JIBI INKOKA TEMBO
Online ISSN : 1883-6429
Print ISSN : 0386-9687
ISSN-L : 0386-9687
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Volume 57, Issue 2
Displaying 1-9 of 9 articles from this issue
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FEATURE ARTICLE
ORIGINAL PAPERS
  • ANALYSIS OF SPEECH PERCEPTION OF COCHLEAR IMPLANT PATIENTS CAUSED BY CHRONIC OTITIS MEDIA
    Norie Imagawa, Tomokatsu Udagawa, Manabu Komori, Masahiro Rikitake, Yu ...
    2014 Volume 57 Issue 2 Pages 67-72
    Published: April 15, 2014
    Released on J-STAGE: April 15, 2015
    DOIhttps://doi.org/10.11453/orltokyo.57.67
    JOURNAL FREE ACCESS
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    　We studied the speech perception performance of patients who had undergone cochlear implantation with chronic otitis media. The study of consonant confusion demonstrated that: 1) Discrimination of voiceless consonants and voiced consonant was easy; 2) The highest monosyllable discrimination were voiced semivowel, nasal and voiceless plosive consonants; 3) A tendency was seen towards confusion between /b/ → /w/, /dz/ → /s/, /ʢ/ → /tʃ/, /h/ → /s/, /m/ → /n/. During rehabilitation sessions, discrimination exercises for these instances of consonant confusion were found useful for improving speech perception.
    　We hypothesized that speech perception increases in cochlear implant patient with chronic otitis media as idiopathic sudden sensorineural hearing loss decreases. The degeneration of the spiral ganglion cells in chronic otitis media is believed to be small. However, no difference in speech perception is seen in cases with chronic otitis media and idiopathic sudden sensorineural hearing loss.
    　Inner ear disorders caused by otitis media may also extend to the cochlear nerve in addition to the cochlear canal.
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  • EVALUATION OF PROPHYLACTIC TREATMENT OF JAPANESE CEDAR POLLINOSIS WITH MONTELUKAST IN 2012
    Masanori Yatomi, Koichi Kitamura, Masaaki Shimizu, Koji Otsuka, Mamoru ...
    2014 Volume 57 Issue 2 Pages 73-81
    Published: April 15, 2014
    Released on J-STAGE: April 15, 2015
    DOIhttps://doi.org/10.11453/orltokyo.57.73
    JOURNAL FREE ACCESS
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    　The number of patients with Japanese cedar pollinosis is increasing yearly. Prophylactic treatment with leukotriene receptor antagonist is recommended in the Practical Guidelines for the Management of Allergic Rhinitis in Japan (PG-MARJ). We evaluated the clinical prophylactic efficacy of montelukast in patients with Japanese cedar pollinosis in 2012.
    　The subjects consisted of 59 patients with cedar pollinosis treated at the Departments of Otolaryngology, Tokyo Medical University Hospital and Kosei Hospital, between January and April 2012. The prophylactic treatment group consisted of 36 patients who underwent prophylactic treatment with montelukast prior to cedar pollen scattering, and the after scattering treatment group consisted of 23 patients who underwent the treatment with montelukast after cedar pollen scattering. We evaluated the nasal and eye symptom scores and the daytime and nighttime nasal symptoms using symptom diaries. We also evaluated the daytime sleepiness score by the Japanese version of The Epworth Sleepiness Scale (JESS), and the patients' QOL score by the Japanese Rhinoconjunctivitis Quality of Life Questionnaire (JRQLQ).
    　The nasal, eye, daytime nasal, and nighttime nasal symptom scores and the JESS scores were well controlled in the prophylactic treatment group as compared with that in the after scattering treatment group. The differences in some of the scores were significant. These findings suggest that prophylactic treatment with montelukast contributes to improvement of the patients' symptoms and QOL during the pollen season in Japanese cedar pollinosis patients.
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  • A CASE OF MENINGEAL CARCINOMATOSIS PRESENTING WITH ACUTE SENSORINEURAL HEALING LOSS AS THE INITIAL SYMPTOM
    Sawako Minemura, Kouta Wada, Toshihito Suda, Chiaki Arai, Masato Nagao ...
    2014 Volume 57 Issue 2 Pages 82-86
    Published: April 15, 2014
    Released on J-STAGE: April 15, 2015
    DOIhttps://doi.org/10.11453/orltokyo.57.82
    JOURNAL FREE ACCESS
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    　Meningeal carcinomatosis is characterized by multifocal spread of tumor cells in the leptomeninges from distant solid tumors. It is a relatively rare form of intracranial metastasis.
    　It is easy to suspect meningeal carcinomatosis when a variety of neurological symptoms appear in patient with a known malignancy. The prognosis is very poor and often results in death after the onset of neurologic symptoms, usually in 1～2 months.
    　We encountered a case of meningeal carcinomatosis presenting with sensorineural hearing loss as the initial symptom. Further examinations revealed gastric cancer and tumor metastasis to the meninges.
    　We considered it important to report our experience in order to emphasize the need to include meningeal carcinomatosis in the differential diagnosis in patients presenting with sudden sensorineural hearing loss and refractory facial paralysis.
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  • A CASE OF MUCOSAL-DOMINANT PEMPHIGUS VULGARIS IN WHICH THE NIKOLSKY PHENOMENON ELICITED BY SUCTION CONTRIBUTED TO THE DIAGNOSIS
    Hisashi Kessoku, Akiko Umibe, Utaro Anazawa, Yasuhiro Tanaka
    2014 Volume 57 Issue 2 Pages 87-93
    Published: April 15, 2014
    Released on J-STAGE: April 15, 2015
    DOIhttps://doi.org/10.11453/orltokyo.57.87
    JOURNAL FREE ACCESS
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    　A 66-year-old woman with a 2-week history of sore throat that did not improve with a course of antibiotic treatment prescribed at a neighborhood clinic, visited our department. Examination revealed hemorrhagic erosions in the oral cavity, pharynx, larynx. We suspected mucosal erosions secondary to infection, and started the patient on injectable antibiotic treatment on an outpatient basis, however, the erosions remained persistent. Since antibody tests for various potentially causative viruses as well as bacterial culture tests were negative, the mucosal lesions were excluded as being caused by bacterial/viral infections. Since pemphigus was suspected based on the Nikolsky phenomenon being elicited by suction of the buccal mucosa, we obtained biopsy specimens from the lesions. Histopathology confirmed the presence of acantholysis, and immunostaining of the specimens revealed IgG deposition around the spinous cells. We further confirmed the diagnosis of mucosal-dominant pemphigus vulgaris based on blood test results that were negative for anti-desmoglein 1 antibody and positive for anti-desmoglein 3 antibody. Pemphigus vulgaris tends to present with oral mucosal lesions as the earliest symptom, although the diagnosis tends to be delayed in patients presenting with only oral involvement as compared with that in patients presenting with skin lesions. One of the reasons why the diagnosis of pemphigus vulgaris could be made relatively early in our case was that we were able to elicit the Nikolsky phenomenon by suctioning the buccal mucosa which seemed to be normal. Thus, attempts to elicit the Nikolsky phenomenon may be an important diagnostic tool for otolaryngologists faced with pemphigus vulgaris patients presenting in the early stage of the disease.
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