JIBI INKOKA TEMBO
Online ISSN : 1883-6429
Print ISSN : 0386-9687
ISSN-L : 0386-9687
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Volume 52, Issue 2
Displaying 1-31 of 31 articles from this issue
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FEATURE ARTICLE
  • ENDOSCOPIC REVISION SURGERY FOR CHRONIC SINUSITIS
    Shinichi Haruma
    2009 Volume 52 Issue 2 Pages 64-72
    Published: 2009
    Released on J-STAGE: March 18, 2010
    DOIhttps://doi.org/10.11453/orltokyo.52.64
    JOURNAL FREE ACCESS
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    As a keypoint to perform revision surgery for chronic sinusitis, mental state of patients, morphological changes of nasal and paranasal cavities and pathological condition are described. As for the reoperation, there is difficulty of surgery contents in itself having much more etiology of both patients side and medical side than those of primary operation. By progress of an imaging diagnosis, medical devices such as the endoscope and navigation system, and investigation of the pathological conditions, the revision surgery is performed precisely and safely, and the quality of the patients could be thought to be improved.
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RESEARCH
  • INORGANIC CHEMICAL STUDY OF BUROW'S SOLUTION
    Hitoshi Enomoto
    2009 Volume 52 Issue 2 Pages 73-79
    Published: 2009
    Released on J-STAGE: March 18, 2010
    DOIhttps://doi.org/10.11453/orltokyo.52.73
    JOURNAL FREE ACCESS
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    Analysis of a dried residue of Burow's solution revealed that it was composed of aluminum acetate and calcium sulfate. Another study of Burow's solution using the disk method applied for bacterial sensitivity tests showed an extract at the center of the inhibition zone, which was revealed by polarizing microscopy to be made up of aluminum acetate and calcium sulfate. The educts in the inhibition zone appeared to be a combination of aluminum acetate and calcium sulfate.
    The non-educt area appeared to be the result of the antibacterial effect of excessive acetic acid only.
    If this result can be applied in vivo, the potent antibacterial effect of Burow's solution can be considered to be a result of the combined effect of aluminum acetate and excessive acetic acid. The nebulous substance in Burow's solution was shown to be aluminum hydroxide.
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ORIGINAL PAPERS
  • BACTERIOLOGICAL AND CLINICAL EVALUATION OF AZITHROMYCIN FOR REFRACTORY SINUSITIS IN CHILDREN
    Naoya Miyamoto, Motohiko Suzuki, Shingo Murakami
    2009 Volume 52 Issue 2 Pages 80-85
    Published: 2009
    Released on J-STAGE: March 18, 2010
    DOIhttps://doi.org/10.11453/orltokyo.52.80
    JOURNAL FREE ACCESS
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    A bacteriological and clinical study was carried out of azithromycin (AZM) for refractory sinusitis.
    AZM was administrated to patients with sinusitis that was refractory to treatment with cefcapene pivoxil (CFPN-PI) or cefditoren pivoxil (CDTR-PI).
    The clinical efficacy rate was 68.3% and the bacterial efficacy was excellent in cases with H. influenzae infection.
    Thus, AZM is considered as a useful antibiotic for the treatment of refractory sinusitis in children.
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  • ENDOSCOPIC REMOVAL OF A DENTIGEROUS CYST OCCUPYING THE LEFT MAXILLARY SINUS
    Masato Nagaoka, Daiya Asaka, Nobuyoshi Otori
    2009 Volume 52 Issue 2 Pages 86-90
    Published: 2009
    Released on J-STAGE: March 18, 2010
    DOIhttps://doi.org/10.11453/orltokyo.52.86
    JOURNAL FREE ACCESS
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    We encountered a case of dentigerous cyst occupying the left maxillary sinus. The patient was a 46-year-old female who consulted the clinic with the chief complaint of left cheek pain. CT revealed a dentigerous cyst in the left maxillary sinus. The cyst was removed and the tooth extracted transnasally with the help of an endoscope. This case was exceptional, because the tooth was removed transnasally rather than via the more common approach used for procedures such as the Caldwell-Luc procedure. Until now, five months since the operation, the patient has shown no evidence of recurrence. However, careful and continuous observation on an outpatient basis will be required.
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  • A CASE OF A SCHWANNOMA OF THE CERVICAL ACCESSORY NERVE
    Tetsuya Monden, Tomoaki Mori, Tomohiro Ono, Ayako Furuya, Toshikazu Sh ...
    2009 Volume 52 Issue 2 Pages 91-95
    Published: 2009
    Released on J-STAGE: March 18, 2010
    DOIhttps://doi.org/10.11453/orltokyo.52.91
    JOURNAL FREE ACCESS
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    Sites of origin of accessory nerve-derived schwannomas can be roughly divided into the intracranial region, cervical spinal canal and cervical region. We report herein on a case of a schwannoma originating from the cervical accessory nerve, involving a 47-year-old woman who was admitted to our hospital with the chief complaint of a mass on the right side of her neck. In order to differentiate the schwannoma from other tumors, an operation was performed under general anesthesia. The tumor was located inside the right sternocleidomastoid muscle attached to the accessory nerve and contraction of the trapezius muscle was confirmed with a nerve stimulation device. Intercapsular removal was performed under a microscope, and as a result of prompt pathological examination, the tumor was identified as a benign schwannoma. Following surgery, impairment of shoulder lifting due to weakening of trapezius and sternocleidomastoid muscle was observed; however, the symptoms showed gradual improvement.
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