著者

高崎 賢治 江夏 薫 高橋 晴雄

出版者

Japan Rhinologic Society

雑誌

日本鼻科学会会誌 (ISSN:09109153)

巻号頁・発行日

vol.48, no.4, pp.378-384, 2009 (Released:2010-02-10)

参考文献数

12

被引用文献数

1

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We analyzed the results of a questionnaire on intranasal/peroral medication against nasal allergy given to subjects with seasonal allergic rhinitis treated by otorhinolaryngologists from January to May 2009. Valid responses were obtained from 273 patients (108 men and 165 women). Epinastine hydrochloride showed high drug compliance (93%) and satisfaction (76%). Many patients prefered peroral medication (61%) over internasal medication. Administration frequency for intranasal spray to treat nasal allergy varied from once (36%) to twice (36%) a day and others (28%). These results provided information useful to otorhinolaryngologist in devising better strategies in nasal allergy therapy.

著者

原 稔 高崎 賢治 江夏 薫 海江田 哲 隈上 秀高 小室 哲 高橋 晴雄

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.99, no.7, pp.555-559, 2006-07-01 (Released:2011-10-07)

参考文献数

10

被引用文献数

1

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We report three cases of isolated oculomotor nerve palsy caused by paranasal disease. All patients complained of double vision but showed no sign of brain aneurysm or diabetes mellitus. These patients had unilateral disturbance of ocular movement and ptosis, but there was no visual impairment on opthalmologic examination. In two cases, computed tomography (CT) demonstrated soft tissue density (STD) in the posterior ethmoid and sphenoid sinuses and also inside the ipsilateral anterior clinoid process (ACP) of the sphenoid bone. In the other case, CT and magnetic resonance imaging showed STD in the ethmoid sinus and pneumatization in the ACP. In all cases, a bony defect was identified at the inferior wall in ACP, adjacent to the superior orbital fissure. We performed endoscopic sphenoidectomy in two cases and conservatively treated the other case with steroid and antibiotics. In all three cases, ocular movement became normal approximately one month later. Since the oculomotor nerve coursed just under the pneumatized ACP in these cases, we speculated that compression and/or inflammation through the ACP might have induced oculomotor nerve palsy.