All issues
Volume 34 (1991)
- Issue 6 Pages 595-
- Issue 5 Pages 507-
- Issue 4 Pages 385-
- Issue 3 Pages 261-
- Issue 2 Pages 113-
- Issue 1 Pages 5-
- Issue Supplement8 Pag･･･
- Issue Supplement7 Pag･･･
- Issue Supplement6 Pag･･･
- Issue Supplement5 Pag･･･
- Issue Supplement4 Pag･･･
- Issue Supplement3 Pag･･･
- Issue Supplement2 Pag･･･
- Issue Supplement1 Pag･･･
Volume 31 (1988)
- Issue 6 Pages 757-
- Issue 5 Pages 613-
- Issue 4 Pages 425-
- Issue 3 Pages 273-
- Issue 2 Pages 127-
- Issue 1 Pages 9-
- Issue Supplement9 Pag･･･
- Issue Supplement8 Pag･･･
- Issue Supplement7 Pag･･･
- Issue Supplement6 Pag･･･
- Issue Supplement5 Pag･･･
- Issue Supplement4 Pag･･･
- Issue Supplement3 Pag･･･
- Issue Supplement2 Pag･･･
- Issue Supplement1 Pag･･･
Volume 38, Issue 6
Displaying 1-14 of 14 articles from this issue
- |<
- <
- 1
- >
- >|
-
[in Japanese], [in Japanese], [in Japanese]1995 Volume 38 Issue 6 Pages 683-689
Published: December 15, 1995
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSDownload PDF (777K) -
Kiwamu Satake1995 Volume 38 Issue 6 Pages 690-701
Published: December 15, 1995
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSFor the purpose of clinical application of evoked otoacoustic emissions (EOAE), 900 ears with sensorineural hearing loss were classified by their causative disease, and audiogram and tinnitus, EOAE and then spontaneous otoacoustic emissions (SOAE) were examined. The incidence of sudden deafness was the highest among the causative diseases of inner ear origin, and acoustic impairment, Meniere's disease and functionalfunctional deafness were in order of incidence. There is a significant correlation between audiometric threshold and EOAE detection threshold in ears with hearing loss of inner ear origin. The relation between both the thresholds was weak in ears of functional deafness without any organic impairment of the inner ear. The scatter plot revealed a lower gradient of regression line in Ménière's disease compared with those of acoustic impairment and sudden deafness. The ears those tinnitus pitch coincided with SOAE frequency were very rare. It was concluded that the detection threshold of EOAE might be useful as an indicator in evaluating inner ear impairments.View full abstractDownload PDF (1291K) -
Masae Kusunoki, Akemi Takahashi, Naoyuki Kohno, Akihiko Yamamura1995 Volume 38 Issue 6 Pages 702-709
Published: December 15, 1995
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSCarcinosarcoma or true malignant mixed tumor of the salivary gland is exceedingly uncommon. We present a case of parotid gland carcinosarcoma occuring in a 50-year-old woman. Her chief complaints were left parotid painful swelling and left facial palsy. The radiological examination showed a large tumor of the left parotid gland.
We performed total parotidectomy and modified left neck disection, then the tissue defect was repaired with sural nerve graft and free rectus abdominis musclocutaneous flap. After the operation, total doses of 50 Gy Linac irradiation were given for adjuvant setting.
Immunohistchemical examination showed the tumor was composed of two different malignant elements, epithelial and nonepithelial.
Surgical excision is the most suitable primary therapy for so-called carcinosarcoma of the parotid gland.
Postoperative course has been uneventful for 31 months.View full abstractDownload PDF (12589K) -
EVALUATION OF NASAL OBSTRUCTIONShigenobu Iwata, Yuka Kondou, Masamichi Kondou, Masahiro Takeuchi, May ...1995 Volume 38 Issue 6 Pages 710-718
Published: December 15, 1995
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSActive anterior rhinomanometry with a Rhino-graph MPR-1100 using a nasal nozzle, was used to detect the unilateral nasal patency in 70 normal, and 80 nasal sides with various feelings of nasal obstruction. Air flow (L/sec), and differentialpressure (cmH2O) signals were sensed and their signals were digitized at 30 Hz by a microcomputer. These digitized values were stored in the computermemory. Air flow, nasal pressure and nasal resistance were counted on completion of each chosen sequence of breath at the peak flow. Severities of the sensation of nasal obstruction were classified with 4 categories: 0) free nasal air passage, 1) slight obstruction, 2) modarete, and 3) considarable and severe obstruction. And also the nasal findings were clinically classified with 8 groups due to nasal narrowness.
Results: Normal criteria of nasal passege was calculated as follows:
In inspiratory phase, peak flow rate ranged from 0.32 to 0.40 L/sec with a mean value of 0.39 L/sec, nasal pressure from 0.85 to 1.42cmH2O with mean of 1.29 cmH2O, and theirresistances ranged from 2.70 to 4.58 cmH2O/L/sec with a mean of 3.25 cmH2O/L/sec. While, in expiratory phase, peak flow ranged from 0.35to 0.47 L/sec, nasal pressure, from 0.48 to 1.76cmH2O and nasal resistances at the peak flow revealed from 2.48 to 3.44 cmH2O/L/sec with a95% confidence limit respectively. Number of scores, which means the severity of nasal obstruction, was relatively correspondence to the values of nasal resistance both inspiratory and expiratoy phases. However, less than 30% showed in coincidence between the degree of subjective feelings and the values of their nasal resistance. This normal criteria of the nasal patency might be useful to evaluate the objective judgment for the patients with trouble of nasal stuffiness.View full abstractDownload PDF (960K) -
Norihiko Ishikawa, Hitoshi Hentona, Yuzuru Nakamura, [in Japanese], Hi ...1995 Volume 38 Issue 6 Pages 719-723
Published: December 15, 1995
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSThe therapeutic effect and toxity of combination chemotherapy with CDDP (13 mg/m2/day, day 1-5), 5-FU (600 mg/m2/day, day 1-5) and THP-ADM (20 mg/m2/day, day 1) were assesed in 20 patients with squamous cell carcinoma of the head and neck, 12 untreated patients and 8 patients with recurrence. The overall response rate was 65%(CR: 2, PR: 11). This regimen was effective especially in patients of epipharynx cancer and oropharynx cancer when performed as neoadjuvant chemotherapy before radiation therapy.
Myelosuppression was major side effect. Leucopenia was observed in 11 patients (grade3 2, grade 4: 1) and thrombocytopenia 3 (grade3: 1, grade 4: 1). Transfusion of thrombocyte was needed in one patient. Nausea-vomiting was observed in 12 patients, but almost low grade. Alopecia (grade 2) was observed in 2 patients.
We conclude that the combination chemotherapy with CDDP, 5-FU and THP-ADM is effective in patients with squamous cell carcinoma of the head and neck.View full abstractDownload PDF (668K) -
Ryuichirou Uemura, Mitsuhiro Kawaura1995 Volume 38 Issue 6 Pages 724-728
Published: December 15, 1995
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSThe use of earpicks can cause not only perforation of the tympanic membrane but also injuries of the ossicular chain or inner ear.
We report a case of traumatic perilymphatic fistula in association with ossicular injuries caused by an earpick. The patient was a 14-year-old boy with sudden hearing loss, tinnitus and vertigo following a perforation of the right eardrum with an earpick. Exploratory tympanotomy showed dislocation of the incudostapedial joint and depression of the stapes into the vestibule. The patient underwent successful closure of the perilymphatic fistula and ossicular reconstruction and his hearing was considerably restored.View full abstractDownload PDF (3964K) -
Masafumi Nakagawa, Shinya Sohma, Kazumasa Watanabe, Kenji Kagei, Takio ...1995 Volume 38 Issue 6 Pages 729-734
Published: December 15, 1995
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSWe report a case of hemangiopericytoma of the hypopharynx. The patient was a 66-year-old man who complained of a foreign-body sensation in the throat. Indirect laryngoscopy showed an irregular mass in the postcricoid area. Biopsy was performed from the hypopharynx, and the histopathological diagnosis was hemangiopericytoma. He received preoperative radiation therapy with 40 Gy with some diminishment of the tumor. After the radiation therapy the tumor was removed by endoscopy under general anesthesia. Histopathological findings of the tumor showed no neoplastic lesion. We consider that radiotherapy was effective for this case. There was no recurrence of the tumor 10 months after the treatment.View full abstractDownload PDF (10226K) -
Nobuo Usui, Itsuo Hara, Kazuhiro Kawano, Hirotoshi Kanazawa, Kousei Ta ...1995 Volume 38 Issue 6 Pages 735-744
Published: December 15, 1995
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSWhen the results of all night sleep examination in patients with sleep apnea syndrome (SAS) are examined, all 3 types of apnea, obstructive type, central type and mixed type, can be detected in each patient. Therefore, when classifying the apnea type in SAS patients, generally, one apnea type that is detected more than 50% is used for classification. However, when the shift in apnea type is examined before and after surgery, there are some patients who change their apnea type from the obstructive type to the central type or mixed type, or from the mixed type to the central type or obstructive type. In this study, how the shift in apnea components before and after uvulopalatopharyngoplasty (UPPP) could cause a shift in the apnea type of OSAS patients, and whether or not UPPP could cure OSAS, were examined. Results showed that the reason for the shift in apnea type before and after surgery was that the level of obstructive type apnea component significantly decreased after surgery, and that the shift in apnea type was not caused by a shift in the pathology of OSAS.View full abstractDownload PDF (1185K) -
Jin Okubo, Mari Yamada, Hitoshi Hentona, Hideji Okuno1995 Volume 38 Issue 6 Pages 745-753
Published: December 15, 1995
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSWe measured the partial gas pressure in the middle ear cavity (MEC) of 34 ears with otitis media with effusion (OME) by the mass spectrometry, whose results of tympanometry were consistent with types B and C. The 34 ears consisted of 11 ears immediately after incision on the tympanic membrane (TM) and 23 ears improved by insersion of the tympanostomy tube.
We also recorded changes in pressure in the MEC, using a pressure measurement apparatus coupled with an otoscope, after incision of the TM in 9 cases of type B and 6 cases of type C with OME. When the MEC of these patients were opened up by TM incision or insertion of the tympanostomy tube, pressure in the cavity increased to above atomospheric pressure.
Based on our understanding of the physiology of ventilation in the bodily cavities in general, we found that ventilation of the MEC, though destroyed by the disease process, was temporarily restored by TM incision or insersion of the tympanostomy tube, and that the ventilation facilitated gas exchange across the mucosal membrane of the MEC to increase its capacity to ventilate.
In the MEC of patients with tympanometric type B and C, as CO2 gas dissolved into the exudate covering the MEC, the internal pressure became negative and HCO3 ions in the exudate increased. We suggest that this increase in HCO3in the exudate interferes with the function of the mucosal membrane to produce gas and results in structural changes.
With TM incision or insersion tympanostomy tube, we may be able to resume ventilation of the MEC through the external auditory canal and the impaled TM.
However, we believe that OME with a functional impairment of the auditory tube may be resistent to these treatment modalities and may be better treated using alternative measures to improve the function of the auditory tube.View full abstractDownload PDF (1237K) -
[in Japanese]1995 Volume 38 Issue 6 Pages 754-761
Published: December 15, 1995
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSDownload PDF (985K) -
[in Japanese], [in Japanese]1995 Volume 38 Issue 6 Pages 762-768
Published: December 15, 1995
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSDownload PDF (906K) -
[in Japanese]1995 Volume 38 Issue 6 Pages 769-784
Published: December 15, 1995
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSDownload PDF (2407K) -
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...1995 Volume 38 Issue 6 Pages 785-799
Published: December 15, 1995
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESS -
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...1995 Volume 38 Issue 6 Pages 800-817
Published: December 15, 1995
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSDownload PDF (1777K)
- |<
- <
- 1
- >
- >|