JIBI INKOKA TEMBO
Online ISSN : 1883-6429
Print ISSN : 0386-9687
ISSN-L : 0386-9687
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Volume 56, Issue 2
Displaying 1-8 of 8 articles from this issue
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ORIGINAL PAPERS
  • ENDOSCOPIC EXTRACTION OF A FOREIGN BODY (DENTAL IMPLANT) FROM THE MAXILLARY SINUS
    Kiminori Sato
    2013 Volume 56 Issue 2 Pages 54-58
    Published: April 15, 2013
    Released on J-STAGE: April 15, 2014
    DOIhttps://doi.org/10.11453/orltokyo.56.54
    JOURNAL FREE ACCESS
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    Recently, dental implant therapy has been routinely undertaken at many dental hospitals and institutions. Consequently, complications associated with dental implant treatment have also increased.
    We report a patient with sinusitis caused by a dental implant found as a foreign body in the maxillary sinus following dental implant placement and maxillary sinus augmentation surgery.
    Endoscopic sinus surgery is indicated and is the procedure of first choice for the extraction of a dental implant occurring as a foreign body in the maxillary sinus in patients with intractable odontogenic maxillary sinusitis caused by the dental implant.
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  • AVAILABILITY OF ENDOSCOPIC MODIFIED MEDIAL MAXILLECTOMY FOR MAXILLARY DENTIGEROUS CYST
    Mamoru Yoshikawa, Ken-ichi Yanagihara, Toshiki Kubota, Yoshiko Ishii, ...
    2013 Volume 56 Issue 2 Pages 59-64
    Published: April 15, 2013
    Released on J-STAGE: April 15, 2014
    DOIhttps://doi.org/10.11453/orltokyo.56.59
    JOURNAL FREE ACCESS
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    Dentigerous cyst is the second most commonly encountered among odontogenic cysts. However, maxillary dentigerous cysts are rare. Knowledge about the treatment of maxillary dentigerous cysts is important for otorhinolaryngologists, as patients with these cysts often present to the otorhinolaryngology department. For several decades, tumors involving the maxillary sinus were traditionally managed by the external approach, such as via a lateral rhinotomy. In recent years, transnasal endoscopic medial maxillectomy has been advocated by different authors to treat maxillary sinus tumors. Moreover, a novel procedure involving preservation of the nasolacrimal duct and inferior turbinate has been developed, called endoscopic modified medial maxillectomy. This time we performed endoscopic modified medial maxillectomy to treat maxillary dentigerous cyst, and have a benign course. Herein, we investigated the feasibility of performing endoscopic modified medial maxillectomy for the treatment of maxillary dentigerous cysts, and obtained a favorable course in all the treated patients. We concluded that endoscopic modified medial maxillectomy enables complete removal of a maxillary dentigerous cyst, and has the advantages of not necessitating external incision, being associated with a low morbidity rate, and allowing preservation of the nasal cavity. In conclusion, it is suggested that this endoscopic procedure for the removal of maxillary dentigerous cysts is effective to obtain a wide and straight access to the maxillary sinus.
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  • MANAGEMENT OF REM SLEEP BEHAVIOR DISORDER IN SNORE APNEA SPECIAL VISITORS IN THIS DEPARTMENT
    Nobuto Onda, Sachiko Oomae, Ryuichi Yoshida, Tsuneya Nakajima
    2013 Volume 56 Issue 2 Pages 65-70
    Published: April 15, 2013
    Released on J-STAGE: April 15, 2014
    DOIhttps://doi.org/10.11453/orltokyo.56.65
    JOURNAL FREE ACCESS
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    Sleep disorders, including REM sleep behavior disorder, are discussed by many mass media these days. An overview of sleep disorders, the specific conditions, precipitating factors, medical treatment of RBD, and also the relation to Parkinson's disease have been discussed. Individuals who worry about RBD after such broadcasts and consult our department have increased in number, therefore, methods to improve dispersal of information on these disorders need to be devised. In addition, in recent years, the relation between sleep disorders and neurodegenerative diseases, the so-called synucleinopathy, including RBD and Parkinson's disease has been talked about, and the involvement of departments of neurology or psychiatry will become important from now on. Management of RBD at this department is being discussed at this time.
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  • INTRATYMPANIC STEROID THERAPY FOR SUDDEN HEARING LOSS
    Manabu Komori, Masahiro Rikitake, Tomokatsu Udagawa, Yuika Sakurai, Hi ...
    2013 Volume 56 Issue 2 Pages 71-74
    Published: April 15, 2013
    Released on J-STAGE: April 15, 2014
    DOIhttps://doi.org/10.11453/orltokyo.56.71
    JOURNAL FREE ACCESS
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    Despite sudden hearing loss being a frequently encountered condition, the cause remains unknown. Intratympanic steroid therapy for this condition has been gradually recognized in Japan, but has not yet become popular. We report the results in patients treated by intratympanic steroid therapy.
    In total, complete cure was obtained in 31% of cases, and the treatment was effective to some degree in 48% of cases. In addition, in the salvage therapy, cure was obtained in 17% of cases, and the treatment was effective to some degree in 39% of cases. There were no cases of adverse events. The slower the start of treatment, the lower the cure rate.
    Our results suggest that intratympanic steroid therapy is useful for sudden hearing loss.
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  • A CASE OF HYPOGLOSSAL NERVE PALSY AFTER LARYNGOMICROSURGERY
    Nao Isaka, Ayako Masuda, Chieko Mitsuyama, Momoko Saitoh, Masanori Shi ...
    2013 Volume 56 Issue 2 Pages 75-78
    Published: April 15, 2013
    Released on J-STAGE: April 15, 2014
    DOIhttps://doi.org/10.11453/orltokyo.56.75
    JOURNAL FREE ACCESS
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    We encountered a case of hypoglossal nerve palsy after laryngomicrosurgery. The patient was a 56-year-old female who visited our hospital complaining of hoarseness, and was diagnosed as having a left vocal cord polyp. We performed LMS under general anesthesia, and laryngeal expansion under direct laryngoscopic guidance was found to be difficult. The patient complained of throat pain and swelling after surgery. On the first day after surgery, laryngoscopy revealed redness and hemorrhage under the left side of the tongue and limitation of tongue movement. We started treatment of the hypoglossal nerve palsy with steroids and vitamin B12, and the symptoms improved by 53 days postoperatively. It is considered that strong pressure to the tongue base exerted during intubation or laryngeal expansion during direct laryngoscopic examination caused swelling and hematoma, which in turn may have caused hypoglossal nerve palsy due to local circulatory failure. Thus, it is important to operate gently in difficult cases of requiring laryngeal expansion, which may cause circulatory failure by compression of the surrounding tissues, including the hypoglossal nerve. Other means of treatment may also be considered in cases of difficult laryngeal expansion.
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