| Item type |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2022-04-11 |
| タイトル |
|
|
タイトル |
鼻すすり型耳管開放症の2例 |
|
言語 |
ja |
| タイトル |
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|
タイトル |
Two Cases of Sniff-Type Patulous Eustachian Tube |
|
言語 |
en |
| 言語 |
|
|
言語 |
jpn |
| キーワード |
|
|
主題 |
sniff-type patulous Eustachian tube |
| キーワード |
|
|
主題 |
ventilation tube |
| キーワード |
|
|
主題 |
Kobayashi plug |
| 資源タイプ |
|
|
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 |
遠藤, 志織
水田, 邦博
大石, 宏虎
池羽, 宇宙
喜夛, 淳哉
伴, 昭宏
中西, 啓
瀧澤, 義徳
荒井, 真木
森田, 祥
細川, 久美子
三澤, 清
細川, 誠二
武林, 悟
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. 217-222,
発行日 2021-02-01
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| 出版者 |
|
|
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 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
We encountered two cases of refractory sniff-type patulous Eustachian tubes. Case 1, a 14-year-old girl visited our hospital with the chief complaint of “aural fullness”. The diagnosis of patulous Eustachian tube was made according to the diagnostic criteria for this condition. Conservative treatments, such as oral medicines, instillation of physiological saline, and application of adhesive tape on the tympanic membrane proved ineffective, and we performed ventilation tube insertion. Immediately after placement of the ventilation tube, the patient developed “auditory hyperacusis” (hypersensitivity to surrounding sounds), but this improved from the 16th day after insertion. Wearing earplugs was effective during this period when environmental noise was particularly noticeable. With the improvement of the auditory hyperacusis, the aural fullness also improved. It is important to explain to the patients about the possible development of auditory hyperacusis before the ventilation tube insertion. Case 2 was a 31-year-old woman with the chief complaint of “autophonia”. She also had anorexia nervosa. The diagnosis of patulous Eustachian tube was made according to the diagnostic criteria for this condition. We considered that the “sound invasion into the middle ear” had a greater effect on the pathology than the “pressure change in the middle ear” in this case, and inserted Kobayashi plugs into the Eustachian tube. We also inserted a ventilation tube in anticipation of continued sniffing and worsening of the tympanic membrane retraction due to negative pressure. Thereafter, the patient exhibited the behavior of sniffing while inserting a finger into the external auditory meatus, but we considered that there was no direct effect on the tympanic membrane. The Kobayashi plugs were replaced (sized up) during follow-up, and the ear symptoms, mainly autophonia, resolved. |
| 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 |
|
|
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 |
2021267621 |
| 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 |
|
|
関連識別子 |
10.5631/jibirinsuppl.156.217 |
| 著者版フラグ |
|
|
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-156-217.pdf (2.9 MB)
