Pediatric Otorhinolaryngology Japan

Three cases of plastic bronchitis

Naoko Sakuma, Noboru Ogahara, Mamoru Tsukuda

2008 Volume 29 Issue 1 Pages 3-7
Published: 2008
Released on J-STAGE: September 24, 2012

DOIhttps://doi.org/10.11374/shonijibi1980.29.1_3

JOURNAL FREE ACCESS

Show abstractHide abstract

Plastic bronchitis is a condition in which mucous secretion from the bronchial tree forms bronchial casts and obstructs the bronchi. Patients with plastic bronchitis have respiratory failure that sometimes results in death.
This disease is reported to be associated with bronchopulmonary diseases, e. g., asthma, congenital heart disease and sickle-cell disease.
Here we report 3 children with obstructive bronchial casts. All patients required surgical treatment. Bronchoscopy should be performed as soon as possible after the discovery of bronchial casts.

View full abstract

Download PDF (1740K)
Intractable otitis media in infants

in-patient cases in 2006

Fumiyo Kudou, Yukiko Arimoto, Astuko Nakano

2008 Volume 29 Issue 1 Pages 8-12
Published: 2008
Released on J-STAGE: September 24, 2012

DOIhttps://doi.org/10.11374/shonijibi1980.29.1_8

JOURNAL FREE ACCESS

Show abstractHide abstract

In 2006, there were five patients with intractable and recurrent otitis media referred to us and admitted to hospital, which was fewer than in the previous year. The cases were clinically reviewed and the reasons for the decrease discussed.
The first reason for the reduction in in-patients with intractable otitis media was a decrease in the proportions of PRSP and PISP. The next reason was the more widespread use of the “Clinical practice guidelines for diagnosis and management of acute otitis media (AOM) in children. ” It was suggested that high-dose usage of antibiotics has been essential for success in the healing of AOM as recommended by the guidelines. We also considered that latently intractable patients, such as those with low immunoglobulin G2 (IgG2) or exposure to smoking in the home, had been referred selectively, resulting in hospitalization. These patients had several high risk factors. The last reason was that surgical therapy was employed for recurrent otitis media from 2005. We considered that placement of tympanostomy tubes could reduce the incidence of recurrent otitis media.

View full abstract

Download PDF (1168K)
Can public infant checkups at 1.5 and 3 years take advantage of early detection of children with developmental language disorders?

Shin Masuda, Yukie Niitsuma, Asami Yamada, Noriyuki Fukushima

2008 Volume 29 Issue 1 Pages 13-19
Published: 2008
Released on J-STAGE: September 24, 2012

DOIhttps://doi.org/10.11374/shonijibi1980.29.1_13

JOURNAL FREE ACCESS

Show abstractHide abstract

The present study verified the probability that public infant checkups at 1.5 and 3 years of age in Japan have the advantage of detecting children with developmental language disorders. The subjects comprised 148 preschoolers who visited our office for an examination. The current checkup system has limited efficacy for the early detection of children with developmental language disorders. If the “wait and see” option were changed to a recommendation for a diagnostic workup at the 3-year checkup, the number of children referred to otorhinolaryngological offices would be increased, and the age of the first visit for children needing speech therapy would be younger than at present.

View full abstract

Download PDF (1829K)
Usefulness of “The Guideline of Diagnosis and Management of Acute Otitis Media”

[in Japanese], [in Japanese]

2008 Volume 29 Issue 1 Pages 20-24
Published: 2008
Released on J-STAGE: September 24, 2012

DOIhttps://doi.org/10.11374/shonijibi1980.29.1_20

JOURNAL FREE ACCESS

Show abstractHide abstract

A rapid increase in penicillin resistance (Per) to Streptococcus pneumoniae (S. pneumoniae)and b lactamase-negative ampicillin-resistant strains of Heamophilus Influenzae (BLNAR) have recently been reported in Japan. Per to S. pneumoniae and BLNAR is the principal cause of recurrent AOM. In 2006, the Japanese Society of Otorhinolaryngology Subcommittee on the Management of Acute Otitis Media published “The Guidelines for the Diagnosis and Management of Acute Otitis Media”.
We investigated how many clinicians use these Guidelines and their evaluation of them. We received 149 responses from Otolaryngologists (n= 55) and Pediatricians (n=94) in Ishikawa Prefecture. Fifty-two percent of Pediatricians and 85% of Otolaryngologists were aware of these Guidelines and about half have used the Guidelines. About 60% of all doctors think that the Guidelines are worthy of practical use.

View full abstract

Download PDF (1897K)
A case of a congenital cholesteatoma in the round window fossa

Koichi Kure, Satoshi Naitou, Takayuki Ota, Kazuo Matsui

2008 Volume 29 Issue 1 Pages 25-28
Published: 2008
Released on J-STAGE: September 24, 2012

DOIhttps://doi.org/10.11374/shonijibi1980.29.1_25

JOURNAL FREE ACCESS

Show abstractHide abstract

We operated on a five-year-old boy for a congenital cholesteatoma in the canal wall. Treatment was performed by tympanoplasty with canal reconstruction using cymbal cartilage. Preoperative left ear hearing was 56.7 dB. The operative finding showed that this cholesteatoma had entered the round window fossa in the left ear. We removed a partial congenital promontory and extirpated a cholesteatoma. Postoperative left ear hearing was 36.7 dB. The boy's current post-operative course is satisfactory without evidence of recurrent disease.

View full abstract

Download PDF (1328K)
Nineteen-year experience of thyroid carcinoma in children

Naoki Shimizu, Katsunari Yane, Hideyuki Okamoto, Hiroshi Hosoi

2008 Volume 29 Issue 1 Pages 29-32
Published: 2008
Released on J-STAGE: September 24, 2012

DOIhttps://doi.org/10.11374/shonijibi1980.29.1_29

JOURNAL FREE ACCESS

Show abstractHide abstract

During the past 19 years,7 patients underwent operative intervention for thyroid carcinoma in our institution. The average age was 11.6 years ranging from 8 to 16 years. Papillary carcinoma was diagnosed in 6 cases and follicular carcinoma in one case. Cervical lymph node metastases were found in all patients. Temporary tracheotomy was necessary in two patients after total thyroidectomy. Lung metastases were observed in three patients and two of these underwent 131 Itherapy. It is reported that the prognosis of thyroid carcinoma is better for children compared with adults. However, behavior of the carcinoma is sometimes highly aggressive, so that appropriate diagnosis, the choice of surgical procedure and careful follow-up are important for each case.

View full abstract

Download PDF (1608K)
The effectiveness of speech audiometry in the diagnosis of functional hearing loss

Chihiro Morimoto, Tadashi Nishimura, Hiroshi Hosoi

2008 Volume 29 Issue 1 Pages 33-38
Published: 2008
Released on J-STAGE: September 24, 2012

DOIhttps://doi.org/10.11374/shonijibi1980.29.1_33

JOURNAL FREE ACCESS

Show abstractHide abstract

The effectiveness of speech audiometry in the diagnosis of functional hearing loss was reviewed in young patients. We examined the relation of pure-tone hearing to the speech recognition threshold (SRT) and the maximum speech discrimination score degree in 38 ears of 20 functionally deaf children examined at Nara Medical University Hospital during a three-year period. Moreover, characteristic responses to the speech discrimination test (SDT) were examined. In the comparison between pure-tone hearing and SRT, SRT was lower than pure-tone hearing in 74% of the cases examined. In the comparison between pure-tone hearing and the highest degree of distinctness, there were many children in whom the degree of distinctness was comparatively maintained, though even pure-tone hearing was poor. Based on these findings, patients with functional hearing loss tend to show better hearing in speech audiometry than in pure tone audiometry. It is thought that there are patients whose word sound hearing tends to be better than their pure sound hearing. In addition unnatural responses in speech audiometry also help to diagnose functional hearing loss.

View full abstract

Download PDF (1976K)
Two cases of the tracheal anomaly with difficult intubation

Koujin Kyou, Hiroyuki Mineta, Masayo Ueda, Maiko Hayashi

2008 Volume 29 Issue 1 Pages 39-43
Published: 2008
Released on J-STAGE: September 24, 2012

DOIhttps://doi.org/10.11374/shonijibi1980.29.1_39

JOURNAL FREE ACCESS

Show abstractHide abstract

Tracheal anomaly is a rare disease. It is difficult for the respiratory tract to be secured and this disease can be fatal due to aspiration pneumonia. We experienced two cases in whom intubation management was extremely difficult in a super low-birth-weight child due to premature birth. The birth weight was 820 g, and both underwent tracheal intubation immediately after birth. Due to repeated sudden aggravation of breathing during body movement, the treatment was dependent on otolaryngology. Case 1 was not able to ventilate on the 48th day. It was not possible to intubate the trachea with an endoscope despite attempts, and the patient died. As a result of a pathology dissection because of the inability to perform tracheal intubation, the case was diagnosed as tracheal agenesis. In Case 2, an endoscope was inserted in the upper 2-cm part of the divergence of the trachea. As a result of bronchoscopy, the case was diagnosed as bronchoesophageal fistula. An operation was performed 11 months after birth, and good progress has been achieved to date.

View full abstract

Download PDF (1644K)
Four cases of pharyngeal flap construction with tonsillectomy

Seiji Horibe, Kensei Naito, Tomoko Horibe, Masako Shimizu, Chikashi It ...

2008 Volume 29 Issue 1 Pages 44-49
Published: 2008
Released on J-STAGE: September 24, 2012

DOIhttps://doi.org/10.11374/shonijibi1980.29.1_44

JOURNAL FREE ACCESS

Show abstractHide abstract

Tonsillectomy is a suitable indication of palatine tonsil hypertrophy, although attention must be paid to the indication in cleft palate children after closure operation due to the possibility of postoperative velopharyngeal incompetence. On the other hand, pharyngeal flap construction is an appropriate indication of velopharyngeal incompetence, although attention must also be paid to the indication in palatine tonsil hypertrophy patients due to the possibility of obstructive sleep apnea after flap construction. We have performed pharyngeal flap construction in 30 velopharyngeal incompetent children in our department during the period between 1992 and 2006. We simultaneously performed both pharyngeal flap construction and tonsillectomy in four cleft palatine children after palatal closure operation with velopharyngeal competence accompanying prominent palatine tonsil hypertrophy among our 30 patients. These four cases have achieved a satisfactory postoperative course. However, care in deciding the indication of a combined constradictive operation in these cases is required to avoid the risk of the unsatisfactory outcome of both obstructive sleep apnea and velopharyngeal incompetence.

View full abstract

Download PDF (2276K)
Six case reports of children with a large vestibular aqueduct

Mieko Okunaka, Tomomi Nin, Waka Onishi, Masafumi Sakagami

2008 Volume 29 Issue 1 Pages 50-55
Published: 2008
Released on J-STAGE: September 24, 2012

DOIhttps://doi.org/10.11374/shonijibi1980.29.1_50

JOURNAL FREE ACCESS

Show abstractHide abstract

Large vestibular aqueduct syndrome is a distinct congenital inner ear anomaly characterized by a large aperture in the vestibular aqueduct. Among our outpatients with sensorineural hearing loss (SNHL) of unknown etiology in childhbod, evaluated between 1998 and 2006, six patients with large vestibular aqueduct are presented. Fluctuating SNHL was noted in 11 ears. Steroid hormone was effective in 8 ears. Progressive SNHL was observed in 7 ears for during the follow-up. The inner ear function in patients with a large vestibular aqueduct varies over a long time.

View full abstract

Download PDF (1716K)
Trends in otolaryngological diseases with out-of-hours ambulatory visits and reference calls at Saitama Children's Medical Center

Chiharu Hosoi, Hideaki Sakata, Nodoka Adachi

2008 Volume 29 Issue 1 Pages 56-61
Published: 2008
Released on J-STAGE: September 24, 2012

DOIhttps://doi.org/10.11374/shonijibi1980.29.1_56

JOURNAL FREE ACCESS

Show abstractHide abstract

Otorhinolaryngological disorders, such as tympanitis and nasal hemorrhage, are characterized as medical emergencies that often occur in children and require specialized knowledge for treatment. In this study, we investigated the status of telephone inquiries and responses related to otorhinolaryngological disorders requiring specialized knowledge. There were 81 telephone inquiries about otorhinolaryngological disorders between January and March 2006, which accounted for 8.5% of all inquiries. Among the inquiries, foreign bodies, injury, and nasal hemorrhage were the most frequently observed disorders. Nurses in the emergency outpatient department responded to the inquiries, in accordance with the telephone response manual of our hospital, and the avoidance ot emergency consultation amounted to 67.1%. Appropriate telephone responses based on adequate knowledge about the symptoms and characteristics of disorders and the evaluation of triage will reduce parental anxiety and provide support for coping, as well as enable out-of-hours treatment at night. This system is considered very important in reducing problems in the emergency medical treatment of children.

View full abstract

Download PDF (2047K)
[title in Japanese]

2008 Volume 29 Issue 1 Pages 62-70
Published: 2008
Released on J-STAGE: September 24, 2012

DOIhttps://doi.org/10.11374/shonijibi1980.29.1_62

JOURNAL FREE ACCESS

Download PDF (2055K)

Register with J-STAGE for free!