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Journal of Otolaryngology of Japan最新文献

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Early Clinical Presentations in 79 Patients with External Auditory Canal Carcinoma 79例外耳道癌的早期临床表现
Journal of Otolaryngology of Japan Pub Date : 2023-09-20 DOI: 10.3950/jibiinkotokeibu.126.9_1052
Yoshiyuki Kawashima, Sorato Segoe, Taku Ito, Yosuke Ariizumi, Kazuchika Ohno, Taro Fujikawa, Akihisa Tasaki, Ayako Nishio, Keiji Honda, Ryuhei Okada, Yumiko Tateishi, Hiroaki Kawabe, Takahiro Asakage, Takeshi Tsutsumi
{"title":"Early Clinical Presentations in 79 Patients with External Auditory Canal Carcinoma","authors":"Yoshiyuki Kawashima, Sorato Segoe, Taku Ito, Yosuke Ariizumi, Kazuchika Ohno, Taro Fujikawa, Akihisa Tasaki, Ayako Nishio, Keiji Honda, Ryuhei Okada, Yumiko Tateishi, Hiroaki Kawabe, Takahiro Asakage, Takeshi Tsutsumi","doi":"10.3950/jibiinkotokeibu.126.9_1052","DOIUrl":"https://doi.org/10.3950/jibiinkotokeibu.126.9_1052","url":null,"abstract":"外耳道癌はまれな疾患であるため臨床経過に関する報告は限られており, 特にその早期臨床像は十分に明らかにされているとはいえない. 本研究では, 東京医科歯科大学病院耳鼻咽喉科・頭頸部外科を受診した外耳道癌新鮮例79例を対象とした早期臨床像に関する診療録の後ろ向き調査とアンケート調査を行った. 全79例の初診時年齢の中央値 (四分位範囲) は64 (51.5～72.5) 歳であり, 男性が42例 (53.2%) であった. 病理組織型は扁平上皮癌が67例, 腺様嚢胞癌が8例, 腺癌が4例であった. 他疾患に対し頭頸部領域への放射線治療歴を持つ症例が5例あり, 病理組織型は全例で扁平上皮癌であった. 発症から診断確定までの期間は4.0 (1.5～11) カ月であり, 41.3%が発症から3カ月以内に, 57.3%が6カ月以内に確定診断を受けていた. 発症から診断確定までの期間と当科初診時の病期の間に相関は認めなかった. 診断を確定した施設は, 診療所が5.1%, 一般・国立病院等または大学病院が94.9%であった. 症状は, 耳漏, 耳痛, 血性耳漏が多かった. アンケート調査に回答した38例全例に耳かき習慣を認め, 外耳道癌の診断以前に26例 (68.4%) が外耳道炎の診断を受けていた. 腺様嚢胞癌は, 扁平上皮癌に比較して発症から診断確定までに長期間を要すること, 年齢が低いこと, 耳痛を訴える頻度が高いこと, 耳内所見は狭窄型を呈する症例が多いことが明らかとなった.","PeriodicalId":39836,"journal":{"name":"Journal of Otolaryngology of Japan","volume":"112 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136377768","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
頸部 CT 画像242例による茎状突起の長さに関する解剖学的計測および茎状突起過長症症例の検討 242例颈部CT影像对茎状突长度的解剖测量以及对茎状突过长症病例的探讨
Journal of Otolaryngology of Japan Pub Date : 2023-09-20 DOI: 10.3950/jibiinkotokeibu.126.9_1061
Sakiko Toge, Yutaka Hanamure, Kohsuke Sekiyama, Masaru Yamashita
{"title":"頸部 CT 画像242例による茎状突起の長さに関する解剖学的計測および茎状突起過長症症例の検討","authors":"Sakiko Toge, Yutaka Hanamure, Kohsuke Sekiyama, Masaru Yamashita","doi":"10.3950/jibiinkotokeibu.126.9_1061","DOIUrl":"https://doi.org/10.3950/jibiinkotokeibu.126.9_1061","url":null,"abstract":"当院で撮影された242例484側の頸部 CT 画像および 3D-CT 画像から茎状突起の長さを測定し臨床的検討を行った. 平均長は 23.6mm であった. 左右差は認めず, 20歳未満と20歳以上では有意差をもって20歳以上で長く, 20歳以上の各年代間では有意な差は認めなかった. 成長期を過ぎて茎状突起の延長はないものと思われた. 30mm 以上の過長茎状突起を有するものは37例で, 男性に有意に多く, 両側例は18例 (48.6%), 片側例は19例 (51.4%) であった. 一側でも過長を有する過長茎状突起症例は男性の19.4%, 女性の10.6%, 全症例の15.3%であった. 頸部外切開にて切除した茎状突起過長症の1例を経験し, 術前評価および手術操作において, 3D-CT 画像および CTA が非常に有用であったため併せて報告する. 茎状突起過長症は多種多様な症状を伴い, 重篤な転帰につながる例も報告されている. 画像検査にて偶発的に過長茎状突起を認めた場合は, 詳細な症状聴取が必要であり, 他科を含めた茎状突起過長症についての連携も重要と思われる.","PeriodicalId":39836,"journal":{"name":"Journal of Otolaryngology of Japan","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136377769","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
A Study of Clinical Factors for Odontogenic Maxillary Sinusitis Requiring ESS 牙源性上颌鼻窦炎需要ESS治疗的临床因素研究
Journal of Otolaryngology of Japan Pub Date : 2023-09-20 DOI: 10.3950/jibiinkotokeibu.126.9_1047
Kenta Fukui, Hiromitsu Hatakeyama, Teruhito Ichikawa, Hiroaki Ninomiya, Yamato Oki, Yu Matsumoto, Tatsu Kuwahara, Makoto Hirota, Nobuhiko Oridate
{"title":"A Study of Clinical Factors for Odontogenic Maxillary Sinusitis Requiring ESS","authors":"Kenta Fukui, Hiromitsu Hatakeyama, Teruhito Ichikawa, Hiroaki Ninomiya, Yamato Oki, Yu Matsumoto, Tatsu Kuwahara, Makoto Hirota, Nobuhiko Oridate","doi":"10.3950/jibiinkotokeibu.126.9_1047","DOIUrl":"https://doi.org/10.3950/jibiinkotokeibu.126.9_1047","url":null,"abstract":"歯性上顎洞炎の治療方針は確立されていないが, 当院では歯科治療や低用量マクロライド療法で改善しない症例に内視鏡下鼻副鼻腔手術 (Endscopic Sinus Surgery: ESS) を施行している. 今回われわれは, ESS を必要とした歯性上顎洞炎の臨床因子の検討を行った. 当院で歯性上顎洞炎と診断した109例を対象とした. 副鼻腔 CT で, ① 上顎洞陰影あり, ② 上顎歯に根尖病巣ありの2つを満たすものを歯性上顎洞炎と診断した. 歯科治療あるいは低用量マクロライド療法で治療を終了できた ESS 不要群 (51例) と, 追加治療として ESS を施行した ESS 施行群 (58例) の2群に分類した. 両群間で性別, 年齢, 喘息歴, 喫煙歴, 鼻症状, 歯痛, 低用量マクロライド療法の有無, 歯科治療の種類, 原因歯の位置, 上顎洞底穿破, 患側への鼻中隔彎曲, Lund-Mackay スコア (LM スコア) を比較した. LM スコアが高いことが ESS 施行群の有意なリスク因子であった. また, 歯痛を有するものは ESS 不要群で多く, 鼻症状を有するものは ESS 施行群で多い傾向にあった. LMスコア4点以上では74%で ESS を要し, 3点以下では96.9%で ESS が不要であった. 鼻症状, 歯痛の有無と LM スコアが ESS の必要性に深くかかわっていた. 歯科と連携を測り, 歯性上顎洞炎を的確に評価し, 治療を計画することが重要である.","PeriodicalId":39836,"journal":{"name":"Journal of Otolaryngology of Japan","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136377946","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
頭頸部癌を見逃さないコツと頸部腫瘤の鑑別診断 头颈癌的鉴别诀窍和颈部肿块的鉴别诊断
Journal of Otolaryngology of Japan Pub Date : 2023-09-20 DOI: 10.3950/jibiinkotokeibu.126.9_1084
弘隆 四宮
{"title":"頭頸部癌を見逃さないコツと頸部腫瘤の鑑別診断","authors":"弘隆 四宮","doi":"10.3950/jibiinkotokeibu.126.9_1084","DOIUrl":"https://doi.org/10.3950/jibiinkotokeibu.126.9_1084","url":null,"abstract":"","PeriodicalId":39836,"journal":{"name":"Journal of Otolaryngology of Japan","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136377763","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
遺伝子から頭頸部がんを診る―唾液腺癌における遺伝子異常 up to date― 通过基因来诊断头颈癌——唾液腺癌的基因异常up to date
Journal of Otolaryngology of Japan Pub Date : 2023-09-20 DOI: 10.3950/jibiinkotokeibu.126.9_1041
里志 加納
{"title":"遺伝子から頭頸部がんを診る―唾液腺癌における遺伝子異常 up to date―","authors":"里志 加納","doi":"10.3950/jibiinkotokeibu.126.9_1041","DOIUrl":"https://doi.org/10.3950/jibiinkotokeibu.126.9_1041","url":null,"abstract":"唾液腺癌の病理組織像は極めて多彩であり, その組織型によって生物学的悪性度が規定されることが多いため, 唾液腺癌の病理組織分類は治療方針の決定および予後予測に非常に重要である. 近年, 唾液腺癌の各組織型においてさまざまな分子メカニズムが解明され, 病理診断や予後予測, 治療標的としての応用が報告されている. 特に唾液腺導管癌における HER2, AR, 分泌癌における NTRK 融合遺伝子はそれぞれに対する治療薬が臨床応用されている. しかし, こうした分子標的治療の適応となる症例は依然として唾液腺癌の一部に過ぎず, 今後もほかの遺伝子異常に対する有効な治療薬の開発が望まれる.","PeriodicalId":39836,"journal":{"name":"Journal of Otolaryngology of Japan","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136377765","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
耳鼻咽喉科で取り組むがん薬物療法 耳鼻喉科的癌症药物疗法
Journal of Otolaryngology of Japan Pub Date : 2023-09-20 DOI: 10.3950/jibiinkotokeibu.126.9_1079
千晶 鈴木
{"title":"耳鼻咽喉科で取り組むがん薬物療法","authors":"千晶 鈴木","doi":"10.3950/jibiinkotokeibu.126.9_1079","DOIUrl":"https://doi.org/10.3950/jibiinkotokeibu.126.9_1079","url":null,"abstract":"","PeriodicalId":39836,"journal":{"name":"Journal of Otolaryngology of Japan","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136377944","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
耳鼻咽喉科・頭頸部外科に必要な病理組織診断の知識 耳鼻喉科、头颈外科所需的病理组织诊断知识
Journal of Otolaryngology of Japan Pub Date : 2023-09-20 DOI: 10.3950/jibiinkotokeibu.126.9_1075
誠 浦野
{"title":"耳鼻咽喉科・頭頸部外科に必要な病理組織診断の知識","authors":"誠 浦野","doi":"10.3950/jibiinkotokeibu.126.9_1075","DOIUrl":"https://doi.org/10.3950/jibiinkotokeibu.126.9_1075","url":null,"abstract":"","PeriodicalId":39836,"journal":{"name":"Journal of Otolaryngology of Japan","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136377762","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
内耳造影 MRI による内リンパ水腫所見を用いて「蝸牛型メニエール病」と「急性低音障害型感音難聴」を分けて考える 利用内耳造影MRI的内淋巴水肿观察，区分“耳蜗型美尼尔氏综合症”和“急性低音障碍型感音耳聋”。
Journal of Otolaryngology of Japan Pub Date : 2023-09-20 DOI: 10.3950/jibiinkotokeibu.126.9_1095
Hiroto Fujita, Tadashi Kitahara, Toshizo Koizumi, Taeko Ito, Hiroshi Inui, Mariko Kakudo
{"title":"内耳造影 MRI による内リンパ水腫所見を用いて「蝸牛型メニエール病」と「急性低音障害型感音難聴」を分けて考える","authors":"Hiroto Fujita, Tadashi Kitahara, Toshizo Koizumi, Taeko Ito, Hiroshi Inui, Mariko Kakudo","doi":"10.3950/jibiinkotokeibu.126.9_1095","DOIUrl":"https://doi.org/10.3950/jibiinkotokeibu.126.9_1095","url":null,"abstract":"","PeriodicalId":39836,"journal":{"name":"Journal of Otolaryngology of Japan","volume":"165 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136377764","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
Prevalence of usage of hearing aids and its association with cognitive impairment in Japanese community-dwelling elders with hearing loss 日本社区中听力损失老年人助听器的使用及其与认知障碍的关系
Journal of Otolaryngology of Japan Pub Date : 2023-09-20 DOI: 10.3950/jibiinkotokeibu.126.9_1089
Saiko Sugiura, Yasue Uchida, Yukiko Nishita, Masaaki Teranishi, Mariko Shimono, Hirokazu Suzuki, Tsutomu Nakashima, Chikako Tange, Rei Otsuka, Fujiko Ando, Hiroshi Shimokata
{"title":"Prevalence of usage of hearing aids and its association with cognitive impairment in Japanese community-dwelling elders with hearing loss","authors":"Saiko Sugiura, Yasue Uchida, Yukiko Nishita, Masaaki Teranishi, Mariko Shimono, Hirokazu Suzuki, Tsutomu Nakashima, Chikako Tange, Rei Otsuka, Fujiko Ando, Hiroshi Shimokata","doi":"10.3950/jibiinkotokeibu.126.9_1089","DOIUrl":"https://doi.org/10.3950/jibiinkotokeibu.126.9_1089","url":null,"abstract":"","PeriodicalId":39836,"journal":{"name":"Journal of Otolaryngology of Japan","volume":"193 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136377766","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
A Case of Anterior Inferior Cerebellar Artery Syndrome Accompanied by Polycythemia Presenting Vertigo and Hearing Loss as Initial Symptoms 小脑前下动脉综合征伴红细胞增多症1例，首发症状为眩晕和听力丧失
Journal of Otolaryngology of Japan Pub Date : 2023-09-20 DOI: 10.3950/jibiinkotokeibu.126.9_1068
Naoki Fushimi, Tsuyoshi Yoshida, Niro Tayama
{"title":"A Case of Anterior Inferior Cerebellar Artery Syndrome Accompanied by Polycythemia Presenting Vertigo and Hearing Loss as Initial Symptoms","authors":"Naoki Fushimi, Tsuyoshi Yoshida, Niro Tayama","doi":"10.3950/jibiinkotokeibu.126.9_1068","DOIUrl":"https://doi.org/10.3950/jibiinkotokeibu.126.9_1068","url":null,"abstract":"多血症は末梢血中の赤血球数, ヘモグロビン濃度, ヘマトクリット値が正常より高い状態を指し, 高率に血栓症を来す病態が含まれる. 今回, めまいと左難聴で発症後, 小脳梗塞 (左前下小脳動脈症候群) が判明し, 多血症が併存していた72歳男性の症例を経験した. 診断後も梗塞範囲は徐々に拡大し, 左顔面神経麻痺, 左顔面感覚異常, 体幹失調などが出現し, 難聴も増悪した. 3回の瀉血の後, リハビリ施設へ転院した. めまいを伴う急性感音難聴は内耳疾患だけでなく脳血管障害も原因になるため, MRA を含む頭部 MRI の撮影のほか, 血栓素因の確認が重要である. 特に多血症は血算が特徴的であり, 血液検査の際には留意しておく必要がある.","PeriodicalId":39836,"journal":{"name":"Journal of Otolaryngology of Japan","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136377767","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
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