巻号一覧
48 巻 (2009)
- 4 号 p. 349-
- 3 号 p. 181-
- 2 号 p. 111-
- 1 号 p. 1-
前身誌
48 巻, 2 号
選択された号の論文の6件中1～6を表示しています
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原著
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—内反性乳頭腫と多形腺腫の同時発生例の経験—櫟原 崇宏, 川上 理郎, 長谷川 恵子, 西川 周治, 二村 吉継, 林 伊吹2009 年 48 巻 2 号 p. 111-116
発行日: 2009年
公開日: 2010/02/10
ジャーナル フリーThe nasal cavity tumor pathological view is colorful; majority among those is the benign tumor. Inside of the benign tumor histopathology approximately 80% is occupied in papilloma and hemangioma, in addition osteoma, neurinoma and pleomorphic adenoma etc is recognized. It is very rare to recognize the tumor of the organizational type which differs to the both sides nasal cavity. We experienced the case which recognized inverted papilloma inside the right nasal cavity and pleomorphic adenoma in the left nasal cavity.
Case is the man of 63 years old. It receives because nose closing is recognized. Because the tumor is recognized inside the both sides nose, operation it enforced. At the pathological inspection result the tumor inside the right nasal cavity was inverted papilloma, the tumor inside the left nasal cavity was pleomorphic adenoma. Because there is a possibility of recurrence, re-operation it enforced. There were tumor remains in the right nasal cavity, did not recognize tumor remains in the left nasal cavity. After the operating 2 year 10 month it has elapsed, but recurrence is not recognized.
No cases of benign tumors in the bilateral nasal cavity with two different pathologies have to our knowledge been reported in Japan.抄録全体を表示PDF形式でダウンロード (1132K) -
—鼻閉と整容の改善を目的として—児玉 悟, 野田 加奈子, 立山 香織, 鈴木 正志2009 年 48 巻 2 号 p. 117-122
発行日: 2009年
公開日: 2010/02/10
ジャーナル フリーWhile rhinoplasty is an important issue among otorhinolaryngological societies in the United States, Europe, and Korea, Japanese otorhinolaryngologists remain unfamiliar with external nose surgery, and rhinoplasty is mainly done by plastic surgeons. Aesthetic rhinoplasty may be done without considering nasal functions. We report a case of nasal deformity successfully treated by revision open septorhinoplasty and discuss the role of otorhinolaryngologists in rhinoplasty.
A 63-year-old man with an external nasal deformity causing progressive nasal stiffness had undergone septoplasty for nasal septum deflection elsewhere 30 years earlier. His nose was contracted caudally with nasal valve collapse. The nose showed septal perforation and deflection. In open septorhinoplasty under general anesthesia, the deformity was corrected and nasal stiffness markedly improved postoperatively. No complication was observed, and the surgery improved the man's quality of life.
Rhinoplasty includes septorhinoplasty, dorsal augmentation, deviated nose correction by osteotomy, hump reduction, and tip surgery. These techniques are useful in surgery for patients with nasal stiffness. Rhinoplasty, both functional and aesthetic should thus be done by rhinologists who take considerations into nasal function.抄録全体を表示PDF形式でダウンロード (826K) -
森 幸威, 西田 直樹, 與田 茂利, 福辻 賢治, 兵 行義, 柴田 大, 秋定 健, 原田 保2009 年 48 巻 2 号 p. 123-127
発行日: 2009年
公開日: 2010/02/10
ジャーナル フリーTherapy combining in treating maxillary sinus cancer, surgery, chemotherapy, and radiation is a primary modality. While chemotherapy administered through the superficial temporal artery is conventionally used, we have worked since 2003 to assess the efficacy of combined therapy after superselective arterial docetaxel (taxotere) infusion for treating maxillary sinus cancer. Treatment consisted of preoperative radiation of 40Gy. The regimen, used to date in 3 men and 2 women, all with advanced maxillary sinus cancer, included planned surgery about two weeks after radiation therapy. Based on T classification, 1997 UICC three were in stage T3 and two in stage T4.
Malignancies were three squamous cell carcinomas, one small cell carcinoma and undifferentiated carcinoma. As this therapy, the effectiveness was proved for histopatholory. At present, all five subjects have survived, indicating that combined superselective arterial docetaxel (taxotere) therapy is very effective against maxillary sinus cancer.抄録全体を表示PDF形式でダウンロード (574K) -
東家 完, 西本 康兵, 讃岐 徹治, 湯本 英二2009 年 48 巻 2 号 p. 128-132
発行日: 2009年
公開日: 2010/02/10
ジャーナル フリーFibrous dysplasia, a benign localized bone disorder sometimes involving craniofacial bone lesions, may invade the skull base, orbital nerves, and facial bones reducing central nervous system function, visual performance and olfactory sensibility. While surgery is the only cure, procedures must be undertaken extremely carefully because lesion sites are high in the variety and severity of complications. We report the case of a 37-year-old woman with fibrous dysplasia of the ethmoid sinus involving the skull base. We resected the tumor using transbasal removal and endoscopic sinus surgery without complications such as hyposmia and change of facial appearance.抄録全体を表示PDF形式でダウンロード (915K) -
池田 浩己, 福辻 賢治, 島谷 美映, 芝埜 彰, 竹林 慎治, 三浦 誠, 榎本 雅夫, 友田 幸一2009 年 48 巻 2 号 p. 133-137
発行日: 2009年
公開日: 2010/02/10
ジャーナル フリーWe report a case of juvenile angiofibroma (JA), a rare, benign but locally aggressive vascular tumor, occurring exclusively in adolescent men, that is usually treated using surgery despite the frequent involvement of heavy bleeding.
16-year-old man seen for a 5-month long nasal obstruction was diagnosed with JA based on endoscopy and magnetic resonance imaging (MRI) findings.
The tumor was completely resected in endoscopic endonasal surgery combined with preoperative arterial-supply embolization using image-guided navigation. A purely endoscopic approach is thus reliable, and applicable even in Sessions stage IIA tumors.
Endoscopic resection is effective in treating JA together with preoperative embolization and image-guided navigation. Open surgery should, however, be prepared for, just in case the need for it should arise.抄録全体を表示PDF形式でダウンロード (1409K) -
志賀 英明, 鷲山 幸信, 小川 数馬, 山口 博司, 間賀田 泰寛, 天野 良平, 古川 仭, 三輪 高喜2009 年 48 巻 2 号 p. 138-141
発行日: 2009年
公開日: 2010/02/10
ジャーナル フリーObjective: To image the olfactory nerve in vivo using single-photon emission computed tomography (SPECT) and X-ray computed tomography (CT) after nasal thallium-201 (201Tl) administration to rats.
Methods: Three 8-week-old female Wistar rats (Japan SLC, Shizuoka, Japan) used in this study were assessed under anesthesia (intraperitoneal administration of pentobarbital sodium; 0.05 mg/g body weight) for 201Tl transport to the olfactory bulb 8h after nasal administration of 201TlCl solution (50μl, 74 MBq/ml, Nihon Medi-Physics, Tokyo, Japan) using SPECT/CT (Flex X-SPECT, Gamma Medica-Ideas, USA). The heads of rats were assessed for autoradiography to confirm 201Tl transport to the olfactory bulb after SPECT/CT.
Results: 201Tl transport to the olfactory bulb was shown using SPECT/CT 8h after nasal administration of 201Tl. Coronal section imaging especially indicated 201Tl transport from the nasal cavity to the olfactory bulb. 201Tl transport to the olfactory bulb was confirmed by autoradiography.
Conclusion: SPECT/CT showing 201Tl transport to the olfactory bulb may be useful in visually assessing the olfactory nerve in vivo.抄録全体を表示PDF形式でダウンロード (2312K)
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