3 0 0 0 OA Clicking larynx例
- 著者
- 杉田 俊明 森 敏裕 稲木 匠子 丘村 煕
- 出版者
- 耳鼻咽喉科臨床学会
- 雑誌
- 耳鼻咽喉科臨床 (ISSN:00326313)
- 巻号頁・発行日
- vol.85, no.2, pp.261-266, 1992-02-01 (Released:2011-11-04)
- 参考文献数
- 5
- 被引用文献数
- 2 1
The authors describe a case of clicking larynx, which is characterized by a clicking sound and pain in the neck on swallowing. A 58-year-old woman complained of pain and clicking on both sides of her neck on swallowing. Examination and fluoroscopy showed that on swallowing, the thyroid cartilage entered between the greater hyoid cornua. The thyroid cartilage and hyoid bone were locked together until they reached the end of their downward course, when the sterno-thyroid muscle contracted strongly to separate the locked structures. At the moment of this separation, a click was produced. Both superior cornua of the thyroid cartilage were surgically removed, and the click and pain on swallowing disappeared.
1 0 0 0 OA 固形造影剤の試作とその嚥下動態
1 0 0 0 OA 口蓋・中咽頭・舌切除術後の嚥下および構音機能
- 著者
- 兵頭 政光 小林 丈二 山形 和彦 森 敏裕
- 出版者
- Japan Society for Head and Neck Cancer
- 雑誌
- 頭頸部腫瘍 (ISSN:09114335)
- 巻号頁・発行日
- vol.27, no.3, pp.671-677, 2001-11-25 (Released:2010-04-30)
- 参考文献数
- 14
- 被引用文献数
- 1
口腔および中咽頭癌切除再建後の嚥下および構音機能に関し、嚥下圧検査および発語明瞭度から検討を行った。嚥下圧は口蓋切除後には軟口蓋圧がわずかに低下したが、義顎を装用することでほぼ正常に回復した。中咽頭側壁切除では軟口蓋から中咽頭の圧が低下した。舌半側切除および亜全摘では、術後早期には正常の嚥下圧が得られる例が多かったが、経時的には術後の皮弁萎縮により嚥下圧が低下した。また、中咽頭と下咽頭での圧の同時発生や嚥下反射に先立つ口腔内の小刻みな舌運動を示す所見も認められたが、経過とともに改善傾向を示した。構音機能では口蓋切除後には発語明瞭度は著しく低下したが、口蓋欠損部を義顎により閉鎖すると改善した。中咽頭側壁切除後には軟口蓋音の障害が認められた。舌半側切除後には構音機能はあまり障害されないのに対し、亜全摘では声門音以外のすべての音の障害が高度であった。
1 0 0 0 OA 嚥下圧測定の臨床的意義
- 著者
- 森 敏裕 丘村 煕
- 出版者
- The Japan Broncho-esophagological Society
- 雑誌
- 日本気管食道科学会会報 (ISSN:00290645)
- 巻号頁・発行日
- vol.35, no.3, pp.241-249, 1984-06-10 (Released:2010-02-22)
- 参考文献数
- 32
- 被引用文献数
- 6 1
The measurement of swallowing pressure is one of the methods to analyze the swallowing mechanism, but it has not been utilized clinically yet. The purposes of this paper are to clarify practical problems of the measurement of swallowing pressure through a survey of literature and to evaluate a posssibility of utilizing it for clinical use. It was considered that an intraluminal miniature pressure transducer was more accurate in measuring swallowing pressure than an infused water-filled catheter. The measurement of swallowing pressure can be an useful diagnostic method for investigating swallowing mechanism at the pharyngeal and cervical esophageal regions, especially in combination with cine-fluorography.
1 0 0 0 OA 下位脳神経麻痺による咽頭期嚥下障害に対する機能改善手術の成績
- 著者
- 兵頭 政光 森 敏裕 河北 誠二 湯本 英二
- 出版者
- 日本喉頭科学会
- 雑誌
- 喉頭 (ISSN:09156127)
- 巻号頁・発行日
- vol.12, no.1, pp.31-35, 2000-06-01 (Released:2012-09-24)
- 参考文献数
- 14
- 被引用文献数
- 1
Oropharyngeal swallowing disorder results from the disruption of the integrated mechanism of deglutition. This disruption occurs when the lower cranial nerves have been paralyzed due to a cerebrovascular accident or by a skull base lesion. In this article, we postoperatively evaluated the outcomes of 26 patients who had undergone surgical intervention for severe dysphagia caused by lower cranial nerve deficits. The ages of the patients ranged from 22 to 79 years, with an average of 58 years. Etiology of dysphagia consisted of cerebrovascular accidents in 14 cases, skull base lesions in 7, parapharyngeal space lesions in 2, and others in 3. Twenty-one patients had been entirely dependent on tube feeding or intravenous hyperalimentation preoperatively. The series of surgical procedures included cricopharyngeal myotomy (CPM) in 10 cases, CPM with laryngeal suspension (LS) in 6, CPM with vocal fold medialization (VFM) in 3, CPM with both LS and VFM in 6, and VFM in 1. Twenty-three patients (88%) had success in postoperative swallowing function improvement, and oral food intake was restored. Although structured swallowing rehabilitation is mandatory for patients with pharyngeal swallowing disorders, surgical strategies should be considered as a choice of treatment for patients with prolonged pharyngeal swallowing dysfunction.