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

3 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

八木 聰明 加我 君孝

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.2, pp.139-144, 1980 (Released:2011-11-04)

参考文献数

20

被引用文献数

3 3

---

神経耳科学的諸検査などから, 脳幹に広範囲な, かなり強い障害の存在が推測された, 変性疾患6症例のABRについて, 腫瘍例と対比し, 報告した.各症例のABR所見は, 各波潜時とI波, V波間潜明は正常範囲であり, 振幅にも大きな変化は認められなかった. このことから, 脊髄小脳変性症などの変性疾患では, 脳幹障害が神経耳科学的諸検査から十分に推測されても, その割に聴覚路は障害されにくく, ABRの異常は, あまり高率におこらないことが推測された.

著者

齋藤 秀樹

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.1995, no.Supplement76, pp.6-19, 1995-03-20 (Released:2012-11-27)

参考文献数

49

被引用文献数

4 5

---

Stands of Sugi, Cryptomeria japonica, and Hinoki, Chamaecyparis obtusa, produce 1014 pollen grains per ha per yr in a productive year and 1011-1012 grains in an unproductive one. Little year-toyear fluctuation in pollen production by stands of pioneer and secondary trees is evident, the maximum/minimum ratio within a stand being about 2. In comparison, alder stands produce 2-5×1013grains in both productive and unproductive years. Pollen production rates of Sugi stands increase with increasing age of the stand until 50 yr, showing a constant upper limit for several hundred years thereafter. With regard to year-to-year fluctuations in pollen production rates for Sugi stands, annual rates alternate from high to low every year. This rhythm may be interrupted by the accidental effects of unusually hot dry weather in late June and July. The amount of pollen dispersed into the air can be predicted from the number of male flower buds that fall before flowering in autumn and winter. Control of pollen production in forests by silvicultural techniques while paying attention to the environmental conservation of forests is considered extremely difficult.

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

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 6

---

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

入江 和美 飯野 ゆき子 水谷 俊美 宮澤 哲夫 寺島 邦男

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.89, no.10, pp.1201-1206, 1996-10-01 (Released:2011-11-04)

参考文献数

16

---

It is known that ear piercing can cause various complications such as infection, allergic contact dermatitis, granulation, dermoid cyst formation buried earring and so on. We describe a case of earlobe keloid caused by ear piercing. The patient, an 18-year-old female, visited our hospital complaining of a large tumor hanging from the left earlobe. The tumor was excised and a histological examination revealed keloid tissue with subcutaneous clusters of lymphocytes.An immunohistochemical study of the keloid tissue was performed using a polyclonal antibody against human IgG and IgE. Numerous IgE positive cells, presumably mast cells, were found below the epidermis, suggesting that the keloid was still active and still sensitized by some stimulation. The inflammatory response seemed to have contributed to formation of the large keloid.

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 2

---

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

安野 友博 芝野 忠夫 石川 秋津子

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.53, no.4, pp.366-369, 1960 (Released:2011-10-14)

参考文献数

10

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

石川 滋

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.10, pp.1337-1347, 1994-10-01 (Released:2011-11-04)

参考文献数

33

被引用文献数

9 5

---

Patulous eustachian tube (PET) is not an uncommon disease. Drugs are seldom used for PET treatment. The purpose of this study was not to evaluate the usefulness of the Chinese medicine “Kami-Kihi-To” for PET, but to call attention to the possibility of drug therapy for PET.The diagnosis of PET is made from its symptoms and abnormal tympanic membrane movement during hyperventilation detected with impedance audiometry.“Kami-Kihi-To” was administered to 88 patients, and 66 of whom questioned subjective symptoms, and 24 of whom were evaluated objectively by impedance audiometry. Complete relief was achieved in 36 patients (54.5%) treated with “Kami-Kihi-To”, and 14 patients (21.2%) obtained partial relief. There was objective evidence of complete improvement of tympanic membrane movement in eight patients (33.3%), and partial improvement in nine patients (37.5%). Side effect were noted in three patients (4.5%).These results suggest that drug therapy for PET is possible.

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

那須 隆 小池 修治 鈴木 豊 伊藤 吏 岡崎 慎一 野田 大介 青柳 優

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.9, pp.819-824, 2004-09-01 (Released:2011-10-07)

参考文献数

25

被引用文献数

6 4

---

A 1-year-and-1-month-old boy presented with a wooden foreign body in a right cervical lesion after falling down. The foreign body was the broken tip of a wooden chopstick which was penetrating into his neck. No foreign bodies were reliably detected by plain film. We then used helical CT for the diagnosis of the foreign body. A wooden foreign body, 2.2cm long and 2mm in diameter, like a rod, was shown embedded in his neck by reconstructing 3D images of helical CT. The wooden foreign body was removed through an incision of the neck under general anesthesia.In this case, helical CT was helpful in the diagnosis of a radiolucent wooden foreign body in a cervical lesion.

著者

児嶋 剛 堀 龍介 岡上 雄介 藤村 真太郎 奥山 英晃 北野 正之 庄司 和彦

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.109, no.11, pp.791-795, 2016 (Released:2016-11-01)

参考文献数

20

---

There have been reports of cases in which a clicking sound is produced in the neck region upon swallowing. It could occur because of elongation and thickening of the hyoid bone, resulting in its coming in contact with the cervical vertebrae during swallowing, or because of abutting of the thyroid cartilage against the hyoid bone, or even because of ossification of the space between the thyroid cartilage and the greater cornu of the hyoid bone. However, in all of these cases, the causes are different and also very rare. Herein, we report a case that we encountered in which a clicking sound was produced in the neck region because of both the thyroid bone and the hyoid bone coming in contact with the cervical vertebrae. The patient was a 57-year-old man. He visited our clinic, because one-year earlier, he had started to hear a sound when swallowing, which had progressively worsened. The abnormal sound was a click coming from the left neck region, and on CT, we observed elongation and hypertrophy of the left greater cornu of the hyoid bone. It was thought that the overgrowth of the hyoid bone was the principal cause, however, this could not be confirmed prior to the surgery. Surgery was performed under local anesthesia. First, the hypertrophic omohyoid muscle and sternohyoid muscle were cut, but the symptoms did not change. Upon cutting of the left greater cornu of the hyoid bone, which was thickened and slightly elongated, and came in contact the cervical vertebrae upon swallowing, the symptoms resolved somewhat. After cutting the superior cornu of the thyroid cartilage, which interfered with the cervical vertebrae upon swallowing, the symptoms disappeared altogether. This was an extremely rare case where the symptoms were caused by both the thyroid cartilage and the hyoid bone, however, appropriate treatment was given through surgery done under local anesthesia while the symptoms were concurrently assessed.

著者

藤原 啓次 酒井 章博 保富 宗城 山中 昇

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.7, pp.599-604, 2004-07-01 (Released:2011-10-07)

参考文献数

15

被引用文献数

2 3

---

We clinically studied the effectiveness of nasal nebulizer therapy with cefmenoxime hydrochloride (CMX) and nasal drops of povidone iodine for acute rhinosinusitis in children. We evaluated the results using the standard for new antibiotics of the Japanese Society of Chemotherapy. The subjects were 50 children with acute rhinosinusitis. By the standard for total evaluation, consisting of clinical and bacteriological study, the cure rate of the CMX nebulizer group was 68%, that of the group using nasal drops of povidone iodine was 23.1%, and that of the controls was 38.5%. The cure rate with nasal drops of povidone iodine was not higher than that with CMX nebulizer therapy. However, with the nasal drops of povidone iodine, in 2 of 3 cases, PISP (penicillin intermediately resistant S. pneumoniae) disappeared and in 2 of 2 cases, MRSA (methicillin-resistant S. aureus) disappeared. The nasal drops of povidone iodine were found to be effective for drug-resistant organisms such as PISP and MRSA.

著者

堀内 純一 郭 光武 崔 秀漢

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.38, no.6, pp.419-424, 1943-06-20 (Released:2011-10-14)

参考文献数

5

著者

本田 学

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.5special, pp.789-801, 1985 (Released:2011-11-04)

参考文献数

34

被引用文献数

2 2

---

The human tragus is bigger than that of other animals, and it overhangs the front of the entrance to the auditory canal. Thus, it is probable that the tragus is related to acoustic function of the external ear. Since no acoustic studies have been reported to date, the author examined the acoustic function of the tragus.The source of sond was a Function Generator (TECTRONICS FG 504), and the response curves were measured in a linear scale (the frequency range was from 0.1k to 10kHz). Sound pressure was measured by a very small condenser microphone (RION EU-22), which could be placed in the auditory canal. The data were averaged and analyzed by an Analyzing Recorder (YEW MODEL 3655).Included in this study were one subject with a tragus defects, ten subjects with normal ears, an external ear replica (KOKEN LM 7#1202), an auditory canal model (Plastic) and a tragus model (clay model).The results were as follows:1. The tragus increased the acoustic length of the auditory canal (by about 3mm), lowering the frequency of the canal resonance (about 200Hz).2. The tragus helped the acoustic function of the pinna, and it raised the acoustic response of 4k to 8kHz up to about 5 to 7dB.3. The tragus forms part of the horn shape of the external ear, and it causes the acoustic response of the horn under 8kHz to be a flat response.Therefore the acoustic function of the tragus in the human is of obvious importance to the function of the external ear.

著者

坂田 英治 大都 京子 志村 弘道 酒井 繁

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.79, no.12, pp.1999-2013, 1986-12-01 (Released:2011-11-04)

参考文献数

15

被引用文献数

1

---

In recent years some youngsters have been indulging in what is called thinner inhalation, posing a serious social problem.Organic solvents have also been widely used industrially as adhesives or degreasing and rinsing agents, generating a kind of occupational disease which has become a medical problem.Furthermore, some schoolchildren who refuse to go to school complaining of headache, head heaviness, blurred vision, diplopia, dizziness, or equilibrium disturbances, may actually have toluene toxicosis caused by the adhesive they use in constructing plastic models.The authors examined 35 such patients neurotologically and found some impairment in the cerebellar cortex, cerebellar nuclei, or efferent pathways. This report is presented to invite comments from other researchers.

著者

坂倉 淳

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.1989, no.Supplement29, pp.1-33, 1989-01-05 (Released:2012-11-27)

参考文献数

32

---

The vibration of the body wall during phonation was measured using accelerationtype pick-ups attached to five different points on the body wall. The voice was recorded simultaneously. The test subjects were 18 amateur singers. Each subject was asked to phonate five Japanese vowels /a/, /i/, /u/, /e/ and /o/ in both trained singing voice (trained voice) and untrained singing voice (untrained voice). This distinction was possible for all subjects after some practice.Spectral analysis of the body wall vibration was performed. The intensities of the vibration were also analysed with respect to the vibration proportion (VP), which is the ratio of the body wall vibration (G) to the sound pressure level. 'Singing formant'was found not only in the spectral structure of the voice sound but also in that of body wall vibration. The VP of the cheek was greatest with the trained head voice, but it was not so great during the production of trained chest voice. With the untrained voice, there was no difference in the VP among the five locations of the body wall. The VP at the cheek in music students was greater than that of members of a glee club. The difference of VP among five vowels was smaller with the trained voice than with the untrained voice. These results suggest the important role of the vibration of the cheek and great resonance of oral cavity in the trained voice.Listening tests were also performed. Five vowels of voice sound that had been recorded simultaneously with the vibration of body wall were presented to a group of 18 listeners for identification. Articulation score for trained voices was lower than that for untrained voices. The difference of articulation score among five Japanese vowels was smaller with the trained voice.These results suggest that the difficulty in perceiving sung vowels arises from ‘covering’.

著者

小川 裕 藤井 一省 玉井 好史

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.2, pp.237-249, 1995-02-01 (Released:2011-11-04)

参考文献数

19

---

We evaluated the anti-tumor effect of the herbal medicine, Sheng-Jin-Jie-Du-Yin, on a human maxillary cancer cell line transplanted into nude mice.This herb consists of 16 crude drugs developed in China. We found it to be effective in inhibiting the cancer transplanted into animals. The two crude drugs, solanum lyratum herb and oldenlandia herb, in Sheng-Jin-Jie-Du-Yin accounted for the anti-tumor effect.The anti-tumor effect of solanum lyratum herb was noted when it was combined with radiotherapy, while oldenlandia herb was effective in the inhibition of tumor growth when given alone or in combination with radiotherapy.We measured the NK activities in nude mouse spleen cells and concluded that the anti-tumor effect of oldenlandia herb is related to an immune mechanism.