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Volume 37, Issue 5
Displaying 1-14 of 14 articles from this issue
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[in Japanese]1994 Volume 37 Issue 5 Pages 505-512
Published: October 15, 1994
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSDownload PDF (1107K) -
Masato Fujii, Yoshihiro Ohno, Jin Kanzaki, Yukio Inuyama1994 Volume 37 Issue 5 Pages 513-518
Published: October 15, 1994
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSThe prognosis of the patients with maxillary sinus cancer invading the skull base is poor. Recently skull base surgery is performed to these cases, though, conservative treatment is also important for inoperable cases. We reviewed 8 cases of maxillary sinus cancer where conservative treatment was adopted in the period from 1980 to 1991. Four cases died within 35 months, but three cases survived more than 5 years. As for one of the three cases, radiotherapy was effective and survived for 7 years without recurrence.Other two cases where chemotherapy and radiotherapy were effective for recurrent disease survived for more than 5 years. In four cases with poor prognosis, chemotherapy and radiotherapy were not effective. One case where recurrence was proved after radical surgery is still surviving after radiotherapy with carboplatin administration. The effects of chemotherapy were more than PR and radiotherapy was also effective for the cases that achieved long survival. It is important to evaluate the effect of chemotherapy and radiotherapy because conservative treatment will be important for the inoperable cases or recurrent cases after radical surgery. The effectiveness of chemotherapy and radiotherapy is important to maintain the quality of life for the patients with advanced disease of maxillary sinus cancer.View full abstractDownload PDF (5037K) -
Shoji Saruya, Yoichi Ishizuka, Masakazu Suzuki, Tatsuro Koizumi1994 Volume 37 Issue 5 Pages 519-524
Published: October 15, 1994
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSThis is a case of agranulocytosis, which is considered to have been caused by the antithyroid drug Thiamazole, with acute pharyngitis in its initial stage. The patient is a 35-year-old woman. She had been prescribed Thiamazole for 15 years for the treatment of hyperthyroidism, and after a temporary halt to this treatment, she began to take the same medicine again. About one-and-a-half months after resuming the medication she had a sore throat and a fever so she went to see a doctor in her neighborhood and then to us. A remarkable decrease in the number of white blood cells to 400 was found during the blood examination, and the amount of neutrophil in the sample was 0%. Agranulocytosis was diagnosed as a result of a bone marrow puncture, and Thiamazole was considered to be the most likely cause. This case seems to suggest that a side effect of this medication could be that it may cause acute pharyngitis.View full abstractDownload PDF (2266K) -
Tadashi Ishimaru, Makoto Sakumoto, Ikuo Nagayama1994 Volume 37 Issue 5 Pages 525-530
Published: October 15, 1994
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSA 87-year-old female after attempted strangulation consulted us for otic and nasal bleedings. Petechiae were observed in not only the face but also the nasal, pharyngeal, and oral mucosae. She did not have respiratory disturbance but the epiglottis was edematous.There was no laryngeal fracture.No significant findings were observed in the larynx except the one on the epiglottis. The epiglottic edema disapeared when she reconsulted us 2 days later.The petechiae in the several regions required a week for disappearing. Diffuse bleedings on the bilateral external auditory canals and tympanic membranes still remained after one week.
The most important thing is to keep in mind laryngeal trauma in a patient with attempted strangulation.Our case did not have respiratory disturbance.Although we did not prescribe any medicine, steroids therapy might be required in severe cases.For difficulty of opening the mouth, laryngeal fiberscopic examination is recommended.
While petechiae are conspicuous in such cases, we should not forget the possibility of trauma in the laryngeal cartilage.View full abstractDownload PDF (6633K) -
Toshiro Tachibana, Masakazu Tokunaga, Shiro Esaki, Toshio Ohnishi, Tak ...1994 Volume 37 Issue 5 Pages 531-534
Published: October 15, 1994
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSLipomas occur rarely in the retropharyngeal space.Only 22 cases of retropharyngeal lipoma have been described in the world literature.We have experienced a large retroparyngeal lipoma that had repeated many times during a 41-yearperiod. The cases was a woman, aged 69, who visited our hospital with the complaints of dysphagia and dyspnea.The tumor was resected by neck dissection, which was 6.0×7.5×5.0 cm in size and weighted 69g.Her symptoms disappeared after the operation.In rare cases lipomas may change to liposarcoma after repeated recurrences.View full abstractDownload PDF (5698K) -
Masato Matsui, Hirohiko Hesaka, [in Japanese], Yousuke Kamide, Hiroshi ...1994 Volume 37 Issue 5 Pages 535-544
Published: October 15, 1994
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSSome patients may complain of hoarseness on the day after they have had an operationperformed under general anesthesia.The effect of endotracheal intubation on the larynx and trachea were therefore studied.The subjects of this study were 41 patients (30 males and 11 females) who underwent an operation with endotracheal intubation under general anesthesia, and their mean age was 38.2 years. These patients were selected mainly from those in whom neither neck nor chest region was expected to be manipulated in operation. The effects on phonation were analyzed at three different times, the day before operation, the day after operation and one week after operation, with respect to the amplitude perturbation quotient (APQ), pitch perturbation quotient (PPQ), nor-malized noise energy (NNE), pitch, flow and intensity.In addition, maximum phonation time (MPT) was measured, and the flow and intensity therein were also recorded.At the time of the operation, the size of the intubation tube and the intra-cuff pressures upon intubation and extubation were recorded, and radiogram of the cervicothoracic region were taken while the patients were in the state of intubation.
The subjects were classified into a hoarseness group and a non-hoarseness group based on the degree of increase in APQ, PPQ and NNE, and the two groups were compared with respect to several parameters.A significant difference (P<0.005) was observed with respect to the time from reversion (injection of an antagonist to muscle-relaxant) to the extubation and the difference in the inner diameter of the trachea in the chest region and that in the neck region. Postoperative hoarseness was thus surmised to be mainly due to temporary chorditis caused by a long-lasting cough reflex beginning from the time of recovery of spontaneous respiration to the time of extubation.Regarding the postoperative speech level, both intensity and flow decreased concurrently in 65% of the subjects, suggesting anesthesia-induced transient functional weakening of the muscles related to breathing, etc.View full abstractDownload PDF (6001K) -
Shigehiko Satoh, Tadao Asai, Youko Kumagai, Kohtaro Baba1994 Volume 37 Issue 5 Pages 545-550
Published: October 15, 1994
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSPrognosis of the disease after removal of a tube was evaluated in 85 ears of 52 patientswith otits media with effusion. Relationships between prognosis and background factors during tube insertion were investigated.
The prognosis of the disease was poor in the following cases: the age at onset of otitismedia with effusion was young; the morbid period before tube insertion was long; the volume ofthe pneumatic space in the auris media was small;the tympanic membrane was severely depressed; and the amount of intratympanic fluid was small.
However, the prognosis correlated with neither the presence nor the absence of chronicsinusitis or the severity of hearing loss.View full abstractDownload PDF (794K) -
Izuru Nozawa, Hisayo Nakayama, Jyun-ichi Kou, Shin-ichi Shimomura, Syu ...1994 Volume 37 Issue 5 Pages 551-559
Published: October 15, 1994
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSIt is thought that Orthostatic Dysregulation (abbreviated OD) usually appears in rather young population or around puberty, more predominantly in females than in males.
We carried out a survery and analysis of data collected by the Cornell Medical Index-Health Questionnaire (abbreviated CMI) and the Questionnaire for OD among 178 young females ranging in age from 18 to 24 years to examine the influence of somatic and phycholigical backgrounds of the individual subjects.
Of 178 young females, 42 (23.6%) were determined as subjects with confirmed OD and 33 (18.5%) with suspected OD based on the Questionnaire for OD.Orthostatic dizziness was much prevalent in subjects with confirmed OD (40/42, 95.2%).
Type III and IV in the CMI screening were noted in 13 (12.6%) of control (normal) subjects, in 10 (30.3%) of suspected OD and in 17 (40.5%) of confirmed OD subjects.There was a significant difference between control and other subjects.
In general, young females showed relatively high scores in the sections of the Genitourinary system, the Habits and Inadequacy in the CMI. The scores of confirmed OD subjects were higher than those of control subjects in all the sections in the CMI.There was a significant difference between the score of confirmed OD and control subjects in many sections.
This finding suggests that OD is not uncommon in young normal female subjects and it appears important to consider the psychological back grounds in confirmed OD subjects.View full abstractDownload PDF (1060K) -
Takahiro Inouye, Atsushi Kawasaki, [in Japanese], Tatsuro Ohira, [in J ...1994 Volume 37 Issue 5 Pages 560-565
Published: October 15, 1994
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSParotid cyst is a rare disease and its operative technique has rarely been discussed.Its en bloc resection is difficult when the cyst wall adheres to the facial nerve.
We operated on two cases of parotid cyst. One was a retention cyst located in the deep lobe of the parotid gland and the other was a lymphoepithelial cyst situated in the superficial lobe of the parotid gland.
We noted that instruments for vascular and otologic surgery in conjunction with a microscope are very useful for surgery of the parotid cyst which adheres to the facial nerve especially sited in the deep lobe of the parotid gland.
Though it has been claimed that an incision of the cyst wall permits a wide operative field, we suggest that parotid cysts should not be incised because parotid tumor rarely accompanies the cyst.
Radiological diagnosis of the parotid cyst is facilitated by MRI, but it is difficult to ascertain completely the relationship between the cyst wall and the facial nerve.However, if a notch in the cyst wall is seen on MRI, severe adhesion between the cyst wall and the facial nerve may be in evidence.View full abstractDownload PDF (10962K) -
[in Japanese], [in Japanese]1994 Volume 37 Issue 5 Pages 566-570
Published: October 15, 1994
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSDownload PDF (3981K) -
[in Japanese], [in Japanese]1994 Volume 37 Issue 5 Pages 571-577
Published: October 15, 1994
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESS -
CLINICAL EFFECTS OF BIFEMELANE HYDROCHLORIDE (CELEPORT ®) ON THE PATIENTS WITH VERTIGO AND DIZZINESSKanemasa Mizukoshi, Takashi Matsunaga, Koji Tokumasu, [in Japanese], [ ...1994 Volume 37 Issue 5 Pages 584-603
Published: October 15, 1994
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSOne hundred thirteen patients suffering from vertigo and/or dizziness due to Meniere's disease, benign paroxismal positional vertigo (BPPV), cerebrovascular disorder, etc, were evaluated on their treatment effects with bifemerane hydrochloride (Celeport ®) in the otorhinolaryngological departments of 18 hospitals in Japan.
A dose of 150 mg/day was given for three to six months to each patient in the open trial.
In order to elucidate the antivertiginous effectsof the bifemerane, clinical subjective and objective evaluations of their treatment effects on the vertiginous diseases were made by using the AAO-HNS evaluation (1985).
The subjective symptoms were evaluated every one month for the charactor, intensity, duration and frequency of the vertiginous spells (numeric vertigo score), for tinnitus, and for the disability of daily and bussiness lives.Moreover, the objective symptoms were also evaluated every month for the neurotological examinations, especially included such equilibrium findings as spontaneous and gaze nystagmus, positional nystagmus, caloric nystagmus responses, standing and stepping test results.
From these clinical observations, it could be evaluated that the global judgment of the drug effects was indicated as 39.8% marked improvement, 26.5% moderate improvement, and 26.5% slight improvement from the view point of the global evaluation criteria.Only 4 patients (0.35%) complained of side effects such as constipation, head heaviness, stomachache, diarrhea and loss of appetite.
Therefore, from these clinical results, it is coucluded that the bifemerane (Celeport ®) is useful for the treatment of vertiginous diseases originating from not only the peripheral vestibular system but also the central nervous system.View full abstractDownload PDF (2150K) -
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...1994 Volume 37 Issue 5 Pages 604-613
Published: October 15, 1994
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESS -
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...1994 Volume 37 Issue 5 Pages 614-628
Published: October 15, 1994
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESS
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