著者
河野 敏朗 石戸谷 淳一 遠藤 亮 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.100, no.11, pp.899-903, 2007-11-01 (Released:2011-10-07)
参考文献数
19
被引用文献数
1 1

We sometimes experience infant cases leading to unexpected deaths due to foreign bodies. It is often difficult to identify the cause or foreign body invasion by asking questions directly to a child. We experienced an infant case of a chopstick passing through the soft palate, reaching the parapharyngeal space near the inner carotid artery circumference. At the first medical examination, we could not detect the tip of the chopstick, in the pharynx. Using 3-directional-CT images, we could locate the tip of the chopstick in the parapharyngeal space near the inner carotid artery circumference. Under general anesthesia, we could remove the tip of the chopstick from the parapharyngeal space near the inner carotid artery with an endoscope trans-orally.It is important to investigate positional conditions between a foreign body and the vessels in the parapharyngeal space. Images such as enhancing 3-directional-CT before the operation is useful.Furthermore, we have to be careful of the late neurosis by pencil-injury in the region and pay close attention to respiratory tract management.
著者
平賀 幸弘 黄 淳一
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.106, no.4, pp.341-346, 2013 (Released:2013-04-01)
参考文献数
21

Anaplastic thyroid carcinoma is a rare and lethal human malignancy. In this paper, we report on a case of a 55-year-old man who had undergone radiation therapy on the cervical region for malignant lymphoma at 14 years of age, and had been consulting our hospital for 19 years. He underwent a left hemithyroidectomy for papillary thyroid carcinoma at the age of 35, and 11 years after that a total thyroidectomy was performed for cervical nodal disease. After the operation he underwent radioiodine therapy twice. Five years after radiotherapy, anaplastic carcinomas arose in the left cervix and the cranium. Soon after complete resections of the tumors, systemic metastases were detected with FDG-PET. Finally, 11 months after the operation, he died in our palliative care unit at the age of 55 due to frequent bleeding from a palatal carcinoma. A review of the literature showed that the age at which the tumor arose, namely the peak of the patient’s life, was earlier than was usually reported. The survival time of 11 months observed in our patient was more than that generally observed in patients with anaplastic carcinoma.
著者
篠原 尚吾 山本 悦生 田辺 牧人 辻 純 宗田 由紀 坂本 達則 金 泰秀 寺下 健洋
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.779-783, 1999-07-01 (Released:2011-11-04)
参考文献数
19
被引用文献数
2 1

Papillary microcarcinomas (PMCs) which are 1.0cm or less in diameter are a specific subgroup of thyroid cancer. As the prevalence of these tumors found in autopsy cases was reported to be 10 to 28.4% in Japan, the necessity of surgical treatment of PMCs has been questioned. However, PMCs are often found in conjunction with advanced metastases in cervical lymph nodes, lung, etc..We reviewed eight cases with PMCs revealed by the presence of cervical metastases over the past 10 years. Five cases were revealed by manifest cervical lymph node metastases. Two of the other three cases were operated on for treatment of metastatic lesions subsequent to other diagnoses, notably a parotid tumor and lateral cervical cyst. The PMCs were revealed in a postoperative histological study of these two cases. The remaining case was discovered incidentally during neck dissection for laryngeal cancer. Preoperative ultrasonography was undertaken in seven cases. Two cases showed multif ocal small high echoic spots without tumors and one case showed no abnormal findings in the thyroid.In all cases, total thyroidectomy, unilateral or bilateral neck dissection and postoperative radioiodine scintigraphy were performed. Multifocal tumors in the thyroid were proven histologically in four cases. In one case, the primary lesion was not found even in a postoperative histological study.In accordance with these observations, PMCs revealed by cervical metastases shoul be treated as advanced thyroid carcinomas.
著者
児嶋 剛 庄司 和彦 池上 聰 鈴木 慎二 岸本 曜 高橋 淳人
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.969-972, 2005-12-01 (Released:2011-10-07)
参考文献数
11

Most malignant thyroid nodules are surgically treated. This report reviews changes in size of malignant thyroid nodules; none of them received any medical and surgical treatment. Three hundred and three nodules were diagnosed as malignant using fine needle aspiration biopsy (FNAB) and ultrasonography from 1997 to 2003. In 17 patients (19 nodules), they were observed for more than 6 months. We examined the transition of their major axis by ultrasonography. Large nodules (>10mm) and nodules in younger patients (age<50) tend to increase in size. As compared with benign nodules, malignant nodules tend to increase in large nodules (>10mm).
著者
児嶋 剛 庄司 和彦 一色 信彦 中村 一博
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.1, pp.39-43, 2008-01-01 (Released:2011-10-07)
参考文献数
21
被引用文献数
1 1

We report a case of GID (gender identity disorder) of the female-to-male type, where her vocal pitch was lowered to her satisfaction by Thyroplasty type 3. The distress of GID patients derives from the contradiction between their sexual physical features and gender self-consciousness. As to the levels of distress and the means patients select to resolve the problems they face, individual variations are great. The present patient did not want either transsexual surgery or hormonal treatment, but merely her vocal pitch lowered. Thyroplasty type 3 successfully lowered her vocal pitch as desired without any complication. Surgical details and key points were described.
著者
高橋 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.73, no.8special, pp.1404-1421, 1980-08-20 (Released:2011-11-04)
参考文献数
70
著者
北尻 真一郎 田渕 圭作 平海 晴一
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.94, no.1, pp.17-20, 2001-01-01 (Released:2011-11-04)
参考文献数
19

A case of fracture of the stapes footplate with ossicular disruption and perilymph fistula caused by earpick-induced trauma is reported. A 51-year-old female was presented with hearing loss and vertigo just after sticking an ear pick into her left ear. Pure tone audiometry showed a mixed hearing loss of 67.5dB. Nystagmus was not observed, and vertigo improved in a week. On exploratory tympanotomy, the fracture of the stapes footplate accompanying a dislocation of the incudo-stapedial joint and perilymphatic leakage from the oval window were found. The perilymph fistula was sealed with temporal fascia, and ossicular chain continuity was reconstructed by type N tympanoplasty. After the operation, the cochlear and vestibular symptoms improved.
著者
国吉 京子 井上 幸 中島 誠 川野 通夫 澤田 正樹 一色 信彦
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.82, no.11, pp.1587-1592, 1989-11-01 (Released:2011-11-04)
参考文献数
20

In order to study the development of speech in infants with cleft palate, we investigated the development of consonant articulation in two cases (A, B) with cleft soft palate and in two cases (C, D) with cleft lip and palate before and after palatoplasty. We taperecorded their consonants in meaningful speech sounds and transcribed them.We made the following observations: (1) The frequency of consonants in meaningful speech sounds did not vary with the type of cleft or the timing of palatoplasty, and increased radically in the latter half of the second year and the first half of the third year. (2) Glottal stops occurred in the pre-palatoplasty periods but had almost disappeared three to ten months after palatoplasty in cases A, B, and C, whose velopharyngeal function was competent. (3) The speech sounds of these three cases were judged to be intelligible when the numbers of glottal stops decreased, the numbers of voiceless stops accounted for over 50% of all stops, and bilabial voiceless stops [p] appeared.
著者
赤城 光代 中島 博昭 岩沢 寛 竹山 勇 高井 憲治 神田 錬蔵
出版者
耳鼻咽喉科臨床学会
雑誌
耳鼻咽喉科臨床 補冊 (ISSN:09121870)
巻号頁・発行日
vol.1991, no.Supplement48, pp.167-170, 1991-10-25 (Released:2012-11-27)
参考文献数
6

We report a rare case of intraoral foreign bodies.A 61 year-old woman felt pain in the oral cavity immediately after eating fresh squid and visited our hospital.We diagnosed as intraorl foreign bodies on examinations, since many white spindle shaped foreign bodies were observed in her oral cavity. We removed these foreign bodies with perimucosal tissue using forceps. The microscopic examination revealed the foreign bodies were the sperm bulb of the fresh squid.We emphasized that fresh squid should be eaten with care.
著者
若島 純一 原渕 保明 山口 治浩 形浦 昭克
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.6, pp.693-697, 1997-06-01 (Released:2011-11-04)
参考文献数
14

Ulcerative colitis is an idiopathic, non-specific inflammatory disorder of the colon, and its etiology remains unknown. We present a case of ulcerative colitis in which clinical symptoms were remarkably improved by palatine tonsillectomy. The patient was diagnosed with severe ulcerative colitis and treated with internal medicine. When pharyngitis and aphthous stomatitis developed, his bowel symptoms worsened. A tonsillar provocation test was performed, and the result was positive. Moreover, bowel symptoms worsened after the tonsillar provocation test and the patient developed a sore throat and fever. Therefore, we suspected tonsillar focal infection and carried out palatine tonsillectomy. In the early postoperative period, bloody diarrhea recovered despite the interruption of sulfasalazopiridine and lymphocyte afferesis. In addition, recurrent pharyngitis and aphtous stomatitis were resolved entirely.
著者
梅田 悦生
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.100, no.6, pp.497-504, 2007-06-01 (Released:2011-10-07)
参考文献数
53

Infectious gastroenteritis caused by Norovirus which broke out in November 2006 has infected more than three million patients within a two-month periode. Their symptoms varied from severe diarrhea, vomiting and fever to digestive disorders due to a slight flu. The author, an otolaryngologist, has examined numerous flu patients who complain of various symptoms and always bears in mind that digestive disorders might result from Norovirus. Warnings of this kind are found in some clinical reports. The present paper suggests that otolaryngologists should be aware that their patients with flu symptoms might have gastroenteritis caused by Norovirus.
著者
家根 旦有
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.96, no.6, pp.486-487, 2003-06-01 (Released:2011-10-07)
参考文献数
2
著者
加藤 寛 田中 佐代子 由端 敏秀
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.6, pp.1367-1373, 1984-06-01 (Released:2011-11-04)
参考文献数
8

その主な周波数領域が1/3オクターブバンド400Hzから4kHzの胎内音を152名の新生児に聴かせ, その鎮静効果を観察した. そのうちの69名にABRを実施し胎内音の反応と比較した.その結果, 胎内音の鎮静効果とABRの反応とはよく一致した. 胎内音に反応の認められない高度難聴児2名が発見された.これらのことから, 本法は, 新生児聴覚スクリーニング検査として有用であるという確信を深めた.
著者
佐々木 優子 荒川 圭三 林 振堂 森 朗子 馬場 廣太郎 筏津 裕美
出版者
耳鼻咽喉科臨床学会
雑誌
耳鼻咽喉科臨床 補冊 (ISSN:09121870)
巻号頁・発行日
vol.1994, no.Supplement70, pp.94-99, 1994-04-20 (Released:2012-11-27)
参考文献数
25

We encountered two cases of otomyiasis. The first case involved left external auditory meatus myiasis due to Sarcophaga peregrina (Robineau-Desvoidy,1830) in a baby girly approximately two months old. The second case was right external auditory meatus myiasis due to Sarcophaga similis Meade,1876, in a six-year-old girl. Both cases occurred in September 1993.Previously myiasis was more common. Antimicrobial therapy and amelioration of public health has resulted in a decrease in the number of myiasis cases. Today, it is quite rare.Recently, twelve cases of genuine myiasis have been reported in Japan. We report two cases of otomyiasis.
著者
松岡 寿子 西岡 慶子 河北 賢哉 多田羅 尚登
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.12, pp.1329-1335, 1997-12-01 (Released:2011-11-04)
参考文献数
33

A 70-year-old male complaining of dizziness and hearing disturbances had sudden onset of meningitis and DIC. Target CT scans revealed latent petrositis with no clinical symptoms for six years. CT scans and MRI were found to be very useful in the early diagnosis of petrositis and the prediction of intracranial complications. This case suggested that asymptomatic petrositis with a high risk of intracranial complications is not rare in the recent antibiotic era. Twenty-three cases of petrositis reported in Japan from 1985 to 1995 were reviewed, and diagnostic and therapeutic problems were discussed.
著者
大八木 章博
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.83, no.2, pp.309-318, 1990-02-01 (Released:2011-11-04)
参考文献数
28

Autonomic innervations of the mucosa in the middle ear, Eustachian tube and pharynx were investigated by retrograde labelling of the autonomic ganglia with horseradish peroxidase (HRP). Of the sympathetic ganglia, the superior cervical ganglion (SCG), middle cervical ganglion (MCG) and stellate ganglion (StG) were examined, and of the parasympathetic ganglia, the pterygopalatine ganglion (PpG) and the otic ganglion (OtG) were examined.1. The sympathetic innervation of the middle ear mucosa was by fibers originating in the ipsilateral SCG, but not by those originating in the MCG or StG. The parasympathetic innervation was by fibers originating in the ipsilateral PpG, but not by those originating in the OtG.2. The sympathetic innervation of the Eustachian tube mucosa was by fibers originating in the ipsilateral SCG and MCG, but not by those from the StG; parasympathetic innervation was by fibers originating in the ipsilateral PpG, but not by those from the OtG.3. The epipharynx received sympathetic innervation from the ipsilateral SCG, but not from the MCG or StG. Its parasympathetic innervation was from the PpGs bilaterally, but not from the OtG.4. The sympathetic innervation of the mesopharynx was from the SCG, MCG and StG, but the parasympathetic supply was from neither the PpG nor the OtG. Sympathetic innervation was bilateral, but predominantly from the ipsilateral side.5. The hypopharynx resembled the mesopharynx, but had more innervation from the MCG and StG.
著者
平澤 一浩 大塚 康司 伊藤 博之 上田 百合 白井 杏湖 鈴木 衞 永井 義幸 加藤 紀和 櫻井 衛
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.107, no.7, pp.529-533, 2014 (Released:2014-07-01)
参考文献数
20

Intranasal steroids are widely used to treat olfactory disorder, and are known to have fewer side effects than systemic steroids. However, there are some reports that intranasal steroids have induced adrenal insufficiency, even when the steroid dosage is appropriate. We encountered a case of secondary adrenal insufficiency after using intranasal betamethasone for olfactory disorder within the usual dosage. In this case, we were not aware of instructing the patient not to swallow the steroid which had dripped into her pharynx. Thus, a large amount of steroids which had passed through her nasal cavity might have been absorbed in the oropharyngeal mucosa and also ingested. That is possibly the main cause of developing adrenal insufficiency. Recently, Toki-shakuyaku-san, a traditional Chinese medicine, has started to be used for olfactory disorder after a cold. Because of its minimum side effects, it may be safely used for patients with the risk associated with steroid use.