著者
玉城 進 齋藤 春雄 村田 清高
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.74, no.4, pp.746-752, 1981
被引用文献数
2 3

A huge cholesteatoma in a 50-year-old female involving the petrous apex was reported. The prominent features of the case were recurrent attacks of very slowly progressing facial paralysis with a 11-year interval and insidious destruction of labyrinthine function.<br>The cholesteatoma extended into all the air cell tracts up to the petrous apex, and to the retro- and infralabyrinthine-areas.<br>The cholestoma destroyed the otic capsule at the crus commune and resolved the dura mater to such an extent that the cerebellum could be seen through it. As she had experienced acute otitis media on only one occasion at the age of 4 and only had a small dry attic perforation, the possibility of a congenital cholesteatoma of the petrous apex was considered in addition to her clinical course.
著者
石島 健 野々村 光栄 藤木 暢也
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.88, no.6, pp.739-742, 1995-06-01 (Released:2011-11-04)
参考文献数
12
被引用文献数
2 2 4

A patient with right exophthalmus due to exacerbation of relapsing sinusitis who had undergone bilateral radical paranasal sinus surgery in our hospital 6 months earlier visited us and was diagnosed with acquired immunodeficiency syndrome (AIDS) after many tests. The patient was a 36-year-old male who had consorted with prostitutes. Esophageal candiditis and tumors of the liver and the colon were found. Blood tests showed a reduction in lymphocytes, particularly in T-cells and an CD4/CD8 ratio of 0.2. HIV (human immunodeficiency virus) antibody titer was increased. Remission of exophthalmus came after therapy with steroids and antibiotics.
著者
中村 光士郎 松本 康 柳原 尚明
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.73, no.11, pp.1673-1678, 1980-11-01 (Released:2011-11-04)
参考文献数
19

Bilateral or recurrent facial palsies were found in 70 patients (3.8%) among the 1856 patients with facial palsy whom we treated during the last fifteen years. According to the clinical course, these 70 patients were classified into the following four groups.1) Bilateral simultaneous facial palsy (15 patients, 0.8%)2) Bilateral recurrent facial palsy (3 patients, 0.2%)3) Bilateral alternating facial palsy (24 patients, 1.3%)4) Unilateral recurrent facial palsy (28 patients, 1.5%)The bilateral simultaneous facial palsies were caused by Bell's palsy in five patients, head trauma in three, the Melkerson-Rosenthal syndrome in one, otitis media in two, myasthenia gravis in two, polyneuritis in two. The etiologies of four other patients were unknown. In contrast to multiple etiologies of the bilateral simultaneous facial palsies, bilateral alternating and recurrent palsies were caused mostly by Bell's palsy (22 patients) and the Melkerson-Rosenthal syndrome (3 patients). Although the majority of unilateral recurrent facial palsies were caused by Bell's palsy (22 cases) and the Melkerson-Rosenthal syndrome (2 cases), it is noteworthy that intratemporal tumors such as neurinoma of the facial nerve (1 patient) and cholesteatoma in the petrous apex (2 cases) could be the cause of recurrence.
著者
江暗 裕介 中井 義明 大橋 淑宏 金 朋郁
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.85, no.2, pp.227-231, 1992

A 35-year-old male patient visited our outpatient clinic with sudden onset of right ear fullness. Right tubal stenosis was considered to be responsible for his complaint. A roughsurfaced flat tumor was found close to the right Rosenmuller's fossa, and biopsy was performed immediately under fiberscopy. Whether his hearing loss was due to a conductive or sensorineural disturbance was not conclusively determined because the audiogram was complicated. The tumor was diagnosed histopathologically as not malignant but inflammatory, "epithelioid granulosis in the pharyngeal tonsil". Physical examinations did not support either sacoidosis or active tuberculosis. The final diagnosis, based on a retrospective study of his lesion, was old epipharyngeal tuberculosis and sudden deafness.
著者
長山 郁生
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.76, no.11special, pp.3136-3140, 1983-11-20 (Released:2011-11-04)
参考文献数
9

The body sway of patients in a position standing was recorded by a stabilometer. Each subject stood on a platform with feet together and looked straight ahead at a small spot on a wall 1.5m away. The test was done for 35 seconds with eyes open and another 35 seconds with eyes closed.The total distance of body sway and the shift of the center of the stabilogram were measured. The test was performed on normal subjects and patients with vestibular disorders.(1) In patients with vestibular disorders, the total distance of body sway was greater than in normal subjects, and its ratio with eyes closed and eyes open was larger than normal.(2) Normal subjects shifted forward with eyes closed, but the patients tended to shift backward.These two indicators, the total distance of body sway and the shift of the center of the stabilogram provide useful information in observing the clinical course of patients with vestibular disorders.
著者
村井 紀彦 佐藤 宏昭
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.7, pp.909-912, 1994-07-01 (Released:2011-11-04)
参考文献数
13
被引用文献数
1 5

A 42-year-old man was referred to our hospital because of left nasal obstruction. Anterior rhinoscopy disclosed a mass in the left nostril attached to the nasal septum. CT scanning showed a well-demarcated soft tissue density mass in the anterior part of the left nasal cavity. Biopsy revealed that the mass comprised spindle cells without atypia. Under local anesthesia the tumor was removed by the transnasal approach. The histopathological diagnosis was neurilemmoma.
著者
山根 英雄
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.98, no.12, pp.907-914, 2005-12-01 (Released:2011-10-07)
参考文献数
29

Surgery for congenital aural atresia is among the most difficult and challenging procedures for both ear surgeons and patients. Some previous reports have not recommended this type of surgery with confidence, because of the difficulty of the surgery itself and because postoperative hearing gain has not been as good as was expected, while postoperative complications such as middle ear infection sometimes occur. How then should the otolaryngologist approach this disease? When microtia coexists with aural atresia, the otolaryngologist sometimes hesitates to decide how to treat atresia because of excessive attention to microtia. The difficulty of atresia surgery should be considered apart from microtia because the microtia itself is not a crucial factor in such surgery. At present, it is hoped that otolaryngologists will develop several strategies such as reliable surgery with good postoperative hearing results without postoperative complications and new devices such as BAHA.
著者
瀧口 哲也 岡部 陽三 古川 仭 中川 士郎 大尾 嘉宏巳 道岸 隆敏 水上 勇治
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.85, no.4, pp.607-613, 1992
被引用文献数
1

A 57-year old man had a left anterior neck tumor, and another small tumor was found in the laryngeal ventricle by indirect laryngoscopy. A CT scan showed a well-circumscribed tumor growing from the thyroid lamina into the paraglottic space. Under general anesthesia the tumor was dissected with fenestration of the thyroid ala without any complications, such as hoarseness or deformity. In Japan 35 cases of cartilagenous tumors arising in the laryngeal cartilage have been reported, including our case. In six of these 35 cases the tumor was in the thyroid cartilage. Both chondrosarcoma and chondroma are often seen in the thyroid cartilage, whereas chondroma is seen more frequently than chondrosarcoma in the cricoid carilage.
著者
生井 明浩 池田 稔 吉川 拓磨 工藤 逸大 小野田 恵子 木田 亮紀
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.7, pp.801-804, 1999-07-01 (Released:2011-11-04)
参考文献数
10
被引用文献数
2 1

Polaprezinc is an anti-ulcerative drug that contains zinc. We used this drug for the treatment of 41 taste disorder patients (21 to 76 years). The rates of improvement were 80.0% in drug-induced, 100.0% in zinc deficient, and 62.5% in idiopathic taste disorders. The overall rate of improvement in all patients was 73.2% (30 cases). These results revealed that polaprezinc is useful for taste disorder patients lacking zinc.
著者
奥田 稔 深谷 卓 小林 恵子 伊藤 依子 調所 廣之 設楽 哲也 八尾 和雄 小川 浩司 橋口 一弘 佐伯 哲郎 山越 隆行 濱田 はつみ 川崎 和子 石井 豊太 鳥山 稔 増田 哲也 杉山 博 川端 五十鈴 川島 佳代子 八木 昌人 田部 浩生 岡村 浩一郎 木場 玲子 斉藤 晶 安藤 一郎 野村 恭也 吉見 健二郎 窪田 哲明 大谷 尚志 波多野 吟哉 竹山 勇 上杉 恵介 林崎 勝武 鈴木 淳一 澤木 誠司 石塚 洋一 古屋 信彦 安達 忠治 坂井 真 新川 敦 小林 良弘 佐藤 むつみ 山崎 充代 斎藤 洋三 舩坂 宗太郎 斉藤 啓光 石井 正則 浅井 和康 森山 寛 遠藤 朝彦 小林 毅 関 博之 林 成彦 石井 哲夫 窪田 市世 水谷 陽江 荒 牧元 大竹 守 北嶋 整 上田 範子 山口 宏也 牛嶋 達次郎 坊野 馨二 菊地 茂 佐橋 紀男 臼井 信郎 原 俊彰 宮川 晃一 田中 康夫 喜友名 朝盛 井上 庸夫 八木 聰明 大久保 公裕 服部 康夫 町野 満 大塚 博邦 稲葉 真 島田 早苗 添野 眞一 星 慎一 頼 徳成 大橋 和史 村山 貢司 飯塚 啓介 市川 朝也 冨田 寛 小山 明 山内 由紀 渡辺 健一 佐藤 かおる 山田 久美子 木田 亮紀 牧山 清 亀谷 隆一 藤田 洋祐 井上 鐵三 田村 悦代 野原 理 阿部 和也 水野 信一 岩崎 真一 小川 裕 加賀 達美
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.88, no.6, pp.797-816, 1995-06-01
被引用文献数
6 3

To evaluate the effectiveness, safety and utility of Emedastine difumarate (ED) in the treatment of Japanese cedar pollinosis, a multicentered, double-blind comparative study was performed in 290 patients in 1994.<br>Patients with Japanese cedar pollinosis were divided into two groups; the first group was treated with ED at a dose of 4mg/day starting two weeks before the season and continuing for the whole season. The second group was given an inactive placebo instead of ED during the pre-season and the early portion of the season and then replaced with ED during the later portion of the season.<br>As a result, the final improvement rate was significantly higher in the first group than that in the second group.<br>All subjective symptoms such as sneezing, nasal discharge, nasal obstruction and eye itching were suppressed due to ED treatment.<br>In conclusion, it was better to continuously administer ED to patients with pollinosis from the preseasonal period till the end of the season.<br>However, when the ED treatment was started in the midseason, the outcome was good, although less satisfactory than the outcome of continuous treatment given throughout the entire pollen season.
著者
市村 恵一 田中 利善 北原 伸郎
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.82, no.9, pp.1209-1219, 1989
被引用文献数
7 2

The masseter muscle, which contributes to mastication, originates on the zygomatic arch and inserts into the lateral surface of the mandible. Although relatively rare, benign masseteric hypertrophy and intramasseteric hemangioma are two important conditions affecting this muscle. Patients with these lesions complain of the cosmetic deformity rather than the functional disorder. Unless desired for cosmetic reasons there is little justification for any operative treatment. However, as no report could be found of the esthetic problem being solved by conservative treatment, surgical correction is advised when the chief complaint is esthetic.<br>Surgical treatment involves resection of the hypertrophied musculature or excision of the tumor with a surrounding margin of normal muscle. We list here the important aspects of surgery of the masseter.<br>1) Careful preoperative planning, including CT and MRI, is indispensable.<br>2) An extraoral approach is preferred in most cases. The masseter muscle is exposed through a curvilinear incision around the angle of the mandible for cosmetic reasons. A postauricular incision extending to the submandibular area is used instead of a routine preauricular parotid skin incision.<br>3) Care should be exercised to identify and preserve the lower branches of the facial nerve. They should either be dissected free and retracted (in case of tumor) or remain on the surface of the muscle (in cases of muscle hypertrophy) to protect them from damage.<br>4) Ligation of the feeding vessels helps to minimize blood loss.<br>5) Oozing from the muscle can be controlled by an infrared contact coagulator.<br>6) Postoperatively continuous suction with a fenestrated polyethylene drain for 2 days and a pressure dressing for 5- to 7-days is recommended to prevent hematoma and resultant scar formation, which causes swelling or trismus.<br>7) Patients should begin chewing early to prevent trismus.
著者
市村 恵一 田中 利善 北原 伸郎
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.82, no.9, pp.1209-1219, 1989-09-01 (Released:2011-11-04)
参考文献数
52
被引用文献数
2 2

The masseter muscle, which contributes to mastication, originates on the zygomatic arch and inserts into the lateral surface of the mandible. Although relatively rare, benign masseteric hypertrophy and intramasseteric hemangioma are two important conditions affecting this muscle. Patients with these lesions complain of the cosmetic deformity rather than the functional disorder. Unless desired for cosmetic reasons there is little justification for any operative treatment. However, as no report could be found of the esthetic problem being solved by conservative treatment, surgical correction is advised when the chief complaint is esthetic.Surgical treatment involves resection of the hypertrophied musculature or excision of the tumor with a surrounding margin of normal muscle. We list here the important aspects of surgery of the masseter.1) Careful preoperative planning, including CT and MRI, is indispensable.2) An extraoral approach is preferred in most cases. The masseter muscle is exposed through a curvilinear incision around the angle of the mandible for cosmetic reasons. A postauricular incision extending to the submandibular area is used instead of a routine preauricular parotid skin incision.3) Care should be exercised to identify and preserve the lower branches of the facial nerve. They should either be dissected free and retracted (in case of tumor) or remain on the surface of the muscle (in cases of muscle hypertrophy) to protect them from damage.4) Ligation of the feeding vessels helps to minimize blood loss.5) Oozing from the muscle can be controlled by an infrared contact coagulator.6) Postoperatively continuous suction with a fenestrated polyethylene drain for 2 days and a pressure dressing for 5- to 7-days is recommended to prevent hematoma and resultant scar formation, which causes swelling or trismus.7) Patients should begin chewing early to prevent trismus.
著者
由井 誠一郎 福喜多 啓三 福家 博史
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.74, no.5, pp.1312-1320, 1981
被引用文献数
12

Rhinogenic Intracranial infection is a rare complication. Intracranial complication arising from nasal infections, principally afflictions of the accessory sinuses, is a very grave complication. Since the advent of chemotherapy and various antibiotics, its incidence and morbidity has diminished appreciably.<br>A case of rhinogenic spontaneous Intracranial complication is reported herein. The patient was a 16-year-old man with a swelling around the left eye-lid that had existed for two days. There had been headache and high fever. On examination, the spinal fluid was under pressure with a high cell count, consisting mostly of poly-morphonuclear cells. Four days after admission, he went into coma. Rhinogenic intracranial complication was suspected. A radical ethmoid, antrum and frontal sinus surgery was immediately carried out. Ten grams of SB-PC and 200mg of DKB were administered daily, but 12 days after admission, the careful CT scanning revealed that he had a subdural abscess. Drainage of the subdural abscess was carried out. The patient made a complete recovery 7 weeks after admission.
著者
平野 滋 篠原 尚吾 庄司 和彦 児嶋 久剛
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.89, no.1, pp.75-80, 1996-01-01
被引用文献数
14

Intracapsular enucleation is thought to be a suitable method for preserving post-operative function of the original nerve following treatment for cervical neurilemmomas. In previous studies, however, post-operative palsy occurred in most cases and there have been seen several cases in which nerve funtions did not recover. In the present study, we performed a modified method of Intracapsular enucleation for two cervical neurilemmomas, the first case involved the facial nerve, the second the hypoglossal nerve. In these cases, post-operative palsy has not been observed since immediately after surgery. Important points in this procedure include (1) making the incision line at a point on the capsule where few nerve fibers exist, (2)ablating the capsule from the tumor as gently as possible, (3) monitoring nerve function using a nerve stimulator throughout the procedure.
著者
東辻 英郎 北村 溥之 齋藤 春雄 岸本 誠司 宮本 和雄
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.74, no.4, pp.698-705, 1981
被引用文献数
2

Sixteen patients with progressive bilateral perceptive deafness due to unknown causes were examined using various hearing tests and equilibrium tests with the following results.<br>1. Among the 11 patients examined 11 showed inner ear deafness and 3 showed inner ear deafness combined with retrocochlear one.<br>2. With reference to the appearance and progress of deafness, the deafness of this type was divided into the following two:<br>One was frequently observed in younger patients under twenty and was characterized by the tendency that bilateral deafness which appeared simultaneously and deteriorated equally, showed gradual, high-tone hearing loss. Thus, the hearing loss in these patients tended to be similar in pattern. i) between the first and the last examinations and ii) between the right and the left ears. Furthermore, the deafness of this type was rarely accompanied by vertiginous attacks.<br>The other was frequently found in older patients, of above twenty and was characterized by the tendency that deafness of both ears did not appear simultaneously and did not deteriorate equally. Furthermore, the deafness of this type was sometimes accompanied by vertiginous attacks in anamnesis.<br>3. Among the 16 patients examined, 4 showed fluctuating hearingloss. Furthermore, one of the 3 patients who underwent the glycerol test showed a positive sign. From the above mentioned findings the following conclusions were drawn:<br>(1) There may be differences between the 2 groups of patients, younger and older with regard to the etiological factors of the progressive bilateral perceptive deafness due to unknown causes, although both groups showed inner ear deafness. The deafness in the former group may be induced by congenital factors and may be regarded as a kind of premature presbyacusis. In contrast, the deafness in the later may be induced, at least partly, by acquired factors.<br>(2) Some patients showed findings suggestive of the existence of labyrinthine hydrops. These are valuable in considering the mechanism and treatment of the deafness of this type.
著者
三輪 高喜
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.103, no.12, pp.1073-1081, 2010-12-01

Remarkable progress has been made in basic research on the sense of smell during the last few decades. This progress has been accelerated by the discovery made by Axel and Buck of the genes that encode olfactory receptors. These rescarchers won the Nobel Prize in Physiology or Medicine in 2004. The detection and discrimination of odor molecules in humans is mediated by 388 olfactory receptors that are expressed on olfactory sensory neurons. A basic understanding of the mechanism of odor reception is crucial to an understanding of olfactory dysfunction. Olfactory disorders can be classified as quantitative or qualitative disorders. The former category includes the deterioration or total loss of olfactory sensation, while the latter category includes distortions of the sense of smell. Quantitative olfactory disorders can be classified by the area affected by the disease into four major groups: (1) sino-nasal, (2) olfactory mucosa, (3) olfactory fila, and (4) central pathway. Chronic rhinosinusitis, which is the most frequent cause of olfactory disorders, is caused by the conductive loss of odor molecules. The second most common cause is postviral olfactory disorders occurring after an upper respiratory tract infection. The prognosis for olfactory function in individuals affected by these causes is relatively good. However, olfactory loss caused by neural disorders, such as posttraumatic olfactory loss, has a poor prognosis. Dysosmia, or a distorted sense of smell, is mainly caused secondary to postviral or posttraumatic olfactory disorders. Dysosmia is classified as either parosmia or phantosmia. Parosomia occurs in patients who are unable to correctly identify odors, while phantosmia involves the smelling of odors that are not derived from any physical stimulus. The mechanism of dysosmia has been clarified by basic research on olfactory reception and conduction.<br>
著者
北原 糺 村田 潤子 小畠 小畠 奥村 新一 江崎 光彦
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.8, pp.845-849, 1998-08-01 (Released:2011-11-04)
参考文献数
11

In this paper, a very rare case of vasculo (angio)-Behcet's disease initiated with hoarseness due to inflammatory aortic aneurysm, is presented. A 35 year-old male with persistent hoarseness for half a month was revealed to have left recurrent laryngeal nerve palsy. Chest X-ray films showed slight enlargement of the aortic arch. CT demonstrated direct evidence of a saccular type aortic aneurysm at the branched area of the left subclavian artery. Aortic angiography demonstrated two additional aortic aneurysms at the right subclavian artery and in the lower abdominal area. The patient subsequently underwent emergency surgery for treatment of these aneurysms. The histopathological characteristics of the representative aortic aneurysmal lesions suggested a diagnosis of “vasculo-Behcet's disease”. Behcet's disease is usually characterized by oral and genital ulceration, folliculitis and uveitis. This patient, however, displayed no previous evidence of these symptoms. We would like to emphasize that some cases of left recurrent laryngeal nerve palsy require urgent management.
著者
近藤 律男 榎本 浩幸 田口 享秀 長原 太郎 佃 守
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.4, pp.309-313, 2005-04-01 (Released:2011-10-07)
参考文献数
21
被引用文献数
1

Behçet's Disease is a systemic disease characterized by mucosa, dermis and eye lesions. Otolaryngologists sometimes examine patients of this disease who complain of inveterate aphthae. Patients with Behçet's Disease often have histories of tonsillitis and many caries of the tooth. Based on these facts, streptococcus in the oral cavity is suspected to be closely related to this disease.We report a case of Behçet's Disease whose first symptom was acute tonsillitis.A 33-year-old male complaining of sore throat and elevated fever was referred to our hospital. Oral aphthae was seen and the bilateral palatine tonsils were swollen, reddish and coated with fur. We diagnosed acute tonsillitis and treated him with antibiotics. However, elevated fever, inflammation and oral aphthae were not remitted and a pudendal ulcer appeared. We suspected Behçet's Disease and consulted with doctors of internal medicine, dermatology and ophthalmology. Fourteen days after admission, folliculitis and arthritis appeared and finally he was diagnosed with incomplete type Behçet's Disease.This case suggests that tonsillitis is closely related with the appearance of Behçet's Disease. Furthermore, oral aphthae and tonsillitis are very important symptoms regarding Behçet's Disease, in patients with oral aphthae.