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Practica Otologica最新文献

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高齢者に対する人工内耳治療の実態と装用効果 人工耳蜗对老年人的治疗效果和安装效果
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.5631/jibirin.116.635
Yusuke Hirano, Chikako Shinkawa, Tsukasa Ito, Toshinori Kubota, H. Matsui, Takanari Goto, S. Kakehata
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引用次数: 0
A Case of Detection of Hypopharyngeal Metastasis from a Uterine Leiomyosarcoma During Systemic Chemotherapy 子宫平滑肌肉瘤全身化疗中发现下咽转移1例
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.5631/jibirin.116.893
M. Kitano, Kazuya Saito, Yumiko Nishide, K. Akazawa, H. Kajikawa, Naoki Otsuki
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引用次数: 0
Evaluation of Stress and Endolymphatic Hydrops in Patients with Unilateral Meniere’s Disease 单侧梅尼埃病患者应激和内淋巴积液的评价
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.5631/jibirin.116.851
Hiroto Fujita, Toshizo Koizumi, H. Inui, Taeko Ito, T. Kitahara
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引用次数: 0
A Case of Laryngeal Cancer with Bilateral Adrenal Hemorrhage Associated with Sepsis due to Radiation-Induced Mucositis That Showed a Rapidly Deteriorating Course 喉癌合并双侧肾上腺出血合并败血症,放射引起的粘膜炎表现出快速恶化的过程
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.5631/jibirin.116.997
Yuhei Ogino, Masao Yagi, Minaki Shimizu, Tomofumi Sakagami, Takuo Fujisawa, Hiroshi Iwai
Bilateral adrenal hemorrhage (BAH) is a rare but potentially fatal disease. BAH is associated with sepsis, antiphospholipid syndrome, use of anticoagulants, adrenal tumors, including metastases, or trauma/surgery in most cases. Mucositis induced by radiation therapy is a frequently occurring toxicity in patients with laryngeal cancer. However, it is rare for radiation-induced mucositis to be complicated by sepsis. We report the case of a 76-year-old man who was diagnosed as having laryngeal cancer (cT2N0M0), received radiation therapy, but suffered from septic shock and died immediately after the radiation therapy. Bacterial culture revealed the growth of Enterobacter cloacae from both the oral discharge and blood. Autopsy revealed severe mucositis, disseminated intravascular coagulation, and bilateral adrenal hemorrhage, and the patient was diagnosed as having died due to acute adrenal failure caused by bilateral adrenal hemorrhage.
双侧肾上腺出血(BAH)是一种罕见但潜在致命的疾病。BAH与脓毒症、抗磷脂综合征、抗凝血剂的使用、肾上腺肿瘤(包括转移)或大多数情况下的创伤/手术有关。放射治疗引起的粘膜炎是喉癌患者常见的毒性反应。然而,放射引起的粘膜炎合并败血症是罕见的。我们报告一位76岁的男性,他被诊断为喉癌(cT2N0M0),接受放射治疗,但患有感染性休克并在放射治疗后立即死亡。细菌培养显示口腔分泌物和血液中都有阴沟肠杆菌生长。尸检显示严重粘膜炎,弥散性血管内凝血,双侧肾上腺出血,诊断为双侧肾上腺出血所致急性肾上腺衰竭死亡。
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引用次数: 0
A Case of Meningeal Carcinomatosis in Which Hearing Loss Was Improved by Radiotherapy 脑膜癌放疗后听力改善1例
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.5631/jibirin.116.1059
Masayuki Tsuda, Kyoko Kitaoka, Yoshihiko Kumai
Meningeal carcinomatosis develops when a malignant tumor spreads to the arachnoid or subarachnoid space of the brain and spinal cord, causing a variety of neurological symptoms, and in general, is known to carry an extremely poor prognosis. In this report, we present the case of a 48-year-old woman who developed acute sensorineural hearing loss during treatment for breast cancer, and was diagnosed as having meningeal carcinomatosis based on a history of spinal metastasis and head imaging findings. This case report serves to highlight the possibility that chemoradiotherapy might be useful even in patients with advanced breast cancer with meningeal carcinomatosis, not only to obtain improved hearing, but also prolong the life expectancy.
当恶性肿瘤扩散到脑和脊髓的蛛网膜或蛛网膜下腔时,就会发生脑膜癌病,引起各种神经系统症状,通常已知预后极差。在本报告中,我们报告了一位48岁的女性,她在乳腺癌治疗期间出现急性感音神经性听力损失,并根据脊柱转移史和头部影像学发现被诊断为脑膜癌。本病例报告强调放化疗可能对晚期乳腺癌合并脑膜癌患者也有用,不仅可以改善听力,还可以延长预期寿命。
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引用次数: 0
気管・声門下狭窄症に対するバルーン拡張術 针对气管、声门下狭窄症的气球扩张术
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.5631/jibirin.116.1050
Yo Kishimoto, Yoshitaka Kawai, Koichi Omori
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引用次数: 0
QOLが改善した85歳人工内耳手術の2例 改善QOL的85岁患者2例人工耳蜗手术
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.5631/jibirin.116.1071
Haruka Nishimura, Yoko Ohta, Atsushi Kawano, Nobuhiro Nishiyama, Ryota Tomioka, Ryo Akai, Kazuhiro Hattori, Kiyoaki Tsukahara
In recent years, there has been an increasing demand among the elderly for reacquisition of their ability for hearing. We report two super-elderly persons aged 85 years who underwent cochlear implant surgery. Case 1 was an 85-year-old man who presented with severe sensorineural hearing loss of 102 dB on the right and 105 dB on the left. We performed cochlear implant surgery. At 3 months after the surgery, the 67-S was 50%, the CI-2004 was 90%, and sentence hearing was 100%. Case 2 was an 85-year-old woman with severe sensorineural hearing loss in both ears. We performed cochlear implant surgery. At 3 months after the surgery, the 67-S was 30%, CI-2004 was 68%, and sentence hearing was 80%. Both patients were receiving anticoagulants, but their cognitive functions and general condition were good. There were no complications in either case, and a questionnaire survey showed an increase in communication opportunities, with both patients saying that “conversations with other people increased,” and “phones became audible.” In addition, we noticed more positive behaviors and improvement in the level of activities of the patients such as “more going out,” “feeling like participating in alumni association meets,” “increased participation in events,” etc. Unlike young people, cochlear implant surgery in the elderly entails various additional problems. However, the desire for reacquisition of the hearing ability plays a major role. Our findings suggest that cochlear implant surgery may be considered for super-elderly persons if there are no problems with their general condition or cognitive functions.
近年来,老年人对恢复听力的需求越来越大。我们报告两位85岁高龄的高龄人士接受人工耳蜗手术。病例1是一名85岁的男性,表现为严重的感音神经性听力损失,右侧102 dB,左侧105 dB。我们做了人工耳蜗手术。术后3个月67-S评分为50%,CI-2004评分为90%,判决听审率为100%。病例2为双耳严重感音神经性听力损失的85岁女性。我们做了人工耳蜗手术。术后3个月67-S评分为30%,CI-2004评分为68%,判决听审评分为80%。两例患者均接受抗凝治疗,但认知功能和一般情况良好。两名患者都没有出现并发症,一份问卷调查显示,交流的机会增加了,两位患者都说“与他人的交谈增加了”,“电话的声音变小了”。此外,我们还注意到患者的积极行为和活动水平的提高,如“更多地外出”,“喜欢参加校友会会议”,“更多地参与活动”等。与年轻人不同,老年人的人工耳蜗手术会带来各种额外的问题。然而,重新获得听力能力的愿望起着主要作用。我们的研究结果表明,如果他们的一般状况或认知功能没有问题,可以考虑对超老年人进行人工耳蜗手术。
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引用次数: 0
A Case of Superficial Siderosis of the Central Nervous System 中枢神经系统浅表性铁沉着症1例
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.5631/jibirin.116.13
A. Motegi, M. Sugiura, Y. Goto, Mio Ishihama
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引用次数: 1
A Case of Pediatric Pneumoparotitis with Extensive Mediastinal Emphysema 小儿肺腺炎合并广泛纵隔肺气肿1例
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.5631/jibirin.116.339
Kouta Yanagizono, M. Adachi, H. Akizuki
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引用次数: 0
A Case of Malignant Lymphoma with Superior Orbital Fissure Syndrome 恶性淋巴瘤合并眶上裂综合征1例
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.5631/jibirin.116.227
Yusei Makoshi, Taiki Mori, Natsuki Sugiyama, R. Ishikawa, A. Hayashi, S. Matsuda, Yutaka Sasaki
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引用次数: 0
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Practica Otologica
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