小児耳鼻咽喉科

第48回日本小児耳鼻咽喉科研究会主題

2003 年 24 巻 2 号 p. 3-26
発行日: 2003年
公開日: 2012/09/24

DOIhttps://doi.org/10.11374/shonijibi1980.24.2_3

ジャーナルフリー

PDF形式でダウンロード (5764K)
第48回日本小児耳鼻咽喉科研究会特別講演

2003 年 24 巻 2 号 p. 27-33
発行日: 2003年
公開日: 2012/09/24

DOIhttps://doi.org/10.11374/shonijibi1980.24.2_27

ジャーナルフリー

PDF形式でダウンロード (1867K)
就学前後に発見された軽度・中等度難聴児に関する検討

斎藤真純, 工藤典代, 有本友季子

2003 年 24 巻 2 号 p. 34-37
発行日: 2003年
公開日: 2012/09/24

DOIhttps://doi.org/10.11374/shonijibi1980.24.2_34

ジャーナルフリー

抄録を表示する抄録を非表示にする

The subjects were 13 children with a hearing deficit that had been missed until school age. Six children with mild hearing loss were not aware of their disease. Of the patients with moderate hearing loss, five children could not be diagnosed though their parents had been suspicious at an early stage. Delayed development of language was observed in 9 children, and the vocabulary of all the patients was poorer than the mean of normal children. Thus, it appears necessary to diagnose hearing loss in early childhood for the prevention of speech and language delay.

抄録全体を表示

PDF形式でダウンロード (950K)
就学時健診に言語聴覚士がかかわって

留守幸, 長嶋比奈美, 岸田早苗, 若尾佳代, 宇高二良

2003 年 24 巻 2 号 p. 38-41
発行日: 2003年
公開日: 2012/09/24

DOIhttps://doi.org/10.11374/shonijibi1980.24.2_38

ジャーナルフリー

抄録を表示する抄録を非表示にする

A medical examination for preschool-aged children is an important screening test to discover hearing, voice and speech disorders. It is the first opportunity chance for otolaryngologists to become involved directly in school health, but the purpose cannot be achieved sufficiently because of the limitations of time and technique. In the present study, an otolaryngologist conducted a medical examination with a speech-language-hearing therapist. The examination found that many children have a speech disorder. It has been found some of them are below average in development, their verbal IQ and performance IQ show estrangement and they do not merely have dyslalia.

抄録全体を表示

PDF形式でダウンロード (1240K)
人工内耳の電極入れ替え術を行った髄膜炎後聾症例

新谷朋子, 氷見徹夫, 岡崎聡子, 亀倉隆太, 北川可恵

2003 年 24 巻 2 号 p. 42-45
発行日: 2003年
公開日: 2012/09/24

DOIhttps://doi.org/10.11374/shonijibi1980.24.2_42

ジャーナルフリー

抄録を表示する抄録を非表示にする

We performed a cochlear implantation for a deafened 2 year old girl with ossified cochleae after meningitis. Ten electrodes were partially inserted using the Nucleus 22, but her hearing did not improve. One year later, re-implantation was performed using a total cochleostomy with the Nucleus 24M. She did not feel any sensation from electrical stimulation and did not display an NRT response.
She wore a cochlear implant and a hearing aid in both ears without a hearing response. After 12months, she responded to her name. After 2 years, her hearing level was at 30 dBHL. We concluded that continuous electrical stimulation was effective in improving her hearing.

抄録全体を表示

PDF形式でダウンロード (1311K)
重複障害幼児への金沢方式によるコミュニケーション指導

橋本かほる, 能登谷晶子, 荒舘宏, 津田明美, 古川仭

2003 年 24 巻 2 号 p. 46-49
発行日: 2003年
公開日: 2012/09/24

DOIhttps://doi.org/10.11374/shonijibi1980.24.2_46

ジャーナルフリー

抄録を表示する抄録を非表示にする

In this study, we investigated the applicability of the Kanazawa method and its efficiency for a child with multiple disabilities. We introduced language training for a child with hearing impairment, cerebral palsy, epilepsy and mental retardation from the age of 41 months. The child began to understand written language after 8 months. Immediate imitation of actions started after 12months. The number of words understandable by sign, written and auditory language became 46,37, and 12, respectively, after 15 months. The subject indicates that the Kanazawa method is effective even for children with mental retardation and disabilities in motion.

抄録全体を表示

PDF形式でダウンロード (1207K)
言語発達の遅れを主訴として最近2年間に当科を受診した乳幼児の検討

有本友季子, 工藤典代, 斎藤真純, 留守卓也

2003 年 24 巻 2 号 p. 50-53
発行日: 2003年
公開日: 2012/09/24

DOIhttps://doi.org/10.11374/shonijibi1980.24.2_50

ジャーナルフリー

抄録を表示する抄録を非表示にする

Eighty-two children, consisting of 60 males and 22 females who were suffering from language retardation, visited our department over the past two years and contributed to the study. The mean age of the children was 3 years and 3 months at the first consultation. Many of the children were referred to us by otolaryngologists who first found the impairment of language development. Around 88% of the children suffering from language retardation were affected by certain psychiatric problems such as mental retardation (fifty-four children,66%) and autism. Seven patients (9%) were affected by a considerable hearing deficit including five patients with severe hearing loss.

抄録全体を表示

PDF形式でダウンロード (1152K)
聴覚障害乳幼児における聴覚管理

-耳鼻咽喉科疾患の頻度-

小林智子, 能登谷晶子, 門田修治, 伊藤真人, 古川仭

2003 年 24 巻 2 号 p. 54-57
発行日: 2003年
公開日: 2012/09/24

DOIhttps://doi.org/10.11374/shonijibi1980.24.2_54

ジャーナルフリー

抄録を表示する抄録を非表示にする

This report concerns the frequency of medication and/or medical therapy for 18 infants with hearing-impairment who were treated at Kanazawa University Hospital. Our study assessed the frequency of otitis media with effusion (OME) and/or chronic sinusitis in hearing-impaired children between January and December 2002. All the subjects were using hearing aids. At each visit to our clinic, an ENT doctor checked their ears, nose and throat. The children's history was checked by ENT doctors for OME and/or sinusitis. In all the subjects, ENT disease was identified during the one-year period. Therefore, we stress the importance of otorhinolaryngologic after-care for hearingimpaired children.

抄録全体を表示

PDF形式でダウンロード (1196K)
大阪府における新生児聴覚スクリーニング体制の構築と当科における新生児聴覚スクリーニング後精密検査の現況

松本恭子, 佐野光仁, 岡田優

2003 年 24 巻 2 号 p. 58-62
発行日: 2003年
公開日: 2012/09/24

DOIhttps://doi.org/10.11374/shonijibi1980.24.2_58

ジャーナルフリー

抄録を表示する抄録を非表示にする

The newborn hearing screening test was introduced in 1999 in Japan. Subsequent to this test, our Department has also conducted a precise reexamination test. Accordingly,176 infants were examined in our Institute from 1999 to 2002. Of these,150 infants underwent the precise reexamination test and 26 did not as their parents refused the test. The results of the reexamination test showed that:
1 The number of candidates for the precise reexamination test has been increasing every year.
2 The number of infants who were examined by otoacoustic emission (OAE) outnumbered those examined by the automated auditory brainstem response (AABR).
3 These testing methods allowed a number of infants (n=31) with unilateral sensory neural deafness to be detected.
4 The accuracy of AABR testing was found to be higher as compared to that of OAE.
The newborn hearing screening test has become a routine examination in Osaka Prefecture and has proved to be an efficient universal screening test battery for the early detection of deafness in infants.

抄録全体を表示

PDF形式でダウンロード (1567K)
人工内耳装用児の教育について

マーシュロジャー・R, フィーリチャー

2003 年 24 巻 2 号 p. 63-73
発行日: 2003年
公開日: 2012/09/24

DOIhttps://doi.org/10.11374/shonijibi1980.24.2_63

ジャーナルフリー

抄録を表示する抄録を非表示にする

フィラデルフィア小児病院では,これまで大勢の先天聾の子どもたちに人工内耳による治療を行ってきました。現在までに約200人が人工内耳埋め込み手術を受け,その数は毎年35人ほど増加しています。当病院は,単に人工内耳手術を行うことだけではありません。その後に子どもたちが適切な教育を受けられるようにすることも,我々の大きな役割の一つです。そこで今回米国における,人工内耳手術を受けた小児の教育についてお話しします。
この話題に関しては私は専門家ではありませんが幸い,当病院の人工内耳治療チームのリチャード・フィー博士は難聴児の教育のエキスパートですので,今日の講演の内容について助けてもらうことができました。

抄録全体を表示

PDF形式でダウンロード (2507K)
呼吸器感染症とアレルギー性疾患

永山洋子

2003 年 24 巻 2 号 p. 74-82
発行日: 2003年
公開日: 2012/09/24

DOIhttps://doi.org/10.11374/shonijibi1980.24.2_74

ジャーナルフリー

PDF形式でダウンロード (2851K)
先天性骨性狭鼻症

-鼻腔狭窄と梨状口狭窄-

古賀慶次郎

2003 年 24 巻 2 号 p. 83-85
発行日: 2003年
公開日: 2012/09/24

DOIhttps://doi.org/10.11374/shonijibi1980.24.2_83

ジャーナルフリー

抄録を表示する抄録を非表示にする

We compared the nasal width and interorbital distance on plain radiographs taken using the Caldwell view. The nasal width never exceeded the interorbital distance in patients with stenosis of the entire nasal passage. Belenden measured the nasal width in patients with pyriform aperture stenosis and normal subjects on CT and recognized that it is markedly smaller in the former.
I postulate that if the Caldwell view is used, the nasal width also never exceeds the interorbital distance in pyriform aperture stenosis, based on Belenden's data. Therefore, the Caldwell view will be a useful routine examination in nasal dyspnea.
Pyriform aperture stenosis sometimes has two significant complications: a single central incisor and pituitary abnormalities. By contrast, it is unclear whether these two complications are present in stenosis of the entire nasal passage.

抄録全体を表示

PDF形式でダウンロード (883K)
診療メモ

2003 年 24 巻 2 号 p. 86-92
発行日: 2003年
公開日: 2012/09/24

DOIhttps://doi.org/10.11374/shonijibi1980.24.2_86

ジャーナルフリー

PDF形式でダウンロード (3197K)

J-STAGEへの登録はこちら（無料）