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 2

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
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
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
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
吉田 正 中村 光士郎 小林 泰輔 富所 雄一
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.96, no.9, pp.783-789, 2003-09-01 (Released:2011-10-07)
参考文献数
27
被引用文献数
1 1

Mycosis in the paranasal sinus is commonly found in the maxillary sinus, but rarely in the sphenoid sinus. In this paper, three cases of sphenoid sinus mycosis are reported and the clinical feature are compared with the 25 other cases reported in Japan since 1968. Our three patients had complained of headache and eye pain, which were thought to be characteristic symptoms in the 25 previous cases. One of the three patients had onset with a background of rheumatoid arthritis and needed steroid medication, but the other two patients had no improvement with medication for sinusitis. By CT scanning and MRI, a localized sphenoid sinus lesion was detected as a characteristic findings for paranasal sinus mycosis, showing irregular mosaic contras on CT scanning and low intensity signal on T1 and T2 MRI imaging. The definite diagnosis was made by means of histological examination for a block age in the affected sinus cavity. Endoscopic sphenoidectomy was performed through the parsnaslis of the anterior wall of sphenoid sinus and was usefull for total removal of the lesion.
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
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
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

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
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.
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

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
山下 敏夫 北尻 雅則 友田 幸一 熊沢 忠躬
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.75, no.12, pp.2567-2574, 1982-12-01 (Released:2011-11-04)
参考文献数
11

自然再生鼓膜を持つ側頭骨26耳の観察を行った. 従来, 耳鏡所見より自然再生鼓膜は皮膚層と粘膜層の2層のみで中間層はないとされていたが, そのほとんどの例において中間層の存在する事が確認され, 従来の考えの誤まりを指摘した.又, 移行部の観察より穿孔閉鎖機序には皮膚層が先行するとの印象を持った.一方保存的又は手術的閉鎖法によって再生された鼓膜の電顕的像を含めた組織学的観察により, 保存的閉鎖法により再生された鼓膜は, 正常鼓膜に近い構造を持つ事が判明された.
著者
浜本 誠 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.92, no.2, pp.115-117, 1999-02-01 (Released:2011-11-04)
参考文献数
6
被引用文献数
1
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.