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
堀 香苗 折田 洋造 竹本 琢司 藤田 浩志 山本 英一
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.Supplement69, pp.42-46, 1994-03-10 (Released:2012-11-27)
参考文献数
15
被引用文献数
2 2

Foreign bodies in the paranasal sinus are not rare in the field of otorhinolaryngology. Here we report a case of a foreign body retained the paranasal sinus for 13 years.The patient was a 26-year-old woman whose chief complaint was postnasal drip. Thirteen years earlier, she had fallen from a bicycle into a bamboo thicket and a piece of bamboo had pierced the outer part of the right root of the nose. She had undergone operqtuon to remove the bamboo by an external incision, but a residual foreign body was observed by CT. We removed the foreign body by radical surgery on the paranasal sinus. Postoperative CT showed no residual foreign body and the course was good. There were no complications such as oculomotor disturbances before or after surgery.This case is reported as a patient with a long-term foreign body in the paranasal sinus. Some discussion of the literature also presented.
著者
藤原 裕美 青木 正則 川口 和幸 工田 昌也 平川 勝洋 原田 康夫
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.84, no.9, pp.1267-1272, 1991-09-01 (Released:2011-11-04)
参考文献数
22

A galvanic current may be caused in the oral cavity when two or more dissimilar metallic repair materials are present, and it is well known among dentists that severe pain, called “galvanic pain”, may result. We report two cases of glossitis thought to have been caused by oral galvanism. We measured the galvanic current in patients with glossitis and found significantly larger electric currents in the patients than in controls. We suspect that oral galvanism is the cause of glossitis when the conditions are as follows: 1) Anemia, medications, mechanical stimulation by dental repair, zinc deficiency, etc. have been ruled out; 2) Currents greater than five micro-amperes are demonstrated.
著者
内田 真哉 足立 直子 西村 泰彦 牛嶋 千久 出島 健司
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.2, pp.121-126, 2008-02-01 (Released:2011-10-07)
参考文献数
10
被引用文献数
4 4

Many patients with severe dysphagia are male, the larynx has often dropped, and even tracheostomy is sometimes difficult. During surgery to prevent aspiration in such patients, techniques that can be performed even in the presence of a dropped larynx are necessary. In addition, since complications are generally present in such patients, minimally invasive surgical techniques are desirable. Therefore, we developed a laryngeal closure method in the subglottic area that prevents postoperative suture failure and can also be performed in patients with a dropped larynx. This surgical technique was performed in patients with severe dysphagia.The subjects comprised 5 patients who had undergone this procedure more than 6 months previously. All were males aged ≥70 years and had demonstrated repeated episodes of pneumonia.In this surgical technique, laryngeal closure is performed in the subglottic area, and the dead space formed in the suture area is filled with an anterior cervical muscle flap. The status of ingestion before and after surgery and the course were observed and evaluated.There were severe complications in any patients. In all patients, the prevention of aspiration was achieved, and the status of ingestion improved.This surgical procedure may be an accurate aspiration-preventive technique that is minimally invasive and infrequently induces suture failure.
著者
湯田 厚司 前田 太郎 川口 信也 篠木 淳
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.4, pp.627-633, 1992-04-01 (Released:2011-11-04)
参考文献数
18
被引用文献数
9 4

Foreign bodies in the ear and nose are commonly found by otorhinolaryngologists. A statistical review was made of 99 patients with foreign bodies in the ear and 73 patients with foreign bodies in the nose, treated at the Maeda ENT Hospital between June 1, 1988 and May 31, 1991.1. The patients with foreign bodies in the ear showed a wide age range, but most of those with foreign bodies in the nose were children.2. Foreign bodies in the ear were seen more often in summer because of insects, but foreign bodies in the nose showed no seasonal differences.3. The most frequent foreign bodies in the ear were insects (37.4%), followed by toy parts (26.3%) and cotton (8.1%).4. The most frequent foreign bodies in the nose were toy parts (43.8%), followed by food (23.3%) and paper (15.1%).
著者
西川 和明 椿 博幸 森田 守
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.1992, no.Supplement59, pp.73-79, 1992-12-20 (Released:2012-11-27)
参考文献数
13
被引用文献数
1 1

The total number of the cases was 437. The site of the foreign bodies was the ear (141), nose (94), oral cavity and pharynx (101) esophagus (84), trachea and bronchus (17).The most frequent foreign bodies in the ear were toys in children under 5 years old and insects in adults.The insects were common from July to September.The most frequent foreign bodies in the nose were toys in children under 10 years of age.The foreign bodies in the oral cavity and pharynx were mainly found in the oropharynx. Fish bones were most common.Most of the foreign bodies of the esophagus were found at the cricopharyngeus.Coins were the most frequent foreign bodies in children. Fish bones and prosthesis were the main foreign bodies in adults.Most of the foreign bodies of the trachea and bronchus were in children under five years of age. There was no marked difference infrequency between right and leftbronchus.
著者
松井 利憲 山田 恭子 村松 裕子 斎藤 喜澄 川口 英洋 渡邊 芳男 木村 徹男 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.89, no.1, pp.95-101, 1996-01-01 (Released:2011-11-04)
参考文献数
18
被引用文献数
5 4

A statistical analysis of 334 cases involving foreign bodies in the otorhinolaryngological field treated in our hospital between March 1988 and February 1995 is reported. The 344 cases represented 0.92% of the total number of outpatients (36406) during the same period. We found that 114 cases involved the external auditory canal (34%), 71 cases the nasal cavity (21%), 134 cases the oral cavity and pharynx (40%), and 15 cases the esophagus and trachea (4%). Cases involving the external auditory canal and nasal cavity, especially the nasal cavity, were most frequently found in children under 10 years old. The most frequent foreign bodies were hairs in the external auditory canal. Plastics were most common in the nasal cavity. Foreign bodies in the oral cavity and pharynx were mainly found in the f aucial tonsil, and most of the foreign bodies found in this area were fish bones. There were 14 cases of foreign bodies in the esophagus, and of these, 12 involved items lodged at the first narrowing portion, while 2 cases involved the second narrowing portion. Again, fish bones were the most common foreign bodies found in the esophagus. In the trachea, there was only one case of a foreign body, which involved a peanut.
著者
鈴川 佳吾 鈴木 光也
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.96, no.5, pp.435-439, 2003-05-01 (Released:2011-10-07)
参考文献数
13
被引用文献数
3 1

We report a case of arytenoid dislocation, which may have been caused by endotracheal intubation.A 44-year-old man underwent surgery for middle ear cholesteatoma under general anesthesia with endotracheal intubation. The intubation was performed with no difficulty, but at the end of the operation the patient moved strongly before extubation. Postoperatively, he presented hoarseness. Fiberscopic study revealed immobility of the right vocal cord but normal mobility of right arytenoid cartilage, suggesting that the right crico-arytenoid joint may have been dislocated. After two weeks, there was no improvement, and we performed closed reduction. Immediately after fixation with laryngomicrosurgery, there was neither improvement of voice nor mobility of right vocal cord. After he started voice therapy, his voice began to improve, three weeks after the last surgery. Four weeks later, fiberscopic examination showed almost normal mobility of the right vocal cord.From the literature review, we concluded that closed reductions should be performed as soon as possible after such an incident.
著者
坂口 正範 田中 映子 河原田 和夫 谷内山 仁
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.1990, no.Supplement38, pp.148-156, 1990-08-20 (Released:2012-11-27)
参考文献数
22

Six patients with cysts in the posterior paranasal sinuses who compained of visual disturbance are reported. All of them had previously undergone sinus surgery (mean,20.3years). All of them were treated via an endonasal approach under local anesthesia. In five, the visual acuity and the visual field was improved after surgery. However, one did not recover the visual field despite gross improvement in the visual acuity. Computed tomography was very useful to localize the lesion, and the image amplifier was useful to indicate the sphenoid sinus.
著者
愛場 庸雅 杉本 緑 松田 泰明 杉浦 欣一 中井 義明 中島 俊文
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.3, pp.391-395, 1990-03-01 (Released:2011-11-04)
参考文献数
12

The effects of therapeutic irradiation on olfactory function were investigated in 20 patients who received radiation therapy because of a malignant tumor of the nose or paranasal sinuses. The standard olfaction test with a T&T olfactometer and an intravenous olfaction test were given before the radiation therapy, during the period of radiation therapy and 1, 3, 6 and 12 months or more later.Five patients whose olfactory epithelium was outside the radiation field showed no damage to olfactory function. The olfactory function of the other 15 patients whose olfactory epithelium had been exposed to radiation was not obviously changed or damaged at the time of radiation therapy. However, 6 months after irradiation, some patients showed a decline in olfactory function, and after 12 months, 4 of 7 patients showed severe damage to olfactory function.These results suggest that a therapeutic dose of irradiation will not cause severe damage to the olfactory function during the period of radiation therapy, but could cause delayed olfactory disorders in some patients after a few years. These olfactory disorders might be caused by damage to or degeneration of the olfactory epithelium or olfactory nerve.
著者
武藤 二郎
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.3, pp.325-336, 1989-03-01 (Released:2011-11-04)
参考文献数
76

Chinese Medicine helps to normalize and stabilize autonomic nervous system imbalances and endocrine and metabolic disorders.In the field of oto-rhino-laryngology, Chinese Medicine is very effective when it is applied according to the traditional Chinese medical diagnoses for: 1) Abnormal sensation in the pharynx in patients with autonomic dysfunction. 2) Chronic inflammation. 3) Recurrent otitis media and pharyngitis. 4) Tinnitus, vertigo and dizziness with circulatory disturbances.
著者
戸田 直紀 両角 遼太 東 貴弘
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.114, no.8, pp.615-620, 2021 (Released:2021-08-01)
参考文献数
12

Dysphagia in older persons can be of diverse causation. Herein, we report the case of a 74-year-old man with severe dysphagia caused by myopathy of the cricopharyngeal muscle.His swallowing function had begun to deteriorate 6 years before his first visit to our hospital. Videoendoscopic and video-fluorographic examinations of swallowing revealed no dilatation of the esophageal orifice. The patient was treated by cricopharyngeal myotomy. Histopathologic examination revealed myopathy of the cricopharyngeal muscle. However, no improvement of the swallowing function was observed after the surgery. This finding, along with his weight loss of 10 kg during the 6-year period suggested that the patient had sarcopenia with a loss of general muscle strength, including of the muscles related to swallowing, due to malnutrition. After nutritional management by tube feeding and swallowing rehabilitation for 3 months, he showed improvement in the swallowing function, and finally resumed oral intake. Indeed, video-fluorography after 5 months of rehabilitation revealed that the anterior movement distance of the hyoid had increased. This result indicated that anterior movement of the hyoid plays an important role in the dilatation of the esophageal orifice during swallowing.
著者
関谷 芳正 松田 太志 高橋 真理子 村上 信五
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.6, pp.639-646, 2002-06-01 (Released:2011-11-04)
参考文献数
22
被引用文献数
3 2

Although Tinnitus Retraining Therapy (TRT) is becoming very popular all over the world, it is still not well known in Japan. In this paper, we will introduce and discuss the theory and practice of TRT.TRT is based on the theory of Jastreboffs neurophysiological model, which postulates that a number of systems in the brain are involved in the emergence of Tinnitus and the auditory periphery plays only a secondary role. The purpose of this method is habituation by using low level sound and directive counseling.Though this therapy is thought to be a powerful methods for Tinnitus, there are some uncertainties regarding the roles of sound and counseling.Larger scale control studies are nescessary to conform its effectiveness and rationalize the theory.
著者
菅沼 俊哉 松島 純一 酒井 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.86, no.11, pp.1531-1536, 1993-11-01 (Released:2011-11-04)
参考文献数
25

A five-year-old boy received treatment for ALL (acute lymphoblastic leukemia) for six months in the Pediatric Department of Hokkaido University Hospital.Following mild upper respiratory infection, aphtous stomatitis and dizziness, horizontal nystagmus was noted in the primary eye position and he was sent to the ENT clinic for neurootological examination.The findings of nystagmus varied from day to day and it was suggested that the brainstem and cerebellar vermis were damaged, but CT scan and magnetic resonance imaging (MRI) did not reveal any significant lesion. The symptoms were considered most likely due to herpetic encephalitis, therefore, a ten-day course of acyclovir 180 mg/day was initiated.Shortly after administration was begun, herpes simplex virus genomes were detected in the patient's cerebrospinal fluid (CSF) by polymerase chain reaction (PCR). This case, therefore, was finally diagnosed as herpes simplex encephalitis.Three months later, neurological examination showed that the child had almost returned to normal, and he was discharged.
著者
近野 哲史 黒川 雅史 山田 誠二郎 梶川 泰 友田 幸一
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.108, no.10, pp.783-790, 2015 (Released:2015-10-01)
参考文献数
20

Thyroid fine-needle aspiration biopsy (FNAB) is a simple, cost-effective and minimally traumatic technique for the diagnosis of thyroid nodules. We report on two cases of acute thyroid swelling after FNAB. In both cases, within two hours after completion of the procedure, the entire thyroid gland enlarged rapidly. Ultrasound showed diffuse swelling of the entire thyroid gland with a heterogeneous appearance. There were no signs of bleeding or airway obstruction. The next morning a repeat US showed that the thyroid had returned to its normal size.It has been demonstrated that nerve fibers storing neuropeptides such as vasoactive intestinal peptide, substance P, cholecystokinin, neuropeptide Y, peptide histidine isoleucine, galanin, and calcitonin gene-­related peptide (CGRP) exist in the thyroid.The clinical and ultrasound data support the hypothesis of capillary leakage as the underlying mechanism, possibly evoked by neuropeptide release.
著者
真栄田 裕行 金城 秀俊 上里 迅 安慶名 信也 又吉 宣 鈴木 幹男
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.112, no.6, pp.397-403, 2019

<p>Introduction</p><p>Although many tumors arising from parapharyngeal space are benign, we sometimes find malignant tumors. We have attempted to examine the clinical findings of parapharyngeal tumor in our institution and to consider how to deal with malignant tumor.</p><p>Materials</p><p>There were 29 cases of parapharyngeal space tumors involving malignancies in our institution.</p><p>Results</p><p>There were 20 benign cases composed of 7 cases of schwannoma, 6 cases of pleomorphic adenoma, 3 cases of paraganglioma, and one case each of cavernous haemangioma, cyst and meningioma, basal cell adenoma. On the other hand, there were 4 malignant tumors composed of one case each of malignant schwannoma, carcinoma ex pleomorphic adenoma, adenoid cystic carcinoma and malignant paraganglioma. We presumed that one cases out of the 4 malignancies cases was a malignant tumor from the preoperative image findings. However, it was difficult to diagnose the other 3 cases with malignancies by investigation.</p><p>Discussion</p><p>Malignant tumors occurring in the parapharyngeal space were distributed salivary gland tumors and others. Because salivary gland tumor grow earlier and invade muscles, nerves and vessels rapidly, it is difficult to treat them radically. On the other hand, because the tumors arising from the salivary gland have a specific pathology, and exhibit slow growth, patients can expect a long life term despite having such tumors. In our examination, death occurred in one case only, the carcinoma ex pleomorphic adenoma.</p>