THE LARYNX JAPAN最新文献_第4页

A Laryngeal Function Preserving Operation for T4a Laryngeal Cancer in Patients with Vocal Cord Paralysis T4a喉癌声带麻痹患者喉功能保留手术治疗

THE LARYNX JAPAN Pub Date : 2017-12-01 DOI: 10.5426/larynx.29.62

Y. Asada

引用次数: 0

The Preoperative Diagnosis of an NRILN could Reduce the Risk of Vocal Cord Paralysis after the Surgery 术前诊断NRILN可降低术后声带麻痹的风险

THE LARYNX JAPAN Pub Date : 2017-12-01 DOI: 10.5426/larynx.29.94

Y. Kimura, A. Watanabe, M. Taniguchi

{"title":"The Preoperative Diagnosis of an NRILN could Reduce the Risk of Vocal Cord Paralysis after the Surgery","authors":"Y. Kimura, A. Watanabe, M. Taniguchi","doi":"10.5426/larynx.29.94","DOIUrl":"https://doi.org/10.5426/larynx.29.94","url":null,"abstract":"Background : With regard to the vascular anatomy, it is well known that a non-recurrent inferior laryngeal nerve(NRILN)is always associated with the aberrant subclavian artery(ASCA). As we previously reported in 2001, preoperative CT scans of the neck allowed us to recognize the ASCA and predict an NRILN. In 2016, we also reported in 2016 that approaching the vagal nerve first before dissecting the paratracheal region is essential for the preservation of the NRILN. As we have practiced these methods, we would like to review our clinical results in NRILN cases retrospectively and to verify the efficacy of this approach in avoiding vocal cord paralysis. Materials and Results: Between May 1995 and June 2016, 2739 patients underwent thyroid or esophageal cancer surgery, in which the right inferior laryngeal nerve was confirmed visually during the surgery. Furthermore, 16 of these patients were diagnosed as having an NRILN. For them, the vagal nerve was approached first in order to preserve the NRILN. Postoperative laryngeal fiberscopy revealed no temporary, incomplete or complete vocal cord paralysis in any of the cases involving patients with the NRILN. Conclusions: The preoperative diagnosis of ASCA, the prediction of an NRILN, and the procedure of approaching the vagal nerve first, were effective for avoiding vocal cord paralysis in the patients with an NRILN. Vocal cord paralysis is an important factor that is associated with the deterioration of a patient’s QOL.","PeriodicalId":126820,"journal":{"name":"THE LARYNX JAPAN","volume":"65 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":"122726233","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}

引用次数: 0

Examination of dysphagia at home by otolaryngologists 由耳鼻喉科医师在家检查吞咽困难

THE LARYNX JAPAN Pub Date : 2017-12-01 DOI: 10.5426/LARYNX.29.45

Kengo Kato, Y. Katori

引用次数: 0

The Clinical Features According to the Subsites of Supraglottic Carcinoma 声门上癌亚位的临床特征分析

THE LARYNX JAPAN Pub Date : 2017-12-01 DOI: 10.5426/LARYNX.29.85

M. Higashino, Shuji Oomura, N. Suzuki, S. Nishikawa, R. Kawata

{"title":"The Clinical Features According to the Subsites of Supraglottic Carcinoma","authors":"M. Higashino, Shuji Oomura, N. Suzuki, S. Nishikawa, R. Kawata","doi":"10.5426/LARYNX.29.85","DOIUrl":"https://doi.org/10.5426/LARYNX.29.85","url":null,"abstract":"Purpose : We investigated the clinical features according to the subsites of supraglottic carcinoma. Patients and Methods : We investigated 123 cases of supraglottic carcinoma treated that were at Osaka Medical College from 1999 to 2015. The cases involved five subsites: the arytenoid, false vocal cord, infrahyoid epiglottis, epiglottis, and the aryepiglottic fold. We investigated the associations between the subsites and characteristics of the patients, including age, primary symptoms, tumor stage and disease-specific survival. Results : The subsites of the patients were as follows: the arytenoid, n=42; false vocal cord, n=34; infrahyoid epiglottis, n=20; epiglottis, n=16; and the aryepiglottic fold, n=11. The primary symptoms of the whole study population were as follows, hoarseness, n=56 (46 %); sore throat, n=40 (33%); cervical tumor, n=27 (22%); foreign body sensation, n=26 (21%). There were differences according to the subsites. The prevalence of T3-4 advanced carcinoma was approximately 61% in all subsites, while the prevalence of cervical lymph node metastasis was ranged from 53% to 82%. The disease-specific survival rates according to the subsites were as follows: arytenoid, 68 .6%; false vocal cord, 74 .5%; infrahyoid epiglottis, 87 .5%; epiglottis, 60 .0%, and aryepiglottic fold, 43 .6%. Conclusion : The different subsites of supraglottic carcinoma were associated with considerably different clinical features. An understanding of the clinical features of supraglottic carcinoma is important for early detection and appropriate treatment.","PeriodicalId":126820,"journal":{"name":"THE LARYNX JAPAN","volume":"22 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":"127676783","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}

引用次数: 0

Current Situation of Swallowing Therapy in Iwate Prefecture 岩手县吞咽治疗现状

THE LARYNX JAPAN Pub Date : 2017-12-01 DOI: 10.5426/larynx.29.29

Yoshitomo Sato

引用次数: 0

高速度撮影装置を用いた発声・咳払いにおける声帯内転角速度の分析使用高速摄影装置，分析发声、咳嗽时声带内转角速度

THE LARYNX JAPAN Pub Date : 2016-12-01 DOI: 10.5426/LARYNX.28.53

Toshihiko Iwahashi

引用次数: 0

Integrating Surgical Management of Laryngeal Cancer in a Team Based Approach 以团队为基础的喉癌综合外科治疗

THE LARYNX JAPAN Pub Date : 2016-12-01 DOI: 10.5426/LARYNX.28.108

J. Califano

引用次数: 1

Quality of Life after Treatment for Advanced Laryngeal Cancer 晚期喉癌治疗后的生活质量

THE LARYNX JAPAN Pub Date : 2016-12-01 DOI: 10.5426/LARYNX.28.107

B. Yueh

引用次数: 0

The Association between the Metabolic Tumor Volume and the Prognosis in Patients with Laryngeal Carcinoma 喉癌患者代谢肿瘤体积与预后的关系

THE LARYNX JAPAN Pub Date : 2016-12-01 DOI: 10.5426/LARYNX.28.57

矢吹健一郎

引用次数: 0

Transoral Videolaryngoscopic Surgery for Hypopharyngeal and Supraglottic Cancer after Induction Chemotherapy 诱导化疗后下咽及声门上癌经口视腔喉镜手术治疗

THE LARYNX JAPAN Pub Date : 2016-12-01 DOI: 10.5426/LARYNX.28.61

伸吾田中, 雅之冨藤, 幸仁荒木, 彰浩塩谷

{"title":"Transoral Videolaryngoscopic Surgery for Hypopharyngeal and Supraglottic Cancer after Induction Chemotherapy","authors":"伸吾田中, 雅之冨藤, 幸仁荒木, 彰浩塩谷","doi":"10.5426/LARYNX.28.61","DOIUrl":"https://doi.org/10.5426/LARYNX.28.61","url":null,"abstract":"We performed transoral videolaryngoscopic surgery (TOVS) for hypopharyngeal and supraglottic cancer after induction chemotherapy. The data of 24 patients with hypopharyngeal and supraglottic cancer were retrospectively analyzed. The main tumor site was the hypopharynx in 20 cases and the supraglottis in 4 cases. The number of patients with stage II, III, IVA and IVB tumors were 3 , 4 , 15 and 2 , respectively. Although the mean observation period was relatively short (33 months), the 3-year overall survival was 86%, the disease-specific survival was 94% and the laryngeal preservation rate was 94%. The oncological results and laryngeal preservation rate were excellent. The pathological findings showed that caution must be taken against local recurrence because of possible satellite residual cancer. In principle, the resection area should be set according to the original tumor extension. Although the resection area was reduced in some cases, we cannot conclude whether or not the resection area can be safely reduced in all cases. We also examined the need for adjuvant (chemo) radiotherapy. If the resection area was set according to the original tumor extension, negative margin, pT1-2 and pN0-1 , adjuvant radiation therapy may be preserved.","PeriodicalId":126820,"journal":{"name":"THE LARYNX JAPAN","volume":"94 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133842835","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}

引用次数: 0