| Item type |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2022-04-11 |
| タイトル |
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|
タイトル |
耳管閉鎖不全を理解するために滲出性中耳炎から始める新人教育 |
|
言語 |
ja |
| タイトル |
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|
タイトル |
Education of New Otolaryngologists Regarding Otitis Media with Effusion to Enhance Their Understanding of Eustachian Tube Dysfunction |
|
言語 |
en |
| 言語 |
|
|
言語 |
jpn |
| キーワード |
|
|
主題 |
insertion of tympanic ventilation tube |
| キーワード |
|
|
主題 |
Eustachian function |
| キーワード |
|
|
主題 |
habitual sniffing |
| 資源タイプ |
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|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 著者 |
丹羽, 彩
水田, 邦博
遠藤, 志織
中西, 啓
大和谷, 崇
荒井, 真木
細川, 誠二
峯田, 周幸
|
| 書誌情報 |
耳鼻咽喉科臨床 補冊 = Practica oto-rhino-laryngologica. Suppl.
巻 156,
p. 213-216,
発行日 2021-02-01
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| 出版者 |
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|
出版者 |
耳鼻咽喉科臨床学会 |
| 出版者 |
|
|
出版者 |
The Society of Practical Otolaryngology |
| 権利 |
|
|
権利情報 |
出版者の許諾を得て掲載 |
| 抄録 |
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|
内容記述タイプ |
Abstract |
|
内容記述 |
Objective and method: From the viewpoint of new otolaryngologists, cases of otitis media with effusion (OME) caused by Eustachian tube dysfunction tend to be overlooked, while the mechanism of OME is gradually understood. Children in lower grades with tonsillitis, adenoid hyperplasia, sinusitis, and an immature Eustachian tube have been encountered. Children in upper grades with a habit of sniffing (HS), presenting for treatment by general practitioners, are also encountered. The training involved one case where insertion of a tympanic ventilation tube was requested by the general practitioner and another case with atelectasis. The conditions of the patients were assessed based on interviews, eardrum views, and assessment of the degree of ventilation of the Eustachian tube.
Result: The condition of children in lower grades improved with conservative treatment, and the condition of children in upper grades improved with cessation of HS.
Discussion: According to the 2015 medical treatment guidelines of OME, tympanic ventilation tubes should be inserted in cases of atelectasis, based on recommendation level A. However, the condition of the patients has been shown to improve with cessation of HS. Young otorhinolaryngologists often perform the insertion of tympanic ventilation tubes. It is important to consider not only the phenomena of hearing loss and exudate retention in the tympanum, but also the mechanism of exudate retention. We should make a careful judgement about whether to insert tympanic ventilation tubes or not, because the complications of tympanic ventilation tube insertion cannot be ignored. |
| 注記 |
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|
内容記述 |
浜松医科大学医学部耳鼻咽喉科・頭頸部外科学教室 峯田周幸教授退任記念論文集〜症例から学ぶ〜 |
| 注記 |
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|
内容記述 |
Festschrift for Professor Hiroyuki Mineta In Hornor of His Retirement as Chairman of Hamamatsu University School of Medicine |
| ISSN |
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収録物識別子タイプ |
ISSN |
|
収録物識別子 |
0912-1870 |
| EISSN |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
2185-1557 |
| 医中誌論文ID |
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関連タイプ |
isIdenticalTo |
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|
識別子タイプ |
ICHUSHI |
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関連識別子 |
2021267620 |
| 出版社DOI |
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|
関連タイプ |
isIdenticalTo |
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|
識別子タイプ |
DOI |
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|
関連識別子 |
10.5631/jibirinsuppl.156.213 |
| 著者版フラグ |
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|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
耳鼻臨床補冊-156-213.pdf (9.8 MB)
