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

新関 泰夫 渡辺 勇 大久保 仁 石田 博義 山本 修三 水越 鉄理 渡辺 行雄

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.1986, no.Supplement8, pp.104-115, 1986-12-05 (Released:2012-11-27)

参考文献数

8

被引用文献数

1 1

---

Registered cases of Ménière's Disease collected by the Committee members were studied and classified according to the age of onset and the duration of the disease. The influence of each factors on the vestibular symptoms and hearing impairment was analyzed. Next, the influence of these two factors on the hearing loss of the affected side was studied in 120 cases of definite Ménière's Disease.The results of this study were as follows:1) The hearing impairment of the affected side increased gradually with the age of onset and the duration of the disease.2) The vestibular symptoms of Ménière's disease were not significantly affected by these two factors.

著者

二本杉 欣一

出版者

耳鼻咽喉科臨床学会

雑誌

耳鼻咽喉科京都臨床 (ISSN:18844537)

巻号頁・発行日

vol.10, pp.251-254, 1917 (Released:2010-09-24)

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.

著者

青柳 優 鈴木 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.89, no.6, pp.653-667, 1996-06-01 (Released:2011-11-04)

参考文献数

53

被引用文献数

1

---

The ultimate goal of objective audiometry is to draw an audiogram in a frequency specific manner with no response from the subject. Auditory evoked brainstem response (ABR) is now most commonly used for objective audiometry. However, the frequency specificity of ABR elicited with tone pips is not enough to predict accurate hearing on a frequency-specific basis across the audiometric range. Amplitude-modulation following response (AMFR), which is an auditory steady-state response elicited with sinusoidally amplitude-modulated tone, is expected to be an ideal tool for objective audiometry, because of the frequency specificity of the stimulus tone.When detected by phase coherence, the threshold pattern of 40-Hz AMFR, which is elicited with tone amplitude modulated at 40 Hz, resembles very closely the corresponding audiogram patterns in all types of hearing impairment in adults while awake. However, 40-Hz AMFR is not sufficiently reliable for determining the hearing threshold in young children during sleep.On the other hand, 80-Hz AMFR is clearly detected in young children during sleep with the use of phase coherence. The threshold pattern of 80-Hz AMFR also resembles closely the corresponding audiogram pattern. An 80-Hz AMFR thus appears to be potentially useful for objective audiometry in young children during sleep.In this paper, our present knowledge about objective audiometry and AMFR is reviewed, and techniques for detecting AMFR and sources of AMFR are discussed.

著者

渡辺 健一 土肥 二三夫 冨田 寛 竹本 律子 村上 弦

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.Supplement78, pp.53-62, 1995-04-30 (Released:2012-11-27)

参考文献数

38

被引用文献数

2

---

The topographical anatomy of the chorda tympani nerve (CTn) was investigated macroscopically in 45 ears of Japanese adult cadavers, aged 38-88 yr, with special reference to its topographical relationship to critical structures encountered in otorhinolaryngological practice such as the auditory tube and Wharton's duct. Fifteen cases of the “separated type” of CTn running independently along the posterior margin of the lingual nerve, which were noted in our previous study, were included among the 45 specimens. Major findings considered relevant to clinical practice are described below.1. The course of the CTn, passing inferiorly and medially in the petrotympanic fissure, was classified into 2 types: that traveling immediately anterior to and parallel with the auditory tube, and the becoming progressively more distant (inferior and anterior) to the auditory tube.2. Immediately after emerging from the petrotympanic fissure, the CTn cons istently communicated with the sympathetic plexus around the middle meningeal artery, and often issued twigs reaching the otic ganglion area.3. In cases where the CT n was trapped by tendinous tissue around the lateral pterygoid muscle (17.8%), the nerve merged into the lingual nerve from the medial or anterior aspect, and not from the usual posterior aspect, at the level of the mandibular notch.4. The lingual nerve sometimes (20.0%) showed a strongl y curved sigmoid course behind the mandibular ramus. Several buccal branches innervating the oral lining, without containing the CTn element, were issued at the anterior projecting protion of the sigmoid course.5. At the base of the oral cavity, the major CTn element traveled al ong the superior margin of the lingual nerve, therefore the CTn element was located away from the submandibular ganglion.6. A thick communicating branch on both sides of the lingual nerve was rarely observ ed under the mucous lining or in the mucous layers at the tip of the tongue. These findings suggest that morphological variations of the CTn should be considered during surgical procedures and for understanding the nature of related clinical symptoms.

著者

山口 宗一 鴫原 俊太郎 池田 稔

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.4, pp.291-297, 2004-04-01 (Released:2011-10-07)

参考文献数

16

被引用文献数

1 1

---

The etiology of sudden sensorineural hearing loss is unknown, but viral infection is suspected as one possible cause. We retrospectively studied 102 sudden sensorineural hearing loss patients to evaluate the efficacy of acyclovir therapy. Acyclovir had been administered to 25 patients as single therapy or in combination with corticosteroid or batroxobin. They were given 750mg of acyclovir per day intravenously. These patients were compared with the other 77 patients treated without acyclovir. Hearing recovery was assessed by the criteria of the Sudden Deafness Research Group of the Japanese Ministry of Health and Welfare. In the patients treated with acyclovir, the rate of complete recovery was 56.0%, the rate of recovery was 80.0%, and the rate of efficiency was 88.0%. We found significantly better recovery in the group therapy by acyclovir than in the group without acyclovir.

著者

周 莉新 佃 守 古川 政樹 池間 陽子 澤木 修二

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.1997, no.Supplement92, pp.61-63, 1997-06-27 (Released:2012-11-27)

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There are more patients with vocal cord nodules in China than in Japan. The occupation of these patients consists mainly of female singers or teachers. On the basis of the etiology and pathology of Chinese traditional medicine, there are three different treatment modalities for this disease. Shikunshi-to, Toninsibutsu-to and Zoueki-to. These Chinese traditional medicine treatment modalities have been characterized by the combined use of Chinese medical herbs according to each individual patient's status.

著者

久米 淳子 小川 恭生 萩原 晃 市村 彰英 鈴木 衞

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.99, no.8, pp.623-633, 2006-08-01 (Released:2011-10-07)

参考文献数

11

被引用文献数

2 4

---

Cerebral infarction occurs predominantly in the elderly, but may occur in young adults, especially when complicated with collagen disease, heart disease, and dissecting aneurysm. Four patients (range: 31-47 years old) complaining of a sudden onset of vertigo and nausea without a history of trauma are presented. Emergency computed tomography was initially interpreted as normal, but subsequent magnetic resonance imaging and a magnetic resonance angiogram disclosed vertebral artery (VA) dissection. Arterial dissection resulting in embolic stroke in the area of the ipsilateral posterior inferior cerebellar artery was suspected. All patients were treated conservatively without sequelae. Spontaneous VA dissection should be suspected in young patients presenting with ischemic stroke but without predisposing risk factors or associated trauma.

著者

大山 勝 山際 幹和 荘司 邦夫 橋本 真実 古田 茂 小幡 悦朗 三吉 康郎

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.75, no.8, pp.1681-1689, 1982-08-01 (Released:2011-11-04)

参考文献数

18

被引用文献数

1

---

By means of laryngofiberscopy, pneumatography and photoelectric glottography, the closure reflex activity of the larynx which was evoked by trasnasal stimulation with various concentrations of isovaleric acid and ammonia during inspiration was determined in 24 normal subjects and 53 patients with chronic sinusitis, anosmia, nasal allergy and chronic obstructive pulmonary diseases (COPD).The reflex activity was characterized by a remarkable tendency to decrease in the majority of normal older subjects and most of the patients with conditions other than nasal allergy.It was assumed that this reflex might be of great importance in preventing hazardous materials from going into the lung and that depression or absence of the reflex sensitivity in the upper respiratory tract might lead to a higher incidence of pulmonary diseases.The results which were obtained here will help clarify the laryngeal clossure reflex. This methodology may be employed practically to serve as objective olfactometry.