20 results on '"Hajime Ishinaga"'
Search Results
2. A Case of Giant Parotid Gland Carcinoma ex Pleomorphic Adenoma
- Author
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Hajime Ishinaga, Hiroyuki Morishita, Kazuki Chiyonobu, and Kazuhiko Takeuchi
- Subjects
Pathology ,medicine.medical_specialty ,Otorhinolaryngology ,business.industry ,medicine ,Parotid Gland Carcinoma ex Pleomorphic Adenoma ,business - Published
- 2021
3. A Case of Synovial Sarcoma of the Larynx
- Author
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Kazuki Chiyonobu, Hajime Ishinaga, and Kazuhiko Takeuchi
- Subjects
Otorhinolaryngology - Published
- 2021
4. A Case of Inflammatory Pseudotumor of the Cheek
- Author
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Tomoya Hirata, Kazuhiko Takeuchi, and Hajime Ishinaga
- Subjects
medicine.medical_specialty ,medicine.anatomical_structure ,Otorhinolaryngology ,business.industry ,Inflammatory pseudotumor ,Medicine ,Cheek ,business ,Dermatology - Published
- 2020
5. Surgical Approach to Mediastinal Goiter
- Author
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Kazuya Otsu, Hajime Ishinaga, and Kazuhiko Takeuchi
- Subjects
Mediastinal goiter ,medicine.medical_specialty ,Surgical approach ,Otorhinolaryngology ,business.industry ,Medicine ,Radiology ,business - Published
- 2019
6. Clinical Analysis of Esophageal Cancer in Patients with Head and Neck Cancer
- Author
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Atsushi Yuta, Kazuhiko Takeuchi, Hajime Ishinaga, Yuichi Majima, and Kazuya Otsu
- Subjects
Oncology ,medicine.medical_specialty ,Clinical pathology ,business.industry ,Head and neck cancer ,Cancer ,Hypopharyngeal cancer ,Esophageal cancer ,medicine.disease ,University hospital ,Primary cancer ,Otorhinolaryngology ,Internal medicine ,medicine ,In patient ,Radiology ,business - Abstract
Head and neck cancer is frequently accompanied with other primary cancers, especially esophageal cancer. Among 337 cases with head and neck cancers treated at Mie University Hospital from January 2001 to December 2005, 31 cases (9.2%) had multiple cancers. Oropharyngeal cancer and hypopharyngeal cancer cases showed esophageal cancer significantly more frequently than other head and neck cancer cases (25.0-26.7%). Brinkman's index was significantly higher in the group with cancer of the oropharynx associated with esophageal cancer than in the group without any other primary cancer. Sake index was significantly higher in the group with cancer of the oropharynx or hypopharinx associated with esophageal cancer than in the group without any other primary cancer. Endoscopic examinations should be routinely performed after the treatment of head and neck cancer.
- Published
- 2009
7. Clinical Study of Cases of Laryngeal Cancer
- Author
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Kazuya Otsu, Hajime Ishinaga, Atsushi Yuta, Kazuhiko Takeuchi, Yuichi Majima, and Satoshi Nakamura
- Subjects
Larynx ,medicine.medical_specialty ,Glottis ,business.industry ,Cancer ,medicine.disease ,Surgery ,Clinical study ,medicine.anatomical_structure ,Otorhinolaryngology ,medicine ,Stage (cooking) ,Supraglottis ,Subglottis ,business ,Survival rate - Abstract
A retrospective clinical study was conducted involving 143 patients with laryngeal cancer treated in our department between 1998 and 2006. The subjects consisted of 138 males and 5 females, with a ratio of 28:1. The mean age was 68.1 years old. The subsite of origin comprised 78 (54.5%) in the glottis, 61 (42.7%) in the supraglottis, and 4 (2.8%) in the subglottis. The clinical stage according to the 1997 UICC TMN classification system was I in 53 cases (37.1%), II in 34 (23.8%), III in 20 (14.0%), and IV in 36 (25.2%). The 5-year overall survival rate was 71.2% in the total cases, 84.4% in stage I, 89.6% in stage II, 51.2% in stage III, and 38.9% in stage IV. The disease-specific 5-year survival rate was 88.3% in the total cases, 75.5% in the supraglottic type, 98.1% in the glottic type, and 100% in the subglottic type. The preservation rate of the larynx at 5 years was 83.3% in T1, 56.5% in T2, and 0% in T3 and T4.
- Published
- 2008
8. Clinical Results of Alternating Chemoradiotherapy for Nasopharyngeal Cancer
- Author
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Noriko, Yoshihito Nomoto, Hajime Ishinaga, Shinobu Arima, Kazuhiko Takeuchi, Tetsu Nakamura, Kazuya Otsu, Atsushi Yuta, Yuichi Majima, and Yasufumi Yamashita
- Subjects
Oncology ,medicine.medical_specialty ,Otorhinolaryngology ,business.industry ,Internal medicine ,Medicine ,Alternating chemoradiotherapy ,business ,Nasopharyngeal cancer - Published
- 2008
9. Clinical Analysis of Parotid Carcinoma
- Author
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Atsushi Yuta, Yuichi Majima, Kazuhiko Takeuchi, Shinobu Arima, and Hajime Ishinaga
- Subjects
medicine.medical_specialty ,Otorhinolaryngology ,Clinical pathology ,business.industry ,Parotid carcinoma ,Medicine ,Radiology ,business - Published
- 2008
10. A Case of Harada's Disease Exhibiting Impairment of Bilateral Vestibular Function
- Author
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Takumi Hayashi, Yang Tian-qun, Mayuko Sakaida, Kazuhiko Takeuchi, Yuichi Majima, and Hajime Ishinaga
- Subjects
Vestibular system ,medicine.medical_specialty ,Visual acuity ,biology ,business.industry ,Audiogram ,Audiology ,biology.organism_classification ,eye diseases ,Otorhinolaryngology ,Hearing level ,Vertigo ,otorhinolaryngologic diseases ,Medicine ,Betamethasone ,Harada's disease ,sense organs ,medicine.symptom ,business ,medicine.drug ,Paresis - Abstract
We report the case of a 42-year-old male with Harada's disease who showed impairment of bilateral, vestibular and cochlear function. He showed bilateral sensorineural hearing loss on an audiogram and canal paresis in Caloric response. The systemic administration of betamethasone was effective: his visual acuity and hearing level normalized and vertigo subsided.
- Published
- 2002
11. A Case of Extramedullary Plasmacytoma from Right Frontal Sinus
- Author
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Kenichiro Fujita, Akihiko Kato, Hajime Ishinaga, Ryoji Ishida, and Hiroyuki Yamada
- Subjects
Otorhinolaryngology ,business.industry ,Medicine ,Extramedullary plasmacytoma ,Right frontal sinus ,Anatomy ,business - Published
- 2001
12. A Pleomorphic Adenoma with Giant Cystic Formation in the Parapharyngeal Space
- Author
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Masaki Tatematsu, Kenichi Inagami, Mitsuo Adachi, Yuichi Majima, Takeshi Shimizu, and Hajime Ishinaga
- Subjects
medicine.medical_specialty ,medicine.diagnostic_test ,Soft palate ,Adenoma ,business.industry ,Cystic hygroma ,Magnetic resonance imaging ,Anatomy ,medicine.disease ,Pleomorphic adenoma ,medicine.anatomical_structure ,Otorhinolaryngology ,medicine ,Parapharyngeal space ,Radiology ,Differential diagnosis ,Branchial cleft cyst ,business - Abstract
The patient was an 82-year-old female with a swelling at the left side of the soft palate. Computed tomography (CT) and magnetic resonance imaging (MRI) revealed a large cystic tumor in the left parapharyngeal space. The cystic tumor was removed via a cervical approach with mandibulotomy (mandibular swing approach). Postoperative histological examination revealed a pleomorphic adenoma with cystic formation.Pleomorphic adenoma with large cystic formation is rare in the parapharyngeal space and a differential diagnosis includes branchial cleft cyst, abcess, cystic hygroma, metastatic lymph node with central necrosis and aneurysm. CT and MRI are essential for diagnosis and provide information on the size and location of the tumor. There are several possible approaches to tumors in the parapharyngeal space: transoral excision, cervical approach with or without mandibulotomy and transparotid approach. It is preferable to perform a mandibular swing approach for the removal of the large tumor in the parapharyngeal space.
- Published
- 2001
13. The Value of Chest CT Scanning for Patients with Head and Neck Squamous Cell Carcinoma
- Author
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Akihiko Katoh, Hajime Ishinaga, and Hiroyuki Yamada
- Subjects
medicine.medical_specialty ,Lung ,business.industry ,Chest ct ,medicine.disease ,Head and neck squamous-cell carcinoma ,medicine.anatomical_structure ,Otorhinolaryngology ,Head and neck surgery ,Medicine ,T-stage ,Radiology ,Double cancer ,business ,Head and neck - Abstract
Frequently, double cancer and distant metastases have been detected by means of therapeutic techniques for head and neck cancers. Between January 1997 and February 1999, we experienced 59 cases of head and neck Squamous cell carcinoma in the department of otolaryngology at the Yamada Red Cross Hospital. Eight patients of 59 (13.6%) had pulmonary metastases and/or primary lung cancers, detected by chest CT scans. However, such lesions in 4 patients of 59 (6.8%) were detected by normal Chest X-rays. Positive correlations were observed between T stage and positive CT scans.CT scanning of the chest is more effective than chest X-ray, and is now used routinely in our department prior to undertaking major head and neck surgery.
- Published
- 2000
14. Clinical Statistical Observation of Laryngeal Carcinoma
- Author
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Yuichi Majima, Yasuo Sakakura, Kazuya Otsu, Kazuhiko Takeuchi, Teruhiko Harada, Yukiko Miyamoto, Shinya Suzuki, and Hajime Ishinaga
- Subjects
medicine.medical_specialty ,business.industry ,Cancer ,Stage ii ,medicine.disease ,Surgery ,Laryngeal preservation ,Otorhinolaryngology ,medicine ,Carcinoma ,In patient ,Stage (cooking) ,Supraglottis ,business ,Survival rate - Abstract
From 1990 through 1998, 143 patients with laryngeal cancer were treated in our department. Of the 143 patients, 94 had glottal, 43 had supraglottal, and 6 had subglottal cancer. The 5-year survival rate in patients with laryngeal cancer was 90.0% for stage I, 81.3% for stage II, 77.9% for stage III, and 42.6% for stage IV. The 5-year survival rate was 86.5% for glottal, 55.9% for supraglottal and 66.7% for subglottal cancer patients. The laryngeal preservation rate was 90.4% for stage I, 60.5% for stage II, 21.4% for stage III and 28.1% for stage IV.A loco-regional recurrence occurred in 24 of 143 patients (16.8%). The salvage rate for these patients was 45.8% (11/24). Six of 11 patients who died of primary disease and nodal failure (including 2 stomal recurrences) had supraglottic stage N carcinoma.In conclusion, laryngeal preservation surgery should be recommended in the early stages of cancer after radiation failure and local recurrence. It is recommended to dissect the anterior compartment including the delphian lymph node, pretracheal, and parathyroidal nodes bilaterally for patients with laryngeal tumors that have significant anterior subglottic extension, tumors arising in the subglottic region, or advanced tumors arising in any region, especially the supraglottis.
- Published
- 2000
15. Two Cases of Iatrogenic Perforation of the Esophagus
- Author
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Hajime Ishinaga, Hiroyuki Yamada, and Akihiko Kato
- Subjects
Primary suture ,medicine.medical_specialty ,medicine.anatomical_structure ,Otorhinolaryngology ,medicine.diagnostic_test ,business.industry ,Perforation (oil well) ,medicine ,Esophagus ,business ,Rigid esophagoscopy ,Endoscopy ,Surgery - Abstract
Two cases of esophageal perforations caused by endoscopy were treated at our hospital.The cause was flexible fiberscopy in one patient and rigid esophagoscopy in the other patient. Both patients were treated surgically and cured.We concluded that: (1) rigid esophagoscopy should be performed under general anesthesia; (2) a barium esophagogram indicative of an esophageal perforation should not be a contra-indication; and (3) the operation should be performed as soon as possible, and primary suture of the perforation should also be performed if possible.
- Published
- 1999
16. Clinical Study of Severe Epistaxis Treated by Surgical Therapy
- Author
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Hiroyuki Yamada, Hajime Ishinaga, and Akihiko Kato
- Subjects
medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,Turbinectomy ,Packing method ,eye diseases ,Surgery ,Clinical study ,Catheter ,Surgical therapy ,Otorhinolaryngology ,medicine ,Embolization ,Ethmoidal Artery ,Ligation ,business - Abstract
Thirty-six patients with epistaxis requiring hospitalization evaluated over the previous five years were statistically. Twelve patients could not be controlled by the conventional packing method. Ligation of the ethmoidal arteries was perfomed in 4 cases, selective catheter embolization in 5 cases, and turbinectomy and electro-cauterization in 3 cases. In one patient treated by ligation of the ethmoidal artery, and in four patients treated by selective catheter embolization, control of epistaxis failed. All 4 patients were subsequently treated by turbinectomy and electro-cauterization. Because of its relative simplicity and effectiveness, turbinectomy from the infra turbinal posterior end is proposed as the standard method for treatment of epistaxis. Ligation of the ethmoidal arteries should be used for the treatment of epistaxis originating from the olfactory cleft, and selective catheter embolization for treatment of those cases in which the bleeding points were undetectable.
- Published
- 1999
17. Modified Type III and Type IV Tympanoplasties in Our Department
- Author
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Hiroyuki Yamada, Hajime Ishinaga, and Akihiko Katoh
- Subjects
Columella ,Ossicular chain ,medicine.medical_specialty ,business.industry ,Chronic otitis ,Type IV tympanoplasty ,Cholesteatoma ,Type III tympanoplasty ,medicine.disease ,Surgery ,Otorhinolaryngology ,Hearing results ,Middle ear surgery ,otorhinolaryngologic diseases ,medicine ,sense organs ,business - Abstract
In the past 4 years, middle ear surgery has been performed on 166 ears. A total of 42 ears operated on by modified type III tympanoplasties, and 19 ears operated on by type IV tympanoplasties were reviewed. The type III tympanoplasty group included 12 ears with cholesteatoma and 20 with chronic otitis media. The type IV tympanoplasty group included 9 cases of cholesteatoma and 5 cases of chronic otitis media. Postoperative hearing results were evaluated, and success rates in hearing results were 81.6% of type III patients, and 66.7% of type IV tympanoplasty patients. Second surgeries were performed on 7 ears previously operated on at other hospitals, and success was observed in 6 ears. In 18 ears, artificial columella (hydroxyapatite) was used for reconstruction of the ossicular chain, and discharge of the columella was observed in only 1 ear. In 21 ears with cholesteatoma and reconstruction of the ossicular chain, residual recurrence of cholesteatoma was observed in 3, but true recurrence of cholesteatoma was not experienced.
- Published
- 1998
18. A Study of Head and Neck Abscesses
- Author
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Akihiko Kato, Hajime Ishinaga, and Hiroyuki Yamada
- Subjects
medicine.medical_specialty ,Chemotherapy ,Enhanced ct ,business.industry ,medicine.medical_treatment ,bacterial infections and mycoses ,medicine.disease ,Surgery ,Otorhinolaryngology ,medicine ,Effective treatment ,Radiology ,Peritonsillar Abscess ,Head and neck ,Abscess ,business - Abstract
Seventy-nine patients with head and neck abscesses were treated at our clinic between 1995 and 1997. Sixty-three cases had a peritonsillar abscess, seven were cases of deep neck infection and nine cases were other sorts of abscesses.Of the seven patients with deep neck infection, two were treated only with chemotherapy and steroids. Surgical drainage was performed in the remaining five patients.For the effective treatment of head and neck abscess, enhanced CT scanning is useful, in addi-tion, prompt surgical drainage of the abscess and therapy with antibiotics for anaerobic pathogens and with steroids for a short period are required.
- Published
- 1998
19. A Case of a Malignant Lymphoma with an Abscess in the Neck
- Author
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Hajime Ishinaga, Hiroyuki Yamada, Akihiko Katoh, and Toru Matsuura
- Subjects
Chemotherapy ,medicine.medical_specialty ,Debridement ,business.industry ,medicine.medical_treatment ,medicine.disease ,Medical department ,Surgery ,Malignant lymphoma ,Otorhinolaryngology ,Male patient ,Histological diagnosis ,medicine ,Head and neck ,Abscess ,business - Abstract
Malignant lymphoma is a systematic disease which frequently manifests itself first in the head and neck region.Although the diagnosis of a malignant lymphoma is not difficult, the addition of infection in the affected lymphoid tissues makes the histological diagnosis complicated. A prudent evaluation and repeated biopsies are required in cases complicated by infected lymphoid tissues. On the other hand, the administration of antibiotics, drainage and debridement of the affected region are essential for the severe inflammation of the deep neck. We recently experienced a 60-year-old male patient with a malignant lymphoma and severe infection of the neck.Debridement of the infected neck region and subsequent reconstruction of the defect in the neck were performed in this case.A pectoralis major musculocutaneous flap was elevated, passing through the retro-clavicular space, and the defect in the neck was then covered by this flap without any complication.Combined chemotherapy was performed by the medical department, and achieved a complete response.This reconstructive procedure enabled the satisfactory covering of defects in the upper neck region.
- Published
- 1997
20. A Case of Osteosarcoma of the Maxilla
- Author
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Toru Matsuura, Hajime Ishinaga, Akihiko Katoh, Jun Shinogi, and Hiroyuki Yamada
- Subjects
musculoskeletal diseases ,medicine.medical_specialty ,Chemotherapy ,business.industry ,medicine.medical_treatment ,Postoperative irradiation ,medicine.disease ,Surgery ,Radiation therapy ,stomatognathic diseases ,Otorhinolaryngology ,Maxilla ,medicine ,Maxillary cancer ,Osteosarcoma ,Sarcoma ,business ,Head and neck ,neoplasms - Abstract
Osteosarcoma arising from the maxilla is a rare tumor of the head and neck region, accounting for only 6% to 7% of all osteosarcomas. Although therapy for maxillary cancer is well established, that for sarcoma of the maxilla, especially osteosarcoma is less clearly defined. In our department, a case of osteosarcoma arising from the maxilla was treated with surgery and chemo-radiotherapy. Surgery preceded postoperative irradiation with adjuvant intra-arterial chemotherapy. In the literature, surgery is the most readily available form of therapy, whereas radiotherapy and chemotherapy are not commonly used in the treatment of osteosarcoma. The Japanese literature suggests that a combination of chemotherapy and surgery might improve the outcome in cases of osteosarcoma of the maxilla.In cases of osteosarcoma, recurrence at the primary site is common, and the prognosis in these cases is generally poor. Therefore, precise evaluation of the extent of the osteosarcoma is more essential. In our patient, 3-dimension CT was used preoperatively, and proved useful for the evaluation of the extent of disease and the determination of suitable operative procedures.
- Published
- 1996
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