{"title":"Introduction of preoperative superselective intra-arterial rapid infusion chemotherapy for external auditory canal cancer","authors":"M. Uchida, C. Ushijima, K. Dejima","doi":"10.5106/JJSHNS.22.41","DOIUrl":"https://doi.org/10.5106/JJSHNS.22.41","url":null,"abstract":"","PeriodicalId":276583,"journal":{"name":"Journal of Japan Society for Head and Neck Surgery","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116135068","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":"側壁型中咽頭癌に対する経口腔手術 Transoral Lateral Oropharyngectomyの有用性と限界","authors":"由輩 清野, 明仁 中山, 昌彦 竹田, 旅人 岡本, 牧人 岡本","doi":"10.5106/JJSHNS.22.69","DOIUrl":"https://doi.org/10.5106/JJSHNS.22.69","url":null,"abstract":"","PeriodicalId":276583,"journal":{"name":"Journal of Japan Society for Head and Neck Surgery","volume":"82 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128067442","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}
T. Beppu, Satoshi Shirakura, Yusuke Kiyokawa, Y. Inayoshi, N. Hattori, W. Nishijima
A case report of a patient with lower lip T3N0 squamous cell carcinoma reconstructed by the Webster method plus bilateral staircase flap : Subtotal lower lip resection was performed and about 70 to 80％ of lower lip defects were subsequently reconstructed by Webster’s method plus bilateral staircase flap in cases with T3NO squamous cell carcinoma. Post-operative function and aesthetic form were also satisfactory. Generally, in lower lip cancer, selection of the reconstruction method after resection depends on the extent and location of the defect. When the defect is more than two thirds and crosses the midline, our method is a useful and convenient technique for otolaryngologists and head and neck surgeons.
{"title":"A case report of a patient with lower lip T3N0 squamous cell carcinoma reconstructed by the Webster method plus bilateral staircase flap","authors":"T. Beppu, Satoshi Shirakura, Yusuke Kiyokawa, Y. Inayoshi, N. Hattori, W. Nishijima","doi":"10.5106/JJSHNS.22.59","DOIUrl":"https://doi.org/10.5106/JJSHNS.22.59","url":null,"abstract":"A case report of a patient with lower lip T3N0 squamous cell carcinoma reconstructed by the Webster method plus bilateral staircase flap : Subtotal lower lip resection was performed and about 70 to 80％ of lower lip defects were subsequently reconstructed by Webster’s method plus bilateral staircase flap in cases with T3NO squamous cell carcinoma. Post-operative function and aesthetic form were also satisfactory. Generally, in lower lip cancer, selection of the reconstruction method after resection depends on the extent and location of the defect. When the defect is more than two thirds and crosses the midline, our method is a useful and convenient technique for otolaryngologists and head and neck surgeons.","PeriodicalId":276583,"journal":{"name":"Journal of Japan Society for Head and Neck Surgery","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115200337","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":"Stage I，II舌扁平上皮癌症例における口腔内超音波検査の有用性","authors":"勉 上田, 昌也 工田, 崇志 河野, 隆治 立川, 剛史 大久保, 勝洋 平川","doi":"10.5106/JJSHNS.22.63","DOIUrl":"https://doi.org/10.5106/JJSHNS.22.63","url":null,"abstract":"","PeriodicalId":276583,"journal":{"name":"Journal of Japan Society for Head and Neck Surgery","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132061618","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}
diagnosis of parotid pleomorphic adenoma We report a surgical case of intraparotid facial nerve schwannoma, which was preoperatively diagnosed as pleomorphic adenoma. A 40-year-old woman was diagnosed with pleomorphic adenoma of the parotid gland by MRI and fine needle aspiration cytology. Surgical excision of the parotid tumor was planned. However, during surgery the tumor was found to originate from the main trunk of the facial nerve. We diagnosed the tumor as facial nerve schwannoma in the parotid gland and performed intracapsular excision of the tumor using electrical intraoperative monitoring of the facial nerve to preserve facial nerve function. We succeeded in a subtotal tumor excision with mild postoperative facial nerve paralysis, which was recovered completely within three months.
{"title":"Summary A case of facial nerve schwannoma found during surgery having a preoperative diagnosis of parotid pleomorphic adenoma","authors":"Y. Nagashima, Y. Hamajima, K. Ijichi, S. Murakami","doi":"10.5106/JJSHNS.21.291","DOIUrl":"https://doi.org/10.5106/JJSHNS.21.291","url":null,"abstract":"diagnosis of parotid pleomorphic adenoma We report a surgical case of intraparotid facial nerve schwannoma, which was preoperatively diagnosed as pleomorphic adenoma. A 40-year-old woman was diagnosed with pleomorphic adenoma of the parotid gland by MRI and fine needle aspiration cytology. Surgical excision of the parotid tumor was planned. However, during surgery the tumor was found to originate from the main trunk of the facial nerve. We diagnosed the tumor as facial nerve schwannoma in the parotid gland and performed intracapsular excision of the tumor using electrical intraoperative monitoring of the facial nerve to preserve facial nerve function. We succeeded in a subtotal tumor excision with mild postoperative facial nerve paralysis, which was recovered completely within three months.","PeriodicalId":276583,"journal":{"name":"Journal of Japan Society for Head and Neck Surgery","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124768679","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}
K. Miura, Kamata Shin-Etsu, Y. Tada, T. Masubuchi, N. Nakamura, C. Fushimi, S. Maruya, T. Sakashita, T. Monma, Yutaka Nagafuji Yutaka Nagafuji, I. Okamoto, E. Takeishi, T. Matsuki
{"title":"Summary Device for paratracheal dissection for a total pharyngolaryngoesophagectomy","authors":"K. Miura, Kamata Shin-Etsu, Y. Tada, T. Masubuchi, N. Nakamura, C. Fushimi, S. Maruya, T. Sakashita, T. Monma, Yutaka Nagafuji Yutaka Nagafuji, I. Okamoto, E. Takeishi, T. Matsuki","doi":"10.5106/JJSHNS.21.255","DOIUrl":"https://doi.org/10.5106/JJSHNS.21.255","url":null,"abstract":"下咽頭喉頭全摘頸部食道切除（咽喉食摘術）に施行される気管傍の郭清では，気管軟骨壊死をおこさないように，気管の虚血には細心の注意をはらう必要がある。われわれは下甲状腺動脈から，あるいは上甲状腺動脈から甲状腺を介した気管への血流の，左右4系列いずれかを温存することをこころがけている。この手技によって郭清の質を落とすことなく，安全な気管孔の作製をすることが両立しえた。この手技は特殊な技術を必要とせず，気管孔の管理・狭窄予防に有用であり，QOLの向上に寄与すると考えられた。","PeriodicalId":276583,"journal":{"name":"Journal of Japan Society for Head and Neck Surgery","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114937033","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":"上顎洞原発のGiant cell reparative granulomaの1例","authors":"Tomohisa Iinuma, Izuru Kamikubo, Naoki Takahashi","doi":"10.5106/JJSHNS.21.209","DOIUrl":"https://doi.org/10.5106/JJSHNS.21.209","url":null,"abstract":"Giant cell reparative granulomaは全身に発生する非腫瘍性の線維性巨細胞病変である。特に上顎，下顎骨の発生が多い。病理学的に類似した疾患が多く，疫学や好発部位など疾患の特徴を認識していないと診断が難しい。文献的考察を加え1症例を報告した。症例は41歳の男性で右の頬部腫脹を主訴とし来院。画像では右上顎洞から頬部，眼窩内へ突出する腫瘤を認め，悪性腫瘍を疑わせたが下鼻道からの生検によりGiant cell reparative granulomaと診断。外科的切除，術後に局所ステロイド注入を行い良好な経過をたどった。","PeriodicalId":276583,"journal":{"name":"Journal of Japan Society for Head and Neck Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123930191","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":"Summary Nasopharyngeal cancer presented with attacks of syncope","authors":"A. Uzuki, T. Shimane, R. Akiyama, Takeshi Hayashi, Kenitirou Ikeda, H. Gomibuti, Sei Kobayashi, T. Sanbe","doi":"10.5106/JJSHNS.21.241","DOIUrl":"https://doi.org/10.5106/JJSHNS.21.241","url":null,"abstract":"頭頸部癌は頸部リンパ節転移が多く認められ，この転移巣による物理的な頸動脈圧迫で失神発作（頸動脈洞過敏症候群：Carotid Sinus Hypersensitivity Syndrome以下CSHS）を起こすことは報告されているが，ほとんどは末期癌患者であり初発症状として失神発作を起こした症例は少ない。今回，われわれは頻回の失神発作を初発症状とした，上咽頭癌の頸部リンパ節転移の症例を経験した。術前にペースメーカーを挿入していたため，手術治療を選択し頸部郭清術を施行したところ失神発作は消失した。CSHSは，頸動脈反射が何らかの原因で過敏反応を示す場合をいう。頸部リンパ節転移が原因のCSHSの治療には，手術・化学放射線同時併用療法・薬物療法などが挙げられる。頸部リンパ節転移を認める症例は進行癌が多いため，治療の選択肢を広げるためにもペースメーカー挿入を積極的に行うべきであると考えられた。","PeriodicalId":276583,"journal":{"name":"Journal of Japan Society for Head and Neck Surgery","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117055102","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":"Summary Clinical analysis of neck and peritonsillar abscesses","authors":"Ai Kawamoto, H. Hidaka, Naoya Noguchi, Kazuha Oda, Makiko Miyazaki, Toshimitsu Kobayashi","doi":"10.5106/JJSHNS.21.271","DOIUrl":"https://doi.org/10.5106/JJSHNS.21.271","url":null,"abstract":"頸部膿瘍の病態の検討を行うため，2008年8月～2010年7月までの2年間に当科で外科的ドレナージを行った頸部膿瘍38例と同時期の扁桃周囲膿瘍38例について年齢，性別，膿瘍存在部位，喫煙率，原因，検出菌などについて比較検討し報告する。性別は両群とも男性に多く，扁桃周囲膿瘍では20～30代，頸部膿瘍では小児と50歳以上に多い傾向を認めた。喫煙率は両群で高い傾向を認めた。部位は側索咽後部，顎下部に多く，側索咽後膿瘍では広範囲に病変が進展する例を多く認めた。原因は成人では咽頭炎，齲歯が，小児ではリンパ節炎が多く，禁煙や，口腔内環境を清潔に保つことが扁桃周囲膿瘍，頸部膿瘍の予防につながると考えられた。","PeriodicalId":276583,"journal":{"name":"Journal of Japan Society for Head and Neck Surgery","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128716871","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":"Planned Neck Dissectionの検討","authors":"松尾 美央子, 文秀 力丸, 檜垣 雄一郎, 吉信 冨田","doi":"10.5106/JJSHNS.21.175","DOIUrl":"https://doi.org/10.5106/JJSHNS.21.175","url":null,"abstract":"化学放射線治療後に施行した計画的頸部郭清術症例58例について検討した。病理学的なリンパ節転移陽性率は36%で，原発部位別，Nステージ別で差はなかった。再発率は39%で多くはT再発であった。N再発出現率は全体の10%で，うちN単独再発は3%と頸部制御は良好であった。3年生存率は81%で，原発部位，Tステージ，Nステージ，pN別での差はなかった。以上の病理学的なリンパ節転移陽性率，高い頸部制御率と生存率から，計画的頸部郭清術は妥当と思われた。ただし今後の課題として，化学放射線治療のみで腫瘍を制御できる症例群を選別し，不必要なPNDを減じることは必要と思われた。","PeriodicalId":276583,"journal":{"name":"Journal of Japan Society for Head and Neck Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115553445","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}
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