K) -
石部 司, 久保 伸夫2006 年 99 巻 3 号 p. 203-210
発行日: 2006/03/01
公開日: 2011/10/07
ジャーナル フリーWe performed argon plasma coagulation (APC) in 64 patients with perennial allergic rhinitis and 115 patients with cedar pollinosis, and investigated the treatment response and degree of satisfaction. With respect to various symptoms and topical findings, 87 to 89% patients with perennial allergic rhinitis responded to APC for 6 months after this therapy. One year after APC, the response rates for nasal discharge and sneezing ranged from 67% to 69%; the treatment response differed among the symptoms. The response rate for each symptom was approximately 50% 2 years after APC. An increasing number of patients required additional irradiation or other treatments between 1 year and 2 years after APC. Furthermore, 65% of the patients with cedar pollinosis responded to APC, and 77% of the patients were satisfied with this therapy.
In years with higher pollen dispersion, the response rate was 52%. In years with lower pollen dispersion, the response rate was 92%. The effects on pollinosis depended on pollen dispersion. In one-third of patients who underwent APC the year before lower pollen dispersion was noted, the effects of APC were maintained over the year. When average pollen dispersion is expected, APC should be performed annually. In 18 of 21 patients with cedar pollinosis complicated by Dactylis glomerata pollinosis, the effects of APC persisted until the end of Dactylis glomerata pollen dispersion. In patients with cedar pollinosis complicated by perennial allergic rhinitis, the response rate was similar to that in patients with cedar pollinosis alone; however, satisfaction was lower. The response rate for APC during pollen dispersion was lower than that for APC prior to pollen dispersion. However, there was no difference in satisfaction. APC was useful for perennial allergic rhinitis and pollinosis.抄録全体を表示PDF形式でダウンロード (1099K) -
斉藤 秀行, 山下 拓, 藤井 良一, 羽生 昇, 小川 郁2006 年 99 巻 3 号 p. 211-216
発行日: 2006/03/01
公開日: 2011/10/07
ジャーナル フリーWe reviewed 11 patients (7 women and 4 men) with acquired dacryostenosis who underwent a dacryo-cysto-rhinostomy (DCR) at Saiseikai Utsunomiya Hospital between May 2000 and April 2004. The etiology was considered chronic inflammation in six, trauma in two and complications of paranasal sinus surgery in two. In addition to lacrymal probing and irrigation, we investigated all patients by anterior rhinoscopy and CT. One patient showed pneumatization in the lacrymal sac on CT and dacryoatresia was confirmed with irrigation. We diagnosed the common canaliculi as the site of atresia, and this was confirmed intraoperatively. We treated 7 cases by traditional extenal DCR (EXT-DCR) and 4 by endonasal endoscopic DCR (EE-DCR). We treated one case of relapsed obstruction with EE-DCR but treated well with the same method. The EXT-DCR cases have not show any recurrence to date. There were two cases of stenosis at the common canaliculi and both were improved after EE-DCR with silicone tube insertion. With EE-DCR, the duration of surgery was shorter and there was no scar formation or facial deformity. We suggest that ENT doctors should pay more attention to diseases of the naso-lacrymal system and cooperate with ophthalmologist when designing treatment regimens.抄録全体を表示PDF形式でダウンロード (5297K) -
辻榮 仁志, 谷口 雅信, 渡邉 昭仁2006 年 99 巻 3 号 p. 217-221
発行日: 2006/03/01
公開日: 2011/10/07
ジャーナル フリーMetastatic carcinoma of the sphenoid sinus is rare, and that from rectal carcinoma is extremely rare. We describe a case of metastatic sphenoid carcinoma from the rectum. A 49-year-old female visited an ophthalmologic clinic complaining of eye dysmobility and double vision. Tumor of the sphenoid sinus was detected by MRI. She had a past history of rectal carcinoma resected 3 years earlier. She was referred to our hospital from the clinic and biopsy of the sphenoid sinus was performed by intranasal endoscopy. Histologic examination highly suggested that sphenoid sinus adenocarcinoma had metastasized from the rectum. Though radiotherapy and chemotherapy were performed, she died of sphenoid sinus carcinoma about eleven months later.抄録全体を表示PDF形式でダウンロード (5729K) -
谷口 雅信, 渡邉 昭仁, 辻榮 仁志2006 年 99 巻 3 号 p. 223-226
発行日: 2006/03/01
公開日: 2011/10/07
ジャーナル フリーHypopharyngeal neurinoma is a rare disease. We report two cases of hypopharyngeal neurinoma. One case was a 49 year-old male who had complained of snoring and a foreign body sensation of the pharynx for a half year and the other was a 54 year-old female who had had a feeling of nocturnal dyspnea for a month. Each tumor was located in the right pyriform sinus and the right vocal cord was fixed in both cases. The tumors were removed by lateral pharyngotomy in one case and by laryngomicrosurgery in the other. We were unable to trace the original nerve in both cases. The mobility of the right vocal cord remained impaired after surgery and atrophy of the vocal cord progressed gradually in both cases.抄録全体を表示PDF形式でダウンロード (5931K) -
池上 聰, 庄司 和彦, 鈴木 慎二, 岸本 曜, 児嶋 剛, 高橋 淳人2006 年 99 巻 3 号 p. 227-231
発行日: 2006/03/01
公開日: 2011/10/07
ジャーナル フリーObjective: This study's aim was to evaluate the relation between sensory deficits of different parts of laryngopharyngeal mucosa and the incidence of aspiration pneumonia.
Study design and setting: 24 patients (20 male, 4 female; mean age of 75 years old) were examined. They had laryngeal penetration and aspiration during swallowing with water under flexible endoscopic evaluation. Different parts of mucosa such as on the apex of the epiglottis, on the root of the tongue, on the arytenoids, and above the anterior commissure were stimulated with a thin silicon tube attached to the tip of a flexible endoscope. When the swallowing reflex or cough reflex was immediately caused by contact stimulation on a part, it was judged that the sense of that part was normal. And when reflex was not caused, it was judged that that part had a sensory deficit.
After examination of the sense of each laryngopharyngeal part by the above method, subjects were followed under oral intake nutrition instead of the presence of aspiration. Then, subjects were divided into 2 groups according to whether they had an episode of aspiration pneumonia or not, and the results of contact stimulation with the silicon tube were compared between groups.
Results: The reflex caused by contact stimulation to the larynx above the anterior commissure by the above method was judged to be normal in all cases.
It was significantly confirmed that the presence of sensory deficits in the apex of the epiglottis was different between the two groups divided by the presence of aspiration pneumonia (p<0.05).
Conclusion: Accurate prediction of aspiration pneumonia could be performed with our simple contact stimulation method to the apex of the epiglottis.抄録全体を表示PDF形式でダウンロード (4706K) -
米田 律子, 望月 高行, 望月 幸子, 廣瀬 肇, 佃 守2006 年 99 巻 3 号 p. 233-237
発行日: 2006/03/01
公開日: 2011/10/07
ジャーナル フリーHemangioma in the head and neck often arises in the cheek membrane, tongue, and lips. It is rarely generated in the masseter or trapezius muscle. We encountered a case of cavernous hemangioma in the masseter muscle accompanied by a venous stone. A 26-year-old female patient with a chief complaint of swelling in the right mandibular angle was referred to our department. The present clinical couse showed a 3-year history of repeated swelling of the right jaw every 2 or 3 months. Once the lesion became swollen, it was accompanied by sharp pain and the swelling continued for about one week. A soft mass measuring 30×17mm was accompanied by pain, and two hard masses were detected within the lesion. The ramera-like calcification was detected by simple X-ray examination and the lesion was diagnosed as hemangioma accompanied by a venous stone. MRI was useful for diagnosis. Moreover, angiography of the external carotid artery was performed and the findings comfirmed that the nutritional blood vessel was the facial artery.抄録全体を表示PDF形式でダウンロード (5716K) -
谷 亜希子, 野本 幸男, 渡邉 睦, 鹿野 真人, 大森 孝一2006 年 99 巻 3 号 p. 239-245
発行日: 2006/03/01
公開日: 2011/10/07
ジャーナル フリーWe report 2 cases of solitary fibrous tumor (SFT). SFT usually involves the pleura and rarely involves the head and neck lesion.
The first patient was a 32-year-old female who complained of right oral base swelling. Computed tomography showed a high density mass in the right oral floor. The encapsulated tumor was removed and the tumor cells were immunohistochemically determined to be positive for vimentin and CD34; demonstrating characteristics of SFT.
The second patient was a 49-old-female who complained of left submandibular swelling. Computed tomography showed an enhanced mass. The tumor was removed with a submandibular gland. The tumor cells were immunohistochemically determined to be positive for CD34.
In both cases, although preoperative diagnosis was difficult, immunohistochemical examinations obtained the correct diagnosis.抄録全体を表示PDF形式でダウンロード (9311K) -
宮田 耕志, 福島 英行, 中村 一, 梅田 裕生, 木谷 芳晴, 浜口 清海, 松田 康孝, 藤木 暢也, 本多 伸光2006 年 99 巻 3 号 p. 247-252
発行日: 2006/03/01
公開日: 2011/10/07
ジャーナル フリーWe report an experience of pain relief surgery for lumbar metastasis of parotid gland cancer. A 52-year-old male visited our hospital with the complaint of lower back pain. His left parotid gland had been extirpated ten years previously because of adenoid cystic carcinoma. As a result of investigation, lumbar metastasis of adenoid cystic carcinoma was identified. Lower back pain decreased after radiotherapy, but the pain worsened again approximately six months after radiotherapy.
We used morphine for pain relief, but the effect was insufficient. So an operation for pain relief was performed by an orthopedic surgeon. Posterior decompression and stabilization reduced the pressure of the vertebral lesion on the spinal cord. Lower back pain was well controlled after surgery until his death from respiratory failure due to the lung metastasis.抄録全体を表示PDF形式でダウンロード (7016K) -
楠 威志2006 年 99 巻 3 号 p. 254-255
発行日: 2006/03/01
公開日: 2011/10/07
ジャーナル フリーPDF形式でダウンロード (2129K)
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