Pediatric Otorhinolaryngology Japan

[title in Japanese]

2007 Volume 28 Issue 3 Pages 163-168
Published: 2007
Released on J-STAGE: September 24, 2012

DOIhttps://doi.org/10.11374/shonijibi1980.28.3_163

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[title in Japanese]

2007 Volume 28 Issue 3 Pages 169-173
Published: 2007
Released on J-STAGE: September 24, 2012

DOIhttps://doi.org/10.11374/shonijibi1980.28.3_169

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[title in Japanese]

2007 Volume 28 Issue 3 Pages 174-179
Published: 2007
Released on J-STAGE: September 24, 2012

DOIhttps://doi.org/10.11374/shonijibi1980.28.3_174

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[title in Japanese]

2007 Volume 28 Issue 3 Pages 180-198
Published: 2007
Released on J-STAGE: September 24, 2012

DOIhttps://doi.org/10.11374/shonijibi1980.28.3_180

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[title in Japanese]

2007 Volume 28 Issue 3 Pages 199-222
Published: 2007
Released on J-STAGE: September 24, 2012

DOIhttps://doi.org/10.11374/shonijibi1980.28.3_199

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Two cases of atypical retropharyngeal abscess in Kawasaki disease

Nanae Iigaya, Noriko Morimoto, Nobuko Kawashiro, Tsutomu Matsumoto, Ke ...

2007 Volume 28 Issue 3 Pages 223-229
Published: 2007
Released on J-STAGE: September 24, 2012

DOIhttps://doi.org/10.11374/shonijibi1980.28.3_223

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Kawasaki disease is well known as an acute systematic inflammatory disease, which typically occurs in children at an age of ≤10 years. Numerous common head and neck manifestations are reported; however, retropharyngeal abscess is extremely rare. We reported two cases of Kawasaki disease with retropharyngeal abscess. Both cases (5-year old boy and 4-year old girl) showed cervical lymph node swelling, high fever, and retropharyngeal antibiotics-resistant abscess. Though no surgical intervention was performed for the retropharyngeal abscess, all the symptoms subsided after the administration of intravenous immunoglobulin and aspirin. When physicians encounter a case of antibiotics-resistant retropharyngeal abscess, they should rule out Kawasaki disease.

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A case of chronic mucocutaneous candidiasis

Takehide Imai, Fumiko Shindou, Masato Takase, Masatoshi Hida

2007 Volume 28 Issue 3 Pages 230-234
Published: 2007
Released on J-STAGE: September 24, 2012

DOIhttps://doi.org/10.11374/shonijibi1980.28.3_230

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Chronic mucocutaneous candidiasis is a primary immune deficiency syndromes, characterized by recurrent superficial Candida infection. We described a 1-year-old boy, who had recurrent stomatitis. His stomatitis did not improve with the orally administered anti-fungal drug, Amphotericin-B, so he was admitted to the hospital for treatment with the intravenous anti-fungal drug Micafungin sodium. Immunological examinations revealed positive lymphocyte stimulation test results using Candida antigen without delayed-type hypersensitivity reaction to Candida. The lgG2 subclass titer was below the lower limit of the normal range. Although he was managed by regular use of Amphotericin-B for prophylaxis, he had recurrence of stomatitis, and administration of the oral systemic antifungal drug, Fluconazole, was needed.

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A clinical study of vertigo in childhood

Hideaki Kouzaki, Jun Fukui, Takeshi Shimizu

2007 Volume 28 Issue 3 Pages 235-238
Published: 2007
Released on J-STAGE: September 24, 2012

DOIhttps://doi.org/10.11374/shonijibi1980.28.3_235

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A clinical study was carried out on patients with vertigo, dizziness and equilibrium disturbance in childhood who were examined at the Department of Otorhinolaryngology and the Department of Pediatrics of Shiga University of Medical Science during the past 10 years. The clinical analysis of the age composition, disease frequency and sexuality was conducted on about 98 cases aged 15years and under with equilibrium disturbance. Only 6 cases were young children aged 5 years and under and 3 of these were diagnosed as having central nervous system disturbances. The cases include 34 (34.7%) systemic diseases,27 (27.6%) otogenic diseases,12 (12.2%) central nervous system disturbances,9 (9.2%) psychological problems and 16 (16.3%) cases of unknown etiology. Orthostatic dysregulation was the most frequent disease in girls. Otogenic vertigo was the most frequent disease (32.9%: 27/82) seen in the Department of Otorhinolaryngology, and systemic disease disturbances were the most frequent (34.7%; 34/98) when combined with case that completed medical care under the the diagnosis only by the Department of Pediatrics.

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A case of fibrous dysplasia of the pediatric temporal bone

Koji Nishimura, Hiroaki Sato

2007 Volume 28 Issue 3 Pages 239-243
Published: 2007
Released on J-STAGE: September 24, 2012

DOIhttps://doi.org/10.11374/shonijibi1980.28.3_239

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Fibrous dysplasia is a benign bone disorder of unknown etiology characterized by progressive replacement of bone by abnormal proliferative fibrous tissue. We herein report a case of fibrous dysplasia involving the left temporal bone. A twelve-year-old female with left progressive hearing loss was referred to our hospital. Otoscopic examination revealed an obstructed left external auditory canal. CT showed the diffuse ground-glass appearance of the left temporal bone. We conducted meatoplasty and mastoidectomy under general anesthesia. The postoperative period was uneventful and air-bone gap has disappeared in two years and eight months.

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Investigation on eardrum evalution and clinical conditions of acute otitis media in Clinical Practice Guideline for Diagnosis and Management of Acute Otitis Media (AOM) in Children in Japan

Especially, in relation to the generation of fever

Yoshifumi Uno

2007 Volume 28 Issue 3 Pages 244-249
Published: 2007
Released on J-STAGE: September 24, 2012

DOIhttps://doi.org/10.11374/shonijibi1980.28.3_244

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We evaluated the effects of fever among the clinical symptoms included in the items of severity evaluation in the Guidelines for the Diagnosis and Treatment of Acute Otitis Media in Children on the severity grading and its correlation with the severity of tympanic membrane findings. The following results were obtained:
1) Whether or not the fever score was included in the severity evaluation did not significantly affect the grading based on the total, mean, or median severity score.
2) While the fever score affected the severity grading in patients with a total severity score of 12or 13, it had little effect on the severity grading of patients with moderate or mild otitis media. Consequently, the percentage of patients with moderate disease increased without the addition of the fever score.
3) The total score of tympanic membrane findings, which are considered to represent the essential pathology of acute otitis media, was not significantly correlated with the severity of fever. Therefore, fever is considered to be unrelated to the severity of acute otitis media.

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[title in Japanese]

2007 Volume 28 Issue 3 Pages 250-251
Published: 2007
Released on J-STAGE: September 24, 2012

DOIhttps://doi.org/10.11374/shonijibi1980.28.3_250

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