{"title":"A Clinical Study of Extrapulmonary Laryngeal Tuberculosis : A Single Institute 10-year Experience","authors":"M. Oishi, Sachimi Okamoto, H. Sakamoto, H. Iguchi","doi":"10.5426/LARYNX.29.81","DOIUrl":"https://doi.org/10.5426/LARYNX.29.81","url":null,"abstract":"","PeriodicalId":126820,"journal":{"name":"THE LARYNX JAPAN","volume":"79 11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127177056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Aiming for a new swallowing treatment network system enriching our area","authors":"G. Tsuda","doi":"10.5426/LARYNX.29.37","DOIUrl":"https://doi.org/10.5426/LARYNX.29.37","url":null,"abstract":"","PeriodicalId":126820,"journal":{"name":"THE LARYNX JAPAN","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129986102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Current Status and Issues Associated with Treating Swallowing Disorders in our Region from the View of Otolaryngologists","authors":"A. Nagao, M. Hyodo","doi":"10.5426/larynx.29.38","DOIUrl":"https://doi.org/10.5426/larynx.29.38","url":null,"abstract":"Introduction: Japan is now a high-aging society, and the numbers of dysphagic patients are increasing. Given this background, we wonder if otolaryngologists have played a prominent enough role in treating swallowing disorders. We therefore examined the current status and issues associated with treatments for swallowing disorders in our region. Method: We surveyed the medical records of three hospitals in Kochi Prefecture. These hospitals have rehabilitation wards and lack full-time otolaryngologists. We also administered a questionnaire survey to otolaryngologists and speech therapists in Kochi Prefecture. Results: While there were many dysphagic patients in those hospitals, the evaluation of the swallowing function was not routinely performed. Many ear-nose-and-throat clinic otolaryngologists had difficulty performing active correspondence to treat dysphagic patients. In addition, only a few speech therapists cooperated with otolaryngologist and were confident in their treatment skills. Conclusion: Otolaryngologists have sufficient knowledge and skills to treat swallowing disorders. Therefore, we stress that it is essential to organize regional medical networks and that otolaryngologists should collaborate with associated doctors and medical staffs, especially speech therapists.","PeriodicalId":126820,"journal":{"name":"THE LARYNX JAPAN","volume":"99 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130097814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ultrasonography for laryngeal lesions","authors":"M. Furukawa","doi":"10.5426/LARYNX.29.75","DOIUrl":"https://doi.org/10.5426/LARYNX.29.75","url":null,"abstract":"Recent advances in ultrasonography, especially improvements in close-range spatial resolution that have been achieved in the last two decades, have made it possible to gain much more information by allowing the visualization of tissue construction, organ movement, and fine blood flow, even through the cartilage. These improvements could contribute to the rapid improvement of laryngeal ultrasonography. Ultrasonography has many advantages over other diagnostic imaging modalities: it is non-invasive and radiation-free, it does not require troublesome pre-treatment preparations, it allows for real-time dynamic assessment, and the equipment is portable. And it is cost-effective for both of patients and medical economy. The ultrasonographic assessment of vocal cord movement is performed using two procedures: the middle transverse procedure, and the trans-thyroid cartilage transverse procedure. We focused on the usefulness of ultrasonography in the primary care of patients presenting with laryngeal symptoms, especially regarding the importance of ultrasonography in the evaluation of the airway condition and vocal cord movement, and the diagnosis of laryngeal tumors.","PeriodicalId":126820,"journal":{"name":"THE LARYNX JAPAN","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133774224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical Study of 10 Cases of the Vagus Nerve Paralysis","authors":"M. Miyamoto, E. Miyata, H. Iwai, K. Tomoda","doi":"10.5426/LARYNX.29.90","DOIUrl":"https://doi.org/10.5426/LARYNX.29.90","url":null,"abstract":"The vagus nerve is one of the 12 cranial nerves, which is considered as the 10 nerve. The vagus nerve extended from the medulla oblongata to the second segment of the transverse colon. This nerve innervates the majority of the muscle of the pharynx, soft palate and larynx. In cases of vagus nerve paralysis, palatal arch movement is restricted. The arches cannot move up and back in order to close off the nasopharynx. This causes hoarseness, nasal speech, aspiration and regurgitation of liquid through the nose. In this article, we report 10 cases of the vagus nerve paralysis. The patient’ mean age is 59 .4(range 34-83). There were 5 male and 5 female patients, among which there were 6 cases of right and 4 cases of left side paralysis. In six cases the chief complaint was vocal disorders. The causes included 5 cases of Varicella-Zoster virus infection(all confirmed)and 4 cases of central paralysis. In 9 cases of the 10 patients, nasopharyngeal incompetence, elevation or constriction of the paralyzed side and saliva pooling in the pyriform sinus were observed. In 4 cases of the 10 cases, the vagus nerve paralysis improved after treatment within 6 months. In cases of vagus nerve paralysis immediate and accurate diagnosis and treatment are crucial. It is important to observe the palatal arches as they contract and the soft palatal as it swings up and back in order to close off the nasopharynx.","PeriodicalId":126820,"journal":{"name":"THE LARYNX JAPAN","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125395427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The History of Open Conservation Partial Laryngectomy","authors":"N. Hanai","doi":"10.5426/larynx.29.57","DOIUrl":"https://doi.org/10.5426/larynx.29.57","url":null,"abstract":"The origin of partial laryngectomy dates back more than two centuries. The first laryngeal surgical approach was median thyrotomy by Pelletan. In 1834 , initial tumor resection with laryngofissure was performed by Brauers. In 1851, Gurdon Buck left his name in history as the first to perform a laryngeal carcinoma operation. Following total laryngectomy, the first partial laryngectomy was performed by Heine in 1874. The first hemilaryngectomy was performed by Billroth in 1878 . These procedures can be said to have been born around the same time. Supraglottic partial laryngectomy was put into practical use in the 20th century. However, this variant was ultimately described by Alonso as functional preservation surgery in 1947. In the 1960s and 1970s, a number of partial resection procedures as functional preservation surgery were performed, and modern laryngeal surgery has prominently developed since then. In addition, as functional preservation surgery, a new operation called reconstructive laryngectomy or subtotal laryngectomy (supracricoid partial laryngectomy) was developed. However, reconstructive laryngectomy was a technique that gradually fell out of used due to complications associated with aspiration. Safely establishing and performing these surgical methods will require improving the treatment outcomes and stabilizing the postoperative function. To this end, it seems necessary to recognize the indications and limitations of these procedures.","PeriodicalId":126820,"journal":{"name":"THE LARYNX JAPAN","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128693460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Laryngomicrosurgery for Early Glottic Cancer : The Indications, Techniques and Voice Outcomes","authors":"H. Bando, Y. Sugiyama, Yo Kishimoto, S. Hirano","doi":"10.5426/LARYNX.29.46","DOIUrl":"https://doi.org/10.5426/LARYNX.29.46","url":null,"abstract":"Transoral laser microsurgery (TLM) has made great progress since first being developed in the 1970s, and now it has become an alternative treatment for early laryngeal cancer. Although TLM has some advantages in the duration of the treatment and avoidance of radiation exposure, radiation therapy is still chosen at many institutions instead of TLM. However, some previous studies have revealed that the voice outcome of TLM is not worse than that for radiotherapy and TLM has therefor recently been gaining popularity as a the treatment for early laryngeal cancer. On the other hand, laryngomicrosurgery with cold instrument dissection was also introduced for the treatment of laryngeal cancer treatment in the 1990s, and this modality reduces the degree of heat damage that is often caused to the normal vocal fold mucosa. In this article, we describe the indications and the methodology for performing laryngomicrosurgery for the treatment of early laryngeal cancer including, both TLM and cold-instrument dissection. The voice outcomes for TLM and dissection with cold-instruments are also described and statistically analyzed.","PeriodicalId":126820,"journal":{"name":"THE LARYNX JAPAN","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128470054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Effect of Deep Brain Stimulation (DBS) for Voice Tremor in a Case of Essential Tremor","authors":"M. Tomifuji, K. Araki, A. Shiotani","doi":"10.5426/LARYNX.29.98","DOIUrl":"https://doi.org/10.5426/LARYNX.29.98","url":null,"abstract":"Patients with voice tremor present with shaking voice which has a frequency of 4-5 Hz in their vocal tract. In most of cases, voice tremor is refractory to conservative treatment such as medication or voice therapy and the symptoms may affect a patient’s quality of life. We experienced a case of voice tremor accompanied by essential tremor of the upper extremities who was treated with bilateral thalamic deep brain stimulation (DBS). The results of an acoustic analysis and laryngeal endoscopic findings showed a partial improvement following unilateral DBS and complete improvement following bilateral DBS. FTRI, Fatr, ATRI, Jitter, Shimmer, vF0, vAm, NHR, sPPQ and sAPQ seemed to be useful parameters of voice tremor. The results suggest that the indication of DBS should be discussed for patients severely affected by voice tremor after considering the patient’s age, accompanying symptoms, backgrounds, occupation and needs.","PeriodicalId":126820,"journal":{"name":"THE LARYNX JAPAN","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130633227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}