JIBI INKOKA TEMBO
Online ISSN : 1883-6429
Print ISSN : 0386-9687
ISSN-L : 0386-9687
Volume 43, Issue 2
Displaying 1-13 of 13 articles from this issue
  • [in Japanese]
    2000 Volume 43 Issue 2 Pages 94-95
    Published: April 15, 2000
    Released on J-STAGE: March 18, 2011
    JOURNAL FREE ACCESS
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  • [in Japanese]
    2000 Volume 43 Issue 2 Pages 96-105
    Published: April 15, 2000
    Released on J-STAGE: March 18, 2011
    JOURNAL FREE ACCESS
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  • Kiyoshi Yanagi, Toshiharu Tsukidate, Makoto Iida, Hiroshi Moriyama
    2000 Volume 43 Issue 2 Pages 106-110
    Published: April 15, 2000
    Released on J-STAGE: March 18, 2011
    JOURNAL FREE ACCESS
    Nowadays, the shaver system is used for endoscopic endonasal sinus surgery at many institutions, and its usefulness has been well documented. It has been reported that ESS by shaver system is both safe and accurate. However, many reports have not mentioned that shaver surgery is also a more effective method with respect to postoperative healing.Therefore, we would like to show you some cases we have observed in which the shaver system was a more effective method than forceps surgery. The first case is a recurrent polyp in the olfactory fissure after usual surgery. The second case is a recurrent polyp in the middle turbinate after usual surgery. The third case is a nodular thickening in the bilateral nasal septum with anosmia. The fourth is a case of recurrent allergic rhinitis after laser vaporization. Finally, the fifth case is a hemangioma at inferior concha. Shaver surgery was very effective for these cases because it was possible to remove only aspirated pathologihcal mucosa uniformity without exposing any bone.
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  • Harushiro Sato, Susumu Araki, Nobuhiro Suzuki, Taro Yamaguchi, Mamoru ...
    2000 Volume 43 Issue 2 Pages 111-118
    Published: April 15, 2000
    Released on J-STAGE: March 18, 2011
    JOURNAL FREE ACCESS
    Allergen specific IgE antibodies (s-IgE) to 6 inhaled allergens in the sera of 49 patients with allergic rhinitis were measured using AlaSTAT and CAP RAST. The results of the two methods were then compared.
    The s-IgE values obtained using AlaSTAT were higher than those obtained using CAP RAST. The positive and negative agreement for CAP RAST compared to AlaSTAT was 87.0% and 91.7%, respectively.
    The s-IgE levels of the standards in the AlaSTAT kit were measured using CAP RAST and found to be lower than the s-IgE levels marked on the labels of the standards. Thus, the higher AlaSTAT values were due to the low concentration of the AlaSTAT s-IgE standards.
    Nine out of 18 CAP negative/AlaSTAT positive (C-/A+) results were obtained for cat allergens-IgE. A RAST inhibition test was therefore performed on the C-/A+sera using AlaSTAT, with cat allergens and house dust mite extract as an inhibitor. The house dust mite extract was completely inhibited by the responses in the sera to the AlaSTAT cat allergens, but not by the cat allergen extract. These results suggest that the house dust mite allergen was contaminated with cat allergen in the AlaSTAT system.
    The responses of all sera with CAP positive/AlaSTAT negative (C+/A-) results were inhibited by the addition of the corresponding allergens to the solid phase allergen.
    These results suggest that the discrepancy in the results between these two s-IgE measurement kits was due to the calibration of standards and the quality of the allergen extracts and allergen raw materials used in the AlaSTAT kit.
    Our findings emphasize the need for standardized references and allergens in commercial s-IgE measurement kits.
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  • Tetsushi Okushi, Shintaro Chiba, Kiyoshi Yanagi, Mamoru Yoshikawa, Mas ...
    2000 Volume 43 Issue 2 Pages 119-126
    Published: April 15, 2000
    Released on J-STAGE: August 16, 2011
    JOURNAL FREE ACCESS
    Since 1998, our allergic rhinitis treatment method has been ultrasonically activated scalpel surgery on the bilateral inferior turbinates.
    June through August of 1999, ultrasonically activated scalpel surgery was performed clinically for 20 cases with refractory, perenial allergic rhinitis at the Department of Otolaryngology, Ohta General Hospital. The following results were obtained : Regarding short-term results (4 weeks after surgery), ultrasonically activated scalpel surgery was effective in 84% for nasal obstruction, 68% for nasal discharge, 53% for sneezing and 79% for nasal symptoms overall. Furthermore, rhinomanometry showed nasal resistance to be significantly reduced by ultrasonically activated scalpel surgery (P <0.01)
    From these results, we conclude that ultrasonically activated scalpel surgery is a useful for treatment for allergic rhinitis and one-day surgery.
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  • Kensaku Saneyoshi, Takeya Inaba, Masahiro Nakamura, Nobumasa Yamaguchi ...
    2000 Volume 43 Issue 2 Pages 127-130
    Published: April 15, 2000
    Released on J-STAGE: March 18, 2011
    JOURNAL FREE ACCESS
    We report a case of Merkel cell carcinoma that developed in the auricle. Histologically, the tumor exhibited a trabecular pattern extending from the upper layer of the dermis to the subcutaneous tissue. Immunohistologically, the tumor was positive for neuron specific enolase (NSE). Electron microscopy revealed the presence of dense core granules similar to Merkel cell granules in the tumor cells. The tumor was therefore diagnosed as Merkel cell carcinoma. The tumor was removed by total auriclectomy, and the tumor site and regional lymph nodes were irradiated to prevent recurrence. Postoperative progress has been satisfactory, with no local recurrence or metastasis detected after 2 years.
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  • Yu-ichro Yaguchi, Masanori Ishii, Hirohito Moriwaki, Yukio Hamada
    2000 Volume 43 Issue 2 Pages 131-135
    Published: April 15, 2000
    Released on J-STAGE: March 18, 2011
    JOURNAL FREE ACCESS
    Carcinosarcoma of the salivary gland is an extremely rare tumor. We recently encountered a patient with a carcinosarcoma originating in the submandibular gland. This paper reports our immunohistochemical findings for this case and includes a brief review of the published literature relating to this disease. The patient was a 76-year-old male Japanese with a chief complaint of swelling of the right submandibullar region. Thirty years earlier a swelling which was the size of the tip of the index finger was noted in this same right submandibullar region, but it was diagnosed as benign and left untreated. However, beginning from November of 1997 the patient noticed that the swelling was rapidly increasing in size, and he thus visited our department.A malignant tumor of a submandibullar gland was suspected, so the gland was excised and right radical neck dissection was also performed. The epithelial component was found to be a squamous cell carcinoma, while the sarcomatous component was a malignant fibrous histiocytoma (MFH). The tumor was there fore diagnosed as a carcinosarcoma of submandibullar gland origin. Carcinosarcoma is a malignant tumor with a poor prognosis, and in these cases broad surgical excision including the surrounding tissues and also radiation therapy are necessary.
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  • [in Japanese]
    2000 Volume 43 Issue 2 Pages 136-140
    Published: April 15, 2000
    Released on J-STAGE: March 18, 2011
    JOURNAL FREE ACCESS
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  • [in Japanese]
    2000 Volume 43 Issue 2 Pages 141-146
    Published: April 15, 2000
    Released on J-STAGE: March 18, 2011
    JOURNAL FREE ACCESS
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  • Hiroshi Kiyota, Jun Madarame, Takahiro Kimura, Shoichi Onodera, Yukihi ...
    2000 Volume 43 Issue 2 Pages 147-153
    Published: April 15, 2000
    Released on J-STAGE: March 18, 2011
    JOURNAL FREE ACCESS
    We reviewed the recent trend of sexually transmitted diseases (STD) in otorhinolaryngological field, which was pharyngeal infections of Neisseria gonorrhoeae and Chlamydia trachomatis. The number of the patients with N. gonorrhoeae and C. trachomatis in Japan transiently decreased from 1987 to 1995, however it has been increasing since 1996, because of asymptomatic spread in general public and pharyngeal colonization in commercial sex workers (CSW).
    The pharyngeal colonization in CSW is a possible resavoir of N. gonorrhoeae and C. trachomatis. Therefore, the nation-wide surveillance of these pharyngeal colonization should be carried out, in order to prevent the outbreak of STD. And we hope all otorhinolaryngologists will pay attention to these issues.
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  • [in Japanese]
    2000 Volume 43 Issue 2 Pages 154-157
    Published: April 15, 2000
    Released on J-STAGE: March 18, 2011
    JOURNAL FREE ACCESS
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  • [in Japanese], [in Japanese]
    2000 Volume 43 Issue 2 Pages 158-160
    Published: April 15, 2000
    Released on J-STAGE: March 18, 2011
    JOURNAL FREE ACCESS
    Download PDF (428K)
  • [in Japanese]
    2000 Volume 43 Issue 2 Pages 161-173
    Published: April 15, 2000
    Released on J-STAGE: March 18, 2011
    JOURNAL FREE ACCESS
    Download PDF (2552K)
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