著者

恩地 豊

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.73, no.12, pp.2117-2121, 1980-12-01 (Released:2011-11-04)

著者

甲斐 智朗 森田 一郎 臼井 信郎

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.92, no.3, pp.277-282, 1999-03-01 (Released:2011-11-04)

参考文献数

8

---

The efficacy of cryotherapy for pharyngeal pain after tonsillectomy was studied.The pain of 10 patients after tonsillectomy was controlled by the usual methods; i. e., neck icing, povidone iodine gargling, inhalation of aerosols containing antibiotics and corticosteroids, and administration of mefenamic acid syrup perorally (control group). In addition to these treatment methods, another 10 patients received shaved ice orally 30 minutes before each meal (ice group).The pharyngeal pain of each patient was scored 5 times a day by the 10 cm analog scale and the 4 grades of classification. Scoring occurred at waking, 10, 14, 18, and 21 o' clock. The amount of food each patient could eat was also recorded.The pain scores at waking were significantly reduced in the ice group on the 2nd and the 4th post-operative day (p < 0.05; Welch's t-test). The pain was the most severe at waking, diminished during the daytime, and was somewhat increased at night again in both groups (p < 0.05; one-way ANOVA). The patients in the ice group were advanced to more solid and more nutritive diets earlier than those in the control group.We concluded that pharyngeal cryotherapy after tonsillectomy was useful for pain control after tonsillectomy, and the analog scale was suitable for continual recording of the pain levels of patients.

著者

森園 哲夫

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.95, no.7, pp.663-669, 2002-07-01 (Released:2011-11-04)

参考文献数

61

被引用文献数

2 2

---

A literature review of the safety or ototoxicity of antimicrobials applied to the middle ear cavity was performed. Animal experiments indicated ototoxic effects of otic drops used for the treatment of suppurative otitis media as well as some antiseptic solutions used for preoperative sterilization for the middle ear surgery. Clinical experience indicated fewer adverse effects following the use of antimicrobials and antiseptics in the middle ear cavity, although scant but serious side effects have been reported in the literature. The discrepancy of animal experiment and clinical experience is due largely to the anatomical differences of the cochlea, the round window of rodents are very thin and exposed into the middle ear cavity, whereas that of humans is thick and situated deep in the niche, and often covered with a pseudomembrane.We evaluated the safety of recently marketed eardrops Ofloxacin (OFLX) and Fosfomycin sodium (FOM). Based on the lack of reduction of the compound action potential in guinea pigs, we concluded that there was no ototoxic effect using OFLX or FOM.Also, the ototoxic effect of a Povidone-Iodine preparation was studied. Full strength solution instilled into the middle ear cavity did not cause sensorineural hearing loss at the 24 hours, indicating that rinsing the middle ear cavity with saline during surgery should prevent ototoxic effects of this product.

著者

石川 浩男 尾股 丈夫

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.91, no.9, pp.899-904, 1998-09-01 (Released:2011-11-04)

参考文献数

17

被引用文献数

2 5

---

Between November 1985 and June 1997, 83 cases of foreign bodies in the external auditory canal were treated in our department. They represented 0.352% of the total number of outpatients during the same period. Forty-six of the cases were children under 10 years of age, which accounted for 55.4% of all cases. In total, there were 49 male patients and 34 female patients, including 46 right side cases, 36 left side cases and only one case affected on both sides. Biotic foreign bodies were seen in 20 cases mostly adults, with peak occurrence in July and August. Among nonbiotic foreign bodies, mineral foreign bodies were most numerous, and in 19 cases toy-globes were removed. In 50 of the cases mostly children foreign bodies had been inserted during play. A total of 27 cases were asymptomatic. At the time of removal, intravenous anesthesia with ketamine hydrochloride was very effective in keeping patients, especially children, quiet and still.

著者

戸田 行雄 竹山 勇 羽馬 晃

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.77, no.1, pp.3-10, 1984 (Released:2011-11-04)

参考文献数

26

---

Three male patients were found to have acute sensorineural hearing loss after exposure to rock and roll music. They were about 30 years old and complained of hearing impairment with tinnitus. Two patients had unilateral, severe, flat-type hearing impairment which did not improve, and one patient had bilateral, C5 dip type, mild hearing impairment which later improved.The clinical features of this disease were studied in 12 patients, including the three mentioned above.Most of the patients with hearing impairment and tinnitus were men in the third and fourth decades. They could be divided into two groups, one with unilateral, flat-type severe hearing impairment and a poor prognosis, and the other with bilateral C5 dip or C5C6 dip type, mild hearing impairment with a good prognosis.As for the cause, it is supposed that when people who, for some reason or other, have become highly susceptible to sound injury are exposed to loud noises such as sounds at rock concerts or in discotheques, the damage occurs.

著者

鈴木 幹男

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.112, no.10, pp.633-639, 2019

---

<p>Human papillomavirus (HPV) infection is frequently observed in the head and neck region and has become a common cause of oropharyngeal squamous cell carcinoma (OPSCC), although the detailed mechanism underlying the pathogenetic process from infection to carcinogenesis remains unclear. A new staging system has been proposed in the 8th edition of the American Joint Committee on Cancer (AJCC) Staging Manual, which reflects the HPV infection status in determining the clinical stage of OPSCC. The 8th edition of the AJCC Staging Manual adopted p16 immunohistochemistry as a surrogate marker of HPV infection. Although p16 immunoreactivity is a clear indicator of HPV-mediated OPSCC, the significance of p16 immunoreactivity in other head and neck cancers has yet to be confirmed. It is very important to employ polymerase chain reaction (PCR) assay for the detection of HPV infection, while using appropriate control conditions and ensuring adequate sample quality, to prevent false-negative as well as false-positive results. In addition, establishment of a risk classification system and less-invasive treatment protocol for HPV-mediated head and neck cancer is also necessary. </p><p>The low-risk types of HPV infection, namely, HPV-6 and -11, are observed in nearly all cases of recurrent laryngeal papilloma. Patients, especially children, suffer from laryngeal papilloma because of frequent recurrence and airway obstruction, although the rate of malignant transformation is low. Elucidation of the mechanism of recurrence is important to devise a new treatment protocol. </p>

著者

川堀 眞一 荒川 卓哉 田中 研 野中 聡

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.87, no.6, pp.809-815, 1994-06-01 (Released:2011-11-04)

参考文献数

16

---

The parapharyngeal region of one cadaver was dissected, and enhanced CT scans and T1 weighted MRI of three normal persons from the skull base to the hyoid bone were performed. Three-dimensional reconstruction of the parapharyngeal space was carried out on the basis of CT images. We examined the relationship between the parapharyngeal space which consisted mainly of fatty tissue and the surrounding structures. Our findings seem to be useful for the understanding of the shape and location of the parapharyngeal space and the clinical understanding of parapharyngeal space tumors. We discussed the differences between the parapharyngeal space and the carotid space with the 9th-12th cranial nerves, sympathetic chain, carotid artery and jugular vein.

著者

三吉 康郎 木島 一英

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.48, no.2, pp.95-99, 1955 (Released:2011-10-14)

参考文献数

15

著者

五十嵐 充 金地 明星 鈴木 慎二

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.90, no.9, pp.1053-1058, 1997-09-01 (Released:2011-11-04)

参考文献数

5

被引用文献数

2 2

---

We treated a 51-year-old female with von Recklinghausen's disease with a large neurinoma of the cervical vagus nerve.Her chief complaint was swelling of the right side of the neck. There were numerous cafe au lait spots and neurofibromas all over the body. CT and MRI imaging revealed a tumor that was so large that the common carotid artery was pushed aside towards the midline and the internal jugular vein could not be detected. Based on the diagnosis of a neurinoma or a neurofibroma of the cervical vagus nerve. Surgery was performed under general anesthesia. The tumor was found to originate from the vagus nerve. The tumor was resected together with the vagus nerve. The histopathological report was of a benign neurinoma. No adverse symptoms were observed postoperatively, except for hoarseness of the voice.There have only been 3 cases of neurofibromas, and 1 case of a neurinoma originating from the cervical vagus nerve in Von Recklinghausen's disease reported in Japan. We also discuss the pathological differences between a neurinoma and a neurofibroma.

著者

野村 研一郎 金谷 健史 唐崎 玲子 野中 聡 原渕 保明

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.97, no.5, pp.423-426, 2004-05-01 (Released:2011-10-07)

参考文献数

13

被引用文献数

2

---

We report a 25-year-old woman who complained of an increasing throat pain. Physical examination revealed that the mucosa of her oropharynx exhibited butterfly appearance and serological testing showed high RPR and TPHA titers. According to these findings, we diagnosed it as pharyngeal syphilis. After treatment with oral penicillin, the pharyngeal lesion was improved. Because of the increase in the commercial sexual activities, consultations for sexually transmitted diseases of the oropharynx are increasingly common.

著者

淺井 良三 松原 久之

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.31, no.3, pp.697-700_1, 1936

著者

重田 芙由子 山本 昌彦 吉田 友英 野村 俊之 高澤 玲緒 池宮城 慶寛

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.101, no.9, pp.679-683, 2008-09-01 (Released:2011-10-07)

参考文献数

17

被引用文献数

2

---

Otolaryngologists frequently encounter nasal foreign bodies, particularly among children. Button alkaline batteries are dangerous because they cause rapid tissue destruction on contact with moist tissue. We encountered a case in which a button alkaline battery was accidentally trapped in the nasal cavity, causing perforation of the nasal septum.

著者

一色 信彦 山本 ゆき子 前田 秀夫

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.92, no.1, pp.81-87, 1999-01-01 (Released:2011-11-04)

参考文献数

16

被引用文献数

1 4

---

A 40 year-old woman with adductor spasmodic dysphonia was successfully treated with type 2 thyroplasty, that aimed at lateralization of the vocal folds. Her voice had been characteristic of spasmodic dysphonia; strained, constricted and requiring effort. She had not responded to voice therapy.Under local anesthesia, the thyroid cartilage was incised at the midline and the incised edges were pulled apart to lateralize the vocal folds. A perforation was created at the anterior commissure to enhance the lateralization. The hole was closed with a free composite graft, and the incised thyroid alae were kept 4mm apart with silicone shims. A part of the sternohyoid muscle was shifted medially to cover the free graft for better survival and to block the space between the graft and the silicone shim to prevent infection.The postoperative course was uneventful, and the voice has been restored to normal, without any sign of recurrence as of 1 year postoperatively.The advantages of the technique include: 1. node privation of the physiological functions; 2. less likelihood of recurrence because no nerve regrowth is involved; and 3. revisionis simple in the unlikely event of recurrence (the silicone shimis replaced with a wider one).

著者

足守 直樹 釣田 美奈子 山元 理恵子 武林 悟 峯田 周幸

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.100, no.7, pp.569-574, 2007-07-01 (Released:2011-10-07)

参考文献数

9

被引用文献数

2

---

We retrospectively reviewed fine-needle aspiration biopsy diagnosis of malignant lymphoma to evaluate the diagnostic accuracy and pitfalls. Sixty-eight cases of malignant lymphoma and fifty-two cases of non malignant lymphoma evaluated by FNAB were identified between 1997 and 2004. Based on the original diagnosis, 41 (60%) cases had a positive diagnosis of malignant lymphoma, 21 (31%) had a suspicious diagnosis, and 6 (9%) had a false negative diagnosis. On histological examinations DLBCLs yielded a high positive diagnosis, whereas FL and HD had less positive diagnosis and there were also false negative cases. Fourteen (39%) lymphadenitis cases had a suspicious diagnosis and some cases were difficult to differentiate from malignant lymphoma. FNAB is considered a useful and efficient method of estimating malignant lymphoma but we should remain aware of the existence of false negative cases.

著者

沖津 卓二 草刈 潤 富岡 幸子 伊藤 和也

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.72, no.12, pp.1591-1597, 1979

被引用文献数

1

---

Auditory brainstem electric response (ABR) is generally recorded as the potential difference between the electrode on the ear lobe and on the vertex [Lobe-Vertex recording]. Among the five waves recorded the latency and the presence or absence or Wave I and V are particularly important factors.<br>The purpose of the present study was to obtain a clear appearance of Waves I and V even at the low intensity of sound by simultaneous performance of Lobe-Vertex and Membrane-Vertex recordings. As the tone stimulus is decreased toward the subjective threshold in Lobe-Vertex recording, each wave becomes smaller, and the waves, except for Wave V are frequently undetectable near the threshold.<br>On the other hand, in the recording of the potential difference between the electrodes on the posterior marginal portion of the tympanic membrane and on the vertex [Membrane-Vertex recording], Wave I is larger and Wave V smaller than that of Lobe-Vertex recording, and the clearly detectable Wave I can be obtained by the tone stimulus near the subjective threshold. Namely, the detectability of Wave I and V depends on the site of the recording electrode and there is no statistical difference between the two recording methods regarding latencies of the two waves.<br>Typical wave patterns recorded from three patients were demonstrated: two of acoustic tumor and the other of a C-P angle tumor.<br>In one patient with an acoustic tumor and the one with an C-P angle tumor, although no waves were detected in Lobe-Vertex recording, Wave I was clearly detected in Membrane-Vertex recording.<br>In the other patient with an acoustic tumor, Waves I and V were not so clearly detected in Love-Vertex recording, but in Membrane-Vertex recording, Waves I and V were clearly detected and the prolongation of the latency interval between Waves I and V could be measured.<br>From these results, it is suggested that the simultaneous Lobe-Vertex and Membrane-Vertex recording technique in ABR is most useful for the detection of cochlear nerve and the brainstem disorders.

著者

岡部 陽三 長山 郁生 三輪 高喜 宮永 路子 古川 仭

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.8, pp.1281-1284, 1992-08-01 (Released:2011-11-04)

参考文献数

10

---

A 62-year-old woman visited our hospital complaining of abnormal sensation in the pharynx. Physical examination revealed a pulsating mass on the right side of the posterior wall of the mesopharynx. CT and angiography confirmed that the internal carotid artery had an abnormal course and was compressing the pharyngeal wall.The clinical importance and etiology of tortuosity of the internal carotid artery are discussed.

著者

木村 忠司 村本 大輔 徳野 潔 村田 清高

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.98, no.6, pp.477-482, 2005-06-01

参考文献数

15

被引用文献数

3

著者

趙 沛英

出版者

The Society of Practical Otolaryngology

雑誌

耳鼻咽喉科臨床 (ISSN:00326313)

巻号頁・発行日

vol.77, no.3, pp.695-705, 1984

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In the cerebellopontine angle, there are several different types of brain tumors. Acoustic neurinoma, meningioma and epidermoid are seen most frequently. Clinically, the differential diagnosis of these three brain tumors is very important. In this report, we present diagnostic characteristics of these brain tumors in the cerebellopontine angle. Instead of reporting typical cases, we venture to present atypical examples of each brain tumor, which are usually difficult to differentiate. Neurotological criteria for differential diagnosis of these brain tumors are proposed, in order to clarify the differential diagnostic features.

著者

加地 美千子 中島 務

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.95, no.2, pp.131-134, 2002-02-01 (Released:2011-11-04)

参考文献数

7

---

It is well known that nystagmus appears even in normal people after drinking alcohol, and this is called positional alcohol nystagmus (PAN). However, there have been few reports in which actual nystagmus was recorded after drinking alcohol in patients with inner ear diseases. Here we report a patient who developed vertigo after drinking, which was recorded on an electronystagmogram during the alcohol loading test.

著者

大久保 仁 渡辺 勇 石川 紀彦 渋沢 三伸 石田 博義 大柿 徹 大木 幹文 羽成 敬一

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.78, no.4, pp.495-499, 1985

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The Eustachian tube opens and closes in response to swallowing movements. Sonotubometry records these opening and closing movements as changes in sound pressure. Moreover, it shows that the timing of the opening and closing of the Eustachian tube varies with the material swallowed (saliva, Barium, liquid, etc.) even in healthy adults. These differences effect the interpretation of the test results. We considered that the soft palate might have some relationship to nasal closure when the nasopharynx is closed in response to swallowing movements.<br>Since the contribution of the soft palate to nasopharyngeal closing can be estimated by observing pressure changes, its relationship to the tubal opening and closing time was examined by combining various swallowing movements with sonotubometry during Toynbee's maneuver. It was found that the incease in intranasal pressure during saliva swallowing was lower than that during liquid swallowing; however, its decrease was greater. This may indicate that the soft palate is moved more voluntarily during swallowing behavior which requires an increased negative pressure of the pharynx. It was further estimated that the movement of various muscular groups involved in the tubal opening may also be activated, ultimately providing more positive results sonotubometry.